Patient Centered Medical Home Demonstration

1. Patient Centered Medical Home Demonstration Angie Beauchaine, MD • CHILDREN’S HEALTHCARE IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

2. CHIC Project Background Joint effort between Idaho and Utah Children’s Health Insurance Program Reauthorization Act (CHIPRA) Five year demonstration grant for infrastructure not direct services 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)” • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

3. CHIC Focus Areas Patient Centered Medical Home (PCMH) Demonstration Develop a Pediatric Practice Improvement Partnership in Idaho (NIPN visit 11/11) Promote the use of health information technology in children’s healthcare (EMR, HIDE, IRIS, Medical Home Portal) Annual Learning Collaborative Sessions (Asthma 9/11) • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

4. Goals of PCMH Facilitate access to services Promote continuity of care across settings Improve health, developmental, educational, vocational and functional outcomes Efficient and effective use of community resources Patient/Family centered care • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

5. Idaho Medical Home Demonstration Selected pediatric practices (3-4) in Idaho will receive: Learning Collaborative Sessions Embedded Medical Home Coordinator (shared with another practice) 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 • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

6. Participation Requirements • Pediatric or Pediatric Subspecialty Clinic based Practice • Electronic Medical Record with registry function • 3 year commitment (32 months with embedded care coordinator) • Physician Champion • Ability to travel a core practice team 1-2 times per year during the demonstration • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

7. Tentative Implementation Timeline • Application materials available November 17, 2011 www.CHICProject.dhw.idaho.gov • Application materials DUE by December 9, 2011 • Practice selection is expected in January, 2012 • Medical Home Coordinators & Patient Partners selection and training completed by March, 2012 • Kickoff late March or first week of April, 2012 • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

8. Other Resources about PCMH • Video from Patient-Centered Primary Care Collaborative: • http://www.pcpcc.net/webinar/practical-approaches-enhance-communication-and-coordinated-care-pcmh • Medical Home Portal from University of Utah: • http://www.medicalhomeportal.org/ • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov

9. Medical Home Demonstration Questions ??? Angie Beauchaine, MD, FAAP CHIC Medical Director Idaho BeauchaineA@dhw.idaho.gov • CHILDREN’S HEALTHCARE • IMPROVEMENT COLLABORATION • www.CHICProject.dhw.idaho.gov