NEAIC Year 1 in review (presented by Laurie Stillman and Stacey Chacker)
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Transcript of NEAIC Year 1 in review (presented by Laurie Stillman and Stacey Chacker)
![Page 1: NEAIC Year 1 in review (presented by Laurie Stillman and Stacey Chacker)](https://reader036.fdocuments.us/reader036/viewer/2022062615/548039a7b4af9fb9158b5d2e/html5/thumbnails/1.jpg)
New England Asthma Innovations Collaborative: Year One
an initiative of Health Resources in Action’s Asthma Regional Council of New England
The project described is supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation
(Healthcare Innovation Award #1C1CMS331039). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
Presented at NEAIC Annual Meeting
June 13, 2013
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TRIPLE AIM
Health Care Innovation Challenge: $1 billion to
implement the most compelling
new ideas for delivering the three-part aim
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Home Visiting Program• 1,400 + children• Diagnosis of asthma from authorized clinician• Aged 2 – 17 years old – • Medicaid or CHIP beneficiary (primarily)• Poorly controlled asthma - evidenced by at least one of
the following in the 12 month period prior to enrollment:– Asthma-related ER visit, – Observation stay,– Hospitalization,– Prescription for oral corticosteroids
NEAIC Intervention
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New England Asthma Innovations Collaborative
I. Builds on ARC best practices
II. Three years; $4.2 million
III. Reduce disparities in asthma thru home visiting program
IV. 1,400 + children with severe asthma across NE
V. 8 Providers; 7 Medicaid Payers
VI. Train asthma workforce: CHWs and AE-Cs
OVERVIEWGoal: Create New England Asthma Marketplace
Projected Outcomes:• Enhanced quality of life and success of children with
asthma
• Reduced disparities
• Demonstrated healthcare cost savings
• New workforce (particularly CHWs and AE-Cs)
• Policy change, long-terms sustainability: insurance payment for asthma home visiting services.
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NEAIC Team at HRiA
• Laurie Stillman, Principal Investigator
• Stacey Chacker, ARC Director
• Christine Gordon, ARC Project Coordinator
• Heather Nelson, Senior Research Scientist
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NEAIC Partners: Health Care Providers
MA: • Children’s Hospital Boston• Boston Medical Center• Baystate Children’s Hospital
RI:• RI/Hasbro Hospital• St. Joseph’s Health Services CT: • Middlesex Hospital• Children’s Medical Group VT: • Rutland Regional Medical Center
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NEAIC Partners: Health Care Payers
MA: • Neighborhood Health Plan• BMC HealthNet • Health New England
RI: Neighborhood Health Plan, RI
CT: CT Department of Social Services \Children’s Health Network (ASO) (Medicaid)
VT: Department of Vermont Health Access (VT Medicaid)
Others pending: MassHealth (Medicaid)
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• American Lung Association, New England
• Boston Public Health Commission’s Community Health Education Center
• Central MA – Area Health Education Center’s Outreach Worker Training Institute
• MA Association of Community Health Workers
• CDC funded - New England State Asthma Programs
NEAIC Policy and Training Partners
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NEAIC: The Project in Action
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Primary intervention: Asthma Home Visits
• Assess patients’ needs and home environment• Provide asthma self-management education• Deliver cost-effective environmental supplies
• Improve quality and experience of care:oPromote asthma action plansoPromote connections to primary care & preventionoReferrals for urgently needed social serviceso Review of needs and progress o Client-centered, use of motivational interviewing
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Services Recommended in:
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Two Home Visiting Service models
• MA: Duplication and Modification of Krieger model: – 3-4 home visits by a CHW, overseen by an asthma nurse
trained in CHW supervision.
• RI, CT and VT: Modification of Krieger: three visits: – 1st home visit conducted by CHW and an AE-C. – 2nd & 3rd – only CHW.
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Intensive Planning Time Required:• Team Building and Consensus• IRBs
• Data Security, Collection and Transfer
• IT infrastructure
• Workforce Training
NEAIC Year One Learning
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Data Flow Map – An example
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• Successfully managed complex federal grant• Fostered excellent relationships with regional
partners and CMS• Promoted consensus amongst providers• Sustained payer dedication• Created Robust Learning Community• Launched Intervention
NEAIC Year One AccomplishmentsRegional Capacity Building
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• Workforce Development for CHWs and AE-C’s
• Strong regional and national interest
• Opportunity to impact CMS national policies
NEAIC Year One Other Accomplishments
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Questions?
Contact: • Laurie Stillman, Principal Investigator at [email protected] • Stacey Chacker, ARC Director at [email protected]
Acknowledgements
NEAIC is organized by the Asthma Regional Council, a program of Health Resources in Action.
The project described was supported by Funding Opportunity Number CMS-1C1-12-0001 from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation (Healthcare Innovation Award #1C1CMS331039).
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.