quality & performance improvement

Better Outcomes. Better Care. Lower Costs.

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what we do

For more than 40 years, Telligen has been at the forefront of government initiatives aimed at improving quality and outcomes by creating transformative approaches for care delivery.

“I can’t emphasize enough the value that the Health Management Program has brought to the practice! Telligen has helped improve patient compliance, reduce hospitalizations and have educated patients…”

Oklahoma Practice Facilitation provider participant

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how we do it

Practice Transformation

Telligen offers on-site support that helps practices improve care and create efficiencies by identifying gaps, implementing performance measurement, and building a self-sustaining quality improvement program.

Support

To facilitate delivery of high-quality, cost-effective care, our data analysts evaluate provider and facility performance on measures of cost and quality.

Validation & Testing

Telligen deploys teams of health coaches to primary care practices to assist with implementation of clinical and process work-flow designs that align with Patient-Centered Medical Home standards.

Data Collection & Measure Calculation

Promotes improved care delivery by ensuring provider adherence to licensing/certification standards and specific waiver requirements; and offering assistance to meet ongoing compliance requirements.

 success story

Client & Program: SoonerCare Health Management Program, Oklahoma Health Care Authority

Description: Since February 2008, we have partnered with the Oklahoma Health Care Authority (OHCA) to develop, implement and operate the SoonerCare Health Management Program (HMP).

The program is a statewide initiative designed to improve the clinical outcomes and lower the cost of care for Medicaid members who have or are at high risk of developing chronic disease through Practice Facilitation, Health Coaching and Resource Management.

Result: 

  • Combined lifetime program savings of $364.3 million
  • Produce an average ROI of $2.90 in state savings for every $1 in expenses over the past six years
  • 90 percent of providers credit the program with improving management of patients with chronic conditions

state solutions

assessments

care management

quality & performance improvement

quality measurement & reporting

utilization management