The NCQA Learning Workshops, features expert-led sessions in healthcare quality. The agenda covers population health strategies, HEDIS® updates, and advanced primary care models with practical guidance for immediate application.
- Understand Advanced Primary Care, self-identify maturity and leave with concrete 90-day readiness action plan.
- Gain practical insight on how to apply the specific components of Digital HEDIS into HEDIS execution and understand the changes coming to HEDIS.
- Explore strategies, tools, and techniques for advancing and evaluating population health interventions within your organization
Workshops are interactive and actionable, blending instruction with real-world tools and frameworks. You'll gain insights to support your organization's quality objectives, from performance improvement to accreditation and care transformation.
Sunday, October 4
Take the next step in primary care transformation.
Designed for organizations with PCMH Recognition, this interactive workshop introduces the APC model and explains how it builds on your existing foundation to drive greater accountability, performance and outcomes.
Through hands-on exercises, you will assess your organization’s readiness, identify gaps and explore practical pathways for advancing care delivery. The session focuses on real-world application—addressing workflows, data challenges and operational constraints.
Participants will complete the APC Maturity Snapshot and leave with a personalized roadmap to guide continued growth in value-based care environments.
Program Outline
Welcome, Objectives and Working Norms
1:00–1:10 p.m.
PCMH → APC: What’s Changing (Context + Discussion)
Establish why APC matters now, how it builds on PCMH, and what external forces (payment, accountability, outcomes) are driving the shift
1:10–1:30 p.m.
APC Framework & Maturity Model Overview
Introduce NCQA’s emerging APC maturity model, tiers, and core capability domains
1:30–1:50 p.m.
Interactive Self‑Assessment: APC Maturity Snapshot
Assess current maturity and identify strengths and gaps across APC capability areas
1:50–2:10 p.m.
Capability Deep Dives (Facilitated Table Work – Part 1)
Small‑group work to explore priority capability gaps (e.g., data, behavioral health integration, team‑based care) using real practice scenarios
2:20–2:55 p.m.
Capability Deep Dives (Facilitated Table Work – Part 2)
Continue table work with guided prompts focused on feasibility, sequencing, and common barriers
2:55–3:15 p.m.
APC, Payment & Value Alignment
Connect APC readiness to value‑based care strategy, APCM billing, payer expectations, and sustainability
3:15–3:35 p.m.
Readiness Planning: 90‑Day Early Wins
Translate insights into 2–3 realistic, time‑bound APC readiness actions they can implement within 90 days
3:35–3:55 p.m.
Wrap Up, Commitments & Next Steps
Reinforce key messages, preview follow‑on resources, and clarify how NCQA supports the journey beyond PCMH
3:55–4:00 p.m.
Learning Objectives
- Understand how APC builds on PCMH to drive measurable outcomes.
- Assess organizational readiness across the maturity pathway.
- Identify opportunities to advance care delivery models.
- Align strategies with value-based payment models.
- Develop a roadmap using the APC Maturity Snapshot.
Who Should Attend
- Primary care leaders.
- PCMH-recognized practices.
- Care transformation teams.
- Clinical leadership.
- Value-based care strategists.
Move from strategy to measurable impact.
This hands-on workshop equips healthcare leaders and practitioners with the tools to design, implement and scale effective population health management (PHM) strategies. Learn how to shift from reactive care to proactive, coordinated approaches that improve outcomes, reduce avoidable utilization and support success in value-based care.
Through interactive exercises and peer collaboration, you will develop a structured approach to planning, measuring and refining PHM initiatives—grounded in real-world application.
Leave with clear, actionable steps to strengthen your population health strategy and drive both clinical and financial results.
Program Outline
Welcome, Objectives and Working Norms
1:00–1:10 p.m.
Population Health Management Strategy
Recognize attributes of a methodical and coherent strategy for managing populations
1:10–1:40 p.m.
Measuring Effectiveness
Explore approaches to evaluate the impact of the organization’s PHM strategy
1:40–2:10 p.m.
Activity #1: Measuring Effectiveness
Apply measurement concepts to PHM evaluation
2:20–2:40 p.m.
Improvement and Action
Illustrate approaches for addressing results from a PHM evaluation
2:40–3:10 p.m.
Activity #2: Improvement and Action
Apply improvement concepts to PHM scenarios
3:10–3:30 p.m.
PHM Sustainability
Examine strategies and tactics for ongoing evaluation and improvement of PHM sustainability
3:30–3:55 p.m.
Wrap Up, Commitments & Next Steps
Follow‑on resources to support the journey beyond PCMH
3:55–4:00 p.m.
Learning Objectives
• Identify the core components of a high-performing PHM strategy.
• Measure impact using clinical and financial metrics.
• Evaluate and optimize existing PHM initiatives.
• Apply frameworks to address common PHM challenges.
• Develop an actionable PHM implementation plan.
Who Should Attend
• Population health leaders.
• Care delivery executives.
• Health plan leaders.
• Clinical operations teams.
• Quality improvement professionals.
Stay ahead of the evolving HEDIS landscape with a practical, inside look at upcoming changes—and what they mean for your organization.
Get the latest updates across traditional and Digital HEDIS, including new measures for MY 2026 and MY 2027, progress on the Digital HEDIS roadmap, and key takeaways from MY 2025 performance and Electronic Clinical Data Systems (ECDS) results.
Go beyond updates with a guided, end-to-end walkthrough of how dQMs are created—from clinical intent to computable logic. You will explore how standards, value sets and data models work together to enable scalable, digital measurement.
Walk away with actionable strategies, tools and peer insights to accelerate your organization’s transition to Digital HEDIS.
Program Outline
Welcome, Objectives & Working Norms
1:00–1:10 p.m.
Digital & Traditional HEDIS Annual Updates & Resources
1:10–2:00 p.m.
Mastering Digital HEDIS: From Measure to Concept, how a Digital HEDIS measure is Built
- Defining a dQM
- Quality Architecture: The Big Picture
- Defining Clinical Intent (Knowledge Authoring)
- Transitioning Intent into Data Concepts
- Terminology & Value Sets
- Building Computable Logic
- Packaging dQM for Evaluation
- Testing & Validation
2:15–3:30 p.m.
Open Q & A
3:30–3:50 p.m.
Wrap Up, Commitments & Next Steps
3:50–4:00 p.m.
Learning Objectives
- Understand key updates across traditional and Digital HEDIS (MY 2026–2027).
- Explore the lifecycle of a digital quality measure (dQM).
- Identify how standards, value sets and data models enable digital measurement.
- Translate clinical intent into computable logic.
- Apply strategies to advance Digital HEDIS adoption.
- Learn from peer implementation experiences.
Who Should Attend
- Quality improvement teams.
- HEDIS specialists.
- Digital quality leaders.
- Data/analytics teams.