Our Services
QFHC is redesigning health care communities through transformation of health care delivery into patient-centered and value-driven integrated systems of care. QFHC focuses on 8 key transformation principles throughout the health care system redesign process.
- Organizational culture and leadership
- Service delivery capacity and organizational cooperation across the care continuum
- Physician integration
- Patient-focused philosophies
- Geographic coverage of network
- Standardized care delivery
- Performance management
- Information systems
QFHC’s Quality and Risk Assistance program, called Q&R Assist, delivers a unique combination of expert management solutions specifically designed to address needs of community health centers. Q&R Assist focuses on sustainable solutions that enhance organizational performance, assure compliance to PHS 330 grantee program requirements, promote continuous quality improvement, and support clinical risk prevention. Quality and Risk management solutions include:
- Health Care Plan management and reporting
- Maximizing efficiencies (making your systems work for you)
- Patient-centered medical home development
- Policy and procedure development and management
- Provider Credentialing and Privileging management
- QA/QI Plan oversight and/or management
- Data analytics and statistical testing
- Data processing services
- Clinical Risk Management oversight
Understanding and navigating the process to achieve recognition as a PCMH can be complex, requiring changes in staff roles, and policies & procedures.
Quality First Healthcare Consulting will work collaboratively as a member of your project team to provide support for the CMS FQHC APCP demonstration Project. We provide:
- Onsite site or web-based staff training and technical assistance in interpretation of the NCQA PCMH Standards and Guidelines.
- Completion of a gap analysis to identify areas of deficiency in meeting NCQA PCMH elements and factors.
- Development of a customized project plan to achieve Level III PCMH recognition.
- Revision of readiness assessments every 6 months.
- Assistance with redesign of staffing models to maximize clinical and non-clinical resources to support PCMH transformation.
- Document preparation readiness for NCQA's ISS upload from the NCQA PCMH surveyor perspective.
- Mock Survey administration.
- Support random audit response requests.
PCMH Assist Delivers PCMH Solutions
- Enhanced Systems Performance
- Improved Patient Outcomes
- Efficient Care Coordination
- Achieved NCQA PCMH Recognition
Efficient, natural workflow is essential to cost effective operations. QFHC has the ability to effectively assess and redesign medical management and quality management core operational processes to meet your business requirements and maintain compliance with regulatory and/or accrediting standards.
- Work Flow Analysis (From “As is” to “To be”).
- Change management facilitation.
- Policies and procedures, program descriptions, work plans, outcomes/ROI measurement design.
- Systems software conceptual design to effectively & efficiently manage new business requirements.
- Operational testing of reorganized processes to prevent inefficient manual processes from becoming inefficient automated ones.
QFHC addresses the challenge of today's health care with its model of performance management. Performance management is the art of formulating key organization goals, developing the strategies and methods to be used, refining goals into specific measurable objectives, managing those objectives, measuring the results achieved, and modifying strategies and methods based upon the outcomes realized. QFHC's customized programs help your organization improve services, optimize outcomes and make the most efficient use of your resources while complying with state, federal, and accreditation standards. Performance management services provided include:
- Identifying "critical elements" that act as base standards required to ensure all consumers receive quality care and service.
- Facilitate a team-planning meeting to establish outcome-based performance measurements.
- Develop processes to monitor the effectiveness of current procedures.
- Design customized outcome measurement projects and corresponding tools for collection and management of data.
- Provide technical assistance to facilitate integration of performance management techniques into operations.
QFHC has extensive knowledge and experience in the continuous quality improvement (CQI) process. We are experts in crafting Performance and Quality Management programs that are systematic, goal-driven, relevant, meaningful, evidence-based, multi-purpose, resource efficient and highly effective. Quality management services provided include:
- Development/assessment of committee structures for oversight of quality of care and services.
- Facilitate organizational integration of quality improvement through internal coordination and communication processes.
- Development/assessment of an organization's quality improvement monitoring system.
- Provide technical assistance in generating quality management reports for committee and governing board presentations
We understand the challenges in implementing a care management program. From cost to implement to return on investment we work with organizations to develop care management business models. Building on our successes and lessons learned we use our experience and knowledge to significantly reduce the amount of time it takes, and risk involved, when transforming care management concepts into sustainable effective population management models of care.
(NCQA, Joint Commission, URAC, AAAHC)
QFHC assesses the organizations accreditation readiness using a strengths-based approach. A baseline analysis is developed for review by the organization's management team and through this collaborative process an accreditation project plan is generated. Accreditation management services includes:
- Strengths-based survey readiness assessment and planning
- Project plan development and implementation
- Project management—accreditation preparation
- Develop policies and procedures
- Review/design clinical and service quality improvement activities
- Coordinate and manage day-to-day project plan activities
- Survey presentation preparation/supporting documentation
- Post accreditation management of compliance with standards
QFHC's experience in the development of start up programs and products significantly reduces the amount of time it takes and risk involved in moving a concept into reality. Program development services provided include:
- Develop policies and procedures.
- Design program models.
- Develop program descriptions, work plans, and evaluations.
- Develop and complete a business plan.
- Develop marketing strategies.
- Write job descriptions.
- Conduct on-site staff training.
Efficient, natural workflow is essential to cost effective operations while maintaining quality care and services. QFHC helps organizations reorganize around core processes. Work flow studies are conducted through interviews, document review, and observation to identify opportunities for improvement. A gap analysis is developed and reviewed with the organization's management team, then in collaboration with management and staff new processes are developed. Operational testing is completed around reorganized processes to prevent inefficient manual processes from becoming inefficient automated ones.
QFHC uses the expertise of a licensed health care risk manager to assist in the assessment of an organization's compliance with state and federal regulations. Regulatory compliance services provided include:
- Conduct comprehensive assessment of the organization's policies and procedures to applicable state and federal regulations.
- Assist in survey/review preparation.
- Provide technical assistance in the development and monitoring of improvement activities associated with corrective action plans imposed by state and federal agencies.
- Preparation of case summaries for state/federal consumer complaint hearings/reviews.
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