1. AMCH PPS PAC Executive Committee Meeting August 27, 2015
Lean Manufacturing /21/98
AMCH PPS PAC Executive Committee Meeting August 27, 2015
©1998 NIST/MEP Version 1

2. Agenda Welcome and Introductions Minutes of the 7/23/15 meeting
Review and Approval of the PAC Exec Mission
Selection of PAC Exec Co-Chairs
Review / approval Guiding Principles and Finance Committee Mission Statement
PMO Updates – Newco, Website, Deliverables, Vendors
Project Executive Summaries
PPS Cross Collaboration
Next meeting

3. PAC Exec Committee Mission
The PAC Leadership Committee has responsibilities that include but are not limited to, providing advice to the Board of Directors regarding the affairs of the PAC, with the general power to discharge the duties of the PAC, except as this power may be limited by law, the Charter, these Principles and Procedures or the PAC. The PAC Leadership Committee shall be comprised of no more than 19 elected members. The Board of Directors of the PPS shall designate members of the Leadership Committee from the Representatives of the 10 largest providers of Medicaid services among the Participants. The PAC shall select the remaining members of the Leadership Committee from a slate of nominees presented by the Board. In addition to the elected members, the chairs of the following committees will serve as ex officio, non-voting members: Clinical and Quality Affairs; Finance; Audit and Compliance; Technology and Data Management; Consumer and Community Affairs; Cultural Competency and Health Literacy; and Workforce Coordinating Council. The Board shall nominate the balance of the slate so that the slate represents an effective balance of providers and geographic regions served by the PPS, reflecting the shared governance objective of DSRIP. The Leadership Committee will be charged with reviewing all committee documents such as roadmaps, plans, and other documents. The Leadership Committee shall record and maintain agendas and minutes of its meetings and issue regular reports to the PAC. These documents will be available for review on the web portal for domain 1 reporting purposes. The committee will elect co-chairs, one of whom will be a Director of the Board and the second will be a representative serving on the Leadership Committee who is elected by the members of the committee.

4. New PAC Leadership Committee
In pursuing the creation of a new subsidiary corporation to manage the institution's responsibilities under DSRIP, the PAC Leadership Committee will have a clearer role as well as a revised mission/ charter and clear decision making based on new delegated authority.

5. AMCH PPS New Organization
AMC Board of Directors
AMCH PPS Board
F. Venditti, M.D., S. Frisch, M.D., W. Hasselbarth, & G. Hickman
Corporate Committees of the PPS Board
Center for Health Systems Transformation
Project Management Office -- G. Clifford, PhD, Executive Director
E. Brooksby, Deputy Director, K. Manjunath, MD, Medical Director
PAC Executive Committee
Finance
WCC
CCHLC
TDMC
QCA
A/C
CCA
Project Advisory Committee
Performing Provider Organizations and Providers

6. The role of the PAC Exec co-chairs
The PAC Executive Committee is required to elect two co-chairs who will have responsibility for:
Running the PAC Exec meetings
Helping to set the agenda
Communicating with committee members
Maintaining documentation necessary to demonstrate achievement of metrics
Providing leadership and direction to the PMO

7. DSRIP Funding Updates Approval of guiding principles sought
Approval of mission statement of the finance committee soughtsubmission of

8. Guiding Principles DSRIP Guiding Principles of Funds Flow
As approved by the PAC
1. Transparency 
2. Patient Attribution Centered
3. Project Driven
4. Fair/Equitable
5. Meets the providers needs
6. Formulaic

9. Finance Committee Mission
The role of the Finance Committee is to provide financial oversight for the PPS. This will include budgeting and financial planning, financial reporting and the creation and monitoring of internal controls and accountability policies. The Finance Committee will focus on providing advice with respect to the PPS’s budget and funding distribution plan, including but not limited to attribution methodologies. These deliverables will be reviewed and approved by AMC's board of directors, the PAC Executive Committee and the voting members of the PAC. The committee will ensure that funds are appropriately segregated, managed and utilized in a manner that is consistent with the intent of the goals and objectives of DSRIP. They will identify appropriate financial metrics and identify financially fragile members of the PPS and work with them to regain sound financial status by offering technical support or other guidance as deemed appropriate by the committee and approved by the AMCH PAC Executive Committee. The Finance Committee will develop a Distressed Provider Plan (DPP) and an ongoing monitoring process to assess at risk providers. They will gather baseline revenue data to determine fee for service and value based payment streams existing in the PPS, as well as a roadmap to value based purchasing for AMCH Executive Steering Committee review and approval. The Finance committee will also develop educational materials as part of a broader communication strategy for the PPS network including information to be shared with providers.

10. PMO Updates Status of Newco Website development Funds flow analysis
Staffing
Vendor selection
Committee updates
Deliverables
Project executive summaries (hand out)

11. PPS Cross Collaboration
The PMO has established a working group with the other two PPSs to continue to pursue concrete ways we can make the most effective and efficient use of our funds by collaborating on issues of mutual interest and concern. These include, but are not limited to, community and consumer engagement, workforce and training, learning collaboratives, clinical guidelines, IT, finance and reporting.

12. Questions