- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
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Fostering State Policy to Support Integrated Delivery Systems: Summary of a Discussion Among State Policymakers and Delivery System Leaders
A group of state and delivery system leaders convened for a day long symposium during NASHP's 2011 Annual State Health Policy Conference to consider the potential of integrated delivery systems and effective policy levers to foster their development. This report comes from the symposium titled Fostering State Policy to Support Integrated Delivery Systems: Summary of a Discussion Among State Policymakers and Delivery System Leaders. This report offers invaluable lessons from the field to help state policymakers understand what it takes to move their health care systems along the continuum from fragmented to highly coordinated, addressing payment reform, health information technology, and innovative provider and service networks
April 2012» -
Oklahoma's Web Portal: Fostering Care Coordination Between Primary Care and Community Service Providers
This is the second in the series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This new brief focuses on the web-based referral and tracking system ("web portal") that Oklahoma has built into its pre-existing Preventive Services Reminder System. The state designed this web portal to improve care coordination for children with or at risk for developmental delays. Oklahoma is already considering ways to adapt the web portal for other services and populations.
February 2012» -
Building Electronic Information-Sharing Systems to Support Care Coordination in Illinois
This is the first in a series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This brief focuses on electronic information-sharing systems that Illinois is building or adapting to improve care coordination for children with or at risk of developmental delays. Illinois is poised to improve care coordination by implementing an electronic referral initiation and feedback system. These system changes have implications for information sharing to support care coordination statewide and for other populations.
November 2011» -
NASHP Report: Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in the District of Columbia
Recent developments indicate the emergence of a national framework for quality oversight and improvement in children’s health. Concurrently, investment in health information technology and exchange is creating state HIT/HIE infrastructure based on EHR-driven clinical data capacity. This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to the District of Columbia – and potentially other states as well - to use this emerging quality framework and HIT/HIE infrastructure to enhance the quality and oversight of Medicaid EPSDT benefits.
July 2011» -
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
This issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs.June 2010» -
Enhancing Clinical Information in Statewide Hospital Administrative Data: Project Summary and Lessons Learned
This report, developed by Thomson Reuters and NASHP, is based on lessons from the AHRQ-sponsored Adding Clinical Data project, which awarded Pilot or Planning contracts to the Healthcare Cost and Utilization Project (HCUP) Partner organizations in Florida, Minnesota, Virginia, and Washington to explore feasible, practical solutions to adding clinical data to administrative discharge records. Adding present on admission coding and laboratory results to existing administrative datasets is seen as a practical, effective, and cost-effective method to produce more accurate and expanded quality assessments of hospitals; it will also provide the evidence base for quality improvement efforts.January 2010» -
Electronic Release of Clinical Laboratory Results: A Review of State and Federal Policy
State and national initiatives to promote health information exchange (HIE) are gaining momentum in the wake of the American Recovery and Reinvestment Act of 2009 (ARRA), which provides over $40 billion to promote health information technology. States face particular challenges in promoting HIE for clinical laboratory results. This paper is intended to provide policymakers with useful background on: • Policy issues related to sharing lab results with providers and patients; • The pertinent laws and how they are interpreted by various states; • How the Clinical Laboratory Improvement Amendments (CLIA) and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) laws relate to each other; and • Opportunities for reviewing, reinterpreting, and updating laws to fit with new electronic health information infrastructures and policies. The California HealthCare Foundation provided generous support for the development of this paper.January 2010» -
Express Lane Eligibility and Beyond: How Automated Enrollment Can Help Eligible Children Receive Medicaid and CHIP
As states work to insure more children in challenging economic times, a new report funded by the Robert Wood Johnson Foundation (RWJF) explores how states can identify and enroll eligible but uninsured children by borrowing automated strategies that have proven effective in helping eligible people receive other public and private benefits. Authored by Urban Institute researcher Stan Dorn in collaboration with the National Academy for State Health Policy (NASHP), the report details how auto-enrollment strategies have the potential to identify, enroll and retain large numbers of eligible children while reducing state administrative costs. The report explains how the recently enacted Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) makes these strategies substantially easier for states to implement while establishing powerful new financial incentives for states to reach the greatest possible number of eligible children.April 2009 -
Using HIT to Transform Health Care: Summary of a Discussion Among State Policy Makers
States are finding health information technology (HIT) an essential tool in any plan that seeks to improve the efficiency, affordability, safety, and quality of their health care systems. This State Health Policy Briefing is intended to help state policy makers determine what role they will play in HIT development, how their state will use HIT, and how they will address critical barriers to success. It is based on a day-long preconference seminar conducted by NASHP and during which state policy makers exchanged information and experience and learned from leading states and experts. Three major challenges faced by states seeking to implement and use HIT effectively are discussed:May 2008 -
Maximizing the Use of State Adverse Event Data to Improve Patient Safety, Brief
This news brief reviews key findings from a meeting of state officials that focused on efforts to improve data integrity, event report analysis, and data feedback and dissemination. The report examines these issues and identifies a number of challenges and opportunities that states encounter as they attempt to improve their databases and the usefulness of the data for improving patient safety. Eleven states participated in the summit: Florida, Georgia, Maine, Maryland, Massachusetts, Minnesota, Nevada, New York, Oregon, Pennsylvania, and Utah. The report contains a number of tools and resources that have been developed by the participating states.December 2005
