Regional Health Improvement Plan Council April 17, 2018 Meeting - PowerPoint PPT Presentation

Regional Health Improvement Plan Council April 17, 2018

Meeting Objectives • Review potential changes to the Charter • Review status of current state assessments • Receive updates on community engagement and policy work • Discuss and provide feedback phase one funds flow • Discuss Board and RHIP roles

Review Charter • Review RHIP’s role • Discuss membership • Other suggestions or additions

Community Engagement • Community Engagement Coordinator • Skamania Listening Session • Future Listening Sessions - Klickitat • System of Community Engagement – volunteers need for a subcommittee • Upcoming opioid meetings

Policy Updates • HLC Quarterly meeting • Moving from state to local policy – Active Transportation – Housing and homelessness – Tobacco and youth marijuana prevention • Recommendations from RHIP

Health Information Exchange Assessment Results

Background • Goal: understand current state of HIE capacity and functionality in region (at organizational level) • Results will inform project implementation planning • Fielded Feb-March 2018

Respondents Catholic Community Services Legacy Health Child and Adolescent Clinic Lifeline Connections Children’s Center Lutheran Community Services NW Children’s Home Society NAMI SW WA SWACH received responses Columbia River Mental Health Services North Shore Medical Group Community Services Northwest One Community Health from 28 physical health and Comprehensive Healthcare PeaceHealth Cowlitz Tribe Providence behavioral health organizations Daybreak Youth Services Rose Medical Group Family Solutions SeaMar Institute for Family Development Skamania County Kaiser Permanente Skyline Hospital Klickitat County Telecare Corporation Klickitat Valley Health The Vancouver Clinic

Electronic Health Record Use • 96% of responding organizations have an EHR • Diversity in EHRs being used in the region

Modifying Electronic Health Records 46% of organizations have the ability or licensing right to modify Small EHR vendors, particularly their EHR those serving behavioral health organizations, may not support HIE interfaces or be open to 23% have the ability or licensing developing interfaces . right to establish HIE interfaces without EHR vendor or third party

The majority of health information exchange occurring is within the health system

Most information exchange is still manual (fax, paper)

11 organizations participate in state and/or national HIEs

50% use EDIE and/or PreManage

What gaps in HIE infrastructure exist? Cost is a Interoperability barrier Not all organizations Gaps are not are connected limited to HIE to an HIE

What are the biggest obstacles to effectively exchanging information with other orgs? Lack of EHR Costs standards challenges Remaining HIPAA Communication compliant

Discussion

Reflections • Do these findings resonate with your understanding of the region’s HIE infrastructure and capacity? • What findings were surprising? • What do these findings suggest re: next steps?

Four High Level Funds Flow Categories Regional Transformation Community ACH Admin Capacity Plan Resiliency Fund Investments Implementation • • • Funds investments impacting • Administrative operating Funds paid directly to partners Funds for ACH to make upstream factors and expenses of SWACH to plan for and achieve DSRIP regional investments that • innovative solutions. Legal goals and overall support partners for specific • Financial transformation. purposes including workforce, • • Facilities Assessments health IT / HIE, training, and • • Equipment Transformation plans other infrastructure funds. • • Partnership support Funds will be used to promote • Implementation large scale transformation and support sustainability across the region.

How Many Dollars Are There? Projects $? $8.7M $7.2M $9.2M $7.8M $7.3M $5.9M Community FIMC Year 1 Year 2 Year 3 Year 4 Year 5 Resiliency Fund ACH Regional Capacity Investments To support $721,217 – Year 1 Admin bi-directional integration across (10%) Clark, Skamania, and Klickitat $1.8M $? $? $? $? Year 1 = $? – Year 2 Counties (25%) $? – Year 3 $721,217 $? – Year 4 Partners Transformation Plans/Implementation (10%) $? – Year 5 $4M $? $? $? $? (55%) % to the Community Resiliency Fund

Year 1 Transformation Plan Implementation $1.7M Planning $2.3M Implementation Assessments Equity/Stigma Incentive Pool Transformation Plan Partnership Agreements Incentive Pool Implementation Agreements

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