In 2014 the Center for Medicare & Medicaid Innovation awarded Connecticut a four year, $45 million State Innovation Model (SIM) Test Grant. Connecticut’s SIM (CT SIM) is working to improve Connecticut’s healthcare system for the majority of residents by establishing a whole-person-centered healthcare system that improves community health and eliminates health inequities; ensures superior access, quality and care experience, empowers individuals to actively participate in their health and healthcare; and improves affordability by reducing healthcare costs.
How is SIM being evaluated?
The State of Connecticut has contracted with UConn Health and Yale University to monitor and report on the process and impact of CT SIM. The evaluation team is led by Dr. Robert Aseltine of UConn Health and Dr. Paul Cleary of Yale University. The evaluation team uses data from several Connecticut State Agencies to calculate results. A dashboard has been created to present progress towards meeting the planned CT SIM goals.
What is on the Dashboard?
The CT SIM Dashboard is a web-based presentation of approximately 30 measures used to monitor and report on the process and impact of SIM. Measure topics include population health, healthcare costs, healthcare delivery, and health insurance transformation. Population Health measures, PCMH+, and CCIP are updated yearly. Other measures are updated quarterly.
The dashboard presents overall results for each measure and by categories including age, gender, race/ethnicity, income, insurance payer as the data allows. Overall results are compared to targets to show progress towards meeting the planned CT SIM goals. Targets, future predicted values, were calculated using pre-SIM historical data and trends. A goal of 5% decrease of predicted values over 5 years of SIM programming was set and distributed equally over 5 years for yearly targets of 1% decrease per year off of predicted values. Predicted values were used to account for upward and downward trends that are found in many performance measures.
How do I use the Dashboard?
The dashboard allows users to track performance of the measures over time, to assess performance relative to program goals, and to visualize data in custom charts and graphs.
To view dashboard pages, please move your cursor over the buttons above and select a topic of interest: Population Health, Healthcare Costs, Healthcare Delivery, Health Insurance Transformation. You may then select a measure from a dropdown list. With the interactive tables and graphs, you can search, sort, and filter results by measure, age, gender, race/ethnicity, income, county of residence, insurance payer and year where data allows. Pop-up bubbles appear throughout the website. Pop-up bubbles provide more information on many features of the dashboard. The dashboard also has many links to external websites that allow you to easily find more information on a particular measure.
As you use the dashboard, you will see these symbols in the graphs:
• Observed value – This value shows the state average for a given measure. It can be presented for overall, subgroup or year.
♦ Target value – This is the level we hope to reach as an outcome of SIM.
* Suppressed value – This value does not meet publication criteria.
Keep in mind that for some measures it is desirable to have the observed value at or above the target value. For other measures, it is better to have the observed value at or below the target value.
Robert H. Aseltine, Jr., PhD
Sara Wakai, Ph.D.
Elizabeth Schilling, Ph.D.
Last page update: January 9, 2019
The project described was supported by Grant Number 1G1-CMS-331630-01-05 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services, or any of its agencies. The research presented here was conducted by the awardee. Findings might or might not be consistent with or confirmed by the findings of the independent federal evaluation contractor.
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Center for Population Health
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Farmington, CT 06030-6030