RHP 12 Learning Collaborative. RHP 12 Learning Collaborative Project Highlight Waiver Updates.
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Transcript of RHP 12 Learning Collaborative. RHP 12 Learning Collaborative Project Highlight Waiver Updates.
February 26,2015 Tentative Agenda
◦ 8:00-9:30 - Registration & Breakfast◦ 8:30-9:30 - Breakout Session#1 – Prevention Cohort◦ 9:30-9:45 – Break – Poster Presentations◦ 9:45-10:00 – Welcome/Introductions◦ 10:00-11:30 – Lean Six Sigma – 5 projects within 1◦ 11:30-1:00 – Networking lunch & Posters◦ 1:00-2:00 – Provider Presentations◦ 2:00 – 2:15 – Poster Break◦ 2:15-3:15 – DSRIP Reporting◦ 3:15-3:45 – Closing Comments◦ 3:45 – 4:45 – Breakout Session#2 – QOL Surveys
RHP 12 Learning Collaborative
Current Registration◦ Main Session – 65◦ NEW Focused Cohorts
Prevention - 18 QOL Surveys – 15
◦ Poster Presentations FreeStyle-2 Template-4
We want to highlight as many projects as possible via a poster. If you haven’t signed up to highlight at least one of your projects and you are not presenting a project, Please consider submitting poster info for one of your projects
RHP 12 Learning Collaborative
Welcome & Introductions Cohort Participation Expectations Timeline Challenges Marshmallow Challenge Establish AIM Statements Set Goals PDCA
Agenda for Cohort Meetings
Lynn County Hospital Donna Raindl, Comptroller Pete Paniagua, Patient Navigator
Project 2.9.1 – Patient Navigator Project Focus on Indigent patients Connects patients to PCP
through ED visits for all identified private pay patients
Patients also referred through the clinics
Enrollment and Navigation involves an intake, collecting documentation, referrals to community services (PAP & SSI)
Project Spotlight-Lynn County Hospital
Lynn County Continued
Challenges, Successes, Lesson’s Learned
Patient Story
Challenges Only 1 patient Navigator Contacting patients
Successes Introduces himself as a social
worker/navigator Builds rapport Looks for solutions for everyone Patients connecting with PCP Less ED utilization
“The value this program brings to the community is greater than the DSRIP funding”(Donna Raindl)
Change Request CAT 3 baseline Updates submitted January 15th October NMI submitted January 16th October DY3 DSRIP Payments Received October DY3 CAT 3 Review in process
◦ Anticipated completion - End of February October DY3 Provisionally Approved
◦ Late February – Early March◦ No News is Good News
Change Request ProcessPlan Mods and Technical Change Requests
Based on the PFM, providers will have a time after the mid-point assessment to determin if the provider wishes to continue with a project
HHSC has proposed to CMS that the window to withdraw projects be from February 1st through May 1st 2015
Please let us know if you are considering withdrawing a project
Project Withdrawal Window
HHSC does not have further information from CMS on the waiver amendment request to access DY2 DSRIP funds.
CMS indicated that UC deferral was one obstacle to approving the amendment along with lateness in the waiver term.
Unlikely that CMS will approve this amendment.
Unspent DY2 DSRIP Funds
Clinical Champions work group had first meeting on January 22,2015
Next Clinical Champion Meeting – February 19th
No additional information at this time
Waiver Renewal
Medicaid/CHIP Quality and Efficiency Improvement Website ◦ HHSC launched a Medicaid and CHIP Quality and
Efficiency Improvement website to increase transparency and public reporting: http://www.hhsc.state.tx.us/hhsc_projects/ECI/index.shtml
◦ Goal – Serve as a one-stop information resource on Medicaid/CHIP quality improvement efforts for healthcare providers, health plans, & the public
◦ Questions: email [email protected]
Additional Info
Early February – Change Request determination from HHSC Late February – HHSC Completion of Category 3 Review February 26th – Regional LC Event, Lubbock TX Late February/Early March – NMI for “provisionally approved”
DY3 October Reporting metrics April Reporting – April 1st – April 30th
Timeline