Triple-S Advantage picked for nat’l healthcare project

Written by  //  November 5, 2015  //  In-Brief  //  No comments

Triple-S is one of only 15 plans in the United States and the only one in Puerto Rico to receive this distinction, company officials said. (Credit: © Mauricio Pascual)

Triple-S is one of only 15 plans in the United States and the only one in Puerto Rico to receive this distinction, company officials said. (Credit: © Mauricio Pascual)

Triple-S Advantage has been selected by the National Committee for Quality Assurance to participate in an innovative project at the national level that will develop new methods for reporting quality measures in healthcare.

Triple-S is one of only 15 plans in the United States and the only one in Puerto Rico to receive this distinction, company officials said.

NCQA’s Healthcare Effectiveness Data and Information Set (known as HEDIS) Learning Collaborative is a concerted effort to develop new methods of reporting and improve the performance of clinical data using electronic systems. It also seeks to refine HEDIS guidelines governing the generation and auditing of clinical measures.

HEDIS is a tool developed by NCQA and used by 90 percent of health plans in the U.S. mainland and Puerto Rico to evaluate consumer healthcare. Triple-S Advantage’s selection is attributed to its proven capacity to electronically collect and manage clinical information, the company said.

“We’re very pleased that NCQA has chosen us to participate in this project. It is a unique opportunity to work with a regulatory body and to help improve how health plans report and use data,” said Triple-S Advantage President Madeline Hernández-Urquiza.

Triple-S Advantage Chief Medical Officer Ivonne Vega said the project would initially focus on the care of patients with depression.

“This initiative is valuable as it will help us not only to better identify the condition in our population but also to validate the effectiveness of our clinical programs and identify areas of opportunity to achieve better results,” she explained.

Depression is one of the most prevalent diagnoses in Puerto Rico and has a bearing on the control of other chronic diseases such as diabetes, hypertension, and dementia.

“This project would also provide a more specific perspective for the development of improvement strategies to patients diagnosed with depression,” said Vega.

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