Home and Community-based Services: Quality Management Roles and Responsibilities. Discussion Paper

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Booth, Maureen, MRP, MA; Fralich, Julie T., MBA; Bowe, Taryn
Disability and Aging; Cutler Institute; USM Aging Initiative; Policy; Medicine and Health Sciences
report description
Early in the development of this first working paper on QM roles and responsibilities, QA/QI grantees contributed to a preliminary outline of the issues to be addressed. A subset of grantee states agreed to more fully discuss their perceptions of the issues and to guide the exploratory efforts of Muskie School staff. While the initial list of issues was quite lengthy, it was subsequently reduced to four essential questions: How is quality defined for HCBS? What is meant by quality management? How do states develop quality management expertise? How do states organize their quality management strategies? This paper attempts to answer these questions from the perspectives of the grantees and available federal guidance. The topic is limited to quality management strategies focused on the quality of services and supports for HCBS consumers and is not intended to represent the quality management field as a whole.