Florida Pediatric Medical Home Demonstration Project

Evaluation Update

May 9 and May 22, 2012

Caprice Knapp, PhDInstitute for Child Health Policy

University of Florida

Agenda

1. Further Review of Parent Survey Results

2. Further Discussion of CHIPRA Measures

3. IRB Update

4. Stakeholder Survey Methodology

Item 1.Further Review of Parent Survey Results

50 surveys with publicly-insured population

Consumer Assessment of Health Plans Survey- Patient Centered Medical Home (CAHPS-PCMH) 6 Composite Scores

Lead physician emailed individual question results (vlm@ichp.ufl.edu)

Meeting Handout6 Composite Scores

Emailed Results Individual questions

Item 2.Further Discussion of CHIPRA Measures

24 CHIPRA Measures

Technical Specifications: Initial Core Set of Children’s Health Care Quality Measures http://www.medicaid.gov/

Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Downloads/InitialCoreSetResouceManual.pdf

Questions?

24 CHIPRA Core Measures

Administrative Measures:1. Chlamydia Screening 2. Appropriate Testing for

Children With Pharyngitis 3. Children and Adolescents’

Access to Primary Care Practitioners

4. Ambulatory Care: Emergency Department Visits

5. Follow-Up Care for Children Prescribed ADHD Medication

24 CHIPRA Core Measures - continued

6. Follow-Up After Hospitalization for Mental Illness

7. Total Eligibles Who Received Preventive Dental Services

8. Total Eligibles Who Received Dental Treatment Services

9. Annual Number of Asthma Patients with >=1 Asthma-Related Emergency Room Visit

10. Otitis Media with Effusion (OME) – Avoidance of Inappropriate Use of Systemic Antimicrobials

Hybrid Measures:11. Weight Assessment and

Counseling for Nutrition and Physical Activity for Children and Adolescents: Body Mass Index Assessment for Children/Adolescents

12. Developmental Screening in the First Three Years of Life

13. Annual Pediatric Hemoglobin (HbA1c) Testing and Control

24 CHIPRA Core Measures - continued

14. Pediatric Central-Line Associated Bloodstream Infections (CLABSI)

15. Prenatal and Postpartum Care: Timeliness of Prenatal Care*

16. Frequency of Ongoing Prenatal Care*

17. Well-Child Visits in the First 15 Months of Life*

18. Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life*

19. Adolescents Well-Care Visits*

* Hybrid is optional

24 CHIPRA Core Measures - continued

Registry Measures:20. Percent of Live Births

Weighing Less Than 2,500 grams

21. Cesarean Rate for Nulliparous Singleton Vertex

22. Childhood Immunization Status

23. Immunizations for Adolescents

24 CHIPRA Core Measures - continued

Survey Measure:24. Consumer Assessment of

Healthcare Providers and Systems (CAHPS) Health Plan Survey 4.0H, Child Version (CAHPS)

Item 3.IRB Update

Approved May 2, 2012

Move forward with: New Consent Form for

Application Data

Sharing of Staff Survey Results

Stakeholder Survey

IRB

Revision

Approve

d!

UF Consent Form

Application Data Vanessa Madden

will email Lead Physician the new Informed Consent Form

Fax signature page back to 352.265.7299

Annually sent application to denote any changes

NEW

Consent Form

Sign

here

Children’s Medical Services Care Coordinators from

local CMS area officeCommunity

Stakeholders Ask CMSN for local

contacts Email Resource

Directory to vlm@ichp.ufl.edu

Specialists Pull top 20 specialists

from administrative data

Item 4.Stakeholder Survey Methodology

Years 2 & 4

Contact Information

Caprice Knapp, PhD Principal Investigator 352.265.2517 caprice1@ufl.edu

Vanessa Madden Research Coordinator 352.265.2526 vmadden@ufl.edu