Section 482-6-004 - IMPROVEMENTBased on the results of assessment and monitoring of quality and appropriateness of care and contract compliance, the Department will target improvement efforts.
004.01.INTERVENTIONS FOR IMPROVEMENT. The Department will utilize, but is not limited to the following interventions to improve the quality and appropriateness of care:(A) Quality Committee: The Department has established a Quality Committee;(B) Performance Improvement Projects: The health plans are required to conduct at least two clinical and one non-clinical projects annually. For each project, the Department with the Quality Management Committee will choose the topic, develop the study methodology and determine interventions to reach improvement goals. Each plan will conduct the same project, at least one will be a joint project with another plan (See 482-000-11);(C) Quality Performance Dashboard: In an effort to monitor a health plans performance on quality measures, a quality performance dashboard was developed. The dashboard approach provides a framework for benchmarking performance and assists health plans to prioritize quality improvement planning. The dashboard gives a multi-dimensional view of a health plans performance by comparing quality measures to national standard measures, if appropriate, to baseline measures for the program, and over two years. The dashboard results will display on the Department's website; and(D) Health plans sanctions-See 482 NAC 6-003.04(A).482 Neb. Admin. Code, ch. 6, § 004