Performance Improvement Projects

Louisiana Medicaid works on projects to make health care better.  It is our goal to help patients get the care they need, lower costs, and improve health results.

Why We Focus on Improving Performance

• Better Care: The main aim is to provide higher quality health care.  This means finding ways to improve things like check-ups, managing long-term health issues, and making sure people get care when they need it.
• Saving Money: Making healthcare better can help save money by preventing unnecessary hospital visits and health problems.
• Focus on Patients: These projects aim to consider what patients need and want, leading to better care that meets their preferences.

How Projects are Done:

• Finding Problems: We look at data to see where care can be improved, like high rates of patients ruturning to the hospital, or low rates of important screenings.
• Setting Goals: We create clear goals and plans to tackle the issues they find
• Tracking Progress: We collect and analyze data ot see if changes are making a difference.
• Working Together: We work with the Medicaid health plans and providers to make the changes, and enhance the quality of care.

Current and Past Performance Improvement Projects

• Attention-Deficit Hyperactivity Disorder (ADHD) Performance Improvement Project: Improving the Quality of Diagnosis, Management and Care Coordination for Children and Adolescents with ADHD

• Behavioral Health Transitions in Care: Improving the rate of (1) Follow-Up after Hospitalization for Mental Illness, (2) Follow-Up After Emergency Department Visit for Mental Illness, and (3) Follow-Up after Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence

• Chronic Hepatitis C Virus (HCV) Pharmaceutical Treatment Initiation: Improve Chronic Hepatitis C Virus (HCV) Pharmaceutical Treatment Initiation Rate

• Screening for Chronic Hepatitis C Virus (HCV) and Pharmaceutical Treatment Initiation: Improving Screening for Chronic Hepatitis C Virus (HCV) and Pharmaceutical Treatment Initiation

• COVID-19 Vaccine Access: Ensuring Access to the COVID-19 Vaccine among Healthy Louisiana Vaccine-Eligible Enrollees

• Fluoride Varnish Application to Primary Teeth of All Enrollees Aged 6 months through 5 years by Primary Care Clinicians: Improving the rate of pediatric receipt of Fluoride Varnish Application by PCPs

• Global Developmental Screening: Improving Receipt of Global Developmental Screening in the First Three Years of Life

• Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET) Performance Improvement Project: Improving Rates for Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment

• Initiation and Engagement of Alcohol and Other Drug  Abuse or Dependence Treatment (IET) and Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA):  Improving Rates for (1) Initiation and Engagement of Alcohol and Other Drug   Abuse or Dependence Treatment (IET) and (2) Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA)

• Initiation and Engagement of Alcohol and Other Drug  Abuse or Dependence Treatment (IET), Follow-Up After Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), and Pharmacotherapy for Opioid Use Disorder (POD): Improving Rates for (1) Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET), (2) Follow-Up after Emergency Department Visit for Alcohol and Other Drug Abuse or Dependence (FUA), and (3) Pharmacotherapy for Opioid Use Disorder (POD)

• Prematurity Performance Improvement Project: Improving Prenatal and Postpartum Care to Reduce the Risk for Preterm Birth