State-Specific Characteristics
Several State-specific characteristics officials will want to think about when deciding
what type of quality measurement strategy is best for their State are:
- Target population. Who is the SCHIP expansion targeting? States focusing
on specific age groups, geographic settings, or health needs must take that into
consideration when choosing quality measures.
- State goals. What is the quality focus of other programs such as Title
V? Are there Governor- or legislator-defined priorities?
- Types of plans available. Characteristics of different plans available
affect strategy choices. Newly formed plans, for example, may have less
infrastructure/capacity in terms of information systems to support certain types of
quality measurement.
- Market share. States that have a bigger share of the State health care
market can more easily mandate specific quality measures, whereas States with smaller
market shares may need to partner with a larger private sector player, or negotiate with
their health plans for less comprehensive quality measures.
- Data available. What data will be accessible to support the quality
measurement strategies? (Data from health plans, State programs, other States, or national
sources?)
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