the The Contractor shall analyze results of survey in order to understand the underlying causes of ED utilization for their Enrollees, including the use of and/or or failure of LTSS or whether there was a lack of Enrollee appropriate LTSS to adequately support the in his or her environment. The Contractor will identify issues within its system of care that require improvement to promote appropriate utilization of both LTSS and emergency department services and shall implement such improvements. The Contractor will report its results to EOHHS and to CMS. IL-LTSS Coordinator. The goal of this initiative is to better understand the use of Enrollees. IL-LTSS Coordinators by ICO The Contractor shall identify a random sample of a minimum of 20 members each year who will be interviewed about use of an IL-LTSS Coordinator during that year. An independent quality assurance entity shall conduct interviews of each Enrollee in the sample to determine his or her experience with an IL-LTSS Coordinator, using a semi-structured interview tool provided by EOHHS. The Contractor shall analyze results of its survey in order to understand Enrollee experience with an IL-LTSS Coordinator, and to identify best practices as well as to understand the underlying reasons why Enrollees are or are not engaged with IL-LTSS Coordinators. The ICO will identify issues within its enrollment and assessment processes which require change and shall implement such improvements. The Contractor will report its results to EOHHS and to CMS.
The Contractor shall analyze results of the survey in order to understand the underlying causes of ED utilization for their Enrollees, including the use of and/or or failure of LTSS or whether there was a lack of appropriate LTSS to adequately support the Enrollee in his or her environment. The Contractor will identify issues within its system of care that require improvement to promote appropriate utilization of both LTSS and emergency department services and shall implement such improvements. The Contractor will report its results to EOHHS and to CMS. IL-LTSS Coordinator. The goal of this initiative is to better understand the use of IL-LTSS Coordinators by ICO Enrollees. The Contractor shall identify a random sample of a minimum of 20 members each year who will be interviewed about use of an IL-LTSS Coordinator during that year. An independent quality assurance entity shall conduct interviews of each Enrollee in the sample to determine his or her experience with an IL-LTSS Coordinator, using a semi-structured interview tool provided by EOHHS. The Contractor shall analyze results of its survey in order to understand Enrollee experience with an IL-LTSS Coordinator, and to identify best practices as well as to understand the underlying reasons why Enrollees are or are not engaged with IL-LTSS Coordinators. The ICO will identify issues within its enrollment and assessment processes which require change and shall implement such improvements. The Contractor will report its results to EOHHS and to CMS.