Region 15 Regional Healthcare Partnership 14th Public Meeting Wednesday, July 24, 2013 University Medical Center of El Paso Anchor Hospital 1

Confirmation of Participants Roll Call 2

Performance Logic DSRIP Tracking Successful On-Site Implementation July 17th and 18th. Number of Users that attended the training: 41 UMC = 21 Texas Tech = 3 EHN = 6 Sierra = 2 Providence = 1 Las Palmas Del Sol = 1 Health Department = 1 El Paso Childrens Hospital = 2 Hospice El Paso = 2 Salvation Army = 1 VNA Nursing = 1

Performance Logic DSRIP Tracking Feedback on using the tool??? Contacts Neel Shah, Owner Jeffrey Phruksaraj, Director of Client Services Office: 212.253.0545 x115 | Cell: 917.796.1980 jphruksaraj@performancelogic.com

Category 4 Reports Category 4 Table: The RHP plan shall include the planned semi-annual reporting period: 1 -- October 1 – March 31; or 2 -- April 1 – September 30 for each domain or measure. DY 2 incentive payments are for submission to HHSC of a status report that describes the system changes the hospital is putting in place to prepare to successfully report Category 4 measures in DYs 3-5 Category 4 reporting shall begin in DY 3 for Domains 1, 2, 4, 5, and 6 (optional) DY 4 for Domain 3 And continue for all Domains through DY 5.

Category 4 Reporting Template - Draft

Draft DY2 Reporting Template See Handout – Category 1, 2, 3 Project Info Attachments Rules 1. Avoid using special characters in a file name. \ / : * ? “ < > |[ ] & $ 2. Use underscores instead of periods or spaces. 3. Include the date of submission to HHSC in the file name. Use the format: YYYYMMDD, where YYYY is the year, MM is the month between 01 and 12 and DD is the day of the month between 01 and 31. 4. If you wish to reference the applicable demonstration year in the title, use DY2. 5. Do NOT include version numbers such as “v03” or “v2.3” 6. Be consistent with regard to how files are named.

DY 2 Progress Reporting Template (from Instructions) The completed template will serve as a basis for authorizing incentive payments to performing providers in an RHP for achievement of DSRIP milestones/metrics. There is no payment for partial achievement of a Category 1 or 2 metric. This template will capture progress attained in the second demonstration year. There will be two reporting periods within DY 2: Reporting period 1 is achieved between October 1, 2012 and July 31, 2013, the reporting and request for payment is due August 31, 2013. Reporting period 2 is achieved before September 30, 2013, the reporting and request for payment is due October 31, 2013.

DY 2 Progress Reporting Template Once the performing provider has submitted their template: HHSC and CMS will have 30 days to review and approve, or request additional information regarding the data reported for each milestone/metric measure. If approved, the project would be paid in the August report period with estimated payment in November 2013. If additional information is needed, the performing provider will have 15 days to respond. HHSC and CMS shall then have an additional 15 days to review and approve or deny the request for payment, based on the data provided. If approved, the project would be paid in the next reporting period of October 2013 with an estimated payment in January 2014.

Table 6 and 7 Project Approvals (all other projects) Providers have revised most of the projects requested by HHSC to date HHSC has begun sending projects to CMS for final approval for October reporting. Once projects are sent to CMS, the anchor receives an email and the time begins for CMS review. CMS has 15 days to respond.

DY2 and DY3 DSRIP Reporting / IGT Region 15 DY2 DSRIP – 1st -- Reporting – August 31, 2013 IGT Submission – October 21, 2013 Payment – November 12, 2013 DY2 DSRIP – 2nd -- Reporting – October 31, 2013 IGT Submission – January 3, 2014 Payment – January 24, 2014 _________________________________________________________ DY3 DSRIP – 1st -- Reporting –- April 30, 2014 IGT Submission – July 9, 2014 Payment – July 31, 2014 DY3 DSRIP – 2nd -- Reporting – October 31, 2014 IGT Submission – December 30, 2014 Payment – January 20, 2015

DY2 and DY3 UC Region 15 DY2 UC IGT - July, 2013 Payment – August, 2013 IGT - November, 2013 Payment – December, 2013 ____________________________________________________ DY3 UC IGT – March, 2014 Payment – April, 2013 IGT – May, 2014 Payment – June, 2013 IGT – August, 2014 Payment – September, 2013

Learning Collaborative Texas Tech DSRIP Projects in Region 15 Project Presentations: Share updates, successes and challenges Establishing a Child Psychiatry Fellowship Program Dr. Cecilia DeVargas

Region 15 Comprehensive Learning Collaborative Feedback from CMS Learning Collaborative Webinar Identify a topic / disease to effect change in over time This will take 6-12-18months to accomplish One that is a known problem or wide-spread prevalence in Region 15 One of Region 15’s Community Needs Begin collaborating with the RHP and learning about experiences with addressing the condition Challenges, Successes, Failures, Innovative Ideas, Unique Solutions

Region 15 Comprehensive Learning Collaborative Diabetes Kickoff RHP Meeting 7/24/13 Diabetes Symposium – El Paso Diabetes Association, UMC, Texas Tech, UTEP… Moses Priego, Diabetes Educator Focused Discussion on Region 15 Diabetes Projects – Include Category 3 Diabetes Outcomes Form Committees Identify Lead

Roundtable 16

Contact Information Waiver Website & Email Address: http://www.hhsc.state.tx.us/1115-waiver.shtml TXHealthcareTransformation@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 17