Region 15 Regional Healthcare Partnership Second Public Meeting

1. Region 15Regional Healthcare PartnershipSecond Public Meeting Wednesday, May 23, 2012 University Medical Center of El Paso

2. Regional Healthcare Partnership (RHP) Regions

3. Confirmation of Participants

4. Confirmation of Participants • El Paso Children’s Hospital • El Paso Coalition for the Homeless • El Paso County Medical Society • El Paso Specialty Hospital • Emergence Health Network • Hospice El Paso • Hudspeth County • International Aids Empowerment

5. Confirmation of Participants 9. Las Palmas Del Sol Healthcare 10. PDN Health Information Exchange 11. Project Vida Health Center 12. Providence Memorial Hospital 13. San Vicente Centro Familiar De Salud 14. Sierra Providence East Medical Center 15. Sierra Medical Center 16. TTUHSC School of Medicine

6. Current HHSC Information

7. HHSC Updates • RHP Planning Summit – June 28 & 29, 2012 Austin, TX • Program Funding & Mechanics (PFM) protocol draft – DSRIP working document ● Public Feedback on document – by Thursday, May 31, 2012 • Feedback Form on UMC Website • Draft PFM Protocol on UMC Website

8. Community Needs Assessment

9. Community Needs Assessment • Primary Care. • The County faces a shortage of 365 primary care physicians, including shortages in the areas of Family, General Practice, and Internal Medicine. The Organizers recognize the need to improve access to primary care clinics and after-hours physician services as an alternative to over-use of the already burdened emergency room facilities. While the Organizers work with Texas Tech to expand primary care services, more funding is needed to address the needs of County residents. The RHP finds that the El Paso community must prioritize the recruitment of primary care physicians in these areas.

10. Community Needs Assessment • Secondary and Specialty Care. • A related challenge faced in the County is the need for more specialty physicians, and particularly specialty physicians in Psychiatry, Emergency Medicine, General Surgery, Cardiology, and Neurology. The County continues to face shortages of specialists willing and able to provide care to the low-income population, and those that are willing to provide such care increasingly demand higher compensation. In the absence of adequate specialty care, low-income patients resort to hospital emergency rooms that can only provide part of the needed care and at significantly higher costs. By collaborating and identifying specialists to assist in providing follow-up care, the Organizers can increase the availability of quality healthcare and reduce the reliance on hospital emergency rooms for such care.

11. Community Needs Assessment • Diabetes. • According to the American Diabetes Association, 18.8 million people in the United States have been diagnosed, along with another 7 million undiagnosed cases. Texas has one of the highest diabetes rates in the nation, with over 426,000 residents diagnosed with diabetes. Like the rest of Texas, El Paso County has a high number of diabetes-related hospitalizations per year, and incidences of major cardiovascular disease, heart disease, stroke, ketoacidosis and lower extremity amputations, which have been closely tied to diabetes. The El Paso Diabetes Association reports that in 2007 alone, local hospitals spent over $75 Million treating diabetes-related emergencies.

12. Community Needs Assessment • Obesity. • In comparison to Texas and the nationwide average, the El Paso metropolitan area has a higher rate of people that are overweight and obese. About 64.8% of the population falls into one of these two categories, with 27.2% in the obese category (which represents a Body Mass Index of 30- Obesity is also an increasing problem in the younger population of El Paso, as reported by the Paso Del Norte Health Foundation.

13. Community Needs Assessment • Behavioral Health. • Of the residents in the County who are in need of mental health services, only 46% receive such services. Previous research indicates that the County is operating beyond its capacity and is in need of an infusion of $61.6 million. The RHP recognizes that mental illness leads to high treatment cost and represents a health risk to the community because mental illness is a major cause of disability, and the RHP finds a variety of measures necessary, including: increasing the number of mental health providers, increasing mental health funding, and improving awareness of behavioral health.

14. Regional Strategic Health Framework • Phase 1 – Needs Assessment Report • Phase 2 – Priority Ranking • Paso del Norte Blue Ribbon Committee • http://www.elpasotexas.gov/health/_documents/ BRCGapBook.pdf

15. PDN Blue Ribbon Needs Assessment Report

16. Medicaid Waiver Timelines

17. Medicaid Waiver Timeliness • July 15 – Submit RHP Chapters to Anchor • Sept. 1 – Submit RHP to HHSC • Oct. 31 – HHSC Submit Final RHP to CMS

18. Roundtable

19. 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 • Paso del Norte Blue Ribbon Committee Needs Assessment: • http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf