How Health Plans Approach Antibiotic Stewardship and HEDIS

About this On Demand Training

OnDemand Panel Discussion: How Health Plans Approach Antibiotic Stewardship and HEDIS Antibiotic Measures

Shawn Trivette, Senior Research Associate, NCQA Research & Analysis, will set the stage for this webinar by presenting data on health plan performance on HEDIS® antibiotic measures in Measurement Year 2020. Then, a panel of high-performing health plans will share best practices and lessons learned for improving antibiotic measure performance and antibiotic stewardship in general.

Participants will hear about the importance of antibiotic stewardship, in addition to quality improvement efforts and strategies to improve measure performance, from the perspective of high-performing commercial, Medicare, and Medicaid plans. Participants will have the opportunity to interact with health plan representatives to learn about successes, challenges, best practices and more.

What You Will Learn

At the conclusion of the webinar, learners will be able to:

• Understand overall performance of HEDIS antibiotic measures in Measurement Year 2020 and what defines a high performer
• Understand the role health plans can play in antibiotic stewardship 
• Describe strategies for promoting antibiotic stewardship that can be implemented by health plans
• Understand challenges and opportunities for improving measure performance through quality improvement efforts, communication and more

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

Who Should Attend

• Health care professionals
• Health care decision makers
• Consultants
• Health plans
• Health systems
• Health centers/health practices
• Hospitals
• Population health organizations
• Federal and state government agencies
   

Faculty

Stacey Aguiar, MPH, CPHQ, CHES

Stacey Aguiar is a professional with over 17 years of diversified experience and skill sets in Continuous Quality Improvement (CQI) and data analysis, as well as 7 years in education. Ms. Aguiar first received her B.S. in Health Education with a Concentration in Community Health from Rhode Island College (RIC). She then went on to become a Certified Health Education Specialist, received her Masters in Public Health from Grand Canyon University and also became a Certified Professional in Healthcare Quality.

As a Sr. Director of Clinical Quality at UnitedHealthcare, Ms. Aguiar currently provides strategic senior leadership for both Medicaid and Dual Eligible Special Needs Plan. She is also an Adjunct Professor at RIC where she currently teaches graduate students on performance improvement in health care.

Ms. Aguiar’s passion for CQI came to fruition during her previous positions as a Quality Outcome Specialist at Neighborhood Health Plan of Rhode Island and Early Childhood Project/ Quality Improvement Manager at the Rhode Island Department of Health. Ms. Aguiar has been a member of multiple CQI councils, written CQI plans, coached CQI teams, co-facilitated Kaizen events and developed and implemented a State-run CQI learning collaborative.

Steven Jacobson, MD

Dr. Jacobson has served as Medical Director of Government Programs at Premera Blue Cross since 2019 where he has medical oversight of the Medicare and Individual Market programs.  Prior to his current role, he was at The Everett Clinic (TEC) for 27 years serving as a family medicine physician, medical director of care coordination and on the TEC Board of Directors.

He is a graduate of the University of Washington School of Medicine and the UW family medicine residency.  In 2015 he earned a master’s degree in healthcare administration from the University of Washington.  He is a Certified Professional Coder (CPC) and enjoys teaching on coding, care management and population health.

In his spare time Dr. Jacobson enjoys time with his family, hiking, climbing, fishing, crabbing, boating and reading.

Shawn A. Trivette, Ph.D.

Shawn A. Trivette is currently a Senior Research Associate at the National Committee for Quality Assurance where he has contributed to numerous internal and contract-based projects. He has helped lead the annual HEDIS data validation efforts (known as Tier 4) and extended these efforts to CAHPS data. He has supported a variety of analytic efforts drawing on internal (HEDIS and CAHPS) data sources, from First-Year Analyses to NQF submissions to the annual HPR measure selection. He has also developed process improvement and internal reference documents to support the Analysis team. His contract-based projects include testing a proposed measure for the APA, methodology support for the QRS with Booz Allen Hamilton, and the antibiotic stewardship project funded by Pew. Dr. Trivette started at NCQA as a Data Scientist I in December 2019.

Dr. Trivette has extensive methodological training and experience, including graduate coursework in quantitative, qualitative, social network, and GIS approaches. He has worked with data sources that include web-scraped data, the US Census Bureau, surveys, interviews, focus groups, and a variety of archival and secondary sources. He has written or contributed to six published peer-reviewed articles and contributed to or supervised numerous unpublished research endeavors, all drawing on a wide array of analytic methods.

Prior to joining NCQA, Dr. Trivette was an Assistant Professor of Sociology at Louisiana Tech University and later at the University of Tennessee at Chattanooga. At both universities, he taught an array of courses on research methods, environmental sociology, and social inequality. His research focus was on the relationship between locally-oriented food systems, sustainability, and deep democracy.

Dr. Trivette earned his Ph.D. from the University of Massachusetts – Amherst in 2012.

Moderator: Nancy McGee, MS, MBA

Nancy A. McGee is an Assistant Director in the Research and Analysis Department at the National Committee for Quality Assurance (NCQA). She is responsible for the development and maintenance of HEDIS measures primarily addressing geriatric health care. She has also worked on research efforts focused on person-driven outcomes for individuals with serious illness, multiple chronic conditions and disabilities.

Prior to joining NCQA, Ms. McGee worked in employee benefits, including as a benefits manager for a national employee organization; as a Health and Benefits Consultant for Mercer; and as a Project Manager implementing benefits administration systems for ADP and Ceridian.

Ms. McGee has an MS in Gerontology from the University of Utah School of Nursing and an MBA from the David Eccles School of Business at the University of Utah.

Continuing Education

In support of improving patient care, the National Committee for Quality Assurance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC) to provide Interprofessional Continuing Education for the healthcare team. 

This activity was planned by and for the healthcare team, and learners will receive 1.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

This educational activity is approved for a maximum of 1.0 AMA PRA Category 1 Credit™, and ACPE. 

This educational activity is approved for 1.0 nursing contact hours.*

The assigned universal program number: JA0004597-0000-22-040-H04-P Upon successful completion of this program (attending the full session and completing a program evaluation), participants will access CPE Monitor on the ACPE website to locate and track their CPE statement of credit.

This live course grants 1.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.  

* Please note – You must attend the entire program to be eligible for total number of contact hours.

NABP Credit Reporting 

If you are a pharmacist completing a course offering CPE credits, please notify NCQA through ncqa.org within 14 calendar days that you have completed a CPE course. You must provide the title of the course, your NABP identification number and your DOB (month/date) within the notification to NCQA. We also recommend you update your education.ncqa.org profile with your NABP identification number.  

Disclosure of Relevant Financial Relationships

The National Committee for Quality Assurance (NCQA) endorses the Standards of the Accreditation Council for Continuing Medical Education which specify that sponsors of continuing medical education activities and presenters at and planners for these activities disclose any relevant financial relationships either party might have with commercial companies whose products or services are discussed in educational presentations.

For sponsors, relevant financial relationships include large research grants, institutional agreements for joint initiatives, substantial gifts, or other relationships that benefit the institution.  For presenters or planning committee members, relevant financial relationships include the receipt of research grants from a commercial company, consultancies, honoraria, travel, or other benefits, or having a self-managed equity interest in a company; or having an immediate family member or partner with such a relationship.

Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant financial relationships exist with the following companies/organizations:

Faculty:
Stacey Aguiar: None
Steven Jacobson: None
Shawn Trivette: None

Additional Planning Committee Members:
Crissy Crittenden: None
Nancy McGee: None
Sepheen Byron: Dr. Byron received funding from the Centers for Disease Control and Prevention (contract no. 75D30120C08243) to develop the measure related to antibiotic utilization.

This program was developed in part by NCQA staff.

Acknowledgement
Support for this project was provided by The Pew Charitable Trusts.

Disclaimer
“The views expressed are those of the author(s) and do not necessarily reflect the views of The Pew Charitable Trusts”.

Event Type

1. Self Paced