No More Half Measures: Applying "Breaking Bad" Principles to Good Risk and Quality Programs
“I chose a half measure when I should have gone all the way. I'll never make that mistake again. No more half measures, Walter." — Mike Ehrmantraut in "Breaking Bad"
It's hard to believe that it has been seventeen years since the debut of this iconic show, but its wisdom is timeless. Half measures in risk adjustment and quality programs are bound to yield unsatisfactory results, and in this engaging session we will continue the “Breaking Bad” themed discussion we started at RISE National and expand further upon relevant lessons from the show about how to avoid the pitfalls of half measures in risk adjustment and quality programs. What ties these all together is the ability to access and use data effectively, and electronic clinical data interchange and AI-enabled tools enable a more proactive than reactive data-driven approach to risk and quality. Although no chicken from Los Pollos Hermanos will be served, bring your appetite for actionable information that will ensure your risk and quality programs go all the way with no half-measures.
Topics at a Glance
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Understanding how the regulatory environment is setting the stage for better risk and quality program management
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Lesson One: The importance of full stakeholder engagement to risk and quality success, and how to truly know your members and providers
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Lesson Two: Why technical expertise is not enough to support successful business operations for risk and quality
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Lesson Three: Choosing the right strategic partnerships and establishing a culture of innovation
Who Should Attend
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Director/VP of Risk Adjustment/Quality
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Risk Adjustment Operational Staff, including Coding, Submissions, and Analytics
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HEDIS/Quality Staff
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Health Information Management staff
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Regulatory Compliance staff
Top Reasons to Attend
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Gain information on getting the most from data-driven risk and quality programs, which is critical to value-based care.
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Understand the challenges with establishing data-driven risk and quality programs and how to address them, which is also critical to value-based care.
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Realize the benefits of establishing a culture of engagement and innovation in risk and quality programs, and how data enables the realization of these benefits.