The Vermont Blueprint for Health Evaluation

Multi-generational familyThe Vermont Blueprint for Health is a state led program which 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.

The Vermont Child Health Improvement Program (VCHIP) has worked with Blueprint leadership to develop a rigorous and timely evaluation of participating primary care practice processes and systems. VCHIP also evaluates specialty practices participating in the Blueprint and studies how the Blueprint influences communities across Vermont. 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) and Patient-Centered Specialty Practice (PCSP) 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 practices’ adherence to evidence-based guidelines and national (NCQA) standards
  • Evaluate the impact of Blueprint resources on practices
  • 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 the transformation of Vermont’s healthcare infrastructure


  • Evaluation informs statewide health care reform
  • Ongoing reports to participating primary care practices provide comparisons to other practices as well as trends over time
  • NCQA PCMH results influence practice eligibility for payments from all major commercial and public payers
  • VCHIP has played an integral role in the planning and implementation of the Blueprint’s expansion to pediatrics. Much of this work has been funded through a five year Children’s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration grand from the federal Centers for Medicare and Medicaid Services (CMS)

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