1. RHP 12 State of the Region Jeff Dane Executive Vice President & Chief Financial Officer

2. 2 Region 12 Anchor: UMC 47 Counties DSRIP Funding 4 Yr Projects: $406 million 3 Yr Projects: $ 43 million 38 Participating Providers: 22 Rural Hospitals 6 Urban Hospitals 1 Local Health Department 2 Physician Practices (HSC) 1 Physician Practice (Non HSC) 1 Psychiatric Hospital CAT 1 & 2 Projects: 99 CAT 3 Outcomes: 152

3.  Regional Events  DY4 Reporting  Transformational Impact Summaries  Mid-Point Assessment/Compliance Monitoring ◦ CAT 1 & 2 Mid-Point Assessment 4 Year Projects ◦ CAT 3 Baseline Audits ◦ CAT 1 & 2 Mid-Point Assessment 3 Year Projects  3- year project change requests  Today’s LC Event 3

4.  Reporting Workshops  April 16, 2015 - Amarillo – TTUHSC  April 17, 2015 - Lubbock – McInturff Conference Center  DSRIP in Action Events ◦ June 2015 - Medical Arts Hospital, Lamesa  Specialty Annex Project – ◦ August 2015 - Childress Regional Medical Center, Childress  Palliative Care Project  2 nd DY4 Regional LC Event –Today, Lubbock, TX 4

5. Primary Care Expansion Redesig n 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 5 Critical Community Needs CN1 – Severe primary care provider shortage – 56 projects CN2 – Lack of mental health services – 32 projects 88 Total 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

6.  29 providers reported achievement on 131 metrics with an acceptance rate of 99.24% with only 1 project receiving a NMI request  33.8 million approved for payment during April reporting  DY4– $24,136,473  DY3 CF-$8,353,213  DY3 NMI approved 1,263,580 6

7.  493 TIS (transformational impact summaries) submitted to HHSC, 24 TIS (transformational impact summaries) from Region 12  Of the 493 TIS submitted 41 were selected as most transformational and highlighted at the SLC event. Of the 41 selected 3 were from Region 12  Yoakum County Hospital, Plains Clinic – Telemedicine  Amarillo Public Health Dept – ARAD (Amarillo Recovery from Alcohol & Drugs  Collingsworth – Coordinate care for patients with chronic disease  250 of the 493 were interested in Poster presentations 56 were selected, 1 from RHP 12  UMC – IP Medication Management for adult diabetic patients 7

8.  All RHP Plans are subject to potential audits, including review by the independent assessor during the mid-point assessment and ongoing compliance monitoring.  The Performing Providers shall have available for review by HHSC and CMS, upon request, all supporting data and back-up documentation evidencing performance as described under an RHP Plan for DSRIP incentive payments. 8

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10. RHP12  Round 1 20 outcomes from 14 providers selected & reviewed.  Round 2 3 projects from 3 providers selected & reviewed  After October reporting Myers and Stauffer will be conducting more reviews.  If you have not yet had a CAT 3 baseline audit please expect one after October reporting. 10

11. RHP12  14 - 3 Year projects included in Mid-Point Assessment  Low to Moderate Risk = 78.5% or 11 projects  High Risk = 21.4% or 3 projects  At Risk projects could be asked to be removed/replaced for Waiver 2.0 11

12. In July, providers had the opportunity to submit changes to their 3-Year projects  2 providers submitted change request related to their projects ◦ Both change request were approved recently  This was an easy and stress free process by Waiver standards. 12

13.  Lean Six Sigma- Waste Walk Update  Peer to Peer Discussions/ Interactive Discussions  Networking Lunch  Provider Presentations  Panel Discussion: Patient Navigation Panel  Next Steps for Waiver 2:0 13

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