March 26, 2017 12:35 PM ET

Healthcare Providers and Services

Company Overview of Qualis Health Inc.

Company Overview

Qualis Health Inc. provides healthcare consulting and care management services in the United States. It offers utilization management services that include stewarding healthcare resources by avoiding overuse, misuse, and underuse of health services, as well as provides Web-based utilization reviews and targeted review programs based on extensive data analysis; and case management services that include assessment of an ill or injured person's healthcare needs, individualized care planning, removal of barriers to the receipt of appropriate medical and social services, and continuous monitoring. The company also provides healthcare consulting in the areas of information technology services that...

10700 Meridian Avenue North

Suite 100

Seattle, WA 98133

United States

Founded in 1974





Key Executives for Qualis Health Inc.

Chief Executive Officer and President
Chief Financial Officer
Chief Operating Officer
Secretary, Treasurer and Director
Age: 50
Compensation as of Fiscal Year 2016.

Qualis Health Inc. Key Developments

Qualis Health Wins Contract from Centers for Medicare & Medicaid Services

Qualis Health has been awarded a contract by the Centers for Medicare & Medicaid Services (CMS) to help Idaho and Washington nursing homes report and reduce Clostridium difficile infections (CDI). More than 100,000 CDIs develop among residents of U.S. nursing homes each year, causing significant colon inflammation and deadly diarrhea. Long-term care residents are at increased risk for CDI, particularly associated with hospital transfers. The lack of consistent, standardized data from nursing homes makes it difficult to identify opportunities within nursing homes and communities to prevent CDI. CMS and the Centers for Disease Control and Prevention (CDC) have created an initiative to establish a long-term care CDI baseline, and demonstrate a reduction in CDI rates in the post-baseline period. Qualis Health will assist 12 nursing homes in Idaho and 33 nursing homes in Washington by providing no-cost training and consultation to determine baseline rates, submit data to a national CDC reporting system, and implement best practices for infection prevention and antimicrobial stewardship to protect staff and residents.

Qualis Health Wins Two Special Innovation Project (SIP) Contracts by the Centers for Medicare & Medicaid Services

Qualis Health has been awarded two Special Innovation Project (SIP) contracts by the Centers for Medicare & Medicaid Services (CMS) to improve healthcare quality and value. CMS awarded SIP contracts to innovation projects that align with the goals of the CMS Quality Strategy and emphasize the power of partnerships. The awarded projects are: Adapting Evidence-Based Tools and Engaging Patients to Develop Standardized Skilled Nursing Facility Discharge Processes. Many Medicare beneficiaries receive care in a skilled nursing facility (SNF) following a hospital stay, sometimes for a short duration. Qualis Health's project will engage SNFs in Idaho and Washington to adapt and test hospital discharge tools for use in the nursing home setting, engaging residents and families in the discharge process for short-stay residents to reduce harm and the avoid the costs of unnecessary rehospitalization. This project expands on exploratory work undertaken by Qualis Health and two long term care associations, Leading Age Washington and the Washington Health Care Association. Extending Choosing Wisely ® in Washington State with Medicare Claims Analysis, Audit, and Feedback. Medically unnecessary services contribute to significant healthcare costs in the U.S. The Choosing Wisely ® campaign focuses on avoiding wasteful or unnecessary medical tests and procedures. In 2014, the Washington Health Alliance published state and county data on 11 Choosing Wisely measures among commercially insured and Medicaid beneficiaries. Qualis Health will collaborate with the Alliance to publish a supplementary report using Medicare population data, including data on the use of antipsychotic medications to treat symptoms of dementia—a Choosing Wisely measure not previously reported. Qualis Health will provide confidential feedback and technical assistance to address potential overuse among high-utilizing clinicians.

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