Quality Improvements & Interventions

Quality Improvement & Interventions

Minority populations experience disparities in the health care quality they receive, even when they have the same insurance, socioeconomic status, and comorbidities as their non-minority counterparts. Browse through the resources and tools on evidence-based interventions that can contribute to reducing health disparities and lowering cost.

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Using Z Codes: SDOH Data Journey Map (PDF)

This infographic describes the journey that social determinants of health (SDOH) data takes from the individual through the health system to data reporting as ICD-10-CM Z codes. It discusses data collection, documentation, coding and reporting. It contains resources to help implement programs to collect and report SDOH data in a manner that can lead to better health outcomes for individuals.

For more on Z Codes, read the Data Highlight: Z Codes Utilization among Medicare Fee-for-Service (FFS) Beneficiaries in 2017 (PDF).

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A Guide to Using the Accountable Health Communities Health-Related Social Needs Screening Tool: Promising Practices and Key Insights (PDF) 

This document describes the health-related social needs (HRSN) screening tool from the Accountable Health Communities model, which works to identify HRSNs, or individual-level, adverse social conditions that negatively impact an individual’s health or health care. By identifying and addressing HRSNs, health care and social service providers can improve an individual’s health and reduce health care spending. This guide shares promising practices to help providers adopt HRSN screening.

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Resources on CMS’s Financial Alignment Initiative (FAI) for Medicare-Medicaid Enrollees

The Financial Alignment Initiative is designed to provide individuals dually enrolled for Medicare and Medicaid with a better care experience and to better align the financial incentives of the Medicare and Medicaid programs. Through the Initiative, CMS partners with states to test two new models for their effectiveness in accomplishing these goals. Learn more on the Financial Alignment Initiative for Medicare-Medicaid Enrollees page.

  • Read this issue brief (PDF) to learn about the approaches FAI States, managed care plans, and care coordination entities are taking across the demonstrations to address a wide range of enrollees’ social determinants of health. 
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Managing Diabetes: Medicare Coverage & Resources (PDF)

This fact sheet includes tips to help patients manage diabetes as well as information on cost-saving programs and Medicare coverage of medications, testing and supplies.

icon illustration of two kidneys

Chronic Kidney Disease Disparities: Educational Guide for Primary Care (PDF)

Primary care practice teams can help reduce disparities in care for CKD. This educational guide is intended to foster the development of primary care practice teams in order to enhance care for vulnerable patients who are at risk of CKD or who have CKD and are at risk of progression of disease.

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Diabetes Prevention Programs: Equity Tailored Resources (PDF)

The Resources Inventory is a catalog of diabetes prevention resources tailored to various audiences, including racial and ethnic minorities, LGBTQ communities, people with disabilities, and people with limited English proficiency.

illustration of a glucose meter

Diabetes Management: Directory of Provider Resources (PDF)

The Provider Directory is designed to facilitate diabetes treatment for primary care teams, particularly providers working with Medicare beneficiaries and vulnerable populations who experience a higher prevalence of type 2 diabetes and its complications.

Modernizing Health Care to Improve Physical Accesibility

Modernizing Health Care to Improve Physical Accessibility: Resources Inventory (PDF)

The resources in this inventory include guidance on how to increase physical accessibility of medical services, tools to assess your practice or facility's accessibility, and tips and training materials to support efforts to reduce barriers and improve quality of care for individuals with disabilities.

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Disparities Impact Statement (PDF)

Learn how to identify, prioritize, and take action on health disparities by championing the Disparities Impact Statement in your organization. Participants receive personalized technical assistance focused on strengthening your quality improvement program through a series of consultations from subject matter experts.

CLAS standards

A Practical Guide to Implementing the National CLAS Standards: For Racial, Ethnic and Linguistic Minorities, People with Disabilities and Sexual and Gender Minorities (PDF)

The purpose of this toolkit is to enable organizations to implement the National CLAS Standards and improve health equity. It is organized according to the enhanced National CLAS Standards, and provides practical tools and examples of CLAS, in addition to efforts to implement the National CLAS Standards that can be adapted for use by health care organizations. It is intended for organizations that have already decided to pursue CLAS, to improve equity and eliminate health care disparities.

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Guide to Developing a Language Access Plan (PDF)

Effective communication is critical to ensuring understanding, empowering patients, and providing high quality care. A language access plan can help ensure that an organization provides high quality and appropriate language services. This guide identifies ways that providers can assess their programs and develop language access plans to ensure persons with limited English proficiency have meaningful access to their programs.

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Providing Language Services to Diverse Populations: Lessons from the Field (PDF)

Across the country, health care organizations are using innovative approaches to provide language assistance services to individuals with limited English proficiency. This resource discusses a number of approaches used by these organizations to provide language assistance services to persons with limited English proficiency based on the findings of case studies conducted with a variety of health care organizations.

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Guide to Reducing Disparities in Readmissions (PDF)

Get an overview of key issues related to readmissions for racially and ethnically diverse Medicare beneficiaries, as well as useful resources for hospital leaders to take action to address readmission.

Page Last Modified:
06/29/2022 07:04 PM