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Quality Measurement and Reporting in Maine

Maine has very specific regulations on measuring health care quality within the state.  The Maine Health Data Organization must collect quality of health care data, and publish summary reports based on the data.1  The Organization must compare health care services information, outcomes information, effectiveness, and quality of care by health care facility and provider.  Quality of health care service information by provider type must be a publicly accessible through the internet.2   Additionally, the Organization must collaborate with the Maine Quality Forum, which must adopt measures to evaluate and compare health care quality and provider performance.  The Forum must also collaborate with consumers, providers, and health plans to report comparative health care quality reports.3

In order to evaluate the quality of care provided, Maine law requires all hospitals to have a quality assurance plan in place to monitor services and implement improvements as needed.4  Furthermore, health insurers are required to establish standards to measure physician performance, and submit those standards to the Insurance Superintendant.5

 

Footnotes

  • 1. Me. Rev. Stat. tit. 22 §8708-A
  • 2. Me. Rev. Stat. tit. 22 §8712
  • 3. Me. Rev. Stat. tit. 24-A §6951
  • 4. 10-144-112 ME. CODE R. § XII.D
  • 5. Me. Rev. Stat. tit. 24-A §2694-A

 

Quality Measurement and Reporting in Maine

Subtopic Statute/Regulation Description
Quality Measurement and Reporting Filing and Retrieval of Hospital Patient Medical Records - 10-144-112 Me. Code R. § XII.D. All patient medical records must be readily available and filed in a manner that allows for prompt retrieval.  The record department must be...
Maine Quality Forum - Me. Rev. Stat. tit. 24-A, § 6951 The Maine Quality Forum is established within Dirigo Health (an independent executive agency that arranges for comprehensive, affordable health care...
Physician performance measurement, reporting and tiering programs - Me. Rev. Stat. tit. 24-A, § 2694-A All health insurance entities in Maine must file with the Superintendent of Insurance, a statement of its standards and programs that measure...
Quality data - Me. Rev. Stat. tit. 22, § 8708-A The Maine Health Data Organization Board of Directors must adopt rules relating to the collection of quality data.  The rules must specify the...
Reports - Me. Rev. Stat. tit. 22, § 8712 The Maine Health Data Organization must file reports on both quality and payments.  The reports must be in an easy to understand format, and be...