The RISE Academy

Where can you get a comprehensive picture of how key areas of our accountable care movement work? Think about it.  People that are new end up sitting next to someone else who has been there a little bit longer.  Call it "sit-by-Susie" training.  Is that really going to get people up to speed with a comprehensive view of what field they are working in and how their jobs fit in?  What's more, when you hire people "with experience", what kind of confidence do you have that they really have the background you need?  We get people coming in for these programs that have been on the job for a while already, not just the "newbies".  Why?  They have a training background like looking through a straw at a very narrow part of the whole picture.  They only know the limited area for which they were trained, and they have no idea how everything really needs to come together.  


RISE wants to help create the platform for routine training and education at a 101 level so we can set the standard somewhere that you will recognize as a great foundation from which to build your own departmental training.  We are recruiting peers and colleagues from across the country, leveraging the braintrust that is already in existence.  We have a faculty advisory approach where we get a dozen or so experts together with a passion for bringing up the next generation of professionals.  


We started with risk adjustment.  We put up an all-day 101 risk adjustment workshop last November, and version 2.0 rolls out after some enrichment and tweaks on May 12th in New Orleans.  We also got off to a great start with HCC Coding for Coders!  Tell a friend!  Bring the team!

Next we plan to do a similar thing with Stars / Quality.  This is a work-in-progress, so nothing to show you yet.  But we are planning a similar 101 model for the stars and quality movement.  We have a faculty advisory group led by Ryan McKeown, whom many of you already know from the excellent presentations he has made at numerous Stars and RISE events with us over recent years.  His background starting at Martins' Point Health Care in Portland, ME, served him very well for his current role as Stars and Quality product manager for Optum Solutions, as well as a role on the RISE Executive Advisory Board .


The steps beyond this are yet to be determined.  But we think there is a need to take the curriculum on towards a certificate kind of program.  We hear that people really like this idea and would like RISE to facilitate bringing this together.   We need your input on what particular positions or categories would make the most sense.  We also are looking for collaboration with others and identified expert faculty to help us shape this as we go forward.  Your ideas are invited and welcome. 


Kevin Mowll, Executive Director

Tags: 101, faculty

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Qualipalooza: The 2nd Annual RISE Quality Leadership Summit 

This unique event incorporates three conferences presented side-by-side: the Star Ratings Strategic Planning Forum, the HEDIS Forum, and the CAHPS, HOS & Member Survey Forum. Register for one conference for an in-depth examination of a single area, or design your own event by opting for the all-access pass and choosing the sessions from each conference which correspond exactly to your interests.


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Quality measurement and risk adjustment regulations are increasing and the financial impact upon health plans is progressively driving accountability and influencing profitability through payments, penalties, and bonuses. To improve performance and optimize risk and quality payments, Health Plans need to streamline processes, employ best practices for data capture, and focus on strategic interventions that use a member-centric approach.  

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