1. Executive Vice President & Chief Financial Officer
RHP 12
Regional Update
Jeff Dane
Executive Vice President & Chief Financial Officer

2. Introductions 74 Attendees 27 Performing Providers from RHP12
4 Other RHPs
RHP 2 - Galveston
RHP 9 - Dallas
RHP 1 - Longview
RHP 7 - Austin
2 Managed Care Organizations
Amerigroup
Superior

3. Agenda Overview 9:30-10:00 Welcome & Regional Updates
10:00-11:00 Motivational Interviewing in a Healthcare Setting
Chad Anderson MA, LPC Intern, Clinical Manager ACT III, Metrocare Services
11:00-11:15 Break/Poster Gallery
11:15–12:15 Chronic Care Panel Discussion
Facilitator: Craig Kovacevich, MA, Associate Vice President, Waiver Operations & Community Health Plan
Joe Paul Gallo, RN, WHNP-BC-E, MSN Ed, CST, CHW, Director, DSRIP Projects for Chronic Disease Management
Kate Philley Starnes, JD, Med, Program Director, Northeast Texas Center for Rural Community Health
Curk McFall, MSN, RN, Director of Clinical Strategy & Protocols and Adult Protocols, Community Care Collaborative

4. Agenda Overview 12:15-1:15 Networking Lunch
1:15-2:15 MCO Journey: Action to Alignment
Toni Pierre, Business Change Manager, Amerigroup Texas
Craig Kovacevich, MA, Associate Vice President, Waiver Operations & Community Health Plan, UTMB Galveston
2:15-2:30 Break/Poster Gallery
2:30-3:30 Peer to Peer Project Discussions
Patient Navigation/Care Coordination/Care Transitions
Behavioral Health
Chronic Care Management Behavioral Health
3:30- 4:00 Closing Comments/Awards

5. Regional Healthcare Partnership 12
RHP 12
47 Counties
45,538 Square Miles
900 thousand residents
< 7 people per sq. mile
55.9 % Urban, 44.1% Rural
56.8% Anglo/34.8% Hispanic
12.1% live below poverty line
13.4% Uninsured

6. Regional Healthcare Partnership 12
Provider Type
Number of Providers
Number of Projects
Rural Hospitals 22 47
Urban Hospitals 6 20
Community Mental Health Centers 5 15
Health Science Centers 2 13
Local Health Department 1
Physician Group
Psychiatric Hospital
Totals 38 99

7. RHP12 Community Needs being Addressed thru DSRIP projects
Critical Community Needs
CN1 – Severe primary care provider shortage – 56 projects
CN2 – Lack of mental health services – 32 projects
88 Total Projects
Urgent Community Needs
CN3 – Poor Insurance – 20 projects
CN4 – High obesity, diabetes, & heart disease – 20 projects
CN5 – Need for specialist to assist in chronic disease care – 19 projects
CN6 – Need for cancer screening – 7 projects
CN7 – Insufficient Maternal & prenatal care – 2 projects
68 Total Projects

8. RHP12 Project Types Addressing Critical & Urgent Community Needs
Primary Care Expansion Redesign 25 projects 43 CNs
Patient Navigation
Care Coordination Care Transitions
19 Projects
53 CNs
Behavioral Health
18 Projects
38 CNs
Chronic Care Management
8 Projects
15 CNs
Process Improvement
Patient Experience
7 Projects
23 CNs

9. Quantifiable Patient Impact DY3-DY4

10. Category 3 Performance Year 1 Outcomes

11. DY1-DY5 Funding Status

12. What’s Next 15 month extension begins October 1st
94 RHP12 projects will continue during DY6A
2 providers w/ 5 projects moved to different regions during the combined project process
Identifying opportunities to align with Medicaid Managed Care Organizations
Measure Value/Outcomes, Alternative Payment Methodologies & Project Sustainability

13. Timeline
September 29, 2016 – DY6A Stretch Activity forms due to Anchor
September 30, Anchors Submit DY6A Stretch Activity forms
October 1, Approved DY6 Projects Are Effective
October 3, HHSC Send Final DY6A Project Info To Anchors
October 5, HHSC Oct DY5 Reporting Webinar 10:00-12:00
October 11-12, DY5 Reporting Workshops, Amarillo
October 14 and October 17 - DY5 Reporting Workshops, Lubbock
October 31, DY5 R2 DSRIP Reporting Due
December 15, RHP12 Annual Report Due to HHSC

14. Comments/Questions?