Provider Network Advisory Group

1. Provider Network Advisory Group COHE Expansion July 25, 2013

2. COHE Expansion Goals of Discussion • Update on procurement • Progress toward statewide coverage • Next steps

3. COHE Expansion Procurement Timeline COHE Awareness-Building • 10/29/12 to 11/15/12 “Could you sponsor a COHE in your community?” • Public meetings in: Tukwila, Tumwater, Kennewick, Spokane, Seattle, Mount Vernon, Kelso Request for Proposals • 1/22/13Request for Proposals (RFP) released • 3/18/13 Proposals received • 4/15/13 Final meeting of evaluation team • Business, labor, and L&I representatives • Unanimous decisions

4. COHE Expansion Procurement Timeline Contract Negotiations • 4/19/13 Apparently Successful Bidders notified • 5/3/13 Negotiation meetings begin Period of Performance • 7/1/13 Five COHEs begin new contract • 7/1/13 One month extension of Eastern Washington COHE • 7/1/13 Developing options for coverage in eastern Washington

5. COHE Expansion Counties with COHE coverage COHE Stats • Five COHEs • Green area on map • Mix of institutional and community • Three year contracts • Two extensions possible • L&I will continue working with eastern Washington COHE providers • Grey area on map • Ongoing effort to find COHE sponsor(s) in eastern Washington

6. COHE Expansion The Everett Clinic COHE • Sponsor: The Everett Clinic • Number of Providers: ~230 • Service Area: The Everett Clinic

7. COHE Expansion Group Health Cooperative COHE • New COHE Sponsor: Group Health Cooperative • Number of Providers: ~70 • Service Area: Puget Sound and Spokane

8. COHE Expansion Harborview Medical Center COHE • Sponsor: Harborview Medical Center • Number of Providers: ~233 • Service Area: Harborview Medical Center Providers

9. COHE Expansion Renton COHE • Sponsor: Valley Medical Center • Number of Providers: ~300 • Service Area • Providers in COHE on June 30, 2013; and • Providers in Public Hospital District 1; and • Providers in University of Washington Medicine. • 9 UW Neighborhood Clinics

10. COHE Expansion Western Washington COHE • New COHE Sponsor: Franciscan Health System • 11 Partner Organizations • Number of Providers: ~845 • Service Area: 19 counties in western Washington

11. COHE Expansion

12. COHE Expansion L&I Support Provided • New COHEs: • Developing processes and systems to support best practices • Assisting with outreach to providers, employers, and labor • Helping recruit providers • Advising on development and delivery of training • Providing training on and access to OHMS • Continuing COHEs: • Providing ongoing support • Assisting with recruitment and outreach if COHE is increasing in size • Providing training on and access to OHMS • COHE providers with no sponsor: • Providing incentives • Supporting providers through feedback, training, health services coordination, etc.

13. COHE Expansion Next Steps • Recruit COHE sponsor(s) in areas with limited or no access to COHE services • For example, eastern Washington • Fill gaps through additional or expanded COHE contracts