IHPP Project List
Delivery System and Payment Reform Projects
NH Citizen’s Health Initiative
The NH Citizens Health Initiative is a multi-stakeholder effort working to develop a healthy population and high-quality, cost-effective and accessible health care system for our state.
NH CHI provides leadership, convening, project management, and research support across the Pillar projects including:
- New Hampshire Accountable Care Project: Transforming Systems through Shared Data and Learning
- Health Promotion/Disease Prevention
- Public Health and Clinical Integration Project through Tobacco Mitigation
- MapNH Health Project
NH Purchaser’s Group on Health
NH Purchasers Group on Health is a Coalition of public purchasers working to improve quality and efficient, effective health care and share best practices on areas of benefits, wellness, and contracts. Institute for Health Policy and Practice (IHPP) provides facilitation and staffing for NHPGH to advance their goals, apprise them of best practices and market data, and bring in expert resources on a project-specific basis. For more information about the NH Purchasers Group on Health, call 603-862-1128 or email email@example.com.
The NH Hospital Scorecard is sponsored by the NH Purchasers Group on Health; it highlights the quality and cost of health care in our state, and is an effort to get the public and the systems that provide medical care involved in a conversation about what we can collectively do to improve quality and cost.
NH Department of Health and Human Services Core Contract
IHPP works with DHHS-Office of Medicaid Business and Policy for project management, research, and analysis on a range of topics in the area of Medicaid policy, population-based health care data and standardized datasets, and program and budget development.
NH Accountable Care Project Learning Network
The Accountable Care Project (ACP) Learning Network has developed and created a set of analytic reports to provide systems undergoing transformation a capacity to compare performance on measures of quality, utilization and cost across systems and regions. The ACP analytic reports include two sets of report types:
- The claims-based reports, driven by the NH Comprehensive Health Information System (NHCHIS) data, have both private access for participating organizations and a "public" access for non-participating health care stakeholders. The full report suite includes data for Commercial, Medicaid and Medicare populations.
- The Electronic Medical Record (EMR) quality report is based on self-reported data from participating organizations. The aggregated median rates report provides a benchmark for comparison around key quality measures. The Access to the EMR reporting tool is limited to participating partners.
The purpose of these reports is to provide data and analysis on which our Accountable Care Project Learning Collaborative can share learning and develop action plans that can be adopted by health care innovators in New Hampshire. The Accountable Care Project was formed with funding from the Robert Wood Johnson Foundation.
MapNH Health is a dynamic web-based resource that projects the health and health system needs of New Hampshire in 2020 and 2030, based on current health outcomes and population projections. It is also a catalyst for conversation around the implications of shifting demographics and economics, disease burden, primary care demand, and what we can do in our state to ensure an adequate health future for all our residents.
NH Pediatric Improvement Partnership
The NH Pediatric Improvement Partnership (NHPIP) is a multisectoral collaborative of private and public stakeholders dedicated to improving child health through the use of measurement based quality improvement processes in primary care settings in NH. The NHPIP is coordinated by the Institute for Health Policy and Practice at UNH, with Medical Director leadership from the Children’s Hospital at Dartmouth. Examples of project work conducted by the NHPIP include:
- Developmental Screening QI Learning Collaborative (Cohort 2): assisting NH pediatric and family practice clinicians in implementing developmental screening at the AAP recommended intervals of 9, 18, and 30 months.
- Pediatric Neurology Telehealth Project: in collaboration with NH Family Voices, NH Special Medical Services, the Children’s Hospital at Dartmouth, and the Dartmouth Center for Telehealth, supporting up to 4 NH pediatric primary care practices with implementation of tele-consults and telehealth visits for children with epilepsy.
- Delivery of Oral Preventive Health Services in Primary Care Settings Environmental Scan: assessing where and how to promote the optimal delivery of AAP recommended oral preventive health services in pediatric primary care settings in NH
- HPV Vaccination QI Learning Collaborative (Cohort 1 & 2): assisting the National Improvement Partnership Network with recruiting NH pediatric and family practice clinics to participate in the HPV immunization quality improvement learning collaborative.
Behavioral Health Integration
This grant will help the Initiative further the efforts of integrating behavioral health into primary care, driven by evidence-based, sustainable models.
Northern New England Practice Transformation Network
The Northern New England Practice Transformation Network, a partnership between the New Hampshire Citizens Health Initiative at the University of New Hampshire Institute for Health Policy and Practice, Maine Quality Counts, and Vermont Program for Quality in Healthcare, Inc., will receive up to $15 million over four years to provide technical assistance support to help equip clinicians in New Hampshire, Maine and Vermont with tools, information, and network support needed to improve quality of care, increase patients’ access to information, and spend health care dollars more wisely.
Rural Health Clinic Technical Assistance Network (with NH Community Health Institute)
The NH Citizens Health Initiative is pleased to be working with the NH Community Health Institute, under contract with the NH Division of Public Health Services, to develop and support a Technical Assistance Network for NH Rural Health Clinics. The network will equip Rural Health Clinics with the tools and resources necessary to effectively and efficiently serve their rural populations. The NH RHC Technical Assistance Network will provide support for NH RHCs specific technical assistance needs relative to practice management, RHC recertification, financial reporting, billing, data collection and reporting, and quality improvement. The network will also provide support for an RHC Hypertension Learning Collaborative, including clinical quality management reporting and quality improvement practices to improve hypertension clinical processes. Participating Rural Health Clinics will also have access to the Initiative’s Accountable Care Project reporting tools.
Health Analytics and Informatics Projects
All Payer Claims Database (APCD) Council
The APCD Council, formerly known as RAPHIC, is a federation of government, private, non-profit, and academic organizations focused on improving the development and deployment of state-based all payer claims databases. The Council provides early stage technical assistance to states, develops Federal and payer partnerships, promotes data standards, and conducts educational events. The APCD Council is convened and coordinated by IHPP and the National Association of Health Data Organizations (NAHDO).
Analytics for Accountable Care Project
IHPP provides analysis and visual analytics for the Accountable Care Project, which works with providers, carriers and purchasers to support data reporting and knowledge sharing for accountable care development efforts in NH. Currently, IHPP is using the SAS® Visual Analytics Software® to support the project.
IHPP partners with the NH Department of Health and Human Services to support NH HealthWRQS, a web-based query analysis system that allows public health practitioners the ability to query data and view reports instantly about the health of New Hampshire communities.
Quality Assurance for NH Comprehensive Healthcare Information System data
IHPP develops protocols and completes the QA process for NH CHIS data to support the work of the NH Department of Health and Human Services.
Analysis of NH Medicare Data
IHPP provides analysis of NH Medicare data to the NH Department of Health and Human Services (NH DHHS), including measures of disease burden, utilization of healthcare services and cost of care.
Analysis of NH Oral Healthcare Claims Data
With funding provided by the HNH Foundation, IHPP is developing a demonstration of the utility of dental claims data for analysis. Analysis will include linking medical and claims data, understanding dental service delivery, and analysis specific to provider types and populations.
NH Purchasers Group on Health Analytic Reports
IHPP manages the analysis of data for the NH Purchasers Group on Health, a coalition of public purchasers working to improve quality and efficiency, affect healthcare trend, and share best practices on benefits, wellness and contracts. The analysis report include a range of cost and utilization measure, including state-level benchmark reports.
NH Medicaid Quality Information System
With funding from the Centers for Medicaid and Medicare Services Adult Medicaid Quality program, IHPP is contracted with NH DHHS to develop and maintain the NH Medicaid Quality Information System.
New Hampshire Medicaid Electronic Health Record Incentive Program
IHPP develops and administers the New Hampshire Medicaid Electronic Health Record (EHR) Incentive Program for the NH DHHS. This federally-sponsored program provides incentive payments to Eligible Professionals and Eligible Hospitals as they demonstrate adoption, implementation, upgrade, or meaningful use of certified EHR technology. This incentive program is designed to support providers during this period of health information technology transition and instill the use of EHRs in meaningful ways to help our nation to improve the quality, safety, and efficiency of patient health care.
Long Term Care and Aging Projects
Center on Aging and Community Living
The Center on Aging and Community Living (CACL) is a collaboration between the Institute on Disability (IOD) and the Institute for Health Policy and Practice (IHPP) at the University of New Hampshire (UNH). These two institutes have been actively engaged in projects related to aging and long term care for many years. CACL provides ongoing support in designing, implementing, and evaluating systems change initiatives to various partners in the aging network. By maximizing available resources and providing assistance, CACL ensures that New Hampshire will benefit from an integrated center for applied research, evaluation, and trainings relevant to aging and community living.
Money Follows the Person
Through a contract with the NH Department of Health and Human Services (DHHS), IHPP provides staff for program administration, data analysis, and housing specialist undet the state's CMS Money Follows the Person project.
Aging and Disability Resource Center Technical Assistance Contract
Through a contract with the NH DHHS- Bureau of Elderly and Adult Services, staff provide technical assistance to the NH DHHS ADRC Part A: Enhanced Options Counseling project. Staff assist BEAS and the ServiceLink Aging and Disability Resource Center Network in enhancing the services and systems of NH’s ADRC project. Key projects include:
- No Wrong Door Systems Change: This aspect of the project supports the enhancement of NH’s No Wrong System across all populations and all payers for individuals looking for support to understand and access long term services and supports (both formal and informal).
- Person-Centered Care Transitions: IHPP is supporting the work to pilot evidence based care transitions models with ServiceLink Aging and Disability Resource Centers and local hospitals, assisting all ServiceLink Aging and Disability Resource Centers with care transitions partnerships in their communities, and facilitating the state-wide Partnership for Care Transitions meetings. The Partnership for Care Transitions meetings are held quarterly in Concord. Contact Laura Davie if you would like more information.
- Evaluation: Under this area of the technical assistance contract, staff support the evaluation of the ADRC program in New Hampshire and assist with specific pilot program evaluations.
- Section Q Project: In partnership with the Money Follows the Person Program, the goal of this project is to strengthen education and outreach to both ServiceLink Aging and Disability Resource Centers and nursing facilities to ensure that residents interested in learning about their community living options regardless of payer source receive information, and offer a seamless MDS 3.0 Section Q referral process. A major accomplishment of this project was creating a sustainable training mechanism for Person-Centered Section Q implementation and referral. Click here to visit the DHHS training site.
Public Health and Health Promotion Projects
Established in 2008 through a charge from UNH President Mark Huddleston, Healthy UNH is a program that enhances the mission of the University by supporting the lifelong health and wellness of the UNH community.
Individual choices in physical activity, psychological health , nutrition, and healthcare consumerism impact overall health and healthcare costs. In collaboration with other departments, Healthy UNH provides education, awareness, and connections to support resources for the campus community in these four key areas:
- Physical Activity
- Psychological Health
- Health Care Consumerism
NH DHHS MCH Epidemiologist
This collaboration between the NH Division of Public Health Services, Maternal and Child Health Section (MCHS) and IHPP supports a doctoral level State Maternal and Child Health Epidemiologist. The arrangement benefits both institutions. It provides MCHS with the capacity for sophisticated analysis and evaluation of health data to assure:
- priorities are based on accurate data;
- resources are allocated based on need, and
- programs are monitored and evaluated to assure they are improving health behavior and outcomes.
UNH benefits in that its faculty has practical and current understanding of the status of maternal and child health and public health in New Hampshire, in addition to an academic view. The epidemiologist also serves as a faculty member of the accredited UNH Master of Public Health Program, bringing real world public health to the academic setting.
Health Law and Policy Projects
Model All-Payer Database Legislation
The Health Law and Policy team has worked to enhance the public availability of critical healthcare claims data needed for the development of innovative public health and policy strategies across the country.
With the APCD Council, the team published “Model All-Payer Claims Database Legislation.” The model legislation provides guidance for developing legislation for state all-payer claims database systems. The Health Law and Policy Team has helped draft briefs for SCOTUS comments to federal meetings and information for states and employers regarding the impact of the Gobeille decision on All Payer Claims Database efforts.
Resource Guide and Video for Addiction and Mental Health Care Consumers
Recognizing there is a growing need to educate consumers with health insurance coverage in New Hampshire about how to navigate addiction and mental health care services, the University of New Hampshire School of Law and UNH’s Institute for Health Policy and Practice, in collaboration with the nonprofit New Futures, developed this guide to help individuals and families in the state access addiction and mental health care services. Watch the video and download the guide
NH Purchasers Group on Health (NHPGH)
IHPP brought together the four largest public purchasers in NH to support the mission of improving quality and reducing costs in health care. NHPGH implements consumer and employee engagement strategies to encourage the appropriate utilization of quality health care in NH. IHPP reviews regulatory developments impacting healthcare delivery and payment reform with NHPGH.
Updated June 29, 2017