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SimpsonView Graph # 1 OUTLINE What States Are Doing Now What Is Available Now Mechanisms to Influence Quality Choosing a Strategy What Should Be Available.

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Presentation on theme: "SimpsonView Graph # 1 OUTLINE What States Are Doing Now What Is Available Now Mechanisms to Influence Quality Choosing a Strategy What Should Be Available."— Presentation transcript:

1 SimpsonView Graph # 1 OUTLINE What States Are Doing Now What Is Available Now Mechanisms to Influence Quality Choosing a Strategy What Should Be Available in ‘99 & ‘00 Next Steps

2 SimpsonView Graph # 2 WHAT STATES ARE DOING NOW Use of Quality Measures in Medicaid - Collection of measures - Use of measures Proposed Approaches in SCHIP Plans - Quality in separate programs - Performance measures

3 SimpsonView Graph # 3 STATE USE OF PERFORMANCE DATA, 1996-97 Landon BE. Et al. Jan. 1998. JAMA 279 (3)

4 SimpsonView Graph # 4 WHAT IS AVAILABLE NOW HEDIS - Childhood immunizations - Adolescent immunizations - Well child visits in 15 months - Well child visits in 3rd to 6th year - Adolescent well care - CAHPS for 0 - 12 years

5 SimpsonView Graph # 5 MECHANISMS TO INFLUENCE QUALITY Value-Based Purchasing Consumer Information & Choice Quality Improvement Public Health Monitoring Regulation

6 SimpsonView Graph # 6 CHOOSING A STRATEGY: USE OF MEASURES Level of Accountability Short Versus Long Term Standardization Vs. Innovation QMAS

7 SimpsonView Graph # 7 Level of Accountability

8 SimpsonView Graph # 8 CHOOSING A STRATEGY: STATE CHARACTERISTICS Target Population State Goals Types of Plans Available Market Share Data Available

9 SimpsonView Graph # 9 CHOOSING A STRATEGY: DATA AVAILABLE Health Plan Data State Specific Models From Other States National Data

10 SimpsonView Graph # 10 CHOOSING A STRATEGY: CRITERIA FOR MEASURES & MEASURE SETS Relevance Scientific Soundness Feasibility Comprehensiveness Balance

11 SimpsonView Graph # 11 CRITERION: RELEVANCE Important Meaningful Potential for Improvement Variation Controllability

12 SimpsonView Graph # 12 CRITERION: SCIENTIFIC SOUNDNESS Clinical Evidence Process-Outcome Link Reproducible Valid Accurate

13 SimpsonView Graph # 13 CRITERION: FEASIBILITY Precisely Specified Reasonable Cost Logistically Feasible Auditable Confidentiality

14 SimpsonView Graph # 14 WHAT SHOULD BE AVAILABLE IN 1999 AND 2000 Adolescent Survey Instrument CAHPS Chronic Illness Instrument RAND Global Quality Assessment Tool Adolescent Mental Health Avoidable Hospitalizations Functional Status Measures

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