About URAC
URAC (also known as the American Accreditation HealthCare/Commission)
is a 501(c)(3) non-profit charitable organization founded in 1990 to establish
standards for the managed care industry.
URAC's central mission is to promote the accountability of health care
organizations, especially organizations that provide managed care services.
Managed care quality is a critically important issue for patients, providers,
regulators, and employers. The URAC accreditation process ensures that
health care organizations have addressed quality in their structure and
operations. Interested parties such as patients and employers can be confident
that an accredited organization has the ability to provide high quality
services.
URAC offers different accreditation programs, each focusing on a
different aspect of managed care. URAC's accreditation programs are unique
because they address the entire spectrum of managed care services-not
just HMOs, but also PPOs, case management organizations, workers' compensation
managed care, and so on.
More information about URAC can be found at
www.urac.org
RESOURCES
Our in-depth experience with the various health plan functions covered
within URAC's standards makes us uniquely qualified to support your
needs. The URAC standards offer ten different accreditation products
that allow you to accredit either specific functions or the entire organization.
After understanding your objectives for accreditation, we assess compliance
with each applicable URAC standard.
Our Services
Syntro offers a menu of services and tools, which are adapted to fit
your needs. After understanding your objectives and internal resources,
we assess your organization's needs and help you determine areas currently
in compliance, as well as gaps with each standard requirement.
The Assessment
Your assessment includes reviewing key plan documents, evaluating core
processes, auditing files and interviewing staff responsible for managing
and implementing standards.
We complete the initial assessment using
the version of URAC's materials that you will be accredited under.
If desired, you may request an assessment against multiple sets of standards,
for example, Medicaid and Medicare regulations, URAC and specific state
regulations.
Establish Priorities
The assessment results help you establish priorities and determine areas
needing the highest degree of focus. You receive from us an action plan
for the gaps, written in a project-plan format that you can use for
management. We help you work through the variables necessary in setting
the priorities that are right for your organization.
Develop a Plan
Your action plan serves as the basis for developing a full plan for
implementation of the standards and/or survey preparation. The plan
is a living document that you update and modify.
Tools and Templates
You may desire other resources that make implementation and survey preparation
easy and minimize struggle and stress. Our tools library
(click here
to review) provides tools to help guide implementation as well as sample
program documents, and policy and procedure templates. We have done
the research, analysis, and organized all information into easy-to-use
guidelines and templates, saving you many hours of time and money. These
tools are based on years of experience in the field and as surveyors.
Other Services
We tailor our services to match the needs and desires of the organization.
Services can range from an initial evaluation and repor,t to quarterly
site visits with intermittent conference calls and off-site document
review, to onsite project management. (click here
to access information on Syntro consulting services).
