What's New

This page houses the recent findings and resources from both the national evaluation team and the State-based evaluation teams. It also will include slide decks from recent presentations at conferences, issue briefs, journal articles, replication guides, and other materials.

An Opportunity to Improve the Quality of Children’s Health Care Through Customized Technical Assistance

The Agency for Healthcare Research and Quality (AHRQ), in partnership with the Centers for Medicare & Medicaid Services (CMS), is offering technical assistance and peer-to-peer learning opportunities to support State health care quality improvement projects for children enrolled in Medicaid and CHIP.

What is the goal?

The goal of this “knowledge transfer” opportunity is to leverage lessons learned from the CHIPRA Quality Demonstration Grant Program, which is the largest Federal investment ever made to identify effective, replicable strategies for enhancing the quality of health care for children enrolled in Medicaid or CHIP. The program aims to help participants apply lessons from the Demonstration to save time and resources and increase the potential for successful outcomes for children.

Who is eligible?

This knowledge transfer opportunity is for States and U.S. Territories that are either: (1) planning or conducting work to improve children’s health care and could benefit from more technical support and peer-to-peer learning, or (2) have a quality initiative that is primarily adult-focused that they wish to expand to include children. State Medicaid and CHIP agencies are encouraged to apply and can include as partners other State agencies, county or other government agencies, non-profit organizations that carry out government programs for children enrolled in Medicaid and CHIP, and provider groups. Applicants from four different States will be chosen to participate.

What assistance will participants receive?

The knowledge transfer program will provide customized technical assistance. A team of subject matter experts, including evaluators of the Demonstration and other consultants, will help participating States apply findings from the Demonstration. The team also will create opportunities for peer-to-peer learning with the Demonstration States. For example, participants could get assistance with:

  • Identifying and implementing payment strategies.
  • Identifying and implementing clinical models.
  • Identifying, stratifying, and/or targeting discrete population(s).
  • Improving coordination across providers and systems.
  • Enhancing use of data and data analytics.
  • Quality measurement and reporting, quality improvement, and performance improvement.

Is assistance available on any topic?

No. Assistance is only available in the five categories shown in the table. Applicants may request assistance in more than one category if there is a strong rationale. Under each category is a list of topic areas pursued by States in the Demonstration Grant Program. Applicants may propose topic areas that are not listed, but any proposed topic areas should align in some way with activities pursued by at least one State in the Demonstration Grant Program. Further details on State activities and findings from the national evaluation can be found at http://www.ahrq.gov/policymakers/chipra/demoeval/index.html.

How long will the assistance be available?

This 12-month knowledge transfer program will run from April 2016 to March 2017.

Does it cost anything to participate?

No, the program is available free of charge. You will, however, be expected to commit time and resources for your quality improvement project to make the most of the technical assistance provided.

How do I apply?

To be considered, applicants must complete an Expression of Interest Form (Word file, 52 KB). The deadline for submitting an Expression of Interest form has been extended until March 11, 2016 at 5:00pm ET. If the applicant is not the State Medicaid or CHIP agency, the applicant must obtain a written letter of support from the State Medicaid director or CHIP director. Please send completed forms and the letter of support to CHIPRADemoEval@ahrq.hhs.gov.

Who can answer questions I have?

If you have questions about this knowledge transfer opportunity, please e-mail CHIPRADemoEval@ahrq.hhs.gov or contact Dr. Joseph Zickafoose, project director, at jzickafoose@mathematica-mpr.com or 734-794-1123.

Table. Potential topic areas for knowledge transfer

Category Potential topic areas
Reporting and using the Child Core Set of quality measures with providers, consumers, and other stakeholders
  • Establishing statewide groups to provide technical oversight and policy direction on using the measures to track performance.
  • Developing reports for policymakers, providers, and consumers to use to compare their performance to national benchmarks.
  • Identifying variation across practices, regions, or plans; monitoring changes in performance over time.
  • Supporting pay-for-reporting programs to encourage the use of electronic health record (EHR) data to measure quality.
Transforming service delivery to promote quality of health care for children
  • Supporting provider learning collaboratives that are focused on improving the quality of children’s health care, including implementing the patient-centered medical home (PCMH) model.
  • Providing intensive one-on-one support to practices (such as technical assistance or practice facilitation) to help primary care practices:
    • Develop quality improvement (QI) teams.
    • Identify QI activities.
    • Collect and analyze data (including from EHRs) to track progress.
    • Improve care coordination (e.g., through redesigned workflow or an alternative workforce).
  • Working with school-based health centers (SBHCs) to measure quality of care and/or implement PCMH processes.
Improving service systems for youth with serious emotional disorders and their families
  • Designing or improving care management entities that combine service delivery and payment models, as well as financing sources, to integrate the services provided by multiple agencies that serve children with serious emotional disorders.
  • Analyzing data on service use, cost, and eligibility from multiple agencies to understand how youth with serious emotional disorders receive services.
  • Developing peer support training programs for youth and caregivers.
Applying health information technologies (IT) for QI
  • Supporting providers in assessing the functionality of EHR products for use in child health care using practice coaches and checklists from the model Children’s Electronic Health Record (EHR) Format.
  • Supporting provider groups in implementing electronic screening for developmental delays, mental health, and behavioral risk factors in child and adolescent populations.
Building partnerships to improve quality of children’s health care
  • Developing a statewide partnership to improve children’s health care
  • Engaging with stakeholders, including families, to guide the State’s efforts to improve quality.
  • Developing a statewide collaborative to improve the quality of perinatal care.
Page last reviewed March 2016
Internet Citation: What's New. March 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/policymakers/chipra/demoeval/whatsnew.html