developing aims vicki c. grant, director supporting families national program office covering kids...
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Developing Aims
Vicki C. Grant, Director
Supporting Families National Program Office
covering kids& families Process
ImprovementCollaborative
Goal of the Collaborative:
Maximizing the Efficiency and Effectiveness of the Enrollment and Retention Processes in
Medicaid and SCHIP Eligibility Systems
·
covering kids& families Process
ImprovementCollaborative
Aim Statements• Reduce by 30% the number of closures
for failure to return renewal forms by 4/1/04
• Reduce application processing time by 25% by 3/1/04
• Reduce waiting times by 50% by 2/1/04/• Reduce rework on cases by 50% by
4/1/04
covering kids& families Process
ImprovementCollaborative
They clearly communicate the expectations –
• We will see a 40% reduction in the cases being closed for failure to return the renewal form.
• We will reduce the average waiting time to 15 minutes.
Why Use Numerical Goals?
covering kids& families Process
ImprovementCollaborative
covering kids& families Process
ImprovementCollaborative
Child or Adult
Office Decision
(1) Accurate Decision
(2) Inaccurate Decision
(3) Inaccurate Decision
(4) Accurate DecisionDetermined
Not Eligible
Determined Eligible
Eligible Not Eligible
Effects of Rework
Assumptions:• 10 minutes are required to close a case.• Work is 8 hours/day, five days/week, 52 weeks/year.• Salary and operating cost per worker is $40,000/year.
1,000,000 children and adults lose Medicaid or SCHIP coverage every month
Effect:• 960 eligibility workers per month on this task alone.• Cost is $38.4 million a year.
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