CPC+, a national multipayer primary care improvement model developed by CMS, is the largest and most ambitious primary care and delivery reform ever tested in the United States. Mathematica is independently evaluating CPC+ implementation, impacts, and implications for sustainability and spread.
- Implementation Research
- Qualitative Methods
- Rapid-Cycle Evaluation
- Organizational Change and Transformation
- Patient-Centered Medical Home
- Quality Improvement
- Child Welfare
- Human Services
Rosalind Keith has expertise studying the processes through which organizations implement and deliver programs and interventions in a wide range of settings. In addition to primary care delivery, she has experience studying implementation in child welfare, early childhood education, after-school education, and vocational rehabilitation settings.
Currently, Keith leads the formative rapid-cycle evaluation of the implementation of a national advanced primary care medical home model funded by the Centers for Medicare & Medicaid Services. She serves as a senior advisor on a Social Security Administration-funded demonstration that tests incentives in the Social Security Disability Insurance program. For the Administration for Children and Families, Keith leads an evaluation of programs developed to prevent homelessness among youth and young adults with child welfare involvement.
Before joining Mathematica in 2012, Keith held a research position for the Ann Arbor Veterans Affairs Medical Center. Her work has been published in Implementation Science, Medical Care, and the Journal of General Internal Medicine, and she has presented at several health services research and implementation science conferences. Keith holds a Ph.D. in health services organization and policy from the University of Michigan.
Evaluating the Nation's Largest Primary Care Delivery Model: Comprehensive Primary Care Plus (CPC+)
Evaluation of the Harlem Children's Zone Healthy Harlem Initiative
The Healthy Harlem initiative is a model for promoting healthy lifestyles in the charter schools, early childhood programs, and afterschool programs operated by the Harlem Children’s Zone® (HCZ). Mathematica's evaluation includes both an implementation/process study and an impact study.
HCIA Evaluations: Primary Care Redesign
Mathematica evaluated the 14 primary care redesign programs, which operate at different levels (that is, physician practices, hospitals, or health systems). The evaluation team assessed improvements in the coordination, efficiency, and quality of patient care.
HCIA Evaluations: Behavioral Health/Substance Abuse
Mathematica evaluated the impacts of projects implemented by the 10 HCIA awardees focused on mental health and substance abuse services. These awardee demonstrations addressed a wide array of interventions and targeted different subgroups within this broad priority population.