Region 15 Regional Healthcare Partnership 32nd Public Meeting Thursday, may 28, 2015 University Medical Center of El Paso Anchor Hospital

Confirmation of Participants Roll Call

September 2015 -- HHSC submits the 1115 Waiver Extension Request (Waiver Term Ends September 2016) Continue the same funding for DSRIP and UC (DY5 DSRIP Funding and fund unmet UC) CMS could approve a 1, 3, or 5 year extension Asking for ALL projects to continue with a general progression Review the 3 Year Project Menu -- Those projects will continue Unless deemed high risk through the mid-point assessment We will be notified by June/July if project is under review Jan we will know if project is discontinued Projects not on this 3 Year Menu will not continue, project options: 2.4, 2.5, 2.8, 1.10 Also projects eliminated as high risk We can create a replacement project for the same value from an even narrower menu, and somehow build from previous project Waiver Renewal

Project extension plan Items to be considered and expect changes: Valuation # of Metrics Increasing QPI MLIU Requirements for a minimum percentage Services Improving Data Exchange Project Sustainability Planning Left Over Funds Performance Bonus Pool Allow Projects to be Combined into a Single Project Integrate DSRIP Efforts with Managed Care Medicaid Project extension plan

Each Anchor RHP website would have a “Stakeholder Resources” page, linked to /from HHSC site by May 15, 2015.  This would include information on stakeholder opportunities, original RHP plans (which would also remain on HHSC website) as well as a description of the process by which 3-year projects were added in that RHP: RHP Organization Original Executive Overview with potential addendum update Original Community Needs Assessment with potential addendum update for 3-year projects RHP certifications (these may be signed after all updated information from HHSC and RHP Anchors is available for review) – HHSC will provide a template for certifications in early March Also, the projects will be grouped by Project Type; Secondary Type; Medicaid, LIU, or Both: For Example, Behavioral Health and Integrated behavioral/physical healthcare for Both Payer Groups Updated RHP Plans

HHSC Mid-Point Assessment Meyers & Stauffer has started to review information reported for 3 year projects that did not have any information reported in April of 2014. Be aware that Meyers & Stauffer may contact providers with additional questions regarding any of the 3-year project that reported in October. Additional questions for 3 year projects will be coming in the near future. HHSC & Myers and Stauffer signed off on all Region 15 Change Requests and Plan Modifications April 1st, we will receive Myers and Stauffer results about the ‘reviews’ of our projects HHSC Mid-Point Assessment

April Reporting June 10th we will have results July 2nd submit responses to NMIs Aug7th approve or deny NMIs July 8th IGT Due July 21st and 31st payments processed to providers April Reporting

Compliance monitoring New Component to the Waiver Validation of Reported Information Validating Cat 1/2 Metric Data as well as Cat 3 and Cat 4 Data reported Baselines and Achievement This Process is still in Development Stay Tuned! Compliance monitoring

Transformational Summary impact templates We will send 2 Batches to HHSC: May 31st and June 15th Clinical Champions Workgroup will review: Identify and share promising practices with like projects around the state Inform the transformative impact of DSRIP projects and the development of content for the Statewide Learning Collaborative Support Waiver extension/renewal efforts with CMS Help inform ways to better evaluate projects in the next phase of the Waiver. Transformational Summary impact templates

Stakeholder INPUT for Waiver Extension Preliminary Survey is already posted on Website Another Survey will be posted in July once the draft Formal Renewal Document is posted HHSC will hold a DSRIP protocol webinar in August and discuss protocol changes at the August 27-28 Statewide Learning Collaborative Summit tailored to the summit audience. HHSC will be here July 22 for a Public Meeting regarding the Waiver Extension/Renewal document 1 PM – 4 PM El Paso First Health Plans

DSRIP Statewide events calendar RHP Date Topic Contact 4 5/19 RHP 4 Learning Collaborative Event Jonny Hipp (jonny.hipp@nchdcc.org) 9 & 10 5/27-28 Learning Collaborative Event: Collaborative Connections - Impacting Care RHP 9: Margie Roche margaret.roche@phhs.org RHP 10: Meredith Oney RHP_Region_10@jpshealth.org 9 6/10 PDSA Raise the Floor Webinar #2 Register Here Margie Roche Margaret.roche@phhs.org 10 6/11 Webinar - Behavioral Health: Developing an Information Infrastructure that Supports Integrated Care Tasks Meredith Oney (RHP_Region_10@jpshealth.org) Webinar - Care Transitions: Care Coordination (Part 2) 3 6/17 RHP 3 Learning Collaborative Nicole Lievsay Nicole.Lievsay@harrishealth.org 7/9 Webinar - Care Transitions: HIE Integration 7/16 Webinar - Behavioral Health: Documentation and Information Sharing 2 7/17 Category 3 Work Session Susan Seidensticker (smseiden@utmb.edu) 6 7/20 RHP 6 Learning Collaborative Carol Huber (carol.huber@uhs-sa.com) 8/5 PDSA Raise the Floor Webinar #3 8/13 Webinar - Care Transitions: Overuse of ED 8/20 Webinar - Behavioral Health: Integrative Medicine HHSC 8/27-28 Statewide Learning Collaborative txhealthcaretransformation@hhsc.state.tx.us 9/24 RHP 9 Biannual Learning Collaborative Event 9/25 RHP 2 Learning Collaborative 9/29 RHP 10 Learning Collaborative Event

Monitoring IGT July 2015 IGT Health Department $8,326.09 UMC $101,807.01 Emergence $16,544.27 Texas Tech $15,460.11

New Learning Collaborative on Behavioral Health Please Sign Up for Email Notifications if you are interested in learning more or joining Region 15’s new behavioral health learning collaborative. Meeting will commence after RHP Meeting New Learning Collaborative on Behavioral Health

Roundtable DSRIP Projects and Any Other Issues of Concern for Region 15 Healthcare Partnership

Contact Information Waiver Website & Email Address: http://www.hhsc.state.tx.us/1115-waiver.shtml TXHealthcare Transformation@hhsc.state.tx.us UMC Website: http://www.umcelpaso.org Region 15 - RHP Paso del Norte Blue Ribbon Committee Needs Assessment: http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf