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*Disclaimer: This online directory provides a list of UPMC Health Plan providers, and the information contained herein is updated periodically. However, some plan providers may have been added or removed from the list (and/or contact information may have changed) since this directory was last updated. UPMC Health Plan recommends that you contact the providers listed in this directory to confirm that the information remains current.
NCQA Diabetes Physicians Recognition Program recognizes physicians who provide excellent care to their patients with diabetes.
NCQA Heart/Stroke Physicians Recognition Program recognizes physicians who provide excellent care to persons with cardiovascular disease or who have had a stroke.
NCQA Back Pain Recognition Program recognizes practitioners who deliver superior care to people who suffer from back pain.
NCQA PCC – Patient Centered Medical Home Program recognizes physician practices that are functioning as medical homes.
NCQA Physician Practice Connections® (PPC) Program recognizes practices that use systematic processes and information technology to enhance the quality of patient care.
NCQA Diabetes Physicians Recognition ProgramThe Diabetes Physicians Recognition Program, developed in partnership by the National Committee for Quality Assurance (NCQA) and the American Diabetes Association, recognizes physicians for skill in providing the highest-level diabetes care. It is a voluntary program in which physicians submit data related to the quality of diabetes care. Physicians are evaluated on measures that have been shown to have a strong relationship to improved care for people with diabetes.
NCQA Heart/Stroke Physicians Recognition ProgramThe Heart/Stroke Physicians Recognition Program was jointly developed by the National Committee for Quality Assurance (NCQA) and the American Heart Association. The program recognizes physicians who used evidence-based measures and provide excellent care. It is a voluntary program in which physicians submit data related to cardiovascular care and care for people who have had a stroke. Key measures include blood pressure control, complete lipid profile, cholesterol control, use of aspirin or other antithrombotic, smoking status and smoking cessation advice or treatment.
NCQA Back Pain Recognition ProgramThe Back Pain Recognition Program requirements were developed using widely accepted medical evidence with significant input from physician specialists and health plan and employer representatives. This program recognizes practitioners who deliver superior care to people who suffer from back pain. The program consists of 13 clinical measures as well as elements of the physical exam and advice for return to normal activities. Requirements address the broad spectrum of low back pain and focus on underuse, misuse and over use of treatment modalities.
NCQA PCC – Patient Centered Medical Home ProgramThe Physician Practice Connections® - Patient-Centered Medical Home™ (PPC®-PCMHTM) reflects the input of American College of Physicians (ACP), American academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP) and American Osteopathic Association (AOA) and others. The standards emphasize the use of systematic, patient-centered, coordinated care management processes. The Patient centered Medical Home is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family. Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.
NCQA Physician Practice Connections® (PPC) Program recognizes practices that use systematic processes and information technology to enhance the quality of patient care. PPC practices have established connections to information, patients and other providers that allow them to know and use patient histories, follow-up with patients and other providers, manage patient populations and use evidence-based care, and employ electronic tools to prevent medical errors.
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