Quality and Clinical Support Updates
Cindy Jones, Director of Quality & Clinical Support
The 2019 Blue Cross Blue Shield of North Carolina Foundation Top Performer Awards
The top performer awards are available to members that reported health gain outcomes on the 2018 Annual Outcomes Survey.
The awards are granted to members that provided primary care and placed within the top performance results for both diabetic and hypertension outcomes; and to those unique members that did not provide primary care services but demonstrated their distinctive values by meeting or exceeding projected goals that measured patient and/or community impact.
Congratulations to the 2019 Top Performer Awardees:
* Free Clinic of Rockingham County – Reidsville
* John P. Murray Community Care Clinic – Albemarle
* Scotland Community Health Clinic – Laurinburg
* Blue Ridge Free Dental Clinic – Cashiers
* Shelter Health Services – Charlotte
2018 Annual Outcomes Report
Major Findings include:
* Patient Volume – Total number of patients = 80,366 (61 members reported)
* Total number of patient visits = 163,601 (53 members reported)
* Number of Volunteers – 7,211 volunteers worked 246,477 hours (58 members reported)
* Number of Prescription Medications – Provided per 30 day supply or less = 1,065,535 (53 members reported)
* Value of Investment:
For every $1 spent, $7.38 in healthcare services were provided
Average cost per patient was $420
Average value of services provided to each patient was $3,102
Estimated hospital emergency department diversion savings was $279,754,046
Patient-Centered Medical Home (PCMH) Transformation Initiative
Review & Update
* May 2018, 34 clinics completed a PCMH Transformation Survey.
* June 2018 – June 2019, 29 clinics participated in an on-site PCMH Readiness Assessment.
* August 2018 – Two clinics were selected as PCMH Pilot Clinic grant awardees, Alliance Medical Ministry in Raleigh and Cape Fear Clinic in Wilmington. Both clinics will be pursuing National Committee of Quality Assurance (NCQA) PCMH Recognition status.
* Fourteen other clinics are currently participating in the PCMH Support Program, with 6 – 8 more due to begin participation this month.
* One non-pilot clinic, Moore Free and Charitable Clinic, elected to pursue NCQA PCMH Recognition status and began the process in April.