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Provider QI Resources

Asthma Quality Improvement Initiative
Providers participating in the Community Care of North Carolina (CCNC) Program agree to implement Asthma disease management according to the NIH (National Institute of Health) Guidelines as a standard of asthma care. Yearly audits are conducted to provide information on attaining the CCNC Clinical Directors proposed benchmarks to be met. (Physician Incentives Benchmarking Plan)

Please visit CCNC website for initiative details, process measure and outcome measures.

The Carolina Community Health Partnership Network can sponsor scholarships for additional asthma training for providers through the National Respiratory Training Center

The Carolina Community Health Partnership Network provides case manager assistance to collaborate with providers in asthma disease management in the physician's offices for Medicaid and HealthChooice enrollees.

Congestive Heart Failure Quality Improvement Initiative (CHF)


Providers participating in the Community Care of North Carolina Program agree to implement the Congestive Heart Failure Disease according to guidelines develop by the Heart Failure Society of America, American College of Cardiology (ACC) & the American Heart Association (AHA). The CCNC stages of Heart failure with recommended therapy guide summarizes initiative expectations (CCNC Heart Failure Guidelines)

Please visit CCNC website for initiative details, process measure and outcome measures.

The Carolina Community Health Partnership Network provides case management services to assist physician in implementation in heart failure disease management.

Chronic Obstructive Pulmonary Disease Quality Improvement Initiative (COPD)

Carolina Community Health Partnership is one of 5 Community Care network to pilot a COPD disease management initiative. Five practices in the Carolina Community Health Partnership network are participating in the pilot which is expected to be completed in May 2008.

Carolina Community Health Partnership case management services are a large part of this initiative working in collaboration with physicians.

The American Thoracic Society (ATS) COPD Guidelines and the GOLD Guidelines were used as standards of care in development of the CCNC COPD Guide.

Please visit CCNC website for special initiative details, process measure and outcome measures.

Diabetes Quality Improvement Initiative

Providers participating in the Community Care of North Carolina Program agree to implement Diabetes Disease Management Initiative according to the ADA (American Diabetes Association) recognized standard of care. Yearly audits are conducted to provide information in attaining the CCNC clinical directors proposed benchmarks. (Physician Incentives Benchmarking Plan)

Please visit the CCNC website for initiative details, process measure and outcome measures.

The Carolina Community Health Partnership Network provides case management services to providers to assist them in implementation of diabetes disease management for their Medicaid and HealthChoice patients

Emergency Room Utilization Management

The Carolina Community Health Partnership Network of Cleveland County and Rutherford County work in collaboration with the primary care physicians and Medicaid enrollees/ HealthChoice enrollees to ensure that the use of the emergency room is appropriate. Network case managers and provider offices strive to continually educate patients on use of their medical home ( Children and Adults) and appropriate use of the emergency room.

The Carolina Community Health Partnership Network has a case manager located in the emergency room at Cleveland Regional Medical Center who meets with Medicaid and HealthChoice patients after their emergency room visit.

Case Manager provides:

management information for Medicaid and HealthChoice patients,
confirms discharge instructions are understood by patients
coordinate ER referrals to specialists,
makes follow-up appointments with PCP's and/or specialists including Dentist,
educates patients on correct usage of emergency room and medical home,
makes referrals to other CACM when patient's condition requires monitoring after discharge from ER,
alerts PCP offices when patient over uses ER for non-emergent issues.
All providers are encouraged to educate patients on the concept of medical home. For any referral or questions about emergency room utilization, please contact case management services