1. Region 15 Regional Healthcare Partnership 18th Public Meeting
Wednesday, December 11, 2013
University Medical Center of El Paso
Anchor Hospital 1 1 1 1

2. Confirmation of Participants
Roll Call 2 2 2 2

3. Final CMS Approval Letter
12/4/13
10 projects were pending final approval by CMS
6 Projects Approved
2 Projects denied but with Replacements Projects already with HHSC
2 Projects approved with Valuation Reductions
$2,588,609 flows back into Region year projects 3

4. Pending DY4 and DY5 Valuations
Update provided by HHSC for valuation review by CMS
As of 12/6/13
124 Projects still under review by CMS as potential DY4-5 Valuation outliers
2 projects in Texas were withdrawn
122 projects still under review
Region 15 has 3 projects on the list:
2 Projects just received reductions for DY2-3, and are also on the DY4-5 list
Likely approximate reductions of $2,500,000
Money back to Region 15 for 3 year and contingency projects
The 3rd project may or may not be reduced 4 4

5. 3 Year Projects / Contingency Project
Latest data from HHSC on 12/7/13:
Region 15 has $18,258,207 left over for 3 year projects
Further valuation reductions from the DY4-5 review (3 Region 15 projects) will offer additional monies to the 3 year and contingency projects

6. 3 Year Projects
3 year and contingency project narratives and workbooks due to Anchor:
12/16/13
3 Year RHP Plan will be blended and submitted to HHSC by the Anchor
If your project is at the end and not sure if sufficient funds will be available, HHSC has asked that you include this statement with the one page narrative provider summary:
This project is being submitted at is full proposed value ($X) for DY3-5 even though only $X currently is available for the project based on RHP X's allocation for 3-year projects.  If additional funds do not become available, the provider would/would not be willing to perform the project for the $X currently available.

7. 3 Year Projects Medical Society Project - NICU Discharge Navigation
Emergence - Minor Medical Clearance of the Psych Patient in an Intake Setting
UMC / Tendercare - Home Based Chronic Disease Management Program
Emergence – West El Paso Behavioral Health Center
Texas Tech – Expanding Pediatric Diabetes Care
HCA – LPDS Urgent Care Center – Horizon
Health Dept. (only a small portion left) – Collaborative Research to Improve the Health Status of Underserved Populations in El Paso

8. Category 3 Policy Change
Due to CMS still not approving Category 3, HHSC is proposing a broader streamlined strategy that will help providers meet the expectation to report performance improvement in DY4-5.
Their strategy is to prepare for “Waiver 2” with DSRIP measurement approaches
DY4-5 –50% allocation for Pay for Performance P4P and 50% allocation for Pay for Reporting P4R
DY3 Pay for Reporting P4R Only
10% improvement measures will be adopted as standard

9. Category 3 Policy Change
CMS may not approve some category 3 items for pay for performance:
Hospital providers may re-select from a subset of PPA, PPC, PPR and the cat 3 choices don’t have to directly tie to main project
Non-hospital providers choose a subset of measures or collaborations to promote data sharing or reliability of measures
HHSC will release a new document that shows the designations of P4P and P4R for the cat 3 measures and will hold a webinar to explain them

10. Timelines 12/16/13 - 3 Year projects due to Anchor
12/23/13 - October Reporting Results to Providers
Early January, IGT notice
Late January, 2014 – October DY 2 pmt
1/17/14 – Provider response to ‘need more information’ from October Reporting
2/7/14 HHSC approve or deny additional information
4/2014 approvals processed April for July pmt.
Mid-Late January, 2014 Phase 4 Results
Early February, 2014 submit responses to HHSC - Anchor

11. DSRIP Project Discussions
Roundtable
DSRIP Project Discussions 11 11 11 11

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