AHCCCS Quality & Performance Improvement

AHCCCS Quality Assessment & Performance Improvement Strategy

In accordance with 42 CFR 438.202, AHCCCS created the AHCCCS Quality Assessment and Performance Improvement Strategy. The 2010 revision includes requirements under Section 401(c)(1) of CHIPRA. The document offers the following information:

• Progress on Current Projects
• Current Agency Successes
• Future Agency Endeavors

AHCCCS Quality Assessment & Performance Improvement Strategy | Rich Text Version

Contacts

For questions about the AHCCCS Quality Assessment & Performance Improvement Strategy, call, email, or write:

• Call: 602-417-4229
• Email: Jakenna.Lebsock@azahcccs.gov
• Write:
  
  Arizona Health Care Cost Containment System (AHCCCS)
  ATTN: Division of Health Care Management
  701 E. Jefferson St., MD-8500
  Phoenix, AZ 85034

AHCCCS Performance Measures

• Summary of New Performance Measures, effective as of CYE 2017
  • Crosswalk of Performance Measures; All Lines of Business | Rich Text Version

• Performance Measure Guides for CYE 2014
  • Acute-Care
  • ALTCS DDD
  • ALTCS Elderly/Physically Disabled (E/PD)
  • Children’s Rehabilitative Services (CRS)
  • Comprehensive Medical and Dental Program (CMDP)
  • Division of Behavioral Health Services (DBHS)
  • DBHS SMI Integrated Plan

• Methodologies
  • CMS 416:
    • Instructions
    • Template
  • CMS Children Core Measure Technical Specifications
  • CMS Adult Core Measure Technical Specifications

• Acute Care
  • Acute Care Clinical Quality Performance Measures
    • Quality Management Performance Measures, 2011
    • Adolescent Immunizations – 2011
    • Childhood Immunizations
      • 2015
      • 2011
  
  
• ADHS Division of Behavioral Health Services (ADHS/DBHS)
  

  Complete methodologies for ADHS/DBHS Performance Measures may be found in Attachment I of the ADHS/DBHS contract. The following service codes are for use in calculating the measure of Access to Care.

  • Access to Care Codes
  
  
• Long Term Care (ALTCS)
  • ALTCS Performance Measure Methodologies
    Additional methodologies for Initiation of Home and Community Based Services (HCBS) and Diabetes Care may be found in the published reports.
    • EPSDT Participation Rate Methodology
    • Influenza Vaccination Methodology
    • Pressure Ulcer Prevalence Methodology
  • Diabetes Management
    • 2011
  • Home and Community Based Services
    • 2013
    • 2012

AHCCCS Performance Improvement Projects

• E-Prescribing
  • Methodology

• Developmental Screening
  • Methodology

• Improving Asthma Management, Final Report, 2012
• Advanced Directives Performance Improvement Project - Final Report, 2011