Region 15 Regional Healthcare Partnership 55th Public Meeting WEDNESDAY, AUG 29, 2018 1:00pm University Medical Center of El Paso Anchor Hospital Medical center of the americas – 1st Floor conference room mCaW1reLe$$

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 Hospice of El Paso Tender Care Home Health Visitors? Roll Call

Umcelpaso.org

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

1115 Waiver Program Manager ANCHOR UPDATES 1115 Waiver Program Manager Oscar Perez DY7 Category A Reporting Early Baseline Reporting (Cat C) DY7 Category C Reporting DY7 Category D Reporting Myers & Stauffer Audits DSRIP Bulletin Board Timeline

Category A – Reporting for DY7 Guidance Document on DSRIP Online Reporting System Identify the Tool that you plan to use for Cost & Savings Analysis HHSC has two recommend tools Alternative Tools requests are due December 3rd. Identify the Challenges associated with the analysis Explain how the provider will overcome these challenges Identify the Data Sources to be used in the analysis Identify the Core Activity to be analyzed. Explain why this core activity was selected Report Progress made on the analysis ANCHOR UPDATES

ANCHOR UPDATES Cost & Savings Guidance Document Posted on RHP15 Website Documents - DY7-11 Protocols Choose Analysis Type Forecasted Analysis - looks at potential savings or losses http://www.chcsroi.org/Welcome.aspx Retrospective Analysis – looks at actual (generated) savings or losses https://www.chcs.org/resource/the-medicaid-return-on- investment-template/ Using another Tool Must submit request to HHSC by December 3rd. Attachment B with proposed tool or link Identify the Data Sources to be used in the analysis Identify the Core Activity to be analyzed. Explain why this core activity was selected Report Progress made on the analysis ANCHOR UPDATES

Category C – Early Baseline Reporting Did anyone submit an early template? Baselines will be marked as: Accepted – approved to report – no issues Flagged for TA – being resolved during Sept Insignificant denominator volumes Low Baseline rates Common TA Flags will be provided later Not Accepted – not reporting as specified ANCHOR UPDATES

Category C – Template

Category C – Template

Category C – Template

Category C – Template

Category D – Reporting for DY7 Pay for Reporting HHSC will send PPE reports first two weeks of September Regional summaries posted on HHSC website (first two weeks of September) Patient Satisfaction HHSC wants to standardize measurement period – CY2017: DY7 CY2018:DY8 Thanks for quick feedback! ANCHOR UPDATES

DSRIP Bulletin Board (online reporting system) Has been reorganized Old documents have been moved to the HHSC Website (https://hhs.texas.gov/lawsregulations/policiesandrules/Medicaid1 115waiver) Will only have documents to be accessed for reporting and monitoring Always check BOTH sites for materials. ANCHOR UPDATES

Myers and Stauffer Audits HHSC reviewing possible recoupments From Cat3 R3 Reviews Decreased Achievements Unverifiable Results From Cat 1&2 R4 Reviews Goals not achieved or validated HHSC will contact affected providers in next two weeks. ANCHOR UPDATES

TIMELINE ANCHOR UPDATES September 7th August 27th October 31st RHP 6 (San Antonio) Learning Collaborative and Summit October 31st Deadline for DY7 R2 reporting December 3rd Submit alternate tool request for Cost-Savings analysis August 27th Feedback needed for standardizing measurement period for Patient Satisfaction Surveys ANCHOR UPDATES

Contact Information HHSC 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

Next Meeting: September 26, 2018 1:00pm Medical Center of the Americas (MCA) (Cardwell Collaborative Building) Conference Room 1st Floor