Quality Community Managed Care. Washington, D.C. Efforts from this grant resulted in development of a set of measures that can be used to monitor children with special health care needs in managed care plans. Full instructions on how to use the guide are included along with potential sources of the necessary data. Collection of comparison data is suggested to determine if the expected outcome was achieved. Specific reporting mechanisms are included so that the data can be standardized and used to evaluate outcomes of care.
Providers can track encounters to determine if utilization and outcome are optimal and appropriate.
A section on quality assurance addresses both the satisfaction of recipients and their families as well as congruence with treatment plans. A section is included to evaluate the qualifications of providers.