1. Region 15 Regional Healthcare Partnership 38th Public Meeting
Friday, July 29, 2016
University Medical Center of El Paso
Anchor Hospital

2. Confirmation of Participants
Roll Call

3. 2016 Statewide Learning collaborative summit
August 30,
Same rules as last year for attendance.
Confirm attendance by Performing Provider
Draft Agenda

4. WAIVER EXTENSION dy6A – 10/1/2016 – 9/30/2017
On May 2, 2016, HHSC received approval of this 15-month extension from CMS.
The 15-month extension maintains current funding levels for both the Uncompensated Care (UC) pool and DSRIP.
During the extension period, HHSC and CMS will work on a longer term agreement.
6A = 12 month project performance period
6B = Additional 3 months for HHSC negotiations with CMS
WAIVER EXTENSION dy6A – 10/1/2016 – 9/30/2017

5. DSRIP Project Metrics DY6
Category 1 & 2 Main Project Metrics – QPI
Quantifiable Patient Impact - 25% Value
Same Patient Number Goals as DY5
Pay For Performance
Carry Forward will be in effect to meet the goal if needed
MLIU QPI – Medicaid Low Income Low Insured – 25% Value
Pay for Reporting
We agreed to goals on the DY6 Participation Template
No requirement to meet the exact number listed though
DSRIP Project Metrics DY6

6. DSRIP Project Metrics DY6
Category 1 & 2 Main Project Metrics – Qualitative Reporting
Core Component Reporting – 25% Value (HHSC will develop a template for reporting)
1 - Project Overview: Accomplishments
2 - Project Overview: Challenges
3 - Project Overview: Lessons Learned
4 - Progress on Core Components
5 - Continuous Quality Improvement Activities
6 - Provider’s participation in Learning Collaboratives
DSRIP Project Metrics DY6

7. DSRIP Project Metrics DY6
Category 1 & 2 Main Project Metrics – Qualitative Reporting
Sustainability Planning – 25% Value (HHSC will develop a template for reporting)
Providers will be required to submit qualitative descriptions of sustainability planning efforts.
Planning efforts could include:
Project-level evaluation
Integration with managed care
Health Information Exchange (HIE)
Other community partnerships
DSRIP Project Metrics DY6

8. DSRIP Project Metrics DY6
Category 3 Quality Project Metrics
Same improvement goals as DY5 - Pay For Performance
Same value as DY5
Carry forward and partial payment is in effect
Category 4 Quality Project Metrics
Hospital Reporting Requirement
Same as DY5 – Pay for Reporting
DSRIP Project Metrics DY6

9. April DY5 Reporting Timeline:
July 15, 2016 – Payment Processed for UMC
July 29, 2016 – Payments Processed for all remaining Providers
August 5, 2016 – HHSC will complete NMI Reporting Review and distribute reporting results.
April Reporting DY5

10. DY6 – Waiver Extension Year
Waiver Renewal Planning Timeline:
July 22, Anchors submitted the completed DY6 DSRIP Participation Templates to HHSC.
August 26, HHSC will begin providing approval of requested MLIU reporting exceptions, required QPI/MLIU changes, and submitted next steps or request additional information.
September 9, Anchors submit responses to HHSC requests for additional information, and Category 3 stretch activity selections and alternate achievement requests (templates for Category 3 stretch activity selections and alternate achievement requests will be distributed in early August).
September 30, HHSC will approve or deny the additional information submitted in response to HHSC comments.
October 1, Approved DY6 projects are effective.
DY6 – Waiver Extension Year

11. Anchor entity requirements IN DY6
Submit a Learning Collaborative Plan at the beginning of DY6 – The Learning Collaborative must include a focus on DSRIP integration into Medicaid managed care, value-based purchasing, alternative payment models, or sustainability strategies for low- income uninsured.
Prepare for an Extension Stakeholder Engagement Forum to promote collaboration in the next phase of the waiver.
In June 2017, submit an updated Community Needs Assessment.

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