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
What High-Performing Primary Care Will Look Like in 2030: A Strategy and Readiness Lab for Healthcare Leaders
This interactive strategy and readiness workshop will explore the trends, capabilities, and innovations expected to shape the next generation of primary care and care delivery. Through facilitated discussions, peer collaboration, self-assessment activities and practical planning exercises, participants will examine how emerging models of care are evolving and identify opportunities to strengthen their organization's readiness for the future.
You work alongside healthcare leaders from diverse organizations to assess your current state, identify strategic priorities, and develop a practical roadmap for advancing care delivery transformation over the next three to five years.
Program Outline
Welcome, Objectives and Working Norms
The Forces Reshaping Primary Care
Explore workforce redesign, AI, digital tools, team-based care, digital quality measurement, consumer expectations, population health, behavioral health integration and risk-based payment.
What High-Performing Organizations Do Differently
Introduce future-state capability domains and guide participants through an individual readiness assessment, table comparison, gallery walk and facilitated debrief.
Future-State Transformation Lab
Build Your 2030 Roadmap
Draft next 6-month, 6–18-month and 18–36-month priorities, then use peer consulting to strengthen sequencing, feasibility and leadership messaging.
Learning Objectives
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Describe key trends expected to influence primary care and care delivery through 2030, including workforce transformation, digital health, artificial intelligence, consumer expectations, and value-based care.
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Assess organizational readiness across critical capabilities associated with high-performing primary care organizations.
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Identify strategic opportunities and capability gaps that may affect future performance, patient outcomes, and operational sustainability.
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Prioritize transformational initiatives that align with organizational goals and emerging healthcare market demands.
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Develop a practical roadmap to strengthen their organization's readiness for the future of primary care and care delivery.
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.