Board of Trustees April 25, 2019 1
Board Agenda • Consent Agenda • Finance Committee Reports • Board of Trustees Retreat • RHIP Council Update • Program Update – Opioid Strategy
Consent Agenda • February 2019 Board of Trustee Minutes • SWACH Dash Board Report • Update on Partner Organizations • Budget Neutrality – HCA Information • SAR 2.0 Approval
Operations Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Opioid Coordinator – Jim Jensen Staffing November 2018 Position Filled Final • Equity Manager – Sky Wilson December 2018 Position Filled Interviews for • Pathways HUB Coordinator – Michelle Ahmed January 2019 Position Filled TID position; • Accounting & Human Resources Coordinator April 2019 Accounting • Transformation Improvement Director April 2019 position remains open. • Review organizational roles and potential staffing models that support October 2018 Organizational Finalized; functions; implement changes to organizational structure to support April 2019 structure to support Board necessary functions. 2019 Work reviewed 12.2018; minor revisions 3.2018 • Hired a Communications Director to develop a communications plan Marketing & Communications August 2018 Position filled/Plan Complete created • Communications Plan Launch and integration of Healthy Living Winter Communications Brochure completed; 1 st Collaborative 2018/2019 Plan; SWACH • Robert Wood Johnson Healthy Communities Application submitted November 2018 brochure/video. Round 2 nd Round Approval. • ED participated on two community panels: Leadership Clark County and December 2018 Approval; 2 nd Clark County Health Care Advisory Board Participation. proposal • ED spoke at Health Policy Conference on Future of ACH’s November 2018 Panel participation. denied. • ED represented the ACH-EDs on Washington State CHW Task Force April 2019 CHW Training CHW training • Established regular meetings with Managed Care Plans Ongoing Recommendations. recommendati Monthly-Quarterly ons submitted meetings to DOH.
Operations Dashboard (continued) Key Strategies Major Milestones Target Date Success Metric Status • Board approved operating budget. Budget/Funds Flow/Personnel Winter Approved 2019 budget; Multi-Year • Board approved five-year Funds Flow Allocations 2018/2019 Approved Multi-Year Funds Flow Funds Flow; & 2018 Hub • Board approved 2018 Pathways/HUB budget. Approved 2018 Budget Pathways/HUB Budget. approved; • New Financial Software Implemented. Jan-Feb. 2019 System Implemented. 2019 SWACH Budget approved. • 2017-2018 Financial Audit Completed. May 2019 Receipt of Mgt. Letter On site from Auditor. audit review completed. • 2018-2018 Financial Audit Completed. July 2019 Qualified Audit. • 990 Report completed and filed for 2017-2018 May 2019 990 Filed. Data being collected. • Transition HR functions from Contractor to SWACH December- HR Functions All HR March 2019 internalized. functions internalized or with new sub- contractor.
Operations Dashboard (continued) Key Strategies Major Milestones Target Date Success Metric Status • Review operational policies and procedures for gaps; prepare and Internal Policies & Procedures Fall 2018-Spring Completed operations Personnel implement policies and procedures 2019 policies and procedures. Policy --Personnel Policy Manual Manual --Financial Policy Manual approved. --IT Contract: Identify new IT vendor to support SWACH. May 2019 Vendor approved; implementation transition completed. • SAR 100%; Implementation Plan submitted Reporting & Accountability Summer 2018 SAR 100% Complete. January 2019 SAR 100% Complete. • SAR 2.0: Implementation Plan submitted • Board Governance/RHIP Bylaws Revised December 2018 Bylaws approved Approved • Council Board of Trustee Officers and Board Members Recommended. December 2018 Officers & Board Dec. 2018 February 2019 Members approved • Executive & Finance Committee Accountabilities Defined February 2019 Accountabilities Approved • Hosted a Social Determinants/Clinical Care Panel at RHIP. January 2019 approved. Feb. 2019. Successful Panel. Panel • Reevaluation of purpose of RHIP Council. May 2019 Updated RHIP Charter. completed.
Whole Person Integrated Care Dashboard Key Strategies Major Milestones Target Date Success Metric Status Integrated Care Co-Created Goals October 2018 Implementation Plans Completed. • Integration of Physical and Behavioral Health Framework Development submitted. • Value Based Payment Goals Established • Success Metrics Established • Workforce Needs Established • Clinical Partner Assessment Cohort of Providers for July 2018 Transformation Plan Completed. • Review Transformation Plan (CTP) Clinical Transformation Developed • Clinical Transformation Plan developed disseminated and August 2018 Transformation Plan Complete returned Completed • Clinical Transformation Plan review October- early Plans reviewed by Staff and Completed. December 2018 External Reviewers. • Established Cohort of Clinical Partners invited into a binding January 2019 Binding Agreements In Process. agreement to begin workplan negotiations and Pay for Performance tied to transformation plans. • Provider contracts/MOU executed Mar-April 2019 Binding Agreements In Process. • Established a Clark County Opioid Taskforce. April 2019 Engagement and ongoing In Process. participation of stakeholders. • Learning Collaborative (QI) process Identified for Integration Learning Collaborative(s) March 2019 Collaboratives Developed Meeting with Teams individual teams.
Community Clinical Linkages Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Request for community serving organizations that support addressing the social Engage Community Serving October 2018 RFI’s Received Complete Organizations into determinants of health to partner with clinical partners Transformation • Establish review and matchmaking process and criteria November 2018 Process Developed Complete • Invite Community Serving Organizations into a transformation Cohort; complete Mar-April 2019 CSO’s integrated In Binding Agreements with Clinical Teams Process • Current Project - SeaMar/CVAB Hep C CURES QI Ongoing Improvement In Cycle Process • New Opioid funding September 2018 Grant approved Funding • New Opioid Treatment Network Funding December 2018 Funding Received Approved . • Promote and support CHW neighborhood teams in Clark, Cowlitz and Wahkiakum Healthy Living Collaborative November 2018 MOUs completed Complete Initiatives counties; Select partner organizations for CHW teams. Ongoing Barriers identified • Address barriers to school attendance at McLoughlin Middle School through the Information. In Education Community Health worker initiative. April 2019 Process • RHIP Council entertained panel to discuss school based health and wellness. Ongoing Complete • Support growth of CHAPS network (namely Advocates, Community Health 75% attendance. Workers, Certified Peers and their organizations) serving Southwest Washington, March 2019 to improve holistic health outcomes for the Community. Complete • Hosted HLC Quarterly meeting with over 60 participants. Presentations by two ACH leaders.
Community HUB Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Board adopts pathways Community HUB June 2018 Board Approval Complete • CTPs identify Klickitat and Skamania interest in Pathways model (rural September 2018 RFA released In engagement) progress • Contract with CCS for HUB Technology and Technical Assistance September 2018 Contracts signed Complete • Includes prelaunch support with Healthy Gen for CHW workforce development • Pathways HUB 2-Day Strategic Planning Meeting September 2018 Implementation Tasks Complete and Timeline developed • Rural CCAs announced: Skamania County Community Health & Washington November 2018 Rural CCAs announced In Gorge Action Program progress • HUB Advisory Committee formed November 2018 First meetings Not scheduled complete • All CCAs Trained February 2019 Training completed In Process • Community HUB Go Live! Pathways HealthConnect. March 2019 First person enrolled Complete
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