California Children’s ServicesProgram Redesign:

Redesign Stakeholder Advisory Board Meeting #1

Tuesday, December 2, 2014

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Agenda

10:30 - 11:00 Registration

11:00 - 11:15 Welcome and Purpose Statements Welcome & Overview of CCS Redesign Process Vision, Goals, and Ground work for the Stakeholder Process

11:15 - 12:15 Developing a Roadmap for the CCS Redesign Process Overview of Redesign Partners and Stakeholders Blueprint & Stakeholder Input Process Developing a Roadmap for the CCS Redesign Facilitated discussion on RSAB perc eptions of the CCS program

12:15 - 1:00 Lunch Break

1:00 - 2:00 Current Trends in CCS Update on Title V Needs Assessment Findings from CCS Administrative Data Q&A

2:00 - 2:10 Break

2:10 - 3:10 Existing Models of Care in CCS Overview of Full-Risk Managed Care Demonstration Pilot Overview of Accountable Care Organization Demonstration Pilot Q&A

3:10 - 3:30 Questions and Comments from RSAB Members

3:30 - 3:50 Public Comment Period for Audience Members

3:50 - 4:00 Wrap-Up, Closing and Next Steps

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Welcome &

Overview of CCS Redesign Process

Dylan Roby

UCLA Center for Health Policy Research

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Management and Resources

• We are envisioning 5 to 6 meetings, at this point

• All sessions will have public audience, as well as call-in line

• Meetings will be recorded (via phone line) and summaries will be posted

• Materials, meeting summaries, calendar, etc. will be posted on: – healthpolicy.ucla.edu/ccs, or

– http://www.dhcs.ca.gov/services/ccs/Pages/CCSStakeholderProcess.aspx

CCS Redesign Stakeholder Advisory Board UCLA

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Vision, Goals, and Groundwork for the Stakeholder Process

Louis Rico

DHCS, Systems of Care Division

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Overview of Redesign Partners & Stakeholders Blueprint, and

Stakeholder Input Process

Dylan Roby

UCLA Center for Health Policy Research

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Background on the Blueprint

• As a response to the need to improve and redesign the CCS program, DHCS is launching a stakeholder-based process to inform the CCS program redesign

• DHCS has partnered with the following organizations to inform and facilitate the process: – UCL!’s Center for Health Policy Research

– UCL!’s Center for Healthier Children, Families and Communities

– Stanford Center for Policy, Outcomes, and Prevention

– Harbage Consulting

– The Lucile Packard Foundation for Children's Health

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Goals of the Stakeholder Process

Key Goals:

1. Improve care and outcomes for CYSHCN by ensuring that they receive coordinated care and

2. Identify indicators that will measure quality in order to improve care for these children and their families.

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Guiding Principles

1. Maintain high standards for CCS providers, including paneling providers and sustaining regional provider networks.

2. Ensure continued viability of CCS program.

3. Consider simplification of the existing funding structure.

4. Provide consumer protections for CCS clients and families currently unavailable in the fee-for-service environment.

5. Improve and facilitate care coordination.

6. Utilize comprehensive patient-centered care, with an emphasis on family-centered care, including behavioral health and wraparound services.

7. Look for context-specific solutions that work in different localities and populations.

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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RSAB Expectations and Commitment

• Engaging in the Redesign Stakeholder Advisory Board (RSAB) – Provide guidance to DHCS and the UCLA team

– Work collaboratively to identify problems and concerns, as well as potential solutions and alternatives

• RSAB member commitment – Consistently Participate

– Contribute knowledge and expertise

– Recognize diversity in background, opinions, and goals

– Balance interests to improve the CCS system

– Recognize need for adaptation to changing epidemiology, organization and financing of health services

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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DHCS and RSAB Activities • Develop a Roadmap for CCS

• Develop recommendations for CCS Redesign, including engagement strategies for regional programs

• Ensure accountability

• Weigh technical research and evidence, goals of stakeholders, needs of children, and state priorities in determining implementation plan and recommendations – Leverage support from guest experts and technical workgroup

analyses

• DHCS will make decisions in conversation with the RSAB and clearly communicate the decision-making rationale to stakeholders and the public

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Developing a Roadmap for the CCS Redesign Process

Neal Halfon

UCLA Center for Healthier Children, Families & Communities

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Process Overview

Meeting #1

Meeting #2

Meeting #6

Final Recommendations

Meeting #3

Meeting #4

Meeting #5: Design

Goals Opportunities

Barriers Vision Values

Models

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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The Process

• Meeting #1 (12/2/14): Introduction and Information Gathering

– Introductions

– Overall process/vision

– Current Trends in CCS

– What does success look like?

• Meeting #2 (1/23/15): Road-mapping Meeting

– Elements of the Program to Keep, Repair, Improve, or Remove

– Innovation strategies

– Determining Core Values

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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The Process, continued • Meeting #3 (3/20/15): Specific Models

– Innovations in California – Alternatives Implemented Nationwide – Evidence Supporting Various Models

• Meeting #4 (5/29/15): Specific Issues – Technical workgroup presentations – Issue specific discussions and group work

• Meeting #5 (Tentative in June 2015): Design Meeting – Re-engineering exercise – Design discussions in small and large groups – Barriers/threats/challenges

• Meeting #6 (7/17/15): Discussing Design Findings and Determining Recommendations

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Facilitated Discussion: Perceptions

of the CCS program

Neal Halfon

UCLA Center for Healthier Children, Families & Communities

CCS Redesign Stakeholder Advisory Board UCLA Center for Health Policy Research

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Potential Discussion Points

• What would success look like in the CCS Redesign process?

• What answers do we need?

• What technical expertise do we need to solicit?

• Key issues of concern?

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