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Medicaid is Measuring and Monitoring Quality of Care

Delivering high quality health care to every beneficiary is central to the mission of the Medicaid and CHIP.  To help develop a system that assures quality, federal and state government partners are working together to measure and monitor specific quality of care indicators. Two core sets of quality measures - one for children and one for adults - will help assess program performance and drive improvements in care. The measures are reviewed annually through a multi-stakeholder process managed by the National Quality Forum.   

This program is making ground-breaking progress. While state reporting is voluntary, the great response shows that data-driven management of the program is highly valued. In FFY 2013, the fourth year of reporting data on the child core set of measures and the first year of reporting on the adult core set, all states and the District of Columbia reported a median of 16 child measures, with 33 states reporting at least 13 measures; 30 states reported a median of 17 adult measures, with 25 states reporting at least eight. The most frequently reported child core set measures were in the areas of perinatal health, well-child care, and adolescent well care. The most frequently reported adult measures focused on diabetes care management, postpartum care visits, mental health treatment and women’s preventive health care.

Source: Mathematica analysis of FFY 2011-2013 Child CARTS reports

View snapshots (PDF, 2.1 MB)(PDF 2.1 MB) of state-by-state reporting on the child core set measures.

CMS is offering links/charts for informational purposes only, facts should not be construed as an endorsement of the organization's programs or activities

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