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Advancing Asthma Care and Medicaid Reimbursement in Our Region
Alisa Haushalter, D.N.P., R.N.Senior Director, Department of Population Health
Nemours Health System
Improving Outcomes for
Children with Asthma:
Advancing the Role of
Community health workers
as integral members of the
health care team
Alisa Haushalter, DNP, RN
Senior Director, Department of Population Health
Nemours Health and Prevention Services
A.I. duPont Nemours Pediatric Health System
June 27, 2015
Acknowledgement and Disclaimer
The project referenced in this presentation was made
possible by Grant 1C1CMS331017 from the Department of
Health and Human Services, Center for Medicare &
Medicaid Services.
The contents of this presentation are solely the responsibility
of the authors and do not represent the views of the
Department of Health and Human Services or any of its
agencies.
Center for Medicare and Medicaid Innovation Award
13
• Funding through the Affordable Care Act (ACA)
• Center for Medicare and Medicaid Innovation
• Funding to applicants for innovative ideas toachieve the CMS Mission: “As an effective steward of public funds, CMS is committed to strengthening and modernizing the nation’s health care system to provide access to high quality care and improved health at lower cost.”
The Nemours/AIDHC Model:Primary Drivers of the Project
•Enhancement of family-centered medical home
•Development of “integrator” model surrounding each site
•Deployment of “navigator” workforce
•Use of technology
CMMI Population(s)Delaware: The First State
15
Seaford, Sussex
Seaford Pediatrics
Zip Codes: 19973, 19956
Wilmington, NCC
Jessup Street Pediatrics
Zip Codes: 19801, 19802
Dover, Kent
Dover Pediatrics
Zip Codes: 19901,19904
Advancing the Role of the CHW in Delaware
• Building and sustaining relationships
• Participating in CMS collaboratives
• Telling our story – individually and collectively
• Convening stakeholders
• Hosting visits to Gemba
• Drafting elements of a SPA
• Meeting with CMS
• Participating in Brookings Institute Round Table
• Developing a policy brief
• Presenting a Capital Hill brief
• Participating in the Delaware State Innovation Model process
Barriers to Advancing the Role of the CHW in Delaware
• Timing
• Competing priorities
• CHW role adoption
• Lack of consensus
• Lack of evidence (actual or perceived)
• State Plan Amendment
• Varying approaches
Next Steps in Advancing the Role of the CHW in Delaware
• Ongoing partnerships
• Ongoing ‘testing’
• Participating in the DE SIM process
• Disseminating findings and lessons learned
• Building collective momentum
– Organizational approach
– State approach
– Regional approach
– Federal approach
Acknowledgement and Disclaimer
The project referenced in this presentation was made
possible by Grant 1C1CMS331017 from the Department of
Health and Human Services, Center for Medicare &
Medicaid Services.
The contents of this presentation are solely the responsibility
of the authors and do not represent the views of the
Department of Health and Human Services or any of its
agencies.
www.nemours.org
Alisa Haushalter, DNP, RN
Senior Director, Department of Population Health
Nemours Health and Prevention Services
2200 Concord Pike
Applied Bank Building, 7th Floor
Wilmington, Delaware 19803
302-298-7615
Q&A Discussion
Moderated by:Ed Thomas
Healthy Homes Representative, Region IIIU.S. Department of Housing and Urban Development