1. April 27, 2018 UMC Neighborhood Health Clinic El Paso, Texas
Stakeholders Forum
April 27, 2018
UMC Neighborhood Health Clinic
El Paso, Texas
THGuest

2. Your FEEDBACK/Comments are extremely important!
Oscar Perez
DSRIP Program Manager
Text To:
Text: OSCARPEREZ394
Go to your Browser or Smart Phone: OR

3. AGENDA Welcome and Introductions
Overview of Texas 1115 Waiver & Renewal
RHP 15 Plan
Requirements
Process and Timeline
Community Needs Assessment
Learning Collaborative
Access to the Plan
Engagement
Open Discussion
Adjourn

4. INTRODUCTIONS Regional Healthcare Partnership (RHP)
University Medical Center of El Paso
Texas Tech University Health Sciences Center
El Paso Children’s Hospital
Hospitals of Providence
Emergence Health Network
City of El Paso Department of Public Health
Las Palmas Del Sol Healthcare

5. What is DSRIP? Delivery System Reform Incentive Payments
Accomplished through an 1115 Waiver
Original Plan Submitted on December 31, 2012
Waiver Renewed on December 21, 2017
“Texas Transformation Waiver”

6. More Terminology DY = Demonstration Year (Oct 01 – Sep 30)
PY – Performance Year (Jan 01 – Dec 31)
Used for metrics

7. REGION 15

8. Texas Medicaid 1115 Waiver Overview

9. RHP 15 DSRIP Allocations (DY2-DY6)
About 4.4% of Total State Allocations

10. RHP 15 DSRIP Allocations (DY7- DY8)

11. DY2-DY6 Project Focused Model

12. RHP 15 Projects (DY2-DY6) Category 1 – Infrastructure Development
Expanded Primary Care
Increased Training of Primary Care Workforce
Implemented Chronic Disease Mgt Registries
Enhanced Interpretation Services & Culturally Competent Care
Collected REAL data to reduce disparities
Implemented Telemedicine/Telehealth
Enhanced Dental Services
Expanded Specialty Care

13. RHP 15 Projects (DY2-DY6) Category 2 – Innovation & Redesign
Enhanced Medical Homes
Expanded Chronic Care Management Models
Implemented Health Promotion Programs
Implemented Disease Prevention Programs
Improved Quality/Efficiency of Processes
Established and/or expanded Patient Care Navigation Programs
Expanded use of Palliative Care Programs
Expanded Medication Management Programs
Implemented Care Transitions Programs
Provided Intervention Programs for Targeted Behavioral Health Populations

14. RHP 15 Projects (DY2-DY6) Category 3 – Quality Initiatives (Metrics)
Primary Care & Chronic Disease Management
Potentially Preventable Readmissions 30-Day Rates
Potentially Preventable Complications, Health Acquired Conditions & Patient Safety
Patient Satisfaction
Perinatal Outcomes & Maternal Child Health
Right Care, Right Setting
Behavioral Health / Substance Abuse Care
Primary Prevention
Oral Health

15. RHP 15 Projects (DY2-DY6) QPI Quantifiable Patient Impact
483,225 Patient Encounters
61,250 Unique Patients

16. New DSRIP- Protocol NEW Community Needs Assessment Categories
A : Core Activities (0% allocation)
B : Patient Population by Provider (PPP) (10%)
C : Outcome Measures (bundles) (75%)
D: Statewide Reporting (15%)
Focus on Medicaid / Low Income Uninsured Patient
Metric Goals: Gap Reduction - 10% DY7 12% DY8
QISMC - Quality Improvement System for Managed Care
IOS – Improvement on Self
DY9 and DY10 reduced funding
DY11 no funding – transition to managed care program(s)

17. Community Needs Assessment

18. DY7-DY8 Outcomes Focused Model

19. Measure Bundle Selections DY7-8
A1 Chronic Disease Management – Diabetes
UMC
A2 Chronic Disease Management – Heart Disease
UMC, Las Palmas Del Sol
B1 Care Transitions & Hospital Readmissions
UMC
B2 Patient Navigation & ED Diversion
Las Palmas Del Sol
C1 Primary Care Prevention – Healthy Texans
UMC, Texas Tech
D1 Pediatric Primary Care
Texas Tech

20. Measure Bundle Selections DY7-8
D3 Pediatric Hospital Safety
EP Childrens Hospital, Las Palmas Del Sol
E1 Improved Maternal Care
Texas Tech, Las Palmas Del Sol
E2 Maternal Safety
Providence Memorial, Sierra Providence East
G1 Palliative Care
UMC
H3 Chronic Non-Malignant Pain Management
UMC
J1 Hospital Safety
Las Palmas Del Sol, Providence Memorial, Sierra Providence East

21. RHP 15 Projects (DY7-DY8) PPP Patient Population by Provider
Category B
Patients seen in the entire “system”
Goals:

22. Learning Collaborative Plan
July 13, 2018 (Friday)
El Paso Community College Administration Building (Viscount)
9:00am to 3:00pm Lunch Served
Diabetes Care
Behavioral Health
Health Data Exchange

23. Engagement Monthly Meetings Last Wednesday of each Month
1:00pm
Medical Centers of the Americas (Cardwell Collaborative)
Next Meeting: May 30, 2018

24. Timeline April 20th - Provider Templates DUE to Anchor
April 27th - Stakeholder’s Forum
April 30th - HHSC Reviews RHP 15 Plan
May 30th – Deadline for RHP 15 Plan Survey
July 01st - Payment from HHSC for Plan Submittal
Oct 30th - DY7 Reporting (Baselines & Improvements)
Jan 2019 – Payment from HHSC for DY7 R1

25. ACCESS
umcelpaso.org

26. OPEN DISCUSSION