Quality Improvement
Quality Improvement
The staff of Quality Improvement are committed to ensuring the supports and services provided to the people we serve by the Provider Network is one of the highest quality and exceed expectations. The team is responsible for the oversight of the Behavioral Health Care Provider Network System to ensure that Providers are improving the person’s care experience, advancing the health of the population, and reducing the per capita cost of health care.
Our team of qualified professionals address the four areas: Performance Improvement, Performance Monitoring, Performance Measurement, and External Quality Reviews and Accreditation functions.
Each year, the department formulates a Quality Assessment Performance Improvement Plan (QAPIP) and develops a Work Plan that aligns with Detroit Wayne’s Strategic Plan.
The QAPIP aligns with The National Committee for Quality Assurance (NCQA) and the Michigan Department of Health & Human Services (MDHHS) QAPIP as DWIHN is held accountable by MDHHS and its external quality review organization – Health Services Advisory Group.
Additionally, key functions and activities performed are:
- Behavior Treatment Management and Oversite
- Ensuring Access & Availability
- Monitoring, compliance and claims verification of the Provider Network
- Sentinel, Critical Events and Incident analysis and reporting
DWIHN maintains Committees, which help with the implementation of programming, and works in partnership with our Providers to improve quality of care and services. The Committees give them an opportunity to provide input into programs offered to people we serve.
Quality Improvement Core Functions
These functions are responsible for coordinating outside entity review processes. This will specifically address EQR and our plan to pursue accreditation by National Council on Quality Assurance (NCQA). EQR is a Balance Budget Act requirement of CMS that MDHHS contract with an independent entity to review the quality of the Prepaid Inpatient Health Plans (PIHPs) as a condition of the waiver. MDHHS contracts with Health Services Advisory Group (HSAG) out of Arizona. They conduct three reviews annually: Compliance Monitoring, Performance Measure (ISCAT) Validation, and Performance Improvement Project (PIP) Validation.
Additional Functions
It is an expectation by MDHHS that at a minimum DWIHN also provides the following ten *functions:
- Developing an annual Quality Assessment and Performance Improvement Program (QAPIP) plan and report.
- Standard-setting.
- Conducting performance assessments
- Conducting on-site monitoring of providers in the provider network.
- Managing regulatory and corporate compliance,
- Managing outside entity review processes (e.g., external quality review, PIHP accreditation),
- Conducting research,
- Facilitating quality improvement process,
- Facilitating provider education and oversight,
- Analyzing critical incidents and sentinel events.
*All of these functions are not the direct responsibility of the Quality unit but may be connected through the Quality Improvement Program Structure under the Quality Improvement Steering Committee.
Mission, Vision, Values
The Quality Improvement Team is committed to ensuring the supports and services provided to the persons in our community by the provider network is of the highest quality and exceeds our customer’s expectation.
DWIHN will be the benchmark of excellence and value in behavioral health care by providing exemplary services that are both patient-centered and evidence-based.
- Focus on the customer. Services should be designed to meet the needs and expectations of customer. An important measure of quality is the extent to which customer needs, desires and expectations are met.
- Understanding work as a system and processes. Providers need to understand the service system and its key processes in order to improve them. Using tools of process engineering allows simple visual images of these processes and systems.
- Teamwork. Because work is accomplished through processes and systems in which different people fulfill different functions, it is essential to involve the process owners in the improvement. This brings their insights to the understanding of changes that need to be made and to the effective implementation of the appropriate processes, as well as the development of ownership of the improved processes and systems.
- Focus on the use of data. Data are needed to analyze processes, identify problems, and measure performance. Changes can then be tested and the resulting data analyzed to verify that the changes have actually led to improvements.
Home and Community-Based Services (HCBS)
In 2014 CMS released a rule for Home and Community-Based Services (HCBS) waivers called the HCBS final rule. This rule requires that all settings who provide HCBS funded services must meet specific criteria in order to continue to receive Medicaid funding. The final date for all settings to be HCBS compliant is March 17, 2023.
The HCBS provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. The goal of the HCBS Rule is to make sure that the supports and services individuals receive, give individuals the opportunity for independent decision-making, to fully participate in community life, and to make sure their rights are respected.
Medicaid-funded HCBS cannot be used for services and supports that do not meet the requirements of the HCBS Rule as these services and supports are considered institutional or isolating. HCBS services include community living supports (CLS), skill building and supported employment services.
For HCBS Questions please E-Mail to Quality@dwihn.org and HCBSInforPIHP@dwihn.org
HCBS Documents and Resources
Reports & Evaluations
Annual Evaluations
QAPIP Annual Evaluation and Workplan FY2024
Last Updated: Mar 4, 2025
QAPIP Annual Evaluation and Workplan FY2023
Last Updated: Mar 27, 2024
QAPIP Annual Evaluation FY2021-22
Last Updated: Mar 17, 2023
QAPIP Annual Evaluation FY2021
Last Updated: Mar 24, 2022
QAPIP Annual Evaluation FY2020
Last Updated: Mar 1, 2021
QAPIP Annual Evaluation FY2019
Last Updated: Jun 26, 2020
QAPIP Annual Evaluation FY2018
Last Updated: Jun 26, 2020
QAPIP Annual Evaluation FY2017
Last Updated: Jun 26, 2020
QAPIP Description
Plan Description FY2023-2025
Last Updated: Mar 6, 2025
Program Plan FY2021-2023
Last Updated: Jun 9, 2023
Program Plan FY20-21 & FY21-22
Last Updated: Feb 15, 2021
Program Plan FY2019-2021
Last Updated: Jun 26, 2020
Program Plan FY2016-2018
Last Updated: Jun 26, 2020
Meeting Docs
Meets every 3rd Wednesday of the month, unless otherwise notified. *Schedule is subject to change.
FY 2024-2025
Meeting Notes QOTAW June 25 2025.pdf
Meeting Notes QOTAW April 30 2025.pdf
Meeting Notes QOTAW March 26 2025.pdf
Meeting Notes QOTAW February 26 2025.pdf
Meeting Notes QOTAW January 29 2025.pdf
Meeting Notes QOTAW October 30 2024.pdf
FY 2023-2024
Meeting Notes QOTAW September 25 2024.pdf
Meeting Notes QOTAW August 28 2024webpage.pdf
Meeting Notes QOTAW June 26 2024.pdf
Meeting Notes QOTAW May 29 2024 (web page).pdf
Meeting Notes QOTAW April 24 2024 QI Website.pdf
Meeting Notes QOTAW March 27 2024(Website).pdf
Meeting Notes QOTAW February 28 2024.pdf
Meeting Notes QOTAW January 31 2024.pdf
Meeting Notes QOTAW October 25 2023.pdf
FY 2022-2023
Meeting Notes QOTAW September 27 2023 - Final.pdf
Meeting Notes QOTAW August 30 2023.pdf
Meeting Notes QOTAW June 28 2023.pdf
Meeting Notes QOTAW April 26 2023(R).pdf
Meeting Notes QOTAW March 29 2023(R).pdf
Meeting Notes QOTAW February 22 2023.pdf
Meeting Notes QOTAW January 25 2023.pdf
Quality Ops Notes 10-26-2022.pdf
FY 2021-2022
Quality Ops Minutes 01.26.2022.pdf
Quality Ops Notes Template 09.28.2022(Final).pdf
Quality Ops Notes Template 08.31.2022(final).pdf
Quality Ops Notes Template 06-29-2022.pdf
Quality Ops Notes 05-25-2022.pdf
Quality Ops Notes 04-27-2022_.pdf
Quality Ops Notes 03 30 2022.pdf
Quality Ops Minutes 02.23.2022.pdf
QOTAW Meeting Minutes October 27 2021.pdf
FY 2020-2021
Quality Ops Agenda and Meeting Minutes October 28 2020.pdf
Quality Ops Meeting Packet March 24 2021.pdf
Quality Ops Notes Template May 26 2021.pdf
June 30 2021 Quality Ops Notes.pdf
Quality Ops Notes Template August 25 2021.pdf
Quality Ops Notes Template Sept 29 2021.pdf
Quality Ops Notes Template JAN 27 2021.pdf
FY 2019-2020
August 26, 2020 Meeting Notes.pdf
February 2020 QOTAW Meeting Packet.pdf
January 15, 2020 Meeting Packet.pdf
June 24, 2020 Meeting Packet.pdf
QOTAW meeting documents May2020.pdf
QOTAW Nov2019 meeting documents.pdf
QOTAW Oct 2019 Meeting Packet.pdf
FY 2018-2019
QOTAW Apr2019 Meeting documents.pdf
QOTAW August 2019 meeting documents.pdf
QOTAW Feb2019 Meeting documents.pdf
QOTAW Jan2019 Meeting documents.pdf
QOTAW June2019 Meeting Documents.pdf
QOTAW Mar2019 Meeting documents.pdf
FY 2024-2025
QISC August 26 2025 - Meeting Notes.pdf
QISC June 24 2025 Meeting Notes.pdf
QISC April 29 2025 Meeting Notes.pdf
WEB Page Revised_QISC March 25 2025.pdf
Revised_Meeting Notes QISC February 25 2025.pdf
Revised_QISC January 28 2025.pdf
Meeting Notes QISC October 29 2024.pdf
FY 2023-2024
Meeting Notes QISC March 26, 2024.pdf
Meeting Notes QISC January 30, 2024.pdf
Meeting Notes QISC October 31, 2023.pdf
Meeting Notes QISC June 25, 2024.pdf
Meeting Notes QISC May 1, 2024.pdf
Meeting Notes QISC August 27 2024.pdf
Meeting Notes QISC September 24 2024..pdf
FY 2022-2023
Revised Meeting Notes QISC September 26 2023.docx_final(1).pdf
Revised Meeting Notes QISC August 29 2023.docx_as (final1).pdf
Meeting Notes QISC July 18 2023.pdf
Meeting Notes QISC May 30 2023.pdf
Meeting Notes QISC April 25 2023.pdf
Meeting Notes QISC March 28 2023.pdf
Meeting Notes QISC February 28 2023.pdf
Meeting Notes QISC January 31 2023.pdf
QISC NOVEMBER 2022 WORKSHEET FOR MINUTES-2.9.23.pdf
FY 2021-2022
QISC SEPTEMBER 2022 WORKSHEET FOR MINUTES-Final (001).pdf
QISC AUGUST 2022 WORKSHEET FOR MINUTES.pdf
QISC JUNE 2022 WORKSHEET FOR MINUTES-D001644 (002)Final(1).pdf
QISC APRIL 2022 WORKSHEET FOR MINUTES-D001644(Final Web Posting) (002).pdf
QISC MARCH 29 2022 MINUTES (002)(Posting Web).pdf
QISC FEBRUARY 2022 WORKSHEET FOR MINUTES.pdf
QISC JANUARY 2022 WORKSHEET FOR MINUTES.pdf
DWIHN QISC OCTOBER 2021 Meeting.pdf
FY 2019-2020
QISC NOVEMBER 2019 WORKSHEET FOR MINUTES.pdf
QISC DECEMBER 2019 WORKSHEET FOR MINUTES.pdf
QISC SEPTEMBER 2020 MINUTES.pdf
QISC JUNE 2020 Agenda and Minutes.pdf
QISC FEBRUARY 2020 Agenda and Minutes.pdf
FY 2018-2019
QISC FEBRUARY 2019 Agenda and Notes.pdf
QISC APRIL 2019 Agenda & Notes.pdf
QISC_AUGUST_2019_WORKSHEET_FOR_MINUTES.pdf
QISC JULY 2019 MINUTES & Agenda.pdf
QISC June 2019 Agenda & Notes.pdf
QISC May 2019 Agenda & Notes.pdf
QISC JANUARY 2019 Agenda & Notes.pdf