Performance Measurement & Data Committee August 13, 2018 - PowerPoint PPT Presentation

The Accountable Community of Health for King County Performance Measurement & Data Committee August 13, 2018

Meeting Agenda 10:30 – 10:40 Welcome and Introductions Mattie Osborn, Amerigroup 10:40 – 10:55 HealthierHere Update Thuy Hua-Ly, HealthierHere 10:55 – 11:20 HIE/HIT Update and Discussion Alexis Desrosiers, HealthierHere 11:20 – 11:50 Catalytic Investment Framework Introduction Lammot du Pont, Manatt 11:50 – 12:00 Upcoming Meeting Dates and Topics Marguerite Ro, Public Health 2

Meeting Agenda 10:30 – 10:40 Welcome and Introductions Mattie Osborn, Amerigroup 10:40 – 10:55 HealthierHere Update Thuy Hua-Ly, HealthierHere 10:55 – 11:20 HIE/HIT Update and Discussion Alexis Desrosiers, HealthierHere 11:20 – 11:50 Catalytic Investment Framework Introduction Lammot du Pont, Manatt 11:50 – 12:00 Upcoming Meeting Dates and Topics Marguerite Ro, Public Health 3

Meeting Agenda 10:30 – 10:40 Welcome and Introductions Mattie Osborn, Amerigroup 10:40 – 10:55 HealthierHere Update Thuy Hua-Ly, HealthierHere 10:55 – 11:20 HIE/HIT Update and Discussion Alexis Desrosiers, HealthierHere 11:20 – 11:50 Catalytic Investment Framework Introduction Lammot du Pont, Manatt 11:50 – 12:00 Upcoming Meeting Dates and Topics Marguerite Ro, Public Health 4

Meeting Agenda 10:30 – 10:40 Welcome and Introductions Mattie Osborn, Amerigroup 10:40 – 10:55 HealthierHere Update Thuy Hua-Ly, HealthierHere 10:55 – 11:20 HIE/HIT Update and Discussion Alexis Desrosiers, HealthierHere 11:20 – 11:50 Catalytic Investment Framework Introduction Lammot du Pont, Manatt 11:50 – 12:00 Upcoming Meeting Dates and Topics Marguerite Ro, Public Health 5

Our Vision: A Connected System of Whole-Person Care No matter where people ER enter the system… they receive the appropriate care and community supports to live healthier lives. System is more cost effective and sustainable. 6

What Long-term Success Looks Like Collaboration between the health care system and social services, evidenced by an inter-connected HIT/HIE system connecting providers from both systems and payment models that incorporate social service providers. Access to person-centered, multi-disciplinary, culturally competent care teams -- inclusive of social services -- in health homes for everyone, regardless of where a person enters the system. An infrastructure that provides an effective mechanism for meaningful community and consumer involvement and voice in the continuous improvement of the delivery system. 7

HIE/HIT Investment Guiding Principles Meeting the needs of users at the point of care . Focus on a handful of solutions that address King County needs and project portfolio in as meaningful a way as possible. Solutions (technology or other) need to be in place within the 12-15 month implementation window. Measurable Leveraging existing data infrastructure and roles where possible is highly desired . results are expected in DSRIP year 3. Prioritize areas of historical underinvestment, e.g., behavioral health agency and social service organization needs. Aligns with other ACH HIE/HIT investments 8

HIE/HIT Needs Based on the HIE/HIT survey, PMD discussions, state ACH meetings, state AIM and HIE/HIT meetings, 1:1 conversations Identified Needs Ability to share data electronically - Shared care plan - Clinical-community linkages - Care team communication/coordination Consent process standardization Ability to stratify and track patient risks (registries) Population health management best practices Screening and collection of social determinants of health (SDOH) EHR use and best practices Referral database Improve data sharing through data standardization Telehealth 9

HIE/HIT Needs and Current Areas of Exploration Current Areas of Exploration Identified Needs Ability to share data electronically Shared care plan platforms (EDIE/PreManage) - Shared care plan - Clinical-community linkages - Care team communication/coordination Community information exchange (CIE) solutions Consent process standardization Ability to stratify and track patient risks (registries) Guidelines/framework for evaluating software options Population health management best practices Screening and collection of social determinants of health (SDOH) Scope alignment for population health management EHR use and best practices capacity building and technical assistance Referral database Improve data sharing through data standardization Identify & coordinate with other groups/stakeholders Telehealth working on HIE/HIT topics (Telehealth, CIE, etc.) 10

Investment Decision Making Additional sources to inform prioritization and cost-effectiveness of HIE/HIT project decisions: Change plans from Practice Partners Logic model creation process Catalytic Investment Framework (CIF) Stakeholder input 11

Investment Decision Making Additional sources to inform prioritization and cost-effectiveness of HIE/HIT project decisions: Change plans from Practice Partners Logic model creation process Catalytic Investment Framework (CIF) Stakeholder input Discussion Questions 1. Are there other groups working on cross-organization/cross-sector HIE/HIT topics that we should be engaging with? 2. Moving forward, what level and format of PMD engagement do you think will set us up for success? i. Would it be effective to create topic specific workgroups? – example: (1) HIE/HIT within clinical setting, (2) community-clinical linkages, and (3) performance measurement 12

Meeting Agenda 10:30 – 10:40 Welcome and Introductions Mattie Osborn, Amerigroup 10:40 – 10:55 HealthierHere Update Thuy Hua-Ly, HealthierHere 10:55 – 11:20 HIE/HIT Update and Discussion Alexis Desrosiers, HealthierHere 11:20 – 11:50 Catalytic Investment Framework Introduction Lammot du Pont, Manatt 11:50 – 12:00 Upcoming Meeting Dates and Topics Marguerite Ro, Public Health 13

Performance/Measurement/Data Committee Catalytic Investment Framework August 13, 2018

Catalytic Investment Framework 15 Overview Key Components 1. Vision, Principles, and Goals 2. Implementation Strategy 3. Resource Needs 4. Investment Plan

Catalytic Investment Framework Overview and Components 16 Catalytic Investment Framework is a tool to evaluate investment opportunities relative to their expected impact and costs. The Catalytic Investment Framework consists of four components: Vision, Principles, & Goals ➢ 1 Implementation Strategy ➢ 2 Resources Needed ➢ 3 Investment Plan ➢ 4

1. Vision, Principles, and Goals Steps and Deliverables 17 Steps Deliverables (1) Define HealthierHere vision Vision “By 2020, the people of King County will experience significant gain in health and well -being because our community worked collectively to make the shift from a costly, crisis-oriented response to health and social problems, to one that focuses on prevention, embraces recovery, and eliminates disparities.” (2) Identify Transformative Investment Prioritize solutions that promise the greatest impact for improving health, health system Principles coordination, and health equity in King County. Systemic Support the development and/or diffusion of infrastructure solutions that address system-wide needs. Leverage Focus on the solutions that leverage available resources in the most effective and efficient manner. Equitable Extend funding to address the areas of greatest need, health disparities, and under investment as determined by authentic community engagement. Opportunistic Provide targeted investments that maximize return on investments and build momentum for rapid scaling.

1. Vision, Principles, and Goals Steps and Deliverables 18 Steps Deliverables (3) Identify measurable goals (4) Map Identify the anticipated ability to achieve the pay-for-performance gap-to-goal targets year by year anticipated to inform the forecasted funds flow. goal achievement over time

3. Resources Needed Steps 19 Steps 1. Catalogue the needed resources for each care model and strategy ED Care Triage Example from New York DSRIP ED Pathway (2) (a) Emergent needs follow (1) Patient enters ED and (4) PCP appt and (3) Determine care (5) Patient is standard ED process; (b) Non- is triaged by nurse for education on emergent needs follow management discharged from emergent or non- appropriate use of EMTALA-compliant screening, needs ED emergent needs ED and primary care receive needed Tx and Rx Resources Needed: Resources Needed: Resources Needed: Resources Needed: Resources Needed: • • • RN • • RN RN Care management Automated alert of • • • • Equipment, supplies Training Care management Patient educational discharge to care • • Space reconfiguration Equipment, supplies staff materials manager using ADT- • • • • Member needs Space Reconfiguration Training Ancillary providers based alert tool • • documented in screening Population health Equipment, supplies tool & captured in system to create & population health system manage care plan Steps 2. Define staging and timing for each resource 3. Identify the entities that will use/deploy the resources and any changes in roles over time