An Evaluative Examination of Delaware’s Unique Stakeholder Driven SIM Initiative
The State Innovation Models (SIM) Initiative is a federal program launched by the Center for Medicare & Medicaid Innovation (CMMI) granting states funds to test strategies to transform health-care their health-care system. To date, 38 states and territories are being supported by SIM grants.
Consistent with CMMI’s intent, Delaware (DE) SIM is aimed at reducing healthcare spending, improving healthcare quality, improving health outcomes and addressing issues related to provider satisfaction. DE SIM has been described as a stakeholder-driven initiative built upon a public-private partnership. While funds were awarded to the State’s Health Care Commission (HCC) implementation happens largely through the newly established Delaware Center for Health Innovation (DCHI), a private, non-profit organization. DCHI supports the work of five standing committees of voluntary stakeholders who carry out the DE SIM plan with support from HCC, DCHI staff, and consultants.
CSI worked with Delaware’s HCC to measure the efficacy of DE SIMs systems and supported the evolution of the processes created by the unique stakeholder driven initiative. Stakeholders were engaged utilizing various methods to accommodate our clients need for rapid cycle results to help facilitate ongoing programs as they worked toward their milestone goals. The priority evaluation questions for AY2 of the state-led evaluation focused on the assumptions of DE SIM about the relationships between activities, outputs and outcomes to contribute to stakeholders’ understanding of what is working, what is not, and what needs to be adjusted.
The full report may be found here.
A comprehensive brief of the report may be found here.