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As the Centers for Medicare & Medicaid Services pursued the challenge of strengthening the quality oversight of Home and Community Based Services (HCBS) programs across this nation, Quality Letters became the mechanism we used to communicate with state Medicaid agencies about how CMS exercises federal oversight and improve upon quality. Quality Action Plan In response to a letter from Senator Grassely and Senator Breaux in July of 2003 pertaining to the lack of oversight and monitoring of HCBS waiver programs, CMS developed a Quality Action Plan. In short the plan details the goals, objectives and steps CMS implemented to improve quality, oversight and monitoring of HCBS waiver programs. To view the plan in its entirety, scroll to the download section and click on Quality Action Plan. Quality Framework In order to facilitate a dialog about quality within Home and Community-Based Services, the Centers of Medicaid and State Operations engaged the services of MEDSTAT, the National Association of State Directors of Developmental Disability Services, the National Association of State Units on Aging, and the Human Services Research Institute to facilitate the development of a Quality Framework. The HCBS Quality Framework is intended to serve as a common frame of reference in support of productive dialogue among all parties who have a stake in the quality of services and supports for people with disabilities. The Framework focuses attention on the desired outcomes of HCBS quality management and improvement efforts. The Framework is not regulatory. It is not expected that every state or provider would be engaged in actively monitoring each and every sub-domain. The framework further delineates the functions of quality. - Design: Designing quality assurance and improvement strategies into the HCBS program at the initiation of the program
- Discovery: Engaging in a process of discovery to collect data and direct participant experiences in order to assess the ongoing implementation of the program, identifying both concerns as well as other opportunities for improvement.
- Remedy: Taking actions to remedy specific problems or concerns that arise
- Continuous Improvement: Utilizing data and quality information to engage in actions that assure continuous improvement in the HCBS program.
Page Last Modified: 08/25/2008 9:33:42 AM
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