Alabama Health Improvement Initiative–Medical Home Pilot

Region Within State: 
Statewide
Project Category: 
Insurer-Based
PROJECT STATUS
Target Start Date: 
Tuesday, September 1, 2009
Pilot/Demo Length: 
2-3 years

To analyze the medical home concept and to trend both process of care and patient outcome data over an 18 to 24 month period. At the conclusion of the pilot we hope to better understand the time and monetary efforts required by a practice to attain and maintain a medical home environment as well as be able to produce tangible data in favor of the medical home approach to care. The pilot includes both pilot and control groups.

Type of Practices: 
Other
CONVENING ENTITY/PROJECT CONTACTS
Convening Organization Name: 
Blue Cross Blue Shield-Alabama
Primary Contact: 
Daniel Jackson
E-mail: 
[email protected]
Phone: 
205/220-7842
Participating Stakeholders: 

Alabama Chapter of American Academy of Family Physicians, Alabama Chapter of American Academy of Pediatrics, Alabama Chapter of American College of Physicians.

EXPECTED OR ACTUAL DEMOGRAPHICS OF PARTICIPATING PRACTICES
Number of Practices: 
14
Number of Participating Physicians: 
70
Physicians per practice: 
1-8
Types of Practices: 
Internal Medicine, Family Medicine, Pediatrics
Health Plan Lines of Business Included: 
Commercial, Medicare Advantage
Consumer Involvement: 

We will utilize consumer focus groups in the creation and display of patient experience-type information. Specifically, information will be requested regarding perceived quality of care, access issues encountered, and overall satisfaction. The pilot will work with pilot facilities and customers to develop the survey tool that will be used during the pilot. Patients are involved in the pilot as advocates and focus group participants. In addition, we have had conversations with both employer groups and consumer advocate organizations.

PRACTICE TRANSFORMATION SUPPORT (INCLUDING TECHNOLOGY)
Focal areas of transformation: 

We will provide some monetary assistance at the onset that can be used at the practices’ discretion as they begin the transformation process. We will also look to serve as facilitator and intermediary throughout the pilot. Therefore the transformational activity will be both internally led by clinics and facilitated by the pilot.

PROJECT EVALUATION
Types of data to be collected : 

Clinical Quality
Cost/Efficiency
Patient Experience/Satisfaction
Provider Experience/Satisfaction