Bridges to Excellence

Bridges to Excellence Diabetes Care Recognition Program

According to the Texas Health Institute, diabetes affects one in three Texans and costs the state more than $12.5 billion a year. The number of adult Texans with diabetes is expected to quadruple over the next three decades to nearly 8 million.

To address the widespread diabetes issue in Texas, Superior HealthPlan is a proud partner of the Health Care Incentives Improvement Institute’s (HCI3) Bridges to Excellence® (BTE) Diabetes Care Recognition Program. The BTE Diabetes Care Recognition Program is a Clinician Recognition Program intended to identify clinicians who deliver high-value care to patients with diabetes.

The program comprises a set of clinical measures representing standards of care for diabetic patients and has three performance thresholds translating to Level I (“above average”), Level II (“very good”) or Level III (“exceptional”) recognition. The program uses standardized sets of measures and criteria to analyze quality of care, including AQA/NQF-endorsed and NCQA-developed measures.

In addition, many of the BTE program measures align with the Physician Quality Review System (PQRS) program. For more information regarding the program measures and the scoring, visit www.hci3.org. Providers with diabetic patients may become BTE recognized and have the opportunity to earn additional incentives based on delivering high quality care. Superior HealthPlan providers who have an open panel and who are BTE recognized for diabetes will be eligible for the incentive program that pays a per-member, per year bonus ranging from $100-150, depending on the recognition level.

In addition to financial incentives, another benefit includes displaying the BTE recognition within the Superior HealthPlan Provider Directory as well as on the consumer portal, INQUIREhealthcare.org. Superior HealthPlan providers who are BTE recognized in diabetes, have an open panel with Superior HealthPlan and want to enroll in the incentive program, should contact the Account Manager assigned to their area.

How to Become a BTE recognized provider?

There are three ways in which a Superior HealthPlan provider can become BTE recognized:

  1. The automated EMR/Registry System: Providers must have EMR data or electronic data in a patient registry or have the internal technology and resource capability to do the standard extract. Participating EMRs include:
    • athenahealth
    • eClinical Works
    • Forward Health
    • Meditab
    • Meridios
    • NextGen
  2. Bridges to Excellence Application hosted by CECity: Go to www.bte.medconcert.com to apply and submit clinical data. Listen to the step-by-step tutorial on the home page.
  3. The American Board of Internal Medicine (ABIM) Diabetes Practice Improvement Module (PIM) Pathway: This is available to all internists. A PIM is typically completed as part of Maintenance of Certification; the data you gather for that process can be used for BTE Recognition as well. To learn more, contact ABIM at www.abim.org.

Quantity of data captured, submission process and costs to apply vary. For more information, visit http://www.hci3.org/programs-efforts/bridges-to-excellence or email info@hci3.org. Or, download a copy of the BTE brochure.