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Meeting 1

Brownsville Regional Campus. Meeting 1. School of Public Health. Brownsville Regional Campus. 1115 Waiver Background. 2011 Texas Health and Human Services Commission (HHSC) 1115 waiver P reserve Upper Payment Limit (UPL) Expand Medicaid managed care services in Texas

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Meeting 1

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  1. Brownsville Regional Campus Meeting 1

  2. School of Public Health Brownsville Regional Campus

  3. 1115 Waiver Background • 2011 Texas Health and Human Services Commission (HHSC) 1115 waiver • Preserve Upper Payment Limit (UPL) • Expand Medicaid managed care services in Texas • 1115 waiver goes into 2 statewide pools of funding ($29 billion over five years) • 1. Uncompensated care pool to reimburse hospitals for the cost of Medicaid and uninsured patients • 2. Delivery System Response Incentive Payment (DSRIP) pool • Incentive payments to providers for transforming healthcare practices • Enhance access to health care • Increase quality of care, coordination, and cost-effectiveness School of Public Health Brownsville Regional Campus

  4. Regional Healthcare Partnership 5 • Regional healthcare partnerships (RHPs) • DSRIP delivered through RHPs • 20 RHPs in Texas • We are RHP5 • Cameron, Hidalgo, Starr, Willacy School of Public Health Brownsville Regional Campus

  5. High Prevalence of Diabetes in RHP5 • RHP5 Needs Assessment (August 2012) • 31% (388,00) adults with diabetes • 51% (197,000) undiagnosed • 56% (216,500) untreated • Underlying diabetes present in >50% of hospital admissions School of Public Health Brownsville Regional Campus

  6. 8 DSRIP Projects School of Public Health Brownsville Regional Campus

  7. Chronic Disease Registry Goals • Short-term: • Create use cases for chronic disease registry • Populate the chronic disease registry with patient data • Implement the chronic disease registry service for participating providers • Identify provider needs • Evaluate practice workflows • Leverage Wellcentive to fill provider needs • Evaluate the potential performance of the chronic disease registry School of Public Health Brownsville Regional Campus

  8. Chronic Disease Registry Goals • Long-Term • Reduce the prevalence of diabetes in the Lower Rio Grande Valley • Create chronic disease registry best practices • Evaluate the effectiveness of the chronic disease registry tool • Evaluate the adoption of the chronic disease registry • Evaluate the impact of the chronic disease registry School of Public Health Brownsville Regional Campus

  9. School of Public Health Brownsville Regional Campus

  10. The Registry Review Background • Milestone 3: Develop a cross-functional team to evaluate registry program. • Metric #1: P-4.1: Documentation of roles and number of personnel (clinical, IT, administrative) assigned to evaluate registry program. • Baseline: 0. • Goal: Establish a cross functional team with at least 5 members to evaluate the registry • Data Source: Team roster and minutes from team meetings. • Metric Measure: Number and role of personnel assigned to evaluate the registry. • Metric Type: Number. • Numeric Goal: 5. • QPI Metric: No. School of Public Health Brownsville Regional Campus

  11. The Registry Review Purpose • Identify provider needs. • Evaluate existing workflows. • Identify where the chronic disease registry will fit in. • Evaluate the potential performance of the chronic disease registry. • Create use case documents for the chronic disease registry. • Create chronic disease registry best practice documents. • Evaluate the efficacy of the chronic disease registry. • Evaluate the adoption of the chronic disease registry. • Evaluate the impact of the chronic disease registry. • Evaluate the accuracy/reliability of the data inside of the chronic disease registry. School of Public Health Brownsville Regional Campus

  12. The Registry Review Member Roles • Metric Measure: Number and role of personnel assigned to evaluate the registry. • Roles based on expertise and organization affiliation? School of Public Health Brownsville Regional Campus

  13. The Registry Review Future Meetings • Pushing back reporting to April, 2014 • Need for weekly meetings in September? • Push back to every two weeks? • Future meeting coordination • 1. Decide on regular meetings now? • Doodle poll? • Adobe connect poll? • 2. Decide in the future? • Doodle poll? • Adobe connect poll? School of Public Health Brownsville Regional Campus

  14. Chronic Disease Registry/HIE Updates • Salud y Vida • 900 + patients populated • Demographic and lab data • Currently evaluating workflows and using Wellcentive to fill gaps • Kickoff call 8/29: Needs Identified • Need a calendar • “A1c due” reminder for 3, 6, and 9 months • Patient-information compliant secure communication • Patient-level view for Promotoras. • Su Clinica • Meeting 8/29 to establish buy-in • Next step: Implementation School of Public Health Brownsville Regional Campus

  15. Questions/Next Meeting • Questions: • How can we make these meetings better? • Format, topics, perspectives, etc. • Any other questions? • Next Meeting: • What reports would be helpful for hospitals? • How can Salud y Vida use Wellcentive most effectively? • Any other proposed topics? School of Public Health Brownsville Regional Campus

  16. Brownsville Regional Campus Thank you! School of Public Health Brownsville Regional Campus

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