Download - Quality Improvement Strategy
![Page 1: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/1.jpg)
Quality Improvement Quality Improvement
StrategyStrategy
![Page 2: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/2.jpg)
Context for the Focus on QualityContext for the Focus on Quality
Began with the growth & expansion of HCBS waiver programs
Growth in expenditures Growth in people served Growth in consumer direction
Self Direction presents challenges for assuring quality
![Page 3: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/3.jpg)
CMS approach to Quality
A quality management data driven model with continuous over-sight
Quality elements are designed into the program
Each state has a quality strategy to continually evaluate it’s own performance, to correct deficiencies and make system improvements….which will tell us if
• assurances are met• outcomes are achieved• people are satisfied
CMS reviews the effectiveness of the state’s Quality Management Strategy
![Page 4: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/4.jpg)
CMS Quality FrameworkCMS Quality Framework
![Page 5: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/5.jpg)
Quality Framework Focus AreasQuality Framework Focus Areas Participant Access
Information and referral; intake and eligibility determination; referral; choice
Participant Service PlanningAssessment; service plan, implementation & monitoring; respond to
changing needs; choice; participant direction Provider Capacity
Licensure and certification; training; provider monitoring Participant Safeguards
Incident management; risk assessment; behavior management; med administration; natural disasters Rights and Responsibilities
Due process; grievance procedures Outcomes and Satisfaction System Performance
Quality Improvement program; financial management
![Page 6: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/6.jpg)
Quality Framework ProcessesQuality Framework Processes
Design… Design… build quality in up front
Discovery… Discovery… look for problems & opportunities
for improvement
Remediation… Remediation… fix problems
Improvement… Improvement… make improvements
![Page 7: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/7.jpg)
Community First Choice Establish & maintain a quality assurance system Incorporate feedback Monitor the health and well-being of each individual Provide information about the provisions of quality
assurance
![Page 8: Quality Improvement Strategy](https://reader036.vdocuments.us/reader036/viewer/2022082419/5a4d1b0a7f8b9ab05998a70f/html5/thumbnails/8.jpg)
Community First Choice
CMS Quality Framework Build upon existing structure Develop Quality Outcomes Consumer Satisfaction