Medicaid Managed Care - U.S. Senate Special Committee on Aging

S. Otber Relevant Quality Initiatives
RAND
675
Title Development of Global Quality Assessment Tool for Women and
Children
Description This project is developing a comprehensive set of primarily
process measures for children. Plans will be scored on their
performance across several dimensions of care - screening,
diagnosis, treatment, and follow-up. The children's health care
measure set contains 515 pediatric and adolescent indicators
addressing 23 conditions, including acne, allergic rhinitis,
asthma, attention deficit/hyperactivity disorder, cesarean delivery,
depression, developmental screening, diabetes, diarrhea, family
planning, fever, headache, immunization, medication prescription
errors, otitis media, prenatal care, adolescent preventive care,
sickle cell anemia, tuberculosis, upper respiratory infections,
urinary infections. vaginitis/STDs, and well child care.
Source RAND, 1700 Main Street, Santa Monica, California, 90401.
A. Title Ensuring Quality Project
New England SERVE l
Description A model for monitoring the quality of family-centered care
provided for children with special health care needs in managed
care settings is being developed. Data collection instruments will
include measures of family and provider satisfaction, plan
performance, as well as administrative information, as follows:
Family Survey: Family participation and overall
satisfaction with health plan information available to
families, written health care plan, primary care services,
specialty care services, health services supplies and
equipment, mental health services, and care coordination.
* Provider Survey: Policies and supports to deliver quality
primary care, special care, related health services, supplies
and equipment, mental health, and care coordination.
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