1. Region 15 Regional Healthcare Partnership 21st Public Meeting
Friday, March 28, 2014
University Medical Center of El Paso
Anchor Hospital

2. Confirmation of Participants
Roll Call

3. Reduce this by 306,255.56 Category 3
3 Year Projects
Priority #
Performing Provider
IGT
Unique ID
Description
Total Value
3/10/2014 1
UMC
NICU - EP Medical Society Project
$893,744.44
Reduce this by 306, Category 3 2
EHN
Minor Medical Clearance of Crisis Patient
$3,325,300.00 3
Home Based Chronic Disease Care
$2,000,000.00 4
West El Paso Behavioral Health Clinic
$5,000,000.00 6
TTUHSC
Pediatric Diabetes Care
$16,219,044.44
Total as of 3/10/14
$23,041,412.00
Contingency Projects: These projects are being submitted at full proposed value contingent upon full funding becoming available. If full funding does not become available, these projects may be adjusted in scope or the provider may choose not to proceed with the project at all.
$6,822,367.56 7
HCA
Urgent Care in Horizon
$4,600,000.00 8
City EP
Collaborative Research
$4,204,503.00
$2,222,367.56
$23 Million to redistribute to all regions in left over funds for 3 year projects

4. Category 3 New Payment Methodology
DY3
April, 2014 – ½ payment based on status narrative report of establishing baseline
October, 2014 – ½ payment based on submitting baseline
A signed certification will be required with submission of baseline rates by an executive of your entity

5. Category 3 New Payment Methodology
P4P OUTCOME MEASURES
P4r Outcome Measures (requires Prior Authorization
DY4
50% P4R
50% P4P
If improvement goal is not achieved, then partial payments can apply
DY5
100% P4P
DY4
100% P4R
DY5
50% P4R
50% P4P on Population-Focused Priority measure or Stretch Activity

6. Helpful Resources Category 3
Selection Tool
Companion
Compendium
Decision Tree
Risk Adjusting Document
Denominator One Pager
Reporting Templates for DY3

7. Go to www.webex.com , click on Attend Meeting
Timelines (Part A)
April, 2014 – HHSC plans to send feedback to RHP 15 on New 3-Year Projects . Providers should plan to address HHSC feedback in April. All RHPs will then receive CMS feedback by June:
April 8, 2014 – HHSC Webinar is planned for April Reporting and Semi-Annual Progress Reports for DY3. 9:00 – 10:30am
Go to , click on Attend Meeting
Enter Meeting Number:
Call  
April 30, 2014 – First DY3 Reporting opportunity, or DY2 Carry Forward reporting, if any. Semi-Annual Progress Reports will also be due from providers. In response, HHSC will approve or request NMI by early June 2014.

8. Timelines (Part B)
May 16, 2014 – Due date for IGT entities to notify HHSC of any issues with affiliated providers’ reports.
July 9, 2014 (Est.) – IGT due date for approved April achievement.
July 31, – Estimated payment date for April achievement
July 2014 – Plan Modifications for DY4-5.
TBD – Full RHP Plan submission to HHSC (July 2014 or later).
September 9-10, 2014 (tentative) – Dates for annual statewide learning collaborative in Austin.

9. City of El Paso Project Presentations
Oral Health Project
Border Public Health Interest Group
Health Information Exchange (HIE)

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

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