BLUE PHYSICIAN RECOGNITION (BPR)
The Blues are committed to raising the bar on quality across the entire healthcare system, working closely with local physician and hospital communities to implement systems and processes that lead to better health at a lower cost for all Blue Plan members.
Blue Cross and Blue Shield of Montana recognizes its network physicians and their health care teams that have demonstrated their commitment to delivering quality and patient-centered care through participation in BCBSMT Patient Centered Medical Home (PCMHs).
A PCMH places the patient and primary care practice at the center of care and creates a healthcare setting that is a collaborative partnership between the patient and personal physician. The BCBSMT PCMH program identifies clinicians who deliver high-value care to patients with specific chronic conditions, including asthma, diabetes, depression, ischemic vascular disease, and hypertension.
Quality and safety are hallmarks of the medical home:
- Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
- Patients actively participate in decision-making and feedback is sought to ensure patients’ expectations are being met. Patients and families participate in quality improvement activities at the practice level.
- Information technology is utilized appropriately to support optimal patient care, performance measurement, patient education, and enhanced communication
- Practices advocate for their patients to support the attainment of optimal, patient-centered outcomes that are defined by a care planning process driven by a compassionate, robust partnership between physicians, patients, and the patient’s family.
- Evidence-based medicine and clinical decision-support tools guide decision making
When you search for physicians on the National Doctor & Hospital Finder site and the FEP online Directory, you will find a Blue Physician Recognition (BPR) Indicator displayed on those physicians who participate in the Blue Cross and Blue Shield of Montana PCMH.
Research of such quality programs supports that involvement in these programs provides opportunities for physicians and the health care team to use standard quality improvement methods to identify gaps in care processes and systems, to use evidence-based performance measures with innovative practice improvement strategies, and to re-measure for impact assessment.
The Blue Physician Recognition (BPR) designation means the physician has demonstrated a commitment to delivering quality and patient-centered care by participating in local, national, and/or regional quality improvement programs as determined by the local Blue Plan. The BPR Program does not serve as a measure of the quality of care provided by a physician or group/practice or whether the physician will meet your particular healthcare needs. Absence of a BPR icon does not mean the physician or practice is of low quality; it could simply mean that the physician or practice does not participate in a quality improvement program recognized by the local Blue Plan.