SIMPMO: Workgroups

Work Groups
 
Community Health Worker Advisory Committee
This Committee will develop recommendations with respect to the training, promotion, utilization and certification of Community Health Workers (CHWs) as well as establishing a framework for sustainable payment models for compensation. The Committee will also examine critical issues for employers with regard to CHWs relating to hiring, supervising, and technical support. Specific recommendations and deliverables may include a definition and scope of work for CHWs, a process for certification, and recommendations for sustainable payment.

This workgroup will recommend retrospective and concurrent analytic methods to ensure safety, access to providers and appropriate services, and to limit the risk of under-provision of requisite care; recommend a response to demonstrated patient selection and under-service; and define methods to ensure that the advanced medical home model systematically includes at-risk populations.
 
This workgroup will undertake detailed planning to support the health information technology strategy that is set forth in the Innovation Plan; establish investment priorities with an emphasis on scalable, enterprise wide solutions; develop payer and provider educational materials; define standards for system interoperability and consistent formats for reports and portals; and coordinate with other health information technology related initiatives.

This Council will develop a vision for improving Population Health in the context of payment, insurance and practice reforms, and community integration and innovation. The Council will leverage existing resources and build on the framework established in the State Health Improvement Coalition to advance population health planning and establish a long term public health strategy. The Council will focus on addressing root causes of disease and defining priorities based on burden of cost, reducing inequities and improving overall health. The Council will make recommendations regarding the establishment of Community Prevention Service Centers and the designation of Health Enhancement Communities.
 
This workgroup will recommend advanced medical home standards; provide advice on practice transformation processes; foster alignment with other care delivery models in the state (e.g., DMHAS behavioral health homes); and provide ongoing advice during implementation.
 
This workgroup will recommend a core measurement set for use in the assessment of primary care, specialty and hospital provider performance. The council will also recommend a common provider scorecard format for use by all payers. The measurement set will be reassessed on a regular basis to identify gaps, to incorporate new national measures as they become available, and to keep pace with changes in technology and clinical practice.

This Consortium will develop recommendations with respect to the promotion and adoption of value based insurance design (VBID) models for use by self-insured employers, fully insured employers and private and public health insurance exchanges. Consortium members will work collaboratively to encourage the update of VBID benefit plans in the state.

The Care Management Committee (CMC) of the Council on Medical Assistance Program Oversight (MAPOC) is the lead entity for providing review and comment to the Department of Social Services on the development of the Medicaid Quality Improvement and Shared Savings Program (MQISSP). Among the deliverables the CMC advises on are: standards to include in the Request for Proposals for MQISSP Participating Entities; assignment methodology; quality measures; how to ensure beneficiary protections; timeline of project design and implementation; evaluation; care coordination activities; methods to engage with stakeholders; and the shared savings methodology.
 
Design Groups
 
   
 




Content Last Modified on 5/13/2016 1:16:14 PM