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SJMMG Physicians Attain NCQA Certification
As part of an ambitious quality improvement effort, a group of St. John’s
Mercy Medical Group (SJMMG) adult and family medicine physicians have attained
three-year certification by the National Committee on Quality Assurance (NCQA)
for excellence in diabetes care and in the care of patients with heart disease
or stroke. Many other eligible SJMMG physicians have met the criteria for certification
and are awaiting formal recognition by the NCQA.
NCQA is a private, non-profit
organization dedicated to improving health care quality. NCQA accredits and
certifies
a wide range of health care organizations,
recognizes physicians and physician groups in key clinical areas and manages
the evolution of HEDIS®, the tool the nation’s health plans use to measure
and report on their performance.
The NCQA Diabetes Physician Recognition Program was designed in conjunction
with the American Diabetes Association to improve the quality of care received
by patients with diabetes. When people with diabetes receive quality care as
outlined by these measures, they are less likely to suffer complications, such
as heart attacks, stroke, blindness, kidney disease and amputations.
Similarly, the NCQA Heart/Stroke Recognition Program was designed in conjunction
with the American Heart Association/American Stroke Association to improve
the quality of care received by patients with cardiovascular disease or stroke,
making them less likely to suffer additional complications, such as a second
heart attack or stroke.
These two national-level recognition programs require detailed chart audits
demonstrating that each physician meets key measures of patient care. In diabetes
care, the criteria include blood sugar, blood pressure, and cholesterol control,
as well as monitoring for eye and kidney disease. In heart disease and stroke
care, the criteria include cholesterol and blood pressure control, aspirin
use for prevention of future events, and smoking cessation.
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