Region 15 Regional Healthcare Partnership 13th Public Meeting Friday, June 28, 2013 University Medical Center of El Paso Anchor Hospital 1

Confirmation of Participants Roll Call 2

HHSC/CMS Ongoing Approval Process There will eventually be another final RHP Plan Submission CMS only approving projects for DY2 and DY3 CMS will evaluate Projects for DY4 and DY5 revisions and approvals HHSC will contract with an independent entity to monitor the progress of DSRIP projects and make recommendations to facilitate the success of the projects Based on this assessment, CMS and HHSC may require prospective changes for DY4 and DY5 DSRIP providers will be required to submit semi-annual reports to HHSC on the progress of projects PFM Protocol Revised April 4, 2013 Full Approval of projects will be determined by CMS on September 1, 2013. If the project does not receive full valuation approval at that date, there will be another opportunity to receive full approval by March 31, 2014. The project scope can be modified or the value can be modified

Region 15 DSRIP Projects Initially Approved Projects for August, 2013 Reporting Table 3, 4, and (5) Projects Confirm Provider Correction Templates (spreadsheets) HHSC email to providers yesterday Due to HHSC in one batch 7/10/13 Due to UMC Anchor by 7/5/13 Projects under CMS review for final approval by September, 2013 Table 6 and 7 Projects

Table 3 and 4 Projects City of El Paso Health Department Establish Community Health Atlas Mobile Dental Unit Border Public Health Interest REAL Data Expand Existing HIE Through Collaboration Efforts Texas Tech Disease Management Registry Child Psychiatry Fellowships Medical Home Designation Increase Access to Surgical Services Emergence Health Network Increase Number of Psychiatrists and Licensed Behavioral Health Providers

Table 3 and 4 Projects Providence Hospital Discharge Planning and Assessment Sierra East Hospital Improve Cultural Competency of Staff LPDS Outpatient Women’s Centers Diabetes Clinical Information System Tele-Psychiatric Consultation in the ER Heart Disease Clinical Information System

Table 3 and 4 Projects UMC EMR Programs – Enhance Performance Improvement and Reporting Patient Care Navigation Program Implement Medical Home Model in NHCs Expand Chronic Care Management Models in the NHCs Use of Palliative Care Programs Surgery Guidebook and Nurse Advice Line Expand Primary Care Capacity in the NHCs

Table 5 Justifications (August or October Reporting) UMC Expand Primary Care Capacity in the NHCs Establish a Coumadin Clinic LPDS Coordinated Case Management Discharge Planning EHN Extended Observation Unit Crisis Respite Unit Providence New Urgent Care Centers Cultural Competency and Health Literacy Sierra East Hospital New Urgent Care Center

DY2 and DY3 DSRIP Reporting / IGT Region 15 DY2 DSRIP – 1st -- Reporting -- August, 2013 IGT Submission – September, 2013 Payment – 20-30 Days Later DY2 DSRIP – 2nd -- Reporting -- October, 2013 IGT Submission – November, 2013 _________________________________________________________ DY3 DSRIP – 1st -- Reporting –- February, 2014 IGT Submission – March, 2014 DY3 DSRIP – 2nd -- Reporting – July, 2014 IGT Submission – August, 2014

DY2 and DY3 UC Region 15 DY2 UC IGT - July, 2013 Payment – August, 2013 IGT - November, 2013 Payment – December, 2013 ____________________________________________________ DY3 UC IGT – March, 2014 Payment – April, 2013 IGT – May, 2014 Payment – June, 2013 IGT – August, 2014 Payment – September, 2013

Learning Collaborative Texas Tech DSRIP Projects in Region 15 Project Presentations: Share updates, successes and challenges Expanding Neurology Care Enhancing & Expanding Comprehensive Breast Care Services Increasing Access to Surgical Services Establishing a Minimally Invasive Surgery Fellowship Program Increasing Access to Ocular Care

Performance Logic Region 15 Plan is loaded and ready for training On-site Implementation July 10-19?? Location UMC Contacts Neel Shah, Owner Jeffrey Phruksaraj, Director of Client Services Office: 212.253.0545 x115 | Cell: 917.796.1980 jphruksaraj@performancelogic.com

Roundtable 13

Contact Information Waiver Website & Email Address: http://www.hhsc.state.tx.us/1115-waiver.shtml TXHealthcareTransformation@hhsc.state.tx.us UMC Website: http://www.umcelpaso.org Region 15 - RHP Paso del Norte Blue Ribbon Committee Needs Assessment: http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf 14