Using external quality review organizations to improve the quality of preventive and developmental services for children

Using external quality review organizations to improve the quality of preventive and developmental services for children

Collection:
Health Policy and Services Research
Author(s):
Ireys, Henry T., author
Krissik, Tara, author
Verdier, James M., author
Faux, Melissa, author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
[New York, N.Y.] : Commonwealth Fund, May 2005
Language(s):
English
Format:
Text
Subject(s):
Child Health Services
Managed Care Programs
Medicaid
Professional Review Organizations
Quality Assurance, Health Care
United States
Genre(s):
Technical Report
Abstract:
Federal regulations encourage state Medicaid agencies to use external quality review organizations (EQROs) to help implement strategies for assessing the quality of services provided to Medicaid beneficiaries enrolled in managed care plans. This study provides state Medicaid programs, managed care organizations, EQROs, and other child health professionals with strategies for using EQROs to enhance the quality of preventive and developmental services for young children. The authors' findings indicate that only a few states are now using EQROs to assess preventive and developmental services, but more states could do so if a key stakeholder elects to champion the issue and if state staff and EQROs have the relevant knowledge base. They also underscore the importance of building a strong argument for improving preventive and developmental services and suggest a critical need to provide state Medicaid agency staff with the knowledge and experience to play a leadership role in this area.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (viii, 61 pages))
NLM Unique ID:
101255055 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101255055