The 5 step QI process is designed to improve and sustain quality bonus star ratings over time through identifying opportunities, developing intervention plans, checking performance, publishing results, and educating teams. Key steps include reviewing past performance trends, brainstorming solutions, implementing and tracking interventions, determining effectiveness, and celebrating accomplishments. The goal is to maximize quality bonus ratings through an ongoing process of assessment, improvement, and collaboration across providers, members, and employees.

1. Reach for the Stars: Improve CMS Star Rating 5 step QI process designed to achieve improvement, sustain improvement and maximize quality bonus

2. Step One: Review Plan ResultsTrend plan performance over time 2006-2010

3. Compare plan results to national benchmarks

4. Identify opportunities for improvement

5. Equally important to identify strengths

6. “What’s working, what’s not working”Step 2: Develop Plan of AttackBrainstorm proposed solutions for outliers

7. Identify cost/benefit analysis for interventions