Region 15 Regional Healthcare Partnership 39th Public Meeting

1. Region 15Regional Healthcare Partnership39th Public Meeting Wednesday, august 24, 2016 University Medical Center of El Paso Anchor Hospital

2. Confirmation of Participants Roll Call

3. ANCHOR UPDATES Cathy Gibson Anchor RHP 15 • Cat 3 Alternate Achievement Request Forms • Cat 3 Stretch Activity Selections for DY6 • Cat 3 Corrections • Cat 3 Population Focused Performance Measures (PFPM) • DY6 Mechanics Protocol Public Hearing – • 2016 Statewide Learning Collaborative Info

4. DY6 Mechanics Protocol Public Hearing • Aug 26th 2016 • 9:00 AM (CST) at HHSC, Brown Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin, TX. • To access the webcast, please go to the following link - http://www.hhsc.state.tx.us/news/meetings.asp • The rules are available here - http://www.sos.state.tx.us/texreg/pdf/backview/0729/0729prop.pdf • They begin at the bottom of pg. 2 (or 5486).

5. Anchor Submissions Alternate Achievement Requests – Due 9/9/16 • Providers with a current approved Alternate Achievement request must submit a new request • P4P QISMC baselines that are below MPL can submit for a 12.5% gap closure in DY6 instead Stretch Activity – Due 9/30/16 • Still waiting for final menu approval from CMS • The draft menu is found in the Draft Cat 3 Operational Details Document on the Waiver website

6. Cat 3 Corrections and Cat 3 PFPM • HHSC will notify providers who submitted Cat 3 corrections of any needed follow up or approval the week of 8/22/16. • HHSC will notify providers of any needed follow-up the week of 8/22/16 regarding the PFPM Baseline templates that were submitted.

7. 2016 Statewide learning collaborative • August 30th and 31st 2016 • Summit Webcast link:https://player2.streamspot.com/?playerId=92a4a38d • AGENDA (Handout)

8. DY6 – Waiver Extension Year Waiver Renewal Planning Timeline: • August 26, 2016 - HHSC will begin providing approval of requested MLIU reporting exceptions, required QPI/MLIU changes, and submitted next steps or request additional information. • September 30, 2016 - HHSC will approve or deny the additional information submitted in response to HHSC comments. • October 1, 2016 - Approved DY6 projects are effective.

9. DY6 Rules Oscar Perez 1115 Waiver Program Manager • Presentation

10. Project presentation • “Establishing a Minimally Invasive Gynecological Surgery (MIGS) Fellowship” • Dr. Richard Arms, TTUHSC El Paso • Brenda Avitia, Fellowship Coordinator

11. Region 15 learning collaborative updates Cathy Gibson RHP 15 Anchor • New Plan needed for DY6+ • Annual Summit for the Region (minimum) • Established Workgroups • Focus on integration of DSRIP projects: • Medicaid Managed Care • Value Based Purchasing • Alternative Payment Models • Sustainable Strategies for Low Income Uninsured Patients • HHSC will provide template • Also need to update Regional Assessment

12. Contact Information • Waiver Website & Email Address: • http://www.hhsc.state.tx.us/1115-waiver.shtml • TXHealthcare Transformation@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