6. Next Steps and Conclusions
Identification of the Initial Core Set of Measures for Medicaid-eligible Adults is an important first step in
an overall strategy to encourage and enhance quality improvement. As delineated in the statute, the Secretary will publicly release the Initial Core Set of Measures by January 1, 2012. States who voluntarily choose to report on these
measures can do so starting in 2013. The Affordable Care Act also requires that HHS establish an Adult Medicaid Quality Measurement Program to fund development, testing, and validation of emerging and innovative evidence-based measures. The Adult Medicaid Quality Measures Program will focus on developing and refining measures where needed so that future updates to the Initial Core Set can meet a wider range of States' health care quality measurement needs. Future
measurement development activities will seek to better leverage Federal programs, such as the EHR Incentive Program, that emphasize the use of electronic health records and other forms of health information technology to enhance data
collection and reporting. Finally, much like activities conducted under CHIPRA for the Initial Core Set of Child Health Care Quality Measures, the Secretary will also launch a Technical Assistance and Analytic Support Program to help
States collect, report, and use the voluntary core set of adult health care quality measures.
The next steps and future measurement activities outlined above are designed with the overall goal to support HHS and its State partners in developing a quality-driven, evidence-based, national system for measuring the quality of
health care provided to Medicaid-eligible adults.
Return to Contents
1. Centers for Medicare & Medicaid Services (CMS). CMS EHR Meaningful Use Overview. 2011. https://www.cms.gov/ehrincentiveprograms/30_Meaningful_Use.asp#BOOKMARK1 (Accessed 10/19/2011).
2. Centers for Medicare & Medicaid Services (CMS). Hospital Inpatient Quality Reporting Program. 2011. https://www.cms.gov/HospitalQualityInits/08_HospitalRHQDAPU.asp (Accessed 10/19/2011).
3. Glantz J. Elective induction vs. spontaneous labor associations and outcomes. J Reprod Med 2005;50(4):235-40.
4. Joint Commission on Accreditation of Healthcare Organizations. 2009 Hospital
Accreditation Standards. Oakbrook Terrace, IL: Joint Commission Resources; 2009.
5. Kripalani S, LeFevre F, Phillips CO, et al. Deficits in the communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA 2007;297(8):831-841.
6. Tita A, Landon M, Spong C, et al. Timing of elective repeat cesarean delivery at term and neonatal outcomes. New Engl J Med 2009;360:2, 111-120.
Return to Contents
Proceed to Next Section