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STATE OF NORTH DAKOTA Assessment / Standard Fee Schedule Design Project for People with Developmental Disabilities. Steering Committee Meeting June 14 th , 2012. Why Quality in a Rate-Related Project?. RATE PROJECT-SPECIFIC GOALS

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Steering Committee Meeting June 14 th , 2012

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Steering committee meeting june 14 th 2012

STATE OF NORTH DAKOTAAssessment / Standard Fee ScheduleDesign Project for People with Developmental Disabilities

Steering Committee Meeting

June 14th, 2012

Why quality in a rate related project

Why Quality in a Rate-Related Project?


  • Ensure the objective monitoring of impact of changes on quality of services (avoid unintended consequences)

  • Build rate model to adequately incentivize and reward high quality services

  • Ensure objective monitoring of quality of new processes emerging from the rate methodology

Why quality indicators in general

Why Quality Indicators in General?

  • CMS is increasingly requiring it for all Medicaid services including HCBS programs (Quality Framework)

  • Newer Medicaid program models incorporate pay-for-quality clauses

  • Provide support to providers in fulfilling their mission and allow differentiation based on quality

  • Seek to ensure quality of services purchased

  • Enhance quality of life and health for individuals served

Jvga potentia quality tasks

JVGA-Potentia Quality Tasks


Task 1:Initial Information Gathering

Task 2: Sharing of Best Practices (indicators, data collection methods and data tracking systems)

Task 3: Compilation of a Final List of Select Outcomes/Performance Indicators.


Task 4: Identification of Optimal Data Collection and Measurement Methods.

Task 5: Testing of Indicator Measurement Process and Calculation of Baseline Output/Results.

Potential domains of quality

Potential Domains of Quality

Criteria for quality indicator selection

Criteria for Quality Indicator Selection

Final quality indicator list

Final Quality Indicator List

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