Quality Improvement
The processes that make health care delivery more effective — and less costly
CCNC has used performance measurement and feedback to help meet its goals of improving the quality of care for Medicaid recipients while controlling costs since 1998. Quality measurement is intended to stimulate or facilitate quality improvement (QI) efforts in CCNC practices and local networks, and to help evaluate the performance of the program as a whole. Despite rapid growth in CCNC enrollment and number of participating practices, CCNC clinical leaders have remained committed to monitoring quality at the individual practice level, engaging providers in the QI process and reporting on progress at the practice, county, network, and statewide level.
Connecting your patients to the community resources you need
We work with Improving Performance in Practice (IPIP) Program Quality Improvement consultants. They can work with provider office staff on the development of an electronic patient registry, planned care templates and guides, access to evidence-based treatment protocols, and other quality improvement measures. Participation in IPIP is free of charge and can provide up to 20 hours of CME for participating providers. If you have questions please contact us!
QI Mission
To seek constructive solutions to agency problems that impede the improvement of staff function and effective and efficient delivery of healthcare services for our population in Guilford, Randolph and Rockingham counties. The QI team addresses this mission through coordination of research, collection of information, and analysis of viable options. This Mission is to support the greater Mission of our Agency, “Empowering our community to improve the quality of their healthcare.” To provide exceptional QI support to our agency through data analysis, professional training and timely response.
TREO Data Management
TREO applies 3M™ methodology for tagging whether an admission, readmission or ER visit was “potentially preventable.” Patients are flagged for priority based on whether they had more “potentially preventable” hospital services relative to other people in their risk group (CRG).
CMIS (Case Management Information System)
A secure web application intended for the users of participating CCNC Networks. It integrates components of the CCNC Standardized Plan with accepted care management processes allowing care mangers to build and work with a patient-centric, comprehensive care plan. This system is managed and developed by the informatics center of NCCCN, Inc. https://cmis.n3cn.org/
Provider Portal
Released in August 2010 to improve patient care coordination for NC Medicaid recipients. Providers and other members of the care team may access care team contact information, visit history, and pharmacy claims history for their Medicaid-enrolled patients. Population management and quality reporting is also available. Available to practices, hospitals, and agencies engaged in quality improvement and care coordination through Community Care of North Carolina.
Contact information for the patient’s primary care and specialist physicians, mental health services provider, Health Check coordinator, DME supplier, home health or personal care service provider and pharmacy, Visit history (including inpatient, emergency department, office visit, and imaging history), Medication list and pharmacy claims history, Laboratory results when available and clinical alerts indicating if patient is overdue for recommended care. HTTPS://PORTAL.NC3N.ORG
Informatics
Information Support for Patient Centered Care. https://ic.n3cn.org/
Contact our Quality Improvement Team:
Tiffany Gibson, NP, Assistant Medical Director/QI Champion | [336] 944-1585