Regional Health Improvement Plan Council May 15, 2018
Meeting Objectives • Review Community Engagement Efforts • Receive updates on Policy Work • Discuss next steps for equity accelerator framework • Review and vote on charter changes • Discuss Medicaid Transformation plans and timelines
Skamania Listening Session • What is one take away from the summary? • What is one potential application to our work? • What questions do you have after reading the summary?
Proposed Community Engagement Plan 1. Establish Community Voices Council (CVC) 2. Community engagement is SWACH continually providing information, actively listen, and reporting decisions/activities to “community groups” through actively participating in formal and informal activities, meetings and events. 3. SWACH will (co-)host Community Discussions on topics that are relevant and will result in action-oriented planning.
1. . Community Voic ices Council Suggestions/recommendations: • Ensure it represents entire region (Clark, Klickitat, Skamania Counties). Skamania Klickitat Clark • A majority of identified representatives will (5) (5) (10) be Medicaid enrollees. • It will be inclusive of diverse perspectives and seeking out who still needs to be heard. • CVC will have representation in all elements of SWACH (RHIP-C, Board, Workgroups and Community Voices Council committees). • CVC will have a Charter defining purpose, activities, membership, etc. • CVC will have an application process to ensure diverse communities represented and ability/willingness to be engaged in purpose. RHIP-C Committees Board of Trustees • Compensation for mileage or other costs. • CVC is directly involved in all actions of SWACH • CVC meetings are open meetings.
2. Engaged with Communities There is not one community • Community is defined by many things (geography, common culture, • common interests, common characteristics, etc.) Recognize there are many expressions of community: formal and • informal (natural, shared identity, common goals, sense of belonging) Continue engaging with formal community groups and seek out • identified community groups (formal and informal) to go to. SWACH creates a “lexicon” that supports communities • understanding Medicaid Transformation and all its elements.
3. Community Discussions This is a variation of SWACH hosting “Listening Sessions.” • SWACH hosts Community Discussions that are topical, timely and • supportive of decision-making or addressing communities needs. Provides a shared-learning experience for SWACH and communities. • Opportunities for building trust through between SWACH, “systems” • and communities. Ensure the listening translates into action congruent with • communities messages. Supports the critical value of transparency. •
Questions/Recommendation • Questions about Community Engagement Plan? • Recommend this three part plan be accepted and the SWACH staff and ad hoc Community Engagement Workgroup pursue formalizing Community Voices Council for RHIP-C and Board of Trustees approval.
Policy Updates • Clark County Complete Streets • Behavioral Health Enhancement Senate Bill 6032
Equity, Stigma, and Trauma Informed Accelerator Framework • Updates on accelerator framework
Charter Review • Recommendations on Changes • Co-Chair potential nominations
Medicaid Transformation Project Overviews May 15, 2018 • RHIP Council 12
SWACH Dashboard: Medicaid Transformation May 2018 G No concerns to escalate Y Some risk, monitor closely R In jeopardy, intervention required Vision A healthy southwest Washington region where all people have equitable access to quality whole person care and live in connected and thriving communities without barriers to wellness Key Milestones Overall Status Activity Target Date Status Area Status Notes Clinical Partner Assessment closed. COMPLETE G Primary Care Y Realigning primary care representation consistent with re- chartering Clinical Integration Committee Funds flow model for DY2 – 3 (2018 – 2019) finalized. TBD G Behavioral Health Y Realigning behavioral health representation consistent Provider partner payment (tied to assessment). 6/29/18 G with re-chartering Clinical Integration Committee By Care Setting Develop Transformation Plan requirements and Tools for Regional 7/2/18 Y ED Y Little penetration from two ED departments as work has Participants (draft distributed by June 11). been focused on BH/PC settings. Semi Annual Report #1 submitted to HCA. 7/31/18 G CBO Y Defining approach for CBO transformation plans to include CBOs in all planning and development. Partners submit Transformation Plans. 8/17/18 G Clinical Integration G Provider partner payment (tied to transformation plans). 10/1/18 G Opioid Response G Three Opioid focused community events in May. SWACH Implementation Plan submitted to HCA. 10/1/18 G Chronic Care G By Project Care Coordination Y Contract with CCS for Pathways Hub technology and Provider contracts/MOU executed. 12/31/18 G Healthy Gen for consulting. Align with 5 ACHs implementing Pathways. Issues / Risks Success Metrics Description Mitigation Description Target Actual Comments Changes from the State and risk that info will not flow SWACH coordinating with providers and stakeholders (e.g. providers, Clinical Partner Assessment 100% BH 84% Extensions to 5/18 to the ACH and providers timely WHA, Governor’s office) Participation PC 59% % indicates complete survey. Unknown of 3 rd payer launching in Q1 2019 SWACH available to help providers navigate and align. Including Transformation Plans 100% N/A potential new payers in SWACH meetings complete Consolidation of the market - health system affiliations, SWACH available as resource to support providers in making P4R HCA Measures being For 2019 reporting payer arrangements and impact to the behavioral partnership and contracting decisions finalized 2A under HCA health market. 13 review
Medicaid Transformation Project Overviews: Summary CORNERSTONES Collaborative Shared Health Equity Reduction of Stigma Trauma Informed Care Learning CARE SETTINGS MEDICAID TRANSFORMATION PROJECTS Bi-Directional Clinical Integration Individuals receive Behavioral Health and Physical Primary Care Vision Health services in each setting along SAMSHAs Six Levels of Integration A healthy southwest Washington region where Community Care Coordination all people have equitable Individuals with health and/or social needs connect Behavioral Health to quality, coordinated care interventions and access to quality whole services to improve their overall health outcomes person care and live in connected and thriving Opioid Response communities without Emergency Department Reduce opioid drug misuse through cross sector barriers to wellness collaboration in Clark, Skamania, Klickitat counties Chronic Care Community Provide support for effective complex care and Community Based Organizations Engagement disease management for targets utilizing CBOs and clinical providers to support interventions Health Information Exchange / Workforce Development Value Based Payment DOMAIN ONE Health Information Technology Support the development of an Provide support to the region to transition empowered, compassionate, and from a volume based payment structure to Partners across the SWACH region have sustainable workforce that is responsive to a value based payment structure to consistent communication and connectivity community health needs in our region promote whole person care for improved whole-person, integrated care 14
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