Washington Health System Transformation Community of Health Grantee “Kick Off Webinar” July 10,...

Washington Health System Transformation

Community of Health Grantee“Kick Off Webinar”July 10, 2014

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State Health Care Innovation State Health Care Innovation PlanPlan

Officially “Kick-off” the Community of Health (COH) Planning Grant

Provide an update on the current status and anticipated next steps

Establish a forum and points of contact for ongoing collaboration

Allow for questions and answers

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Webinar Objectives


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Webinar Agenda

12:30 pm

Welcome, Housekeeping, Introductions & Roll Call

12:35 pm

Congrats and “Kick Off”•Brief Overview of SHCIP & SIM Round 2 •Overview of the ACH Initiative

12:45 pm

The COH Planning Grant, Deliverables and Timeline

1:00 pm What’s Next? State and COH Grantee Relationship •State and COH Roles and Engagement Strategies

1:05 pm Questions, Answers and COH Next Steps

1:30 pm Adjourn

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Brief Overview of SHCIP & SIM Round 2


Dorothy Teeter Director Washington State Health Care Authority


Build healthy communities and people through prevention and early mitigation of disease throughout the life course

Drive value-based purchasing across the community, starting with the State as “first mover”

Improve chronic illness care through better integration of care and social supports, particularly for individuals with physical and behavioral health co-morbidities (more than 1 illness)

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Three Core Strategies

Supported by

HB 2572and

SB 6312


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Seven Building Blocks

Quality and price transparency

Person and family engagement

Regionalize transformation

Accountable Communities of Health (ACHs)

Leverage and align state data

Practice transformation support

Workforce capacity and flexibility


The grant application is due July 21, 2014. Here’s an update:

Our public comment period just closed yesterday

Our stakeholdering process has been expansive and we want to continue that with Letters of Support

We anticipate our award announcement on October 31

We are continuing to move forward to achieve our aims

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SIM Round 2 Application Update

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Overview of the Accountable Community of Health (ACH) Initiative


John WiesmanSecretary Washington State Department of Health


Accountable Communities of Health (ACH)

Regionally based, voluntary collaboratives to align actions to achieve healthy communities and populations, improve health care quality and lower costs.

Based on the premise that no single sector or organization in a community can create transformative, lasting change in health and health care alone.

Clinical, community, and government entities must coordinate their efforts and actions around clearly defined goals that support whole-person health.

Shift from traditional State- community engagement approaches to those of partnership to achieve mutual aims.


Accountable Communities of Health (ACHs)

Collectively impact health through regionally driven priorities and solutions

Develop and work in partnership with the state on health systems transformation

Maintain a local identity while aligning with State efforts

Develop a region-wide health assessment and regional health improvement plan, including Medicaid purchasing alignment

Driver of accountability for resultsForum for harmonizing payment models, performance measures and investmentsHealth coordination and workforce development

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The COH Planning Grant, Deliverables and Current Landscape


Laura Zaichkin AdministratorHCA Office of Health Innovation & Reform


Create an opportunity for collaboration as the State partners with communities

Inform the development of ACHs

Align, amplify and evolve existing priorities and efforts

Recognize and support communities at different levels in health system development and transformation

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Intent of the COH Planning Grant


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Intent of the COH Planning Grant

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COH Planning Grant Milestones


Green - SIM Round 2, Innovation Plan and “Other”

Key: Brown - Specific to COH Planning Grant

Oct 31SIM Grant

Award Announced (estimate)

Jan 1SIM Grant

performance period begins

July 2014

Jan. 2015

Sept 1Joint

Behavioral Health

System Task Force

recommend-ations

Oct 1HCA and

DSHS decide common Regional

Purchasing Areas

(RSAs)

July 21SIM Round 2

Application Due

Sept 1project

narrative & financial

progress report templates provided

Oct 15project

narrative & financial progress

reports due

Dec 15final

financial report

template provided by

HCA

Jan 31final

financial report due

Dec 31performance period / COH

plans completed

January two

ACHs selected

Fall ACH

certification criteria / process

established


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Washington’s Communities of Health (COHs)


COH Planning Grantee Landscape



Significant Focus on Rural Health Needs

Urban Region



Preliminary Health Concerns (based on an initial review of COH grant applications)

Chronic Disease (e.g., Diabetes, Heart Disease and Obesity)

Access to Healthcare

Mental Health/Chemical Dependency Care

Maintaining Sufficient Providers

Poverty

High Dependency on Public Insurance

Underserved Sub-populations

Rural Health

Aging Population

Payment Reform



A Selection of Current Promising Practices (based on COH grant application reviews):

Rural Primary and Behavioral Health Integration Project – integration of primary and behavioral health services for high utilizing patients (BHT)

Prostate Cancer Screenings and Prostate Wellness Campaigns – public health campaign regarding prostate health tailored for use in Native American communities (SPIPA)

Advanced Care Planning – Initiatives to improve the end-of-life experience (North Sound ACH)

Emergency Department Consistent Care Program – decreased ED usage by more than 40%) (CHOICE)

Community Transformation Grant Partnership – decreased youth obesity in several king county school districts by 17% (King)

Mobile Health Clinic – provides primary and behavioral Health via mobile van (Pierce)

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What’s Next? State and COH Grantee Relationship


Chase NapierACH Program ManagerHCA Office of Health Innovation & Reform

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State and COH Grantee Relationship


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Next Steps


Bolster coordination activity through dedicated support, including the following:

Develop a statewide coordination plan

Create opportunities for regional and/or affinity based convenings and site visits

Develop a communications plan

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Next Steps


In Development:

COH project site

Reoccurring Webinars and one-on-one check-ins

Accessible “living” Q&A for the grant

Regular updates regarding deliverables and deadlines

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Q&A


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Q&A and Discussion

FAQs:

What’s the status of the ACH designation criteria?

What are the roles of State partners and Strategies 360?

Other questions?

Please share your thoughts:

What are your COH’s next steps? Any thoughts or ideas to share?

What is your local communication model and how can we communicate most effectively?

What would be your number one ask of the State for the next couple of weeks?

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Contact Us

Stay informed via the Innovation Plan website: http://www.hca.wa.gov/shcip

Share your thoughts and ask questions by emailing the ACH Program Manager:

Chase [email protected] (360) 725-0868

Washington Health System Transformation Community of Health Grantee “Kick Off Webinar” July 10,...

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