Monitoring and assessing the use of external quality review organizations to improve services for young children: a toolkit for state Medicaid agencies

Monitoring and assessing the use of external quality review organizations to improve services for young children: a toolkit for state Medicaid agencies

Collection:
Health Policy and Services Research
Author(s):
Krissik, Tara, author
Ireys, Henry T., author
Markus, Anne, author
Rosenbaum, Sara, author
Contributor(s):
Commonwealth Fund.
Publication:
[New York, N.Y.] : Commonwealth Fund, July 2008
Language(s):
English
Format:
Text
Subject(s):
Child Health Services
Managed Care Programs
Medicaid
Preventive Health Services
Professional Review Organizations -- statistics & numerical data
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 and improving the quality of medical services provided to beneficiaries enrolled in managed care plans. However, many states have not availed themselves of this opportunity and may lack guidance on how to do so. This report provides agencies with specifications for developing a scope of work that will lead to conceptually and methodologically sound studies of the quality of preventive and developmental services for young children enrolled in Medicaid. Among other recommendations, the authors note that states may require EQROs to conduct activities like determining compliance with federal Medicaid managed care regulations, measuring performance in terms of preventive and developmental services; and recommending and evaluating performance improvement projects. Creating an infrastructure to monitor the quality of care will have a lasting impact on the health of children, their families, and society.
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 (ix, 35 pages))
NLM Unique ID:
101513197 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101513197