Quality

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Quality in Home and Community-Based Services to Support Community Living: Addressing Gaps in Performance Measurements

This report represents two years of work by the HCBS Committee and and contains the Committee's final set of recommendations. It describes key components of a conceptual foundation for home and community based services (HCBS) quality measurement, specifically an operational definition of HCBS, a list of characteristics describing high-quality HCBS, and a measurement framework of 11 domains and 40 subdomains.

Short URL: http://www.advancingstates.org/node/68558

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National Core Indicators Aging and Disability Adult Consumer Survey: 2015-2016 Mid-Year Results

ADvancing States in collaboration with the Human Services Research Institute (HSRI) released the results from a six-state deployment of the National Core Indicators – Aging and Disabilities (NCI-AD™) adult consumer survey. While 13 states are participating in the NCI-AD survey in 2016, six of the states - Colorado, Georgia, Maine, Mississippi, New Jersey, and North Carolina- received their results more quickly.

Short URL: http://www.advancingstates.org/node/67954

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Improving the Quality of Care for Medicaid Beneficiaries

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The final rule enhances transparency in Medicaid and CHIP managed care, supports states in contracting with health plans that offer higher-value care, improves consumer and stakeholder engagement, and, where feasible, aligns quality measurement and improvement in Medicaid and CHIP managed care with other systems of care.

Short URL: http://www.advancingstates.org/node/67759

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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents: Final Annual Report Project Year 3

The Centers for Medicare & Medicaid Services (CMS) released the annual Nursing Facility initiative report. This report summarizes the impacts from the three-year-old initiative that tests the ways to reduce avoidable hospitalizations. Research from CMS shows that "approximately 45%" of hospitalizations could be prevented with the proper interventions. This report uses the data from experience during the second performance year of the initiative in 2014.

Short URL: http://www.advancingstates.org/node/67370

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Medicare and Medicaid: Additional Oversight Needed of CMS's Demonstration to Coordinate the Care of Dual-Eligible Beneficiaries

The Centers for Medicare & Medicaid Services (CMS) began the Financial Alignment Demonstration in 2013 to improve care coordination. GAO was asked to examine care coordination under this demonstration. On January 19, The Government Accountability Office publicly released a report with their recommendations for CMS. GAO recommends that CMS develop new measures and align the current measures to improve oversight of care coordination.

Short URL: http://www.advancingstates.org/node/67285

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Lifelong Disparities Among Older American Indians and Alaska Natives

This is a report on the lifelong disparities that exist among older American Indian (AI) and Alaska Native (AN) populations when compared to the general United States population of older adults. The report includes a definition of who falls into the category of American Indian, identifies where these populations generally live in the U.S., and compares AI/ANs generally with the rest of the population of older adults and also specifically compares health coverage.

Short URL: http://www.advancingstates.org/node/67137

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2015 State of the States in Aging and Disabilities

The results of the annual survey represent a snapshot of the current status of state government employees, the agencies that administer the programs, and the services that are provided. The 2015 survey revealed that states are continuing to address the same underlying challenges discussed in the previous reports.The report also includes summary tables that outline specific information about each individual state agency and LTSS program. Email adiaz@advancingstates.org to request a hard copy version.

Short URL: http://www.advancingstates.org/node/66820

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Community Living and Participation for People with Intellectual and Developmental Disabilities

To mark the 25th anniversary of the Americans with Disabilities Act, The Association of University Centers on Disabilities (AUCD) and the American Association on Intellectual and Developmental Disabilities (AAIDD) released a memo and report on the status of community living over the past 50 years. The report uses these findings to offer recommendations for improvement of services, access, opportunity, and support for for the next 25 years.

Short URL: http://www.advancingstates.org/node/66763

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National Disability Policy: A Progress Report

In honor of the 25th anniversary of the Americans with Disabilities Act (ADA), this annual report focuses on how the ADA and other federal legislation has been implemented by five different state and local agencies. The report examines employment, education, health care, transportation, and housing to demonstrate the importance of the federal legislation and disability advocates. The report also offers recommendations to inform policymakers on changes to be made in the future legislation.

Short URL: http://www.advancingstates.org/node/66729

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Case for Inclusion 2015 Report

This is an annual report from United Cerebral Palsy that uses a set of key indicators to investigate data and outcomes of the community living standards for individuals living with intellectual and developmental disabilities in the United States. The findings from this report can inform policymakers and advocates on improvements and changes to ensure the best quality of life for individuals with intellectual and developmental disabilities.

Short URL: http://www.advancingstates.org/node/66686

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