Accelerating Quality Performance Case Study

This case study details a partnership between a non-profit community healthcare system on the East Coast and Impact Advisors, aimed at enhancing quality performance as the healthcare system transitions to an Academic Medical Center. The document outlines the implementation of a targeted quality improvement program focused on improving clinical risk documentation accuracy, optimizing Epic-enabled provider workflows, and enhancing performance transparency. Key challenges identified included gaps in clinical documentation and a lack of real-time quality forecasting, which contributed to inaccurate external quality scores. The program was structured around four main areas: automated provider risk-adjustment documentation tools, quality documentation reporting, quality education and training, and retrospective CMS claims reviews. Impact Advisors utilized a consistent methodology for assessment and optimization, resulting in improved documentation workflows and the development of real-time dashboards to monitor quality performance. The success of the initiative was attributed to strong executive sponsorship and collaboration across multidisciplinary teams.