BCAP QUALITY FRAMEWORK
TYPOLOGY FOR IMPROVEMENT
Structure quality improvement activities consistently, addressing barriers
unique to serving Medicaid enrollees. The categories are: 
Identification:
How can the health plan identify its 0 3 year old 
members?
Stratification:
How can 0 3 year old members be stratified to 
reflect those who are due or overdue for 
developmental screening?
Outreach:
How does the health plan effectively reach children 
in need of developmental screening and their 
families?
Intervention:
What changes can improve developmental 
COMPLEX 
screening rates for 0 3 year old members?
MEDICAID = POPULATION 
& SYSTEM
RAPID CYCLE IMPROVEMENT
Test changes in each of the BCAP Typology categories using the Model for
Improvement.
23
Measure progress early and often to make  real time  refine 
ments to quality efforts based on preliminary successes or setbacks. 
MEASUREMENT AND EVALUATION
Build realistic measures into quality initiatives to establish baseline data, set
goals, guide improvement efforts, and demonstrate the success of change
strategies. 
SUSTAINABILITY AND DIFFUSION
Promote tools to preserve and spread best practices to ensure the long term
success of quality efforts. 
23
Langley G, Nolan K, Nolan T, Norman C, and Provost L. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. Jossey Bass, 1996.
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