About This Session
Natural Language Processing (NLP) is increasingly being used to support care gap closure and improved quality performance. Hear from UPMC Health Plan about how the health plan is using NLP as part of its year round review and quality improvement programs to proactively close gaps in care, supporting more seamless and efficient management of member health across the care continuum.
Senior Director for Quality Strategy
Company/Employment: UPMC Health Plan
Bio: Anthony Davis is a Quality Improvement professional with 15+ years of experience building quality improvement initiatives across multiple regions of the United States. His work has pushed forward state, regional, and national initiatives across the QI industry. Anthony began his career at a small rural based health plan in Salem, Oregon building QI infrastructure support in the form of Performance Improvement Projects (PIPs), Quality Improvement Projects (QIPs), and State/Federal regulatory reporting requirements. He then spent several years leading working at the National Committee for Quality Assurance (NCQA) around HEDIS and health plan accreditation programs specifically aimed and Medicare and SNP plans. His work then crossed over to United Health Group and Optum where he directed national initiatives aimed at improving quality and risk adjustment scores for nearly 8.5 Million covered lives. Most recently, Anthony serves as the current Senior Director for Quality Strategy at UPMC Health Plan in Pittsburgh, Pennsylvania. Anthony leads a staff of 80+ that are responsible for all State and Federal quality improvement initiatives and data submissions for 3.5 Million covered lives across; Medicare, Medicaid, CHIP, Commercial and Exchange product lines. In addition the above key career highlights, Anthony is also an assistant professor and George Washington University where he teaches a Master’s of Science Course in Quality Improvement, and a current consultant for NCQA.
Rebecca Jacobson, MD
Company/Employment: UPMC Enterprises
Bio: Dr. Rebecca Jacobson is Vice President at UPMC Enterprises, where she oversees the analytics program, including the use of Natural Language Processing (NLP). Over the past 2 years, Dr. Jacobson and her team have worked closely with UPMC Health Plan’s Quality program to use NLP for HEDIS hybrid measurement, and to help UPMC Health Plan move to prospective, year-round HEDIS. Together with Anthony Davis, she represents UPMC in the NCQA NLP Working Group. Dr. Jacobson is also President of Astrata, a digital healthcare quality company, created through UPMC Enterprises. Prior to this position, Dr. Jacobson was Professor of Biomedical Informatics and Chief Information Officer for the Institute for Personalized Medicine. Over the past fifteen years, her work has focused on extracting meaningful information from electronic medical records to impact population health, precision medicine, and quality improvement, using NLP methods. She is an elected Fellow of the American College of Medical Informatics (since 2010).