Facilitating Continuous Quality Improvement for the Vermont Blueprint for Health

Multi-Generational Family

The 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, care coordination and care 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 patients to improve the health outcomes of all Vermonters.  

For more than a decade the Vermont Child Health Improvement Program (VCHIP) has supported the development, evolution, and evaluation of the Blueprint.  Currently, VCHIP Quality Improvement Facilitators provide ongoing coaching to primary care practices and assist community partners from health care, social services, and other stakeholders in defined geographic areas.


  • Provide continuous quality improvement coaching to primary care and specialty practices
  • Help practices meet national standards, continue to improve on population health quality, and participate in payment reform efforts defined by the Blueprint, Green Mountain Care Board and Accountable Care Organizations
  • Facilitate and support statewide learning collaboratives and regional Accountable Communities for Health



  • Ongoing informant to statewide health care reform
  • Assisted well over 100 primary care practice achieve recognition as Patient-Centered Medical Homes (PCMH) from the National Committee for Quality Assurance (NCQA), earn quality payments, and access Community Health Teams
  • Increased quality improvement knowledge and capacity of primary care and specialty practices statewide
  • Integral to Blueprint’s expansion to pediatrics, with assistance from a five year Children’s Health Insurance Program Reauthorization Act (CHIPRA) Quality Demonstration Grant from the Federal Centers for Medicare and Medicaid Services (CMS)


Project Contact

Julianne Krulewitz, PhD

Return to Evaluation list