Data Workgroup June 6, 2019
Welcome, Meeting Purpose & Introductions
Agenda • Review Action Items • Community Updates • SWACH Partner Reporting • Pathways Community Benchmarking • Future Direction 3
Action Items from Last Meeting • Revisit PeaceHealth and Legacy representation at Data Workgroup (SWACH) • Share draft partner reporting guidance (SWACH) • Share RHIP Council dashboard (SWACH) • Share information about measles outbreak(Clark PHD) • Share SDOH screening questionnaire (Providence) 4
Community Updates Workgroup members share any data related updates from their organizations: new or updated data sources, data projects, new analyses, exciting news, etc
Workgroup Member Updates?
Community Priorities Project
Measles Outbreak Data
SWACH Updates Welcome Kim! ‐
SWACH Partner Reporting ‐ Review baseline results ‐ Review Q2 report template
SWACH Partner Reporting SWACH has finalized partner reporting schedules and guidance Year 1 (2019) Year 2 (2020) Reporting Period Report Due Date Reporting Period Report Due Date Baseline 15 days after executed contract January – March 2020 April 15, 2020 April – June 2019 July 15, 2019 April – June 2020 July 15, 2020 July – September 2019 October 15, 2019 July – September 2020 October 15, 2020 October – December 2019 January 15, 2020 October – December 2020 January 15, 2021 11
Baseline Reporting – Initial Results
Baseline Reporting (to date) Received responses from 12 clinical partners and 5 community serving organizations. All data presented here are subject to change 13
Baseline MeHAF (to date) Distribution of Baseline MeHAF Scores 7 6 Number of Sites 5 4 3 2 1 0 70 80 90 100 120 130 140 150 160 170 180 Total Score 14
Average Baseline MeHAF Score by Question (to date) Level of integration: primary care and mental/behavioral health care 5.20 Screening and assessment for emotional/behavioral health needs 5.70 Treatment plan for primary care and behavioral/mental health care 5.00 Patient care that is based on (or informed by) best practice evidence 6.55 Patient/family involvement in care plan 7.05 Communication with patients about integrated care 5.00 Follow ‐ up of assessments, tests, treatment, referrals and other services 6.00 Social support (for patients to implement recommended treatment) 6.40 Linking to community resources 6.05 Patient care that is based on (or informed by) best practice for prescribing of psychotropic… 6.80 Tracking of vulnerable patient groups that require additional monitoring and intervention 5.50 Accessibility and efficiecny of behavioral health practitioners 6.53 Organizational leadership for integrated care 7.95 Ptaient care team for implementing integrated care 5.45 Providers' engagement with integrated care (buy ‐ in) 5.90 Continuinty of care between primary care and behavioral/mental health 6.10 Coordination of referrals and specialists 5.05 Data systems/patient records 5.85 Patient/family input to integration management 4.45 Physician, team and staff education and training for integrated care 4.45 Funding sources / resources 3.70 15
Baseline Opioid Questions (to date) Of the 6 clinical partner organizations participating in an opioid project… 16
Opioid Prescribing Guidelines (to date) AMDG / Washington State 83% Bree Collaborative 0% AMDG and CDC prescribing guidelines are most popular CDC 67% Other 0% None 17% N=6 17
Clinical Decision Support (to date) Integrated morphine equivalent dose (MED) 67% calculators More than half have some level of clinical decision support for opioid Links to opioid prescribing registries or Prescription Drug Monitoring Programs 67% prescribing (PDMPs) Automatic flags for co ‐ prescriptions of 50% benzodiazepines N=6 18
Protocols (to date) Screening and treatment occurs on site for 100% depression and anxiety Screening occurs on site for depression and anxiety, and patients are referred for 67% All have screening protocols to treatment evaluate patients with opioid use Contracting with providers who offer these 0% services disorder for behavioral health interventions Formalized referral relationship (through MOU or similar arrangement) with providers 17% who offer these services Informal referral relationships with providers 50% who offer these services N=6 19
Q2 2019 Report Template
Pathways Community Benchmarking Brainstorm ways for Pathways to monitor progress against community standards
Example: Housing Pathway Schedule Confirm client Confirm client meeting with kept Follow up bi ‐ ID client in need ID why housing is has moved into housing appointment and weekly to of housing required housing for at organization to whether client is monitor progress least 2 months discuss options on waiting list 22
Example: Housing Pathway Length of Time Homeless (median days), 2018 Washington State 147 Clark 110 Klickitat 64 Skamania 118 Data source: Washington State Homeless System Performance Dashboards https://www.commerce.wa.gov/serving ‐ communities/homelessness/homeless ‐ system ‐ performance/ 23
Employment Pathway Confirm client has ID education and Client requests Work with client to found consistent work history and Work with client to assistance in complete resume source of steady barriers to monitor applications obtaining a job income / employed employment for 3 months 24
Which Pathways need Benchmarks? • Adult Education • Immunization Screening • Behavioral Health • Lead • Developmental Referral • Medical Home • Developmental Screening • Medical Referral • Education • Medication Assessment • Employment • Medication Management • Family Planning • Postpartum • Health Insurance • Pregnancy • Housing • Smoking Cessation • Immunization Referral • Social Service Referral 25
Next Steps • Volunteers to help with continued community benchmark brainstorming? • Pathways Advisory Council looking for a data guru 26
Future Direction ‐ Review charter ‐ Future role / tasks for the workgroup
Wrap Up • Next Meeting: August 1 st • Review action items 28
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