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Quality, Evaluation, and Health Outcomes Unit
Quality, Evaluation, and Health Outcomes (QEHO) Initiatives
The Quality, Evaluation and Health Outcomes Unit (QEHO) systematically identifies opportunities for strategic improvement in Medicaid program operations. The QEHO unit monitors the performance and effectiveness of Medicaid programs and analyzes information to identify patterns of utilization, trends in performance, and opportunities for improvement in delivering care to the populations served by Medicaid in North Carolina. The QEHO Unit also performs an array of duties supporting Community Care of North Carolina (CCNC), certain waiver programs, and other activities including:- Performance improvement quality initiatives
- HEDIS/utilization and other benchmark reporting
- Clinical focused care studies
- Quality improvement support
- Identification of redundancy and opportunities for efficiencies
- Review of current data use
- Needs assessment
- Piedmont PIHP (Prepaid Inpatient Health Plan) quality-related contract compliance monitoring
- Piedmont PIHP waiver development and maintenance
- Waiver tracking and proposal evaluations
- External quality review of Piedmont PIHP
- National Provider Identifier (NPI) activities
- Support for CCNC Efforts
- Focused study data at the CCNC network level
- Data support
Last updated September 2, 2008