The Idaho Statewide Healthcare Innovation Plan (SHIP) aims to build a robust primary care system for both children and adults by enhancing access to the patient-centered medical home (PCMH) model. Support for the plan comes from the State Innovation Model (SIM) grant awarded in 2014 to fund a four-year test period. SHIP is overseen by the governor-appointed Idaho Healthcare Coalition (IHC), which includes representation from the Idaho Health Care Council and the Idaho Medical Home Collaborative, family physicians, private and public health insurers, policymakers, public health districts, and consumers. The goals for SHIP include providing access to a PCMH for 80% of the state's population, expanding provider connectivity through electronic health data exchange, integrating primary care and behavioral health care, and aligning public and private payers to advance practice transformation.
For the goal of expanding access to a PCMH, SHIP builds on lessons learned from Idaho's previous medical home initiatives:
- The Idaho Medical Home Collaborative (IMHC) was formed in 2010 to facilitate medical home transformation among family medicine and pediatric practices in rural communities. The IMHC included primary care physicians, health insurers, health care organizations, the Idaho chapter of the American Academy of Pediatrics (AAP), and the state's Medicaid program. The IMHC ended in 2013, but was reconvened in 2014 as a member of the IHC to advise on PCMH transformation efforts statewide.
- The Idaho Medical Home Demonstration project launched in 2013, through a partnership between the Idaho Title V Maternal and Child Health program and the state Medicaid Children's Healthcare Improvement Collaborative (CHIC) project. The goal of the demonstration project was to examine whether medical home coordinators could successfully utilize the PCMH model to improve care for children and youth with special health care needs. Local public health departments recruited urban and rural clinics for participation in the project, and supported employment of medical home coordinators to facilitate PCMH transformation. Medical home coordinators worked with clinics to educate patients, coordinate referrals, and manage workflows to help implement the pediatric medical home. The CHIC demonstrated successful collaboration between rural primary care practices and local public health districts, and improved population health management and care coordination for pediatric patients with special health care needs.
SHIP is coordinating with other health initiatives in the state, particularly with respect to Long Term Services and Supports (LTSS). This includes the two Section 1915(c) waivers Idaho Medicaid currently operates to provide home- and community-based services to children with special needs: the Act Early waiver and Children's Developmental Disabilities waiver.
American Academy of Pediatrics