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

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Description This guide provides a set of measures that can be used to monitor
children with special health care needs in managed care plans.
Selected <strong>Medicaid</strong> HEDIS measures related to children are
abstracted along with a set of measures developed by the Quality
Community <strong>Managed</strong> <strong>Care</strong> Project. The measures are organized
into the following HEDIS categories: membership, utilization,
quality, access, health plan management, clinical management
systems, and finance.
Source Monahan C, Harder-Shanahan R. Maloney M, Song J: Quality
Community <strong>Managed</strong> <strong>Care</strong>: A Guide for Quality Assurance
Measuresfor Children with <strong>Special</strong> Health <strong>Care</strong> Needs. Chicago,
IL: The University of Illinois at Chicago, 1996 (draft). The
University of Illinois at Chicago - Division of <strong>Special</strong>ized <strong>Care</strong>
for Children, 1919 W. Taylor Street, 8th Floor, Chicago, IL
60612 Phone 312-996-1360.
Title Project ACCORD
Minnesota Department of Health and Health Partners
Description The project was designed to create a public-private partnership
between the state health department, HMOs, and key
organizations within the state to facilitate statewide adoption of
practice guidelines. The special health condition used is pediatric
asthma. Success is measured in terms of the rate of children with
severe asthma who are on anti-inflammatory medication and the
rate of parents who report a written asthma plan. Implementation
goals are to identify and correctly diagnose asthma in children,
provide optimal asthma management through education and
avoidance of triggers, and establish a comprehensive
pharmacological treatment and asthma action plan.
Source Project ACCORD, Minnesota Department of Health 717
Delaware Street, Minneapolis, MN 55440; Phone 612-623-5140.
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