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IHN-CCO DST Pilot Evaluation: 2017 RFP
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1.
(Required) Name
(Required.)
Name
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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?
(Required.)
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
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
Strongly Agree
10
Health Improvement:
The pilot had a significant impact in the health or healthcare for IHN-CCO members.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
Strongly Agree
10
Health Equity:
The pilot defined an approach for fair opportunities for members to be as healthy as possible.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
Strongly Agree
10
Barriers:
The pilot identified and sufficiently explained barriers and how the barriers were overcome.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
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.
Disagree
0
1
2
3
4
Agree
5
6
7
8
9
Strongly Agree
10
3.
Comments:
Note: This scorecard version used for pilots approved in the 2017 or prior RFP.
