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Quality Management Systems

Quality management is at the heart of managed care programs, including MLTSS.  A quality management system includes the standards and processes that are put into place to ensure that:

  • Adequate safeguards are built into the design of the MLTSS to increase the probability of good outcomes.

  • Standard methods are used to define and measure the quality of services and outcomes.

  • Credible data and information are routinely collected and analyzed to assess program performance and identify opportunities for improvement.

  • Performance is improved based on the use of evidence-based practices.

The above represent universal components of a quality management system.  Elements of each, however, may differ based on the MLTSS model, specifically with respect to the federal authorities that are being applied.

Each of these elements is addressed in more detail in the following pages.



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