The State Innovation Models (SIM) Initiative is a CMS Innovation Center program to provide financial and technical support to states for the development and testing of state-led, multi-payer health care payment and service delivery models that will improve health system performance, increase quality of care, and decrease costs for Medicare, Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries—and for all residents of participating states.
In February 2015, Rutgers Center for State Health Policy (CSHP) received a one year, $3 million State Innovation Model (SIM) design award on behalf of the State of New Jersey.
The SIM Quality Metrics Alignment Advisory Group was formed to examine how best to align quality metrics across payers and delivery systems to improve quality and reduce redundancy. As a member of this Advisory Group and a subgrantee on the SIM design award, the New Jersey Health Care Quality Institute (Quality Institute) partnered with Applied Medical Software (AMS) to develop a harmonized set of core quality metrics that would support alignment across several NJ and federal quality and efficiency improvement initiatives. Aligning measures across initiatives will, in turn, align incentives and increase the likelihood of contracting and collaboration between entities. After review from the SIM Quality Metrics Alignment Advisory Group, the harmonized set of quality metrics were recommended to the SIM Steering Committee for inclusion in their recommendations to CMS for future use.