Grant Supports Reporting Adult Quality Measures to Improve Health Outcomes
ATLANTA -- Georgia Medicaid recently received a two-year grant for $968,297 per year from the Centers for Medicare & Medicaid Services (CMS) to assist Georgia in reporting the Adult Quality Core Set of measures to CMS.
“With the reporting of these new measure sets for our members, Georgia will gain additional skills in analyzing and using data for monitoring and driving improvements in health care,” said David A. Cook, commissioner of the Georgia Department of Community Health, which administers Medicaid for the state. “Some of these measures will serve as the indicators for our Care Management Organizations’ performance improvement projects.”
The grant will be used to generate, report and validate adult quality performance measure rates for the Medicaid Adult-Only members and a subset of that population -- the members enrolled in the Community Care Services Program (CCSP) waiver. The Medicaid Adult-Only members receive services through managed care and fee-for-service providers. Altogether, Georgia’s Medicaid division serves approximately 1.7 million Georgians.
The grant will also be used to implement, monitor and validate two new performance improvement projects (PIPs) through collaborations with the Georgia Department of Human Services, Division of Aging Services and the 12 Area Agencies on Aging throughout the state. These PIPs will focus on improvements in screening for clinical depression and improvements in the management of antidepressant medications for the elderly.
In May 2009, DCH’s Medicaid Division created its Performance, Quality and Outcomes Unit. It was charged with ensuring that all aspects of the department’s Quality Strategic Plan are implemented, and defining enhancements to the plan that would drive health improvements for Georgia’s Medicaid population served by the CMOs. Janice Carson, MD, is the unit’s deputy director.
“Dr. Carson and her unit have made great strides in identifying, tracking, and influencing pediatric measures, and her work has been nationally recognized,” said Jerry Dubberly, director of Medicaid. “The performance measure rates generated from these new requirements will further inform our health improvement initiatives.”
In 2011, Georgia’s work in Pediatric Quality Core Set Measures was highlighted in a report from the U.S. Department of Health and Human Services. The report commended the state for reporting on 18 of the 24 Children’s Health Insurance Program (CHIP) measures in FFY2010, more than any other state. The state was also recognized for taking a proactive role in designing its data systems to support quality measurement.
DCH’s Performance, Quality and Outcomes Unit will report 23 of the 26 Adult Core Set Measures, including Comprehensive Diabetes Care, Prenatal and Postpartum Care, High Blood Pressure, and Cervical Cancer Screening. Results for three measures will be stratified and reported by race/ethnicity, gender and region.
About the Georgia Department of Community Health
Through effective planning, purchasing and oversight, the Georgia Department of Community Health (DCH) provides access to affordable, quality health care to millions of Georgians, including some of the state’s uninsured and most vulnerable populations.
DCH is responsible for Medicaid and PeachCare for Kids,® the State Health Benefit Plan, Healthcare Facility Regulation and Health Information Technology in Georgia.
David A. Cook serves as Commissioner for the Georgia Department of Community Health.
To learn more about DCH and its dedication to A Healthy Georgia, visit www.dch.georgia.gov.