Quality

This paper outlines some of the factors program managers may need to consider in identifying strategies for integrating information to support their quality improvement activities. The focus of this paper primarily is on synthesizing information from different data sources and integrating two or more files. For the more technically minded, the Appendix provides examples of states system integration efforts.

This paper walks through different types of HCBS waiver reports and includes steps for thinking through the purpose, content and format, while tailoring report presentation to meet the needs of specific audiences. Wherever possible, state examples are provided and supplemented by sample reports that combine promising features. Seven types of reports are highlighted that guide program management, inform policy development, measure program outcomes and identify areas for quality improvement.

Presenting numbers and patterns is a critical component of data analysis. Once analyses have been completed, the next step involves sharing key findings with staff and stakeholders and using findings as a basis for decision-making. There are a number of ways to present data and the challenge is in constructing an effective visual. This paper provides an overview of the most frequently used formats and includes tips on how to select among the different types.

What do program managers need informed about with data quality management? Many rely on technical staff to actually conduct the technical aspects of data import, cleaning and analysis. Nevertheless, it is important for a program manager to understand the process and to provide the time and resources necessary to produce reliable and accurate data. This paper focuses on ways to assure the accuracy, discusses tools for analyzing trends and patterns and provides tips on interpreting results.

What applications can states use to measure home and community based services? The purpose of this report is to outline the key components of performance measurement and to discuss their relevance and potential use in HCBS.The paper also offers practical approaches for states to gradually build a HCBS performance measurement set to serve as the foundation for their quality management activities and CMS required reporting.

With this funding for Systems Transformation, CMS will be awarding several states and non-profit agencies with small supplemental grants. States and other eligible organizations, in partnership with their disability and aging communities, may submit proposals to design and construct systems infrastructure that will result in effective and enduring improvements in community long-term support systems.

This monograph discusses program design considerations to assist as states move toward greater individuality and flexibility in the provision of services and supports. The paper outlines topics to consider when expanding opportunities for participants to choose and direct individual who provide assistance, including the risks/benefits arrangements, provider qualifications, training, person-centered planning, the case manager role, and safeguards to prevent abuse, neglect and exploitation.

Gathering information from waiver participants can be costly and time intensive, and is not always necessary. Depending upon the size and scope of the state’s waiver program, it is often sufficient and more cost effective to draw representative samples. This guide is designed to provide states with practical information about sampling techniques, what to consider when deciding whether to sample and the strategies to employ in quality management work.

The Compendium contains basic information about each of the Real Choice Systems Change Grantees. The Compendium will help you learn more about how these grants will be used to allow more people of all ages with a disability or long term illness to live and participate in their communities. Real Choice Systems Change Grantees will also find the Compendium useful to identify other Grantees with similar goals and activities. The fifth edition of the Compendium replaces all previous editions.

This is the final report and recommendations from the Colorado Quality for Equality (Q4E) Committee, a collaborative process involving Medicaid consumers, Department staff, providers, regulators, advocates and other interested stakeholders. The Q4E Committee's work found three recommended activities including Complaints Program Website Improvements, Case Management Client Satisfaction Survey and Secret Shopper Pilot Project.