1. SE Washington ACH Project Planning 4-28-17
Process for Optional Medicaid Transformation Demonstration Project Selection – Greater Columbia ACH
SE Washington ACH Project Planning

2. Leadership Council’s Role per GCACH Bylaws, adopted 2/18/16
“General members participate in the GCACH through the Leadership Council. The Leadership Council is a permanent advisory committee to represent the community in the work of the Board, act in an advisory capacity to the Board, and serve as advocates for priorities in the communities from which the members come. In addition to tasks assigned to them by the Board, the Leadership Council:
Develops a list of priority issues to be addressed by the GCACH.
Develops strategies to address priority issues;
Monitors indicators of population health in the regional services area; and
Monitors the performance of regional healthcare delivery systems.
Leadership Council members may serve on workgroups established to address the priority issues identified by the GCACH.”

3. Proposed “Re-Formation” of Priority Work Groups Project Teams
GCACH Priority Work Group
MTP Project Team
Project
Behavioral Health
Bi-Direction Integration of Care &
Primary Care Transformation 2A
Addressing Opioid Use Public Health Crisis 3A
Care Coordination
Care Coordination (Pathways Hub) 2B
Transitional Care &
Diversion Interventions
Transitional Care and Diversion Interventions 2C 2D
Healthy Youth & Equitable
Communities
Reproductive and Maternal/Child Health 3B
Oral Health
Access to Oral Health Services 3C
Diabetes/Obesity
Chronic Disease Prevention and Control 3D

4. Suggested Project Teams’ Role
Act as Advisory to the Board
Represent Subject Matter Expertise
Bring in Subject Matter Expertise
Review Data & Evidence-Based Studies in the MTD Project Toolkit
Determine Community Strengths and Gaps
Represent Sectors
Find Connections between Approaches
Make Recommendations to Board

5. Project Objective/Goal
MTP Project Team
Project
Project Objective/Goal
MTP
Weight
Bi-Direction Integration of Care &
Primary Care Transformation
Example: Team Based model that adds a behavioral health care manager and a psychiatric consultant to support the primary care provider’s mgmt. of individual patients’ behavioral health needs 2A
Project Objective: Through a whole‐person approach to care, address physical and behavioral health needs in one system through an integrated network of providers, offering better coordinated care for patients and more seamless access to the services they need. This project will support and advance Healthier Washington’s initiative to bring together the financing and delivery of physical and behavioral health services, through MCOs, for people enrolled in Medicaid.
Required
32%
Addressing Opioid Use Public Health Crisis Example: AMDG’s Interagency Guideline on Prescribing Opioids for Pain, CDC Guideline for Prescribing Opioids for Chronic Pain, Substance Use during Pregnancy: Guideline for Screening and Management 3A
Overarching Goal: Support the achievement of the state’s goals to reduce opioid‐related morbidity and mortality through strategies that target
prevention, treatment, and recovery supports. 4%
Care Coordination (Pathways Hub) 2B
Project Objective: Promote care coordination across the continuum of health for Medicaid beneficiaries, ensuring those with complex health needs are connected to the interventions and services needed to improve and manage their health.
Optional
22%
Transitional Care Example: A nurse led model of transitional care for high-risk older adults that provides comprehensive in-hospital planning and home follow-up
Diversion Interventions Example: A systematic approach to re-directing and managing persons who present at the ED nor non-emergency conditions, which may be oral health, general physical health, and/or behavioral health conditions. 2C 2D
Overarching goals: Improve transitional care services to reduce avoidable hospital utilization and ensure beneficiaries are getting the right care in the right place.
Overarching Goal: Implement diversion strategies to promote more appropriate use of emergency care services and person‐centered care through increased access to primary care and social services, especially for medically underserved populations.
13%
Reproductive and Maternal/Child Health Example: Nurse Family Partnership, Early Head Start 3B
Overarching goal: Ensure that women have access to high quality reproductive health care throughout their lives and promote the health and safety
of Washington’s children. 5%
Access to Oral Health Services Example: Mobile/Portable Dental Care 3C
Overarching goal: Increase access to oral health services to prevent or control the progression of oral disease and ensure that oral health is recognized as a fundamental component of whole‐person care. 3%
Chronic Disease Prevention and Control Example: Stanford Chronic Disease Self-Mgmt Program 3D
Overarching Goal: Integrate health system and community approaches to improve chronic disease management and control. 8%

6. Medicaid Transformation Project
Certification & Application process for ACHs
March
RHNI Data Provided and HW Data Website Created
STATE/PARTNERS
ACH/REGIONAL
March Certification Requirements Complete
March/April
VBP Taskforce
July Project Application Template
April DSRIP TA
Starts
May Certified Phase 1
Aug Certified Phase 2
Aug
Dec 2017
Applications Approved
Dec
March
Apr
May
June
July
Oct
Jan
March
ACH
Transition
Plan in Place
May 15th Certification Phase 1 Due
June 30th Update SIM Budget
Aug 14th Certification Phase 2 Due
Jan
Project Implementation
Oct
Oct 31st
SIM Narrative Report
Project Plan Applications Due
Project Plan Development
Q1 2017
Q2 2017
Q3 2017
Q4 2017
Jan 2018

7. Project Selection Process
Timeline
Project Selection Process
April 20
Leadership Council
Meeting
Re-form 5 Priority Work Groups into 7 Project Teams
Review MTP Approaches
Assess Subject Matter Expertise on Team
Review Data, Community Asset Inventory
Select Project Team Facilitator
May 4
Conference Call
Project Team Facilitators Discuss Areas of Commonality between Projects
May 18
Receive Report from Project Facilitators on Common Ground
Receive Regional Survey Results
Review Project Approaches
Assess Community Readiness & Capacity
Recommend Project Approaches
June 15
Leadership Council Meeting
Project Team Facilitators Select Project Approaches
June 30-July 14
Public Input on Project Approaches
July 18
Evaluation Team Recommends Projects for Board Consideration
July 20
Board Meeting
Project Selection by Board of Directors
July 21-Oct 21
Project Plan Development

8. Project Selection Process (Revised April 26, 2017)
Timeline
Project Selection Process (Revised April 26, 2017)
April 20 – May 3
Leadership Council Meeting
Re-form 5 Priority Work Groups into 7 Project Teams
Confirm/Select Project Team Facilitator
Review MTD Approaches/Strategies
Review Data
Community Asset Inventory
Assess Subject Matter Expertise on Team
May Conference Call Project Team Facilitators (PTF)
Data Objective Gap Analysis ID Problem Areas Focus on Approaches
Discuss Common Measures between projects (Wes’ MTD Toolkit Measure Set)
Determine 2-3 Approaches/Strategies
Criteria for Program Selection: Health Equity, Scalability, Evidence Based, # Impacted, ROI
May 18
Receive Regional Survey Results
Receive Report from Project Facilitators
Breakout into Project Teams to determine 2 Project Approaches/Strategies to scale up
Develops/Modifies Evaluation Criteria for program selection
May 18 Board of Directors
Approves Project approaches/Strategies from Project Teams
May 19 - June 15 (PTF)
Finalizes evaluation criteria for scoring final projects
May 22 – June 16
World Cafés to showcase local programs to Public
June 22
Project Team Facilitators recommend projects for full application process Leadership Council recommends application template for approval
Leadership Council recommends projects to Board
June 22 Board of Directors
Board approves projects to move to full application process
Board approves application template
July ?
Letters of Application Due
July 20 Board Meeting
Board approves final projects for Project Plan Application
July - October
Obtain attestations with organization, Write Project Plan Application

9. MTP Team recommends Approach(es) to Optional Projects
Recommendation will be based on data, community asset inventory, Regional Survey results, consumer input, community impact
Recommendation will consider community capacity and readiness
Recommendation will incorporate the guiding principles from GCACH Regional Health Improvement Plan

10. MTP Team Facilitators Form Facilitators Council
Charge of the Facilitators Council:
Meet between Leadership Council Meetings
Find areas of Commonality between Projects
Study Data and Develop Narratives
Bring in other Subject Matter Experts as needed
Provide Bi-directional communication between Board and Leadership Council

11. For more information: Carol Moser cmoser@greatercolumbiaach
For more information: Carol Moser Wes Luckey Aisling Fernandez Website:
Thank you for the opportunity to discuss Healthier WA with you today, and we look forward to a continued partnership as Healthier WA further develops throughout the state.
Thank you!