University of Vermont

College of Medicine

Vermont Child Health Improvement Program (VCHIP)


The Vermont Blueprint for Health Evaluation


The Vermont Blueprint for Health is a state-led program that aims to integrate a system of health care for patients, improve the health of the overall population, and improve control over health care costs by promoting health maintenance, prevention and care coordination, and management. Launched in 2003 with a goal to address the increasing costs of people with chronic illnesses, the Blueprint has become a learning health system that evolves to meet the needs of providers and improve the health outcomes of all Vermonters.

VCHIP has worked with Blueprint leadership to develop a rigorous and timely evaluation of the primary care practice components of the Blueprint. Formative evaluation techniques are used to assess activities currently underway and to assist Blueprint staff and its collaborators to make changes and enhancements to the existing and planned activities in communities across the state. VCHIP helps practices seeking National Committee for Quality Assurances (NCQA) Patient-Centered Medical Home (PCMH) recognition to understand the standards, complete a web-based data collection tool, and collect documentation that corroborates survey responses. VCHIP's work, like the Blueprint's more generally, is a reflexive process in which activities and outcomes are analyzed critically and are used to guide future action. VCHIP works closely with community-level Blueprint staff as well as primary care professionals and practice staff and is deeply involved in this ongoing process of deliberate examination.


  • Measure primary care practices' adherence to evidence-based guidelines and national standards.
  • Capture the perspectives of Blueprint staff, primary care clinicians, practice staff, and consumers served by practices participating in the Blueprint.
  • Inform practice-level quality improvement initiatives and guide transformation of Vermont's health care infrastructure.
  • Assessment of practice health care quality as measured by NCQA PCMH survey.


  • Evaluation informs Blueprint expansion and Vermont legislation.
  • Ongoing reports identifying Community Health Team assistance and enhanced practices as well as trends over time.
  • NCQA PCMH results influence practice eligibility for payments from all major commercial and public payers.
  • Funded through a five year Children's Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration grant from the federal Centers for Medicare & Medicaid Services (CMS), VCHIP also plays an integral role in the Blueprint's planning and expansion to pediatrics.

Project Contact

Julianne Krulewitz, PhD


"For practices seeking NCQA recognition as a Patient Centered Medical Home, the survey language and process can be very complex. VCHIP provides needed clarity and support to the practices and practice facilitators who work with the practices. We could not do this survey process as efficiently or effectively without VCHIP."-Dana Noble, RN, MBA, Project Manager and Practice Facilitator for Vermont Blueprint in Bennington, VT

Last modified December 11 2013 09:09 AM