1. Region 15 Regional Healthcare Partnership 19th Public Meeting
Wednesday, January 22, 2014
University Medical Center of El Paso
Anchor Hospital

2. Confirmation of Participants
Roll Call

3. October Reporting Statistics
Texas Regions: 320 providers reported on over:
1250 category 1 or 2 projects
1800 category 3 outcomes
150 category 4 hospital reports
93% of the metrics were approved
$1.088 billion will be paid for DSRIP
$1.165 billion was reported (NMI returns)
$1.688 billion could have been reported

4. 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

5. Category 3 Policy Change
HHSC posted excel document with the Category 3 Menu and PFP or PFR indicated on each item.
For DY3 reporting,
Providers can only report on 50% of the metric in April. This will be a qualitative status report on preparing for baseline and technical assistance needs.
In October, providers report on the other 50% by providing baseline data.
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 hold a webinar to explain the category 3 measures.

6. Timelines for Early 2014 January 27th Phase 4 Results to Providers
February 3rd Providers submit responses to Anchor
February 24th HHSC completes Phase 4 review
January 31st HHSC send Anchor Annual Reports and Learning Collaborative Plans to CMS
February 7th NMI responses from October are approved or denied
February 12th HHSC provides 3 year project feedback
Late February Providers respond to 3 year project feedback
March 14 HHSC submits 3 yr projects to CMS (eligible April reporting)
Late April CMS responds to 3 yr projects
March 7th Providers return selected Category 3 measures to HHSC

7. DSRIP Project Discussions
Roundtable
DSRIP Project Discussions

8. 8

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