- 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
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- 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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Building Partnerships: State Officials and Advocates Working on Health Reform
In March 2011, state officials and consumer advocates from nine southern states came together to discuss health reform implementation and ways to work together. The meeting was convened by NASHP, in collaboration with Community Catalyst, and funded by the Public Welfare Foundation. This paper highlights themes from this meeting, including lessons learned in building stronger or more effective relationships between these groups and ways to work together as health care reform implementation proceeds at the state level.
June 2011» -
Opportunities and Recommendations for State-Federal Coordination to Improve Health System Performance: A Focus on Patient Safety
NASHP convened a roundtable of state and national health policy leaders in October 2009 to discuss opportunities for states and the federal government to develop congruent policies to promote patient safety. This brief summarizes recommendations that emerged from that meeting. Participants identified four criteria to use in selecting issues for state-federal coordination: (1) degree of readiness for change, (2) symbolic value and potential to send broad messages about priorities, (3) potential to avoid harm from non-aligned policies, and (4) potential for cost savings. Considering these criteria, participants recommended three topics as especially worthy of future dialogue: reducing healthcare-associated infections (HAIs), decreasing preventable hospital readmissions, and avoiding hospitalizations for ambulatory care-sensitive (ACS) conditions.January 2010» -
State Partnerships to Improve Quality: Models and Practices from Leading States Issue Brief
The National Academy for State Health Policy identified ten leading state quality improvement partnerships – interrelated broad-based partnerships, mostly with public and private sector representation, which have long-term, statewide, systemic quality improvement strategic intent, and transparent agendas. This State Health Policy Briefing summarizes results of NASHP’s full report examining these partnerships in Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington. The key factors, policies, and practices that influence the quality improvement partnerships in these 10 states offer insights for achieving systemic improvement in health care quality and performance. The full report is also available.July 2009» -
State Partnerships to Improve Quality: Models and Practices from Leading States Report
This NASHP-led, Commonwealth Fund-supported report highlights ten leading state quality improvement partnerships, broad-based, public-private partnerships that strive for long-term, statewide, and systemic quality improvement. This report describes the state partnerships' origins, internal processes, accomplishments, and lessons learned, as well as their five strategies for achieving quality improvement. The factors and policies that influence the 10 featured state partnerships offer key insights for achieving systemic improvement in health care quality and performance. The report features state partnerships in Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington.June 2009» -
A New Approach To The State-Federal Relationship In Health
The dynamics of this important relationship must change, even before major reform proposals are put forward or enacted. Federal health policy making is too often shaped by mistrust of states on fiscal and programmatic matters. The current approach of micromanaging state decisions undermines the dynamism necessary to administer and improve Medicaid. The new Obama administration should commit to healing the state-federal relationship through greater policy transparency and by developing a robust, performance-oriented approach to Medicaid program oversight. The administration should undertake additional joint federal-state efforts to address other health policy priorities. These steps would lay a stronger platform on which efforts for comprehensive health reform can be built. [Health Affairs 28, no. 2 (2009): w188–w193]January 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 -
Improving the Delivery Health Care that Supports Young Children's Healthy Mental Development: Update on Accomplishments and Lessons from a Five-State Consortium
The five states that participated in the second Assuring Better Child Health and Development (ABCD II) Consortium were successful in improving child development services, increasing the rate of identification of children in need of developmental services, and improving the likelihood that those identified with a potential need received appropriate follow-up services. The results of the 3-year project are detailed in a new report from the National Academy for State Health Policy (NASHP), Improving the Delivery of Health Care that Supports Young Children’s Healthy Mental Development: Update on the Accomplishments and Lessons from a Five-State Consortium.February 2008 -
State Patient Safety Centers: A New Approach to Promote Patient Safety
As of 2004, six states (FL, MD, MA, NY, OR, PA) have enacted legislation supporting the creation of state patient safety centers to help address the problem of medical errors. This report examines the various models states have adopted in designing these centers and includes discussions of how the centers operate and monitor performance. The report also summarizes recommendations from center staff to other states that may be interested in following in their footsteps.October 2004» -
Using Medicaid to Support Young Children’s Healthy Mental Development
This report examines both why and how state Medicaid programs can support children's healthy mental development and includes a discussion of how states can use Medicaid to better support young children's social/emotional development even in the current economic climate. It includes specific strategies Medicaid agencies can use (and have used) to support young children's healthy mental development.September 2003» -
Statewide Patient Safety Coalitions: A Status Report
In 12 states, providers, purchasers, consumers, and regulators have recognized the value of coordinating their efforts and have formed statewide public/private patient safety coalitions. These coalitions are educating health care professionals, purchasers, consumers, and policy makers about the nature of medical errors, the culture of safety, and strategies for reducing risks. The seven most mature coalitions are profiled in this report. Coalition members share lessons learned in membership development, communication, successful activities, and building trust.May 2002»
