Quality Programs and Initiatives

Providing quality health care in the changing pay-for-performance environment.

Providing quality health care to patients is a top priority for physicians and HCMS is here to help. 

Below are various programs and initiatives that focus on improving clinical outcomes and delivering patient-centered care.

Bridges to Excellence
Bridges to Excellence (BTE) is a not-for-profit organization developed by employers, clinicians, health care services, researchers, and other industry experts with a mission to create significant leaps in the quality of care by recognizing and rewarding health care providers who demonstrate that they have implemented comprehensive solutions in the management of patients and deliver safe, timely, effective, and patient-centered care. Bridges to Excellence will work with payers and employers to provide an incentive to physicians who are Bridges to Excellence recognized.

Choosing Wisely
The national Choosing Wisely campaign was launched in April 2012 as an initiative of the American Board of Internal Medicine (ABIM). In the current consumer driven climate, physicians often report feeling compelled to accommodate patients’ requests for interventions they know are unnecessary. Therefore, the goal of Choosing Wisely is to start a conversation among physicians and patients about whether, when and why these test are appropriate, and to help patients choose treatments that are evidence based, not harmful, not duplicative, and truly necessary.

MACRA and Medicare's Quality Payment Program
CMS has implemented several critical provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) by creating the Medicare Quality Payment Program (QPP). The QPP is the umbrella reporting program for two separate participation pathways:

*HCMS has created a MIPS Guide which includes information on how each category is scored, along with step-by-step details on how to report each MIPS category for the performance year.


Medical Cultural Awareness

The ability to effectively and clearly communicate with patients can dramatically improve clinical outcomes. Clear communication encompasses a knowledge of the spoken language as well as medical cultural awareness. In the Houston-Harris County area, more than 90 languages are spoken. A recent report from the Rice University Kinder Institute for Urban Research indicates Houston has become the most racially and ethnically diverse metropolitan area in the nation.

Patient Experience
Providing great patient experience can help a physician grow his/her practice by cultivating patient loyalty and retention. Patient experience encompasses a wide range of issues including cultural competency, health disparities, health literacy, and patient satisfaction. In addition, in today’s consumer-driven health care environment, payment may soon be dependent on measuring patient satisfaction.