1. Washington Health System Transformation Community of Health Grantee “Kick Off Webinar” July 10, 2014 1

2. State Health Care Innovation Plan Officially “Kick-off” the Community of Health (COH) Planning Grant Provide an update on the current status and anticipated next steps Establish a forum and points of contact for ongoing collaboration Allow for questions and answers 2 Webinar Objectives

3. State Health Care Innovation Plan 3 Webinar Agenda 12:30 pm Welcome, Housekeeping, Introductions & Roll Call 12:35 pm Congrats and “Kick Off” Brief Overview of SHCIP & SIM Round 2 Overview of the ACH Initiative 12:45 pm The COH Planning Grant, Deliverables and Timeline 1:00 pm What’s Next? State and COH Grantee Relationship State and COH Roles and Engagement Strategies 1:05 pm Questions, Answers and COH Next Steps 1:30 pm Adjourn

4. 4 Brief Overview of SHCIP & SIM Round 2 State Health Care Innovation Plan Dorothy Teeter Director Washington State Health Care Authority

5. State Health Care Innovation Plan Build healthy communities and people through prevention and early mitigation of disease throughout the life course Drive value-based purchasing across the community, starting with the State as “first mover” Improve chronic illness care through better integration of care and social supports, particularly for individuals with physical and behavioral health co-morbidities (more than 1 illness) 5 Three Core Strategies Supported by HB 2572 and SB 6312

6. State Health Care Innovation Plan 6 Seven Building Blocks Quality and price transparency Person and family engagement Regionalize transformation Accountable Communities of Health (ACHs) Leverage and align state data Practice transformation support Workforce capacity and flexibility

7. State Health Care Innovation Plan The grant application is due July 21, 2014. Here’s an update: Our public comment period just closed yesterday Our stakeholdering process has been expansive and we want to continue that with Letters of Support We anticipate our award announcement on October 31 We are continuing to move forward to achieve our aims 7 SIM Round 2 Application Update

8. 8 Overview of the Accountable Community of Health (ACH) Initiative State Health Care Innovation Plan John Wiesman Secretary Washington State Department of Health

9. State Health Care Innovation Plan Accountable Communities of Health (ACH)  Regionally based, voluntary collaboratives to align actions to achieve healthy communities and populations, improve health care quality and lower costs.  Based on the premise that no single sector or organization in a community can create transformative, lasting change in health and health care alone.  Clinical, community, and government entities must coordinate their efforts and actions around clearly defined goals that support whole-person health.  Shift from traditional State- community engagement approaches to those of partnership to achieve mutual aims.

10. State Health Care Innovation Plan Accountable Communities of Health (ACHs) Collectively impact health through regionally driven priorities and solutions Develop and work in partnership with the state on health systems transformation Maintain a local identity while aligning with State efforts Develop a region-wide health assessment and regional health improvement plan, including Medicaid purchasing alignment Driver of accountability for results Forum for harmonizing payment models, performance measures and investments Health coordination and workforce development

11. 11 The COH Planning Grant, Deliverables and Current Landscape State Health Care Innovation Plan Laura Zaichkin Administrator HCA Office of Health Innovation & Reform

12. State Health Care Innovation Plan Create an opportunity for collaboration as the State partners with communities Inform the development of ACHs Align, amplify and evolve existing priorities and efforts Recognize and support communities at different levels in health system development and transformation 12 Intent of the COH Planning Grant

13. State Health Care Innovation Plan 13 Intent of the COH Planning Grant

14. 14 COH Planning Grant Milestones State Health Care Innovation Plan Green - SIM Round 2, Innovation Plan and “Other” Key: Brown - Specific to COH Planning Grant Oct 31 SIM Grant Award Announced (estimate) Jan 1 SIM Grant performance period begins July 2014 Jan. 2015 Sept 1 Joint Behavioral Health System Task Force recommend- ations Oct 1 HCA and DSHS decide common Regional Purchasing Areas (RSAs) July 21 SIM Round 2 Application Due Sept 1 project narrative & financial progress report templates provided Oct 15 project narrative & financial progress reports due Dec 15 final financial report template provided by HCA Jan 31 final financial report due Dec 31 performance period / COH plans completed January two ACHs selected Fall ACH certification criteria / process established

15. State Health Care Innovation Plan 15 Washington’s Communities of Health (COHs)

16. State Health Care Innovation Plan COH Planning Grantee Landscape

17. State Health Care Innovation Plan COH Planning Grantee Landscape Significant Focus on Rural Health Needs Urban Region

18. State Health Care Innovation Plan COH Planning Grantee Landscape Preliminary Health Concerns (based on an initial review of COH grant applications) Chronic Disease (e.g., Diabetes, Heart Disease and Obesity) Access to Healthcare Mental Health/Chemical Dependency Care Maintaining Sufficient Providers Poverty High Dependency on Public Insurance Underserved Sub-populations Rural Health Aging Population Payment Reform

19. State Health Care Innovation Plan COH Planning Grantee Landscape A Selection of Current Promising Practices (based on COH grant application reviews): Rural Primary and Behavioral Health Integration Project – integration of primary and behavioral health services for high utilizing patients (BHT) Prostate Cancer Screenings and Prostate Wellness Campaigns – public health campaign regarding prostate health tailored for use in Native American communities (SPIPA) Advanced Care Planning – Initiatives to improve the end-of-life experience (North Sound ACH) Emergency Department Consistent Care Program – decreased ED usage by more than 40%) (CHOICE) Community Transformation Grant Partnership – decreased youth obesity in several king county school districts by 17% (King) Mobile Health Clinic – provides primary and behavioral Health via mobile van (Pierce)

20. 20 What’s Next? State and COH Grantee Relationship State Health Care Innovation Plan Chase Napier ACH Program Manager HCA Office of Health Innovation & Reform

21. 21 State and COH Grantee Relationship State Health Care Innovation Plan

22. 22 Next Steps State Health Care Innovation Plan Bolster coordination activity through dedicated support, including the following: Develop a statewide coordination plan Create opportunities for regional and/or affinity based convenings and site visits Develop a communications plan

23. 23 Next Steps State Health Care Innovation Plan In Development: COH project site Reoccurring Webinars and one-on-one check-ins Accessible “living” Q&A for the grant Regular updates regarding deliverables and deadlines

24. 24 Q&A State Health Care Innovation Plan

25. 25 State Health Care Innovation Plan Q&A and Discussion FAQs: What’s the status of the ACH designation criteria? What are the roles of State partners and Strategies 360? Other questions? Please share your thoughts: What are your COH’s next steps? Any thoughts or ideas to share? What is your local communication model and how can we communicate most effectively? What would be your number one ask of the State for the next couple of weeks?

26. 26 State Health Care Innovation Plan Contact Us Stay informed via the Innovation Plan website: http://www.hca.wa.gov/shcip http://www.hca.wa.gov/shcip Share your thoughts and ask questions by emailing the ACH Program Manager: Chase Napier chase.napier@hca.wa.gov chase.napier@hca.wa.gov (360) 725-0868