Quality Improvement

Quality Care at any of our three facilities is what you can expect. Quality is our pledge to you. Please take the time to review the following quality reports, patient satisfaction surveys.

Every Physician, every Physician Assistant, every Nurse Practitioner and each of our support staff members is committed to providing you with the best care possible, to validate so we have adopted the N.C.Q.A. Patient Centered Medical Home model and the CMS Accountable Care Organization modes.

Measuring and tracking progress is the only way we can demonstrate to you our quality initiatives from implementing latest treatment guidelines, to measuring your satisfaction. Please feel free to review the information on how we are improving health one patient at a time.

Donna Medical is participating in the Million Hearts Cardiovascular Disease Risk Reduction Model.

December 30, 2016
Donna, Texas

Donna Medical Clinic selected to participate in new national initiative to prevent heart attacks and strokes.

Today, Donna Medical Clinic has been selected by the Centers of Medicare & Medicaid Services (CMS) as one of 516 awardees in 47 states, Puerto Rico, and the District of Columbia to help reduce the risk of heart attacks and strokes among millions of Medicare fee for service beneficiaries. Health Care practitioners, such as Donna Medical Clinic, participating in the Million Hearts® Cardiovascular Disease Risk Reduction Model will work to decrease cardiovascular disease risk by assessing an individual patient’s risk for heart attack or stroke and applying prevention interventions.

According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death and a major contributor to disability in the United States. One in three deaths are caused by heart attacks and strokes, resulting in over $300 billion of health care costs each year. Currently, health care practitioners are paid are paid to screen for blood pressure, cholesterol, or other risk factors individually. In testing a new approach, practitioners participating in the Million Hearts® Cardiovascular Disease Risk Reduction Model’s intervention group will use a data-driven, widely accepted predictive modeling approach to generate personalized risk scores and develop specific plans in partnership with patients to reduce the risk of having a heart attack or stroke. Accepted applicants were randomly assigned to either the intervention or control group in accordance with the model’s randomized control design.

Overall, nearly 20,000 health care practitioners and over 3.3 million Medicare fee-for-service beneficiaries will participate in the five-year model. Donna Medical Clinic is participating in the intervention group and will work with Medicare fee-for-service beneficiaries to determine their ten-year individual risk for a heart attack or stroke. Donna Medical Clinic providers will then work with beneficiaries individually to identify the best approach or approaches to reducing their risk of having a heart attack or stroke-for example, smoking cessation interventions, blood pressure management, or cholesterol lowering drugs or aspirin – and will explain the benefits of each approach. Each beneficiary will receive a personalized risk modification plan that will target their specific risk factors. Donna Medical Clinic will be paid for reducing the absolute risk for heart disease or stroke among their high-risk beneficiaries. “Our health care system historically often emphasized acute care over preventive care,” said Dr. Patrick Conway, CMS Acting Principal Deputy Administrator and Chief Medical Officer. “This initiative will enhance patient-centered care and give practitioners the resources to invest the time and staff to address and manage patients who are at high risk for heart attacks and strokes.”

The Affordable Care Act, through the creation of the CMS Innovation Center, allows for the testing of innovative payment and service deliver models, such as the Million Hearts® Cardiovascular Disease Risk Reduction Model, to move our health care system toward one that spends dollars more wisely, delivers better care and makes individuals and communities healthier. Today’s announcement is part of the Administration’s broader strategy to improve the health care system by paying practitioners for what works, unlocking health care data, and finding new ways to coordinate and integrate care to improve quality. In Marth 2016, the Administration announced it reached its goal, nearly one year ahead of schedule, of tying 30 percent of Medicare payments to alternative payment models that reward the quality of care over the quantity of services provided to beneficiaries. This model is part of Million Hearts®, a broad national initiative co-led by CMS and CDC to prevent one million heart attacks and strokes by 2017. Million Hearts® brings together communities, health systems, nonprofit organizations, federal agencies, and private-sector partners from across the country to fight heart disease and stroke. For more information on the Million Hearts® initiative, please visit: https://millionheats.hhs.gov. For additional information about the Million Hearts® Cardiovascular Risk Reduction Model, including fact sheet and a list of participants, please visit: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM.

Donna Medical Clinic, Donna Day & Night Clinic and Elsa Medical Clinic
Receive “Patient-Centered Medical Home” Recognition by NCQA

Monday November 17, 2014

The National Committee for Quality Assurance (NCQA), a private, non-profit organization that accredits and certifies a wide-range of health care organizations, recently announced that all of our three practices and all of our physicians, and mid level providers have received recognition as a Level III  - Patient Centered Medical Home ( PCMH).   The P.C.M.H.  program emphasizes the systematic use of patient-centered, coordinated care management processes. This distinction puts us among a select group of practices in the nation and the first practice in Hidalgo County to receive this level of recognition.

P.C.M.H. is a model of healthcare delivery that encourages improved quality and greater involvement of patients in their own care. A patient-centered medical home is a setting where each patient has a relationship with a primary physician who leads a team that takes collective responsibility for patient care, providing for the patient’s health care needs and arranging for appropriate care with other providers as needed. This evidence-based care model assures that patients get the care when and where they need it, in a manner and language in which they understand.

“This recognition from NCQA represents the  result and validation of many quality-related efforts initiated at Donna Medical Clinic.  It shows our patients that their care is our top priority and that proven evidence-based medicine is the structure we operate by to drive quality in our practices.”

Some of the key benefits of the P.C.M.H.

PCMH model include more accessible care, improved provider-patient communications and enhanced ability to track results and referrals, obtain clinical support information and monitor performance.
To receive recognition, our three practices met required standards in the following areas:

  • Has written standards for patient access and patient communication
  • Uses data to show it meets standards for patient access and communication
  • Uses paper or electronic-based charting tools to organize clinical information
  • Uses data to identify important diagnoses and conditions in practice
  • Adopts and implements evidence-based guidelines for conditions
  • Actively supports patient self-management
  • Tracks tests and identifies abnormal results systematically
  • Tracks referrals using paper-based or electronic system
  • Measures clinical and/or service performance by physician or across the practice
  • Reports performance across the practice or by physician

“The NCQA Patient-Centered Medical Home is a model of 21st century primary care that combines access, teamwork and technology to deliver quality care and improve health”, said NCQA President Margaret E. O’Kane. “NCQA’s PCMH recognition shows that Donna Medical Clinic, Donna Day & Night Clinic and Elsa Medical Clinic have the tools, systems and resources to provide their patients with the right care at the right time.”

About the National Committee for Quality Assurance (NCQA) 

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

To learn more visit: http://www.ncqa.org/

Quality & Cost Efficiency Designation

November 20 2014

On November 20, 2014 - Dr. Jose F. Peña  received the following notice from Blue Cross Blue Shield of Texas.
The BlueCompareSM Designation: Evidence Based Measures (EBM), Physician Quality Measurement (PQM) 
and Physician Cost Assessment (PCA) - 2014

  • EBM: You met the threshold for quality related performance recognition.
  • PCA: You met the threshold for cost efficiency performance recognition.

*** Please note: Your BlueOptions patients will be eligible for enhanced BlueOptions benefits based on your PCA results. 
To learn more about this initiative please visit: http://www.bcbstx.com/provider/pdf/ppo_sectionm.pdf 

November 13, 2014
N.C.Q.A. - Heart/Stroke Recognition

Donna Medical Clinic  was recognized for providing outstanding cardiovascular and stroke care by the National Committee for Quality Assurance (NCQA) and American Heart Association/American Stroke Association (AHA/ASA) Heart/Stroke Recognition Program. 

Recognition through the NCQA's HSRP is achieved as the result of a comprehensive, individualized review process that validates adherence to national standards of excellence in caring for patients with cardiovascular disease or who have had a stroke.

June 05, 2014
Diabetes Recognition

NCQA and the American Diabetes Association developed the Diabetes Recognition Program to recognize clinicians who have met standards demonstrating delivery of high quality care to patients with diabetes. 

On June, 05 2014 Donna Medical Clinic  was awarded three year Diabetes Recognition by the National Committee for Quality Assurance ( NCQA). What this means to our patients, for a person with diabetes, the right clinician can make the difference between living with diabetes as opposed to suffering from diabetes, said Margaret E. O'Kane, President, National Committee for Quality Assurance. "By earning recognition, Dr. Jose F. Peña and the team at Donna Medical Clinic  have demonstrated that they provide effective, evidence-based care to his patients with diabetes". 

If you wish to learn more about NCQA atyou can do so by visiting: http://recognition.ncqa.org/PSearchResults.aspx?first=&last=&city=&zip=78537&org=&state=TX&rp=3


RGV Accountable Care Organization

What's an ACO?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.

The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

Medicare offers several ACO programs / models:

  • Medicare Shared Savings Program — a program that helps a Medicare fee-for-service program providers become an ACO. Apply Now.
  • Advance Payment ACO Model — a supplementary incentive program for selected participants in the Shared Savings Program.
  • Pioneer ACO Model — a program designed for early adopters of coordinated care. No longer accepting applications.

Organizations across the country have already transformed the way they deliver care, in ways similar to the ACOs that Medicare supports.

To learn more about our ACO please visit: http://www.rgvaco.com/

To learn more about ACO's visit: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html

* To learn more about our ACO initiative please visit: http://www.rgvaco.com/