1. RHP 12 DY 7-8 Planning Session

2. Agenda Overview of DY 7-8 Requirements RHP Updated Plan & Submission
Category B
System Definition
Baseline Data
Category C
Measure Bundle Selection
2017
Shortened baseline period request
Meeting Specifications
Using MPT Calculator
Open Forum Discussion

3. Summary of DY 7-8 Requirements

5. RHP Plan Update – Regional/Anchor Requirements
Update the RHPs community needs assessment
Signed certifications that all info is true & correct
Stakeholder engagement process (public meetings, public postings, public comment, etc.)
Total amount of DSRIP funding by DY
Narrative explaining how all selected Measure Bundles and measures will:
Address Community Needs
Demonstrate health care delivery transformation and improvement in quality care provided in our RHP

6. RHP Plan Update – Performing Provider Requirements
Definition of the Performer’s system
Description of performer’s core activities for DY 7-8 – Drivers & Change Ideas (driver diagrams)
Performer’s Category B MLIU Patient Population by Provider (PPP) baseline
Selected Category C Measure Bundles or Measures
Requests for allowable changes to those measure bundles and measures as described in PFM
Description of the transition of the performer’s DY 2-6 projects to its selected Category C Measure Bundles or measures.
Performer’s Category D Statewide Reporting Measure Bundle
Performer’s DSRIP valuation amounts
IGT details by DY & Category

7. Submission of RHP Plan Update
February 8, 2018 – HHSC releases RHP Plan Update Template & Hosts a webinar
February 28, 2018
20% of DY7 funding payment in July
Submission of CAT C baselines in April, payment in July 2018 (if approved)
April 30th, 2018
Submission of CAT C baselines in October, payment in January 2019 (if approved)

8. Category B - MLIU Define System
Required Components
Optional Components
Baseline = (DY5 + DY6 MLIU PPP)/2 Divided by (DY5+DY6 Total PPP)/2
Definitions – Individuals – Unique Identifier
Notes for IT:
If Medicaid for any visit during year count as Medicaid even if also qualify for LIU bucket
Count ALL Medicaid (even other states) in Medicaid count if you are REIMBURSED by Medicaid
Count ALL Patients with Medicaid secondary in Medicaid count
Count Chip in Low Income count

9. Category C – RHP12 Survey Reponses
RHP 12 Survey Responses:
Not Many if any have decided
on bundles
A1, C1, K1 & K2 are most
popular ones being considered
Only 18 of our 32 hospitals
or PP responded.
5 responded hadn’t started yet
CMHC’s
2 of 4 responded
Common measures
M1-105, M1-147, M1-211,
M1-305 & M1- 319
Very Likely
Is Being Cosidered
Absoluetly Not
A1-Improved Chronic Disease Management: Diabetes 3 6 8
A2-Improved Chronic Disease Management: Heart Disease 1 13
B1: Care Transitions & Hospita Readmissions 14
B2-Patient Navigation & ED Diversion 2
C1-Primary Care Prevention-Healthy Texans 12
C2-Primary Care Prevention-Cancer Screening & Follow Up
C3-Hepatitis C 17
D1-Pediatric Primary Care
D3-Pediatric Hospital Safety
D4-Pediatric Chronic Disease Management: Asthma 16
D5-Pediatric Chronic Disease Managment: Diabetes 18
E1-Improved Maternal Care
F1-Improved Access to Adult Dental Care
F2-Preventive Pediatric Dental
G1-Palliative Care
H1-Integration of Behavioral Health in a Primary or Specialty Care Setting
H2-Behavioral Health and Apporpriate Utilization
H3-Chronic Non-Malignant Pain Management
H4-Integrated Care for People with Serious Mental Illness
I1-Specialty Care
J1-Hospital Safety 15
K1-Rural Preventive Care 9
K2-Rural Emergency Care 7

10. Category C - Selection MPT Current Project Alignment
Current Quality Initiatives
APM/VBP Opportunities
Data Collection & Access
Baseline
Meeting Specifications

11. MPT

12. Measure Bundles Measure Bundle Menu pg. 24, 49, & 51
Review Measure Bundles A1, C1, K1 & K2
Review Specifications

13. Category D All Performer’s MUST report Reports Provided by HHSC
Patient Satisfaction Surveys
Qualitative Questions

14. Comments/Questions?