2021 Care Quality Strategy
New Patient Lists & Care Quality Reporting
As part of our 2021 Network Goal to Pursue Opportunity, Catalyst Health Network is implementing a more targeted approach to quality. This approach is focused on identifying patients in need of their annual check-ups, breast cancer screenings, colorectal cancer screenings and HbA1c testing.
The PA Team will use these patient lists to reach out to patients and encourage them to schedule appointments or order outstanding tests. This coordinated effort to close quality gaps across markets and payors will ensure high network performance and improve patient outcomes. Below you’ll find more detail on this 2021 Quality Strategy.
Overview of 2021 Quality Strategy
The best practice for achieving high performance in quality is to address preventative screening measures during each patient interaction. Practices may need to develop internal processes to confirm quality gaps are frequently reviewed. Care Team members additionally support Practices by reviewing gaps in care during each patient encounter.
Practices can access the patient quality gap lists via the Performance Advocate Team or via the physician quality platform directly (coming soon!).
Practices utilize the list by:
Flagging Catalyst patients in EMR
Calling patients and/or sending portal messages
Scheduling office visits
Sending referrals to specialists via Leading Reach
Obtaining records from specialists
Documenting completed procedures/tests in the EMR
Care Team members support practices by:
Calling patients (coordinated with Practice)
Transferring patients to schedule office visits
Following up on referrals for procedures/tests
Reviewing specialist records in the EMR for completed gaps
Documenting completed procedures/tests to send to the payors to close quality gaps
The following list of specialists are those who have recently onboarded and connected with us. This will avoid hundreds of faxes every month, supporting greater visibility to and communication on your patient referrals!
We are working with Exact Sciences and Catalyst member practices to streamline workflow opportunities for colorectal cancer screenings across the network.