1. Region 15 Regional Healthcare Partnership 53rd Public Meeting
Wednesday, MAY 30, 2018
University Medical Center of El Paso
Anchor Hospital
Medical center of the americas – 2nd Floor TTUHSC conference room
mCaW1reLe$$

2. Confirmation of Participants
University Medical Center of El Paso
Texas Tech University Health Sciences Center at El Paso
El Paso Children’s Hospital
Hospitals of Providence (Tenet)
Las Palmas – Del Sol Hospital (HCA)
El Paso Health Department
Emergence Health Network
El Paso Medical Society
Hospice El Paso
Tender Care Home Health
Visitors?
Roll Call

3. Umcelpaso.org

4. FEEDBACK/comments DSRIP Program Manager Oscar Perez
Text To: Text: OSCARPEREZ394 OR Go to your Browser or Smart Phone:

5. 1115 Waiver Program Manager
ANCHOR UPDATES
1115 Waiver Program Manager
Oscar Perez
April SAR Reporting
Myers & Stauffer Presentation
Baseline Reporting (Cat C)
DY7 Category A Reporting
Timeline

6. Myers & Stauffer Presentation
April SAR Reporting
Many providers forgot to include SAR (Semi-Annual Reporting) which always a requirement
HHSC Notified providers by May 7th
Deadline: May 14th
Myers & Stauffer Presentation
During RHP 8&17 Learning Collaborative
RECORDING will be made available
ANCHOR UPDATES

7. Category C - Baseline Reporting
Early reporting has been made available
STRONGLY recommended to get feedback
Preliminary Schedule
July 2nd – Cat C Baseline Template Released Jul 9 – Webinar for instructions
Aug 3rd - Templates due to HHSC
Aug 31st – Technical Assistance Notice Sent
PAYMENT will not be early (Jan 2019)
Will allow to report SOME early and the rest in October.
YOU CANNOT CARRY FORWARD THE REPORTING OF BASELINES.
ANCHOR UPDATES

8. Category A – Reporting for DY7
Identify the Tool that you plan to use for Cost & Savings Analysis
HHSC will recommend those tools
Identify the challenges associated with the analysis
Explain how the provider will overcome these challenges
Identify the data sources to be used in the analysis
Identify the core activity to be analyzed.
Explain why this core activity was selected
Report progress made on the analysis
More guidance will come from HHSC this summer (July).
ANCHOR UPDATES

9. TIMELINE ANCHOR UPDATES August 3rd June 15th August 31st July 2nd
Early Cat C Templates DUE
August 31st
Feedback from HHSC on Cat C Templates
June 15th
NMI’s on Plan DUE
July 2nd
Cat C Template Released
IGT Due for April reporting
July 10th
Webinar for Training on Cat C
July 13th
RHP 15 Learning Collaborative
ANCHOR UPDATES

10. Regional learning collaborative
RHP 15 Learning Collaborative
Friday, July 13, 2018
El Paso Community College – Administrative Complex
8:00am – 4:30pm
SAVE THE DATE flyer – posted on website – please distribute
Registration Now Open– FREE
learning-collaborative-tickets
GOAL: 200 attendees
Innovative Strategies to Healthcare Delivery
Regional learning collaborative

11. RHP 15 Plan - NMI Received yesterday (May 29th )
HHSC Spreadsheet Posted on RHP15 Website
All NMIs need to be addressed (yellow boxes)
Due to Anchor Wednesday, June 13th COB

12. Regional TRACKER - SUMMARY
Unallowable limitations or restrictions (i.e. facility subsets, system component exclusions)
Example 1: A provider may have indicated in their “Explanation for selecting Measure Bundle” response that they intend to limit Measure Bundle C1 to certain primary care clinics within the measure bundle. Facility subsets are explicitly prohibited in the PFM, and HHSC’s approval of the provider’s measure selection does not constitute approval to use a facility subset.
Example 2: A hospital provider may have listed certain services that are included in their inpatient services, but not listed all inpatient services. HHSC has made an effort to review services listed on provider websites, but cannot know each unit of service within a system component. Providers may not exclude services or populations from the required components of Category B system definition or Category B PPP. If a provider has omitted certain services or populations and needs to revise the system definition or PPP, please do so in the appropriate “Provider Response” column.
Regional TRACKER - SUMMARY

13. Regional TRACKER - SUMMARY
HHSC identified very few issues related to appropriateness of measure selection.
The majority of exception requests did not include sufficient details to allow HHSC to evaluate the appropriateness of the request. Where additional details are requested, providers should include concrete and measure specific justification for exception requests through the NMI response (anticipated denominator volume, dates of data changes)
Achievement milestone exemption requests and Reporting milestone exemption requests were often confused. Providers should review the RHP Plan Update Companion for a detailed description of each milestone exemption request.
Regional TRACKER - SUMMARY

14. HHSC cannot approve a request to use the all-payer population for a Category C goal achievement milestone solely because the MLIU population is a small percentage of the provider’s total population. A significant MLIU denominator is 30 or more denominator cases for most measures. The target population of the DSRIP program is individuals with Medicaid coverage or who are low income without a payer source. Category C is not reimbursement for services, and HHSC supports providing quality care to all individuals seen by DSRIP Performing Providers, including those that do not meet the denominator inclusion criteria for selected measures or for goal setting and achievement.
HHSC is still accepting requests for approximate baselines. Please refer to the instructions on how to request an approximate baseline posted on the DSRIP Online Reporting System Bulletin Board under Waiver Renewal, Category C Measure Specifications & FAQ.
Regional TRACKER

15. Tabs

16. ROUNDTABLE

17. Contact Information
NEW Waiver Website:
Waiver
TXHealthcare
UMC RHP15 Website:
Region 15 - RHP

18. Next Meeting: June 27, :00pm
Medical Center of the Americas (MCA)
(Cardwell Collaborative Building)
Conference Room 1st Floor