Health Care Innovation Awards Round Two: Missouri

Notes and Disclaimers:

• Projects shown may also be operating in other states (see the Geographic Reach)

NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS

Project Title: "Coordinating All Resources Effectively (CARE) for Children with Medical Complexity"
Geographic Reach: California, Colorado, Florida, Missouri, Pennsylvania, Texas
Estimated Funding Amount: $23,198,916

Summary: The National Association of Children's Hospitals and Related Institutions is receiving an award to test Coordinating All Resources Effectively (CARE) for children with medical complexity (CMC), which aims to inform sustainable change in health care delivery through new payment models supporting improved care and reduced costs for CMC. The population of focus is CMC who have medical fragility and intense medical and coordination of care needs that are not well met by existing health care models. This model aims to improve care and reduce overall health care expenditures for CMC by 1) creating a medically-appropriate tiered system of care so that CMC of varying needs are cared for in the most appropriate settings to meet patient and family needs while lowering costs, 2) designing a payment system that will both sustain these programs and provide sufficient flexibility so that services will meet patient and family needs and 3) creating a learning system so that programs and payers across the country serving this population can rapidly learn from each other to improve care and design and implement effective payment models. At the center of the proposed care model are the principles of accessible, coordinated, continuous, compassionate and family centered care/shared decision making as articulated in the concept of the medical home, which has been associated with fewer hospitalizations, less emergency department use, better health, and lower costs of care.

WASHINGTON UNIVERSITY SCHOOL OF MEDICINE IN ST. LOUIS

Project Title: "A Contraceptive Center of Excellence: an innovative health services delivery and payment model"
Geographic Reach: Missouri
Estimated Funding Amount: $4,034,879

Summary: The Washington University School of Medicine in St. Louis project will test an intervention that aims to provide quality family planning services to women who are at the highest risk for unintended pregnancy using a contraceptive provision model developed by the Contraceptive CHOICE Project (CHOICE). CHOICE demonstrated that removing barriers to choice of contraception increased the use of long-acting reversible contraception and significantly reduced the rate of unintended pregnancies.  This project will test  implementation of the CHOICE model for primarily Medicaid beneficiaries in the St. Louis area including: 1) structured, evidence-based contraceptive counseling; 2) education of providers about long-acting reversible contraceptive methods and evidence-based guidelines for contraceptive provision; 3) removal of patient barriers to family planning services; and 4) post-visit contraceptive support.

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