• Article
  • April 26, 2016

Implementing Delivery System Transformation

Hereʼs the latest on year two of the CARE Award.

As we explore population health strategies for children with complex medical conditions, 10 children's hospitals and CHA are building knowledge and capability in creating sustainable change in health care delivery supported by payment models that reward value over volume. The work is made possible by funding from the Center for Medicare and Medicaid Innovation via the CARE Award (Coordinating All Resources Effectively).

Now in year two of the project, nearly 50 quality improvement teams within primary care practice and hospital settings remain focused on implementation of change concepts to better coordinate the care of children with complex medical needs. These quality improvement teams are now determining how to:

  • Engage primary care physicians and families more fully in care redesign
  • Accelerate early adoption of changes in care delivery
  • Appropriately decrease inpatient and emergency department use to impact medical spend

Nearly 70 percent of the patient enrollment goal has been achieved, and the teams are on track to reach about 8,000 enrolled children in the next 18 months. Learnings from the award will help inform how to more broadly transform care for children with complex medical conditions.

The 10 hospitals are also focused on analyzing claims data to support the development of new payment models to sustain the changes they are making to care delivery. Five have received data from their states and managed care organizations to help them understand spend and utilization patterns across the continuum of care. Of these, two new models are expected to be implemented by mid-2016. CHA will be sharing lessons learned from this project with all members throughout the year. Contact us for more information.

This publication was made possible by Award Number 1C1CMS331335 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.