Quality Improvement Program - NJ 

Optimize your Measures and Reimbursement with the leading QIP-NJ Partner to NJ's Hospitals

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Quality Improvement Program - NJ 

The Department of Health (DOH) announced that, the Centers for Medicare and Medicaid Services (CMS) approved the state directed payment authority for the Quality Improvement Program – New Jersey (QIP-NJ) measurement year three, which ran from January 1, 2023, through December 31, 2023. 

QIP-NJ is a pay-for-performance (P4P) program which will support hospitals' quality improvement strategies to better support the maternal health and BH systems of care and quality of services provided in New Jersey.  

Susan V. Salvatore, MA, LPC, NCC, ACS
Susan V. Salvatore, MA, LPC, NCC, ACSManager, Quality Improvement Program- NJ Outpatient Behavioral Health Services Transitions Saint Clare’s Health
Since the beginning of the QIP-NJ initiative, HCIS has partnered with us to assure accurate, timely and valuable data abstraction and analysis of our quality indicators. Mary Aitken and her team are never too busy to take a call or answer a question. HCIS cultivates relationships with the hospitals they work with and meets their individualized needs. From celebrating our success’s to identifying challenges, we can count on HCIS.
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What is QIP-NJ?

As stated on the New Jersey Department of Health Website, in order to support continued population health improvement across New Jersey, the Department of Health (DOH) has developed a hospital performance initiative called the Quality Improvement Program-New Jersey (QIP-NJ). QIP-NJ will be administered by DOH in conjunction with the Department of Human Services as a Medicaid pay-for-performance initiative open to all acute care hospitals in the state. 

The focus of the program is to advance statewide quality improvements in maternal health and behavioral health. All acute care hospitals in New Jersey are eligible for QIP-NJ performance payments. Hospitals will earn QIP-NJ incentive payments through the achievement of performance targets on state-selected quality measures that demonstrate:

  • Improvements in maternal care processes
  • Reductions in maternal morbidity
  • Improvements in connections to behavioral health services, and
  • Reductions in potentially preventable utilization for the behavioral health population

When Did QIP-NJ Start?

The Department of Health (DOH) has developed and implemented a hospital performance initiative, QIP-NJ, as approved by the Centers for Medicare and Medicaid Services.

QIP-NJ is administered by DOH in conjunction with the Department of Human Services (DHS) as a Medicaid pay-for-performance initiative open to all acute care hospitals in the state. Source:  QIP-NJ Website 

Why report with us?

HCIS earned over 21 million dollars in QIP-NJ performance payments for the hospitals that reported with us in MY1.

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$3,018 per attributed

Medicaid Behavioral Health Patient

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$3,792 per attributed

Medicaid Maternal Health Patient

Are You Ready?

Our team will help you:

  • Successfully make submission deadlines
  • Maximize your financial incentives and minimize any penalties
  • Identify your beneficiary population via claims and quality data
  • Collect quality metric data
  • Aggregate quality measures data to produce organization, practice, provider and even patient-level reports
  • Translate aggregate reports to a standard reporting workbook

Get In Touch

Contact our team if you have any questions or want to be added to our mailing list to receive updates on the QIP-NJ program as it evolves.

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