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 State Medicaid Agency Weekly Operating Agency Monthly Sub-State Entity Quarterly Other Annually Specify: Continuously and Ongoing Other Specify: Add another Performance measure (button to prompt another performance measure) Performance % of participants receiving services subject to licensure and certification Measure: who know how to report abuse and/or neglect. (Number of participants receiving services subject to licensure and certification who know how to report abuse and neglect/ Number of individuals reviewed) Data Source (Select one) (Several options are listed in the on-line application): Provider Performance Monitoring If is selected, specify: ‘Other’ 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 100% Review Operating Agency Monthly Less than 100% Review Sub-State Entity Quarterly Representative Sample; Confidence Interval = Other Annually 95% Specify: Continuously and Stratified: Describe Ongoing Group: 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 State Medicaid Agency Weekly Operating Agency Monthly Sub-State Entity Quarterly Other Specify: Annually Continuously and Ongoing Other Specify: Add another Performance measure (button to prompt another performance measure) Performance Measure: % of participants receiving services subject to licensure and certification who know how to report abuse and/or neglect. (Number of participants receiving services subject to licensure and certification who know how to report abuse and neglect/ Number of individuals reviewed) Data Source (Select one) (Several options are listed in the on-line application): Provider Performance Monitoring If ‘Other’ is selected, specify: 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 100% Review Operating Agency Monthly Less than 100% Review Sub-State Entity Quarterly Representative Sample; Confidence Interval = Other Specify: Annually 95% Continuously and Ongoing Stratified: Describe Group: Other Specify:
ABI-RH%20Renewal%20Application-Clean%20draft-October%202017.docx