Describe the State-Specific Characteristics in Choosing a Quality Management Strategy

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State-Specific Characteristics

Several State-specific characteristics officials will want to think about when deciding what type of quality measurement strategy is best for their State are:

Target population. Who is the SCHIP expansion targeting? States focusing on specific age groups, geographic settings, or health needs must take that into consideration when choosing quality measures.

State goals. What is the quality focus of other programs such as Title V? Are there Governor- or legislator-defined priorities?

Types of plans available. Characteristics of different plans available affect strategy choices. Newly formed plans, for example, may have less infrastructure/capacity in terms of information systems to support certain types of quality measurement.

Market share. States that have a bigger share of the State healthcare market can more easily mandate specific quality measures, whereas States with smaller market shares may need to partner with a larger private sector player, or negotiate with their health plans for less comprehensive quality measures.

Data available. What data will be accessible to support the quality measurement strategies? (Data from health plans, State programs, other States, or national sources?)

Related Questions

Give me an overall context

Show me other SCHIP Workshop presenter-suggested strategies

SCHIP Guidance - Strategies Suggested by Presenters

What led to this?

What Are the Key Issues in Choosing a Quality Measurement Strategy?

Who presented this material?

Lisa Simpson, M.B., B.Ch., M.P.H.