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Quality Incentive Workgroup• Developed by the Medicaid Purchasing Administration• Input from working group, which included: David Fisher, MD, Seattle Children’s Gene Peterson, MD, University of Washington Medical Center Lawrence Schecter, MD, Providence Regional Medical Center Everett Carol Wagner, RN, Claudia Sanders, Andrew Busz, WSHA staff Thuy Hua‐Ly, Jeff Thompson, MD, Mary Ann Lindeblad, RN,Bev Court, MPA staffWashington State Hospital Association
Payment Increases•One percent inpatient Medicaid increase to: APDRG Conversion Factor Per Diems Case Rates•Acute general and pediatric hospitals Receive increase across all services based onoverall hospital performance Except for those with psych units, where psychincreases based on behavioral health measures• Behavioral health hospitals and units Increase based on separate measuresWashington State Hospital Association
Page 1 and 2: Hospital Safety Net AssessmentQuali
Page 3 and 4: History: House Bill 2956 Introduced
Page 5 and 6: • Measures must be: Evidence‐ba
Page 7: Medicaid Incentive:No Good ModelsNe
Page 11 and 12: Process for Selecting Measures•Cl
Page 13 and 14: Selected Measures:Behavioral Health
Page 15 and 16: Benchmark ThresholdsMeasure Thresho
Page 17 and 18: Development of BenchmarksExample: F
Page 19 and 20: Measure Reporting• Depending on t
Page 21 and 22: Hospitals will be asked to attest t
Page 23 and 24: Preventable Emergency Room Visits
Page 25 and 26: The Future• Assessment sunsets on

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