PENNSYLVANIA CLINICAL NETWORK PLAYBOOK

2021/2022

Dear Colleagues,

The PA Clinical Network Quality Team has again developed a 2021 Playbook for you to use as a
reference during the year when caring for your patient panel.

This years’ theme of ‘cinema’ has a different focus than the 2020 Playbook. The foundation was built last
year on the HEDIS measures and criteria used by many of the payor’s Value Based Contracts (VBC).
Although this information is important, many payors are also including utilization and patient satisfaction
as measurements for the coming year.

As we all know, the holistic approach to patient care is best when we see the whole picture of the patient.
This year’s focus is on making certain medical costs are kept in line and utilization of emergency rooms
and urgent care occur when appropriate.

The goal of the Quality Team remains the same, to keep your processes as efficient and streamlined as
possible while achieving the best quality outcomes.

Should you have any questions on any of the information in this tool, please feel free to contact us.

We look forward to our continued partnership and building upon our relationship.

Best,

Traci Petrino, MHA

Director Clinical Outcomes

Lisa Strohm, RN

Director Clinical Outcomes