A diligent and forward-thinking leader with expertise in managed accountable care and operations that bridges health plan and provider sides … Read more
David Wedemeyer is an established data expert and a seasoned consultant with expertise developing Healthcare Effectiveness Data and Information Set … Read more
HMA鈥檚 team of experts have completed accreditation requirements with our clients as well as in our formal executive and operational leadership roles in the health care setting. We work closely with our clients and with TJC and other accreditation programs with a focus on improving healthcare quality and favorable outcomes. Our team of seasoned healthcare executive consultants bring more than 100 years of experience in clinical, quality, and operations, with proven results. HMA offers a full continuum of accreditation services for hospitals, ambulatory surgical centers (ASCs), Federally Qualified Health Centers (FQHCs) and behavioral health (BH) care settings. We work closely with FQHCs to provide assistance for certifications and advanced certifications in health equity (HE). HMA can offer onsite or virtual mock survey and gap analysis preparation for TJC accreditation, as well as tactical and advisory support to prepare our client leadership teams for a winning accreditation survey results and supporting the development of a sustainable plan to achieve year over year success!
Our experts can help you by:
Assessing core functions supporting the implementation of the latest TJC standards and interpretation of the standards
Building the business case for TJC accreditation
Guiding your team through the new HE standards
Creating quality and assessment improvement plan (QAPI) to lead to a successful survey
Continuous survey readiness support via a sustainable plan
A highly specialized critical care, trauma and flight nurse, Trisha Bielski has deep experience in nursing leadership, military healthcare, and … Read more
Dedicated to supporting the effectiveness of publicly financed healthcare programs, 黑料网 (HMA) is committed to promoting the design, financing and operation of effective models of person-centered long-term services and supports (LTSS) which:
Support an individual鈥檚 ability to receive services in the most integrated setting
Promote successful community living
Improve integration of LTSS with quality physical and behavioral healthcare
Support Medicare and Medicaid integration and coordination
Address the social determinants of health for people with support needs
Support direct care workforce initiatives for states, managed care organizations and long-term care providers
Support strategic planning focused on long-term care
Support managed care readiness initiatives
What we offer
With deep expertise in the field, our colleagues and the work we do help to shape current system trends. In addition, we support improved outcomes for beneficiaries and successful participation for the wide range of LTSS providers including managed care organizations, states offering critical services, and purchasers through:
LTSS Models of Care
Developing and promoting person-centered integrated, and holistic LTSS models of care
LTSS Quality Standards
Supporting the development of LTSS quality standards and metrics, including technical assistance for NCQA and other accreditation and credentialing
LTSS Regulatory Compliance
Facilitating readiness and compliance with federal and state regulations, including home and community-based settings of care, Medicaid managed care, the Fair Labor Standards Act, and the Americans with Disabilities Act
LTSS Integration
Implementing care management and service delivery models that promote integration of services across physical, behavioral, and LTSS providers and between Medicare and Medicaid including those developed under PACE, managed LTSS, and managed fee-for-service
LTSS Stakeholder Engagement
Supporting effective community engagement by public policy makers, and empowering advocacy organizations and other stakeholders in understanding, shaping, and responding to change
LTSS Delivery and Payment Models
Assisting organizations and providers to prepare and respond to payment and structural changes in LTSS (e.g., managed care, accountable care, value-based purchasing)
LTSS and Social Determinants Design
Designing innovative approaches to addressing the social determinants of health, including improved strategies for affordable and accessible housing, competitive employment for persons with disabilities, access to technology, and social equity-based care delivery models
LTSS Market Analysis
Providing expert market analysis for investors relating to LTSS providers, managed care organizations, service vendors, or emerging trends in the LTSS landscape
LTSS Research and Evaluation
Enabling the use of data to uncover opportunities for improvement and to demonstrate value to ACOs, hospital systems, payers, and funders
Our wide-ranging expertise includes:
Medicaid LTSS waiver and state plan authority options
Operation and oversight of managed LTSS
Public procurements
LTSS provider operations
Federal and state compliance
Care management and care coordination
Workforce development
Strategic planning and practice redesign
LTSS policy analysis
Value-based purchasing
Quality monitoring, evaluation and research
Community capacity and network adequacy
Readiness reviews
Our Clients Include:
Federal, state and local governments
For-profit, not-for-profit and public health plans
Institutional and home and community-based services providers and their associations
Sharon Lewis is a nationally lauded expert in federal and state disability policy, including home and community-based services (HCBS), education, … Read more
Susan McGeehan is a multi-faceted healthcare leader with extensive experience in dual eligible programs, long-term services and supports (LTSS), Medicaid … Read more
There are residing in rural areas in the U.S. Many rural residents must navigate healthcare system challenges people living in urban and suburban areas generally do not face. While workforce shortages, lack of consumer choice in health plans and providers, travel distance, transportation issues, social isolation, and increased inequity for people in marginalized communities do impact urban and suburban healthcare services, these issues are exacerbated in most rural communities. Developing and supporting rural health programs requires understanding the unique characteristics of rural settings and how these dynamics influence healthcare policy, providers, payers, consumers, and health equity.
黑料网 (HMA) brings together industry-leading policy, program, financial, community, and clinical experts to provide comprehensive solutions that make healthcare and human services work better for people living in rural and frontier areas across the country. We offer a full suite of professional health and human services consulting services to clients serving rural and frontier communities. This includes state agencies, county health departments, critical access and rural hospitals, federally qualified health centers (FQHCs) and rural health clinics, skilled nursing facilities, home and community-based service providers, behavioral health providers, oral health providers, and pharmacies/pharmacists. We also work with human services organizations and public health agencies, supporting their direct services, as well as assisting them in connecting with healthcare systems and providers. Our national, multisector, multisystem experience in healthcare and human services enhances our ability to support rural clients in making sustainable, positive impacts in their local communities.
PROJECT SPOTLIGHT
Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit
With funding from Arnold Ventures, HMA created the HEARD Toolkit, a robust discussion of the access challenges facing dually eligible individuals in rural areas and a portfolio of actionable solutions to address these challenges. Dually eligible individuals in rural areas reside at the intersection of a major public health crisis and a fragmented Medicaid and Medicare delivery system. They experience poor access to services and to integrated care programs (ICPs) to address their whole person needs.
HMA designed this Toolkit to help policymakers address access issue dually eligible individuals in rural areas have to navigate every day. For example, addressing access must encompass getting to a comprehensive Medicaid and Medicare services continuum that includes home- and community-based services (HBCS), as well as ICPs. A primary focus on equity can help states, local communities, payers, and providers begin to address issues of access for these very vulnerable individuals in rural communities. The Toolkit provides examples and ideas for rural providers and communities to address equity and improve services and supports for dually eligible individuals.
For example, HMA can assist rural communities and the organizations that support their needs with:
Rural-specific workforce solutions
Programs addressing Social Determinants of Health/Health-related Social Needs
Payment system reforms
Development of integrated care programs for Dual Eligibles
Substance Use Disorder/Opioid Use Disorder prevention, treatment, and recovery services
Behavioral health services and supports
Justice-involved carceral healthcare and transitions
Long-term services and supports and home and community-based services
HMA understands the multilevel challenges for delivery of quality health care and social services to rural populations. From workforce and care access issues to transportation difficulties and technology barriers, to socio-economic differences, we can help rural providers and organizations overcome challenges and achieve their goals to serve and support their communities鈥� needs.
Other Rural Health Project Examples:
HMA is supporting review and reform of the primary care payment environment in New Mexico working under a contract with Mercer. New Mexico鈥檚 Medicaid program had identified multiple challenges the primary care providers faced across the state, including rural sustainability and fiscal soundness. HMA鈥檚 approach includes coupling data analysis with stakeholder engagement. Our work to date includes designing, testing, and evaluating new primary care alternative payment models (APMs); fiscal, policy, and/or programmatic implementation recommendations related to the multi-payor roll-out of a primary care APM; and supporting primary care practitioners related to NM Medicaid APM implementation. Additional project work will include more provider specific analysis, recruitment for pilot testing and provide education, analysis and training for providers, health plans and state regulators.
HMA is working with the Colorado Department of Health Care Policy and Financing (HCPF) to perform a dynamic heat mapping as the first phase of a three-phase project that includes an environmental scan of home and community-based services (HCBS)/Medicaid. HMA is creating a tool that HCPF can leverage to update and track progress to close provider gaps. In subsequent work HMA will identify potential geographic regions which would benefit from reimbursement structure changes, including geographic adjustment factors to apply to preexisting fee-for-service rates or other mechanisms to effectively address identified care gaps. Based on these results, HMA will recommend strategies and best practices to expand the provider network in rural areas to avoid care deserts and assure access to services for all Medicaid members.
Over the past six years, HMA has supported tribal communities in Montana with an array of data and evaluation expertise specific to behavioral health system assessments and evaluation activities. To date, we have conducted feasibility assessments for tribes considering options to 638 their behavioral health services, evaluated high-fidelity wraparound services in tribal communities through the Montana Systems of Care program, supported efforts to discern a concept design for a joint tribally operated Substance Use Disorder (SUD) Continuum of Care, and assisted tribally operated clinics in best practices in opioid prescribing and addiction treatment.
The Georgia Health Policy Center provides technical assistance for grantees of HRSA鈥檚 Rural Health Programs. HMA created a and additional tools, including a webinar, designed to inform and support rural provider leadership on Value-Based Care. The primer serves as a self-paced guide helping organizations consider national trends and experiences, assess their current state and readiness, understand benefits and barriers of Value-Based Care. The primer and tools are used by the technical assistance team and rural health grantees.
HMA has worked with HSHS for over 10 years, providing a wide range of services including:
Grant surveillance related to strategic plans, project management, grant program development, and narrative writing for multiple state and federal grants including USDA, HRSA, and SAMHSA.
Expanding access to medication assisted treatment (MAT) in emergency departments by activating a team of HMA experts to implement a global assessment of readiness to adopt MAT, create a comprehensive training curriculum, assist with development of policies, workflows and standardized orders; and provide technical assistance required to address stigma and implement change. HMA also aided in writing the successful proposal for state funding for this project.
Stakeholder engagement for a hub-and-spoke model of telehealth network, assessed strategic priorities across multiple diverse stakeholders, and developed a strategic plan for HSHS鈥� Wisconsin rural healthcare provider telehealth network.
Development of the Illinois Telehealth network composed of 21 rural healthcare providers across Illinois. HMA provided technical expertise on the adoption of telehealth services and the development of clinical protocols and led strategic planning efforts. The network now functions to support the members in disseminating best practices, implementing telehealth service lines, sharing clinical protocols, removing barriers, and promoting evaluation.
HMA is currently assisting HSHS鈥� rural behavioral health team in devising new models of community-based withdrawal management processes consistent with recent changes in Wisconsin鈥檚 regulations. HMA experts on residential substance use disorder and integrated care provide technical assistance, training, and evidence-based policy development.
HMA supported the Texas Department of Agriculture, State Office of Rural Health (SORH) by leading SORH鈥檚 three-year strategic plan and design future programs. For the needs assessment, HMA conducted a systematic assessment that included an environmental scan of rural health key issues and trends, online survey of rural Critical Access Hospitals (CAHs) and prospective payment systems (PPS) hospitals in Texas identify needs and gaps, and an analysis of publicly available data to identify health needs and differences between rural and urban residents. Informed by this assessment and close collaboration with SORH staff, HMA developed a strategic plan to guide the next three years of SORH鈥檚 programming, as well as created work and evaluation plans for the SORH and Flex grant programs. Other tasks included assessment of Texas rural hospital telemedicine readiness, recommendations for value-based payment models for rural hospitals, and opportunities to support rural hospitals in reducing health disparities.
Rebecca Kellenberg specializes in assisting public and private health care organizations with Medicaid and CHIP policy analysis and implementation. With … Read more
Jill Kemper has extensive experience improving access to care and care delivery, especially for vulnerable or complex patient populations and … Read more
There is significant and increasing demand across health and human services to address health inequities and eliminate disparities in service delivery and positive health outcomes. Organizations are asked to provide healthcare in holistic ways that recognize both individual and population-level needs.
Three areas of activity in this space include:
Diversity, Equity, and Inclusion (DEI) work to address inequities within organizations
Equitable access to care and service delivery to improve outcomes and eliminate health disparities
Community wellness and population health outcome improvement
Recent changes in federal and state policy and financing are driving equity advancement, chiefly: , which paves the way for the nation鈥檚 first racial equity blueprint for federal agencies; and the , including an equity framework for payment policy through 2032. In addition, current and pending 1115 waivers from several states pay significant attention to equity by addressing social determinants of health and health related social needs.
HMA can help organizations across the health and human service spectrum operationalize health and racial equity.
We acknowledge that to improve health and social service outcomes at individual and community levels, we need to work across sectors and enterprises. We believe embedding equity practices and strategies throughout health and human services will deliver results and develop new innovative partnerships.
OUR TEAM CAN HELP YOU:
Assess organizational climate, policies, practices, and impacts
Establish equity as a critical foundation of your organizational culture in a way that is apparent and transparent to staff and clients
Identify priorities to infuse equity throughout the organization
Create plans for ongoing feedback and organizational action responsive to staff and client needs
Apply population health management approaches to delivery system redesign grounded in addressing social determinants of health and health-related social needs
Strategic planning
Training
Technical assistance
Implementation
Ongoing guidance
Align organizational strategy with an actionable equity agenda
Work with leadership and staff to ensure that your organization鈥檚 activities are designed and implemented in a way that supports an equity agenda for both staff and clients
Facilitate equity workshops and build organizational capacity
Design and facilitate equity workshops to build organizational competencies, including: Equity principles and fundamentals, Equitable practice strategies, metrics, and continuous quality improvement, Cultural humility and community engagement approaches
Plan, convene, and facilitate forums for large and small groups within a workplace or system ensuring buy-in from involved parties and leadership
Establish a framework for mutual support and information sharing while integrating insights through continued learning and dialogue.
Our Services
Assessment, mitigation, and remediation
Community engagement
Equitable access and service delivery design
Stakeholder engagement and facilitation
Organizational assessment
Change management
Strategic planning and implementation
Training and technical assistance
HEALTH EQUITY IMPACT ASSESSMENT SERVICES
A Health Equity Impact Assessment (HEIA) can help organizations understand the potential impact, positive and/or negative, that a change to the delivery system may have on a facility鈥檚 existing patients and the health and wellbeing of the surrounding community.
Pivotal to any HEIA is meaningful stakeholder engagement, the format of which may vary depending on the project, and high鈥恞uality data analysis.
HMA colleagues routinely:
Design and program online surveys
Conduct key informant interviews
Facilitate focus groups and public deliberations
Synthesize stakeholder feedback
Conduct community health needs assessments
Analyze health indicators and incidence rates in populations
Leticia Reyes-Nash is an accomplished, innovative executive leader with 20 years of experience leading policy advocacy, projects, and community engagement, … Read more
Charles Robbins has been transforming communities for the past three decades. His extensive community-based organization career spans healthcare, child welfare, … Read more
Doris Tolliver is a strategic thinker specializing in racial and ethnic equity, organizational effectiveness, change management, and business strategy development. She … Read more
