1. Regional Healthcare Partnership Planning
Session 2 of Workgroups

2. Agenda for Today Update on waiver
Refine workgroup initiative list to identify milestones and metrics -- in small groups
Develop feedback for state DSRIP menu of options – in small groups
Wrap-up

3. Waiver Update Updates from CMS
May amend RHP after initial submission; by 10/1/13 for year 3. Not clear if an entity may begin to participate in later years.
DSRIP funds for year 1 will be allocated for anchor administrative costs and DSRIP providers
HMA (Dianne): Please confirm this slide. This was all verbally relayed.

4. RHP Regions HHSC released a 2nd draft of the map
Map based on comments received from stakeholders
RHP should reflect patient flow and geography
Comments due no later than April 24
Map will be finalized May 1
Participation is voluntary, but failure to participate will prevent entities from receiving UC or DSRIP pool funds

5. Proposed Regional Healthcare
TEXAS
Proposed Regional Healthcare
Partnership (RHP) Regions
As of March 30, 2012
TEXAS
Health and Human
Services Commi SS i on

6. Timeline of Key Dates Task Responsibility Due Date
DSRIP Project Menus for Categories 1,2,3,4 Due to RHPs
HHSC
Feedback on DSRIP Menus due to HHSC
RHP
Finalization of RHP regions due to HHSC (forms due)
RHP Regions Finalized
DSRIP Payment Protocols Due to RHPs
HHSC shares DSRIP Menu with CMS
RHP Regions Due to CMS
Final Urban RHP DSRIP Plans Due to HHSC
Urban RHPs
DSRIP Payment Protocols and Project Menus Due to CMS
Final Rural RHP DSRIP Plans Due to HHSC
Rural RHPs
Final DSRIP Plans Due to CMS
HMA staff: check this. I only added two april dates and took out dates for finalization of RHPs since they moved that up to May 1st it appears, unless I misunderstood. Don’t know if other items have changed based on recent info. Please correct. LW – I made a few changes.

7. RHP Plan Components New draft RHP plan template released
RHP plans must contain:
RHP organization – Anchor, IGT entities, Performing providers, other stakeholders
Overview section – goals, environment, summary of plan, identification of region
Community needs assessment
Stakeholder engagement – participants and public
DSRIP Projects Plan

8. DSRIP Project Plan must contain
Category
Project/Intervention
Performing provider
Description of intervention
Goal
Expected outcome
Baseline data for intervention (patients served, percent of providers in intervention, number of encounters)
Inter-related projects in DSRIP plan
Table outlining: milestones, metrics, estimated DSRIP funding; estimated state match.

9. DSRIP Menu of Projects
Draft State DSRIP menu of project options released April 5.
Categories 1 (Infrastructure development) and 2 (Program innovation/redesign) – may choose within each category, projects not mandatory, pay for performance (must meet metrics to get paid). Inpatient or outpatient.
Category 3 (Quality improvement)– Some items will be mandatory; others may be selected; participants are paid for reporting initially, then paid for performance (must meet metrics to get paid). Inpatient focused.
Category 4 – (Population-focused improvement) – No choice of projects; must report on all; participants paid for reporting only. Inpatient focused.

10. Next steps for State on DSRIP
Comments on State-proposed DSRIP menu are due April 23.
State DSRIP menu on state website for details.
DSRIP policies still not decided:
Required Category 3 interventions
Requirements for project distribution, number and reporting of projects and milestones
Project values

11. Next workgroup meetings
Access to Care May 9 5:00-7:00 p.m. Mental Health/substance abuse May 15 11:00-1:00 p.m. Hospital Utilization May 14 3:00-4:45 p.m. Information Technology May 14 3:00-4:45 p.m. Disease Management/Chronic conditions May 14 3:00-4:45 p.m. Health Promotion/Prevention May 15 3:00-4:45 p.m. Workforce May 15 3:00-4:45 p.m. Women’s Health/Birth Outcomes May 15 5:00-6:45 p.m. Pediatrics May 15 5:00-6:45 p.m.

12. Key resources
Southeast Texas RHP website (our website): State website:

13. Staff
HCHD: Amanda Rae Simmons: HMA: Linda Wertz: Dianne Longley: Lynne Fagnani: