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Region 15 Regional Healthcare Partnership 44 TH Public Meeting

This is the 44th public meeting of the Region 15 Regional Healthcare Partnership, where updates on the 1115 Waiver Program, Myers & Stauffer audits, and stakeholder discussions will be discussed.

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Region 15 Regional Healthcare Partnership 44 TH Public Meeting

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  1. Region 15Regional Healthcare Partnership44TH Public Meeting Wednesday, MAY 31, 2017 University Medical Center of El Paso Anchor Hospital Medical center of the americas – conference room

  2. Confirmation of Participants Roll Call • University Medical Center of El Paso • Texas Tech University Health Sciences Center at El Paso • El Paso Children’s Hospital • Hospitals of Providence (Tenet) • Las Palmas – Del Sol Hospital (HCA) • El Paso Health Department • Emergence Health Network • El Paso Medical Society • Visitors?

  3. Approval of minutes • Approval of last meetings minutes.

  4. FEEDBACK/comments Oscar Perez DSRIP Program Manager • Go to your Browser or Cell Phone: • http://pollev.com/oscarperez394 • OR • To: 22333 • Text: OSCARPEREZ394

  5. ANCHOR UPDATES Oscar Perez 1115 Waiver Program Manager • PFM Updates • Myers & Stauffer Audits • Waiver Renewal • Timeline

  6. ANCHOR UPDATES • Program Funding & Mechanics (PFM) Changes • RHP Plan Updates • Template will be provided in Dec 2017 • Submission moved from Nov 30 2017 to Jan 31 2018 • Will include transition plan from old projects to new core activities • Worth 20% of Valuation (submitted & approved) • Paid July 2018 • Remaining Unused Funds • RHPs that did not fully use their allocation may use these funds for DY7-8 • New and Existing performing providers are eligible to receive them • RHP will determine process (per PFM paragraph 31.c) • HHSC will not get involved in this process • Providers choosing NOT to participate in DY7 • Funds go to state and not redistributed to regions

  7. ANCHOR UPDATES • PFM Changes (continued) • “System” definition • Adding flexibility • may add other “components” of their delivery system • Finalizing minimum requirements • Will be defined in the RHP plan updates • Private Hospital Participation Incentive • Increased from 10% to 15% Pay for Reporting in Category D • Costs and Savings • Must be tracked for only ONE activity each year. • Providers with DY valuation less than $1million are EXEMPT • DY7 MLIU Reporting • Can be done DY7 R2 or DY8 R1 • Category C Reporting • Carry forward of performance allowable

  8. ANCHOR UPDATES • PFM Changes (continued) • Carry Forward rules • NOT allowed on Category A or Category D milestones • Two types: • Carry Forward of REPORTING - allowed only for: • Category B – MLIU • Category C – P4R • Category C - P4P • Carry Forward of ACHIEVEMENT – only allowed for: • Category C – P4P

  9. ANCHOR UPDATES • Myers & Stauffer’s Reviews (Compliance Monitoring) • Category 1 and 2 Reviews • Goal to finish Round 3 by June • Notifications of Recoupment (HHSC) • Preliminary notices have already been sent (3 days to respond) • Final communication will then follow • Category 3 Reviews • Goal to finish current reviews by June • Try not to request extensions as it delays the process

  10. ANCHOR UPDATES • Waiver Renewal - Extension • Initial 15-Month (thru September 30, 2019) • Waiting for CMS approval • HHSC met with CMS early May • DSRIP, • Bundle Advisory Teams BATs • Round 3 voting and discussions • Pediatric and Maternal Care • Michael Romano, MD, TTUHSC El Paso • Primary Care and Prevention • David Smead, RN, UMC of El Paso • Chronic Disease and Care Transitions • Ann Rodriguez-McConnell, RN, TenderCare Home Health of El Paso

  11. TIMELINE • June 1, 2017 • Any IGT Changes due • June 9, 2017 • HHSC completes review of April reporting • June 28, 2017 • Stakeholder’s Meeting • June 30, 2017 • Myers and Stauffer Round 3 & Cat 3 Completed • Feedback on PFM • July 7, 2017 • NMI Documentation due • July 31, 2017 • DSRIP Payments processed by HHSC • Submission of Bundles & PFM to CMS • August 1, 2017 • DY6 • August 30, 2017 • PFM & Bundles approved by CMS • October 1, 2017 • Begin DY7 ANCHOR UPDATES

  12. CATEGORY C – MEASURE BUNDLES presentation

  13. UPDATEs • DIABETES LEARNING COLLABORATIVE • Chair: Moses Priego – UMC • mpriego@umcelpaso.org • BEHAVIORAL HEALTH LEARNING COLLABORATIVE • Chair: Cindy Hernandez – EHN • chernandez@ehnelpaso.org • HEALTH DATA EXCHANGE COLLABORATIVE • Chair: Rosie Sanchez – TTUHSC • rosie.sanchez@ttuhsc.edu REGIONAL LEARNING COLLABORATIVES

  14. STAKEHOLDER’s FORUM • June 28, 2017 • 1:00pm Medical Centers of the Americas (MCA) • AGENDA • Discuss Waiver Renewal • Share Successes and Challenges of the DSRIP Projects • Presentations of Projects • Discuss Community Health Needs Assessment STAKEHOLDER’S FORUM

  15. ROUNDTABLE ROUNDTABLE

  16. Contact Information • NEW Waiver Website: • https://hhs.texas.gov/lawsregulations/policiesandrules/Medicaid1115waiver • Waiver E-Mail: • TXHealthcare Transformation@hhsc.state.tx.us • UMC RHP15 Website: • http://www.umcelpaso.org • Region 15 - RHP

  17. Next Meeting: June 28, 2017 1:00pm* Medical Center of the Americas (MCA) (Cardwell Collaborative Building) * This will be our Stakeholder’s Forum … Please Extend the Invitation to your management !!

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