Participation opportunities connected to ACE
In addition to delivering exceptional care in their daily work, member physicians and Advanced Practice Clinicians (APCs) are eligible to receive incentives for participation in designated Achieving Clinical Excellence® (ACE) activities.
Quality Improvement and MOC/PI-CME Programs
Valley Preferred offers the chance to achieve new levels of health care delivery, efficiency, and accuracy through two quality improvement avenues. The basic QI program is a long running Valley Preferred initiative. In 2018, Valley Preferred began sponsoring the Maintenance of Certification (MOC/PI-CME) program for allopathically boarded physicians and PAs, part of the American Board of Medical Specialties (ABMS) Portfolio Program®. Both options are incentivized through ACE and provide project opportunities for specific areas of interest.
To be eligible for ACE incentives, projects must be approved prior to initiation. If interested in starting a Quality Improvement or MOC/PI-CME Project, please contact Physician Advocacy Liaison Michael Makela 610-969-0481.
Care Gap Closure Incentive
The Care Gap Closure Incentive has replaced electronic physician self-audits. On a quarterly basis, each eligible practice will be measured on its care gap closure percentage (aka: quality index). The incentive will be based on the overall quality index for the practice, as well as the size of the individual physician’s/provider’s attributed panel of patients. The higher the quality index and the larger the panel, the higher the incentive payment.
Independent Medical Review
Populytics Medical Director may request clinical consultations on medical management from member physicians. This can be done as a written or telephonic consultation.
Member physicians are encouraged to attend Greater Lehigh Valley Independent Practice Association (GLVIPA) membership meetings.
Member physicians can meet with the Medical Director, an Associate Medical Director and/or a Physician Advocacy Liaison to discuss initiatives, outcomes and incentives.
Invited Speaker to Care Management Committee
Member physicians are invited to present their conclusions of a finished Quality Improvement project.
Clinical Integration Education Program (CIEP)
Member primary care and specialty physicians interact and stay connected through education presentations enhancing the way care is integrated. Attendance is incentivized once per quarter, however speaking opportunities are unlimited. The provider integration must be requested and approved prior to the Clinical Integration Education Program (CIEP) session. CIEP sessions are defined by the request and categorized into forum-based sessions or practice-based sessions.
Institute for Healthcare Improvement Quality Course
Member physicians are encouraged to take online courses dedicated to Quality Improvement, Patient Safety, Triple AIM, Cost Containment and Leadership. Incentive is for completion of the 5 Quality Improvement modules (QI 101- QI 105). In addition, LVHN will contribute toward the IHI membership fee and Valley Preferred members will receive CE credits toward the 12 patient safety credits that must be obtained every two years for board certification. Course registration instructions can be furnished upon request.
REMS Chronic Pain Symposium-TLC Education Module
Member physicians can earn CME credits for completion of online training modules. Modules are approved for AMA PRA Category 1 Credit™ and may satisfy the requirements for the Patient Safety/Risk Management category. Credit values vary by module. Course registration instructions can be furnished upon request.