Federal Initiatives

Although states are primarily responsible for the quality of community LTSS, the federal goverment has many initiatives to support states in improving healthcare delivery systems and beneficiaries' health outcomes.

Community LTSS Initiatives

1.     For information on CMS guidance regarding quality of care in HCBS waivers, see the Appendix of the 2010 edition of the HCBS primer.

2.     The Quality Improvement Organization hosts a webinar series titled Shining Stars across the Nation. These webinars highlight success stories about initiatives who share the common goal of reducing readmission rates and improving community-based care transition programs in local communities. The numerous participating organizations’ quality care initiatives have been compiled into this PowerPoint.

3.     For a list of current CMS initiatives aimed at improving the quality of care for Medicaid and CHIP enrollees, visit the Quality Care page on Medicaid.gov. Specifically, the Quality of Care Home and Community Based Services (HCBS) Waivers. The HCBS waiver supports states’ data quality improvements initiatives that assist long term services in home and community settings.  

Additional Information

 The U.S. Department of Health and Human Services has submitted the 2013 Annual Progress Report to Congress: National Strategy for Quality Improvement in Healthcare. The report looks at the overall quality improvement and priority areas. It also provides details of the federal government plans for implementation of the National Quality Strategy. Required by the Affordable Care Act of 2010, this national plan aims to improve the delivery of health care services, patient health outcomes, and population health. Three goals are used to guide and assess local, state, and national efforts to improve health and the health care delivery system: 1) Better Care 2) Healthy People/Healthy Communities 3) Affordable Care. To access previous reports or sign up for Working for Quality e-mail updates visit: Working for Quality website.