Region 15 Regional Healthcare Partnership Seventh Public Meeting

1. Region 15Regional Healthcare PartnershipSeventh Public Meeting Wednesday, October 17, 2012 University Medical Center of El Paso Anchor Hospital

2. Confirmation of Participants • Role Call

3. Region 15 DSRIP Projects • HHSC Sample Project • Project Requirements from HHSC (handout) • Public Posting of Projects • CQI Milestones • Learning Collaborative

4. CQI Milestones • CQI P-1 Participate in bi-weekly meetings (meetings, conference calls, or webinars) with other providers and the RHP to promote collaborative learning around shared or similar projects • Metric: Number of meetings, calls, agendas, sign-in sheets, webinars… • CQI P-2 Review project data and respond to it every week with tests of new ideas, practices, tools, or solutions • Metric: Number of new ideas, practices, tools, or solutions tested by each provider • CQI P-3 Participate in face-to-face learning (meetings or seminars) at least twice per year with other providers and the RHP to promote collaborative learning around shared or similar projects • Metric: Participate in semi-annual face-to-face meetings or seminars organized by the RHP

5. Learning Collaboratives • Performing Providers, IGT entities, and the Anchor for Region 15 have held consistent monthly meetings throughout the development of the Waiver. As noted by HHSC and CMS, meeting and discussing Waiver successes and challenges facilitates open communication and collaboration among the Region 15 participants. Meetings, calls, and webinars represent a way to share ideas, experiences, and work together to solve regional healthcare delivery issues and continue to work to address Region 15’s community needs. UMC, as the Region 15 Anchor anticipates continuing to facilitate a monthly meeting, and potentially breaking into workgroup Learning Collaboratives that meet more frequently to address specific DSRIP project areas that are common to Region 15, as determined to be necessary by the Performing Providers and IGT entities. UMC will continue to maintain the Region 15 website, which has updated information from HHSC, regional projects listed by Performing Provider, contact information for each participant, and minutes, notes and slides from each meeting for those parties that were unable to attend in-person. • Region 15 participants look forward to the opportunity to gather annually with Performing Providers and IGT entities state-wide to share its experiences and challenges in implementing its DSRIP projects, but also recognizes the importance of continuing ongoing regional interactions to effectuate change locally. Through the use of both state-wide and regional Learning Collaborative components, Region 15 is confident that it will be successful in improving the local healthcare delivery system for the low-income and indigent population.

6. Region 15 RHP Plan • Inclusion of Provider Data • List of U.S. DHHS Funded Initiatives • Projected Major Changes in Region • No Lists • Region Input for Valuation Narrative • Affiliation Number • Review of Anchor Data

7. Region 15 Goals • Increase access to primary care through the expansion of medical homes, primary care clinics, and more effective care navigation upon discharge; • Provide the full continuum of healthcare services, from wellness to preventative care to disease management, to palliative and hospice care; • Better manage patients with chronic diseases, such as Diabetes, CHF, Asthma, COPD, and Renal disease to help prevent unnecessary readmission and get patients the care they need to prevent, self-manage, and address in an appropriate setting; • Provide patient education to ensure the population is accessing the right care in the right setting;

8. Region 15 Goals • Overcome language, socio-economic, and monetary barriers to accessing healthcare resources in the region; • Increase the number of specialist and scope of services offered in the community. • Address the issues of Diabetes and Obesity, as they represent major health concerns in Region 15 • Increase patient satisfaction through delivery of high-quality, effective healthcare services; and • Enhance and expand behavioral health services to increase access as well as provide service alternatives to inappropriate systems of care.

9. Region 15 Mission • The RHP Participants share a common mission to improve the availability and quality of affordable healthcare services to the low-income and needy population of the Region. Each of such parties, by participating in the RHP, endeavors to improve the overall system for making available local, quality healthcare services that are affordable to the low-income population of the Region.

10. Community Needs Numbering • CN.1 Primary Care • CN.2 Secondary / Specialty Care • CN.3 Diabetes Management, Prevention, Care • CN.4 Obesity Prevention / Health Promotion • CN.5 Behavioral Health • CN.6 Other Community Need as identified by the Performing Provider

11. Medicaid Waiver Timeliness • Public Posting of Region 15 Projects – Due to Anchor 10/26/12 • Letter to Region 15 • Projects posted for public comment 10/29/12 – 11/2/12 • October 26, 2012 - UC Tool Due to HHSC • November 12, 2012 – Submit RHP to HHSC (4 year plans) Electronically • Pass 1 Projects / Workbooks (Anchor Submission) • Section I – III of RHP Plan (Organization of RHP Plan, Executive Overview of RHP Plan, Community Needs Assessment) • Date was extended to November 16, 2012 • December 31, 2012 - Pass 2 Projects Due to HHSC • January 2, 2013 – Formal HHSC Review Begins • February 5, 2013 – Formal CMS Review Begins

12. Roundtable

13. Contact Information • Waiver Website & Email Address: • http://www.hhsc.state.tx.us/1115-waiver.shtml • TXHealthcareTransformation@hhsc.state.tx.us • UMC Website: • http://www.umcelpaso.org • Region 15 - RHP • Paso del Norte Blue Ribbon Committee Needs Assessment: • http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf