State Innovation Model Self-Evaluation
Archived Project
This project has concluded, but its resources remain available to share the work, findings, and impact of the project. Some materials may not meet current accessibility standards. If you have a disability and experience difficulty accessing content on this page, please contact us at GRCAccess@osumc.edu.
In December 2014, Ohio was awarded a federal State Innovation Model (SIM) test grant to implement a comprehensive primary care (CPC) payment model that increases access to patient-centered medical homes (PCMH) statewide. PCMH is a team-based care delivery model led by a primary care provider who comprehensively manages a patient's health needs with an emphasis on health care value and quality. The goal is to give Ohioans the quality of care and information they need to increase their level of health at every stage of life, and to reduce the overall cost of care by improving cost efficiency and care quality.
The SIM Self-Evaluation will provide the Ohio Department of Medicaid with snapshots of the status of population health, health systems transformation, and cost trend patterns statewide. GRC will analyze the relevant impacts of the SIM model and its implementation by geography and subpopulations, with an emphasis on health disparities. Analytics include:
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Service utilization
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Expenditure
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Cost-effectiveness
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Descriptive statistics
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Modeled statistics
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Meta-data analyses (i.e., process comparisons)
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Qualitative coding using predominant theme techniques (i.e., theme prioritization)
The comprehensive SIM Self-Evaluation consists of three elements:
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Qualitative analyses of the SIM Model Design Process
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Episode-based payment evaluation
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Ohio CPC evaluation