142nd APHA Annual Meeting and Exposition

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1115 Medicaid Waiver: Experience with Delivery System Reform between an Academic Cancer Setting and Community Partners

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Rosalind Bello, MA , Office of Health Policy, The University of Texas MD Anderson Cancer Center, Houston, TX
Daniel Pacheco, MBA , Office of Health Policy, The University of Texas MD Anderson Cancer Center, Houston, TX
Lewis Foxhall, MD , Office of Health Policy, The University of Texas MD Anderson Cancer Center, Houston, TX
The University of Texas MD Anderson Cancer Center is an NCI designated comprehensive cancer center located in Houston, Texas.  The center treated over 115,000 patients in 2013 of which 1/3 were new patients. The center’s Division of Cancer Prevention and Population Sciences and Duncan Family Institute supports prevention research and community outreach initiatives.

In December 2011, Texas received federal approval of an 1115 waiver from the Centers for Medicaid and Medicare (CMS). A primary element of the waiver is the Delivery System Reform Incentive Payment (DSRIP) pool.  This is used to incentivize hospitals and other providers to transform their service delivery practices to improve quality, health status, patient experience, coordination, and cost-effectiveness.

Through the waiver, MD Anderson is implementing five Category 2 Project Innovation and Redesign projects in partnership with community clinics.  There are three projects focused on tobacco cessation and prevention, one project with a focus on mobile mammography and one project working on colorectal cancer screening that is paired with the distribution of annual flu vaccinations. Three additional projects will be initiated in the near future.

This session will focus on 1) MD Anderson’s decision to implement external community-based DSRIP initiatives, 2) the benefits and challenges experienced by both MD Anderson Cancer Center and the community partners when implementing interventions under such a structured funding mechanism, and 3) how lessons learned for the initial five projects have been used to develop an additional three projects. This presentation will include direct feedback from community partners.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describe an academic cancer center’s experience in the development and implementation of community based cancer prevention and control projects via the 1115 Medicaid Waiver funding mechanism Describe community partners' experience in the development and implementation of community based cancer prevention and control projects via the 1115 Medicaid Waiver funding mechanism

Keyword(s): Cancer Prevention and Screening, Community-Based Partnership & Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as the lead staff member responsible for the development and implemenation of the 1115 Medicaid Waiver DSRIP projects at MD Anderson for the past two years. I have worked in public health for over 15 years and have had a focus on community health and intervention design and implementation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4182.0: Lessons learned from CBPR projects