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Provider QI Resources

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)

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 HealthChoice enrollees.

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

 

Congestive Heart Failure Quality Improvement Initiative (CHF)

Providers participating in the Community Care of North Carolina Program agree to implement Congestive Heart Failure Management according to guidelines developed 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).

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

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

 

Chronic Obstructive Pulmonary Disease Quality Improvement Initiative (COPD)

Providers participating in the Community Care of North Carolina Program agree to implement the (GOLD) Global Initiative for Diagnosis, Management, and Prevention of COPD – 2016.

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

Please visit CCNC’s website for special initiative details, process measures 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)

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. 

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

 

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.