The UC Berkeley Center for Healthcare Organizational and Innovation Research (CHOIR) has been awarded research funding of $2.2 million to examine the impact on diabetes prevention and management of a nationwide initiative to innovate in health care delivery. This grant is supported by the Centers for Disease Control and Prevention and the National Institute of Diabetes and Digestive and Kidney Diseases.
Since 2013, State Innovation Models (SIM) initiative, launched by the Center for Medicare and Medicaid Services (CMS), has provided more than a billion dollars in federal grants to states to design and test innovative, state-based multi-payer health care delivery and payment systems. Different states are at different stages of implementation of their plans, giving a natural experiment environment from which to evaluate the success of the initiative.
The five-year CHOIR project will measure the impact of the SIM initiative on health behaviors relevant to diabetes prevention and reduced complications of diabetes at the population level. In addition, the project will examine the role of increased adoption of diabetes care management processes, advanced health information technology capabilities, and the patient-centered medical home model, and accountable care organization participation among physician organizations in explaining improvements in diabetes prevention and management in SIM states. The economic impact of the diabetes care prevention and management improvements attributable to the SIM Initiative will also be estimated.
“The project will yield actionable analyses to state and local health officials, and public health and health care delivery stakeholders of the impact of the SIM Initiative on improvements on diabetes prevention and management,” said the study's principle investigator Hector P. Rodriguez, associate professor of health policy and management at the UC Berkeley School of Public Health and co-director of CHOIR.
Co-investigators include Stephen M. Shortell and Brent Fulton of the UC Berkeley School of Public Health, Diane Rittenhouse of UCSF, and Carrie Colla of Dartmouth College.