Illinois CHIPRA Quality Demonstration Project
Program Location:
Chicago, IL
Number of Practices:
51
Payer Type:
Grant
Partner Organizations:
Illinois Chapter of the American Academy of Pediatrics
Florida Agency for Healthcare Administration
Illinois Department of Healthcare and Family Services
Health Management Associations
NCQA
Parent Program:
Payers:
Medicaid
Reported Outcomes
Description:
Building on the foundation and successes that Illinois has had with Illinois Health Connect, the state’s Primary Care Case Management program, Illinois will be evaluating and furthering the quality of children’s health care utilizing the medical home model. The Illinois Chapter of the American Academy of Pediatrics (ICAAP) is working with over 50 practices to support them in building a medical home and improving care for specific child health outcomes under Category C of the CHIPRA Quality Demonstration Grant.
Under the program, practices take the key first step to improving the quality of their practice by assessing their “medical homeness” through a self-assessment process using the National Committee on Quality Assurance (NCQA) 2011 standards for Patient-Centered Medical Home (PCMH) program. This self-assessment is free of charge for practices and allows each practice to see its strengths and areas of need. At the same time, the self-assessment scores help ICAAP build targeted technical assistance for the practices in this program. ICAAP will lead medical home improvement initiatives throughout the grant period focusing both on systems issues identified through the self-assessments, such as care coordination, and specific CHIPRA core child health measures.
All training provided under the CHIPRA grant will be at no cost to participating practices.
Fewer ED / Hospital Visits:
Academic Pediatrics (May 2015) study sample includes 33,895 publicly insured children attributed to 32 practices
- Children who received care in practices with high medical homeness were less likely to have a nonurgent, preventable, or avoidable ED visit than children in practices with low medical homeness.
- They were also marginally less likely to have a nonurgent, preventable, or avoidable ED visit than children in practices with medium medical homeness
Other Outcomes:
Academic Pediatrics (May 2015) study sample includes 33,895 publicly insured children attributed to 32 practices
- no statistically significant association between medical homeness and receipt of well-child visit
Data Source(s):
Last updated September 2015
