CHIP of Virginia has a comprehensive evaluation system designed to track program objectives, performing regular updates in accordance with system needs and new research in the fields of children’s health and family support. The evaluation system includes process and outcomes measures, as well as a biannual parent survey (currently available in English and Spanish). Together, these components allow the program to monitor changes in family outcomes over time, in the context of the services provided by CHIP.
No matter how you look at it, NICU care is expensive and as many as 40% of NICU babies are re-hospitalized within a year. CHIP has developed two innovative strategies to improve the health of infants and reduce healthcare costs.
Research demonstrates cost-savings of CHIP Prenatal Services…Through a grant provided by The Commonwealth Fund, CHIP worked with Sentara Health System on a quality enhancing initiative, Partners in Pregnancy (PnP), to improve outcomes for high risk pregnant women and their infants. Claims data were analyzed for the mothers’ prenatal care, delivery and the infant’s first year of life and were compared with a risk-matched control group from the same geographic regions. The pregnant women receiving CHIP had similar claims, utilization measures, and inpatient days to those in the control group. But, with the additional CHIP services provided at a modest cost, major savings were identified for the infants during their first year of life:
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Not all families in need of support are identified during pregnancy, so that’s where CHIP’s most recent pilot project, NICU Case Management comes in—connecting families of infants in NICU with a CHIP nurse before babies are discharged. The CHIP nurse is a member of the infant’s medical team and helps coordinate care and resources once the baby comes home. As a result, infants are not readmitted to the NICU for preventable complications, generating significant savings in the first year of life.