Board Meeting November 9, 2016
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE Agenda ▪ Call to order ▪ Status updates ▪ ED update ▪ Board business ▪ DCHI strategic planning ▪ Public comment 2 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE Agenda ▪ Call to order ▪ Status updates ▪ ED update ▪ Board business ▪ DCHI strategic planning ▪ Public comment 3 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE Summary of October DCHI Board meeting ▪ Approved renewal of three Board members ▪ Approved new member for DCHI Board ▪ Approved new member for Clinical Committee ▪ Received updates from DHIN on Common Scorecard and development timeline for the Health Care Claims Database ▪ Received briefing from UD on the Workforce Curriculum ▪ Patient and Consumer Committee introduced consensus paper for approval at November Board meeting ▪ Received update from HCC on SIM grant year 3 operational plan which would provide support through January 2018 ▪ Received ED update including plans to engage professional marketing firm for DCHI communications strategy ▪ Received update on DCHI budget 4 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE DCHI success in 2016 Critical path Supporting innovations Common Scorecard accessible to 1 Behavioral health integration testing 1 PCPs statewide program launched 2 2 50% providers participating in practice Workforce curriculum available transformation 3 3 40% of Delawareans attributed to Health literacy materials launched on PCPs in value-based payment models website 4 4 3 Healthy Neighborhoods launched APCD on path to be operational in 2017 Operational sustainability 1 Broad base of financial contributors 2 Staff hired for Healthy Neighborhoods, Clinical and Payment Committees 3 DCHI program dashboard live 5 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE DCHI success in 2016: Critical path For further discussion Metrics Status ▪ V2.0 launched Statewide ▪ Common Scorecard Scorecard enrollment live; providers may enroll at 1 accessible to PCPs statewide any time ▪ ~35% PCPs enrolled 1 ▪ 50% providers participating in Planning for year 2 support in progress 2 practice transformation ▪ ~30% Delawareans in value-based payment 40% of Delawareans attributed models 2 3 to PCPs in value-based ▪ Payers continuing to enroll practices payment models ▪ HN sustainability Committee convened ▪ Selection of Healthier Sussex Task Group; HN 3 Healthy Neighborhoods 4 Local Council planning process underway launched ▪ Local Council in development for Wilmington 1 August 2016 PT vendor report indicated 98 sites and 363 MDs, NPs, PAs; current Scorecard estimates ~1,000 full time primary care providers in Delaware; does not include TCPI participants 2 Majority in Medicare Shared Savings Plans Source: 2016 Medscape 6 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE DCHI success in 2016: Supporting innovations For further discussion Metrics Status ▪ Not launched; accepting expressions of interest Behavioral health from PC and BH practices 1 integration testing ▪ Implementation plan approved at August Board for program in development approval ▪ Vendors currently developing curriculum ▪ First module launching in November Workforce curriculum 2 available ▪ No literacy materials are currently available ▪ Health literacy materials ab+c developing choosehealthde.com 3 launched on website ▪ DHIN leading implementation of HCCD, scheduled for Fall 2017 HCCD on path to be 4 ▪ DHIN working with governor's office to publish operational in 2017 draft regulations by Dec 1 (TBC) 7 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE DCHI success in 2016: Operational sustainability For further discussion Metrics Status ▪ Strategic planning process to discuss goals and financial sustainability currently in process Broad base of financial 1 contributors ▪ Executive Assistant, Healthy Neighborhoods project director, and Wilmington HN community Staff hired for coordinator hired administration, Healthy ▪ 2 Recruitment underway for HN Program Manager Neighborhoods, Clinical and Community Coordinators Committees ▪ Initial dashboard shared at August Board; expect DCHI program dashboard to update quarterly (next update in Dec) 3 live 8 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE Draft timeline and example activities for DE’s Current milestone timeline Health Care Claims Database Previous timeline Prepare Launch Expand 2016 2017 2018 Activity Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 ▪ Define governance body, ▪ Approve final ▪ Encourage self-funded employers (e.g., ▪ Arbiter data release and data regs hospital systems) to participate use requests funding strategy ▪ Create and promulgate rules ▪ Consider expanding use Governance cases or self-funded & regs ▪ Align on procurement participation strategy if needed ▪ Establish data use/sharing ▪ Prepare to receive data feeds from ▪ Receive data feeds from participating agreements participating payers payers ▪ Define sources, format, ▪ Prepare to accept other data feeds Data collection timing of data feeds (e.g., self-funded plans, commercial ▪ Prepare to collect plans) ▪ Refine procedures as needed Medicare data ▪ Refine architecture, policies and procedures as needed ▪ Agree on vendor and ▪ Modify access and/or architectural design as needed Data infra- architecture if needed structure based on data received ▪ Create data store and ingestion routines ▪ Define use cases ▪ Draft standard reports ▪ Test and run ▪ Consider ▪ Designate owner for desired analytics on expanding Data requests, distribution received data analytics based analytics on demand ▪ Determine how information ▪ Distribute ▪ Consider will be shared information adding 2+ month delay ▪ Draft use cases General according to consumer for final regs reporting (Transparency Working governance interface Group) policies Data sharing begins 1 Legislation enacted Final regs published 1 Legislation mandates participation from Medicaid Program, the State Group Health Insurance Program, any qualified 9 PROPRIETARY AND CONFIDENTIAL health plan in the Delaware Health Insurance Marketplace and any federal healthcare plan
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE Patient and Consumer: next steps on consensus paper ▪ Chair of the Patient and Consumer Committee To be shared this consensus updated paper at the October Board meeting ▪ Board to discuss consensus paper today and potentially vote on adoption 10 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE HCC budget update – SIM grant spend NUMBERS PRELIMINARY AND FOR REFINEMENT by year SIM Spend Feb 2015 – Oct 2016 $ M Year 1 spend 8.3 Year 2 plus 15.5 carryover 1 Year 2 spend 6.4 (Feb.- Oct. 2016) 1 Includes anticipated $3.4M unspent in 2016 11 PROPRIETARY AND CONFIDENTIAL
PRELIMINARY PREDECISIONAL WORKING DOCUMENT: SUBJECT TO CHANGE HCC budget update – SIM grant spend by NUMBERS PRELIMINARY AND FOR REFINEMENT area (Feb. 2015 – Oct. 2016) Year 1 SIM grant Year 2 SIM grant Initiative ($) through Oct. ($) Care delivery (PT, BHI, Quality) 2,361,029 1,873,375 Value based payment & transparency 1,912,500 1,005,000 Health IT (HIT plan, HCCD, Scorecard) 1,476,500 1,145,360 Workforce 383,675 123,360 Population health (HN) 1,050,000 875,000 Patient and consumer 372,475 379,354 Management/infrastructure 731,886 963,142 Total 8,287,865 6,364,591 12 PROPRIETARY AND CONFIDENTIAL
Recommend
More recommend
