Social Determinants of Health in Value Based Care

Overview

Needs Statement

There is a critical need for healthcare professionals to master key concepts in value-based care to deliver high-quality patient outcomes. Value-based care, emphasizing quality, provider performance and patient experience, is vital for optimal patient population care. The Centers for Medicare & Medicaid Services (CMS) defines value-based care as healthcare programs focusing on quality, provider performance and patient experience, with "value" reflecting individual patient priorities. CMS aims to have 100% of Traditional Medicare and most Medicaid beneficiaries in accountable care relationships by 2030. This Continuing Medical Education (CME) activity addresses this need by teaching learners essential skills for success in value-based care programs. Key areas include Transitional Care Management for seamless inpatient-to-community transitions, Hierarchical Condition Category (HCC) Documentation and Coding to accurately convey patient complexity, Readmission Reduction strategies and optimizing ED Utilization and Patient Access. Learners will also explore effective Care Management through Chronic Care and Advance Care Planning, enhancing Patient Engagement, addressing Social Determinants of Health and mastering Quality Metrics in Value-Based Care. This education empowers healthcare professionals to improve patient care, meet CMS goals and excel in value-based care environments.

Target Audience

Physicians and Advanced Practice Professionals.

Learning Objectives

At the conclusion of the session, the participants should be able to:

  • Define social determinants of health (SDoH).
  • Apply new Medicare billing codes to address health related social needs.
  • Recognize the relationship between SDoH and health outcomes.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Ethics
  • 1.00 Participation
Course opens: 
03/01/2025
Course expires: 
03/31/2027
Rating: 
0

Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Baylor College of Medicine and Texas Health Network CIN. Baylor College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
 
Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
This activity has been designated by Baylor College of Medicine for 1 credit of education in medical ethics and/or professional responsibility.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Ethics
  • 1.00 Participation

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