This measure is important because the CMS Core Sets of healthcare quality measures for adult and children are often used to provide a snapshot of quality within Medicaid. They are not comprehensive, but prior to their creation and implementation, performance measurement varied greatly by state, and it was not possible to glean an overall picture of quality. Statute requires CMS to release annual reports on behalf of the Secretary on the reporting of state-specific adult Medicaid quality information.
One of the biggest challenges that DVHA faces related to performance measure production has to do with measures that require gathering clinical elements from medical records. We have learned from past years that we could improve our process for medical record collection from providers’ offices, as well as the process of preparing training materials for new measures. As we move into 2021, the Quality Unit will be partnering with other units within DVHA to improve those aspects of our medical record review process.
The trendline above demonstrates DVHA’s commitment to increasing our CMS Core Set measure production. Doing so is key to the state’s ability to keep pace with other state Medicaid plans and to evaluate the effectiveness of our payment reform models. As we strive to report on all performance measures within the CMS core quality measure sets by 2024, the Quality Improvement team:
Narrative last updated: 12/03/2020