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Background

The Connecticut Healthcare Innovation Plan was developed in 2013 with the support of State Innovation Model Design funding provided by the Centers for Medicare and Medicaid Innovation (CMMI).  CMMI was created under the Affordable Care Act to improve health care quality, improve community health and reduce the rate of growth in health care spending. Connecticut's Innovation Plan aims to align providers, consumers, employers, payers, and state leaders around reforms that will improve the health and health care of 80% of the state's residents over the course of five years. The Innovation Plan was completed in December 2013 and can be found here.

In 2014 the Center for Medicare & Medicaid Innovation (CMMI) awarded Connecticut a four-year, $45 million State Innovation Model (SIM) Test Grant to “test state-led, multi-payer health care payment and service delivery models that will improve health system performance, increase quality of care, and decrease costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries—and for all residents” (CMMI).

Our SIM design is the product of two years of intensive input from healthcare providers, government agencies, employers, consumers and payers through dozens of broadly representative workgroups, from 25 consumer focus groups, from commentary elicited from the general public, and from deliberations by the Healthcare Innovation Steering Committee and the Healthcare Cabinet.

SIM is being implemented with the same broad input and inclusion. The SIM Program Management Office (PMO), situated within the Office of the Healthcare Advocate, facilitates the execution of the SIM Test Grant and Innovation Plan.

CT SIM INITIATIVES

The Connecticut State Innovation Model has the following aims, which are meant to impact 80% of the Connecticut population:

Improve population health: Reduce statewide rates of diabetes, obesity, and tobacco use while reducing health disparities.

Improve healthcare outcomes: Improve statewide performance on key quality measures, including: adults with a regular source of care; ambulatory care sensitive condition admissions; child well-visits for at-risk populations; mammograms for women ages 50+; colorectal screening; optimal diabetes care - annual A1c tests; asthma ED utilization; percent of adults with hypertension taking hypertension medication; all-condition readmissions; and premature deaths. Improve quality of care while reducing health disparities in key measures.

Reduce healthcare costs: 1-2 percentage point reduction in annual healthcare spending growth by 2020.

The Connecticut State Innovation Model Test grant has developed workgroups to focus on developing and testing the newly developed models of healthcare delivery in Connecticut.  Community Health Workers are incorporated into the Community Clinical Integration Program (CCIP), http://www.healthreform.ct.gov/ohri/cwp/view.asp?a=2741&q=335990.  Further information about the Community Health Worker Advisory Committee can be found at: http://www.healthreform.ct.gov/ohri/cwp/view.asp?a=2765&q=336080.

SIM

CHW Advisory Committee

The Community Health Worker Advisory Committee will develop recommendations for the Healthcare Innovation Steering Committee 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’s work will support the recommendations of the Practice Transformation Task Force with respect to the role of CHWs in care delivery reforms. The Committee will also examine key success factors for employers of CHWs including basic understanding of the nature of the workforce, requirements for successful integration of CHWs into clinical operations, distinctive considerations in hiring and supervision, and provision of technical/clinical backup to CHWs in home and community settings. The goal of the Committee is to support the integration of and effective support for CHWs in the healthcare system and the communities that they serve.