Comparison of Pharmaceutical Quality of Care for Pediatric Asthma

This project examined the quality of care in the treatment of asthma in Medicaid children in Alabama and Michigan. It assessed the extent of prescribing problems for pediatric asthma in these Medicaid programs. The study first examined whether asthma medication regimes for children covered by Medicaid were in compliance with the recommendations made by the NIH consensus National Asthma Education Project in 1991. The findings indicate that asthma care provided in urgent- oriented settings is not conducive to on-going, appropriate, prevention-oriented treatment of the condition. Secondly, the study assessed the utility of claims data for measuring the quality of asthma care. Generally, claims accurately represented what occurred during an encounter, but did not accurately identify all of the cases where a diagnosis or procedure occurred. Thus, claims data were a better measure of medication availability than medical records, but the failure to fill a prescription (based on claims data) was not a good indicator of a physician's failure to prescribe a medication. Third, the study used claims data to simulate a letter reminder system that would notify physicians if problems were associated with any of their patient care activities. The assumption is that information from claims data could be used to reach out to families and encourage them to be seen for routine, prevention oriented asthma care.

AGENCY SPONSOR: Office of Strategic Planning

FEDERAL CONTACT: Benedict, Beth
410-786-7724

PIC ID: 7192

PERFORMER: University of Alabama, School of Public Health
Birmingham, AL

EXPECTED DATE OF COMPLETION: 06/30/2000

Evaluating the Use of Quality Indicators in the Long Term Care Survey Process

The Health Care Financing Administration's (HCFA's) goal is to move towards a regulatory monitoring system that allows for an appropriate use of indicators to evaluate the quality and appropriateness of care provided to residents, and to determine a facility's compliance with the long-term care requirements. This study will develop and test (with volunteering State survey agencies) various options for using a variety of quality indicators to improve the effectiveness and efficiency of the HCFA's facility performance monitoring.

AGENCY SPONSOR: Office of Clinical Standards & Quality

FEDERAL CONTACT: Nonemaker, Sue
410-786-6825

PIC ID: 7177

PERFORMER: Research Triangle Park
Research Triangle Park, NC

EXPECTED DATE OF COMPLETION: 09/29/2003

Evaluation of the Nursing Home Case-Mix and Quality Demonstration

This project will help the HCFA determine the impact of specific ancillary services on the Resource Utilization Groups (RUG). It analyzes and potentially refines the extensive care and other categories to determine the impact on the prospective payment system for skilled nursing homes.

AGENCY SPONSOR: Center for Health Plans & Providers

FEDERAL CONTACT: Peden, Edgar
410-786-6594

PIC ID: 6307

PERFORMER: Abt Associates, Inc.
Cambridge, MA

EXPECTED DATE OF COMPLETION: 09/01/2000

Measurement, Indicators, and Improvement of the Quality of Life in Nursing Homes

This task order will design an evaluation to examine quality of life (QOL) issues for nursing home residents. It will focus on three topics: (1) measuring and developing indicators of QOL, (2) developing quality improvement programs for nursing home QOL, and (3) evaluating environmental design influences on QOL.

AGENCY SPONSOR: Office of Clinical Standards & Quality

FEDERAL CONTACT: Pratt, Mary
410-786-6867

PIC ID: 7176

PERFORMER: University of Minnesota
Minneapolis, MN

EXPECTED DATE OF COMPLETION: 11/30/2000