Region 15 Regional Healthcare Partnership Third Public Meeting
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1 Region 15 Regional Healthcare Partnership Third Public Meeting Wednesday, June 27, 2012 University Medical Center of El Paso Anchor Hospital
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Region 15 Regional Healthcare Partnership Third Public Meeting. Wednesday, June 27, 2012 University Medical Center of El Paso Anchor Hospital. Regional Healthcare Partnership (RHP) Regions. Confirmation of Participants. Confirmation of Participants. El Paso Children’s Hospital - PowerPoint PPT Presentation
Transcript of Region 15 Regional Healthcare Partnership Third Public Meeting
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Region 15Regional Healthcare Partnership
Third Public Meeting
Wednesday, June 27, 2012University Medical Center of El Paso
Anchor Hospital
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Regional Healthcare Partnership (RHP) Regions
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Confirmation of Participants
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Confirmation of Participants
1. El Paso Children’s Hospital
2. El Paso Coalition for the Homeless
3. El Paso County Juvenile Justice Center
4. El Paso County Medical Society
5. El Paso Department of Public Health
6. El Paso Psychiatric Center
7. El Paso Specialty Hospital
8. Emergence Health Network
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Confirmation of Participants
9. Hospice El Paso, Inc.
10. Hudspeth County
11. International Aids Empowerment
12. Las Palmas Del Sol Healthcare
13. PDN Health Information Exchange
14. Project Vida Health Center
15. Providence Memorial Hospital
16. Rescue Mission of El Paso
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Confirmation of Participants
17. San Vicente Centro Familiar De Salud
18. Sierra Medical Center
19. Sierra Providence East Medical Center
20. Tender Care Home Health
21. TTUHSC School of Medicine
22. VNA Home Healthcare and Hospice
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Current HHSC Information
Stanley Stewart
Project Director of Transformation Waiver Operations, HHSC
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Regional Strategic Health Framework
Phase 1 – Needs Assessment Report Phase 2 – Priority Ranking Phase 3 – Intervention Planning Paso del Norte Blue Ribbon Committee
http://www.elpasotexas.gov/health/_documents/
BRCGapBook.pdf
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PDN Blue Ribbon Needs Assessment Report
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RHP 15 DSRIP Projects
See Handout
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New Draft DSRIP MenuCategory I Project Areas
1. Expand Primary Care Capacity
2. Increase Training of Primary Care Workforce
3. Implement and Utilize Disease Management Registry Functionality
4. Enhance Interpretation Services and Culturally Competent Care
5. Collect Accurate Race, Ethnicity and Language (REAL) Data to Reduce Disparities
6. Enhance Urgent Medical Advice
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New Draft DSRIP Menu Category I Project Areas (cont.)
7. Introduce Telemedicine
8. Enhance Coding and Documentation for Quality Data
9. Expand Specialty Care Capacity
10. Enhance Performance Improvement and Reporting Capacity
11. Expand Behavioral Health Services
12. Expand Dental Services
13. Expand or Enhance Emergency Medical Transportation Services
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New Draft DSRIP MenuCategory II Project Areas
1. Expand Medical Homes
2. Expand Chronic Care Management Models
3. Redesign Primary Care
4. Redesign to Improve Patient Experience
5. Redesign for Cost Containment
6. Establish/Expand a Patient Care Navigation Program
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New Draft DSRIP MenuCategory II Project Areas (cont.)
7. Apply Process Improvement Methodology to Improve Quality/Efficiency
8. Improve Patient Flow in the Emergency Department/Rapid Medical Evaluation
9. Use Palliative Care Programs10. Conduct Medication Management
11. Implement/Expand Care Transitions Programs12. Health Promotion and Disease Prevention
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New Draft DSRIP MenuCategory III Project Areas
1. Severe Sepsis Resuscitation and Management2. Potentially Preventable Admissions
a) Congestive heart failure admission rateb) Diabetes, short-term complications, admission ratec) Diabetes, uncontrolled diabetes, admission rated) Behavioral health potentially preventable admissionse) Chronic obstructive pulmonary disease or asthma in adults admissionf) Hypertension admission rateg) Diagnosis and management of asthma
3. Potentially Preventable Readmissionsa) All cause readmission rateb) Congestive heart failure readmission ratec) Diabetes readmission rated) Behavioral health readmissione) COPD readmissionf) Stroke readmission
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New Draft DSRIP MenuCategory III Project Areas (cont.)
4. Potentially Preventable Complications
5. Perinatal Outcomesa) Birth trauma ratesb) Elective pre 39-week delivery
6. Diabetes Composite Measurea) Hemoglobin A1c (National Quality Forum (NQF) 0059) b) Blood Pressure (NQF 0061) c) Low-Density Lipoprotein Cholesterol (NQF 0064) d) Retinal or dilated eye exam (NQF 0055) e) Foot exam (NQF 0056) f) Nephropathy screening (NQF 0062).
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New Draft DSRIP MenuCategory IV Project Areas
1. Potentially Preventable Admissionsa) Congestive heart failure admission rateb) Diabetes, short-term complications, admission ratec) Diabetes, uncontrolled diabetes, admission rated) Behavioral health potentially preventable admissionse) Chronic obstructive pulmonary disease or asthma in adults admissionf) Hypertension admission rateg) Diagnosis and Management of Asthma
2. 30-Day Readmissionsa) All-cause readmission rateb) Congestive heart failure readmission ratec) Diabetes readmission rated) Behavioral health readmissione) COPD readmissionf) Stroke readmissiong) Pediatric asthma
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New Draft DSRIP MenuCategory IV Project Areas (cont.)
3. Provider Preventable Complications4. Patient-centered Health Care
a) Patient satisfactionb) Medication management
5. Emergency Departmenta) Admit decision time to ED departure time for admitted patients
6. Diabetes Composite Measuresa) Hemoglobin A1cb) Blood Pressure c) Low-Density Lipoprotein Cholesterol d) Retinal or dilated eye exam e) Foot examf) Nephropathy screening
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Medicaid Waiver Timelines
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Medicaid Waiver Timeliness
Program Funding & Mechanics (PFM) and the RHP/DSRIP protocol
– HHSC send to CMS June 29, 2012– Send out to RHPs for comments back by July 13, 2012
(they will provide a form for feedback) July 15, 2012 – Submit RHP Chapters to Anchor
– Please use the format in the draft RHP15 document located on the UMC El Paso RHP website
RHP Planning Summit – early August, Austin, TX Sept. 1 – Submit RHP to HHSC (4 year plans)
– DY1 payment based upon submission of RHP– HHSC reviews RHPs during the month of September.– Return to Regions for changes in first two weeks of October.
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Medicaid Waiver Timeliness
October 31 – HHSC Submit Final RHP to CMS
December 15, 2012 - CMS completes review – RHPs returned for revisions during the 30 day period
January 15th, 2013 - Revised RHP Plans to CMS
February 1st, 2013 - CMS Final Decision
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Roundtable
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Contact Information
Waiver Website & Email Address:– http://www.hhsc.state.tx.us/1115-waiver.shtml– [email protected]
UMC Website:– http://www.umcelpaso.org
– RHP 15
Paso del Norte Blue Ribbon Committee Needs Assessment:
– http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf
