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Region 15 Regional Healthcare Partnership 19 th Public Meeting

Region 15 Regional Healthcare Partnership 19 th Public Meeting. Wednesday, January 22, 2014 University Medical Center of El Paso Anchor Hospital. Confirmation of Participants. Roll Call. October Reporting Statistics. Texas Regions: 320 providers reported on over:

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Region 15 Regional Healthcare Partnership 19 th Public Meeting

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  1. Region 15Regional Healthcare Partnership19th Public Meeting Wednesday, January 22, 2014 University Medical Center of El Paso Anchor Hospital

  2. Confirmation of Participants • Roll Call

  3. October Reporting Statistics Texas Regions: 320 providers reported on over: 1250 category 1 or 2 projects 1800 category 3 outcomes 150 category 4 hospital reports 93% of the metrics were approved $1.088 billion will be paid for DSRIP $1.165 billion was reported (NMI returns) $1.688 billion could have been reported

  4. Category 3 Policy Change • Due to CMS still not approving Category 3, HHSC is proposing a broader streamlined strategy that will help providers meet the expectation to report performance improvement in DY4-5. • Their strategy is to prepare for “Waiver 2” with DSRIP measurement approaches • DY4-5 –50% allocation for Pay for Performance P4P and 50% allocation for Pay for Reporting P4R • DY3 Pay for Reporting P4R Only • 10% improvement measures will be adopted as standard

  5. Category 3 Policy Change • HHSC posted excel document with the Category 3 Menu and PFP or PFR indicated on each item. • For DY3 reporting, • Providers can only report on 50% of the metric in April. This will be a qualitative status report on preparing for baseline and technical assistance needs. • In October, providers report on the other 50% by providing baseline data. • Hospital providers may re-select from a subset of PPA, PPC, PPR and the cat 3 choices don’t have to directly tie to main project • Non-hospital providers choose a subset of measures or collaborations to promote data sharing or reliability of measures • HHSC will hold a webinar to explain the category 3 measures.

  6. Timelines for Early 2014 • January 27th Phase 4 Results to Providers • February 3rd Providers submit responses to Anchor • February 24th HHSC completes Phase 4 review • January 31st HHSC send Anchor Annual Reports and Learning Collaborative Plans to CMS • February 7th NMI responses from October are approved or denied • February 12th HHSC provides 3 year project feedback • Late February Providers respond to 3 year project feedback • March 14 HHSC submits 3 yr projects to CMS (eligible April reporting) • Late April CMS responds to 3 yr projects • March 7th Providers return selected Category 3 measures to HHSC

  7. Roundtable DSRIP Project Discussions

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  9. 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

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