1. Region 15 Regional Healthcare Partnership 28th Public Meeting
Monday, December 22, 2014
University Medical Center of El Paso
Anchor Hospital

2. Confirmation of Participants
Roll Call

3. Anchor Updates Plan Modifications and Technical Change Requests
Feedback from HHSC in early February, 2015
UC Deferral – Withdrawn by CMS!
HHSC is expecting an official letter from CMS and will share with the regions
Certain large hospitals in Texas were audited by CMS for provider donation compliance concerns due to IGT arrangements between government hospitals and private hospitals
UC payments and the leftover DY2 funds were on hold pending the outcome of the audits
Performance Logic
Contract terminated
Establish plan for transfer of data to providers internal systems

4. $345 Million in left-over funds from DY2
Anchor Updates
$345 Million in left-over funds from DY2
Survey of Interest was submitted to HHSC for Region 15
Options are focused on:
Current Projects – adding metrics / QPI
Not keen on adding anything new at this time
Trying to keep it as simple as possible but keep within the goal of further transforming healthcare for the underinsured
This will require a Waiver Amendment for DY5 Performance
Providers will need to have the IGT to draw down these funds

5. HHSC Mid-Point Assessment
Texas has a total of 1,500 DSRIP Projects
Approximately Projects were selected by Myers and Stauffer for a detailed desk audit across the regions
Selection Process was basically random
Myers and Stauffer will use HHSC plan documents and also the last reporting period documents, and the recent Plan Modification documents
50 Projects were selected for Region 15, or 50%
There may be no issues and a final letter will be sent indicating this
Some Projects will be flagged and have on-site reviews in October 2014
HHSC will be sending additional information on what to expect in the on-site reviews
Goal is to complete the mid-point assessment by December 2014

6. HHSC Mid-Point Assessment
Myers and Stauffer will be in El Paso January 5, 2015
On-site Reviews will be performed on two projects:
UMC – Project Option Expand Specialty Care: Placing Behavioral Health Trained Psychiatric Practitioners into a Non-Behavioral Health Institution.
Texas Tech – Project Option The Expansion and Enhancement of Comprehensive Breast Care Services to an Indigent and Underserved Population in the University Breast Care Center (UBCC)
There will also be a written report issued to HHSC on the desk reviews of all the selected projects.
Project Withdrawal
After the mid-point assessment, performing providers will have an opportunity to withdraw the DSRIP project if they choose so.
The window is 2/1/2015 – 5/1/2015

7. October Reporting Results!!
Region 15
Total approved for payment January, 2015:
$83,895,970
Total DY3 Allocation:
$123,262,911
Metric Approvals and Deferrals:
Approved – full payment in January, 2015
Provisionally Approved - full payment in January, 2015 but subject to later recoupment
Needs More Information – payment deferred until July, 2015
Not Approved – no payment

8. Region 15 - DY2 Achievement
Region 15 Results
Region 15 - DY2 Achievement
DY2 Total Allocation
DY2 Reporting
Achieved to date %
$100,687,993
August
$35,137,816
35%
October
$50,593,409
50%
Oct. NMI
$1,128,923 1%
CF Paid in Round 1
$8,774,947 9%
CF Round 1 NMI
$24,500 0%
CF Round 2
$2,733,128 3%
$98,392,723
98%

9. Region 15 - DY3 Achievement
Region 15 Results DY3
Region 15 - DY3 Achievement
DY3 Total Allocation
DY3 Reporting
Achieved to date
$123,262,911
April
$25,281,037
21%
April NMI
$3,829,552 3%
October
$80,066,418
65%
$109,177,008
89%

10. Region 15
Total DSRIP Achieved To Date
$207,569,731

11. IGT and DSRIP Payment Dates
DY3
DSRIP 2 of 2
DY5
DSRIP 1 of 2
1/2/2015
IGT Due
7/6/2016
1/20/2015
Top 14 Paid
7/19/2016
1/30/2015
DY3 DSRIP Pmt
7/29/2016
DY4
7/8/2015
1/3/2017
7/21/2015
1/13/2017
7/31/2015
1/31/2017
Carry Forward
1/4/2016
9/2017 ?
12 Months
1/15/2016
1/29/2016

12. Roundtable
DSRIP Projects and Any Other Issues of Concern for Region 15 Healthcare Partnership

13. Contact Information
Waiver Website & Address:
TXHealthcare
UMC Website:
Region 15 - RHP
Paso del Norte Blue Ribbon Committee Needs Assessment: