Joan E. Valentine, RN, MSA is USMM’s Executive Vice President of Visiting Physician Association. She is responsible for all Shared Savings Programs, Quality and Performance Improvement, VPA House Calls Division, VPA Specialty Programs and VPA Diagnostics and Lab. Prior to joining USMM, she held the position of Senior Director of Quality and Clinical Operations for Tenet Health Care Corporation and Michigan Pioneer ACO. Valentine has experience in both health plan as well as provider focused care. She was responsible for development and implementation of multiple clinically integrated programs for Michigan Pioneer ACO resulting in improved care coordination, quality and beneficiary satisfaction and a significant reduction in cost of care. Valentine has served as an advisor to the Post-Acute Care Innovation and Education team for the Center for Medicare and Medicaid Innovation as well as an Advisor and speaker for the Advisory Board in Washington, DC. Valentine is a Michigan native with a Bachelor of Science in Nursing degree from Wayne State University and a Master of Science in Administration from Madonna University.
10 – Integrating Data and Analytics Into Provider Workflows Improves ACO Quality and Financial Performance (operations, financial)
10- Integrating Data and Analytics into Provider Workflows Improves ACO Quality and Financial Performance (Operations Financial) – Valentine Vezina -HAS2018Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) participants are subject to a number of Medicare quality reporting requirements and performance initiatives, including the Physician Quality Reporting System (PQRS). An ACO’s quality composite score is based on the performance of PQRS Group Practice Reporting Option (GPRO) best practice preventative care and primary care measures. ACO participants may receive as high as a four percent upward or downward payment adjustment based on their quality composite performance. US Medical Management’s (USMM) home-based primary care serves as the foundation for its success as an ACO. USSM will share how it integrated real-time data and analytics into provider workflow, ensuring its patients receive the appropriate primary and preventative care, improving its ACO measure performance, and saving Medicare millions of dollars.