How Is Quality Measured?
Considerations of how to influence quality go hand-in-hand
with a discussion of quality measurement. Some ways quality can be affected at the State
level include:
- Value-Based Purchasing. Using quality information to drive how health
plans are chosen.
- Consumer Information and Choice. Providing quality information back to
clients who have a choice of plans to drive consumers to choose higher quality plans.
- Quality Performance Goals. Setting up a quality improvement framework
with plans, setting long-term quality-related goals, and working with the health plans in
order to identify improvement opportunities.
- Regulations. Developing structural definitions of what is required by
health plans that provide care to SCHIP enrollees.
Quality can be measured through indicators in three key areas:
- Structure. Are the right elements in
place to be able to provide quality service?
- Process. Are the right things done to the
right people at the right time?
- Outcome. Is the result as good as it
should have been, given current knowledge?
There are many Issues and
Challenges in Quality Measurement that States will need to address early in
implementation.
Related
Questions
Give me an overall
context
Give me more details
Give me an example
Show me other SCHIP
Workshop presenter-suggested strategies
Show me some lessons learned
Tell me some known or potential
problems
What led to this?
Who presented this material?
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Monitoring/Eval. 
