Regulatory Agencies

Typical Next Wave Project Examples:

  • Technical Consultant to the New York State Legislature's Council on Health Care Financing to design the post-1987 hospital reimbursement system for New York State (NYPHRM) based on Case Payment by Diagnosis Related Group (DRG)
  • Design and evaluate quality measures and processes, including constraints (e.g. quality of source data.)
  • Develop and test computer supported audit protocols. Selected by the New York State Department of Health (NYSDOH) as the sole provider for 13 years of Patient Review Instrument (PRI), SCREEN / PASARR, and Minimum Data Set (MDS) training. Clarification of MDS Long Term Care assessment items and educational effectiveness with HCFA and several states
  • Serve on Technical Advisory Groups which developed the Resource Utilization Groups (RUG II and RUG III) for nursing home reimbursement and quality assurance in New York State and provided RUG III advice to several other states
  • Customized Training and Education in any of the above topics

Partial List of Clients:

  • Health Care Financing Administration (HCFA)
  • Island Peer Review Organization (IPRO)
  • New York State Legislature - Council on Health Care Financing
  • New York State Department of Health
  • State of North Dakota Department of Health
  • State of Washington -Aging and Adult Services