1. Data & Learning Team
February 1, 2018

2. Agenda
Welcome & Introductions
SWACH Updates
Current State Assessment

3. SWACH Updates
Project Plan submitted! All Project Plans posted online at
Write-back process completed!
Pending HCA approval / scoring…

4. Where We Are Headed January – June 2018
Awaiting final approval on Project Plan Portfolio
Project Implementation Planning
HIE Assessment
Current State Assessment
Regional Convening (early March)

5. CURRENT STATE ASSESSMENT

6. State Requirements
ACHs are required to complete a “current state assessment” by Q
Assessment will provide information about the region’s capabilities and capacity, and will inform SWACH’s implementation planning process.
Assessment will build on previous environmental scans and community conversations, will be conducted in stages.

7. Assessment Planning: What information do you need?
Partners’ current activities and technical assistance needs to identify gaps and inform project implementation
How many practices have adopted opioid prescribing guidelines?
What are the biggest barriers to managing follow-up care for patients?
Partners’ readiness for practice transformation to kick off engagement with coaching and other supports
Information required or suggested by HCA
Describe where each partner falls on SAMHSA’s Framework for Integrated Care
Information to identify baseline for P4R measures

8. Assessment Planning: Who do you need it from?
All clinical settings? Primary care, behavioral health, hospitals, pharmacy, oral health…
Community based organizations?
What level of granularity? Practice / clinic level versus organization level versus individual providers?

9. Phase 1 Phase 2 2017 HIT/HIE Clinical Partners Community Partners
Feb 2018
Mar-April 2018
May – June 2018
Objective: Community / Environmental scanning to inform project plan
Objective: Identify current HIE capacity, needs, resources, and barriers to interoperability
Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects
Objective: Identify current capacity and current and future resource needs to enable participation in SWACH’s transformation projects
Mode: Meetings and Interviews
Mode: Online survey and interviews
Mode: Online survey
Mode: TBD

10. SWACH JANUARY – JUNE 2018 TIMELINE
Feb
Mar
Apr
May
Jun
Regional Convening
HIT/HIE Assessment in the field
Report to HCA
Clinical Partner Assessment in the field
Workgroup members and subject experts inform clinical and community partner assessment development
Community Partner Assessment in the field
HIE Assessment Report to RHIP Council
RHIP Council Update
Webinar on Assessment for clinical partners
Webinar on Assessment for community partners
Ongoing Workgroup and Committee Implementation Planning

11. HIE ASSESSMENT OUTLINE
Part 1 - Inventory current state of EHR interoperability and Health Information Exchange (HIE) in SW Washington and identify gaps.
Part 2 – Inventory the current state of information technology of community based organizations and identify interoperability gaps with healthcare providers.

12. CLINICAL PARTNER ASSESSMENT DOMAIN 1
Module
Suggested Items
Introduction
Contact information, about the site, volume served
Domain 1: Workforce
Current workforce needs?
Regulatory barriers to effective team-based care
Strategies and approaches to culturally competent care
Shortages of specific provider types
Domain 1: Value Based Payment
Support and attest state-level VBP survey results
Awareness of VBP readiness tools and resources
Training / TA needs
Domain 1: HIT
Additional content not captured in HIE Assessment (if any)
Project specific HIT needs (e.g. registries)

13. CLINICAL PARTNER ASSESSMENT DELIVERY SYSTEM REDESIGN
Module
Suggested Items
2A: Integration
Level of integrated care model adoption – which models are used?
Where does the organization fall along SAMHSA’s levels of integration?
Is the partner a recognized medical home (if applicable)?
Has the partner achieved any special certifications (e.g., Joint Commission’s Behavioral Health Home Certification)?
2B: Care Coordination
Capacity for regional community-based care coordination
Use of care management technology platform(s)
Staffing ratios
Patients with care plans

14. CLINICAL PARTNER ASSESSMENT PREVENTION AND HEALTH PROMOTION
Module
Suggested Items
3A: Opioids
Capacity to effectively impact the opioid crisis
Strategies to leverage current capacity and address gaps
Buprenorphine and MAT providers
Adoption and implementation of prescribing guidelines
ED protocols for overdose education and take home naloxone
3D: Chronic Disease
Capacity to effectively impact chronic disease
Implementation of the Chronic Care Model
Self-management and chronic disease management supports
Existence of registries/swim lanes/protocols for chronic disease

15. DLT Involvement Inform current state assessment content
Volunteers / interest in reviewing?
Subject matter expertise – specific modules?
What do we need to know for implementation?
Where may information already be available?