11 Quality Improvement in a Medicaid Managed Care Environment: Oregon’s Performance Improvement Project Charles Gallia Senior Policy Advisor Division of.

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Presentation transcript:

11 Quality Improvement in a Medicaid Managed Care Environment: Oregon’s Performance Improvement Project Charles Gallia Senior Policy Advisor Division of Medical Assistance Programs Oregon Health Authority

22 The Mandatory – Voluntary Continuum Regulatory Regulatory Voluntary Voluntary A Few Tips A Few Tips

33 Regulatory Federal and state laws and regulations Federal and state laws and regulations Contracts Contracts Professional standards of practice Professional standards of practice QI reviews and licensure QI reviews and licensure

44 Voluntary State to plan performance feedback State to plan performance feedback Forum for learning Forum for learning Technical assistance promoting a quality improvement infrastructure and culture Technical assistance promoting a quality improvement infrastructure and culture

55 A Few Tips Integrity – don’t expect more than what your organization does Integrity – don’t expect more than what your organization does Listen to ‘push back’ Listen to ‘push back’ Showing up & member and provider education do NOT equal change Showing up & member and provider education do NOT equal change

66 Q&A Please listen to the operator for directions on how to ask a question, or type your question into the chat box. Follow on Twitter

77 Thank You! Your opinion is important to us. After the webinar ends you will be redirected to a web page containing a short survey. Your answers to the survey will help us as we plan future NASHP webinars. Follow on Twitter