A trusted partner in health care quality
Applying more than three decades of health care expertise to help state and federal agencies, plans, and providers advance system performance and patient outcomes.
The Carolinas Center for Medical Excellence (CCME), a nonprofit health care consultancy providing quality improvement, external quality review, and fraud, waste, and abuse services, is pleased to announce the appointment of Vish Ganpati, as Director of Business Development.LEARN MORE
L. Allen Dobson, Jr., MD Received CCME’s Harris Award at NC Medical Society Virtual MeetingLEARN MORE
Richard P. Foster, MD Received CCME’s Llewelyn Award at SC Hospital Association/TAP Virtual ConferenceLEARN MORE
Lead-in to services list...
External Quality Review
CCME provides external quality review to ensure Medicaid recipients receive high-quality, accessible, and timely care. As a multi-state External Quality Review Organization (EQRO) we partner with state agencies and health plans to provide best practice solutions to improve system performance and patient care.
Investigative Audit Services
Medicaid programs provide valuable services to a state's citizens - but they are unfortunately targets for financial abuse and exploitation. We evaluate the integrity of payers and providers practices to ensure citizens receive the most value from their programs.
Provider and Practice Transformation
We work closely with clients to identify gaps and risks in health care system delivery and provide the tools, strategy and operational framework necessary to take action, driving tangible results at the citizen, provider, agency and community levels.
We offer expert-level review and clinical analysis of medical records and information to make determinations about the appropriateness and necessity of health care services. Our staff of licensed professionals use our proprietary technology to deliver reliable and defendable decisions to ensure that resources are used judiciously in meeting the needs of patients.
Hospital admissions averted by increasing vaccinations during a five-year Provider and Practice Transformation program in South Carolina, resulting in more than $97 million in cost avoidance.
TAX DOLLARS SAVED
Taxpayer dollars saved from going to fraud, waste or abuse during a 10-year Investigative Audit program with North Carolina aimed at protecting the integrity of the Medicaid program, citizens lives, providers and communities. For every $1 spent on the program, NC Medicaid saved $7.
DRUG EFFECTS AVOIDED
Adverse drug effects avoided by driving effective patient-centered communication during a five-year Provider and Practice Transformation program with South Carolina.
WHO WE ARE
There is an inherent relationship between heath care system performance at the provider, payer, and community levels, and the care that patients receive. The Carolinas Center for Medical Excellence (CCME) is an experienced, trusted partner in evaluating performance constructively and collaboratively.
Chapel Hill, NC
Fort Mill, SC
Executive Committee Member
Executive Committee Member - Consumer/Medicare Beneficiary Representative
President & CEO
Joy Hogan Rozman is the President and Chief Executive Officer (CEO) for The Carolinas Center for Medical Excellence (CCME). Prior to joining CCME, Joy directed the quality and patient safety initiatives in the Middle East for Boston-based Partners Healthcare International. She also served as president and CEO of the Virginia Health Quality Center from 1996 to 2007 and chief operating officer (COO) from 1993 to 1996. She also served as COO of Quality Health Strategies and its subsidiaries, the Delmarva Foundation for Medicare Care and the Delmarva Foundation for the District of Columbia.
Ms. Rozman holds a master's of education degree in human services administration from the University of Massachusetts at Amherst, a nursing degree and bachelor's degree in public health education from Columbus University, and a quality manager certificate from George Washington University’s School of Continuing Engineering and Applied Sciences. She has served for seven terms on the Board of Examiners, Malcolm Baldrige National Quality Award. She is also the recipient of the Distinguished Executive Leadership Award from the James Q. Cannon Endowment for excellence in advancing the field of quality improvement.
Senior Vice President of Operations
Yvonne Copeland oversees operations at CCME. She is responsible for Medicaid service lines, business development, communications, and corporate compliance. As a member of the Executive Leadership Team, Copeland establishes corporate strategy and culture, ensures value to CCME's customers, and serves, as needed, in an interim role as chief executive.
Ms. Copeland has over 25 years of nonprofit leadership and healthcare experience including managed care administration, quality improvement operations, behavioral health policy, government relations, and association management. She recently held the role of regional vice president for community operations at Cardinal Innovations Healthcare in Chapel Hill, North Carolina. Ms. Copeland also represented LME/MCOs and behavioral health providers in her previous roles as executive director at North Carolina Council of Community Programs and director of policy and continuing education of the New Jersey Chapter of the National Association of Social Workers.
Ms. Copeland received a master of business administration degree from Meredith College in Raleigh, North Carolina, and a bachelor of arts degree in statistical research methods, sociology, from Rutgers University in New Brunswick, New Jersey.
Director of Finance
Cheryl Powell is responsible for oversight of CCME financial operations including management of CCME contracts, accounts receivable and payable, payroll, and auditing. She provides consultation regarding CCME financial performance, oversees and manages budget development and monitoring, and coordinates our various financial audits.
Ms. Powell has been with CCME for over 30 years, beginning her career here as an accounting clerk. During her tenure she has held roles as accounting specialist, assistant accounting manager, and most recently, accounting manager.
Ms. Powell received a Bachelor of Arts in Accounting from the College of Charleston in Charleston, SC and is a Certified Public Accountant.
Karen Southard serves as director of Quality Improvement Programs. Most recently she served as CCME's state program director for South Carolina as part of the Atlantic Quality Innovation Network for the 11th Statement of Work, Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) contract. In that role Ms. Southard was responsible for the efficient and effective management of the South Carolina Quality Innovation Network-QIO contract, ensuring that tasks and outcomes were accomplished successfully.
Ms. Southard has more than 35 years of combined clinical, performance improvement, and leadership experience. Ms. Southard is responsible for developing innovative strategies to deliver new levels of quality improvement across the health care continuum. Prior to returning to CCME, Ms. Southard held the role of Vice President of Quality & Clinical Performance Improvement at the North Carolina Healthcare Association.
Ms. Southard earned a Master's in Health Administration from Pfeiffer University; a Bachelor of Science in Business in Organizational Management; and a Diploma of Nursing at Illinois Masonic Medical Center School of Nursing. Karen is a Certified Professional in Healthcare Quality (CPHQ) through the National Association of Healthcare Quality (NAHQ).