Florida Pediatric Medical Home Demonstration Project Evaluation Update

1. Florida Pediatric Medical Home Demonstration ProjectEvaluation Update May 9 and May 22, 2012 Caprice Knapp, PhD Institute for Child Health Policy University of Florida

2. Agenda • Further Review of Parent Survey Results • Further Discussion of CHIPRA Measures • IRB Update • Stakeholder Survey Methodology

3. 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)

4. Meeting Handout6 Composite Scores • Emailed Results • Individual questions

5. Item 2.Further Discussionof 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?

6. 24 CHIPRA Core Measures • Administrative Measures: • Chlamydia Screening • Appropriate Testing for Children With Pharyngitis • Children and Adolescents’ Access to Primary Care Practitioners • Ambulatory Care: Emergency Department Visits • Follow-Up Care for Children Prescribed ADHD Medication

7. 24 CHIPRA Core Measures - continued • Follow-Up After Hospitalization for Mental Illness • Total Eligibles Who Received Preventive Dental Services • Total Eligibles Who Received Dental Treatment Services • Annual Number of Asthma Patients with >=1 Asthma-Related Emergency Room Visit • Otitis Media with Effusion (OME) – Avoidance of Inappropriate Use of Systemic Antimicrobials

8. 24 CHIPRA Core Measures - continued • Hybrid Measures: • Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents: Body Mass Index Assessment for Children/Adolescents • Developmental Screening in the First Three Years of Life • Annual Pediatric Hemoglobin (HbA1c) Testing and Control

9. 24 CHIPRA Core Measures - continued • Pediatric Central-Line Associated Bloodstream Infections (CLABSI) • Prenatal and Postpartum Care: Timeliness of Prenatal Care* • Frequency of Ongoing Prenatal Care* • Well-Child Visits in the First 15 Months of Life* • Well-Child Visits in the Third, Fourth, Fifth and Sixth Years of Life* • Adolescents Well-Care Visits* * Hybrid is optional

10. 24 CHIPRA Core Measures - continued • Registry Measures: • Percent of Live Births Weighing Less Than 2,500 grams • Cesarean Rate for Nulliparous Singleton Vertex • Childhood Immunization Status • Immunizations for Adolescents • Survey Measure: • Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey 4.0H, Child Version (CAHPS)

11. 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 Approved!

12. UF Consent Form NEW • 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

13. Consent Form Sign here

14. Years 2 & 4 • Item 4.Stakeholder Survey Methodology • Children’s Medical Services • Care Coordinators from local CMS area office • Community Stakeholders • Ask CMSN for local contacts • Email Resource Directory to vlm@ichp.ufl.edu • Specialists • Pull top 20 specialists from administrative data

15. Contact Information • Caprice Knapp, PhD • Principal Investigator • 352.265.2517 • caprice1@ufl.edu • Vanessa Madden • Research Coordinator • 352.265.2526 • vmadden@ufl.edu