As the QIN-QIO for Arizona and California, HSAG collaborates with patients, families, caregivers, hospitals, nursing homes, home health agencies, physician offices, and other stakeholders in order to improve healthcare.
QIN-QIOs work with communities and providers on strategic initiatives and projects to implement improvements in the quality of care available throughout the spectrum of care. QIN-QIO projects drive quality by providing technical assistance, convening learning and action networks for sharing best practices, and collecting and analyzing data for improvement.
HSAG has more than 30 years of experience performing external quality review (EQR) activities. While officially designated as an EQRO for 15 states, HSAG provides EQR-like services in 16 states. HSAG began performing EQR activities in 1983 and currently provides services in Arizona, California, Colorado, Florida, Georgia, Hawaii, Illinois, Iowa, Michigan, Nevada, New Hampshire, Oregon, Tennessee, Utah, Vermont, and Virginia. HSAG works collaboratively with the state Medicaid agencies for which it performs EQR services to help improve the quality of care provided to Medicaid recipients. Moreover, HSAG collaborates with each state's staff to develop state quality improvement plans and to design initiatives that will result in measurable outcomes. HSAG's work affects more than 36 million Medicaid recipients, approximately 45 percent of the nation’s Medicaid population.
In its role as an End Stage Renal Disease (ESRD) Network, HSAG provides quality improvement, data management, grievance investigation, technical assistance, and patient and professional education services for more than 890 dialysis providers and over 66,600 dialysis patients in the states of Florida (Network 7), Oklahoma, Louisiana, and Arkansas (Network 13), Arizona, Colorado, Nevada, New Mexico, Utah, and Wyoming (Network 15), and America Samoa, Guam, Hawaii, Mariana Islands, and Northern California (Network 17). The goal of the ESRD Network is to efficiently and effectively increase the quality of care and quality of life for ESRD patients, and all HSAG ESRD Network activities are focused on promoting patient-centered care as well as patient and family engagement at the provider level.
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- Pharmacy and Quality Measurement Division
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- Audit and Validation Services (HEDIS®/P4P)