Establishing the Georgia Quality Reporting Project (GQRP) within the Georgia Dept. of Community Health

HB 102 would create the Georgia Quality Reporting Project (GQRP), a statewide system to track and improve health care quality in Georgia by analyzing patient care data. The project would collect clinical and claims data from Medicaid care management organizations (CMOs) to evaluate health care quality, especially in treating opioid use disorder and other conditions.

Key details:

  • Data will be used to evaluate opioid care quality and other statewide health outcomes.
  • Patient identities will be protected, and all data collection must follow HIPAA (Health Insurance Portability and Accountability Act) privacy rules.
  • CMOs that fail to submit required data may face fines.

How is this different from the Georgia APCD?

While Georgia’s All-Payer Claims Database (APCD) already collects insurance claims data to track health care spending and utilization, the GQRP would also collect clinical data (like electronic health records) to measure the quality of care provided. This difference means that while the APCD tracks costs and usage, the GQRP will track health outcomes to assess how well treatments are working and improve patient care—especially for conditions like opioid use disorder.

Why it matters: HB 102 could help improve health care quality by tracking patient outcomes and identifying areas for improvement in Medicaid services. The focus on opioid care data could lead to stronger policies for substance use treatment and better health outcomes for Georgians. Additionally, increased transparency and accountability in health care reporting could help lower costs and improve patient care statewide.