CARE COORDINATION SUBCOMMITTEE PRESENTATION TO INTEGRATED DELIVERY - PDF document

CARE COORDINATION Governor’s Office of SUBCOMMITTEE MEETING Health Innovation and Transformation PRESENTATION TO IDS Meeting Minutes 10/28/14 CARE COORDINATION SUBCOMMITTEE PRESENTATION TO INTEGRATED DELIVERY SYSTEMS SUBCOMMITTEE MEETING MINUTES Meeting Date: 10/28/14 Meeting Location: Chicago, Springfield, conference call Approval: FINAL All meetings will be accessible to handicapped individuals in compliance with pertinent state and federal laws upon notification of anticipated attendance. Handicapped persons planning to attend and needing special accommodations should contact GOHIT at least five business days prior to the meeting so that we may best accommodate their needs. Governor’s Office of Health Innovation and Transformation 100 W Randolph St, Chicago, IL 60601 Suite 2-201 312.814.1600

CARE COORDINATION Governor’s Office of SUBCOMMITTEE MEETING Health Innovation and Transformation PRESENTATION TO IDS Meeting Minutes 10/28/14 A TTENDANCE Name Title Organization Peter Eckart Director of Health and IPHI-Illinois Public Health Institute Information Technology Chuck Feerick Associate Whitaker Kinne Group, LLC Laura Furlong CEO Marcfirst Blair Jones The Alliance of Chicago Community Health Centers Dejan Jovanov PHN System Architect IDPH Ellen Kaufmann Program Coordinator IPHI-Illinois Public Health Institute Alexander Martell Intern GOHIT Xenia Okalibe Program Assistant IPHI-Illinois Public Health Institute Susanne Schnell Dr. Joseph West Chief Population Health NextLevel Health Partners Officer Michael Gelder Co-Chair, Delivery System GOHIT Reform Elissa Bassler CEO IPHI-Illinois Public Health Institute Kathleen Monahan Illinois Framework Jayne Antonacci IDHS/DASA Sonia Bhagwakar General Counsel IDoA - Illinois Department on Aging David Billingham Associate Director Maine Center, Inc. Michael Brave Vice President Southern Illinois Living Centers, Inc - SILC Kelly Carter Chief Operating Officer Illinois Primary Health Care Association Craig Cathcart Director of Legislative Affairs Swedish Covenant Hospital and Advocacy Gerri Clark Associate Director for UIC-Division of Specialized Care for Children Program Services Cathy Cumpston IDHS/Division of Mental Health Selma D'Souza Government Affairs Director GOHIT Laura Furlong CEO Marcfirst Art Jones IDSR SME Health Management Associates Janice Gambach President Mental Health Centers of Central Illinois /System Administrator, Behavioral Health, Memorial Health System Ramon Gardenhire Deputy Policy Director SEIU Healthcare Christine Hammond Project Manager IDHS - Illinois Department of Human Services Jill Hayden Director of Medicaid Policy BlueCross BlueShield of Illinois Daniel Hoodin Vice President - Managed HSHS- Hospital Sisters Health System Care Strategy /Development Nadeen Israel Policy Director EverThrive Illinois All meetings will be accessible to handicapped individuals in compliance with pertinent state and federal laws upon notification of anticipated attendance. Handicapped persons planning to attend and needing special accommodations should contact GOHIT at least five business days prior to the meeting so that we may best accommodate their needs. Governor’s Office of Health Innovation and Transformation 100 W Randolph St, Chicago, IL 60601 Suite 2-201 312.814.1600

CARE COORDINATION Governor’s Office of SUBCOMMITTEE MEETING Health Innovation and Transformation PRESENTATION TO IDS Meeting Minutes 10/28/14 Michael Jones Special Assistant to the IDHFS - Illinois Department of Healthcare and Director Family Services Keith Kudla CEO Family Health Network John Lewis President J. Lewis & Associates Marie Lindsey Illinois Society for Advanced Practice Nursing Rajnish Mandrelle VP - Organizational Association for Individual Development Development and HR Kimberly Matthews Policy Analyst Illinois Framework Peter McLenighan Executive Director Stepping Stones, Inc. Robert Mendonsa IDHFS - Illinois Department of Healthcare and Family Services Pat Merryweather Co-Chair, Data and Executive Director, Telligen Technology Helen Michelassi Executive Director Prairieland Service Coordination, Inc. Laura Minzer State Government Affairs Cigna Mary McGinnis Director of Operations GOHIT Teressa Perdieu Melissa Picciola Staff Attorney Equip for Equality Jim Runyon Vice President, Strategic Easter Seals Peoria-Bloomington Initiatives & Gov’t. Affairs Ken Ryan Vice President of Member Illinois State Medical Society Advocacy Al Shehadi Deb Shipley Chief of Staff - Operations IDoA - Illinois Department on Aging John Smolen Director Consilink, LLC Lora Thomas Executive Director NAMI Illinois Jen McGowan Policy Analyst GOHIT Leonor Vanik PhD Candidate University of Illinois at Chicago (UIC) Charles Watkins Marketplace Regional Governor's Office Outreach Coordinator Sharyn Elman Director of Communications GOHIT Sharron Matthews Assistant Director IDHFS - Illinois Department of Healthcare and Family Services Carole Schwartz Senior Policy Advisor IDoA - Illinois Department on Aging M EETING L OGISTICS Building: James R. Thompson Center 100 W. Randolph Street, 16 th Floor Conference Room: Chicago, 16 th Floor 16-504 / Springfield, 2 nd floor 205 Video Conference Room Remote Access Tools Used: Dial-In: (888) 494-4032, code: 738-916-388# All meetings will be accessible to handicapped individuals in compliance with pertinent state and federal laws upon notification of anticipated attendance. Handicapped persons planning to attend and needing special accommodations should contact GOHIT at least five business days prior to the meeting so that we may best accommodate their needs. Governor’s Office of Health Innovation and Transformation 100 W Randolph St, Chicago, IL 60601 Suite 2-201 312.814.1600

CARE COORDINATION Governor’s Office of SUBCOMMITTEE MEETING Health Innovation and Transformation PRESENTATION TO IDS Meeting Minutes 10/28/14 M EETING S TART Meeting Schedule Start: 1:00 pm Meeting Actual Start: 1:00pm Meeting Scribe: Xenia Okalibe A GENDA WELCOME AND INTRODUCTIONS – Michael  IDS has not met since September 10  All meeting minutes are available on the GOHIT website What is an integrated delivery system? – Michael  The delivery should work with different payers  Systems are not insurers  Need to move from fee-for-service to an outcome-based payment methodology  Primary care, behavioral health, substance abuse, and other community based services to address the social needs of the members of the integrated delivery system  Care coordination is a key component of this system IDS RECAP AND LEVEL-SETTING - Michael IDS Subcommittee  Developed consensus on criteria for integrated delivery system pilots  Developed consensus on criteria for health plan participation in integrated delivery system pilots  Evaluating ways Regional Health Improvement Collaboratives should be connected to IDS pilot sites  Visit GOHIT website for full list of criteria Additional IDS Subcommittee Work Plan Topics - Michael  A risk stratification system  We have created a work group on health care for the undocumented to look at a system of care for people who are not entitled to federal discounts IDS – Care Coordination Alignment - Michael  We want to figure out how the portable care plan would be met by applicants for the integrated delivery systems pilot sites CARE COORDINATION PRESENTATION CARE COORDINATION INTRODUCTION -- Mary  The Care Coordination Subcommittee has about 60 members, and their primary goal is to create a system that will be accessible to all types of consumers and providers, not limited to medical care providers. All meetings will be accessible to handicapped individuals in compliance with pertinent state and federal laws upon notification of anticipated attendance. Handicapped persons planning to attend and needing special accommodations should contact GOHIT at least five business days prior to the meeting so that we may best accommodate their needs. Governor’s Office of Health Innovation and Transformation 100 W Randolph St, Chicago, IL 60601 Suite 2-201 312.814.1600