Quality Monitoring
GOALS OF HEALTHY CONNECTIONS PRIME
- Improve health outcomes
- Reduce avoidable emergency department visits and hospital readmissions
- Continued emphasis on delaying the need for nursing facility care by increasing access to home and community-based services
QUALITY MONITORING
To identify whether the goals of Healthy Connections Prime are being met, CICOs are required to report measures that examine:
- Access to and availability of care;
- Care coordination/transitions;
- Health and well-being;
- Utilization of behavioral health services;
- Beneficiary/caregiver experience;
- Screening and prevention; and
- Quality of life for beneficiaries.