Empowering Communities to Achieve a Healthier Washington Chase Napier Community Transformation Manager Washington State Health Care Authority
Today’s Topics • Healthier Washington Overview Building healthier • Accountable Communities of Health communities through a collaborative o Why and what are they? regional approach o How do they contribute to a Healthier Washington? • Next Steps for Washington Better Health, Better Care, Lower Costs
Healthier Washington 3
Washington’s vision for creating healthier communities and a more sustainable health care system: Building healthier communities through a collaborative regional approach Ensuring health care focuses on the whole person Improving how we pay for services Better Health, Better Care, Lower Costs
Healthier Washington is more than the State Innovation Models (SIM) grant… Medicaid Transformation Potential $3B federal waiver 5-year demonstration project Waiver Legislation SIM Grant 2014 Legislation: House Bill 2572 • Senate Bill 6312 • SIM Grant: $65 million over 4 years from the federal government Better Health, Better Care, Lower Costs 5
State as First Mover and Market Convener GOAL : Move 80 percent of state-financed health care AND 50 percent of the commercial market to value-based payments within 5 years 6
Accountable Communities of Health 7
We recognize that health is more than health care… Health Care 20% Socio-economic Factors Physical 40% Environment 10% Health Behaviors 30% Adapted from: Magnan et al. (2010). Achieving Accountability for Health and Health Care: A White Paper , State Quality Improvement Institute.. Minnesota. Better Health, Better Care, Lower Costs 8
…and that clinical-community linkages are essential for better health outcomes. Nutr itious F ood L ong - T e r m E mployme nt Ca r e Physic a l E duc a tion He a lth F a mily Suppor t Cr isis Health and Community Me nta l Inte r ve ntion He a lth Recovery Care Factors Public He a lth Housing Built Substa nc e E nvir onme nt use disor de r Or a l He a lth T r a nspor ta tion Cr imina l Justic e Healthier Washington System Supports Information Technology / Infrastructure • Data and Measurement • Workforce Development • Practice Transformation • Payment Redesign • Better Health, Better Care, Lower Costs 9
Building healthier communities through a collaborative regional approach Accountable Communities of Health are: Bringing together diverse public and private • community partners to work on shared regional health goals . Identifying opportunities for the • ACH and community partners to understand and bridge health and quality of life issues. Coordinating systems so that • services address all aspects of health at both the community and individual levels . Better Health, Better Care, Lower Costs 10
ACH Case Study: Cascade Pacific Action Alliance Better Health, Better Care, Lower Costs 11
ACH Case Study: Cascade Pacific Action Alliance Timeline Pre-2014: CHOICE Regional Health Network 2014: ACH Planning Grant 2015: ACH Pilot Grant 2016: ACH Designation and Ongoing SIM Sub-award Structure • Collective impact • 7 counties; 10+ sectors; 44 members • Consensus-based decision making • County forums Better Health, Better Care, Lower Costs 12
ACH Case Study: Cascade Pacific Action Alliance Regional Health Needs Inventory (RHNI) conducted to inform priorities: • Access to care & provider capacity • Adverse childhood experiences (ACEs) prevention & mitigation • Chronic disease prevention & management • Economic & educational opportunities • Health integration & care coordination Better Health, Better Care, Lower Costs 13
ACH Case Study: Cascade Pacific Action Alliance Youth Behavioral Health Coordination Project Approach: • Early identification of needs/risk • Assessment and referral • Coordination between community-based interventions and treatment services Goal: Decrease number of school-aged youth with unmet behavioral and physical health needs Better Health, Better Care, Lower Costs 14
Next Steps for Washington 15
Next steps related to WA’s ACHs… • Emphasis on additional engagement . This includes tribes, community members and providers. • Linking ACHs and Healthier Washington’s shift to Value Based Payment. • Medicaid Waiver : Transformation through Accountable Communities of Health Better Health, Better Care, Lower Costs 16
Questions? Better Health, Better Care, Lower Costs 17
For more information… Healthier Washington healthierwa@hca.wa.gov Chase Napier chase.napier@hca.wa.gov Website www.hca.wa.gov/hw The project described was supported by Funding Opportunity Number Thank you CMS-1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.
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