In her role as NCMS Foundation Director of Practice Improvement, Terri Gonzalez, has helped dozens of practices achieve National Committee for Quality Assurance (NCQA) recognition. Receiving this recognition means the practice or clinician values quality health care delivery and uses the latest clinical protocols to ensure patients receive the best care at the right time. This “seal of approval” can translate into higher reimbursements.
“Through these quality initiatives, we are working to improve the quality of health care for all patients and provide efficient and cost effective measures at the practices throughout the state,” said Gonzalez, who is a Patient Centered Medical Home (PCMH) Content Expert and is certified by NCQA to offer consulting services on PCMH as well as Patient Centered Specialty Practice (PCSP) recognition programs.”
The latest example of Gonzalez’ successful approach to helping practices achieve these often confusing and time-consuming recognitions, is with the United Physician Management Network. Recently, 18 Ob/Gyn practices stretching from Morehead City to Asheville received their NCQA recognition with Gonzalez’ help. This recognition will qualify them for higher reimbursements through the Blue Cross and Blue Shield of North Carolina’s Blue Quality Physician Program (BQPP). Started in 2009, BQPP recognizes and rewards practices that demonstrate a strong commitment to patient-centered care, improving health outcomes and reducing costs. The NCQA Patient Centered Medical Home recognition is the core mandatory element to be eligible for the BQPP.
“The outstanding recognition by NCQA of the Unified Women’s Health (UWH) of North Carolina corporate survey tool reflects the group’s strong commitment to providing the highest level of women’s health care services to Blue Cross and Blue Shield members in North Carolina,” said Barrett Gunter, MD, President, UWH of North Carolina. “One of the real strengths of this group is its ability to embrace technology to improve the cost, quality and access to health care by women. The group is dedicated to improving outcomes and enhancing the patient experience. As President of the group, I would also like to thank Terri Gonzalez and the North Carolina Medical Society, who along with UPM, our management partner, worked to make this project a success. “