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WHY ACCREDITATIONS ARE ESSENTIAL IN DIGITAL HEALTH

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Carolyn Bradner Jasik, MD


CAROLYN BRADNER JASIK, MD

CHIEF MEDICAL OFFICER AT OMADA HEALTH

Veröffentlicht: 22. Aug. 2023
+ Folgen

By Todd Norwood, PT, DPT

Digital health is rapidly growing and promises to make healthcare more
accessible and convenient for patients. However, not all digital healthcare
providers are created equally. Given the diverse offerings in the market it can
be difficult to discern which providers truly deliver high quality care. 

On top of HIPAA compliance, which is standard for true digital health providers
such as Omada (versus wellness programs), another way to assess the quality and
rigor of digital health programs is to determine if they have achieved
accreditation from bodies such as the Utilization Review Accreditation
Commission (URAC), National Committee for Quality Assurance (NCQA) and Centers
for Disease Control and Prevention (CDC), HITRUST etc. To attain accreditations,
providers must demonstrate to an independent third party that they are providing
safe, high quality care and ensuring the privacy and security of patient data.


WHAT IS ACCREDITATION? 

> Accreditation is a process that is common in traditional healthcare settings
> such as hospitals and clinics, but is not common practice in the digital
> healthcare space.

In fact, 14 of the top 20 hospitals in the United States are accredited by URAC,
and more than 173 million people are enrolled in NCQA-Accredited health plans. 
Accreditation standards are defined by a body of industry experts and represent
the consensus of best practices for ensuring patient safety, the provision of
high quality care and, especially relevant in digital health, that patient data
is secure and private. In order to earn accreditation, organizations must
demonstrate to the accrediting body that they meet or exceed industry-standard,
evidence-based benchmarks in the following areas:

 * Policies and procedures
 * Training and quality measures
 * Qualifications of their health providers
 * Data privacy and security
 * Program fairness and transparency to individuals

What Does Accreditation Mean?

Patients are Safe

Aligned with the Hippocratic oath, which states “first, do no harm,” a primary
aim of accreditation is to ensure patient safety.  Thus, to achieve
accreditation providers must prove that they have robust processes and
procedures in place to ensure that patients receive safe care. This includes
ensuring that all patients interact with appropriately licensed or credentialed
healthcare providers, such as physical therapists or Certified Diabetes Care and
Education Specialists. Organizations must also show that their providers are
supplying  care within their scope of practice. Additionally, providers must be
appropriately trained in technology and the nuances of providing individualized,
personal care digitally.  

A Commitment to Quality

Organizations that receive accreditations have made a commitment to quality
healthcare outcomes. In addition to delivering care via appropriately
licensed/credentialed professionals, organizations must demonstrate that their
process and procedures for all facets of care provision, including maintaining
health records, patient visits, care coordination and much more, meet care
delivery standards set forth by the accrediting body.  

> However, simply meeting the standard is not enough to achieve and maintain
> accreditation.

To demonstrate their commitment to quality, care organizations must have quality
improvement programs in place to monitor the quality of their care delivery and
outcomes over time. For example, Omada earned its first NCQA accreditation in
2021, and succeeded in meeting quality standards again in 2023, renewing
accreditation through 2026. Such processes ensure that organizations evolve
alongside clinical best practices and emerging evidence to stay at the forefront
of clinical quality.

Data is Private and Secure

> Keeping patients’ data private and secure is imperative in all healthcare
> settings, but when all interactions occur digitally the stakes are even
> higher.

Privacy and security of health data is not a cloak an organization puts on with
a nice seal on its website. It is derived from a comprehensive approach, from
data architecture, to vendor agreements, to workforce training. 

This comprehensive approach is a key part of what it takes to earn a HTRUST and
SOC II recognition. These credentials are awarded after an independent third
party has evaluated a company’s approach for rigor, thoroughness, and adherence
to applicable best practices and legal standards..  

In Conclusion

Determining the right digital care provider can be a challenge, but looking for
a provider that has received a nationally recognized accreditation from
organizations such as NCQA, URAC or CDC provides consumers assurance that the
organization meets rigorous standards with regards to patient safety, data
security and clinical outcomes.

Omada has been a pioneer in the digital health arena by becoming the first
virtual care provider to achieve NCQA Population Health accreditation for their
Diabetes and Diabetes + HTN programs, and again as the first provider to earn
URAC telehealth accreditation for their MSK service line. No other virtual care
provider has earned accreditation across diverse and complementary care lines
the way Omada has, giving patients confidence in choosing Omada as a partner in
their healthcare.

References: 

 1. https://www.urac.org/hospital-and-health-systems-programs
 2. https://www.ncqa.org/about-ncqa/





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