1. RHIP COUNCIL MEETING
January 19, 2018

2. ROAD TO TODAY

3. SWACH MAJOR ACCOMPLISHMENTS
Restructured organization’s governance
Hired staff and developed organization’s infrastructure
Formed workgroups and committees to assess regional needs and shape work to address those needs
Achieved Phase 1 and Phase 2 ACH Certification
Selected projects for Medicaid Transformation Project
Merged with the Healthy Living Collaborative
Selected Pathways Pilot Coordinating Care Agencies
Submitted Medicaid Transformation Project Portfolio
Developed model to distribute earned incentive payments

4. ADDITIONAL AREAS OF FOCUS
Interoperability to support clinical integration
EDIE/Premanage Pilot
Increasing access to primary care
Workforce development

5. THANK YOU! IT TAKES A COMMUNITY
Members of our Board, RHIP Council, Workgroups, and Committees, and our clinical and community partners made these accomplishments possible.
THANK YOU!

6. WORK FOR 2018

7. WHERE WE ARE HEADED January – June 2018
Awaiting final approval on Project Plan Portfolio (late January – early February)
Project Implementation Planning
HIT/HIE Assessment
Current State Assessment
Regional Convening (early March)

8. ASSESSMENTS
ACHs are required to complete a “current state assessment” by Q
Assessment will provide data about the region’s capabilities and capacity, and will inform SWACH’s implementation planning process.
Assessment will build on our previous environmental scans and community conversations and will be conducted in stages.

9. Phase 1 Phase 2 2017 HIT/HIE Clinical Partners Community Partners
Jan-Feb 2018
Mar-April 2018
May – June 2018
Objective: Community / Environmental scanning to inform project plan
Objective: Identify current HIT/HIE capacity, needs, resources, and barriers
Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects
Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects
Mode: Meetings and Inteviews
Mode: Online survey and interviews
Mode: Online survey
Mode: TBD

10. SWACH JANUARY – JUNE 2018 TIMELINE
Feb
Mar
Apr
May
Jun
Report to HCA
HIT/HIE Assessment in the field
Regional Convening
Clinical Partner Assessment in the field
Workgroup members and subject experts inform clinical and community partner assessment development
Community Partner Assessment in the field
HIT/HIE Assessment Report to RHIP Council
RHIP Council Update
Webinar on Assessment for clinical partners
Webinar on Assessment for community partners
Ongoing Workgroup and Committee Implementation Planning

11. ASSESSMENT CONTENT

12. HIT/HIE ASSESSMENT OUTLINE
Part 1 - Inventory current state of EHR interoperability and Health Information Exchange (HIE) in SW Washington and identify gaps.
Part 2 – Inventory the current state of information technology of community based organizations and identify interoperability gaps with healthcare providers.

13. CLINICAL PARTNER ASSESSMENT DOMAIN 1
Module
Suggested Items
Introduction
Contact information, about the site, volume served
Domain 1: Workforce
Current workforce needs?
Regulatory barriers to effective team-based care
Strategies and approaches to culturally competent care
Shortages of specific provider types
Domain 1: Value Based Payment
Support and attest state-level VBP survey results
Awareness of VBP readiness tools and resources
Training / TA needs
Domain 1: HIT/HIE
Additional content not captured in HIT Assessment (if any)
Project specific HIT needs

14. CLINICAL PARTNER ASSESSMENT DELIVERY SYSTEM REDESIGN
Module
Suggested Items
2A: Integration
Level of integrated care model adoption – which models are used?
Where does the organization fall along SAMHSA’s levels of integration?
Is the partner a recognized medical home (if applicable)?
Has the partner achieved any special certifications (e.g., Joint Commission’s Behavioral Health Home Certification)?
2B: Care Coordination
Capacity for regional community-based care coordination
Use of care management technology platform(s)
Staffing ratios
Patients with care plans

15. CLINICAL PARTNER ASSESSMENT PREVENTION AND HEALTH PROMOTION
Module
Suggested Items
3A: Opioids
Capacity to effectively impact the opioid crisis
Strategies to leverage current capacity and address gaps
Buprenorphine and MAT providers
Adoption and implementation of prescribing guidelines
ED protocols for overdose education and take home naloxone
3D: Chronic Disease
Capacity to effectively impact chronic disease
Implementation of the Chronic Care Model
Self-management and chronic disease management supports
Existence of registries/swim lanes/protocols for chronic disease

16. REGIONAL MTP CONVENING
Early March
ALL regional partners
Health care providers and organizations
Community organizations
Schools
Counties (Clark, Skamania, Klickitat)
Community Members

17. RHIP COUNCIL ACTION ITEMS
Share information with others in your organization
Share information with others in your sector
Volunteer for Convening Planning Committee
Complete Resource Map

18. COMMUNITY ENGAGEMENT

19. COMMUNITY ENGAGEMENT Hiring Community Engagement Coordinator
Continuing to attend meetings and provide updates to partners and community groups
Planning first quarterly community listening sessions for March
Ensuring diverse input
Equity trainings coming soon

20. HEALTHY LIVING COLLABORATIVE POLICY AGENDA
2018 Legislative Session
Source of Income Protection – Ban discrimination on renter’s source of income
Secure and Increase Funding for Program to Prevent Homelessness – Increase document recording fee, ensure it never expires
Create Affordable Housing – invest at least $106 million in Housing Trust Fund
Access to Care for Kids – Reinstate Medicaid pediatric payments to be equal to Medicare
Breakfast After Bill – Require schools with at least 70% poverty rate to offer breakfast after the bell

21. POLICY WATCH LIST AND PARTNERSHIPS
Community Health Worker Bill
Opioid Prevention Legislation
Protecting the Affordable Care Act and Medicaid Expansion
Apple Health Coverage for People from Pacific Islander Nations
Support partners’ policy agendas:
Prevention Alliance, Washington Low Income Housing Alliance

22. SWACH INTERSECTION
Monthly updates from Policy Committee to RHIP Council
Opportunities for Partnership
Join us in advocacy
Letter writing and testimony
Participate in Legislative meetings
January 24
February 28

23. OTHER POLICY AREAS
Full council discussion on other policy areas we should be adding to these lists.

24. QUESTIONS? Contact: Marguerite McCormack
Kachina Inman