Background on Florida’s CHIPRA project

Jennifer Edwards, DrPH, Health Management Associates

Origin of the Demonstration Project

Federal Goals for this Program

• To experiment with and evaluate

promising ideas for improving the

quality of children's health care under

Medicaid and CHIP.

• By 2013, establish a national pediatrics

quality program assimilating lessons

from CHIPRA Demonstrations

Federal Strategies for this Program

A. Measure and report on child health quality

B. Coordinate child health quality reporting with new health information system development

C. Test (or enhance) provider-based models to improve primary care delivery

D. Develop and test a pediatric electronic health record

E. Create other means of improving child health care quality, access, or delivery

Core Medicaid/CHIP Child Quality Measures

Plans for Medical Home Demo

Key Players in the CHIPRA Project

Some of the Key Players- Spelled Out

• FL Agency for Health Care Administration – AHCA• IL Department of Healthcare and Family Services –

HFS• FL Department of Health – DOH• Centers for Medicare and Medicaid Services – CMS• Agency for Healthcare Research and Quality –

AHRQ• National Committee for Quality Assurance – NCQA• American Academy of Pediatrics – AAP• Illinois Chapter of the American Academy of

Pediatrics – ICAAP• Institute for Child Health Policy, U. Florida – ICHP• Health Management Associates - HMA

Key Players in the Medical Home Demonstration Project

20 Teams in Florida

Brevard Health Alliance Monroe CenterCocoa

Longleaf Pediatrics, PA Orange City

Tallahassee Pediatrics Tallahassee

Children’s Health of OcalaOcala

Altamonte Pediatric Associates Altamonte Springs

-USF Pediatrics-The Chronic Complex Clinic at St. Joseph’s Children’s HospitalTampa

All Children’s General PediatricsSt. Petersburg

University PediatricsUniversity Park

St. Vincent’s Family Medicine CenterJacksonville

Jacksonville Beach Pediatric Care CenterJacksonville Beach

Atlantic Coast PediatricsMerritt Island

Pediatric PartnersPalm Beach Gardens

Gentle Medicine AssociatesBoynton Beach

Pediatric Clinic, Memorial Primary Care CenterHollywood

Rozalyn Hester Paschal, MD, PAMiami

-Mirtha Cuevas, MD Inc-Orlando Health Pediatric Faculty PracticeOrlando

Pediatric Associates – Miami BeachMiami Beach

Martin Memorial PediatricsStuart

Catherine McGrath, Florida project director, AHCA

850-412-4696

Catherine.Mcgrath@ahca.myflorida.com

AHCA Website: http://ahca.myflorida.com/

Medicaid/quality_mc/index.shtml

CMS website: www.cms.gov/CHIPRA

AHRQ website: www.ahrq.gov/chip