2013 Collaboratives/Special Studies


Patient Centered Medical Home

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

BCBSA Medical Home Project (CMS interest in partnering)

N

Use of health information technology to promote patient safety, coordination of care, practitioner group quality measure & performance reporting

Patient Centered Medical Home (PCMH)

Adirondack Park PCMH Pilot Project (NENY)

R

Use of health information technology to promote patient safety, coordination of care, practitioner group quality measure & performance reporting

Patient Centered Medical Home


Physician & Hospital Quality

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

BCBSA Blue Center for Distinction identifies institutions that demonstrate both quality and value in the delivery of health care. These designations include specialties such as Cardiac, Complex and Rare Cancers, Bariatric Surgery, Spine Surgery, Knee and Hip Replacements, and Transplants

N

Identifies high performing facilities for specialty care in our network that excel in both quality of care and delivered

Health Care Quality Improvement

Quality Assurance Program for Skilled Nursing Facilities

R

Quality Measures to increase patient safety, reduce infection, reduce avoidable readmissions

Utilization Management

All Cause Avoidable Readmission Collaborative Program

R

Facilities and the plan will work collaboratively to reduce avoidable readmissions by evaluating the data to determine facilities in need of additional services, education, and programs (example: CHF)

Utilization Management


Cultural & Linguistically Appropriate Care

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

Health Disparities Tool and Resources Workgroup - subcommittee P2 Collaborative on Health Disparities

R

Work with various organizations in the WNY area to develop various tools and resources for organizations to use to assist in promoting culture and language 

Cultural and Linguistically Appropriate Services

Improved clinical outcomes and health promotion

Medical Society of NYS Committee on Healthcare Disparities  - Medical Director BSNENY

NYS

Promote member Healthcare literacy

Support of Health Management and Safety Programs






Disease Management

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

New York Diabetes Coalition

NYS

Develop tools for the management of diabetes

Health Management/ Disease Management Programs

WNY Collaborative with local plans on:
1. Adult Depression in Primary Care
2. Primary and Secondary Cardiac Prevention
3. Prenatal Care

R

Standardize physician/provider education

Health Management Programs



WNY Asthma Coalition

R

Promote clinical practice guidelines and develop toos for the management of asthma

Health Management/Disease Management Programs


Preventive Health & Health Promotion

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

Erie County DOH Collaborative with Health Plans

R

Practitioner education via fax blast on current health concerns (e.g. Obesity, Flu)

Preventive Health Programs

Immunization Coalition of the Capital Region

R

Increase awareness of immunization and lead screening

Preventive Health Programs

WNY Adult, Pediatric and Adolescent Immunization Coalition

R

Increase immunization and lead screening rates through quality healthcare initiatives, public awareness and community support

Preventive Health Programs

WNY Adult Immunization Coalition

R

Increase awareness regarding the importance of adult immunizations in an effort to minimize vaccine preventable diseases

Preventive Health Programs

Health Disparities Tool and Resources Workgroup - subcommittee of P2 Collaborative on Health Disparities

R

Work wtih various organizations in the WNY area to develop various tools and resources for organizations to use to assist in promoting culture and language

Culturally and Linguistically Appropriate Services

Improved clinical outcomes and health promotion

P2 Collaborative (Pursuing Perfection) [administrator for national Aligning Forces 4 Quality initiative(AF4Q)]

R

Commitment to the good health of the WNY community with a global approach to health/ health care issues in the community. Work with community groups and networks of groups to identify and promote healthy lifestyles

Culturally and Linguistically Appropriate Services

Improved clinical outcomes and health promotion

Coalition for Healthcare Choice

R

Educate the community on end of life choices

Home Connections Palliative Care Program

Erie Niagara Tobacco Free Coalition

R

Programming to address smoking cessation

Health Promotion and Wellness Programs

Roswell Park Cancer Institute Tobacco Cessation Center

R

Promote Quit for Life cessation programs, co-sponsor provider training programs

Health Promotion and Wellness Programs

Healthy Lifestyles Coalition P2

R

Integrate wellness in community outreach programs

Health Promotion and Wellness Programs


Safety

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

Buffalo and WNY Community Collaborative Radiology Program

R

Promote appropriate utilization of radiology services in the Emergency Department

Support patient safety programs related to radiation safety for our members


Prenatal Care

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

WNY collaborative with local plans for CPG: Prenatal Care

R

Standardize corporate clinical practice guidelines

Health Management/Disease Management Programs

   Erie/Niagara County Perinatal Task Force

R

Promote prenatal care for improved newborn health

Health Management/Disease Management Programs


Information Management

Name of Collaborative Special Study
National NYS Regional
Primary Focus or Intervention
Related Internal Program/Department

Healthcare Information Xchange of NY (HIXNY)

(HIE in Northeastern NY)

R

Promote health information infrastructure via HIE

Support of Health Management and Safety Programs

WNY HealtheNet (with local plans from WNY & NENY and hospital systems from WNY)

R

A single online source for all providers to verify eligibility and check status of claims, referrals and authorizations

Provider service support

HEALTHeLINK (WNY)

R

Promote health information infrastructure via Regional Health Information Organizations (RHIO)

Support of Health Management and Safety Programs

 

Additional information is available upon request by:

  1. Phone: contact the Quality Improvement Department at 1-800-677-3086, option 5.
  2. Web: contact us through Click and Comment
  3. Mail: write to us at Health Care Quality Improvement, PO Box 80, Buffalo, New York 14240-0080.