Earning NCQA Accreditation for Case Management for Long-Term Services and Supports (LTSS) demonstrates that an organization is dedicated to coordinating the delivery of care in a person-centered and integrated manner to help individuals to function optimally in their preferred environment.
The NCQA standards are set high to encourage the organizations that coordinate the LTSS to continuously improve the quality of the services they provide and aim to help organizations achieve the highest possible level of performance, increase compliance with care guidelines and to create an environment of continuous improvement. NCQA Accreditation of Case Management for SSLT is a voluntary review process.
The AAA7 programs that were part of the credentialing review included both the PASSPORT and Medicaid Waiver assisted living programs. AAA7 Care Managers working with these two programs continuously monitor the health and safety of enrollees and help them stay in their preferred residence by arranging services and supports to meet their needs. Medicaid waivers allow people with disabilities and chronic illnesses to receive care at home and in their community rather than in long-term care facilities, hospitals, or intermediate care facilities for the purpose of preventing or delaying the placement in a retirement home.
Debbie Gulley, RN, Acting Executive Director of AAA7, shared, “Regional Agencies on Aging (AAAs) can use accreditation to establish the key structures and processes needed to contract with a variety of organizations. purchasers of case management services. The Ohio Department of Aging has encouraged AAAs to pursue NCQA accreditation, and we are very proud that our agency (AAA7) is the first rural AAA in Ohio to achieve accreditation.
Lisa Adams, LSW, PASSPORTS supervisor at AAA7, who participated in the AAA7 accreditation process with the NCQA, added, “Accreditation proves to buyers that we provide high quality care management and based on evidence for the people we serve and that we are successful in preventing or delaying higher cost nursing home placement.
NCQA is a private, nonprofit organization dedicated to improving the quality of health care. The NCQA accredits and certifies a wide range of healthcare organizations. It also recognizes clinicians and practices in key performance areas. The NCQA’s Healthcare Efficiency Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. The NCQA website (ncqa.org) contains information to help consumers, employers and others make more informed healthcare choices. The NCQA is available online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org and on LinkedIn at linkedin.com/company/ncqa.
Your local agency on Aging District 7, Inc. provides services on a non-discriminatory basis in 10 Southern Ohio counties including Adams, Brown, Gallia, Highland, Jackson, Lawrence, Pike, Ross, Scioto, and Vinton. These services are available to help seniors and people with disabilities live safely and independently in their own homes through services paid for by Medicare, Medicaid, other federal and state resources, as well as private payments. The AAA7 Resource Center is also available to anyone in the community looking for information or assistance with long-term care options. Available Monday through Friday from 8:00 a.m. to 4:30 p.m., the Resource Center is a valuable contact to learn more about options and available programs and services for assistance.
Those interested in learning more can call toll-free at 1-800-582-7277 (TTY: 711). Here, people can speak directly with a specially trained Agency staff member who will help them with information about the programs and services that are available to best meet their needs. The Agency also offers a free in-home assessment for those who wish to learn more. Information is also available at www.aaa7.org, or the Agency can be contacted by email at [email protected] The Agency also has a Facebook page located at www.facebook.com/AreaAgencyOnAgingDistrict7.