Adult Care – Heart: Obtaining Heart Care Recognition

Heart Care Recognition Grid

NCQA or BTE outcomes – Level 1 Good
NCQA or BTE outcomes – Level 2 Better
BTE outcomes – Level 3 w/ sample population Better
BTE outcomes – Level 3 w/ full population Best

Note: To achieve a Good, Better, or Best rating on www.getbettermaine.org a practice must achieve either a group level recognition, or 3/5 (60%) of the eligible providers in the practice must receive individual recognition.

NCQA Heart/Stroke Recognition Program (HSRP)

Note: Practies participating in NCQA recognition programs for either the Patient-Centered Medical Home Pilot or for PTE reporting are eligible for a discount code.  Please contact pte@mehmc.org to obtain the code.

The NCQA Heart/Stroke Recognition Program is designed to recognize clinicians who use evidence-based measures and provide excellent care to persons with cardiovascular disease (CVD) or who have had a stroke.

The Heart Stroke Recognition Program assesses key quality performance measures that are based on national evidence based guidelines for secondary prevention of cardiovascular disease and stroke.  Program measures include blood pressure control, complete lipid profiles, cholesterol control, use of aspirin or another antithrombotic, and smoking status and cessation advice or treatment.

Clinicians that are eligible for the NCQA HSRP will abstract data from the charts of CVD/stroke patients (35 patients for a single applicant) and submit the data through their electronic medical record for review.  Once the practice receives  recognition, that rating will be good for three years.

Costs for HSRP recognition vary depending on the number of providers in a practice, but they range from $500 for a practice with 1 provider to $3,000 for a practice with 8-100 providers.  A 20% discount is available for practices that are sponsored by health plans, employers, and other programs.

For more information on NCQA’s Heart/Stroke Recognition Program, click HERE.

BTE Heart Care Recognition Programs (Cardiac, Congestive Heart Failure, Coronary Artery Disease)

Bridges to Excellence (BTE) offers several cardiac recognition paths, and each can be used for Heart Care recognition on www.getbettermaine.org.  Like the NCQA HSRP program, the BTE cardiac programs are designed to recognize clinicians who use evidence-based measures and provide excellent care to their patients.  These are the measures used for BTE cardiac recognition programs:

  • Cardiac Care Recognition – Blood pressure and LDL levels, complete lipid profile, use of aspirin or other antithrombotic, and smoking cessation
  • Congestive Heart Failure (CHF) Care Recognition – Beta blocker therapy, LV function assessment, appropriate ACE-I/ARB therapy, assessment of patient weight and activity level, and patient education
  • Coronary Artery Disease (CAD) Care Recognition – Blood pressure and lipid management, evaluation of activity level and angina symptoms, smoking cessation, aspirin/antiplatelet therapy, beta blocker treatment after a heart attack

Clinicians that are eligible for a BTE cardiac recognition program will abstract data from the charts of cardiac patients (25 minimum for a single applicant and 10 per clinician for a group level application*), and will submit the data through their electronic medical records for review.

For more information on BTE’s cardiac care recognition programs, click HERE.

*Although group level applications require only 10 patient charts per clinician, each clinician in the group must have an average of 25 patients with requisite condition.