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Care Coordination Recognized as “Best Program”

Release Date: 07/18/2014

It is with great pride that we announce our Beacon Health Case Management program has received accreditation from NCQA (National Committee for Quality Assurance). Since 1990, NCQA has been considered the gold standard for improving healthcare across the country. Beacon Health is the first care delivery system to achieve this distinction. Beacon Health is a subsidiary of EMHS and oversees efforts around EMHS’ Pioneer Accountable Care Organization (ACO).
 
“We believe in our care model and our nurses achieving this recognition is proof that we know what we are doing and it’s working. The best part is that our patients are feeling the difference,” shares Tori Gaetani, RN, Beacon Health director of nurse care coordination. 
 
“Case management accreditation moves us closer to measuring quality across population health management initiatives,” said Margaret E. O’Kane, president, NCQA. “Not only does it add value to existing quality improvement efforts; it also demonstrates an organization’s commitment to the highest degree of improving the quality of their patients’ care.”
 
Beacon Health nurse care coordinators are embedded throughout Maine in EMHS’ 40 primary care practices (including Inland primary care practices in the greater Waterville area). They are an integral part of our healthcare transformation. Since this added support has been a benefit to the more than 10,000 EMHS employees, we have recorded a decrease in hospital admissions by 27 percent for this population. Additionally, emergency department visits have decreased by nearly eight percent among this same population.
 
EMHS Beacon Health is committed to building healthy communities by caring for the whole person. We implement a team approach to providing the right care, at the right time, and in the right place. Aided by health information technology, we are able to tailor our care plans to help patients live their healthiest lives. 
 
“Earning NCQA’s Case Management Accreditation is an indication that we are dedicated to nurse care coordination, putting our patients in the driver’s seat of their own care, and improving the quality of care that we deliver. In other words, we make sure patients get the right care,” says Iyad Sabbagh, MD, senior medical director, Beacon Health.

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