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Quality Measurement and Reporting in Ohio

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In an effort to improve the quality of health care received by residents of the state of Ohio, and in order to encourage performance improvement among health care providers, Ohio law describes measures for quality measurement and reporting to meet those goals.  Health service agencies have a number of responsibilities related to quality assessment and improvement, including helping the community plan for and implement improvements in quality.1  Hospitals must annually submit performance measures, including the hospital consumer assessment of healthcare providers and systems, infection control staff information and influenza vaccination information.2  The director of health will make performance information submitted by hospitals available on the internet so that consumers can compare hospitals by performance in inpatient and outpatient services.3

In addition to a number of requirements for certain facilities and providers, Ohio law mandates quality measurement and reporting for the state’s medical assistance programs. The department of job and family services will select a quality review organization to provide an annual, external independent review of the quality, outcomes, timeliness of and access to services provided by managed care plans; the plans must timely submit medical records as requested for review.4  Managed health care programs must have an ongoing quality assessment and performance improvement program that conducts performance improvement projects, submits performance measurement data and has mechanisms to assess the quality and appropriateness of care furnished to certain members; the department of job and family services will annually review the impact and effectiveness of the quality program.5

 

Footnotes

  • 1. Ohio Rev. Code § 3702.58
  • 2. Ohio Admin. Code 3701-14-03
  • 3. Ohio Rev. Code § 3727.39
  • 4. Ohio Admin. Code 5101:3-26-07
  • 5. Ohio Admin. Code 5101:3-26-07.1

 

Quality Measurement and Reporting in Ohio

Subtopic Statute/Regulation Description
Other Complaints; quality assurance – Ohio Admin. Code 3701-7-15 Each maternity unit, newborn care nursery, or maternity home must document complaints regarding the quality or appropriateness of services and...
Reporting, Use and/or Confidentiality of quality data (Cross reference Privacy & Confidentiality) Disclosing identifying quality-of-care data – Ohio Rev. Code Ann. § 3702.18 Data reported the department of health regarding specific adverse events, bodily injuries, or complaints and quality-of-care data reported to the...
Hospital performance measures reporting requirements – Ohio Admin. Code 3701-14-03 “Hospital performance measures reporting requirements”   Each hospital must annually submit information to the director of health...
Quality Measurement and Reporting General medical records requirements – Ohio Admin. Code 3701-83-11 Each health care facility (HCF) must maintain a medical record for each patient for six years from the date of discharge that documents the patient...
Quality assurance programs for hospitals or public programs General quality assessment and improvement – Ohio Admin. Code 3701-84-12 Each provider of a health care service (HCS) must establish a quality assessment and improvement program and develop a written plan for each service...
Registering and record keeping for nonprofit shelters and health care facilities – Ohio Rev. Code Ann. § 3701.071 Nonprofit shelters and nonprofit health care facilities must keep records of all patients who receive medical, dental, or other health-related...
Responsibility of operator and nursing home administrator; quality assurance committee; notice to residents – Ohio Admin. Code 3701-17-06 “Responsibility of operator and nursing home administrator; quality assurance committee”   An operator is in charge of the overall...
Performance measurement for health care providers or insurance plans General quality assessment and performance improvement – Ohio Admin. Code 3701-83-12 Each health care facility (HCF) must establish a quality assessment and performance improvement program and develop a written plan that describes the...
Managed care performance payment system - Ohio Rev. Code Ann. § 5167.30 The department of job and family services must establish a managed care performance payment program, which will include performance standards based...
Quality reporting requirements – providers and health plans Hospital to disclose data to nongovernmental patients – Ohio Rev. Code Ann. § 3727.34 Each hospital must annually submit to the director of health the following information pertaining to inpatient services for patients in each of the...
Performance information to be posted on internet – Ohio Rev. Code Ann. § 3727.39 The director of health must make performance and price information submitted by hospitals publicly available on an internet website.  In posting...
Quality Assessment and performance improvement system – Ohio Admin. Code 3701-83-22 As part of the quality assessment and performance improvement program required of all health care facilities (HCF), each ambulatory surgical facility...
Click on the individual state law in the table above to see our summary of the individual law.


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