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Rhode Island State Innovation Model (SIM) Test Grant

BACKGROUND

The Rhode Island State Innovation Model (SIM) Program began in 2015 when the Centers for Medicare and Medicaid Services (CMS) awarded Rhode Island a $20 million grant to promote positive changes to our healthcare system and to improve Rhode Island's population health.

RI SIM'S VISION IS TO ADVANCE THE TRIPLE AIM

SIM is working to achieve the Triple Aim by:                                                              

  • Improving the quality of care and patient satisfaction,
  • Enhancing the overall health of Rhode Island's population, and
  • Spending our healthcare dollars more wisely

SIM's investments are supporting the people--providers, patients, and their families--who must adapt to the changes in our system that will result from working toward the Triple Aim.

RI'S HEALTHCARE SYSTEM IS ALREADY CHANGING

Our healthcare system is already changing from one based on volume to one based on value.  This means that providers will be rewarded for improving their patients' health, not for simply seeing patients within their office.  SIM believes that:

IF WE..

  • Support providers in adapting to a changed care delivery and payment system,
  • Empower patients to navigate this new system effectively, and
  • Ensure basic community needs are addressed by the system;

THEN WE...

  • Will improve the health of Rhode Islanders and make progress toward our vision.

IMPROVING HEALTH REQUIRES CONSIDERING THE WHOLE PERSON

In Rhode Island, we believe it is critical to redefine the way we think about an individual's entire health and well-being.

  • Whenever we say "improve health," we mean both physical and behavioral health.
  • When we say physical health, we include oral health.
  • When we say behavioral health, we mean both mental health and substance use.

                                                             

Improving population health requires us to focus on:

  • Physical and behavioral health outcomes;
  • Mortality, life expectancy, and health-related quality of life; and
  • Disparities across each of these considerations.

SIM TRANSFORMATION WHEEL GUIDED OUR INVESTMENT STRATEGY

 

SIM'S FUNDED ACTIVITIES EQUIP RHODE ISLAND WITH NEW RESOURCES AND KNOWLEDGE TO:

  • Reshape how we provide healthcare;
  • Change how we pay for healthcare services;
  • Encourage us to treat the physical and behavioral health needs of patients at the same time;
  • Address community factors that affect a patient's behaviors and health--such as housing, transportation, education, and food access; and
  • Promote sharing and using data in our health system to inform policy and clinical decision-making

NOW IN OUR FOURTH YEAR, SIM'S WORK ACROSS FIVE MAJOR STRATEGIES HAS MOVED THE NEEDLE ON HEALTHCARE REFORM IN RI

                  

FOR MORE INFORMATION

Background

SIM-Funded Projects

Committees & Workgroups

Publications

Contact:    Marti Rosenberg, SIM Director, marti.rosenberg@ohic.ri.gov, 401-462-6092

 

 

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