Region 15 Regional Healthcare Partnership 44TH Public Meeting Wednesday, JUNE 28, 2017 University Medical Center of El Paso Anchor Hospital Medical center of the americas – conference room

Confirmation of Participants University Medical Center of El Paso Texas Tech University Health Sciences Center at El Paso El Paso Children’s Hospital Hospitals of Providence (Tenet) Las Palmas – Del Sol Hospital (HCA) El Paso Health Department Emergence Health Network El Paso Medical Society Visitors? Roll Call

Approval of last meetings minutes. Approval of minutes Approval of last meetings minutes.

FEEDBACK/comments DSRIP Program Manager Oscar Perez Go to your Browser or Cell Phone: http://pollev.com/oscarperez394 OR To: 22333 Text: OSCARPEREZ394

1115 Waiver Program Manager ANCHOR UPDATES 1115 Waiver Program Manager Oscar Perez DY6 Sustainability Plan Myers & Stauffer Audits Waiver Renewal Timeline

WEBINAR – RHP 9 ANCHOR UPDATES DY6 Sustainability Plan Requirements (October) Metric M-4 PROJECT LEVEL EVALUATION Collaboration with Medicaid Managed Care Value Based Purchasing/Alternative Payment Models Other Funding Sources Project Evaluation Health Information Exchange WEBINAR – RHP 9 ANCHOR UPDATES

ANCHOR UPDATES Myers & Stauffer’s Reviews (Compliance Monitoring) Notifications of Recoupment (HHSC) Preliminary notices have already been sent (3 days to respond) Final communication will then follow Category 3 Reviews Goal to finish current reviews by July HHSC will review Myers & Stuaffer’s recommendations ANCHOR UPDATES

ANCHOR UPDATES Waiver Renewal - Extension Negotiations ongoing with CMS HHSC met with CMS on May 8, 2017 CMS is “informally” reviewing protocols (PFM and Bundles) CMS Understands Texas’ time table for renewal Bundle Advisory Teams BATs THANK YOU to RHP 15 members: Michael Romano, MD, TTUHSC El Paso – Pediatric & Maternal Care David Smead, RN, UMC of El Paso – Primary Care & Prevention Ann Rodriguez-McConnell, RN, TenderCare Home Health – Chronic Disease & Care Transitions ANCHOR UPDATES

TIMELINE ANCHOR UPDATES June 30, 2017 August 30, 2017 July 7, 2017 Myers and Stauffer Round 3 & Cat 3 Completed July 7, 2017 NMI Documentation due Feedback (survey) on Bundle protocol due July 31, 2017 DSRIP Payments processed by HHSC Submission of Bundles & PFM to CMS August 30, 2017 PFM & Bundles approved by CMS STAKEHOLDERs MEETING October 1, 2017 Begin DY7 January 31, 2018 RHP Plan due ANCHOR UPDATES

PFM & CATEGORY C – MEASURE BUNDLES presentation

REGIONAL LEARNING COLLABORATIVES UPDATEs DIABETES LEARNING COLLABORATIVE Chair: Moses Priego – UMC mpriego@umcelpaso.org BEHAVIORAL HEALTH LEARNING COLLABORATIVE Chair: Cindy Hernandez – EHN chernandez@ehnelpaso.org HEALTH DATA EXCHANGE COLLABORATIVE Chair: Rosie Sanchez – TTUHSC rosie.sanchez@ttuhsc.edu REGIONAL LEARNING COLLABORATIVES

STAKEHOLDER’s FORUM STAKEHOLDER’S FORUM Rescheduled to August 30, 2017 1:00pm Medical Centers of the Americas (MCA) AGENDA Discuss Waiver Renewal Share Successes and Challenges of the DSRIP Projects Presentations of Projects Discuss Community Health Needs Assessment STAKEHOLDER’S FORUM

ROUNDTABLE ROUNDTABLE

Contact Information NEW Waiver Website: https://hhs.texas.gov/lawsregulations/policiesandrules/Medicaid1115waiver Waiver E-Mail: TXHealthcare Transformation@hhsc.state.tx.us UMC RHP15 Website: http://www.umcelpaso.org Region 15 - RHP

Medical Center of the Americas (MCA) (Cardwell Collaborative Building) Next Meeting: July 26, 2017 1:00pm Medical Center of the Americas (MCA) (Cardwell Collaborative Building)