Improving Performance Measurement in the State Children's Health Insurance Progran Final rept

摘要

As part of the ongoing effort to assess the progress of the State Children's Health Insurance Program (SCHIP), increasing attention has been devoted to improving the reporting of program performance data by states. The Centers for Medicare & Medicaid Services (CMS) is required by Title XXI and the SCHIP Final Rules to assess progress made by SCHIP plans toward achieving their strategic objectives and performance goals. In 2002, CMS convened the Performance Measurement Partnership Project (PMPP) as a collaborative effort between federal and state officials to explore the development of a national set of performance measures for Medicaid and SCHIP. CMS contracted with the National Academy for State Health Policy (NASHP) to facilitate the workgroup that would develop these measures. The group focused on well-established measures whose results could motivate agencies, providers, and health plans to improve the quality of care delivered to enrollees. After receiving comments from Medicaid and SCHIP officials on an initial set of 19 measures, the PMPP recommended a core set of seven national performance measures consisting of four child health and three adult measures. CMS requested that states report available data on these measures in their federal fiscal year (FFY) 2003 annual SCHIP reports.