Data & Learning Team February 1, 2018

Agenda Welcome & Introductions SWACH Updates Current State Assessment

SWACH Updates Project Plan submitted! All Project Plans posted online at https://www.hca.wa.gov/about-hca/healthier-washington/medicaid-transformation-resources Write-back process completed! Pending HCA approval / scoring…

Where We Are Headed January – June 2018 Awaiting final approval on Project Plan Portfolio Project Implementation Planning HIE Assessment Current State Assessment Regional Convening (early March)

CURRENT STATE ASSESSMENT

State Requirements ACHs are required to complete a “current state assessment” by Q2 2018. Assessment will provide information about the region’s capabilities and capacity, and will inform SWACH’s implementation planning process. Assessment will build on previous environmental scans and community conversations, will be conducted in stages.

Assessment Planning: What information do you need? Partners’ current activities and technical assistance needs to identify gaps and inform project implementation How many practices have adopted opioid prescribing guidelines? What are the biggest barriers to managing follow-up care for patients? Partners’ readiness for practice transformation to kick off engagement with coaching and other supports Information required or suggested by HCA Describe where each partner falls on SAMHSA’s Framework for Integrated Care Information to identify baseline for P4R measures

Assessment Planning: Who do you need it from? All clinical settings? Primary care, behavioral health, hospitals, pharmacy, oral health… Community based organizations? What level of granularity? Practice / clinic level versus organization level versus individual providers?

Phase 1 Phase 2 2017 HIT/HIE Clinical Partners Community Partners Feb 2018 Mar-April 2018 May – June 2018 Objective: Community / Environmental scanning to inform project plan Objective: Identify current HIE capacity, needs, resources, and barriers to interoperability Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects Mode: Meetings and Interviews Mode: Online survey and interviews Mode: Online survey Mode: TBD

SWACH JANUARY – JUNE 2018 TIMELINE Feb Mar Apr May Jun Regional Convening HIT/HIE Assessment in the field Report to HCA Clinical Partner Assessment in the field Workgroup members and subject experts inform clinical and community partner assessment development Community Partner Assessment in the field HIE Assessment Report to RHIP Council RHIP Council Update Webinar on Assessment for clinical partners Webinar on Assessment for community partners Ongoing Workgroup and Committee Implementation Planning

HIE ASSESSMENT OUTLINE Part 1 - Inventory current state of EHR interoperability and Health Information Exchange (HIE) in SW Washington and identify gaps. Part 2 – Inventory the current state of information technology of community based organizations and identify interoperability gaps with healthcare providers.

CLINICAL PARTNER ASSESSMENT DOMAIN 1 Module Suggested Items Introduction Contact information, about the site, volume served Domain 1: Workforce Current workforce needs? Regulatory barriers to effective team-based care Strategies and approaches to culturally competent care Shortages of specific provider types Domain 1: Value Based Payment Support and attest state-level VBP survey results Awareness of VBP readiness tools and resources Training / TA needs Domain 1: HIT Additional content not captured in HIE Assessment (if any) Project specific HIT needs (e.g. registries)

CLINICAL PARTNER ASSESSMENT DELIVERY SYSTEM REDESIGN Module Suggested Items 2A: Integration Level of integrated care model adoption – which models are used? Where does the organization fall along SAMHSA’s levels of integration? Is the partner a recognized medical home (if applicable)? Has the partner achieved any special certifications (e.g., Joint Commission’s Behavioral Health Home Certification)? 2B: Care Coordination Capacity for regional community-based care coordination Use of care management technology platform(s) Staffing ratios Patients with care plans

CLINICAL PARTNER ASSESSMENT PREVENTION AND HEALTH PROMOTION Module Suggested Items 3A: Opioids Capacity to effectively impact the opioid crisis Strategies to leverage current capacity and address gaps Buprenorphine and MAT providers Adoption and implementation of prescribing guidelines ED protocols for overdose education and take home naloxone 3D: Chronic Disease Capacity to effectively impact chronic disease Implementation of the Chronic Care Model Self-management and chronic disease management supports Existence of registries/swim lanes/protocols for chronic disease

DLT Involvement Inform current state assessment content Volunteers / interest in reviewing? Subject matter expertise – specific modules? What do we need to know for implementation? Where may information already be available?