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Washington State health care transformation builds on the work of many earlier pilots and projects.  This page has information about completed activities that may still be of interest to people improving our current system.  Information about these projects are on other websites so the links may stop working over time.

Patient Centered Medical Home Multipayer Reimbursement Model

  • The Health Care Authority (HCA) and Department of Social and Health Services (DSHS), in conjunction with the Puget Sound Health Alliance (now called the Washington Health Alliance) led the Patient Centered Medical Home Multipayer Reimbursement Model (2011-14); a project to develop, implement and evaluate a pilot of one or more medical home provider reimbursement models, pursuant to ESSB 5491 of 2009.
  • The pilot developed a new payment mechanism to reward primary care practices for better outcomes through prevention of emergency room use and inpatient hospitalization.
  • Through the pilot, the 12 practices also receive a per member per month payment of $2.50 to help cover care management, expanded access and hours, registry maintenance, and team management. Participating health insurers include: Aetna, Cigna, Group Health, Regence, Premera, Molina, and Community Health Plan of Washington. These insurers are participating on behalf of commercially insured, Medicare Advantage, Basic Health and Healthy Options enrollees.
    (reprinted with permission from WA State Hospital Association Weekly Report Details June 17, 2011)
  • For more information on the pilot, read the pilot design document. Additional information also on the Health Care Authority’s Medical Home webpage

Washington State Patient Centered Medical Home Collaboratives (2008-2011)

Beacon Community of the Inland Northwest (2010-13)

  • Inland Northwest Health Services (INHS)received a $15.7 million cooperative agreement to lead a collaborative health information technology-based Beacon Community in our region. The Beacon Community of the Inland Northwest (BCIN) worked to improve management of chronic diseases, especially adult Type 2 diabetes, through the meaningful use of health information technology (HIT) across our mostly rural, health services referral region.
  • The BCIN was one of 15 communities across the country selected by the U. S. Department of Health and Human Services to serve as pilot communities to demonstrate the value of HIT in improving health outcomes. The cooperative agreement allowed the BCIN to increase care coordination for patients with diabetes in rural and urban communities across 14 counties in eastern Washington and northern Idaho.  Goals included:
    • Extending health information exchange throughout the region to provide a higher level of connectivity and communication between health care providers;
    • Establishing common processes for managing and coordinating care for individuals with diabetes; and
    • Implementing tools for tracking and reporting quality measures associated with diabetes.
  • Led by INHS, other BCIN partners include Community Choice, the Washington State Department of Health, the Washington Academy of Family Physicians, the Critical Access Hospital Network, SAIC and the North Central Washington Health Collaborative.

Consumer/Patient Pilots

  • Washington State was the first state to pass legislation formally recognizing shared decision-making in the state’s laws on informed consent and encouraging collaborative efforts to develop, certify, use and evaluate decision aids. The 2007 legislation authorized the WA State Health Care Authority to conduct a demonstration pilot to study the impact of using decision aids for identified preference-sensitive health care services on health care expenditures and patient satisfaction and understanding.RCW 41.05.033 http://apps.leg.wa.gov/rcw/default.aspx?cite=41.05.033#(Nice overview of shared decision- making and discussion of WA’s program on pages 9-10 in “Final Report: The Practice and Impact of Shared Decision-Making. A Study Conducted for the Dirigo Health Agency’s Maine Quality Forum submitted to Maine’s Joint Standing Committee on Health and Human Services and the Joint Standing Committee on Insurance and Financial Services, Feb. 2011″).
  • The Washington State Health Care Authority (HCA) launched three Consumer Managed Health Record Bank pilot projects in three regions of the state in 2009. The Health Record Banks provide patients an opportunity to securely store personal health information in one location using Web-based tools available from both Microsoft HealthVault and Google Health. These online portals link patients to their Health Record Bank account where they can create, view, verify and share a copy of their health information. These pilots will be one of the first Health Record Banks in the United States that allow patient control. The records will be managed by patients and organized into a format that, when brought to their doctors, will directly support the flow of information from patient to doctor to support clinical decision making.

Community-Based Medical Homes in the Army 
Joint Base Fort Lewis-McChord has two locations for Medical Homes in WA

Aligning Forces for Quality (AF4Q)- A Robert Wood Johnson Foundation Initiative

  • The Washington Health Alliance led the Aligning Forces for Quality (AF4Q) initiative in Seattle, one of 17 communities chosen from across the US.  The AF4Q work focused on lifting the overall quality of health care in targeted communities, reducing racial and ethnic disparities and providing models for national reform. Final Report.

Washington State Department of Health Grants for Children with Special Needs and Improved Health Care Services (completed)