Population Health and Health Policy
This is the final evaluation report of the First STEPS (Strengthening Together Early Preventive Services) Phase III Improving Oral Health and Healthy Weight in Children learning initiative. The evaluation assessed changes in rates of oral health and healthy weight preventive services and evidence-based office processes among practices that participated in the initiative, as well as related systems changes. This report presents key findings, summarizes lessons learned in implementing practice changes, and describes challenges in using CHIPRA, HEDIS and other oral health and healthy weight measures at the practice-level to inform quality improvement.
This report was written by Carolyn Gray and Kimberley Fox at the Cutler Institute of Health and Social Policy, Muskie School of Public Service at the University of Southern Maine. The work was conducted under a Cooperative Agreement between the Maine Department of Health and Human Services and the Muskie School of Public Service at the University of Southern Maine and is funded under grant CFDA 93.767 from the U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) authorized by Section 401(d) of the Child Health Insurance Program Reauthorization Act (CHIPRA).
These contents do not necessarily represent the policy of the U.S. Department of Health and Human Services, and one should not assume endorsement by the Federal Government. The views expressed are those of the authors and do not necessarily represent the views of either the Department or the School. For further information regarding this report, or the broader evaluation of the local IHOC initiative, please contact Kim Fox at firstname.lastname@example.org.
Suggested Citation:Gray, C., & Fox, K. (2015). First STEPS Phase III initiative: Improving oral health and healthy weight in children. (Final Evaluation Report). Portland, ME: University of Southern Maine, Muskie School of Public Service.
This Issue Brief, authored by researchers at the University of Southern Maine's Muskie School, highlights key lessons learned from the first year of implementation of the MaineCare Health Homes Initiative.
- MaineCare's Health Homes Initiative has expanded Maine's capacity for chronic care management in primary care practices and community care teams (CCTs);
- CCTs provide valuable additional support to patients of Health Homes, including home visits and social supports in the community;
- Flexibility in program design allowed for wide variation of service delivery models within CCTs;
- Three percent of Health Home members were referred to CCTs by the end of the first year, but overall practice referral rates varied by CCT--from 1% to 7% of Health Home members within their associated practices.
To view or download the full study, click here
To view or download the Issue Brief on enrollment in the first year of MaineCare Health Homes implementation, click here
Suggested Citation: Fox K, Gray C, Rosingana K. Early Lessons Learned in Implementing MaineCare Health Homes. Portland, ME: University of Southern Maine, Muskie School of Public Service; September, 2014.
This Issue Brief, authored by researchers at the University of Southern Maine's Muskie School, highlights enrollment trends and characteristics of MaineCare's Health Homes initiative during the first year of implementation.
- MaineCare initially estimated 42,000 members were Health Home eligible; 48,000 members were enrolled by December 2013;
- Health Homes practices increased referrals to Community Care Team (CCT) services over the course of the first year of the initiative, increasing from 60 members enrolled in CCTs in January 2013 to 1,392 in Decmber (3% of Health Home members);
- Health Home members had an average of three chronic conditions. Two out of the five most common conditions were behavioral health related.
To view or download the full study click here
To view or download the Issue Brief on implementation in the first year of MaineCare's Health Home Initiative click here
Suggested Citation: Fox K, Gray C, Rosingana K. MaineCare Health Homes Enrollment in the First Year of Implementation. Portland, ME: University of Southern Maine, Muskie School of Public Service; September, 2014.