Health Services Access, Quality, and Financing

CHIPRA Cat A Yr3

Duration: 
1/22/2012 - 1/21/2013
Director: 
Joan Klayman [node:person_suffix]
Principal Investigator: 
Kimberley Fox
Abstract: 

Maine, in partnership with the State of Vermont was awarded a five-year Children's Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant to "test promising ideas for improving the quality of children's health care." The Department of Health and Human Services (DHHS) is the designated lead agency for the federally-funded initiative. The Improving Health Outcomes for Children (IHOC) project promotes the use of quality measures and information technology to improve Medicaid member children's timely access to quality care.
In Category A of the IHOC project, Maine proposes to enhance the state's current quality performance measurement and incentive payment systems to include child health quality indicators with the goal of reducing unnecessary variation in pediatric care, aligning payment and financial incentives with pediatric quality measures, and improving the health of low-income and other children in Maine.

Project URL: 
http://www.maine.gov/dhhs/oms/provider/childrens.html#ihoc
Start Date: 
Sun, 2012-01-22
End Date: 
Mon, 2013-01-21
Legacy Muskie ID: 
8507

State Children's Health Insurance Program (SCHIP) Survey 2004-2005

Duration: 
1/1/2004 - 1/31/2005
Abstract: 

This project involves a series of surveys and focus groups designed to measure consumer satisfaction, program knowledge, access to health care services and the quality of those services for children who are currently enrolled in MaineCare via the SCHIP eligibility option. Chronic care-related questions will also be added to the surveys this year and a focus group of parents of former SCHIP-enrolled children, who are currently enrolled through Dirigo will be conducted in the summer of 2005.

Start Date: 
Thu, 2004-01-01
End Date: 
Mon, 2005-01-31
Legacy Muskie ID: 
1182

CHIPRA Cat B Yr3

Duration: 
1/22/2012 - 1/21/2013
Director: 
Joan Klayman [node:person_suffix]
Principal Investigator: 
Kimberley Fox
Abstract: 

Maine, in partnership with the State of Vermont was awarded a five-year Children's Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant to "test promising ideas for improving the quality of children's health care." The Department of Health and Human Services (DHHS) is the designated lead agency for the federally-funded initiative. The Improving Health Outcomes for Children (IHOC) project promotes the use of quality measures and information technology to improve Medicaid member children's timely access to quality care.
Under IHOC's Category B, both Maine and Vermont propose to enhance their Health Information Technology (HIT) infrastructures to improve the flow and use of child health quality information. Vermont will expand the Vermont Blueprint for Health infrastructure to support guideline-based care and performance measurement in pediatric populations; Maine will automate EPSDT data collection and comprehensive health assessments of children in foster care.

Project URL: 
http://www.maine.gov/dhhs/oms/provider/childrens.html#ihoc
Start Date: 
Sun, 2012-01-22
End Date: 
Mon, 2013-01-21
Legacy Muskie ID: 
8508

State Health Access Reform Evaluation (SHARE)

Duration: 
1/1/2008 - 1/31/2010
Abstract: 

This study will examine the impact of program cost sharing features on the access to care for low income persons and populations who face particular barriers to care due to pre-existing health conditions. The Muskie School is seeking the cooperation of the states of Vermont, Maine, and New Hampshire in making this study feasible. Such cooperation would require assisting the research team in accessing claims and administrative databases for persons enrolled in the state access initiatives.

Start Date: 
Tue, 2008-01-01
End Date: 
Sun, 2010-01-31
Legacy Muskie ID: 
5287

Tennessee Rural Hospital Patient Safety Project

Duration: 
1/1/2005 - 1/30/2007
Director: 
Judith Tupper
Principal Investigator: 
Andrew Coburn
Abstract: 

Patient safety standards and systems have been developed and conducted in large, urban hospitals and the relevance of such standards and systems for smaller, rural hospitals has not been established. The purpose of this project is to test the feasibility, cost, and impact of implementing patient safety standards in small, rural hospitals. Working with 8 hospitals in Tennessee, this project will create a sustainable infrastructure for assisting rural hospitals to implement critical safety improvements and to more toward a universal culture of safety. The resulting materials and tools will allow for broader replication in Tennessee and other states.

Project URL: 
http://www.mainecahpatientsafety.net/
Start Date: 
Sat, 2005-01-01
End Date: 
Tue, 2007-01-30
Legacy Muskie ID: 
2807

Understanding Changes in the Organization and Finance of Physician Practice in Maine and New Hampshire

Duration: 
1/1/2006 - 1/30/2007
Director: 
Jennifer Dunbar Lenardson, M.H.S.
Principal Investigator: 
Catherine McGuire
Collaborators: 
Chris Shannon, New Hampshire Medicaid
Abstract: 

The Office of MaineCare Services and the New Hampshire Medicaid Program have observed a trend in the conversion of physicians from private practice to other practice arrangements including Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), hospital-owned practices, and hospital outpatient departments. The extent and consequences of these changes are largely unknown; however, reimbursement is higher for Medicaid patients when care is provided within these facilities rather than physician offices. This project will result in an understanding of changes to the organization and finance of physician practice in Maine and New Hampshire, the contribution of the federal process for approving FQHCs / RHCs on these trends, and potential policy options for mitigating the impact to Medicaid.

The project includes a literature review, interviews with state Medicaid officials and practice administrators, and analysis of claims data.

Start Date: 
Sun, 2006-01-01
End Date: 
Tue, 2007-01-30
Legacy Muskie ID: 
3786

PH Health Workforce Forum 10/11

Duration: 
1/1/2010 - 1/31/2011
Collaborators: 
Maine CDC
Abstract: 

The Maine CDC's Health Workforce Forum provided an informed and coordinated effort to identify and address current and projected health occupation shortages, pipeline/workforce development issues and systemic gaps/barriers to inform state policy and support planning decisions to ensure the effective delivery of health services in the state. The Maine CDC and Muskie School staff continued the Forum's work sessions to address infrastructure and system level initiatives.

Start Date: 
Fri, 2010-01-01
End Date: 
Mon, 2011-01-31
Legacy Muskie ID: 
8053

State Solutions for Maximizing MSP Enrollment

Duration: 
1/1/2005 - 1/31/2007
Director: 
Kimberley Fox
Abstract: 

State Solutions is a national program office for the Robert Wood Johnson Foundation focused on maximizing enrollment in Medicare Savings Programs (e.g. QMB, SLMB, and QI1). This project provides technical assistance and policy analyses to State Solutions to identify and evaluate incentives created for increasing enrollment in the Medicare Savings Programs as a result of the implementation of the Medicare Part D drug benefit and low-income subsidies. The project will produce a series of issue briefs and develop and implement the agenda for a national invitational summit on this topic.

Start Date: 
Sat, 2005-01-01
End Date: 
Wed, 2007-01-31
Legacy Muskie ID: 
3247

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