Quality Improvement Strategy (Describe the quality improvement strategy in the tables below): state’s Discovery Activities Remediation Discovery Evidence Discovery Monitoring Remediation Activity Frequency (Performance Measures) (Source of Data of Analysis & sample size) (agency or (Who corrects, and entity that analyzes, and Aggregation conducts aggregates discovery remediation activities) activities; required timeframes for remediation) Service plans 1. % of participants who had a CFT meeting at 1. 1. Every 1. If a Defensible address least every 45 days. DHMH/MHA, 12 months DHMH/MHA performance sample of assessed with CSAs with CSAs improvement case files needs of plan is needed, (electronic 1915(i) a program or paper) of participants, director must participants are updated submit a who were annually, and proposal enrolled 2. % of participants whose plan of care (POC) was document within 10 during the updated to include change in progress, services or choice of working days. time period other areas within five (5) days of the CFT 2. Every services and The final under meeting. 2. 12 months 2. providers. performance review DHMH/MHA DHMH/MHA improvement Review of 3. % of participants whose POC indicates they with CSAs with CSAs plan must be all POC were afforded choice in the selection of services submitted to during and providers MHA, ASO, identified and CSA, as time period applicable, for a within 30 defensible
Quality Improvement Strategy (Describe the state’s quality improvement strategy in the tables below): Discovery Activities Remediation Discovery Evidence (Performance Measures) Discovery Activity (Source of Data & sample size) Monitoring (agency or entity that conducts discovery activities) Remediation (Who corrects, analyzes, and aggregates remediation activities; required timeframes for remediation) Frequency of Analysis and Aggregation Service plans address assessed needs of 1915(i) participants, are updated annually, and document choice of services and providers. 1. % of participants who had a CFT meeting at least every 45 days. 2. % of participants whose plan of care (POC) was updated to include change in progress, services or other areas within five (5) days of the CFT meeting. 3. % of participants whose POC indicates they were afforded choice in the selection of services and providers Defensible sample of case files (electronic or paper) of participants who were enrolled during the time period under review Review of all POC during identified time period for a defensible 1. DHMH/MHA, with CSAs 2. DHMH/MHA with CSAs 1. Every 12 months 2. Every 12 months 1. DHMH/MHA with CSAs 2. DHMH/MHA with CSAs If a performance improvement plan is needed, a program director must submit a proposal within 10 working days. The final performance improvement plan must be submitted to MHA, ASO, and CSA, as applicable, within 30
1915_i_SPA_CMS_Submission.docx