Part of the association’s comprehensive Section 1115 Medicaid waivers program, Essential Hospitals Institute has summarized the in-depth perspectives of leaders from three hospitals working with waivers: Boston Medical Center in Massachusetts, Santa Clara Valley Medical Center in California, and UT Health Northeast in Texas.
- Section 1115 Medicaid waiver incentive programs provide essential hospitals with vital resources for initiating delivery system transformation.
- Engaged leadership is crucial to navigating culture change, promoting the importance of waiver programs across the organization, and laying the groundwork for ongoing improvement efforts.
- Collaboration among clinicians and community-based organizations is critical to the success of DSRIP/DSTI programs.
- Despite the challenges of having to report on new metrics, DSRIP/DSTI programs have encouraged hospitals to better integrate their data systems.
- Delivery system transformation can be accelerated by leveraging existing infrastructure to create new systems and processes.
- Waiver transformation often transcends specific projects to further the overall improvement of system processes and patient care.