The measures apply to Medicaid-eligible children and adults, and align with the initial core set of healthcare quality measures for Medicaid-eligible adults, meaningful use measures and the National Quality Strategy. Once the core set is finalized through the rulemaking process, states will be required to report on these measures, which will be used to assess health home program outcomes. CMS expects states will also report on their specific health home goals and measures, according to the letter.
CMS notified states of its recommended quality measures in advance of rulemaking so they can share the recommendations with healthcare providers and begin designing and implementing health home programs.
Here are the eight recommended measures:
1. Adult body mass index assessment
2. Ambulatory care — sensitive condition admission
3. Care transition — transition record transmitted to healthcare professional
4. Follow-up after hospitalization for mental illness
5. Plan — all cause readmission
6. Screening for clinical depression and follow-up plan
7. Initiation and engagement of alcohol and other drug dependence treatment
8. Controlling high blood pressure
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