Mercy Case Management Program Receives National Seal of Approval

December 8, 2010

MHM Support Services (Mercy Health Ministries) has been awarded Full Case Management accreditation for programs in both Chesterfield and Springfield, Mo. from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

Mercy’s Case Management program is made available at no charge to members of health plans affiliated with Mercy.  The program is tailored to provide support to the physician’s plan of care, education to patients, assistance in navigating the health care system and care coordination, help with management of complex chronic illnesses, identification of needed resources for members, and work with the physician and patient to establish and meet goals relevant to the physician’s care plan.

Through achieving the URAC accreditation, patients are assured that the program meets stringent guidelines and receive a level of care exceeding the norm. 

“Mercy Health Ministries is committed to pioneering new models of care that transform our patients’ health care experiences, and this accreditation is an endorsement of the quality of our case management programs,” said Janet Pursley, Mercy Vice President Care Management.

“By applying for and receiving Full Case Management accreditation, Mercy has demonstrated a commitment to quality health care,” said Alan P.Spielman, URAC president and CEO. “Quality health care is crucial to our nation’s welfare and it is important to have organizations that are willing to measure themselves against national standards.”

About Mercy’s Care Management Programs:

Case Management has always been a critical delivery point in coordinated health care. Health Reform has increased the visibility and importance of case management, as legislators, employers and patients see its value in improving quality and keeping cost trends down.

Centers for Medicare and Medicaid Services (CMS) has taken a special interest in successful case management and other medical management programs for their potential to increase quality of care while decreasing costs. Mercy’s Springfield-based system is one of 10 sites nationally participating in a 5-year physician group practice demonstration project showcasing the benefits of highly coordinated care.

The demonstration created incentives for physician groups to coordinate the overall care delivered to Medicare patients, rewards them for improving the quality and cost efficiency of health care services, and creates a framework to collaborate with providers to the advantage of Medicare beneficiaries.

In addition to achieving benchmark performance for quality, Mercy was one of five of the physician groups who shared in savings under the demonstration’s performance payment methodology. After the currently reported year, that amounted to $25.3 million in performance payments for improving the quality and cost efficiency of care as their share of a total of $32.3 million in Medicare savings.

About URAC:

URAC, an independent, nonprofit organization, is a leader in promoting health care quality through accreditation and certification programs. URAC's standards keep pace with the rapid changes in the health care system, and provide a mark of distinction for health care organizations to demonstrate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in setting meaningful standards for the health care industry. For more information, visit www.urac.org.

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