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Improving the Quality of Care Delivered to Children Served by State Agencies
Putting Theory Into Practice
Maureen Booth, M.R.P., Director, Managed Care Initiatives, Edmund S. Muskie School
of Public Service, University of Southern Maine, Academy Fellow, National Academy for State Health Policy (NASHP), Portland,
Shan Cretin, Ph.D., M.P.H., Senior Scientist, RAND Health, Santa Monica, CA.
Neva Kaye, Director, Medicaid Managed Care Resource Center, National Academy for
State Health Policy, Portland, ME.
Robert Klitgaard, Ph.D., Dean and Ford Professor of International Development and
Security, The RAND Graduate School, Santa Monica, CA.
Margaret Schmid, Ph.D., Health Quality Consultant, Chicago, IL.
Steven L. Seitz, Senior Program Analyst, User Liaison Program, Agency for Healthcare
Research and Quality (AHRQ), U.S. Department of Health and Human Services,
A series of simulation exercises completed by small groups of participants formed an integral piece of this hands-on workshop. Groups were composed of representatives from multiple State and local agencies.
Participants were introduced to the
simulated "State of Nirvana," that was used throughout the workshop. Groups chose
the three most pressing child health related priorities based on the criteria of volume,
cost, impact, amenability to State interventions, and political viability and feasibility.
How Will We Know You've Made Progress in Your Priority Areas?
Participants identified measures that could be used to judge their
performances in a selected priority area and agencies necessary to address and/or
measure the issue.
Why Should I Participate?
Participants worked in small
groups composed of similar agency affiliation (Medicaid, State Children's Health Insurance Program [SCHIP], State public health,
local public health, Title V). The groups identified what their agencies could contribute
to a collaborative interagency effort, factors that would affect their interest or resistance
to participating in such a group, and strategies for overcoming barriers to participation.
Breaking Down the Silos
Participants focused on
developing specific tasks, establishing time lines, and listing responsible agencies in a
cooperative strategy for meeting asthma care improvement objectives.
How Did We Succeed?
This session focused on conditions three simulated years
later. Work group participants looked back on the strategies that contributed to this
improvement. They described the chain of events, the key stakeholders, and the
successful strategies used to engage payers, providers, consumers and other
Current as of September 2001
Previous Section Contents
Improving the Quality of Care Delivered to Children Served by State Agencies. Workshop Brief, January 24-26, 2001. User Liaison Program. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/kids/ulpkids.htm