1. Background on Florida’s CHIPRA project Jennifer Edwards, DrPH, Health Management Associates

2. Origin of the Demonstration Project

3. Federal Goals for this Program To experiment with and evaluate promising ideas for improving the quality of children's health care under Medicaid and CHIP. By 2013, establish a national pediatrics quality program assimilating lessons from CHIPRA Demonstrations

4. Federal Strategies for this Program A. Measure and report on child health quality B. Coordinate child health quality reporting with new health information system development C. Test (or enhance) provider-based models to improve primary care delivery D. Develop and test a pediatric electronic health record E. Create other means of improving child health care quality, access, or delivery

5. Core Medicaid/CHIP Child Quality Measures

6. Plans for Medical Home Demo

7. Key Players in the CHIPRA Project FL and IL State Agencies: AHCA, DOH, HFS Stakeholders: Providers, Consumer representatives, advocates, health plans Project Support: HMA Specialized technical assistance: AAP, ICAAP, ICHP, NCQA Federal resources: CMS, AHRQ, National Evaluator

8. Some of the Key Players- Spelled Out FL Agency for Health Care Administration – AHCA IL Department of Healthcare and Family Services – HFS FL Department of Health – DOH Centers for Medicare and Medicaid Services – CMS Agency for Healthcare Research and Quality – AHRQ National Committee for Quality Assurance – NCQA American Academy of Pediatrics – AAP Illinois Chapter of the American Academy of Pediatrics – ICAAP Institute for Child Health Policy, U. Florida – ICHP Health Management Associates - HMA

9. Key Players in the Medical Home Demonstration Project Practice Teams – clinicians, administrators, and parents Institute for Child Health Policy AAP and the expert advisory group, which includes AHCA, DOH, HMA, and other state and national advisors

10. 20 Teams in Florida Brevard Health Alliance Monroe Center Cocoa Longleaf Pediatrics, PA Orange City Tallahassee Pediatrics Tallahassee Children’s Health of Ocala Ocala Altamonte Pediatric Associates Altamonte Springs -USF Pediatrics -The Chronic Complex Clinic at St. Joseph’s Children’s Hospital Tampa All Children’s General Pediatrics St. Petersburg University Pediatrics University Park St. Vincent’s Family Medicine Center Jacksonville Jacksonville Beach Pediatric Care Center Jacksonville Beach Atlantic Coast Pediatrics Merritt Island Pediatric Partners Palm Beach Gardens Gentle Medicine Associates Boynton Beach Pediatric Clinic, Memorial Primary Care Center Hollywood Rozalyn Hester Paschal, MD, PA Miami -Mirtha Cuevas, MD Inc -Orlando Health Pediatric Faculty Practice Orlando Pediatric Associates – Miami Beach Miami Beach Martin Memorial Pediatrics Stuart

11. For more information about the CHIPRA project: Catherine McGrath, Florida project director, AHCA 850-412-4696 Catherine.Mcgrath@ahca.myflorida.com AHCA Website: http://ahca.myflorida.com/http://ahca.myflorida.com/ Medicaid/quality_mc/index.shtml CMS website: www.cms.gov/CHIPRAwww.cms.gov/CHIPRA AHRQ website: www.ahrq.gov/chipwww.ahrq.gov/chip