article thumbnail

Social Determinants: Our Statement with TJC, NQF Was Just the Start

NCQA

Quality advocates curious about how digital quality measurement can advance health equity should read our statement (from NCQA, The Joint Commission and the National Quality Forum ) about how Fast Healthcare Interoperability Resources (FHIR ® ) can integrate SDOH data across health records. Keep reading to find out!

article thumbnail

State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

Performance measurement is a pillar of state quality improvement and oversight. In addition, CMS and the National Committee for Quality Assurance (NCQA) both produce national performance metrics that states can use as performance benchmarks. It is often factored into plan payment, and it supports public reporting.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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. 7 The plan includes steps to integrate community-based feedback on collected data.

article thumbnail

About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

39 These regulations also do not apply in the context of data collection as part of quality improvement in health care. Data: Cara James et al., “ Federal Action Is Needed to Improve Race and Ethnicity Data in Health Programs ” (Grantmakers In Health and National Committee for Quality Assurance, October 2021).

article thumbnail

Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

For example, to move from tier 3 to tier 4, the provider must meet all the requirements of tier 3 and several new requirements, such as having a well-established quality improvement process. Through this program, Colorado is seeking to both improve behavioral health services and better integrate them with physical health.

article thumbnail

State Community Health Worker Models

NASHP

integrating?CHWs NCQA National Committee for Quality Assurance. A CHW sub-committee, guided by the Delaware Center for Health Innovation and Division of Public Health, was charged with developing recommendations to integrate CHWs into Delaware’s health professions’ workforce in a systemic and sustainable way.

Medicaid 122