1. Children’s Healthcare Improvement Collaboration David Simnitt, Project Manager Angela L. Beauchaine, Medical Director February 17, 2011 ____________________________

2. 2 CHIC PROJECT BACKGROUND Children’s Health Insurance Program Reauthorization Act (CHIPRA) Five year demonstration grant Goal – “…establish and evaluate a national quality system for children's healthcare which encompasses care provided through the Medicaid program and the Children's Health Insurance Program (CHIP)”

3. 3 CHIC PROJECT BACKGROUND Infrastructure grant – not for provision of direct services Joint effort between Idaho and Utah National evaluation: o Effectiveness of the demonstration programs o Impact of demonstrations on healthcare quality of children enrolled in Medicaid or CHIP o Increase in transparency and participant choice o Impacts on costs of care

4. 4 CHIC PROJECT FOCUS AREAS Promote the use of health information technology in children’s healthcare Develop/enhance practice improvement partnership(s) in Idaho and Utah Evaluate the impact of using a medical home approach to deliver children’s healthcare

5. 5 CHIC PROJECT OBJECTIVE #1 Promote the use of health information technology in children’s healthcare delivery o Develop interface with public health immunization data through IHDE o Incorporate Idaho services and resources into the Medical Home Portal o Develop systems to extract/report quality measures from EHR o Develop Pediatric Patient Summary (PPS)

6. 6 www.medicalhomeportal.org

7. 7 CHIC PROJECT OBJECTIVE #2 Develop/enhance practice improvement partnership(s) in Idaho and Utah o Develop an improvement partnership in Idaho based on regional and national models (UPIQ and VCHIP) o Identify key stakeholders in Idaho o Identify an institutional home for the partnership in Idaho o NIPN visit to Idaho is funded through the grant

8. 8 www.medicine.utah.edu/upiq/About_UPIQ/index.htm

9. 9 www.med.uvm.edu/vchip/improvementpartnerships

10. 10 CHIC PROJECT OBJECTIVE #3 Evaluate the impact of using a medical home approach to deliver children’s healthcare o Develop infrastructure to support medical homes o Implement medical home demonstration o Multi-payer demonstration project (Utah initiative – not funded by CHIPRA grant)

11. 11 Medical Home Demonstrations - Vision o Primary care and sub-specialty child health practices in Idaho and Utah function as effective medical home teams providing high quality, coordinated, and collaborative care in partnership with parents and with particular attention to children and youth with special healthcare needs. o Consistent with the Patient-Centered Medical Home definition from the State Medical Home Collaborative groups in Utah and Idaho respectively.

12. 12 Medical Home Demonstrations - Approach o Selected pediatric practices in Utah and Idaho will receive: LEARNING COLLABORATIVE SESSIONS Embedded medical home coordinator (shared with 1 or 2 other practices) Help in selecting, training, and supporting a family partner Consultation and assistance from QI practice coach Support in building infrastructure and systems to improve efficiency, support care coordination, and measure clinical and service quality Opportunities to share experiences, resources and lessons learned with other practices

13. 13 Medical Home Demonstrations - Status o Utah has a target start date of March 2011 12 pediatric practices have been selected (9 primary care and 3 sub-specialty) Interviewing for medical home coordinators and practice coach Awaiting final input from Multi-payer demonstration which would allow extra support o Idaho is participating in development work with Utah to start Medical Home Demonstrations March 2012 in at least 3 pediatric practices

14. 14 Learning Collaborative Sessions o Not just CME, measures and demonstrates quality improvement o Open to practices which care for children whether in the medical home demonstration or not o At least one annually in Idaho starting 2011 with LC on Asthma o CHALLENGE: delivery to multiple (3-5) locations around Idaho

15. 15 OPPORTUNITIES o Linking IRIS with Utah will improve our immunization rates and access to patient data o Development of Idaho Child Health Improvement Partnership o Stakeholder o Sponsor NIPN visit 2011? o Institutional Home? o Participation in Medical Home Demonstration o Learning Collaboratives Sessions MOC credit Coordinate with national quality initiatives like AAP Medical Home Chapter Champions Utilize local expertise Identify technology to link practices around the state

16. 16 QUESTIONS ??? WHO ELSE SHOULD KNOW ABOUT THIS PROJECT??? David Simnitt simnittd@dhw.idaho.gov (208) 364-1936 Angela L. Beauchaine, M.D. beauchainea@dhw.idaho.gov (208) 377-4400