1. Region 15 Regional Healthcare Partnership Third Public Meeting
Wednesday, June 27, 2012
University Medical Center of El Paso
Anchor Hospital

2. Regional Healthcare Partnership (RHP) Regions

3. Confirmation of Participants

4. Confirmation of Participants
El Paso Children’s Hospital
El Paso Coalition for the Homeless
El Paso County Juvenile Justice Center
El Paso County Medical Society
El Paso Department of Public Health
El Paso Psychiatric Center
El Paso Specialty Hospital
Emergence Health Network

5. Confirmation of Participants
Hospice El Paso, Inc.
Hudspeth County
International Aids Empowerment
Las Palmas Del Sol Healthcare
PDN Health Information Exchange
Project Vida Health Center
Providence Memorial Hospital
Rescue Mission of El Paso

6. Confirmation of Participants
San Vicente Centro Familiar De Salud
Sierra Medical Center
Sierra Providence East Medical Center
Tender Care Home Health
TTUHSC School of Medicine
VNA Home Healthcare and Hospice

7. Project Director of Transformation Waiver Operations, HHSC
Current HHSC Information
Stanley Stewart
Project Director of Transformation Waiver Operations, HHSC

8. Regional Strategic Health Framework
Phase 1 – Needs Assessment Report
Phase 2 – Priority Ranking
Phase 3 – Intervention Planning
Paso del Norte Blue Ribbon Committee
BRCGapBook.pdf

9. PDN Blue Ribbon Needs Assessment Report

10. RHP 15 DSRIP Projects
See Handout

11. New Draft DSRIP Menu Category I Project Areas
Expand Primary Care Capacity
Increase Training of Primary Care Workforce
Implement and Utilize Disease Management Registry Functionality
Enhance Interpretation Services and Culturally Competent Care
Collect Accurate Race, Ethnicity and Language (REAL) Data to Reduce Disparities
Enhance Urgent Medical Advice

12. New Draft DSRIP Menu Category I Project Areas (cont.)
Introduce Telemedicine
Enhance Coding and Documentation for Quality Data
Expand Specialty Care Capacity
Enhance Performance Improvement and Reporting Capacity
Expand Behavioral Health Services
Expand Dental Services
Expand or Enhance Emergency Medical Transportation Services

13. New Draft DSRIP Menu Category II Project Areas
Expand Medical Homes
Expand Chronic Care Management Models
Redesign Primary Care
Redesign to Improve Patient Experience
Redesign for Cost Containment
Establish/Expand a Patient Care Navigation Program

14. New Draft DSRIP Menu Category II Project Areas (cont.)
Apply Process Improvement Methodology to Improve Quality/Efficiency
Improve Patient Flow in the Emergency Department/Rapid Medical Evaluation
Use Palliative Care Programs
Conduct Medication Management
Implement/Expand Care Transitions Programs
Health Promotion and Disease Prevention

15. New Draft DSRIP Menu Category III Project Areas
Severe Sepsis Resuscitation and Management
Potentially Preventable Admissions
Congestive heart failure admission rate
Diabetes, short-term complications, admission rate
Diabetes, uncontrolled diabetes, admission rate
Behavioral health potentially preventable admissions
Chronic obstructive pulmonary disease or asthma in adults admission
Hypertension admission rate
Diagnosis and management of asthma
Potentially Preventable Readmissions
All cause readmission rate
Congestive heart failure readmission rate
Diabetes readmission rate
Behavioral health readmission
COPD readmission
Stroke readmission

16. New Draft DSRIP Menu Category III Project Areas (cont.)
Potentially Preventable Complications
Perinatal Outcomes
Birth trauma rates
Elective pre 39-week delivery
Diabetes Composite Measure
Hemoglobin A1c (National Quality Forum (NQF) 0059)
Blood Pressure (NQF 0061)
Low-Density Lipoprotein Cholesterol (NQF 0064)
Retinal or dilated eye exam (NQF 0055)
Foot exam (NQF 0056)
Nephropathy screening (NQF 0062).

17. New Draft DSRIP Menu Category IV Project Areas
Potentially Preventable Admissions
Congestive heart failure admission rate
Diabetes, short-term complications, admission rate
Diabetes, uncontrolled diabetes, admission rate
Behavioral health potentially preventable admissions
Chronic obstructive pulmonary disease or asthma in adults admission
Hypertension admission rate
Diagnosis and Management of Asthma
30-Day Readmissions
All-cause readmission rate
Congestive heart failure readmission rate
Diabetes readmission rate
Behavioral health readmission
COPD readmission
Stroke readmission
Pediatric asthma

18. New Draft DSRIP Menu Category IV Project Areas (cont.)
Provider Preventable Complications
Patient-centered Health Care
Patient satisfaction
Medication management
Emergency Department
Admit decision time to ED departure time for admitted patients
Diabetes Composite Measures
Hemoglobin A1c
Blood Pressure
Low-Density Lipoprotein Cholesterol
Retinal or dilated eye exam
Foot exam
Nephropathy screening

19. Medicaid Waiver Timelines

20. Medicaid Waiver Timeliness
Program Funding & Mechanics (PFM) and the RHP/DSRIP protocol
HHSC send to CMS June 29, 2012
Send out to RHPs for comments back by July 13, (they will provide a form for feedback)
July 15, 2012 – Submit RHP Chapters to Anchor
Please use the format in the draft RHP15 document located on the UMC El Paso RHP website
RHP Planning Summit – early August, Austin, TX
Sept. 1 – Submit RHP to HHSC (4 year plans)
DY1 payment based upon submission of RHP
HHSC reviews RHPs during the month of September.
Return to Regions for changes in first two weeks of October.

21. Medicaid Waiver Timeliness
October 31 – HHSC Submit Final RHP to CMS
December 15, CMS completes review
RHPs returned for revisions during the 30 day period
January 15th, Revised RHP Plans to CMS
February 1st, CMS Final Decision

22. Roundtable

23. Contact Information
Waiver Website & Address:
UMC Website:
RHP 15
Paso del Norte Blue Ribbon Committee Needs Assessment: