CHIPRA Quality Demonstration Grant: Quality Through Technology and Innovation

CHIPRA Quality Demonstration Grant:Felicity Myers, Ph.D.Stating the Obvious…2Stereotypes . . . Some are trueOregon:legalized physician assisted suicidelegalized medical marijuanaCigarette tax is $1.18Obama received 57% of the vote in 2008 election.South Carolina: “Second Amendment Weekend” (aka tax free guns)Cigarette tax increased from $.07 to $.57 in July 2010, Most mobile homes per capita “Buckle of the Bible Belt”Obama received 45% of the vote in 2008 election3However, there are some surprising similarities between the states…Roughly the same tax burden per capitaRoughly the same voting populace Both have among the highest rates of unemployment4Comparing the states on health dataSimilaritiesPrevalence of binge drinkingLack of health insurancePrenatal careDifferencesSouth Carolina has a higher percentage of immunizations, but Oregon does far better in most health indicatorsSouth Carolina has two times the expenditures on public health; however, Oregon has better outcomes. (SC is ranked 46th and Oregon ranked 13th)5South Carolina’s Medicaid Program A Conservative program only recently added children from 150-200% FPLlimited array of optional services limited outreachMedicaid and CHIP are administered within the same agency. Some services are predominately provided by public providers. 6South Carolina’s Medicaid Program is…Facing challenges:Relationships are strained with most provider and advocacy groups at this time. Under numerous legislative constraints.Facing a significant shortfall in FY11.7QTIPQuality through Technology and Innovations in PediatricsAdministered through the South Carolina Health and Human Services $9,2 77,361 grant awardThe project represents a unique opportunity for South Carolina pediatricians to help develop quality improvement tools that will lead to better health outcomes for current and future generations of patients 8Impetus Behind GrantSCAAP chapter saw this grant as a mechanism for strengthening their promotion of the PCMH model in pediatric practices.Our director saw this grant as an opportunity to “jumpstart” the HIT efforts. I saw this as a platform to expand integration of behavioral health into the primary care setting and to test what supports/elements are necessary for making integration successful. 9What Did South Carolina Propose?•to demonstrate the ability to build a provider friendly continuous closed-loop, quality improvement infrastructure focused on pediatric primary care practices.•to use the State’s existing health information exchange (HIE) infrastructure, to help participating pediatric practitioners “connect” to other providers to better deliver coordinated care. •to work with providers to implement the patient-centered medical home (PCMH) model and the integration of mental health services.10Document Outline

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