Call for Innovative Practices

Has your organization created or adapted an innovative practice?

The SIE is seeking applications in the following areas

Webinar

Why Should My Organization Submit An Application to the SIE?

Participants will learn more about the Strategic Innovation Engine and its goal to advance the spread of high value, high impact health care quality innovations. The SIE team will describe the benefits to the organization of submitting an application as well as how their contributions will help CMS achieve the three part aim – better care, healthier people and smarter spending. By the end of the webinar, participants will know the why and the how of submitting an innovative practice to the SIE and the process by which it will be evaluated. Participants will have an opportunity to answer questions and provide feedback.

The graphic contains the name Strategic Innovation Engine with the tagline: “Spreading Innovative Practices in Health Care Quality”. To the right of the lettering are a series of hexagons containing graphic representations of medical symbols like the caduceus, a microscope, a syringe, a pill and so forth.

About the SIE

 
 

The SIE’s mission is to rapidly move innovative, evidenced-based quality practices from research to implementation through the QIO-QIN program and the greater healthcare community. It seeks to advance CMS’ three part aim – better health care, better health and smarter spending.

All SIE activities align with the CMS Quality Strategy Goals:

  • Make care safer by reducing harm caused in the delivery of care.
  • Strengthen person & family engagement as partners in their care.
  • Promote effective communication & coordination of care.
  • Promote effective prevention and treatment of chronic disease.
  • Work with communities to promote best practices of healthy living.
  • Make care affordable

The Executive Leadership Council (ELC), a panel of nationally-known quality improvement thought leaders, guides SIE efforts. Each ELC member offers expertise in one or more of the CMS quality goals. To support CMS' quality improvement program, the ELC sets the strategic direction, recommends emerging topics for further exploration, and proposes future areas of focus within the quality improvement program. The council draws on experts and practitioners in the field to ensure that safe, effective practices are available for use by providers seeking to improve the health of people/communities and provide better, more affordable health care.

 

I am pleased to join the ELC as a step toward helping health care find and adopt the redesigns that will allow the Triple Aim to be realized. Progress will be much faster if we establish and nourish shared learning across our nation

– Donald Berwick

As a patient family centered care advocate and consultant, and more importantly as the mother of chronically ill child, I hold the hope that our council will be a leader in transforming healthcare to what we know it should be and can be, for ourselves and for our loved ones. I joined this council knowing that culture change is challenging, but also knowing there are many opportunities to build, strengthen and encourage partnerships between ALL members of the care team, and that includes patients and families.

– Hala Durrah

Collaborating on the Executive Leadership Council is an important opportunity for identifying actionable, public-private interest in aligning efforts to meaningfully transform healthcare delivery in the U.S.

– Lucy Savitz
The SIE is managed by IMPAQ International under the direction of Tennille Daniels. Abt Associates, HRET, Health Insight and Pantheon support IMPAQ’s efforts.

The SIE Process

 
 

The SIE process begins and ends with the QIN-QIO program and the greater health care community. The diagram below illustrates the engine's process.

3) Spread

For innovative practices that emerge from the evaluation process, the SIE creates and disseminates a Quality Improvement Innovation Package (QIIP).
Jump to more information on dissemination and spread.

2) Evaluate

Through its Expert Panel, the SIE reviews identified innovative practices culled from the field against a set of established criteria for potential spread.
Jump to more information on the evaluation process and criteria.

1) Identify

The SIE identifies areas where the greatest gains can be made and the greatest pockets of untapped value exist; and solicits submissions of innovative practices from the field.
Jump to more information about identifying these areas.

Any innovative practice submitted to the Strategic Innovation Engine, as a contractor of the Centers for Medicare and Medicaid Services, becomes part of the public domain. While the submitting organization will retain ownership , the SIE will share information about the innovative practice with the health care community. Our ultimate goal is to work together to achieve better health care, better health, and smarter spending.

[1] Bauer, U.E., Briss, P.A., Goodman, R.A., et al. (2014). Prevention of Chronic Disease in the 21st Century: Elimination of the Leading Preventable Causes of Premature Death and Disability in the USA. The Lancet, 384(9937):45-52.
[2] Gerteis J., Izrael D., Deitz D., et al. (2014). Multiple Chronic Conditions Chartbook. AHRQ Publications No, Q14-0038. Rockville, MD: Agency for Healthcare Research and Quality. 
[3] James, J. (2013). Health Policy Brief: Patient Engagement. Health Affairs:1-6.
[4] Bodenheimer, T. (2008). Coordinating care--a perilous journey through the health care system. New England Journal of Medicine, 358(10), 1064–1071.
[5] Institute of Medicine. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: The National Academies Press, 2013. doi:10.17226/13444.
[6] Scharf, D. M., Eberhart, N. K., Schmidt, N., Vaughan, C. A., Dutta, T., Pincus, H. A., & Burnam, M. A. (2013). Integrating Primary Care Into Community Behavioral Health Settings: Programs and Early Implementation Experiences. Psychiatric Services, 64(7), 660-665.
[7] Ibid
[8] Ray-Sannerud, B., Dolan, D., Morrow, C., Corso, K., Kanzler, K., Corso, M., & Bryan, C. (2012). Longitudinal outcomes after brief behavioral health intervention in an integrated primary care clinic. American Psychological Association, 30(1), 60-71.
[9] Patel V, Belkin GS, Chockalingam A, Cooper J, Saxena S, Unützer J (2013) Grand Challenges: Integrating Mental Health Services into Priority Health Care Platforms. PLoS Medicine, 10(5).
Evaluate

Evaluate

The SIE developed a set of criteria on which to assess the value and implementability of submitted innovative practices.  An Expert Panel, composed of experts in the selected topics, will evaluate submissions to determine their readiness for spread.

Evaluation Criteria

The SIE devised evaluation criteria to classify innovative practices on their value, defined as the six CMS goals plus evidence and quality , and the difficulty of implementation. The criteria are organized into three domains – Planning and Executing, Engaging and Reflecting and Evaluating. The subdomains within each domain are shown here:

The evaluation criteria are divided into three main domains – Planning and Executing, Engaging, and Reflecting and Evaluating.  Each domain includes subdomains: Planning and Executing has five subdomains: 1 Goals 2 Resources/Cost 3 Evidence 4 Approach 5 Complexity. Engaging has four subdomains: 1 Networks/Cosmopolitanism 2 Leadership, Stakeholders and Frontline  Staff 3 Patient Needs and Resources 4 Training. Reflecting and Evaluating has three subdomains: 1 Results 2 Feedback and Lessons Learned 3 Sustainability and Adaptability

We will score every submission on each domain and subdomain. The total score will fall into one of these four quadrants:

The SIE Evaluation Matrix scores all submissions on their value, defined as the six CMS goals plus evidence and quality, and difficulty of implementation. These scores are plotted on a graph.  On the Y axis, the value score moves from lowest at the bottom of the axis to highest at the top of the axis. On the X axis, the difficulty of implementation score moves from lowest at the left of the axis to highest on right of the axis.   The resulting matrix classifies submissions in one of four quadrants: 1 Low  Value, Easy to Implement (Lower Left Quadrant), 2 High Value, Easy to Implement (Upper Left Quadrant), 3 Low Value, Hard to Implement ( Lower Right Quadrant), 4 High Value, Hard to Implement (Upper Right Quadrant)
Expert Panel

Each Expert Panel is composed of eight to ten SMEs with expertise in the six CMS quality goals and the Call’s topic areas. Panel members aligned with the six CMS quality goals evaluate submissions from more than one Call for Innovative Practices.  Topic area SMEs change to match the subjects of each round of calls.  The SIE will select SMEs who represent a broad range of clinical backgrounds and settings.

Contact SIE

 
 

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