CHIPRA Quality Demonstration Grants -- Summary
Awarded on February 22, 2010
Lead State: | Colorado |
Partner State(s): | New Mexico |
Contacts: | Sandeep Wadhwa, M.D |
Medicaid Director | |
Department of Health Care Policy & Financing | |
(303) 866-3058 | |
Joan Henneberry | |
Executive Director | |
Department of Health Care Policy & Financing | |
(303) 866-2868 | |
First-Year Award: | $1,722,161 |
Five-Year Total: | $7,784,030 |
The State of Colorado, in partnership with New Mexico, will receive $1,722,161 for the first year of the five year grant that will total $7,784,030. Colorado and New Mexico will form an Interstate Alliance of School-Based Health Centers (SBHCs) to integrate school-based health care into a medical home approach to improve the health care of underserved school-aged children and adolescents. Colorado and New Mexico also plan to utilize SBHCs to improve the delivery of care within the school setting and to improve screening, preventive services, and management of chronic conditions. The goal will also be to educate adolescents to encourage more involvement in their own health care, and follow-up with primary care providers. The demonstration will also focus on the integration of mental health with primary care.
Lead State: | Florida |
Partner State(s): | Illinois |
Contacts: | Beth Kidder |
Chief, Bureau of Medicaid Services | |
Florida Agency for Health Care Administration | |
(850) 488-9237 | |
Thomas Arnold | |
Secretary | |
Florida Agency for Health Care Administration | |
(850) 922-3809 | |
First-Year Award: | $880,371 |
Five-Year Total: | $11,277,361 |
Florida, in partnership with the State of Illinois will receive $880,371 for the first year of the five year grant that will total $11,277,361. The two States will test collection and reporting of recommended and selected supplemental measures of children’s health quality, using existing data sources and improved data sharing. The two States will also work to ensure that ongoing Statewide health information exchange and health information technology efforts support the achievement of child health quality objectivesand to enhance the development of provider-based systems of care that incorporate practice redesign and strong referral and coordination networks, particularly for children with special health care needs. Florida and Illinois will also work to support collaborative quality improvement projects to improve birth outcomes across the two States.
Lead State: | Maine |
Partner State(s): | Vermont |
Contacts: | Brenda McCormick |
Director, Division of Health Care Management | |
Maine Department of Health and Human Services | |
(207) 287-7131 | |
Brenda Harvey | |
Commissioner | |
Maine Department of Health and Human Services | |
(207) 287-4223 | |
First-Year Award: | $2,030,721 |
Five-Year Total: | $11,277,362 |
Maine, in partnership with the State of Vermont will receive $2,030,721 for the first year of a five year grant that will total $11,277,362. The State of Maine plans to test, develop and expand the use of evidence-based child performance measures. In addition, Maine and Vermont will be able to expand their information technology systems in order to improve the exchange of child health data and expedite the provision of services to children in foster care. The two States will also test and evaluate a pediatric medical home model that will test the impact of changes in payment reform, implementation of consensus practice guidelines, and provider education on child health outcomes. In particular, Vermont will build upon its leadership role as convener of the National Improvement Partnership Network to increase the number of participating States, particularly States that are not part of this grant program.
Lead State: | Maryland |
Partner State(s): | Georgia, Wyoming |
Contacts: | Al Zachik, M.D. |
Director | |
Office of Child and Adolescent Services | |
Mental Hygiene Administration | |
Maryland Department of Health and Mental Hygiene | |
(410) 402-8487 | |
Stacey Davis | |
Deputy Director, Medicaid Planning | |
Maryland Department of Health and Mental Hygiene | |
(410) 767-5954 | |
First-YearAward: | $2,401,467 |
Five-Year Total: | $10,993,171 |
The State of Maryland, in partnership with Georgia and Wyoming, will receive $2,401,467 for the first year of a five year grant totaling $10,993,171. The three States are committed to improving the health and social outcomes for children with serious behavioral health needs. The grant will be used to implement and/or expand a Care Management Entity (CME) provider model to improve the quality and better control the cost of care for children with serious behavioral health challenges who are enrolled in Medicaid or the Children’s Health Insurance Program. The CME will incorporate wrap-around services, peer supports, and intensive care coordination. The participating States will utilize the CME model to improve access to appropriate services, and employ health information technology to support clinical decision making. The model will also be designed to reduce unnecessary use of costly services, improve clinical and functional outcomes for children and youth with serious behavioral health needs, and involve youth and their families in care decisions.
Lead State: | Massachusetts |
Partner State(s): | None |
Contacts: | Alison Kirchgasser |
Director of Federal and State Relations | |
Office of Medicaid | |
Massachusetts Executive Office of Health and Human Services | |
(617) 573-1741 | |
Jacqueline Harris | |
Director of Accounting | |
Massachusetts Executive Office of Health and Human Services | |
(617) 573-1636 | |
First-Year Award: | $1,496,542 |
Five-Year Total: | $8,777,542 |
Massachusetts will receive $1,496,542 for the first year of the five year grant that will total $8,777,542. The State will work with the University of Massachusetts Medical School, the Children’s Hospital of Boston, the Massachusetts Health Quality Partners, and the National Initiative for Children’s Healthcare Quality to apply and evaluate recommended measures of children’s health care quality and to make comparative quality performance information available to providers, families, and policymakers. The State will also use learning collaboratives and practice coaches to support the process of transforming pediatric practices into medical homes that provide family and child-oriented care, measure and improve that care, and enhance outcomes, particularly for children with targeted conditions: Attention Deficit and Hyperactivity Disorder, asthma, and childhood obesity.
Lead State: | North Carolina |
Partner State(s): | None |
Contacts: | Dr. Craigan Gray |
Director | |
Division of Medical Assistance | |
North Carolina Department of Health and Human Services | |
(919) 855-4101 | |
Lanier Cansler | |
Secretary | |
North Carolina Department of Health and Human Services | |
(919) 733-4534 | |
First-Year Award: | $2,210,712 |
Five-Year Total: | $9,277,361 |
The State of North Carolina will receive $2,210,712 for the first year of the five year grant that will total $9,277,361. The State agency will be working with the State’s Academy of Family Physicians, the State Pediatric Society, and Community Care of North Carolina to build on a strong public-private partnership that has documented successes in quality improvement, efficiency and cost-effectiveness of care for more than 12 years. This grant will implement and evaluate the use of recommended quality measures and strengthen the medical home for children with special health care needs by testing and evaluating three provider-led community-based models. These models will be used to identify, treat, and coordinate care for children with special health care needs, particularly children with developmental, behavioral, and/or mental health disorders North Carolina has also agreed to be one of two States implementing a model electronic health record format for children.
Lead State: | Oregon |
Partner State(s): | Alaska and West Virginia |
Contacts: | Nicole Merrithew |
Director, Medicaid Advisory Committee | |
(503) 373-1608 | |
Dr. Charles Gallia | |
Research and Analysis Manager | |
Division of Medical Assistance Programs | |
Department of Human Services | |
(503) 945-6929 | |
First-Year Award: | $2,231,890 |
Five-Year Total: | $11,277,361 |
Oregon, in partnership with Alaska and West Virginia, will receive $2,231,890 for the first year of a five year grant that will total $11,277,361. The demonstration will test the combined impact of patient-centered care delivery models and health information technology in improving the quality of children’s health care. The three States will work together to develop and validate quality measures, improve infrastructure for electronic or personal health records utilizing health information exchanges, and implement and evaluate medical home and care coordination models. Oregon, Alaska and West Virginia share the demographic quality of having a large proportion of their populations residing in rural areas that are disproportionately low-income.
Lead State: | Pennsylvania |
Partner State(s): | None |
Contacts: | Roxanne Dupert-Frank |
Program Specialist | |
Office of Medical Assistance | |
Pennsylvania Department of Public Welfare | |
(717) 772-4629 | |
Michael Nardone | |
Deputy Secretary | |
Office of Medical Assistance | |
Pennsylvania Department of Public Welfare | |
(717) 787-1870 | |
First-Year Award: | $1,934,754 |
Five-Year Total: | $9,777,361 |
Pennsylvania will partner with several medical centers and hospitals in the State to execute this demonstration. The State will receive $1,934,754 for the first year of the five year grant that will total $9,777,361. Pennsylvania will test and report on recommended pediatric quality measures and promote the use of health information technology in health care delivery to maximize the early identification of children with developmental delay, behavioral health issues, and those with complex medical conditions. This will facilitate coordination of care with the primary care practitioner medical home, medical specialists, and child-serving social service agencies. A pre-clinic visit assessment is expected to enhance communication between providers and patients, and an electronic tracking system will link children with special needs to appropriate services. Pennsylvania has also agreed to be one of two States implementing a model electronic health record format for children.
Lead State: | South Carolina |
Partner State(s): | None |
Contacts: | Emma Forkner |
Director | |
South Carolina Department of Health and Human Services | |
(803) 898-2504 | |
First-Year Award: | $2,214,263 |
Five-Year Total: | $9,277,361 |
South Carolina will receive $2,214,263 for the first year of the five year grant that will total $9,277,361. South Carolina plans to build a quality improvement infrastructure that enhances the ability of the State’s pediatric primary care practices to establish medical homes that effectively coordinate and integrate physical and mental health services. Health information technology will be used to gather, aggregate, and report on outcomes data to support the provision of evidence-based care and allow peer-to-peer comparisons. The State will automate data collection of, and feedback on, recommended child health quality indicators in 15 pilot practices. These practices will participate in learning collaboratives to disseminate knowledge, develop plans, assess success of implementation and adjust plans of action.
Lead State: | Utah |
Partner State(s): | Idaho |
Contacts: | Charlene Frail-McGeever |
Health Program Specialist III | |
Division of Medicaid and Health Financing | |
Utah Department of Health | |
(801) 538-6255 | |
Shari Watkins | |
Director, Fiscal Operations | |
Division of Medicaid and Health Financing | |
Utah Department of Health | |
(801) 538-6601 | |
First-Year Award: | $2,877,134 |
Five-Year Total: | $10,277,360 |
The State of Utah, in partnership with Idaho, will receive $2,877,134 for the first year of the five year grant that will total $10,277,360. Utah and Idaho will develop a regional quality system guided by the medical home model to enable and assure ongoing improvement in the healthcare of children enrolled in Medicaid and CHIP programs. The project will focus on improving health outcomes for children and youth with special health care needs through the use electronic health records, health information exchanges, and other health information technology tools. The States plan to pilot a new administrative service using Medical Home Coordinators embedded in primary and sub-specialty care practices to support ongoing improvements in care, coordination of care, and support for children with chronic and complex conditions and their families. Utah and Idaho also plan to use learning collaboratives, practice coaches, and parent partners to train primary and sub-specialty child health practices in medical home concepts. The ultimate outcome will be improved health care for children in the two States, robust integration of health information technology into child health practices, and a regional quality system and valuable quality improvement tools and resources that can be shared with other States and regions.