1. Region 15 Regional Healthcare Partnership 44TH Public Meeting
Wednesday, MAY 31, 2017
University Medical Center of El Paso
Anchor Hospital
Medical center of the americas – conference room

2. Confirmation of Participants
University Medical Center of El Paso
Texas Tech University Health Sciences Center at El Paso
El Paso Children’s Hospital
Hospitals of Providence (Tenet)
Las Palmas – Del Sol Hospital (HCA)
El Paso Health Department
Emergence Health Network
El Paso Medical Society
Visitors?
Roll Call

3. Approval of last meetings minutes.
Approval of minutes
Approval of last meetings minutes.

4. FEEDBACK/comments DSRIP Program Manager Oscar Perez
Go to your Browser or Cell Phone: OR To: Text: OSCARPEREZ394

5. 1115 Waiver Program Manager
ANCHOR UPDATES
1115 Waiver Program Manager
Oscar Perez
PFM Updates
Myers & Stauffer Audits
Waiver Renewal
Timeline

6. ANCHOR UPDATES Program Funding & Mechanics (PFM) Changes
RHP Plan Updates
Template will be provided in Dec 2017
Submission moved from Nov to Jan
Will include transition plan from old projects to new core activities
Worth 20% of Valuation (submitted & approved)
Paid July 2018
Remaining Unused Funds
RHPs that did not fully use their allocation may use these funds for DY7-8
New and Existing performing providers are eligible to receive them
RHP will determine process (per PFM paragraph 31.c)
HHSC will not get involved in this process
Providers choosing NOT to participate in DY7
Funds go to state and not redistributed to regions
ANCHOR UPDATES

7. ANCHOR UPDATES PFM Changes (continued) “System” definition
Adding flexibility
may add other “components” of their delivery system
Finalizing minimum requirements
Will be defined in the RHP plan updates
Private Hospital Participation Incentive
Increased from 10% to 15% Pay for Reporting in Category D
Costs and Savings
Must be tracked for only ONE activity each year.
Providers with DY valuation less than $1million are EXEMPT
DY7 MLIU Reporting
Can be done DY7 R2 or DY8 R1
Category C Reporting
Carry forward of performance allowable
ANCHOR UPDATES

8. ANCHOR UPDATES PFM Changes (continued) Carry Forward rules
NOT allowed on Category A or Category D milestones
Two types:
Carry Forward of REPORTING - allowed only for:
Category B – MLIU
Category C – P4R
Category C - P4P
Carry Forward of ACHIEVEMENT – only allowed for:
Category C – P4P
ANCHOR UPDATES

9. ANCHOR UPDATES Myers & Stauffer’s Reviews (Compliance Monitoring)
Category 1 and 2 Reviews
Goal to finish Round 3 by June
Notifications of Recoupment (HHSC)
Preliminary notices have already been sent (3 days to respond)
Final communication will then follow
Category 3 Reviews
Goal to finish current reviews by June
Try not to request extensions as it delays the process
ANCHOR UPDATES

10. ANCHOR UPDATES Waiver Renewal - Extension
Initial 15-Month (thru September 30, 2019)
Waiting for CMS approval
HHSC met with CMS early May
DSRIP,
Bundle Advisory Teams BATs
Round 3 voting and discussions
Pediatric and Maternal Care
Michael Romano, MD, TTUHSC El Paso
Primary Care and Prevention
David Smead, RN, UMC of El Paso
Chronic Disease and Care Transitions
Ann Rodriguez-McConnell, RN, TenderCare Home Health of El Paso
ANCHOR UPDATES

11. TIMELINE ANCHOR UPDATES June 1, 2017 July 31, 2017 June 9, 2017
Any IGT Changes due
June 9, 2017
HHSC completes review of April reporting
June 28, 2017
Stakeholder’s Meeting
June 30, 2017
Myers and Stauffer Round 3 & Cat 3 Completed
Feedback on PFM
July 7, 2017
NMI Documentation due
July 31, 2017
DSRIP Payments processed by HHSC
Submission of Bundles & PFM to CMS
August 1, 2017
DY6
August 30, 2017
PFM & Bundles approved by CMS
October 1, 2017
Begin DY7
ANCHOR UPDATES

12. CATEGORY C – MEASURE BUNDLES
presentation

13. REGIONAL LEARNING COLLABORATIVES
UPDATEs
DIABETES LEARNING COLLABORATIVE
Chair: Moses Priego – UMC
BEHAVIORAL HEALTH LEARNING COLLABORATIVE
Chair: Cindy Hernandez – EHN
HEALTH DATA EXCHANGE COLLABORATIVE
Chair: Rosie Sanchez – TTUHSC
REGIONAL LEARNING COLLABORATIVES

14. STAKEHOLDER’s FORUM STAKEHOLDER’S FORUM June 28, 2017
1:00pm Medical Centers of the Americas (MCA)
AGENDA
Discuss Waiver Renewal
Share Successes and Challenges of the DSRIP Projects
Presentations of Projects
Discuss Community Health Needs Assessment
STAKEHOLDER’S FORUM

15. ROUNDTABLE
ROUNDTABLE

16. Contact Information
NEW Waiver Website:
Waiver
TXHealthcare
UMC RHP15 Website:
Region 15 - RHP

17. Next Meeting: June 28, 2017 1:00pm*
Medical Center of the Americas (MCA)
(Cardwell Collaborative Building)
* This will be our Stakeholder’s Forum … Please Extend the Invitation to your management !!