Focus of the Institute

The Disability Practice Institute (DPI) will continue to partner closely with evaluators to develop and carry out an ongoing evaluation to address five core questions:

  1. Does the model of care add value for participants in the domains of access, satisfaction, clinical outcomes and self-determination?
  2. Is the model of care cost-effective or minimally cost-neutral?
  3. What are important areas for program improvement?
  4. What are the critical structural features of the model?
  5. What are the baseline performance expectations?

In partnership with the Center for Medicare and Medicaid Innovation (CMMI) and the Medicare-Medicaid Coordination Office (MMCO), the Disability Practice Institute (DPI) has proposed to define, develop, and refine:

  • Components of disability competent care and the DCP model
  • Quality indicators/metrics to measure performance
  • A DCP data warehouse to capture clinical and administrative data to evaluate and refine DCP practice
  • Technology solutions for integration of care coordination with provider-based electronic health records (EHRs also known as “electronic medical records,” or EMRs).
  • A three-way (CMS, State Medicaid and DCP) contracting template and population-based risk-adjusted payment models.
  • Application of the DCP model in three pioneer/pilot sites and support of replication in 5-10 additional community-based programs.