Solutions

Credentialing

Validating the qualifications, education, certification, and experience of licensed professionals is foundational to patient safety and quality, is critical to the revenue cycle, and minimizes legal exposure to your organization. Failure to complete ongoing credentialing activities creates enormous risks for health systems across clinical, operational, and financial dimensions. APHCA’s Credentialing Services comply with federal and accreditation standards.

APHCA provides comprehensive, efficient, and specialized credentialing solutions for health centers which include primary source verification, initial credentialing and recredentialing services, expirables management, and ongoing sanctions monitoring designed to meet the unique requirements for federally qualified health centers. APHCA’s services are supported by highly experienced and certified staff to ensure quality verifications with attention to outcomes and timeliness. Providers may submit credentialing applications online through its eApply portal, and customers have access through its eStatus portal to monitor practitioners’ credentialing processes, download completed credentialing files to minimize paperwork, and maximize customer satisfaction.

Health Information Technology

APHCA assist health systems in adopting and optimizing the impact of fully leveraging health IT across electronic health records, health information exchange, and population health management tools. We work closely with administrative and clinical team members to maximize the alignment of health IT use with operational processes, workflows, and policies. These systematic efforts increase compliance with regulatory requirements and increase overall operational and clinical efficiency while improving the completeness and accuracy of data collection, aggregation, and reporting, identifying gaps in care, and eliminating disparities across the system of care.

Quality and Performance Improvement

Engaging in continuous improvement activities is a critical strategy to achieve the quadruple aim of increasing quality, improving the health of the population, enhancing patient and staff experiences, and reducing the cost of care. Additionally, federal and accreditation standards require a formal and systemic quality program which integrates defined goals, objectives, and measures into a plan for improvement across operational, clinical, and financial areas. APHCA provides services that can be used alone or in combination and assist health systems with quality and performance improvement:

• Practice facilitation (or coaching) to enhance the development of skills and organization around a formal Quality Program, infrastructure, approach, and performance management system along with supportive tools and expertise to help troubleshoot challenges or barriers
• Data feedback and benchmarking on organizational performance, as compared to external benchmarks along with assistance targeting areas for improvement
• Expert consultation to provide organizations with specific evidence-based knowledge from clinicians and staff outside the practice
• Consultation and support related to effectively convening a multidisciplinary team to systematically analyze the sequence of events leading to errors or adverse events to identify the underlying cause, and why the event occurred to prevent future errors and events
• Consultation and support related to effectively engaging in PDCA cycles for the control and continuous improvement of processes and workflows.
• Shared learning or learning collaboratives to share challenges, lessons learned, and best practices