SmartRise Health merges CMS standards with its own framework to strengthen healthcare delivery, expand coverage, and improve population health outcomes.

We support a range of programs to expand the collection of standardized data, assess causes of disparities, and training on how systems of power and institutional policies impact health outcomes. 

Value-Based Care and Community-Based Care Programs

Explore comprehensive healthcare programs designed to improve access, quality of care, and community health. Learn how these initiatives support population health and promote wellness across the communities you serve.

Care Model Redesign:
Care Team Structure and Training

Care Model Redesign and Care Team Structure and Training is used to design and implement a strategy that advances the way healthcare services are delivered using a team-based approach that coordinates resources to improve patient care across key populations demonstrating gaps in health quality measures. The shift marks a departure from a more siloed, department-centric approach and emphasizes resource optimization and a community-centered approach.

Workforce Culture and Inclusion Integration

SmartRise Health supports organizations in strengthening workforce culture and inclusion through assessment, gap analysis, and data-driven insights. We provide detailed planning and a customized framework to improve team performance, optimize recruitment and retention, and foster a collaborative work environment. Our goal-focused approach includes cultural competence training, policy and communication review, and leadership development coaching to build an inclusive and high-performing workforce. Efforts align with best practices and accreditation standards for quality improvement and workforce development.

Value-based Care and
Medicaid Payment Models

With Value-based Care and Medicaid Payment Models, SmartRise Health evaluates current state processes and uses performance improvement methodology and technology to better align health system practices with value-based care contracts to reduce fragmentation and avoid unnecessary costs.  Programs supported include CMS Innovation Center Accountable Care Organization (ACO) models and Medicaid alternative payment models  (APMs).

Health Equity and TJC and NCQA Accreditations

SmartRise Health consultants guide payers, providers, and health systems through accreditation processes, from application to final audit and responses. We help organizations align policies, workflows, and operational practices with quality improvement standards, population health initiatives, and value-based care goals, ensuring readiness and compliance with TJC and NCQA requirements.

As Health Systems develop Community-based Care Models, SmartRise Health provides guidance, industry insights and best practices for designing, implementing and sustaining collaborations that improve health outcomes, address disparities, and enhance well-being. Our services include assessment of local needs, identifying gaps and providing data-driven insight. We collaborate with organizations on customized models, stakeholder engagement, partnership development and integration of clinical services.

Community-based Care Models

Healthcare and Community
Gap Analysis & Strategic Planning

SmartRise Health works with health systems to identify gaps, set strategic priorities, and create actionable plans that improve care delivery, population health, and community impact. We bring specialized expertise and market insights to develop a sustainable roadmap for ongoing results, including outcomes monitoring and leadership accountability. Where relevant, plans also incorporate equity considerations to ensure inclusive and effective healthcare initiatives.

Process Improvement,
Design and Facilitation

SmartRise Health uses best practice process improvement tools to assess existing workflows and data integration. We evaluate root causes of suboptimal performance, generate buy-in through rapid tests of change, and identify key performance indicators (KPIs) for monitoring impact of changes on the improvement life-cycle.

Data Collection and Reporting

SmartRise Health collaborates with Health Systems to collect, aggregate, analyze, and present data effectively, to identify and and drive informed decisions to address disparities in clinical outcomes and meet state and national requirements, accreditation and incentives.

Quality and SDOH Program Integration

A key component of Quality and SDOH Program Integration is the role and use of data in population health analytics. SmartRise Health collaborates with organizations to assess existing data and assists in identifying and applying a framework that enables health systems to drive and sustain incremental and iterative improvement over time.

Healthcare and Community
Stakeholder Engagement

Healthcare and Community Stakeholder Engagement is a critical component to the SmartRise Health approach for Health Equity, involving collaboration with community-based organizations, local agencies, faith-based groups and others to enhance the quality of healthcare services, improve access to care, and reduce disparities in health-quality measures in targeted populations.

Frequently Asked Questions (FAQs)

  • We support a variety of programs, including Care Model Redesign, Workforce Culture and Inclusion, Community-Based Care, Value-Based Payment Models, Accreditation Support (TJC/NCQA), and Data & SDOH Integration — all designed to improve healthcare delivery, population health, and community outcomes. Equity considerations are incorporated where relevant to ensure inclusive impact.

  • We assist organizations in identifying gaps, training teams on cultural competence, and developing inclusive policies. Our approach promotes recruitment, retention, and compliance with health equity criteria.

  • The Care Model Redesign transforms healthcare delivery from segmented departments to a team-based, integrated approach. This enhances treatment for underprivileged people and promotes resource efficiency.

  • Yes. We assist organizations in achieving TJC and NCQA accreditation, providing guidance from planning and documentation to audit readiness. Our approach aligns workflows and policies with quality improvement standards, population health initiatives, and equity considerations where applicable.

  • We collaborate with local stakeholders, such as community organizations and faith groups, to develop solutions that promote access, trust, and equity in healthcare delivery.

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