Eligibility Process Improvement Center
The Center's Process Improvement Collaborative
Center staff makes use of a Collaborative to
affect improvement in the eligibility process.
The Collaborative is a 12-month engagement between
the center and up to 15 teams of public program
and related private business leaders who share
a common goal of rapidly achieving Medicaid and
SCHIP eligibility process improvements.
Each team is expected to reach the goal of the Collaborative
by:
- Developing specific team goals relating
to achieving system improvements to increase
the accuracy of the eligibility determination
by utilizing a package of changes that have
been identified and proven effective by other
organizations and experts.
- Working with a specific county, region,
unit or worker with the intent of spreading
the tested and demonstrated improvements throughout
the county or state.
- Attending three learning sessions that provide
an opportunity for learning about the improvement
process and the sharing of knowledge and experiences.
Open discussions enable members to learn from
other teams about the successful practices.
The sharing of ideas and experiences is an
integral strategy of the collaborative.
- Communicating with other teams and the Collaborative
Leadership while learning and running small-scale
tests of the change ideas. This approach will
utilize the effective improvement model known
as Plan-Do-Study-Act (PDSA).
- Utilizing process and outcome measurement
strategies to assess progress towards achieving
the Collaborative goals.
- Collecting data that relates to specific
team goals at least monthly and plot these
data over time to assess the impact of any
changes.
- Reporting their PDSA cycles monthly.
The Collaborative Leadership will:
- Provide practice ideas and change concepts
on improvement in enrollment and retention
of eligible but uninsured adults and children.
- Be readily available to teams for coaching
and general guidance.
- Provide communication strategies to keep
teams connected for shared learning.
- Assess team progress and provide feedback
to Collaborative team members.
- Assist teams in identifying and developing
solutions to barriers to change.
- Plan and conduct three learning sessions.
Through the sharing of ideas and experiences, the center's Collaborative
is instrumental in changing the culture of the
eligibility office, transforming it into an efficient
and effective agency for lower-income
children and families.
