Maine State Innovation Model (SIM) October, 2013

 The Maine State Innovation Model funds and sponsors the development of tools, support structures, and reports that are expected to positively impact the goals of improved quality, improved patient experience and reduced cost in healthcare.  The existing and emerging healthcare models in Maine will be testing these innovative capabilities at different levels, which is an important component of the overall test.  The State will publically report on the impacts of these innovative approaches to all of the healthcare delivery models involved. 2 What is the Maine State Innovation Model?

The introduction or acceleration of innovative capabilities into our current and emerging healthcare models will enable Maine to realize improved quality of care and improved patient experience while positively impacting health outcomes, population health and cost. The following areas will be the focus of Maine’s Healthcare Innovation: Transforming delivery systems to support accountable and integrated patient- centered primary care Aligning public and private payment, accountability, quality and data infrastructure Fostering engaged consumers and communities Maine will being using a multi-stakeholder, partner centered approach to the development and implementation of these innovations, with the State acting as the lead convener of the activity and publically reporting on the results. 3 Maine State Innovation Model (SIM) Hypothesis

4 Integrated Patient- Centered Care Multi-Payer Patient- Centered Medical Homes, Health Homes and Behavioral Health Homes Integrated Patient- Centered Care Multi-Payer Patient- Centered Medical Homes, Health Homes and Behavioral Health Homes Leadership ● Consumer Engagement ● Community Linkages ● Workforce Education Leadership ● Consumer Engagement ● Community Linkages ● Workforce Education Health Information/ Tools ● Access and Analytics Multi-Payer ACO’s Core measures for public reporting and value-based payment Multi-Payer ACO’s Core measures for public reporting and value-based payment Introducing New Capabilities to Transformative Models…..

Data Infrastructure Chair: HealthInfoNet To support: Payment Reform System Delivery Reform Consumer Engagement Maine SIM Triple AIM GOALs: Reduce costs to National Average Improve health in key health categories Improve patient experience scores Increase practice experience participation State: Lead Convener of the Innovation Public Reporting Sharing best practices Driving, and expecting, Collaboration SYSTEM DELIVERY REFORM Chair: Maine Quality Counts PCMH, HH & ACO Learning Collaboratives Leadership Development Behavioral Health Collaborative MAINE CDC Patient Engagement Diabetes Prevention CHW Pilot PAYMENT REFORM Chair: MHMC VBP Development & Learning Health Care Cost Workgroup Behavioral HCC Workgroup VBID Public Reporting 5 Payer Populations MaineCare Medicare Maine Community Health Options Commercial Self-Insured Employers