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Idaho is working with Utah, one of the 10 grantees, in a two-State partnership to implement projects in three of the five grant categories:
- Promoting the use of health information technology (IT) to enhance service quality and care coordination.
- Implementing a more comprehensive provider-based model of service delivery.
Testing an approach to quality improvement of a State's own design.
Idaho is working to improve quality of care for all children, with particular emphasis on children with special health care needs (CSHCN). Under the demonstration, Idaho will: (1) implement a strategy to improve the child health IT infrastructure in the State, (2) help practices transform into medical homes, and (3) foster collaboration among child-serving practices engaged in quality improvement activities.
Using Health IT to Improve Child Health Care Quality
Idaho is implementing a multifaceted health IT strategy aimed at improving quality measurement and enhancing care coordination. As part of the strategy, Idaho will take advantage of Utah's pilot of HealthInsight's Practice Analytics—software that extracts and reports quality measures directly from a provider's electronic health record (EHR). Idaho will also contribute content to the Medical Home Portal , an online resource that providers and family members may use to gain information on care for chronic conditions and to identify community resources and services for CSHCN. Idaho and Utah also will connect their health information exchanges (HIEs) and create interfaces between them and public health information systems leading to better communication and more efficient care.
Assessing a Provider-Based Model of Care
Idaho is working with two pediatric primary care practices and one subspecialty practice to support them in becoming effective medical home teams and in providing high quality and coordinated care in partnership with patients and families and with particular attention to CSHCN. Participating practices have a part-time medical home coordinator, employed by the State and embedded in their practice, who participates in learning collaborative sessions and works with a family partner. The shared services model will support care coordination, practice coaching, quality improvement, and family partner coordination. Idaho's medical home model will be implemented after Utah's and will build on the lessons learned from that State's implementation experience.
Testing an Approach to Quality improvement of Idaho's Own Design
As part of the National Improvement Partnership Network (NIPN) , Idaho is working to build a coalition of providers engaged in quality improvement activities. In support of this goal, Idaho will establish an improvement partnership with public and private stakeholders and hold cross-State collaborative meetings with Utah's improvement partnership on several topics, including collecting the initial core set of children's quality measures. Idaho will establish a network of physicians interested in working together to improve quality of care and identify priority areas for quality improvement, such as physical and behavioral health integration, while holding learning sessions to help practices improve in selected areas.Top of Page
The national evaluation team will gather information from Idaho to address a wide range of questions about the implementation and outcomes of its efforts, including:
- How were cross-State connections developed between the Idaho and Utah HIEs?
- Did the Idaho medical home project enhance quality of care for children?
- To what extent did the cross-State Utah and Idaho improvement partnerships enhance quality of care for the region's children?
- What are the key lessons from Idaho's experience that would be useful for other States?
For more information about Utah and Idaho’s medical home projects and efforts to engage their local health care professionals and families, please visit: www. medicalhomeportal.org . The Medical Home Portal aims to provide ready access to reliable and useful information for professionals and families to help them care and advocate for children with special health care needs (CSHCN) as partners in the Medical Home model. The Portal offers detailed information about many chronic conditions in children and conditions identified through newborn screening programs, along with information on providing a comprehensive medical home. It offers information for families of children with chronic conditions about how to care and advocate for them and their siblings, how to find services and resources, and how to manage their many transitions in development and service systems. The Portal also compiles information about relevant local services in collaborating States to enable both clinicians and families to recognize and take advantage of valuable service providers. Representatives in Utah and Idaho are anxious to work with other States and regions to make their services information available within the Portal to enhance its value to local users. Please contact Chuck Norlin, MD, (firstname.lastname@example.org) with questions or interest.
This information is current as of March 2012, slightly more than 2 years after grant award. To learn more about the projects that are being implemented in Utah under the CHIPRA Quality Demonstration Grant Program, please contact:
Charlene Frail-McGeever, Project Director
Utah Department of Health
PO Box 143108, Salt Lake City, UT 84114-3108
To learn more about the national evaluation of the CHIPRA Quality Demonstration Grant Program, send an email to CHIPRADemoEval@ahrq.hhs.gov.Top of Page