Addressing Potential Conflicts of Interest Arising from the Multiple Roles of Colorado’s Community Centered Boards

This document summarizes the information we gathered, our analysis of potential conflicts of interest, and recommendations for addressing opportunities for improvement. The information we gathered is based on document review, input from stakeholders, and a review of practices in four other states

Work Book: Improving the Quality of Home and Community-based Services and Supports

The HCBS Work Book is a technical assistance guide to assist state agencies with their HCBS quality improvement efforts. It provides step-by-step guidance on how to conduct quality improvement projects within the HCBS waiver program, and illustrates the principles of quality improvement in an easy to use format. The Work Book was developed for CMS by the Muskie School of Public Service at the University of Southern Maine

Performance Measurement: Managing and Using Home and Community-based Services Data for Quality Improvement

The Data Management and Use Series represents the third in a group of papers synthesizing the ideas and practices of states as they improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities

Data Integration and Storage: Managing and Using Home and Community-Based Services Data for Quality Improvement

This paper reports on data integration from a program manager’s perspective. The paper is not meant to be an exhaustive research document, nor does it single out any one correct approach. The paper is meant to facilitate communication between program units and analytic staff and serve as one reference for states as they continue to improve upon data collection techniques and use this information for ongoing quality management and improvement

Home and Community-based Services: Quality Management Roles and Responsibilities

Early in the development of this first working paper on QM roles and responsibilities, QA/QI grantees contributed to a preliminary outline of the issues to be addressed. A subset of grantee states agreed to more fully discuss their perceptions of the issues and to guide the exploratory efforts of Muskie School staff. While the initial list of issues was quite lengthy, it was subsequently reduced to four essential questions: How is quality defined for HCBS? What is meant by quality management? How do states develop quality management expertise? How do states organize their quality management strategies? This paper attempts to answer these questions from the perspectives of the grantees and available federal guidance. The topic is limited to quality management strategies focused on the quality of services and supports for HCBS consumers and is not intended to represent the quality management field as a whole

Home and Community-based Services: Quality Management Roles and Responsibilities [Appendices]

Contents Appendix A: Wisconsin Quality Management Concept ... A-1 Appendix B: Sample State HCBS Values and Principles... B5 Appendix C: Examples of State Templates for Mapping HCBS QM Activities... C9 Appendix D: Sample State HCBS Performance Indicators... D49 Appendix E: Oregon HCBS Contract Reporting Requirements ... E63 Appendix F: Georgia Performance Profile Statewide Summary ... F70 Appendix G. Sample Job Descriptions ... G76 Appendix H: Texas Health and Human Services Commission... H82 Appendix I: South Carolina First Health Services Partnership ... I8

Quality Management and Improvement Practices for Home and Community-based Care: Literature Review

The Centers for Medicare and Medicaid Services (CMS) have contracted with the Muskie School of Public Service to develop a technical assistance guide for use by states and CMS regional offices to assess and improve the quality of home and community-based care (HCBC) to Medicaid beneficiaries. 1 The project will identify tools, measures, standards, and oversight mechanisms for performance measurement and quality improvement of long term care services delivered under federal and state-funded HCBC programs, exclusive of consumer-directed services. In addition to highlighting promising state practices, the project will describe the opportunities and challenges of applying advancements in the field of quality management, so broadly used in other sectors of health care, to improve the quality of HCBC services. This paper reviews published literature and provides a summary of major CMS initiatives in the area of quality measurement and improvement over the last five years. In conducting this review, a wide lens was applied to identify quality strategies in settings of care and delivery systems both within and outside long term care. This paper will serve as background for a meeting with federal and state policymakers and quality experts to assess the relevance and limitations of identified methods to improve the quality of services and outcomes in HCBC programs. Based on findings from the meeting and additional structured interviews with stakeholders, a technical assistance guide will be prepared

Data Quality and Analysis: Managing and Using Home and Community-based Services Data for Quality Improvement

The Data Management and Use Series represents the third in a group of papers synthesizing the ideas and practices of states as they improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities

Reporting: Managing and Using Home and Community-based Services Data for Quality Improvement

The Data Management and Use Series represents the third in a group of papers synthesizing the ideas and practices of states as they improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities

Measurement, Monitoring, and Evaluation of State Demonstrations to Integrate Care for Dual Eligible Individuals: Massachusetts Evaluation Design Plan.

CMS contracted with RTI International to monitor the implementation of all State demonstrations under the Financial Alignment Initiative, and to evaluate their impact on beneficiary experience, quality, utilization, and cost. The evaluation includes an aggregate evaluation and State-specific evaluations. This report describes the State-specific Evaluation Plan for the Massachusetts demonstration as of December 16, 2013. The evaluation activities may be revised if modifications are made to either the Massachusetts demonstration or to the activities described in the Aggregate Evaluation Plan (Walsh et al., 2013). Although this document will not be revised to address all changes that may occur, the annual and final evaluation reports will note areas where the evaluation as executed differs from this evaluation plan. The goals of the evaluation are to monitor demonstration implementation, evaluate the impact of the demonstration on the beneficiary experience, monitor unintended consequences, and monitor and evaluate the demonstration’s impact on a range of outcomes for the eligible population as a whole and for subpopulations (e.g., people with mental illness and/or substance use disorders and long-term services and supports (LTSS) recipients)