![]() To that end, ten priority goals have been identified to drive improvement in the Medicaid and CHPlus programs and align with the triple aim. The format of the QS has also evolved, as the current version employs a new goal-based format to identify and prioritize the areas in which quality improvement is most needed and most attainable. The QS has evolved as a result of programmatic changes, member health needs, clinical practice guidelines, federal and state laws, lessons learned, and best practices. The QS, a requirement of 42 CFR § 438.340 and 42 CFR § 457.1240(e), identifies the goals of the Medicaid/CHIP program and the actions taken by the NYSDOH to promote improvement. The NYSDOH (Office of Quality and Patient Safety and Office of Health Insurance Programs) will review progress toward achieving goals annually. Progress on the implementation and effectiveness of the QS will be monitored by a suite of quality measures, each of which correlate to one of the ten goals. The New York State Medicaid/Child Health Plus Insurance Program (CHPlus) Quality Strategy (hereafter referred to as the QS) aims to achieve measurable, meaningful improvement among ten priority goals. The New York State Department of Health (NYSDOH), in collaboration with public and private partners including the Centers for Medicare & Medicaid Services (CMS), is continuously seeking new strategies to achieve the triple aim of: Improved Population Health, Improved Quality of Care, and Lower Per Capita Cost while reducing health disparities.Ĭontinued success depends on a quality strategy with clearly defined aims, goals, metrics, targets, interventions, and mechanisms for transparency and feedback. All Health Care Professionals & Patient Safety. ![]() Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors. ![]()
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