State at a Glance: Illinois
Illinois is featured in the following reports from the National Evaluation:
- Evaluation Highlight No. 2: How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program?
- Evaluation Highlight No. 6: How are CHIPRA quality demonstration States working together to improve the quality of health care for children?
- Evaluation Highlight No. 11: How are CHIPRA quality demonstration States using quality reports to drive health care improvements for children?
- Evaluation Highlight No. 12: How are CHIPRA quality demonstration States improving perinatal care?
- Article: Nine States' Use of Collaboratives to Improve Children's Health Care Quality in Medicaid and CHIP
- Article: Associations Between Practice-Reported Medical Homeness and Health Care Utilization Among Publicly Insured Children
Learn more about Illinois's CHIPRA quality demonstration projects on this page:
Overview
Illinois is working with Florida, one of the 10 grantees, in a two-State partnership to implement projects in four of the five grant categories:
- Showing how a core set of children's quality measures can be used to improve quality of care for children.
- Promoting the use of health information technology (IT) to enhance service quality and care coordination.
- Implementing a more comprehensive provider-based model of service delivery.
- Testing an approach to quality improvement of the State's own design.
Illinois' Objectives
Illinois will build on its existing cross-agency database to report the core set of children's quality measures and work on new measure development. The State also will aim to ensure that ongoing health information exchange (HIE) and other health IT efforts address children's health issues, and they will collaborate with the Illinois Chapter of the American Academy of Pediatrics (ICAAP) to promote adoption of the National Committee for Quality Assurance (NCQA) medical home model. Furthermore, Illinois will establish a quality collaborative to address compelling problems in birth outcomes and infant health.
Working with the Initial Core Set of Children's Quality Measures
Illinois will create, test, revise, and report on the initial core set of children's quality measures four times during the project. To collect the measures, the State will use existing data sources (such as the Illinois Enterprise Data Warehouse) and improve data sharing. The State aims to create a single process to link all data needed for production of these measures for various delivery systems and subpopulations. Illinois will work with its partner State, Florida, to explore ways to use measures for quality improvement. Illinois has also proposed working with the Agency for Healthcare Research and Quality, the Centers for Medicare and Medicaid Services, and NCQA to develop new measures.
Using Health IT to Improve Child Health Care Quality
Illinois will collaborate with ongoing, statewide HIE and health IT development efforts to ensure that those efforts address children's health issues and support electronic health records adoption and broader health IT capacity within the pediatric community. Illinois will also develop a mechanism to allow providers to make electronic referrals to other medical and community providers, provide hospitals with a minimum dataset that describes women's use of prenatal care services, and gives providers access to a statewide database of community and social services resources for medical home practices.
Assessing a Provider-Based Model of Care
Illinois will collaborate with ICAAP to promote adoption of NCQA's medical home model. Under the project, about 60 practices will complete NCQA's self-assessment tool. Based on those results, practices will select and participate in various State-run activities to help them enhance quality of care and move toward NCQA recognition, including peer learning sessions and technical assistance. Illinois will also develop recommendations for patient-centered medical home requirements and incentives to be included in vendor contracts as the State moves from a primarily fee-for-service delivery system to a managed and coordinated care system.
Testing an Approach to Quality Improvement of Illinois's Own Design
Illinois will establish a perinatal quality collaborative that brings together public and private partners from across the State to address compelling problems in birth outcomes and infant health. Illinois will also convene a broad spectrum of stakeholders to develop interventions focused on improving birth outcomes, including minimum quality standards for prenatal care; electronic sharing of prenatal data; a public education strategy and provider toolkit that focus on preconception, prenatal, postpartum and interconception care; and strategies for improving perinatal care coordination and transition.
Evaluation Questions
The national evaluation team will gather information from Illinois to address a wide range of questions about the implementation and outcomes of their efforts including:
- What new quality measures did Illinois investigate?
- How did Illinois coordinate with statewide health IT developers on HIE, and how did that inform the HIE process?
- To what extent were Illinois's efforts to promote adoption of the medical home successful and did they lead to improved quality of health care for children?
- What are the key lessons from Illinois's experience that would be useful for other States?
Additional Resources
Illinois provided the following reports and other resources:
Illinois CHIPRA Medical Home Project Baseline Results
This report presents baseline results for Illinois CHIPRA quality demonstration practices that completed the NCQA self-assessment.
Illinois 2012 CHIPRA Data Book
The 2012 CHIPRA Data Book reports on the core measure set of children's quality measures for the years 2009-2011.
Note: These reports have been submitted by the CHIPRA Quality Demonstration States and are made available on this Web site as a courtesy. The description of any product, policy, program, or other resource on this Web site does not imply an endorsement by AHRQ, the U.S. Department of Health and Human Services (HHS), or any other Government agency.
Learn More
This information is current as of February 2014, slightly more than 4 years after the grant award. To learn more about the projects that Illinois is implementing under the CHIPRA Quality Demonstration Grant Program, please contact::
Gwen Smith, Project Director
Child Health Quality Demonstration Grant
Illinois Department of Healthcare and Family Services
Bureau of Quality Management
201 S. Grand Avenue East
Springfield, IL 62763
217-557-5438
Gwen.Smith@illinois.gov
