Update on Health Plan Accreditation
2014
Thursday, October 24, 2013
7:30 a.m. – 8:15 a.m.
Registration & Continental Breakfast
8:15 a.m. – 8:30 a.m.
Welcome/Seminar Goals
8:30 a.m. – 9:45 a.m.
Health Plan Accreditation 2014
Natasha R. Reid, MA, PAHM
Frank Stelling
Raena Akin-Deko
Objective
 Outline Health Plan Standards Updates
 Describe how MBHO changes affect health plans
9:45 a.m. – 10:00 a.m.
Break
10:00 a.m. – 10:30 a.m.
Virtual Surveys Onsite Information
Dori Evans
Objective
 Discuss the current process of virtual surveys in Accreditation
 Demonstrate a virtual survey
10:30 a.m. – 12:10 p.m.
NCQA’s Patient-Centered Medical Homes: An Overview
Raena Akin-Deko
Frank Stelling
Jennifer Sayles, MD, MPH
Janesri De Silva, MD, FAAP
Objective
 Outline the current landscape of Patient-Centered Medical Homes
 Discuss how NCQA integrates Patient-Centered Medical Home Recognition
in Health Plan Accreditation
 Share experiences from PCMH perspective
12:10 p.m. – 1:10 p.m.
Lunch
1:10 p.m. – 1:40 p.m.
2013 Policy Updates
Frank Stelling
Objective

Review policy updates to the accreditation guidelines

Explain Exchange renewal requirements
1:40 p.m. – 2:55 p.m.
Delegation: Tricks and Treats
Dori Evans
Objective
 Explain key complexities and considerations in delegation including
sub-delegation; agreements, affiliated organizations
 Review Automatic Credit requirements
2:55 p.m. – 3:05 p.m.
Break
3:05 p.m. – 4:00 p.m.
Challenging Standards
Frank Stelling
Objective
 Discuss Health Plan standards; e.g. QI 10 , QI 4A, QI 6A, UM 8, UM 9
4:00 p.m. – 4:30 p.m.
Question and Answer/Wrap-up
The purpose of this Q&A session is to respond to content discussed
throughout the day.