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Enhancing Quality Improvement Adoption in US Nursing Homes 

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare The COVID-19 pandemic exacerbated and illuminated quality failings in nursing homes, persistent equity issues, and the system- and policy-level factors that contribute to their endurance.

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NCQA Launches Virtual Care Accreditation Pilot

HIT Consultant

What You Should Know: – The National Committee for Quality Assurance (NCQA) has initiated the Virtual Care Accreditation Pilot program, a significant step in developing a quality improvement framework for organizations offering care through telehealth or digital platforms.

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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes. High-quality research is needed to advance the quality of care in nursing homes.

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Expanded Home Health Value-Based Purchasing Model: HHVBP Newsletter – June 2022

Briggs Healthcare

Mary Madison, RN, RAC-CT, CDP Clinical Consultant – Briggs Healthcare. Presenters recommended the use of solutions customized to specific groups, as well as engaging with patients and community organizations as key stakeholders when developing quality improvement models and strategies. Literature Link: Health Equity.

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State Use of Behavioral Health Performance Measures in Medicaid Managed Care Contracting

NASHP

Performance measurement is a pillar of state Medicaid managed care quality improvement and oversight efforts, is often factored into plan payment, and supports public reporting.

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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

Performance measurement is a pillar of state quality improvement and oversight. Notably, all of the measures in Table 1 are Healthcare Effectiveness Data and Information Set (HEDIS) measures or included in at least one of the CMS core measure sets. It is often factored into plan payment, and it supports public reporting.

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Data Strategies to Understand and Address Health Disparities

NASHP

Regardless, most experts note that striking the right balance between securing data quality and determining when data are complete enough to advance policymaking can be challenging — suggesting a continuous quality improvement approach. National efforts to standardize are useful to inform state approaches.