CURRENT PROJECT
Development of the First-in-the-Nation Child-Level CCO Incentive Metric Focused on Social-Emotional Issue Focused Interventions/Treatments for Young Children
OPIP has developed a child-level metric to measure and incentivize improvements based on child-level receipt of clinically recommended behavioral health care services provided by CCO-contracted providers and focused on addressing social-emotional issues that have been identified. In order to align with the original intent and vision of the metric, parent and provider feedback, and learnings from implementation of the System-Level Social-Emotional Health Metric, the child-level metric is focused on issue-focused interventions or treatment services. These issue-focused intervention services can be provided in an array of settings that the CCO contracts within order to fulfill their role of providing recommended behavioral health care.
- Specifications: The metric specifications are here.
- Educational Webinar: To view webinar about the metric and hear from the OPIP parent advisors: March 2024 Social Emotional Health Educational Webinar Recording
- OPIP’s Presentation to Metrics and Scoring is here.
Community Input & Support: The metric was developed with input from over 160 individuals, including parents of young children enrolled in CCOs, parent advocacy organizations, primary care and behavioral health providers, and health system leaders. Additionally, three parents with lived experiences were paid advisors to the development of the metric.
Approval & Next Steps:
- At the May 2024 and June 2024 Metrics and Scoring Committee Meetings over 24 public comments were received in support of the metric for inclusion in the overall set and in the challenge pool set.
- For example: At the May 2024 Metrics and Scoring Meeting ten parents of young children enrolled in a CCO with lived experience in trying to access social-emotional services provided public comment of support. OPIP created the following video of the oral public comments of support for the Child-Level Social Emotional Health Metric.
- At the May 2024 the child-level metric was unanimously voted for inclusion in the penultimate set.
- At the July 2024 Metrics and Scoring meeting the metric was confirmed for inclusion in the 2025 CCO Incentive Metric set and included in the penultimate challenge pool set for 2025 and the committee said they would be eager to hear public comment.
- At the August 2024 Metrics and Scoring Meeting one public comment was received in support of the metric being in the challenge pool set. There were not written or oral public comments received against their July 2024 vote to include the child-level metric in the Challenge Pool set. Two members expressed concern about the child-level metric (despite the three years of the system-level glidepath metric to allow them the time) to be in the challenge pool. Two different votes were held. In the end, the metric was NOT included in the 2025 Challenge Pool Set (Note: This was not unanimous vote of the seven members present).
Looking ahead:
OPIP held input sessions in August and early September to inform our 9/20/24 presentation to the Metrics and Scoring Committee on recommendations and considerations for improvement benchmarks for this unique metric. In alignment with OPIP’s commitment to ensure that all aspects of the measure development and implementation are community informed, we will be holding these input sessions to obtain community feedback on OPIP’s draft recommendations and considerations for improvement benchmarks.
Here is the presentation that OPIP made to the Metrics and Scoring Committee about our benchmark recommendations. The committee unanimously voted to set the benchmark at 11%, with an improvement floor of 5%. This penultimate decision will be finalized at the October 2024 Metrics and Scoring Committee.
We are grateful to The Ford Family Foundation for financially supporting OPIP in developing this critical measure and for assisting with targeted outreach and communication strategies in rural communities.
