1. RHP 12 Learning Collaborative

2.  RHP 12 Learning Collaborative Summary & Feedback  Cohort Updates  Waiver Updates

4.  64 Participants  25 Provider Partners Represented  Survey Results: Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Rate your overall satisfaction with the learning collaborative event62%29%9% - - Rate your overall satisfactions with the format of the event66%29%5% - - Rate your overall satisfaction with the provider project presentations66%24%4% - - Rate your overall satisfaction with the DSRIP reporting Presentation71%24%5% - - Rate your overall satisfactions with the Lean Six Sigma Presentation59%24%17% - - Rate your overall presentation with the poster presentations59%38%3% - - Rate your overall satisfactions with the overall content of the learning collaborative event68%18%14% - - Would you like to learn more about Lean Six Sigma?YesNo No answer 44%35%21%

5.  We appreciate your Feedback ◦ 8 comments received  Take Away: Overall Event went very well  Improvement Suggestions for DY4 ◦ Possibly having break out sessions on more project topics to cover more of what is being accomplished and how through the various wavier projects ◦ Would be nice to facilitate people (groups) with similar projects, a discussion session; informal for conversation about projects

6. Do you plan to take any action(s) on what you learned as a result of this learning collaborative?70%27%3% Will you be able to apply w hat you learned today to your program(s)?80%20% - Did this information validate your current processes?97%3% - Did you gain any insight?87%13% - Were you able to network with others?94%6% - Did you learn from other providers?94%3%

7.  Kick-off meetings with North (Amarillo) & South groups (Lubbock)  Created goals ◦ Plan for TA Call ◦ Explore electronic version of survey forms ◦ ROI on using particular software ◦ 2 nd administration of survey form ◦ Streamline data entry ◦ Improve patient engagement ◦ Research services for indigent (PAP) ◦ Explore “Diabetes Day” ◦ Explore Interface possibilities  Follow up Conference Calls

8.  Project Spotlight will resume in May  Project in Action will take place in May

9. Bobbye Hrncirik

10.  HHSC is currently reviewing additional information submitted for provisionally approved metrics.  All providers with NMI on provisionally approved metrics should receive results by today, March 31 st.

11.  Based on the PFM, providers will have a time after the mid-point assessment to determine if the provider wishes to continue with a project  Window to withdraw projects be from February 1 st through May 1 st 2015  Please let us know if you are considering withdrawing a project  Providers who withdraw a project will no longer be eligible for payments after May 1 st. This includes carryforward payments from DY2 & DY3

12.  HHSC continues to work with providers on category 3 baseline.  Priority has been given to providers who are eligible to report achievement during April reporting and they will continue to work with those not eligible until October during March and April as needed.

13.  HHSC hosted April Reporting Webinars ◦ General Reporting & QPI Webinar - April 7 th from 10- 11:30 am ◦ Category 3 & 4 guidance – April 7 th from 2-4 pm  We will record the webinars and post to our website: www.texasrhp12.comwww.texasrhp12.com  April Reporting Work Sessions ◦ April 16 th – Amarillo – TTUHSC from 9-5pm ◦ April 17 th – Lubbock – McInturff from 9-5pm

14.  QPI Templates are only required for April reporting if you are reporting achievement. No QPI template required for semi-annual reporting.  HHSC has finalized QPI templates for all but 28 projects.  If you have a QPI template with outstanding issues HHSC will be asking you not to report achievement during April  Do NOT use the DY3 QPI template on the HHSC website for April reporting. There will be a new DY4 template available soon

15.  HHSC has been reviewing draft recommendations from project questions and change suggestions from Myers and Stauffer.  RHP 12 received Mid-Point Assessment emails last week for many projects with a due date of March 30 th and March 31 st.

16.  HHSC will request 100% of the DY4 IGT monitoring amount with July 2015 payment.  If full payment is not submitted it will be requested with January 2016 payment.  Based on projects withdrawn by May 1 st HHSC will decrease the IGT monitoring due for the associated IGT entities. The difference will not be redistributed among remaining IGT entities.  Approximately $2 million of DY3 IGT monitoring will be refunded in September 2015

17.  Submitting STC  5 years or 3 years depending on language related to dual eligible  CMS has 6 months to respond (March 2016)  CMS Meeting ◦ Sustainability plan for DSRIP & UC ◦ Want to see funding flow thru managed care rates. The do not like supplemental payment models ◦ 3 funding models related to last years deferral constitute Impermissible Provider donations Submission of FINAL RHP Plan – June 2015

18.  Primary/Secondary Project Types  Peer Assessment Templates  Transformational Impact Rubric

19.  April Reporting – April 1 st – April 30th  UC IGT Notification – May 22, 2015  Monthly Status Call – June 1 st (April call will be canceled)  UC IGT Settlement Date – June 5, 2015  Submission of FINAL RHP Plan – June 2015  DSRIP IGT – Beginning of July  DSRIP Settlement Date – End of July