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Rhode Island Regional Quality Improvement Initiative
| Topics |
Health care quality
Health promotion and disease prevention
Medicare and Medicaid
Wellness
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| States served |
Rhode Island
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| Description |
The Rhode Island RQI initiative is aligning performance standards and financial incentives among the state’s health plans, purchasers, and providers. Using morbidity, cost, and prevalence data, stakeholders selected four chronic conditions for quality improvement: pediatric asthma, diabetes, coronary artery disease, and depression.
The RQI initiative seeks to leverage Medicaid’s significant purchasing power to improve care for people with chronic conditions through partnerships with other health care leaders, including commercial insurers, employers, providers, and consumer organizations. |
| Services offered |
To improve ambulatory care delivery in these four areas, participants are:
eveloping cross-system improvement goals for each chronic condition and standardized measures across payers to monitor progress;
Developing an enhanced reimbursement methodology to support the adoption of these services; and
Aligning RQI measures with the state's ambulatory public reporting program, and setting, monitoring, and publicizing progress on statewide goals. |
| Results |
The Office of the Health Commissioner and Quality Partners of Rhode Island are co-leading this initiative, which will represent approximately 67 percent of covered lives in Rhode Island (approximately 640,000 individuals). Collaborating stakeholders include:
Blue Cross/Blue Shield of Rhode Island
Care New England
Economic Development Corporation
Lifespan
Memorial Hospital
Neighborhood Health Plan of Rhode Island
Rhode Island Business Group on Health
Rhode Island Medicaid
State Employees Purchasing Program
United Healthcare of New England |
| Source |
Center for Health Care Strategies (CHCS)
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| Contact person |
John Barth
E-mail: jbarth@chcs.org |
| Date added |
July 12, 2007 |
Summaries of success stories are provided by RAC for your convenience. Please contact the success story contact person directly for the most complete and current information.
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