Region 15 Regional Healthcare Partnership 10th Public Meeting Wednesday, February 20, 2013 University Medical Center of El Paso Anchor Hospital 1

Confirmation of Participants Roll Call 2

HHSC / CMS Review Period for Region 15 We received high level feedback on 4 projects for Region 15 on 2/14/13 Minor changes, typos, transposition of numbers… None of the comments will prevent the Plan from moving on to CMS Corrections will be entered into the Plan in anticipation of CMS feedback We expect to hear from HHSC by 2/25/13 HHSC will inform the Anchor when the Plan is submitted to CMS Or will provide additional feedback if the RHP has not adequately addressed HHSC’s feedback CMS will have a 45 day review period and will communicate to the regions during this time frame

Other Review items CMS requested a modification to Category 3 achievement targets Current intent is to approve all parts of the Plan with the exception of Category 3 payment in DY4 and DY5 Category 3 outcome is the focus right now; not the metrics CMS is looking at ‘other’ projects to ensure evidence-based material is included. HHSC will make notations on projects to show the evidence-based justification for CMS HHSC will flag higher value projects when sending to CMS

DSRIP and UC DY1 Payment Timelines DY1 UC – 5/7/2013 DY1 DSRIP – Region 15 = $22,037,042 IGT due 3/22/13 Payment date 4/30/13 Region 15 DY1 DSRIP UMC - $8,180,700 Texas Tech - $1,813,706 EHN - $1,803,302 Health Dept - $906,857 Las Palmas Del Sol – $2,771,033 Sierra East – $749,192 Providence - $1,334,391 El Paso Childrens Hospital - $70,442

DSRIP and UC Payment Timelines 2013 and 2014 DY2 UC 7/20/2013 1/16/2014 3/28/2014 DY2 DSRIP 9/30/2013 11/12/2013 1/24/2014 DY2 Admin 2/10/2014 IGT for the above payments must be submitted to HHSC 20-30 days prior HHSC is proposing to retain ½% of all DSRIP payments for monitoring purposes

Roundtable 7

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 8