The Quality Improvement Unit (QIU) collaborates with AHS partners to develop a culture of continuous quality improvement, maintains the Vermont Medicaid Quality Plan and Work Plan, coordinates quality initiatives including formal performance improvement projects, coordinates the production of standard performance measures, and is the DVHA lead unit for the Results Based Accountability (RBA) methodology & produces the DVHA RBA Scorecards.

The QIU also partners with the Compliance and Oversight & Monitoring units as part of the larger Risk & Quality Management Team. The over-arching goals of that team include:

• create a culture of pro-active regulatory compliance and continuous quality improvement;
• identify, analyze, prioritize and correct compliance risks across all departments and programs responsible for Medicaid service delivery;
• take advantage of opportunities to move beyond compliance and identify ways to improve the services we deliver to Vermonters;
• coordinate the production and/or analysis of standard performance measures pertaining to all Medicaid enrollees, including the special health care needs populations (service provision delegated to IGA partners).

The QIU serves Vermonters enrolled in Medicaid.

The QIU supports the Department in creating a culture of quality improvement; supporting units to strive for and demonstrate improvement.

SFY24 priorities:

• Continue formal PIP
• Participate in planning, monitoring, and evaluation of the BR APM
• Risk Management:  finish internal review of Standards, making recommendations and implementing interventions to reduce risk.
• Risk Management:  prepare for and complete 2024 audit with minimal repeat findings
• Quality Measure Planning & Reporting