School-Based Health Center Improvement Project (SHCIP)
What is the School-Based Health Center Improvement Project (SHCIP)?
In 2009 the U.S. Congress passed the CHILDREN’S HEALTH INSURANCE PROGRAM REAUTHORIZATION ACT OF 2009 (CHIPRA). In SECTION 401(D) of that act, Congress created a Quality Demonstration Grant program. Congress cited the fact that American children experience worse health and higher levels of mortality than do children from most other developed nations and receive recommended care only 42 percent of the time.
The goal of this funding opportunity is to establish and evaluate a national quality system for children’s health care provided through the Medicaid program and the Children’s Health Insurance Program (CHIP). This was to be accomplished by awarding ten demonstration grants to States funded by the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). On September 30, 2009, the Centers for Medicare and Medicaid Services announced the availability of $100 million for this funding opportunity with $20 million to be awarded each fiscal year (FY) over a five-year period of performance.
The Department of Health Care Policy and Financing applied for this grant opportunity with the State of New Mexico’s Human Services Department (which manages the NM Medicaid Program), as our partner, and were awarded a grant, over five years, of $7,784,030. The project ends in February, 2015.
In this application, Colorado and New Mexico agreed to join forces to showcase the ability of School-Based Health Centers (SBHCs) to address the health care needs of school-aged children and adolescents, and to expand on the understanding of how SBHCs contribute to the health care system. The two states agreed to combine quality evaluation; implementation of new processes; and data analysis to enhance the function of SBHCs. This interstate alliance is called the School-Based Health Center Improvement Project (SHCIP).
Who runs SHCIP?
In Colorado, implementation is coordinated and conducted by the Colorado Department of Public Health and Environment. In New Mexico, the New Mexico Human Services Department’s Medical Assistance Division has selected Envision New Mexico, the Initiative for Child HealthCare Quality at the University of New Mexico Health Sciences Center, Department of Pediatrics, to implement the Project.
In addition, the Project has selected Apex Education, of Albuquerque, AcademyHealth of Washington, DC, and Parametrix Group of Hawai’i to conduct the evaluation portion of the Project.
What does SHCIP actually do?
The SHCIP Team has selected SBHCs in each State to participate in the Project. The goal is to work with ten SBHCs in each state. As of February, 2013, the Colorado SHCIP Team has enrolled seven SBHCs, six in rural communities from the West Slope to the Eastern Plains, and one in the Denver metro area. The New Mexico team has enrolled nine SBHCs, all but one in rural areas covering all regions and all populations of the State.
SBHCs receive training in: disease prevention and management; data collection; consultation, referral and coordination of care; interacting with adolescents; and enabling them to direct their own health care as they mature.
How will children benefit?
SBHCs will achieve:
- Increasing the percentage of children with up-to-date immunization records;
- Increasing the percentage of SBHC patients who receive screens for sexually transmitted disease;
- Increasing the percentage of students who receive screenings for depression;
- Improving the quality of behavioral health care by ensuring appropriate follow-up after depression screens;
- Improving child and adolescent obesity prevention and treatment by ensuring that BMI screens take place, and appropriate follow-up actions are taken;
- Improving care coordination of health care between primary care providers and other providers; and
- Improving the interest and ability of adolescents to take charge of their own health care as they mature.