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Quality, Evaluation, and Health Outcomes Unit
Quality, Evaluation, and Health Outcomes (QEHO) Initiatives
Through the efforts of knowledgeable and experienced nursing, project management and information systems staff, the Quality, Evaluation, and Health Outcomes (QEHO) Unit evaluates delivery of Medicaid services for quality and cost-effectiveness. The Unit also ensures compliance with federal requirements regarding the quality, accessibility, and efficiency of care provided within the Medicaid program. In addition, the QEHO Unit performs an array of duties supporting Community Care of North Carolina (CCNC), certain waiver programs, and other activities including:- Performance improvement quality initiatives
- HEDIS/utilization and other benchmark reporting
- Clinical focused care studies
- Quality improvement support
- Identification of redundancy and opportunities for efficiencies
- Review of current data use
- Needs assessment
- Piedmont PIHP (Prepaid Inpatient Health Plan) quality-related contract compliance monitoring
- Piedmont PIHP waiver development and maintenance
- Waiver tracking and proposal evaluations
- External quality review of Piedmont PIHP
- National Provider Identifier (NPI) activities
- Support for CCNC Efforts
- Focused study data at the CCNC network level
- Data support
- MMIS report and systems development
Updated February 5, 2008