Specify: Every two years Other Specify: Add another Data Source for this performance measure Data Aggregation and Analysis Responsible Party for Frequency of data data aggregation and aggregation and analysis analysis: (check each that (check each that applies applies X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other Annually Specify: Continuously and Ongoing X Other Specify: Every two years Performance Number and percentage of waiver participant deaths for which the Measure: Department of Human Fatality Review Committee process was Services’ followed. The numerator is the total number of waiver participant deaths for which the Department of Human Fatality Review Committee Services’ process was followed; the denominator is the total number of waiver participant deaths. Data Source (Select one) (Several options are listed in the on-line application):Other If is selected, specify: ‘Other’ Participant records and Annual report Responsible Party for Frequency of data Sampling Approach data collection/generation: (check each that collection/generation (check each that applies) (check each that applies) applies) State Medicaid Agency Weekly X 100% Review X Operating Agency Monthly Less than 100% Review Sub-State Entity X Quarterly Representative Sample; Confidence Interval = Other Annually Specify: Continuously and Stratified: Describe Ongoing Group:
Specify: Every two years Other Specify: Add another Data Source for this performance measure Data Aggregation and Analysis Responsible Party for data aggregation and analysis (check each that applies Frequency of data aggregation and analysis: (check each that applies X State Medicaid Agency Weekly X Operating Agency Monthly Sub-State Entity Quarterly Other Specify: Annually Continuously and Ongoing X Other Specify: Every two years Performance Measure: Number and percentage of waiver participant deaths for which the Department of Human Services’ Fatality Review Committee process was followed. The numerator is the total number of waiver participant deaths for which the Department of Human Services’ Fatality Review Committee process was followed; the denominator is the total number of waiver participant deaths. Data Source (Select one) (Several options are listed in the on-line application):Other If ‘Other’ is selected, specify: Participant records and Annual report Responsible Party for data collection/generation (check each that applies) Frequency of data collection/generation: (check each that applies) Sampling Approach (check each that applies) State Medicaid Agency Weekly X 100% Review X Operating Agency Monthly Less than 100% Review Sub-State Entity X Quarterly Representative Sample; Confidence Interval = Other Specify: Annually Continuously and Ongoing Stratified: Describe Group:
ABI%20Waiver%20Amendment%20-%20Final%20Draft%20for%20Public%20Comment.docx