The National Committee for Quality Assurance (NCQA) recently awarded Case Management Accreditation to Pure Healthcare, effective May 5, 2021, through May 5, 2024. This is a comprehensive, evidence-based program dedicated to quality improvement.  

The NCQA is a nationally recognized accreditation standard that evaluates organizations that perform case management services. A particular focus of NCQA is in assuring that a comprehensive, standardized approach is used for case management services provided for complex patients who are at high risk of experiencing costly hospitalizations or poor health outcomes.  

The NCQA accreditation process involves a year-long, rigorous review of the applicant agency’s policies, procedures and case management protocols. During this time, Pure Healthcare implemented and refined its evidence-based care management practices against exhaustive NCQA standards to ensure efficient and cost-effective case management processes and service delivery. 

Anthony Evans, president of Pure Healthcare, explained that Pure Healthcare implemented a quality improvement process to improve healthcare delivery for the individuals it serves.  

“We’re honored and privileged to earn the NCQA Case Management Accreditation,” Evans said. “Through the NCQA Case Management Accreditation process, we’re better able to strategically align with the case management models of key stakeholders such as health systems and payers to provide high-quality care to individuals in our community who are facing chronic illnesses. Our healthcare professionals provide individualized, highly-coordinated, person-centered supportive care services to those who are living with chronic illnesses such as cancer, pulmonary diseases, heart disease and neurological diseases.”  

To ensure high quality, the NCQA Case Management Accreditation requires organizations to consistently use efficient and cost-effective case management processes and delivery of services. Identification and assessment, care planning, care monitoring, and care coordination are key requirements. 

Organizations that have achieved NCQA Case Management Accreditation must:

• Apply a quality improvement process.
• Protect personal health information of patients.
• Provide access to qualified case management staff.
• Develop personalized, patient-centered care plans.
• Manage patients as they move between care settings.
• Conductpatient-centered assessments to determine care needs. 
• Monitor cares goals for patients. 

Making each day matter.^TM By taking a person-centered care approach and addressing more than a person’s symptoms, Pure Healthcare is working to make healthcare better. Pure Healthcare values the unique circumstance of each person it serves and develops an individual-based plan for areas they define as most meaningful to improve health and quality of life. Pure Healthcare collaborates and coordinates with primary and other healthcare professionals to provide seamless transitions across healthcare settings and ensure the effectiveness and efficiency of health care services.

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in healthcare. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed healthcare choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/, and on LinkedIn at linkedin.com/company/ncqa.