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Making the Most of Value-Based Care Opportunities

Targeted Quality Improvement to Improve Health Outcomes and Payment Learning Collaborative

As the District of Columbia and its Medicaid Managed Care Plans continue to build toward an integrated health system that delivers whole-person care, value-based payment (VBP) is becoming an increasingly large segment of a Medicaid providers’ financial stability. Achieving success in VBP arrangements requires understanding the payment mechanisms, the quality metrics in your arrangements, and how to work as a care team to target increased performance to improve care and outcomes and earn incentive payments.

In this learning collaborative, participants will learn about Medicaid value-based payment arrangements in the District of Columbia, how these apply to their own provider practice, and how to work towards improving care tied to payment. After the initial introductory overview session, participants, in collaboration with the Integrated Care DC team, will select one of three content-specific tracks to deep-dive into improving a VBP metric. There will be four learning cycles which will run from July 2024 through May 2025.

Participants will commit to engaging in quality improvement activities, determined by the participant with assistance from the experts. Come collaborative to improve care for your population and improve your provider practice’s financial stability!

Upcoming Events

Why Participate?

Be a Value-Based Payment Leader

  • Learn from experts about best practices for improving care for measures that matter to your patient population and value-based payment.
  • Receive tailored assistance through multiple group and individualized learning opportunities.
  • Learn how to engage your care team, and keep them engaged.
  • Share challenges and best practices with your peers.
  • Hear from and share your perspectives and learnings with the managed care plans.
  • Identify opportunities to spread these learnings to other VBP metrics for improved overall performance.

What Does Participation Include?

Participants will receive group and individual technical assistance from subject matter experts and will have opportunities to learn and share with each other. Participants will be asked to commit to active participation in all sessions and to complete assignments between group meetings.

Office hours and individualized TA opportunities will be offered throughout, for personalized, tailored assistance when you need it.

Introduction and Overview Webinar Sessions: June 11, 2024 and June 20, 2024

Making the Most of Value-Based Care Opportunities in the District of Columbia: Introduction to the Quality Improvement Learning Collaborative

  • This initial webinar will present the foundational basics of Medicaid VBP in the District of Columbia, including different Medicaid Managed Care Plan’s programs. The session will also provide an overview of the offerings and requirements of the Learning Collaborative and next steps for enrollment.

Enrollment into the Learning Collaborative:  June through July, 2024

Following the session, participating provider practices will complete a brief assessment of their VBP contracts to assist in choosing a track:

  • Track 1: Pediatric Care: Well-child visits
    • Children’s health and well-being are critical for overall development and promoting optimal health across the lifespan. Well-child visits promote preventive care, early screening and identification, vaccination and immunization, and parent education, which all contribute to better health outcomes and health management for children, thus reducing overall healthcare costs.
  • Track 2: Care of Acute and Chronic Conditions: Potentially Preventable Admissions
    • Successful management of conditions in the primary care setting care prevent costly hospital admissions. Preventing these hospitalizations with appropriate primary care improves the overall quality of care to patients, improves measurable health outcomes for health systems and helps providers become more efficient in their delivery of care to their patients.
  • Track 3: Maternal Care: Timeliness of Prenatal and Postpartum Care
    • Timely care at both the beginning of a pregnancy and postpartum is important for both the pregnant women and the child. Early prenatal testing, ideally in the first trimester, ensures an accurate due date and allows early detection of many potential conditions. Timely postpartum care is essential for following up on pregnancy complications, identifying new conditions, and screening for behavioral health issues such as post-partum depression, anxiety, and substance use disorder.

What You’ll Gain

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Understanding of D C 's Medicaid VBP models and quality metrics

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Best practices for delivering coordinated, team-based care

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Strategies to improve outcomes and earn more incentive payments

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Tailored assistance through group and individualized learning sessions

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Opportunities to share perspectives with managed care plans and peers

Learning Cycle 1:

Team Engagement, Understanding and Developing Logic Models, and Understanding Best Practices for your chosen track. Exact dates coming soon – based on track.

  • Participate in Learning Cycle 1A webinar: Topic – Team engagement and quality improvement logic models. July 2024
  • Participate in Learning Cycle 1B webinar: Topic – Best practices to improve your selected measure. August 2024
  • Develop a plan to improve the measure: Tool – logic model. September 2024
  • Participate in the 1-day in-person Learning Collaborative session.
    • Date to be confirmed soon within the dates of September 30 to October 2, 2024.
    • Participants will:
      • Share your logic model and get feedback from your peers.
      • Learn how to Keep the Momentum Going—Continued team engagement and overcoming barriers.
    • Engage in a working session to develop a plan for mitigating potential barriers.
    • Participants are welcome to stay for the other tracks: Continued learning from your peers’ experiences!

Learning Cycle 2: October to December 2024

Action period: Implement your quality improvement plan.

  • Ongoing learning: receive expert webinars and support to improve your knowledge, help you overcome barriers, improve care, and understand your data.
  • Participate in the 1-day in-person Learning Collaborative session.
    • Date to be confirmed soon within January 7 to January 9, 2025.
    • Participants will:
      • Share your progress and get feedback from your peers.
      • Learn how to Develop a Plan for Sustainability and Spread
      • Engage in a working session to develop a plan for sustainability of quality improvement, and spread to other VBP metrics.
      • Participants are welcome to stay for the other tracks: continued learning from your peers’ experiences!

Learning Cycle 3: January to March 2025

Action period: Continue implementing your quality improvement plan.

  • Ongoing learning: receive expert webinars and support to improve your knowledge, help you overcome barriers, improve care, and understand your data.
  • Participate in a peer sharing webinar in April 2025. Participants will:
    • Share your progress and get feedback from your peers.
    • Participants are welcome to attend for the other tracks: continued learning from your peers’ experiences!

Learning Cycle 4: April to May 2025

Action period: Continue implementing your quality improvement plan.

  • Ongoing learning: receive expert webinars and support to improve your knowledge, help you overcome barriers, improve care, and understand your data.
  • Participate in the 1-day in-person Learning Collaborative session.
    • Date to be confirmed soon within June 9 to June 11, 2025.
    • Participants will:
      • Share Final Lessons and get feedback from your peers.
      • Hear Aggregation of Results and Lessons Learned
      • Celebrate you and your peers’ successes!
      • Participants are welcome to stay for the other tracks: continued learning from your peers’ experiences!

Subject Matter Experts

Here to guide and support your VBP quality improvement journey:

Kelli Stannard Profile Photo HMA

Kelli Stannard, BSN, RN, Pediatric Care Subject Matter Expert and Track Lead

“I enjoy working with programs that are seeking innovative ways to improve child health outcomes, especially using quality improvement to drive projects that will have a lasting and collective impact. Using the Learning Collaborative approach is exciting because teams get to work together and learn alongside each other, which leads to wonderful discoveries and impactful work, both at the individual and organizational level.”

Read Kelli’s Full Bio

Melita King Profile Photo

Melita Ellis King MD, MA, Care of Acute and Chronic Conditions Subject Matter Expert and Track Lead

“I am excited to lead this track because as a primary care provider, I am constantly looking for ways to improve how we provide care to patients while keeping them at the center of what and why we make changes in healthcare. This project will give me the chance to continue being part of the solution and to innovate and impact improvements to how we provide care.”

Read Melita’s Full Bio

Kelli Stannard Profile Photo HMA

Elizabeth Wolff, MD, MPA, Maternal Care Subject Matter Expert and Track Lead

“I went into family medicine to care for women across their reproductive lives and address the needs of their families. The struggle to improve maternal health outcomes in D.C. is multifaceted, and an important component is ensuring high-quality, timely pre and postnatal care.”

Read Elizabeth’s Full Bio

Reem Sharaf HMA Profile Photo

Reem Sharaf, LICSW, MSW, Maternal and Pediatric Care Subject Matter Expert and Project Lead Support

“As a licensed clinical social worker and former trauma therapist, I’m passionate about prevention and early intervention work in improving outcomes for women, children, and their families. I look forward to engaging with and supporting change makers and thought leaders in the District of Columbia to strategize on and facilitate evidence-based solutions for their service communities.”

Read Reem’s Full Bio

Jodi Pekkala HMA Profile Photo

Jodi Pekkala, MPH. Quality Improvement Subject Matter Expert and Project Lead

“I’m looking forward to this opportunity to continue to provide technical assistance and support to providers in the District of Columbia. Value-based payment is a mechanism to support high-performance patient care, and I’m proud to support provider organizations in increasing their understanding of VBP and quality improvement to better support their patients and providers.”

Read Jodi’s Full Bio

Integrated Care DC is managed by the DC Department of Health Care Finance (DHCF) in partnership with the DC Department of Behavioral Health (DBH). This project is supported by the U.S. Department of Health and Human Services (HHS). A total of $4,598,756, or 74 percent, of the project is financed with federal funds, and 1,639,167, or 26 percent, is funded by non-federal sources. The contents are those of the author(s) and do not necessarily represent the official views of, or an endorsement by, HHS or the U.S. Government.