Accreditation Consulting
Tammy macdonald
Guiding healthcare organizations through the accreditation process
About Tammy Macdonald
I’m a seasoned Accreditation and Quality Executive with over three decades of rich, diversified experience in the healthcare sector.
I’ve spent over 20 years building and growing successful accreditation programs at large Health Care Companies – Elevance Health (formerly Anthem) and Kaiser Foundation Health Plans – consistently earning 100% scores on NCQA reviews. These accreditations include the full suite of NCQA product offerings such as Health Equity and Health Equity Plus, Health Plan, UM, Credentialing, Case Management, Special Needs Plans’ MOC, and MBHO.
Medicaid plans, that I managed, are among the first to achieve Health Equity Accreditation, and the first to achieve Health Equity Plus Accreditation, at a national level.
- Elevance Health Newsroom: Twenty-one Elevance Health Medicaid Plans Receive NCQA Health Equity Accreditation
- Businesswire: Twenty-one Elevance Health Medicaid Plans Receive NCQA Health Equity Accreditation Plus
- NCQA Inside Health Care #90: Elevance Health, Simply Healthcare and the Giant Leap toward Health Equity
What sets me apart is not just my extensive experience and my proven track record in successfully earning accreditations, but my hands-on approach to delivering accreditation solutions. I am passionate about driving positive change and implementing effective, innovative solutions to achieve quality outcomes. I’ve walked in your shoes!
At the end of the day, we all want to provide the best health care and healthcare services to our members, patients, and clients. A strong and robust accreditation program creates the foundation to better outcomes and improved satisfaction.
Trust in my ability to guide you through each step and bring about the best in your healthcare organization. Let’s embark on the path to success, together.
PARTNERING WITH ME
Embarking on the accreditation journey often seems overwhelming. The road to that first award and maintaining compliance is complex. But guess what? You don’t have to navigate it alone. With over two decades of successful accreditations, I’m confident in my ability to guide you and your organization through the process seamlessly.
I’m an experienced NCQA surveyor and Health Insurance Executive, ready to be your most committed partner, using incredible insights drawn from many years of managing, overseeing, and earning NCQA accreditation.
What Do I Offer?
- Tailored Solutions: I understand that no two organizations are the same. That is why I tailor my services to fit your unique needs, ensuring a perfect fit for every client.
- Organizational Structure and Policy Design: I will help you build a strong and effective organizational structure designed for successful accreditation. Whether you are just getting started or need to reorganize/redesign, I can help.
- NCQA Standards Compliance: With in-depth experience and wide-ranging knowledge as an NCQA surveyor and Accreditation Leader, I can effectively evaluate how your current structure meets NCQA standards, providing guidance on what needs to be improved or changed.
- Custom Process Building: We work together to establish procedures for monitoring compliance, creating structured, systematized ways of meeting and upholding NCQA standards.
- Tracking Success and Opportunities: My assistance goes beyond just setting up and streamlining processes. I also help you demonstrate successes and identify areas for improvement through systematic reporting and minute-taking.
Why Choose Me?
Choosing my consulting service means putting over 20 years of accreditation success to work for you. It means gaining a partner that provides personalized attention and practical, hands-on solutions that align perfectly with NCQA regulations. As your dedicated ally on this complicated journey, I’m ready to share your burden and illuminate the path ahead.
If your aspiration is to be NCQA accredited, I’m the compass to your success. Trust me to guide you through each step, making the complex simple and the overwhelming achievable.
Get in touch with me today, and let’s embark on this journey towards excellence together!
SUPPORTING YOU THROUGHOUT THE ACCREDITATION CYCLE
