Regional Health Improvement Plan Council November 20, 2018 1
Meeting Objectives • General SWACH Updates • Review Partner Placement Process and Timeline • Shared Learning
Review Meeting Minutes and Action Items • Council Member Action: – Approve Meeting Minutes – Decide on 2019 meeting schedule
SWACH Business
Our 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
Partnering to build a healthier future in Southwest Washington – for everyone WHOLE PERSON CARE COMMUNITY CLINICAL LINKAGES Clinical Transformation Integration of Social Determinants into Clinical Transformation COMMUNITY HUB Care Traffic Control COLLABORATIVE IMPACT Learning, Action, Equity, and Sustainability
Operations Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Opioid Coordinator Staffing November 2018 Positions Filled Interviews • Equity Manager underway • Review organizational roles and potential staffing models that support October 2018 Organizational structure Finalized; functions to support 2019 Work Board review 11.2018 • Hired a Communications Director to develop a communications plan Marketing & Communications August 2018 Position filled/Plan Complete created • Communications Plan Launch and integration of Healthy Living Winter Communications Plan Underway Collaborative 2018/2019 Draft in review; SWACH brochure in review • Board approved operating budget. Budget/Funds Flow Winter Approved budget; Funds Flow • Board approved five-year Funds Flow Allocations 2018/2019 Approved Funds Flow & 2018 Hub • Board approved 2018 Pathways/Hub budget. Budget approved • New Opioid funding September 2018 Grant approved Complete • Review operational policies and procedures for gaps; prepare and Internal Policies & Procedures Fall 2018 Full policies and Underway implement policies and procedures procedures • SARs 100%; Implementation Plan submitted Summer 2018 Reporting & Accountability SARS 100% Complete • Integrate Healthy Living Collaborative programs, staffing, and services Healthy Living Collaborative Winter 2018/9 CHW’s transitioned to In Progress Integration into SWACH regional plan new organizations • CHW Neighborhood Pilot Transition
Partnering to build a healthier future in Southwest Washington – for everyone CLINICAL PARTNERS WHOLE PERSON CARE • Clinical Improvement (Target Populations/issues) Clinical Transformation • Clinical Integration (BH/PH) • Participate in Targeted Learning Collaboratives • Integrated Managed Care - Klickitat STAKEHOLDER ENGAGEMENT SYSTEM: Clinical Transformation Workgroup; Clinical Community Opioid T.F.; Integrated Managed Care CORE (Klickitat); Pre-Managed Learning Collaborative: Tribal Partners SWACH ROLE • Support for Value Based Payment, Workforce Development, Health Information Exchange/Technology, Equity and quality improvements supports and evidenced based interventions towards integrated care for target populations (opioid, chronic disease, behavioral health) • Technical assistance and learning collaboratives
Whole le Per Person Inte Integra rated Care are Das Dashboard Key Strategies Major Milestones Target Date Success Metric Status Integrated Care Framework Co-Created Goals October 2018 Implementation In Process • Integration of Physical and Behavioral Health Development Plan Complete • Value Based Payment Goals Established • Success Metrics Established • Workforce Needs Established • Clinical Partner Assessment Cohort of Providers for Clinical July 2018 Transformation Complete • Review Transformation Plan (TP) Transformation Plan Developed • Clinical Transformation Plan developed disseminated and returned August 2018 Transformation Complete Plan Completed • Clinical Transformation Plan review October- early Transformation In Process December Plan Mapping file 2018 • Established Cohort of Clinical Partners invited into a binding agreement to begin January 2019 Binding Pending workplan negotiations and Pay for Performance tied to transformation plans. Agreements • Provider contracts/MOU executed January 2019 Binding Pending Agreements • TA plan developed for each participating provider February 2019 Binding Pending • Capacity to deliver TA Secure Agreements • Learning Collaborative process and curriculum developed Learning Collaborative(s) January-March Collaboratives Pending 2019 Developed
Partnering to build a healthier future in Southwest Washington – for everyone INDIVIDUAL TRANSFORMATION PARTNER ROLE • Complete a Community Serving Organization Request for Information WHOLE PERSON CARE (RFI) COMMUNITY CLINICAL LINKAGES Clinical Transformation • Cross-sector regional opioid response plan Integration of Social Determinants into • Promote and support CHW neighborhood teams in Clark, Cowlitz and Clinical Transformation Wahkiakum counties • Address barriers to school attendance at McLoughlin Middle School through the Education Community Health worker initiative STAKEHOLDER ENGAGEMENT SYSTEM: Community Health Advocates and Peer Supports Network CHAPS/HLC; Community Councils; Behavioral Health Advisory Board; Healthy Living Collaborative Committee SWACH Role • Matchmaking of Community Serving Organizations to connect social determinants into clinical transformation efforts • Support prioritized initiatives with a target population of opioid, chronic disease, and behavioral health • Continue to support the HLC Community Health Worker Initiatives
Community Cli linical l Li Linkages Das Dashboard Key Strategies Major Milestones Target Date Success Status Metric • Request for community serving organizations that support addressing the social Engage Community Serving October RFI’s Received In Organizations into Transformation determinants of health to partner with clinical partners 2018 process • Establish review and matchmaking process and criteria November Process Pending 2018 Developed • Invite Community Serving Organizations into a transformation Cohort February Cross-Setting Planning 2019 collaboratives Stage • Current Project - SeaMar/CVAB Hep C CURES QI Ongoing Improvement In Cycle Process • Rapid Response MAT Clinic Collaborative QI Project Ongoing Improvement In Cycle Process • Promote and support CHW neighborhood teams in Clark, Cowlitz and Wahkiakum Healthy Living Collaborative November MOUs In Initiatives counties; Select partner organizations for CHW teams. 2018 completed Process • Address barriers to school attendance at McLoughlin Middle School through the Ongoing Barriers In Education Community Health worker initiative identified Process • Support growth of CHAPS network (namely Advocates, Community Health Workers, Ongoing In Certified Peers and their organizations) serving Southwest Washington, to improve Process holistic health outcomes for the Community
Partnering to build a healthier future in Southwest Washington – for everyone WHOLE PERSON CARE COMMUNITY CLINICAL LINKAGES Clinical Transformation Integration of Social Determinants into Clinical Transformation COMMUNITY HUB Care Traffic Control PARTNER ROLE: • Become a Care Coordination Agency or Referral Agency for a specific pilot population that uses the Pathways model and technology for care coordination, Community Health Workers, and pay for performance. SWACH ROLE • Provide a Care Traffic Control System by building a Community HUB that uses health exchange technology to support community based care coordination with a pay for performance mechanism to connect individuals and families to community supports and care teams • STAKEHOLDER ENGAGEMENT SYSTEM: Pathways Community HUB Advisory Committee; Care Coordination Agencies
Community HUB UB Das Dashboard Key Strategies Major Milestones Target Date Success Metric Status • Board adopts pathways Community HUB June 2018 Board Approval Complete • CTPs identify Klickitat and Skamania interest in Pathways model (rural September RFA released In engagement) 2018 progress • Contract with CCS for HUB Technology and Technical Assistance September Contracts signed Complete • Includes prelaunch support with Healthy Gen for CHW workforce development 2018 • Pathways HUB 2-Day Strategic Planning Meeting September Implementation Complete 2018 Tasks and Timeline developed • Recruiting Rural CCAs through RFA, Scoring Committee and Selection November Rural CCAs In 2018 announced progress • Implementation Team and HUB Advisory Committee formed November First meetings Planning 2018 scheduled • All CCAs Trained February Training Planning 2019 completed • Community HUB Go Live! March 2019 First person Planning enrolled
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