Board of Trustees February 28, 2019 1 Board Agenda Introductions: - PowerPoint PPT Presentation

Board of Trustees February 28, 2019 1

Board Agenda • Introductions: New Staff • Consent Agenda • Finance Committee Reports • Board of Trustees • CTP/CSO Contracts – Status Report

Introductions • Jim Jensen, Opioid Collaborative Coordinator • Sky Wilson, Equity Initiatives Manager • Brandi Williams, Rose Village Community Health Worker Team Lead and Educational Advocate • Dominique Horn, Rose Village Community Health Worker Team Lead and Educational Advocate • Michelle Ahmed, Pathways HUB Coordinator

Consent Agenda • December 2018 Board of Trustee Minutes • SWACH Dash Board Report (Strategic Framework)

Operations Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Opioid Coordinator – Jim Jensen Staffing November 2018 Position Filled Two positions • Equity Manager – Sky Wilson December 2018 Position Filled filled; • Pathways HUB Coordinator – Michelle Ahmed January 2019 Position Filled applications • Accounting & Human Resources Coordinator being received • Transformation Improvement Director for two positions • Review organizational roles and potential staffing models that support October 2018 Organizational Finalized; functions; implement changes to organizational structure structure to support Board 2019 Work reviewed 12.2018 • 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 Collaborative 2018/2019 Plan; SWACH completed; 1 st • 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 December 2018 Approval; 2 nd and Clark County Health Care Advisory Board Participation Round • ED spoke at Health Policy Conference on Future of ACH’s November 2018 complete. proposal • ED is representing the ACH-EDs on Washington State CHW Task Force April 2019 submitted; • Established regular meetings with Managed Care Plans Ongoing Panel participation. Review of CHW Training CHW trainings Recommendations. in multiple Monthly-Quarterly states. meetings

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. System being installed. • Transition HR functions from Contractor to SWACH December- HR Functions Insurance March 2019 internalized. transitioned • 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 Policies • SAR 100%; Implementation Plan submitted Reporting & Accountability Summer 2018 SAR 100% Complete. January 2019 SAR 100% Complete. • SAR 2.0: Implementation Plan submitted

Operations Dashboard (continued) Key Strategies Major Milestones Target Date Success Metric Status • 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 completed.

Whole Person Integrated Care Dashboard Key Strategies Major Milestones Target Date Success Metric Status Integrated Care Framework Co-Created Goals October 2018 Implementation Completed. • Integration of Physical and Behavioral Health Development Plans submitted. • Value Based Payment Goals Established • Success Metrics Established • Workforce Needs Established • Clinical Partner Assessment Cohort of Providers for Clinical July 2018 Transformation Completed. • Review Transformation Plan (CTP) Transformation Plan Developed • Clinical Transformation Plan developed disseminated and returned August 2018 Transformation Complete Plan Completed • Clinical Transformation Plan review October- early Plans reviewed Completed. December by Staff and 2018 External Reviewers. • Established Cohort of Clinical Partners invited into a binding agreement to begin January 2019 Binding In Process. workplan negotiations and Pay for Performance tied to transformation plans. Agreements • Provider contracts/MOU executed February 2019 Binding In Process. Agreements • Learning Collaborative (QI) process Identified for Integration Teams Learning Collaborative(s) March 2019 Collaboratives Pending Developed

Community Clinical Linkages Dashboard Key Strategies Major Milestones Target Date Success Status Metric • Request for community serving organizations that support addressing the social Engage Community Serving October RFI’s Complete Organizations into Transformation determinants of health to partner with clinical partners 2018 Received • Establish review and matchmaking process and criteria November Process Complete 2018 Developed • Invite Community Serving Organizations into a transformation Cohort; complete February CSO’s In Binding Agreements 2019 integrated Process with Clinical Teams • Current Project - SeaMar/CVAB Hep C CURES QI Ongoing Improvement In Cycle Process • New Opioid funding September Grant Funding • New Opioid Treatment Network Funding 2018 approved Approved December Funding . 2018 Received • Promote and support CHW neighborhood teams in Clark, Cowlitz and Wahkiakum Healthy Living Collaborative November MOUs Complete Initiatives counties; Select partner organizations for CHW teams. 2018 completed • Address barriers to school attendance at McLoughlin Middle School through the Ongoing Barriers In Education Community Health worker initiative identified Process • Support growth of CHAPS network (namely Advocates, Community Health Workers, Ongoing Certified Peers and their organizations) serving Southwest Washington, to improve holistic health outcomes for the Community

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 RFA released In engagement) 2018 progress • Contract with CCS for HUB Technology and Technical Assistance September Contracts signed Complete • Includes prelaunch support with Healthy Gen for CHW workforce development 2018 • Pathways HUB 2-Day Strategic Planning Meeting September Implementation Complete 2018 Tasks and Timeline developed • Rural CCAs announced: Skamania County Community Health & Washington November Rural CCAs In Gorge Action Program 2018 announced progress • HUB Advisory Committee formed November First meetings Not 2018 scheduled complete • All CCAs Trained February Training In 2019 completed Process • Community HUB Go Live! March 2019 First person Planning enrolled

Collaborative Impact Dashboard Strategy Key Milestones Target Success Metric Status Date • Monthly Stakeholder Meetings Held Cross Sector Shared Learning • Opioid Learning Sessions: Successful events for providers “ The Uses of Suboxone in a 9/2018 Minimum attendance Complete Practical Clinical Setting”; Events in Clark and Skamania Counties of 40 Providers • Conduct an internal assessment of SWACH’s community engagement efforts, collate Community 1/2019 Assessment completed In Engagement System community engagement knowledge, and refine and communicate community engagement progress strategy • Form local and regional community councils 3/2019 Councils formed In progress • Host community engagement sessions Ongoing Quarterly community engagement sessions • Create a culture of community engagement within SWACH as an organization and within the Ongoing work groups and learning collaboratives it supports • Community MOU approved for Housing & Health Innovation Partnership (VHA; SWWCF; Clark County 10/18 Partnership Ongoing Resiliency Funding Community Services & SWACH) Agreement Approved. • VHA to dedicate up to 50% of vouchers to people enrolled in FCS housing support benefit Additional funding for until total vouchers reaches 200. supportive housing • Elwood & Tenny Creek supportive housing funded with 9% tax credit allocation. approved.