1 / 33

RHP 7: Anchor Entity Presentation

RHP 7: Anchor Entity Presentation. Presented to the Central Health Board of Managers January 9, 2012. RHP 7 Overview. Texas – 20 RHPs $11.4 billion in DSRIP funds available $17.5 billion in UC funds available RHP 7 Six counties including Bastrop, Caldwell, Fayette, Hays, Lee, and Travis

adelle
Télécharger la présentation

RHP 7: Anchor Entity Presentation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RHP 7:Anchor Entity Presentation Presented to the Central Health Board of Managers January 9, 2012

  2. RHP 7 Overview www.CentralHealth.net • Texas – 20 RHPs • $11.4 billion in DSRIP funds available • $17.5 billion in UC funds available • RHP 7 • Six counties including Bastrop, Caldwell, Fayette, Hays, Lee, and Travis • RHP 7 Plan consists of both UC and DSRIP

  3. UC-Only Hospitals www.CentralHealth.net • Austin State Hospital • St David’s Medical Center • St David’s North Austin • St David’s South Austin • Seton Edgar B Davis • Seton Medical Center Austin • Seton Medical Center Hays • Seton Southwest • Seton Northwest • Seton Shoal Creek • Smithville Regional Hospital

  4. Region 7 RHP Plan DSRIP Totals www.CentralHealth.net • Available • $689 million in total DSRIP valuation available • DY 1 = $30 million – Preliminary Funding • DY2-5 = $659 million – Performance Based • Actual • 68 projects • $637 million valuation • 9 Performing providers • 5 Hospitals (including CCC) • 3 LMHAs • 1 LHD

  5. Region 7 : No. of DSRIP Projects www.CentralHealth.net Performing Providers Hospitals – 33 LMHAs – 29 LHD – 6 DSRIP Categories Cat 1 – Infrastructure Development – 23 Cat 2 – Program Innovation and Redesign - 45

  6. RHP 7 DSRIP Valuation by Performing Provider Type $637m Total www.CentralHealth.net

  7. Travis County Performing Provider Participation- DY 2-5 www.CentralHealth.net

  8. City of Austin HHSD: 6 projects www.CentralHealth.net • Behavioral Health • ACT for Residents of PSH • Prenatal Care & Family Health • Pre & Post Natal Program • Healthy Families Expansion • Prevention & Education • Community Diabetes Project • Tobacco Program for 18-25 Year Olds • Immunization to high risk adult populations

  9. Dell Childrens: 3 projects www.CentralHealth.net • Care for Chronically Ill Children • Family-centered Pediatric Obesity Project • Counseling on AISD Campuses (AISD funded)

  10. UMC Brackenridge: 14 projects www.CentralHealth.net • Behavioral Health • Psychiatric Emergency Department • Post-Graduate Training for Psychiatric Specialties • Psychiatric Telemedicine for Emergency Service • Substance Abuse Care Connection & Navigation • Behavioral Health Care Connection & Navigation • Cancer Care • Women's Oncology Care Screening • Women’s Oncology Care Navigation • Chronic Disease Care • Adult Diabetes Care • Chronic Care Management: Adults • Care Transitions • Patient Experience • Language Access & Resource Center • Culturally Competent Care Training • Palliative Care • Palliative Care Expansion • Prenatal Care • OB Navigator Project

  11. ATCIC: 9 projects www.CentralHealth.net • Crisis Services • MCOT Expansion • MCOT Telepsychiatry Services • Crisis Residential program • Community Behavior Support Team • Outpatient Community Based Services • Integrated Medical & Behavioral Health Center in Dove Springs • Chronic Disease Self Management • Whole Health Peer Support • Workforce Development • Prescriber Expansion • Mental Health First Aid & Suicide Prevention Training

  12. Community Care Collaborative: 14 projects www.CentralHealth.net • Infrastructure • Disease Management Registry • Patient Centered Medical Home Model • Chronic Disease Management Model • Care Expansion: Primary, Specialty, Dental • Expanded Hours at Community Clinics • Mobile Care Vans • Gastroenterology at Community Clinics • Musculoskeletal Care at Community Clinics • Pulmonology at Community Clinics • Expanded Dental Services • Behavioral Health • Integrated Behavioral Health for Diabetes • Telepsychiatry at Community Clinics • Sexual Health • Pregnancy Reduction Program • STD/HIV Screening & Treatment • Patient Navigation • Community Paramedic Navigation

  13. Community Care Collaborative:DSRIP Projects Overview Presented to the Central Health Board of Managers January 9, 2012

  14. Community Care CollaborativeDSRIP Projects www.CentralHealth.net

  15. Community Care CollaborativeDSRIP Projects www.CentralHealth.net • 14 total projects • 3 “infrastructure” projects • Connection and standardization among safety net providers • 11 care delivery projects • Expand access to primary, specialty and dental services • Access to appropriate care & treatment for chronic conditions • Sexual health

  16. Every DSRIP Project www.CentralHealth.net • Will impact all patients in Safety Net System – CCC, Medicaid, Uninsured, Others • Has process measures & improvement measures, and outcome measures • Payment based on performance; outcomes must be achieved • Contains some element of Continuous Quality Improvement (CQI)

  17. Patient Centered Medical Home Model www.CentralHealth.net • $25,001,546 proposed valuation • Intended to enhance shared care & data exchange between providers • Outcomes: • All safety net providers will share certain PCMH standards • FQHCs get PCMH recognition/ certification

  18. Disease Management Registry www.CentralHealth.net • $27,126,462 proposed valuation • Intended to enhance Health Information Exchange analytic capabilities • 90% of CCC providers use DMR through DY5 • Outcome: better blood pressure control for enrolled hypertensives

  19. Chronic Disease Management Protocols www.CentralHealth.net • $25,982,686 proposed valuation • Will create treatment standards across CCC • 12,000 patients enrolled in Multiple Chronic Condition treatment protocol through DY5 • Outcomes: • better cholesterol control for patients with cardiovascular disease; • better blood pressure control for diabetics; • improved self-assessed functional status for patients with Multiple Chronic Conditions

  20. Expanded Hours at Community Clinics www.CentralHealth.net • $21,106,982 proposed valuation • Patients currently use ED for conditions that could be treated at clinics • Expands hours at 3 centers to 8pm, including SE Hub; pilot one site to 11pm • 49,000 additional visits serving 16,000 patients by DY5 • Outcome: fewer ED visits for those using services

  21. Mobile Clinics to Underserved Areas www.CentralHealth.net • $6,025,279 proposed valuation • Brings care to underserved areas of Travis County • Three vans; 4800 annual appointments slots and 1600 patients served by DY5 • Outcome: improved patient satisfaction scores for those using vans

  22. Dental Care Expansion www.CentralHealth.net • $17,912,179 proposed valuation • To increase access to dental services • Expands hours & capacity at clinics • 12,000 annual visits for 4500 patients • Focus on pregnant women (450 by DY5) & those with chronic conditions (3050) • Outcome: More pregnant women get recommended preventive dental care

  23. Musculoskeletal Care in Community Clinics www.CentralHealth.net • $17,864,274 proposed valuation • To address ortho wait times and provide appropriate level of care • 2 rotating specialists, including SE Hub • Serves 1800 patients by DY5 • Outcome: patients report improved quality of life

  24. Gastroenterology Care Expansion www.CentralHealth.net • $15,781,027 proposed valuation • Reduce wait time for GI visits & offer preventive colorectal cancer screenings • Adds 1 specialist at North Central; 1 rotating specialist, including SE Hub • Serves 1800 patients through DY5 • Outcomes: • Reduced time to 3rd next available appointment • Ensures adherence to HCV regimen, including depression medication • Increases colorectal cancer screening rate

  25. Pulmonology in Community Clinics www.CentralHealth.net • $14,260,001 proposed valuation • Wait time currently 4 months, with a 2 month lacuna in services • 2 rotating specialists, including SE hub • Serves 2400 patients through DY5 • Outcome: reduces COPD admissions rate for population receiving services

  26. Integrated Behavioral Health for Diabetics www.CentralHealth.net • $13,509,644 proposed valuation • Depression co-occurs with diabetes & affects ability to self-manage condition • Offers care team management of diabetics with depression • 1500 enrolled through DY5 • Outcomes: depression remission at 12 months & good A1c control

  27. Telepsychiatry in Community Clinics www.CentralHealth.net • $11,110,177 proposed valuation • Smaller sites currently lack psychiatric services & health counselors • Offers consultation for PCPs & direct treatment for patients via “telemental” service • 3500 patients served through DY5 • Outcomes: Depression &/or anxiety remission at 12 months

  28. STD/HIV Screening & Treatment www.CentralHealth.net • $4,698,966 proposed valuation • Climbing rates of infection, particularly among young adults • Total of 7500 patient visits and 750 treatment courses/referrals through DY5 • Outcomes: increased rates of gonorrhea, chlamydia, and HIV testing & treatment

  29. Adolescent & Young Adult Pregnancy Prevention www.CentralHealth.net • $6,511,842 proposed valuation • High birth rate for women under 20 in Travis County • 1550 patient visits through DY5 • Provides contraception education and counseling, including long acting reversible contraception (LARC) counseling • Outcome: lowers pregnancy rate of those under 25 who receive services

  30. Community Paramedic Navigator Project www.CentralHealth.net • $9,319,427 proposed valuation • High rates of repeat EMS & ED utilization • Adds 3 paramedic navigator staff for in-home services & development of patient care plan • Serves 900 patients through DY5 • Outcome: Reduced inappropriate ED utilization

  31. DSRIP Project Timeline • Dec 2011 – Sept 2012 • Oct 2012 – Sept 2013 • Oct 2013 – Sept 2014 • DY 1 • DY 2 • DY 3 • DY 4 • DY 5 Oct 2014 – Sept 2015 Oct 2015 – Sept 2016 Preliminary Planning Implement Outcomes Outcomes • HHSC/CMS Timelines • RHP Plan Submittal to HHSC – December 31, 2012 • RHP Plan Submittal to CMS – February 2013 • CMS Approval of RHP Plan – May 2013 www.CentralHealth.net

  32. Questions or Comments www.CentralHealth.net

  33. Information, Questions, Comments:www.texasregion7rhp.netsarah.cook@centralhealth.net512-978-8195www.centralhealth.net

More Related