Florida Pediatric Medical Home Demonstration Project Evaluation Update May 9 and May 22, 2012 Caprice Knapp, PhD Institute 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 ed individual question results

 Meeting Handout 6 Composite Scores  ed 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 -CHIP-Program-Information/By- Topics/Quality-of- Care/Downloads/InitialCoreSetReso uceManual.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 Approved!

UF Consent Form  Application Data Vanessa Madden will Lead Physician the new Informed Consent Form Fax signature page back to Annually sent application to denote any changes NEW

Consent Form Sign here

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

Contact Information  Caprice Knapp, PhD Principal Investigator  Vanessa Madden Research Coordinator Research Coordinator