1. Region 15 Regional Healthcare Partnership 60th Public Meeting
WEDNESDAY, JUNE 26, :00pm
University Medical Center of El Paso
Anchor Hospital
Medical center of the americas – 1st Floor conference room
mCaW1reLe$$

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
Hospice of El Paso
Tender Care Home Health
Visitors?
Roll Call

3. Umcelpaso.org

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

5. 1115 Waiver Program Manager
ANCHOR UPDATES
1115 Waiver Program Manager
Oscar Perez
Measure Bundle Protocol Changes
Category A – Cost & Savings
Category B Modifications
Category C Payment Schedule
Category D Reporting
Statewide Learning Collaborative
Timeline
Core Activity Presentation – LPDS
Learning Collaborative Committee

6. Measure Bundle Protocol Changes
Webinar (6/10/2019) Recording available
Highlighted document available
DSRIP On-Line Reporting Tool – Bulletin Board
FAQs posted on RHP 15 website
HHSC wants feedback from many stakeholders
Also a PDF document available at the DSRIP On-Line Reporting Tool – Bulletin Board
Feedback DUE Thursday (TOMORROW) June 27th
ANCHOR UPDATES

7. Category A - Cost & Savings Presenters
HHSC is requesting
Nominations for presenters at State Learning Collaborative
Anyone who can share their work for this October requirement
Nominations DUE: Friday, June 28th.
name and RHP directly to HHSC
ANCHOR UPDATES

8. Category B - Modifications
Any requested changes should be ed:
SUBJECT: RHP 15_ : Cat B Plan Mod Request
Changes should include:
System Definition: Provider should provide the name of the system component, any applicable updated system component description(s), and an explanation of the system change. Please refer to the system definitions summary that has been posted under “Category B Resources” on the Bulletin Board in the DSRIP Online Reporting System.
PPP Information: Provider should submit updated Total and MLIU PPP baseline information for DY5-6, along with an explanation for the request (e.g., data errors in original submission, significant change to the performing provider's system definition, significant shift in the demographic served, etc.).
Changes DUE to HHSC: Wednesday, July 3, 2019
ANCHOR UPDATES

9. Category C Payment Schedule
ANCHOR UPDATES

10. MEASURE BUNDLE PROTCOL CHANGES
Category A Cost and Savings Review on either: Another Core Activity OR A different Aspect of the same Core Activity Performing Providers Participation in Learning Collaborative can be in-person, conference call, or other telecom application Category B Breakout of MLIU individuals served by the system for the DY Category C May add Bundles (must still meet Minimum Point Threshold (MPT) Report on “Related Strategies” associated with Measure Bundle (or Metrics) Not the same as Cat A “Core Activities” but related. Strategies implemented (could include those apart from DSRIP) HOSPITAL SAFETY and QUALITY added to menu of Core Activities “Grandfathered” and “Discontinued” Metrics

11. MEASURE BUNDLE PROTCOL CHANGES
Related Strategies List - Hospitals and Physician Practices
Hospitals & Physician Practices Measure Bundles and associated Related Strategies Lists
Measure Bundle
Related Strategies List A1
Chronic Disease Management: Diabetes
Adult Primary Care and Chronic Disease Management A2
Chronic Disease Management: Heart Disease C1
Primary Care Prevention - Healthy Texans C2
Primary Care Prevention - Cancer Screening C3
Hepatitis C B1
Care Transitions and Hospital Readmissions
Hospital Readmissions and Emergency Department Utilization B2
Patient Navigation & ED Diversion D1
Pediatric Primary Care
Pediatric Primary Care and Chronic Disease Management D4
Pediatric Chronic Disease Management: Asthma D5
Pediatric Chronic Disease Management: Diabetes E1
Improved Maternal Care
Maternal Care and Safety E2
Maternal Safety F1
Improved Access to Adult Dental Care
Dental Care F2
Preventive Pediatric Dental G1
Palliative Care
Palliative Care and Specialty Care (Chronic and Life Impacting Conditions) I1
Specialty Care H1
Mental Health Comorbidities
Behavioral Health Integration H2
Behavioral Health and Appropriate Utilization H3
Chronic Non-Malignant Pain Management H4
Integrated Care for People with Serious Mental Illness J1
Hospital Safety D3
Pediatric Hospital Safety K1
Rural Primary Care K2
Rural Emergency Care

12. MEASURE BUNDLE PROTCOL CHANGES
Themes - Hospitals and Physician Practices
H/PP Theme: Access to Care
Related Strategies in the Access to Care theme are included in the following Related Strategies Lists:
Adult Primary Care and Chronic Disease Management
Hospital Readmissions and ED Utilization
Pediatric Primary Care and Chronic Disease Management
Maternal Care and Safety
Dental Care
Behavioral Health Integration
Rural Primary Care
Rural Emergency Care
RS-ID
Related Strategies Description
1.00
Same-day and/or walk-in appointments in the outpatient setting
1.01
Night and/or weekend appointments in the outpatient setting
1.10
Integration or co-location of primary care and specialty care services (not including behavioral health) in the outpatient setting
1.11
Integration or co-location of primary care and psychiatric services in the outpatient setting
1.12
Telehealth to provide virtual medical appointments and/or consultations with a primary care provider
1.20
Telehealth to provide virtual medical appointments and/or consultations with a specialty care physician (physical health only)
1.21
Telehealth to provide virtual medical appointments and/or consultations with a psychiatrist
1.30
Mobile clinic or other community-based delivery model to provide care outside of the traditional office
1.31
Mobile clinic or other community-based delivery model to provide care at school(s)
(Limited to: Pediatric Primary Care and Chronic Disease Management; Dental Care)
1.40
Integration or co-location of primary care and dental services in the outpatient setting
(Limited to: Hospital Readmissions and ED Utilization; Dental Care)
1.41
Telehealth to provide virtual appointments and/or consultations with a dentist (Limited to: Hospital Readmissions and ED Utilization; Dental Care)
EXAMPLE

13. Category C: Related Strategies Reporting Example

14. Category C: Related Strategies Reporting Example
Example (Hospital)
Measure Bundles selected:
A1 Adult Diabetes
A2 Adult Heart Disease
C1 Adult Primary Care
C2 Cancer Screening
D1 Pediatric Primary Care
F2 Pediatric Dental
J1 Hospital Safety
Provider will report on four Related Strategies Lists associated with those seven Measure Bundle selections:
Adult Primary Care Prevention & Chronic Disease Management (A1, A2, C1, C2)
Pediatric Primary Care Prevention & Chronic Disease Management (D1)
Dental Care (F2)
Hospital Safety (J1)
Related Strategies List: Adult Primary Care Prevention and Chronic Disease Management
-this List has 43 Related Strategies

15. Category C: Related Strategies Reporting Example (4)
Related Strategies List: Adult Primary Care Prevention and Chronic Disease Management
-Of the total 43 Related Strategies in this List, these are the Related Strategies in the Access to Care Theme
-Note that RS-1.31, 1.40, and 1.41 are not included in this List

16. Category C: Related Strategies Reporting Example (5)
Related Strategies List: Adult Primary Care Prevention and Chronic Disease Management
-I skipped over the other Themes, Care Coordination; Data Analytics; Disease Management
-Of the total 43 Related Strategies in this List, these are the Related Strategies in the Social Determinants of Health Theme
-Again note that RS-5.30 is not included in this List

17. MEASURE BUNDLE PROTOCOL CHANGES
Related Strategies Reporting (DROP DOWN SELECTIONS)
Implementation Date
Before DSRIP
DY1-6
DY7-8
Planned for DY9-10
Not Applicable
Implementation Status
Implemented in small scale
Implemented throughout system
Implemented then discontinued
Not Yet Implemented

18. Category D Reporting
ANCHOR UPDATES

19. REMINDER ANCHOR UPDATES 2019 Statewide Learning Collaborative (Summit)
September 4th and 5th
Austin, Texas
SLC Regional slot availability list (5/17/19)
Each provider can only send 1 person (slot)
You will receive an Eventbrite Invitation
HHSC registration and hotel room reservation
AT&T Executive Education and Conference Center
REMINDER
ANCHOR UPDATES

20. TIMELINE ANCHOR UPDATES August 23rd June 27th Sep 4th & 5TH July 1st
RHP 15 Learning Collaborative
EPCC
Sep 4th & 5TH
DSRIP Statewide Learning Collaborative
Austin, TX
June 27th
Feedback on Bundle Protocol Changes
June 28th
Nominations for Cost & Savings Speaker
TA Questions on April Reporting
July 1st
IGT Transfer for April reporting
July 18th
RHP 6 Learning Collaborative
San Antonio, TX
ANCHOR UPDATES

21. Core Activity Presentations
JUN Las Palmas/ Del Sol Team
JUL Tenet Team
SEP El Paso Children’s Hospital Team
NOV El Paso Health Department Team
JAN Emergence Health Network Team
RESCHEDULED
ANCHOR UPDATES

22. DSRIP Activities Presentation
RESCHEDULED
ANCHOR UPDATES

23. Learning collaborative committee
Meets immediately after this meeting!
“Social Barriers to Health Care in our Border Community:
A Discussion of Social Determinants of Health in the El Paso Region”
Confirmed Speakers:
Dr. Eva Moya,
UTEP College of Health Sciences
Dr. Leah Whigham,
Paso del Norte Institute for Healthy Living
SAVE THE DATE: Aug 23rd

24. Information HHSC Waiver Website:
Waiver
TXHealthcare
UMC RHP15 Website:
Region 15 – RHP
DSRIP Online Reporting Tool:

25. Next Meeting – July 31st at 1:00pm
Medical Center of the Americas (MCA)
(Cardwell Collaborative Building)
Conference Room 1st Floor

26. DSRIP Learning Collaborative Planning
AGENDA
JUNE 26, 2019
DEFINE SCOPE of Talks
TICKET UPDATES
COMMUNITY SERVICES/VENDOR updates
MARKETING update
SPEAKER updateS
SCHEDULe updates
Catering updates
Survey design