How are CHIPRA Quality Demonstration States Using Quality Reports to Drive Health Care Improvements for Children?
Key Findings:
- States indicated that implementing a range of State- and practice-level initiatives is often needed to improve outcomes on a specific measure.
- States formed work groups or held formal discussions to review quality reports with stakeholders, including staff at child-serving agencies, health plans, and health systems. These discussions helped spur interest in quality improvement (QI) and sharpen the focus on child health.
- Practices found reports helpful for identifying QI priorities but less useful for guiding and assessing QI projects.
- Practices needed technical assistance from the State to understand the quality reports and to develop QI efforts to improve performance.
This Evaluation Highlight is the eleventh in a series that presents descriptive and analytic findings from the Centers for Medicare & Medicaid Services (CMS)-funded national evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program. Ten of the 18 States participating in the CHIPRA quality demonstration used a portion of their grant funding to report on the Child Core Set to CMS. Six of these States—Alaska, Florida, Illinois, Maine, Massachusetts, and North Carolina—also used quality reports to drive statewide quality improvement (QI) efforts. This Highlight describes the reports States produced, how States used the reports to encourage QI at the State and practice levels, and the changes that occurred as a result.
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