State-Level Evaluation of Washington's State Innovation Models (SIM) Initiative

David Grembowski; Douglas Conrad; Diana NaranjoSuzanne WoodLingmei ZhouJordan BanksNorma B. CoeTao Kwan-GettJanet Baseman

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State-Level Evaluation of Washington's State Innovation Models (SIM) Initiative

机译：State-Level Evaluation of Washington's State Innovation Models (SIM) Initiative

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摘要

The Washington State Innovation Models (SIM) $65 million Test Award from the Center for Medicare & Medicaid Services' Innovation Center is a statewide intervention expected to improve population health, quality of care, and cost growth through four initiatives: 1) regional accountable communities of health linking health and social services to address local needs; 2) a practice transformation support hub; 3) four value-based payment reform pilot projects mainly in state employee and Medicaid populations; and 4) data and analytic infrastructure development to support system transformation with common measures. We develop a conceptual model based on diffusion theory and apply the RE-AIM evaluation framework (Reach, Effectiveness, Adoption, Implementation, and Maintenance) to structure our evaluation. We find that in three years (2016-2018), SIM built the infrastructure for system transformation and increased Washington's readiness for health system change in the next decade. However, the initiatives have not spread statewide, which may take over 10 years.

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《Journal of health care for the poor and underserved》 |2021年第2期|862-891|共30页
作者
David Grembowski; Douglas Conrad; Diana NaranjoSuzanne WoodLingmei ZhouJordan BanksNorma B. CoeTao Kwan-GettJanet Baseman;
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作者单位

Department of Health Services Box 351621, University of Washington School of Public Health, Seattle;

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原文格式 PDF
正文语种英语
中图分类保健组织与事业（卫生事业管理）;
关键词
State Innovation Model; SIM; Washington; complex intervention; RE-AIM evaluation; mixed methods; health policy; statewide system transformation; accountable communities of health; payment reform; practice transformation support; Medicaid.;

State-Level Evaluation of Washington's State Innovation Models (SIM) Initiative

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