Quality, Risk & Patient Experience
High-Value Care
“The SMSC quality team has been a terrific resource in helping us advance the quality initiatives across our multispecialty physician group. They have provided subject matter expertise and process management support as we work to transform our practice to implement the principles of a high-reliability organization and advance the tenets of IHI’s Quadruple Aim.”
Kim Ginevan, MD. Managing Director, Pathology Division, Spectrum Healthcare Partners
Delivering high-value healthcare services becomes increasingly essential in a market that continues to shift from fee-for-service to pay-for-performance payment methodologies. The SMSC team offers a complement of services to help your organization improve its healthcare service delivery. The primary benefits of our approach include:
- Reducing costs associated with system failures, errors, poor outcomes, and redundancy.
- Identifying and developing action plans to remediate barriers that limit performance and effectiveness.
- Shifting organizational culture to promote activities that proactively address potential quality issues or other risks.
- Preparing your organization to successfully participate in pay-for-performance, bundles, or other alternative payment models.
- Improving communication among providers, administrative leaders, and other team members.
- Minimizing organizational losses by standardizing processes and proactively managing potential clinical, business, and operational risks.
Key Services
Create QI strategies to develop and support high-reliability organizations (HROs).
Ensure compliance with CMS requirements such as MACRA, clinical decision support/appropriate use criteria, and accreditation standards.
Develop best-practice OPPE/FPPE programs.
Create standardized protocols across multiple sites and business units.
Improve patient experience through customized customer service training programs for providers and staff.
Utilize proprietary processes to streamline clinical pathways, enhance collaboration and communication among providers, and improve patient outcomes.
Develop metrics for measuring performance and improving transparency.
Conduct trend analyses of events, near misses, and claims to identify root causes and opportunities for process improvement.
Administer staff training on a range of topics, including patient relations and complaint management, conducting failure modes and effects and root cause analyses, ensuring confidentiality and reporting safety events.
