IHN-CCO DST Pilot Evaluation: 2017 RFP

Question Title

* 1. (Required) Name

Name

Question Title

* 2. (Required) Using a scale from 0 to 10, where 0 is disagree/not included and 10 is strongly agree, what number would you use to rate this pilot?

Disagree 0	1	2	3	4	Agree 5	6	7	8	9	Strongly Agree 10
Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid
Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid Disagree 0	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 1	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 2	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 3	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 4	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid Agree 5	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 6	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 7	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 8	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid 9	Key Outcomes Achieved: The pilot delivered on planned activities, outcomes, and impacted the following areas: Eight Elements of Transformation: Integration of Care, PCPCH Development, Alternative Payment Methodologies, Electronic Health Records, Health Literacy, Diverse Staff, Eliminate Disparities Community Health Improvement Plan Health Impact Areas: Access, Behavioral Health, Child Health, Chronic Disease Prevention and Management, Maternal Health Targeted Strategies: Peer Support, Navigation, Behavioral Health Integration and Collaboration Measures and outcomes from the grid Strongly Agree 10
Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members.
Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. Disagree 0	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 1	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 2	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 3	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 4	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. Agree 5	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 6	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 7	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 8	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. 9	Health Improvement: The pilot had a significant impact in the health or healthcare for IHN-CCO members. Strongly Agree 10
Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible.
Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. Disagree 0	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 1	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 2	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 3	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 4	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. Agree 5	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 6	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 7	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 8	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. 9	Health Equity: The pilot defined an approach for fair opportunities for members to be as healthy as possible. Strongly Agree 10
Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members.
Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. Disagree 0	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 1	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 2	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 3	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 4	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. Agree 5	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 6	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 7	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 8	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. 9	Improved Access: The pilot activities resulted in improved access of healthcare; availability of services, culturally considerate care, and quality and appropriate care to IHN-CCO members. Strongly Agree 10
Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST.
Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. Disagree 0	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 1	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 2	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 3	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 4	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. Agree 5	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 6	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 7	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 8	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. 9	Transformational: The pilot activities created a newly imagined form, function, or structure of health care delivery. The pilot created opportunities for innovation and new learning for the DST. Strongly Agree 10
Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome.
Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. Disagree 0	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 1	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 2	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 3	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 4	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. Agree 5	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 6	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 7	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 8	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. 9	Barriers: The pilot identified and sufficiently explained barriers and how the barriers were overcome. Strongly Agree 10
Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services.
Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. Disagree 0	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 1	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 2	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 3	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 4	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. Agree 5	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 6	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 7	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 8	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. 9	Partnerships and Collaboration: The pilot developed partnerships or collaborated with previously unrelated organizations and/or resources. It established new connections within and between the healthcare delivery system, the community, and community services. Strongly Agree 10
Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population.
Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. Disagree 0	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 1	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 2	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 3	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 4	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. Agree 5	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 6	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 7	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 8	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. 9	Resource Investment: The pilot was a good use of funds; the pilot impacted a large number of IHN-CCO members or strongly affected a high-need population. Strongly Agree 10
Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs.
Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. Disagree 0	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 1	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 2	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 3	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 4	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. Agree 5	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 6	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 7	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 8	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. 9	Reduced Costs: The pilot has the potential to reduce costs or the pilot targeted an area of healthcare associated with rising costs. Strongly Agree 10
Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs.
Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. Disagree 0	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 1	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 2	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 3	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 4	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. Agree 5	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 6	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 7	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 8	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. 9	Sustainability: The activities and impacts of the pilot are self-sustaining. The pilot project or impact will continue for at least a year. It would be beneficial to replicate this pilot in other organizations or programs. Strongly Agree 10

Question Title

* 3. Comments:

Note: This scorecard version used for pilots approved in the 2017 or prior RFP.