1. Draft – discussion only Advanced Health Models and Meaningful Use Workgroup December 2, 2014 Paul Tang, chair Joe Kimura, co-chair

2. Workgroup Meeting Objectives 1.Review purpose and objectives of Q2 2015 workshop/hearing 2.Propose structure for workshop/hearing to organize information and to focus domains of exploration 3.Draft outline of workshop/hearing including learning objectives and initial list of potential projects/participants based on structure 2

3. 3 Agenda I.Key Dimensions of an Accountable Care Community II.Workshop/Hearing Objectives III.Possible Panelist Types IV.Next Steps V.Public Comment

4. Key Dimensions of an Accountable Care Community 4 1. Coordinated care across entities spanning the continuum 2. Information exchange across entities 3. Measures that matter to individuals and communities 4. Financial models supporting shared accountability

5. Potential Example: Care Coordination 5 1. Care Coordination across Home to Acute Hospital to SNF to Specialist to Primary Care to Home 2. What Information Must be Shared? (How/When/Where/By Whom) 3. What measures can fairly capture shared accountability for care coordination? Do such measures require merging data from multiple organizations? 4. What financial models can be hypothesized to leverage measured shared accountability to drive better care coordination?

6. Potential Example: Care Coordination 6 1. Who is doing Care Coordination across Multiple Organizations Really Well? 2. Who is exchanging information across organizations for care coordination purposes really well? 3. Who is using measures to drive care coordination performance improvement across organizations? 4. Who has leveraged a financial model to help disparate organizations shared financial accountability for effective care coordination?

7. Workshop/Hearing Principles and Design Draft Purpose Statement: To explore how health information technology can be better leveraged to improve coordination of health and care across participants from all settings and all services. Objectives/Goals: Summarize, synthesize, and build off existing work (e.g., HITPC ACO hearing, NCVHS community data initiative, IOC social determinants) Broaden perspective from traditional medical care to other stakeholders and data that influence individual and community health Learn from exemplar implementations that illustrate key dimensions of accountable care communities Develop recommendations for HIT support of accountable care community capabilities 7

8. Witnesses/Participant Types Examples where community-service organizations and other non-medical agencies or groups partner with healthcare organizations to improve community health Community-focused Medicaid/Medicare and private-sector accountable care arrangements Collaborations among healthcare organizations across the continuum of care including behavioral health, long term post-acute care, state and local health and human service leaders, etc. Integrated systems combining multiple data sources for a comprehensive view of health and wellbeing Organizations working on health impact assessments CDC, RWJF, Pew Health Impact 8

9. 9 NEXT STEPS

10. 10 PUBLIC COMMENT