Help your practice to thrive in a value-based world.
Learn how to navigate quality measures, national benchmarks, and reporting programs to position your practice for success in today's value-driven environment. Drawing from her firsthand experience in implementing value-based care strategies, PMI's premier instructor, Jan Hailey, will share how organizations can achieve significant revenue while improving patient outcomes.
Highlights:
- How U.S. healthcare quality compares globally
- Goals and priority areas of the CMS National Quality Strategy
- Understanding NCQA standards, HEDIS measures, and STAR ratings
- How data drives the Quality Payment Program (QPP)
- Strategies for maximizing performance in value-based programs
- Engaging patients as active members of the care team through shared decision making
- The role of care management in driving quality outcomes and improved patient experience
- Overview of key terminology and acronyms in healthcare quality
- Leveraging data analytics to identify performance gaps and track progress
- Addressing social determinants of health to advance equitable care
- Connecting quality improvement efforts to financial sustainability
Preparing for future trends: digital quality measures, AI, and evolving CMS priorities
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.Â
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Participants will learn how to earn a bonus while improving care delivery and gain insight into opportunities created by quality initiatives.
No prerequisites are required.
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable course materials for 6 months.
Comments from past participants:
- "Very informative"
- "Great instructor"
- "Excellent information"
Prod ID: 539
