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For a variety of its own reasons not applicable to the Committee, the agency may implement all/most of the recommendations,
but few times recommendations are not implemented.
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The CHIPRA SNAC recommendations are about 100% fully implemented by the Committee. The Secretary HHS posted 24 measures for
States to voluntarily report to CMS on December 29, 2009. In September 2011, the Secretary reported the number of States that
reported on each of the measures. http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/2011_StateReporttoCongress.pdf.
CMS is working with States to provide technical assistance to increase State reporting levels. The Medicaid SNAC recommendations
are also 100% implemented. The Medicaid SNAC recommended 26 measures and all were accepted and published. CMS and AHRQ embraced
the recommendations 100% and are working to assist States with 100% implementation. The agencies are doing this by working
collaboratively to further refine and standardize data elements for the measures and test them in States and by working to
identify ways to facilitate State voluntary reporting through alignment with other HHS quality reporting initiatives; coordinate
quality measurement efforts with payment reform strategies, health information technology, and electronic health record initiatives;
and identify priority areas for the development of new measures.
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