ActiveHealth Management Receives NCQA Accreditation for Disease Management.Informed Care Management Program Awarded 3-Year Accreditation for 20 Chronic Conditions NEW YORK -- ActiveHealth Management (ActiveHealth([R])), a clinically-based, technologically-driven health management services company, announced today that its disease management program, Informed Care Management (ICM), received full Patient and Practitioner Oriented Accreditation from the National Committee for Quality Assurance National Committee for Quality Assurance Medical practice A private, not-for-profit organization which has become the leading accreditor of managed care plans; in site visits, NCQA reviewers evaluate a managed care plan in terms of quality management, physicians' (NCQA NCQA National Committee on Quality Assurance, see there ). The NCQA is the gold-standard source for measuring the quality of domestic healthcare. ActiveHealth's exemplary scores in the NCQA review process earned the company a three-year accreditation for twenty disease management programs. This represents more NCQA-accredited conditions than any other disease management organization. The NCQA fully accredited accredited recognition by an appropriate authority that the performance of a particular institution has satisfied a prestated set of criteria. accredited herds cattle herds which have achieved a low level of reactors to, e.g. the following chronic conditions: Asthma (Adult); Asthma (Pediatric pediatric /pe·di·at·ric/ (pe?de-at´rik) pertaining to the health of children. pe·di·at·ric adj. Of or relating to pediatrics. ); Cerebrovascular Disease/Stroke; Congestive Heart Failure congestive heart failure, inability of the heart to expel sufficient blood to keep pace with the metabolic demands of the body. In the healthy individual the heart can tolerate large increases of workload for a considerable length of time. ; COPD COPD chronic obstructive pulmonary disease. COPD abbr. chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) ; Coronary Artery Disease coronary artery disease, condition that results when the coronary arteries are narrowed or occluded, most commonly by atherosclerotic deposits of fibrous and fatty tissue. ; Diabetes; GERD GERD gastroesophageal reflux disease. GERD abbr. gastroesophageal reflux disease GERD ; Hepatitis; Hypertension; Inflammatory Bowel Disease inflammatory bowel disease n. Abbr. IBD Any of several incurable and debilitating diseases of the gastrointestinal tract characterized by inflammation and obstruction of parts of the intestine. ; Migraine; Osteoporosis; Parkinson's Disease; Peptic Ulcer Disease Peptic ulcer disease (PUD) A stomach disorder marked by corrosion of the stomach lining due to the acid in the digestive juices. Mentioned in: Indigestion peptic ulcer disease See Duodenal ulcer, Gastric ulcer, GERD. ; Peripheral Arterial Disease; Renal Disease; Rheumatoid Arthritis; Seizures; and Sickle Cell Disease sickle cell disease or sickle cell anemia, inherited disorder of the blood in which the oxygen-carrying hemoglobin pigment in erythrocytes (red blood cells) is abnormal. . "NCQA DM Accreditation demonstrates that an organization is well-suited to deliver programs to manage care for the seriously or chronically ill. And it's a difficult test -- it says a lot that an organization is willing to step forward to be reviewed." said NCQA President Margaret E. O'Kane. ICM is powered by ActiveHealth's CareEngine([R]) System, a patented clinical decision support technology that continuously scans all available data, including health plan-provided medical, pharmacy and lab claims; member self-reported data; and provider feedback data, and compares this member-specific information to the latest findings in evidence-based literature. When an opportunity for better care is discovered, a clinical alert is sent to the physician and member to help avoid medical errors and prevent unnecessary hospitalizations. ActiveHealth also uses the CareEngine System to identify members that can benefit the most from targeted disease management, and gives its Nurse Care Managers unique access to member-specific information to guide their communications. ICM nurses perform health assessments on identified members, and prepare and communicate a personalized, actionable plan of care that addresses all of a member's identified health conditions, including discussion of any clinical alerts identified by the CareEngine. The ICM health assessments are highly structured and comprehensive, and are delivered via a proprietary system, called ActiveAdvice([R]), that ensures reproducibility and standardization. Information obtained from the member in ICM is fed back into the CareEngine, and is integrated with the other data streams to generate more clinical alerts. "From the beginning, ActiveHealth Management took a uniquely differently approach to disease management, using clinical technology as the foundation and viewing members holistically," said Lonny Reisman, MD, CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of ActiveHealth. "Our NCQA accreditation reflects ActiveHealth's continued innovation in disease management and dedication to improving quality of care." NCQA's standards are developed with input from researchers in the healthcare field, the Disease Management Advisory Council (DMAC) and standing committees, employers, purchasers and operators of disease management programs, state and federal regulators and other experts. Accreditation standards are purposely set high to encourage organizations to continuously enhance their quality, and are intended to help organizations achieve the highest level of performance possible, reduce patient risk, and create an environment of continuous improvement. About NCQA The NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral healthcare organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs and other health-related programs. For more information, visit www.ncqa.org. About ActiveHealth Management ActiveHealth Management is a technology-driven health management and data analytics company engaged by leading health plans, employers and government payors to help improve care for those most in need, prevent medical errors and reduce medical costs. Over 13 million patients nationwide currently benefit from programs powered by ActiveHealth's patented CareEngine([R]) System. ActiveHealth offers CareEngine Clinical Decision Support, Informed Care Management and customized programs, complemented by a full range of care management services, including case identification, case management and utilization management. The company's HDMS - Health Data Management Solutions - business provides data analytics and consulting services for payors, providers, and suppliers nationwide. Founded in 1998, ActiveHealth Management is headquartered in New York City New York City: see New York, city. New York City City (pop., 2000: 8,008,278), southeastern New York, at the mouth of the Hudson River. The largest city in the U.S. with offices in Cleveland, Chicago, and Chantilly, Virginia. For more information, please visit www.activehealth.net. ActiveHealth([R]), CareEngine([R]) and ActiveAdvice([R]) are registered marks of Active Health Management, Inc. |
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