Committees & Workgroups

SIM Steering Committee
The SIM Steering Committee held its first meeting on March 10, 2015 and has met monthly ever since (excluding a summer hiatus). This committee is the public/private governing body for the grant effort. It is charged with setting the strategic direction and policy goals. While regulatory promulgation and procurement issues will continue to rest with the state government, the Steering Committee exercises leadership discretion over the implementation of the SIM grant. The current Steering Committee is comprised of several members of the original Healthy Rhode Island Steering Committee (convened during the SIM Model Design process) who were actively engaged in the development of the SIM Grant and participated in the face-to-face interview for the SIM Test Grant proposal, and other community stakeholders.

SIM Sustainability Workgroup
The SIM Sustainability Workgroup launched in late Fall 2017 and held its first meeting in December 2017. The meeting included a diverse group of key stakeholders including Steering Committee members, state agency leaders, vendors, community agencies, and health sector partners. The Workgroup's main objective is to help guide the development of a set of Sustainability Recommendations for consideration by the full Steering Committee in the Spring 2018. The adoption and implementation of the final recommendations to ensure future sustainability will direct SIM's work in the fourth year of the federal grant (July 2018- June 2019).
All Sustainability Workgroup meetings are open, public meetings and SIM encourages diverse and full participation. Agenda and meeting summaries are posted on the  RI Secretary of State  website, and you can find a complete set of meeting materials after each meeting on the SIM Meetings and Agendas  webpage.  

Integrated Population Health Plan Workgroup
The Integrated Population Health Workgroup was convened to provide subject matter expertise and general community input into the population health needs of Rhode Islanders and the existing, and potentially new, activities to improve population health outcomes.

Measure Alignment Workgroup
The Measure Alignment Workgroup held 12 meetings between July 2015 and March 2016. The goal that the workgroup set for itself was to develop a menu of measures from which payers could pick, and specific core sets of measures to be included in all contracts. At the outset, the workgroup adopted 11 criteria for measure selection:

  1. Evidence-based and scientifically acceptable;
  2. Has a relevant benchmark (use regional/community benchmark, as appropriate);
  3. Not greatly influenced by patient case mix;
  4. Consistent with the goals of the program;
  5. Useable and relevant;
  6. Feasible to collect;
  7. Aligned with other measure sets;
  8. Promotes increased value;
  9. Presents an opportunity for quality improvement;
  10. Transformative potential; and
  11. Sufficient denominator size.
The workgroup used the measure selection criteria to assess the relative merits of including measures in the menu and core sets. Measure selection criteria were also used to score designated measures for a second round of review. The workgroup reviewed existing measures used in value-based contracts between payers and providers in Rhode Island. These measures were cross-walked to the CMS Medicare Shared Savings Program and 5-Star measure sets to assess alignment using the Buying Value Tool. The measures were also cross-walked to SIM population health priorities, including diabetes, obesity, tobacco use, and hypertension. Measures were grouped by domain, including preventive care, chronic illness care, institutional care, behavioral health, overuse, consumer experience, utilization, and care coordination. The measures represented a mix of claims-based measures, and measures based on clinical data, or a combination of claims and clinical data. The measure review process took several

 

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