SHIP is currently determining the metrics and tools needed to collect clinical and performance data across multiple payers to better understand the impact of community-specific and regional population health issues, such as childhood obesity. For the 2016 SHIP grant year, four clinical quality measures were selected for the collection of data from the first cohort of practices. These quality measures directly align with the comprehensive 2015 Get Healthy Idaho: Measuring and Improving Population Health state health improvement plan. Additional clinical quality measures are under development. The current quality measures focus on:
- Preventive care and screening
- Tobacco use screening and cessation intervention
- Weight assessment and counseling for nutrition and physical activity for children and adolescents
- Diabetes (hemoglobin A1c control)
Of the 55 practices involved in Cohort 1 of SHIP, one practice specialized in mental and behavioral health, three practices specialized in pediatrics, and 44 practices specialized in family medicine. Cohort 2 of SHIP, with an additional 55 practices, is currently underway, and Cohort 3 will begin in February 2018. Idaho aims to have 165 practices transformed into well-integrated, coordinated PCMH models, representing 1,650 providers and reaching 825,000 Idahoans, by the end of 2019.
Idaho Medicaid, as well as several partners, will be evaluating SHIP over the course of the project period. The evaluation will examine progress made on achieving the goals and objectives of the program by utilizing evaluation measures in four focused areas: outcomes, costs, structure, and care experience. The evaluation of Idaho SHIP will shed light on lessons learned in implementation.