G2TT
来源类型Publication
After the Demonstration: What States Sustained After the End of Federal Grants to Improve Children’s Health Care Quality
Henry T. Ireys; Cindy Brach; Grace Anglin; Kelly J. Devers; and Rachel Burton
发表日期2017-11-08
出版者Maternal and Child Health Journal (online ahead of print)
出版年2017
语种英语
概述Under the CHIPRA Quality Demonstration Grant Program, CMS awarded $100 million through 10 grants that 18 state Medicaid agencies implemented between 2010 and 2015.",
摘要

Introduction.Under the CHIPRA Quality Demonstration Grant Program, CMS awarded $100 million through 10 grants that 18 state Medicaid agencies implemented between 2010 and 2015. The program’s legislatively-mandated purpose was to evaluate promising ideas for improving the quality of children’s health care provided through Medicaid and CHIP. As part of the program’s multifaceted evaluation, this study examined the extent to which states sustained key program activities after the demonstration ended.

Methods. We identified 115 potentially sustainable elements within states’ CHIPRA demonstrations and analyzed data from grantee reports and key informant interviews to assess sustainment outcomes and key influential factors. We also assessed sustainment of the projects’ intellectual capital.

Results. 56% of potentially sustainable elements were sustained. Sustainment varied by topic area: Elements related to quality measure reporting and practice facilitation were more likely to be sustained than others, such as parent advisors. Broad contextual factors, the state’s Medicaid environment, implementation partners’ resources, and characteristics of the demonstration itself all shaped sustainment outcomes.

Discussion. Assessing sustainment of key elements of states’ CHIPRA quality demonstration projects provides insight into the fates of the “promising ideas” that the grant program was designed to examine. As a result of the federal government’s investment in this grant program, many demonstration states are in a strong position to extend and spread specific strategies for improving the quality of care for children in Medicaid and CHIP. Our findings provide insights for policymakers and providers working to improve the quality of health care for low income children.

URLhttps://www.mathematica.org/our-publications-and-findings/publications/after-the-demonstration-what-states-sustained-after-the-end-of-federal-grants-to-improve-childrens
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/489059
推荐引用方式
GB/T 7714
Henry T. Ireys,Cindy Brach,Grace Anglin,等. After the Demonstration: What States Sustained After the End of Federal Grants to Improve Children’s Health Care Quality. 2017.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Henry T. Ireys]的文章
[Cindy Brach]的文章
[Grace Anglin]的文章
百度学术
百度学术中相似的文章
[Henry T. Ireys]的文章
[Cindy Brach]的文章
[Grace Anglin]的文章
必应学术
必应学术中相似的文章
[Henry T. Ireys]的文章
[Cindy Brach]的文章
[Grace Anglin]的文章
相关权益政策
暂无数据
收藏/分享

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。