1. Coalitions for Health Improvement
Okanogan County
February 22, 2018
Sahara Suval, Program Development Specialist
ncach.org
Leading the way in North Central Washington’s Healthcare Transformation

2. HUB Lead Agency and Partners TBD
Overall Structure (as of 1/8/18)
NCACH Governing Board
Whole Person Care Network
Whole Person Care Collaborative
Coalitions for Health Improvement
Primary means for broad community-level input; members may be involved in planning and/or implementation of Demonstration Projects
WPCC Workgroup
HIT/HIE Workgroup
HUB Workgroup
Transitional Care/ Diversion Interventions Workgroup
Regional Opioid Workgroup
PLANNING: board appointed planning and monitoring groups that inform decision-making
Coaches, Consultants, Faculty
WPCC Learning Community
Chelan/ Douglas CHI
HUB Lead Agency and Partners TBD
TBD
NCW Opioid Stakeholders Group
Okanogan Opioid Stakeholders Group
TESTING/IMPLEMENTATION: Partners involved in implementation of Demonstration Projects and potentially receiving funding
Grant CHI
Okanogan CHI

3. The CHIs are intended to engage a wide variety of partners in the mission and work of the NCACH.  Each Coalition will provide input to the Governing Board on significant issues directly related and material to NCACH’s mission and activities, including needs assessment and local health data; community health improvement plans and priorities; health improvement initiatives: and delivery system transformation.
-NCACH website

4. March: Project Incentive
Workgroup Projects Implementation Timeline – January 9, 2018
2017
DY1
2018
DY2
2019
DY3
2020
DY4
2021
DY5
By November 16
Preliminary Project Plan due to HCA
Expected outcomes
Preliminary Implementation approach and timing
Partnering Providers
Regional Assets, anticipated challenges and proposed solutions
Monitoring and continuous improvement
Sustainability
Nov 2017 – Feb 2018
Assess current state capacity
Select Target population
Select Evidence-Based Approach and strategies
March 2018 – June 2018
Designate HUB lead agency
Identify implementation partners and binding letters of intent
Financial Sustainability, Workforce, Population Health Management strategies
By December 31
Identify and document the adoption by partnering providers of payment models that support transitional care, diversion activities, and the transition to value-based payment for services
Engage MCOs to develop/refine model benefits aligned with evidence-based clinical guideline-concordant care and best practice recommendations
Define path forward to deploy expertise, structures, and capabilities to address yet-to-emerge public health challenges
Continuous quality improvement
Identify and document the adoption by partnering providers of payment models that support the HUB care coordination model and the transition to value based payment for services
Increase scale by adding partners/new communities, focus areas, or pathways
Use data to inform decision regarding specific strategies to be spread to additional settings/geographic areas
Convene/support platforms to facilitate shared learning/exchange of best practices to date
Provide/support ongoing training, technical assistance, and/or learning collaboratives to support continuation and expansion
By March 31
Adopt guidelines, policies, procedures, and protocols
By June 30
Completed and Approved Quality Improvement Plan
Begin reporting on QIP measures semi-annually
Convene/leverage local partnerships to implement project
Transitional Care and Diversion Interventions
Opioid Project
Pathways Community HUB
All Workgroups (TC/DI; Opioid; Pathways)
By September 30
Completed Implementation Plan
By December 31
Implement Projects
Plan to address gaps in recovering support services
Launch the HUB
GOALS:
Reduce opioid related-morbidity and mortality through prevention, treatment and recovery supports
Ensure people are getting the right care in the right place by improving transitional care services.
Promote more appropriate use of emergency care services through increased access to primary care and social services.
Improved and sustainable care coordination across the continuum of care
P4R Payments
March: Project Incentive
May: DY2 P4R
Nov: DY2 P4R
Nov: DY3 P4R
P4P
Measurement
May: DY3 P4R
DY3 P4P Baseline
DY4 P4P Baseline
May 2021: DY4 P4R
Nov. 2021: DY5 P4R
May 2022: DY5 P4R
DY5 P4P Baseline
Nov: DY4 P4R
April 2021: DY3 P4P
April 2022: DY4 P4P
April 2023: DY5 P4P
P4P
Payments
DY3 P4P Meas. Year
DY4 P4P Meas. Year
DY5 P4P Meas. Year

5. Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18
WORKGROUP PROJECTS - PROPOSED PLANNING TIMELINE –January 9, 2018
Dec-17
Jan-18
Feb-18
Mar-18
Continue Current State Assessment (Initiative Matrix) and survey
Exploration of Evidence Based Approaches, strategies and data gaps/needs
Initiate a Current State Assessment for projects
Finalize Current State Assessment
Review and finalize selection of Evidence Based Approaches/strategies
Domain I linkages discussion
Finalize Current State Assessment
Review draft Implementation Partner Application and scoring/funding criteria
Initiate project funds flow discussion
Finalize Implementation Partner Application and scoring/funding criteria
Continue funds flow discussion
Transitional Care and Diversion Interventions Workgroup
Opioid Project
All Workgroups (TC/DI; Opioid)
Note: Care Coordination Workgroup (Pathways Community HUB) timeline is not shown here. Workgroup will begin meeting in 2018.
Apr-18
May-18
Jun-18
Jul-18
Review received LOIs (LOIs from partners due June 8th, 2018
Discuss gaps and develop plan to address them
Initiate draft Implementation Plan
Draft Implementation Plan (including partner LOIs)
Initiate continuous monitoring and improvement discussion
Distribute Implementation Partner Application to potential partners
Final funds flow document created (and budget for 2018 year funding)
Review draft LOI for partners
NCACH 2018 Annual Summit
Review and select successful Implementation Partner Applications
Initiate process for binding LOIs for partners
Approval of final funding document for 2018 funding

7. Contact information
NCACH Staff
(main)
Senator Linda Evans Parlette (Executive Director) –
John Schapman (Transitional Care & Diversion Interventions Workgroup Lead; Operations Manager) –
Christal Eshelman (Opioid Project Workgroup Lead; Pathways Community HUB Workgroup Lead; FIMC Workgroup Lead) –
Peter Morgan (Director of Whole Person Care) –
Sahara Suval (Communications Lead; CHI Liasion)
Have an NCACH question? Reach out to Sahara
Okanogan CHI Leads and Support
Lauri Jones (Public Health) –
Mike Beaver (CHI Board Seat) –
Rick Stillwaugh (Opioid Project Workgroup Member) –
Deb Miller (Community Choice) –