We are reviewing the case mix adjustments in the Achievements in Clinical Excellence Facility program, which encourages delivery of high quality, efficient inpatient care for mental health and substance use disorders.
Designing, producing and testing tools to measure quality are critical first steps in quality improvement. Quality measures can be designed to increase quality of care for specific populations or to monitor adherence to specific best practices, or they can aim to measure the overall quality of health system outcomes. Increasingly, quality measures must be designed to be compatible with, and take advantage of, health information technology.
Encouraging High Quality, Efficient Inpatient Care for Mental Health and Substance Use: Case-Mix Adjustment in the Optum Achievements in Clinical Excellence Facility
Quality Measure Development: Dual Enrollees, Managed Long-Term Services and Supports, and Medicaid Innovation Accelerator Programs
Mathematica is developing reliable and valid quality measures for certain groups of people enrolled in Medicaid who have the highest costs and greatest needs for health care and social support.
National Evaluation of CHIPRA Quality Demonstration Grant
This program aims to identify effective, replicable strategies for enhancing quality of care for children. Mathematica’s evaluation is assessing whether states achieved their objectives and evaluating which strategies proved most effective.
Evaluation of the Medicaid Emergency Psychiatric Services Demonstration (MEPD)
Through this demonstration, 11 states and the District of Columbia receive federal Medicaid matching funds for inpatient treatment in participating private institutions for beneficiaries with psychiatric emergency medical conditions. As mandated by the Affordable Care Act, the evaluation is addressing...
Developing and Testing Quality Measures to Improve the Quality of Behavioral Health Services
Mathematica is working with the National Committee for Quality Assurance (NCQA) to develop and test measures that can be used to monitor progress toward reaching the goals of the National Behavioral Health Quality Framework.
Production and Implementation of the CMS Hospital Outcomes and Efficiency Measures
In 2009, CMS assessed a broad range of health care activities that affect patients’ well-being and made that information publicly available, to help improve health care quality and decision making. Mathematica implemented measures based on mortality and readmissions for six medical conditions to help...
Development of Quality Measures for Post-Traumatic Stress Disorder
This project involves developing and pre-testing a quality measure of PTSD care in ambulatory settings.