Colorado Hospital Transformation Program Matt Haynes Department of Health Care Policy and Financing
Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources
On the Road to Better Health How the Department of Health Care Policy and Financing is Driving Improved Health Care Delivery and Payment Systems in Colorado
Hospital Transformation Program (HTP) Overview The Hospital Transformation Program (HTP) is a critical step • toward adding value into the system over time Delivery system transformation continues to be a central goal • of HCPF Tied to the existing supplemental payments • Focus on Community Engagement • 4
HTP Goals Improve patient outcomes through care redesign and • integration of care across settings; Improve the patient experience in the delivery system by • ensuring appropriate care in appropriate settings; Lower Health First Colorado (Colorado’s Medicaid Program) • costs through reductions in avoidable hospital utilization and increased effectiveness and efficiency in care delivery; Accelerate hospitals’ organizational, operational, and systems • readiness for value-based payment; and Increase collaboration between hospitals and other providers • 5
HTP Hospital Role Colorado’s hospitals have a critical role to play in the HTP, and will be asked to: • Engage with community partners • Recognize and address the social determinants of health • Prevent avoidable hospital utilization • Ensure access to appropriate care and treatment • Improve patient outcomes • Ultimately reduce costs and contribute to reductions in total cost of care 6
HTP Focus Populations & Priorities The HTP envisions transforming care across the following populations and priority areas: • High Utilizers • Vulnerable Populations (including pregnant women and the elderly) • Behavioral Health and SUD Coordination • Clinical and Operational Efficiencies • Community Development Efforts to Address Population Health and Total Cost of Care 7
Community and Health Neighborhood Engagement (CHNE) 8
CHNE Hospitals must engage stakeholders to conduct an environmental scan and plan for their HTP participation. Community and Health Neighborhood Engagement (CHNE) should be: • Meaningful • Inclusive • Not duplicative • Evidence-based and data-driven 9
CHNE Action Plan The CHNE process begins with submission of an Action Plan that identifies: Stakeholders to be Planned activities • • engaged Data to be used in • Existing meetings that will conducting the • be leveraged environmental scan Outreach, communications Anticipated barriers and • • and engagement strategies mitigation strategies Hospitals must also include letters from their local RAE and two other stakeholders stating that they are aware of, and intend to participate in, the hospital’s plan for CHNE. 10
Stakeholders Stakeholders will assist planning efforts by providing: Data and expertise about the community the hospital serves • Information on and connections to available community • resources Ideas and support for HTP initiatives • 11
Convening Stakeholders When convening, hospitals and stakeholders should come prepared with information about the community, including the results of recently completed community needs assessments. Community needs and resources should be compared to the HTP priorities to begin identifying opportunities for initiatives and partnerships. 12
Convening Stakeholders A diverse range of venues, locations, times and manners should be used when convening stakeholders and should match the goal of the engagement activity: Engagement Type Engagement Goal Engagement Activity/Forum Consultation Provide community Focus groups perspective Interviews Surveys Involvement Provide perspective Advisory Committees and information that Public forums drives decision-making Discussion groups Partnership Actively participate in Topic-Specific workgroups decision-making Meetings 13
CHNE Environmental Scan Hospitals must complete an environmental scan during the first half of the CHNE process. The environmental scan must be evidence-based, and include: A description of the An assessment of access to • • community (demographics, and availability of services health status) and any service gaps Existing hospital and An assessment of the • • community resources current state of health information exchange 14
CHNE Process 15
Hospital Activities Now – October Now – December October 2018 – April – September April - October 2019 2018 2018 April 2019 2019 Initiate or leverage Develop and submit a Leverage or host ongoing Submit a midpoint report Leverage or host ongoing relationships with proactive Action Plan discussions to complete on the CHNE process, with discussions for providing organizations that serve outlining the hospital’s and gather input on an a focus on engagement to- input on needs and and represent the engagement strategy and environmental scan date, environmental scan opportunities for HTP community approach to the process findings, and plans going initiatives Identify and discuss data forward Include organizations that Include: organizations to be and sources of information, Work with partners to represent a broad cross- engaged; forums to be including CHNAs Submit a final report on prioritize community needs, section of the community utilized; strategies and the CHNE process, with a identify target populations Work with partners to activities; sources of focus on engagement and initiatives, and build Leverage existing forums identify and describe the information to be leveraged; overall, progress in partnerships for initiatives and collaborations community and its and expected challenges and planning HTP participation, via an evidence-based and challenges and needs, solutions and plans for ongoing stakeholder-informed Develop a plan for including specific to HTP CHNE decision-making process addressing gaps, including Include Letters of Support priorities recruiting as needed from key community Include opportunities for Include opportunities for organizations bidirectional dialog bidirectional dialog scheduled at regular scheduled at regular intervals, leverage a range intervals, leverage a range of venues and pathways, of venues and pathways, and provide notice and and provide notice and follow-up communication follow-up communication 16
Department Activities Now – October 2018 Now - September 2019 April - September 2019 Engage priority stakeholders: Release CHNE Guidebook Review midpoint reports of the RAEs, provider and trade progress and findings from the Launch web-based training series associations, health alliances, environmental scan and provide on CHNE and other government agencies recommendations Provide facilitated Q&A calls and Leverage stakeholders to Review final report of the one-on-one TA calls as needed communicate expectations to stakeholder-informed plans for community organizations; HTP participation and provide Work with hospitals to refine and identify potential risks to CHNE recommendations revise Action Plans for the CHNE process and mitigation strategies process Work with participants on an ongoing basis to ensure expectations are met and assist with navigating challenges and obstacles 17
Contact Information Matt Haynes Special Finance Projects Manager Matt.Haynes@state.co.us HTP Technical Assistance and General Inquiries COHTP@state.co.us Colorado.gov/HCPF
Thank You Matt Haynes Special Finance Projects Manager Matt.Haynes@state.co.us
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