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Innovation (SIM)

DC State Innovation Model

State Innovation Plan:

DC SHIP Final Document 7-31-16

DC SHIP Appendices Final Document


State Innovation Model

The Centers for Medicare & Medicaid Services (CMS) is collaborating with states and territories to support the design and implementation of new health service delivery and payment methods through the State Innovation Models (SIM) Initiative. In 2015, CMS selected the District of Columbia for a SIM Design Award of $999,998. Over the next year, DHCF will engage a diverse group of both private and public stakeholders, including payers, providers and consumers of health care services to develop a State Health Innovation Plan for the District of Columbia. The overall goal of the plan will be to bolster primary health care and to better coordinate the care of the District’s most vulnerable resident, in order to:
1. Improve the health of the District’s population;
2. Enhance the patient experience of care; and, 
3. Reduce or at least control healthcare costs in the District.
Why does the District want to improve how health services are delivered now?
Residents of the District of Columbia have one of the highest health care coverage rates in the nation. Despite the District’s substantial investment in health care, huge disparities exist between the health outcomes of many District residents. The SIM Award will allow us to take a step back and collectively determine the best strategy to improve the health of all District residents.
How will the District develop its State Health Innovation Plan?
Beginning in the Fall of 2015, and lasting through the Summer of 2016, DHCF will lead a SIM Advisory Committee and SIM Workgroups through:
  • assessing the availability of current health and social services in the District;
  • evaluating how, when, and where District residents are using these services;
  • determining the health and social service delivery changes and health information exchange infrastructure needed to improve  District residents’ health outcomes and satisfaction with services received; and
  • identifying the payment approaches needed to support and incentivize health service providers in delivering value-based, quality care.
The SIM Advisory Committee will meet at least six times over the next year and the meetings are open to the public. The public can actively participate in the SIM Workgroups that will focus on 
  • Care Models
  • Payment Models
  • Quality Metrics
  • Community Linkages
  • Health Information Exchange. 
The SIM Advisory Committee and SIM Workgroup meeting dates will be posted as they become available.
Recommendations from the SIM Advisory Committee and SIM Workgroups will be used to develop the District’s State Health Innovation Plan, which will be developed by July 31, 2016.
How to get involved
We want your input and participation in creating the District’s State Health Innovation Plan and have set up a couple of ways for collaboration:
1. Join a SIM Workgroup. If you are interested in joining one of the SIM Workgroups, please email [email protected].
2. Attend the SIM Advisory Committee meetings. 
  • September 15th
  • October 14th
  • January 13th
  • March 9th
  • May 11th
  • July 13th
3. The District’s SIM Website: Check this website often as new information becomes available such as SIM Advisory Committee and SIM Workgroup meeting dates, SIM Advisory Committee meeting minutes and recordings, information on health care innovation occurring in other states, innovative program in the District, 
4. Tweet your thoughts using the hashtag #SIM_DC and follow @DCHealthCareFin