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Great Seal of the State of Idaho

The Office of the Governor

THE OFFICE OF THE GOVERNOR
EXECUTIVE DEPARTMENT
STATE OF IDAHO
BOISE

EXECUTIVE ORDER NO. 2010-10

ESTABLISHING AN IDAHO MEDICAL HOME COLLABORATIVE TO IMPLEMENT A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE (COLLABORATIVE)

           WHEREAS, in 2008, there were an average of 254.5 active physicians per 100,000 people in the US, ranging from a high of 405.4 in Massachusetts to a low of 174.2 in Mississippi; Idaho ranks 49th with 181.8. (American Association of Medical Colleges); and

            WHEREAS, the need for a patient-centered approach to health care has become the focus of health care transformation nationally; and

            WHEREAS, the importance of decreasing health care costs and increasing efficiency has become significant to Idaho’s economy and the maintenance of a high performing health care system; and

           WHEREAS, a process to address the transformation of Idaho’s health care system to a Patient-Centered Medical Home model is needed by insurers and health care providers; and

           WHEREAS, collaboration among public payers, private health carriers, third-party purchasers, and providers to identify appropriate reimbursement methods to align incentives in support of Patient-Centered Medical Homes is in the best interest of the public; and

           WHEREAS, the establishment of this collaborative is in response to Idaho’s growing need for more affordable and accessible healthcare as recognized by the Governor’s Select Committee on Health Care; and

           WHEREAS, the Idaho Governor’s Select Committee on Health Care recommends working with key stakeholders to align the vision and key elements of a Patient-Centered Medical Home; and

           WHEREAS, the Governor’s Health Care Implementation Committee has identified the Patient-Centered Medical Home as a priority; and

           WHEREAS, the Idaho Governor’s Select Committee on Health Care also recommends developing a multi-payer pilot to test the efficacy of the Patient-Centered Medical Home;

           NOW, THEREFORE, I, C.L. “BUTCH” OTTER, Governor of the State of Idaho, by the authority vested in me under the Constitution and laws of this state do hereby order:

1.  The creation of the Idaho Medical Home Collaborative (Collaborative);

2.   The Department of Insurance, an agency of the State of Idaho, will actively supervise and oversee the activities of the Collaborative;

3.   Members of the Collaborative shall be appointed by and serve at the pleasure of the Governor and include representatives from the Health Insurance Payers, Primary Care Provider organizations and individuals;

4.   The chair of the Collaborative shall be appointed by the Governor from its members;

5.   The Collaborative shall make recommendations to the Department of Insurance and Governor on guidelines for a Patient-Centered Medical Home model and the following:

           a. The creation of primary care provider qualifications, standards and eligibility criteria;

           b. A common definition of a Patient-Centered Medical Home (PCMH);

           c. Appropriate common payment formulas to providers qualified as a PCMH;

           d. Establish methods and procedures to engage patients, employers and providers in the successful implementation of            the PCMH;

           e. Guidelines for a model of care coordination and case management to enhance patient and provider involvement,             improve health outcomes, and achieve cost savings;

           f. Formulating procedures to exchange data between payers, payers and providers and multiple providers by utilizing            electronic means and create reports to evaluate quality, cost and utilization;

           g. Establishing cost measures for practices serving as a Patient-Centered Medical Home; and

           h. Determining quality metrics for monitoring and reporting evidence-based patterns, improved outcomes and quality            improvements.

6. The Collaborative shall report its progress, through the Department of Insurance to the Governor quarterly.

Gold State SealIN WITNESS WHEREOF, I have hereunto set my hand and caused to be affixed the Great Seal of the State of Idaho at the Capitol in Boise on this 3rd day of September in the year of our Lord two thousand and ten, and of the Independence of the United States of America the two hundred thirty-fifth and of the Statehood of Idaho the one hundred twenty-first.


C.L. "BUTCH" OTTER
GOVERNOR

Ben Ysursa Signature
BEN YSURSA
SECRETARY OF STATE