1. Structuring Our Network (insert network name and/or location)

2. Nature of our network Existing legal relationships among our network partners (contractor/subcontractor, partnership, MOU, … ) Verbal agreement to work together Letters of support for ACL – MOU 2

3. Nature of our network Next step(s) to further develop the capability of our network: Mapping our service capacity Advance work before December 6 meeting to show three alternative structures! Geographic boundaries – member territories – Legal advice may be needed for that Service lines – Packages, contributions of each to package – directly or through subcontracts How money would flow? Who wins individual contracts? How not to compete with each other? 3

4. Our network as a community asset Features that appeal to our customers Language/culture Location – meet them where they are Community settings of comfort Flexibility Reputation – excellence Outreach/creating awareness We listen to consumers Supporting caregivers Connectors to comprehensive services in community Features that appeal to contracting organizations We’re in the home Experience Geographic coverage Multiple interventions Wraparound and follow-on services Know the community & resources Language & culture 4

5. Our network as a community asset The next action(s) we will take to develop the image and influence of our network: Board members Joining boards and committees for healthcare orgs Attending & presenting at healthcare conferences Menu of services & business case statements Educating healthcare about messaging to community Educating community to message to healthcare – What you said…what they heard Common IT Collateral Formal agreement and ability to enter into contracts together and separately, where appropriate

6. Organizational issues we need to address Structure – principles for collaboration – Coop-etition – Subcontracting Mission statement, goals, etc. Credentialing standards – RFA Quality management and uninviting members Rapid learning, CQI Consider need for TPA, MSO, fiscal agent – and who IT, IT, IT 6

7. Our network as a business enterprise Entities that can bill for services All doing list-bills to CMS AltaMed & Jewish Home bill Medicare All can bill case rate Most do Medi-Cal billing Private insurance for ADHC Consider MSO/TPA – negotiate with existing entity for back- office support Price for value & volume Assets for capitation & cashflow Entity/entities that can receive and distribute payment Anyone but public entities

8. Our network as a business enterprise Special requirements we must meet to secure and deliver on a contract HIPAA compliance plan & business associate agreement Audit requirements operationalized for contractor’s standards – Timeliness, turnaround, etc. Secure communications Arrangement for referrals Definitions Quality tracking agreement – 2-way data/commitment Face time to ground the intervention and operate it

9. Our network as a business enterprise Action steps(s) we will take to strengthen the business capability of our network: IT Survey members for capacity along all of the dimensions above Operationalize SharePoint - Ami – Collaborative contact list, shared documents, surveys Get Capital! One-stop-shop infrastructure Business plan – cost to have a network office & infrastructure – Dues? Branding – developing collateral

10. Insights Our biggest insight(s) from Structuring Our Network is/are… Finding where phase 1 is at and what next step should be Best practices are a way of pulling together our strengths We have to prepare, work the relationships with healthcare Healthcare partners have to understand their role in success A structure is needed to really get started – something official to move us beyond being just a collaborative We need a service menu with pricing Bundling /package of services for an array – e.g., fall prevention, safety – a la Waiver This is a great outline and very timely for us. We’re building the plane as we’re flying it!!

11. Action Steps Next Month Meeting on December 6 to begin to formalize Standardization/defining our services – What are we offering? Keep reviewing IT systems Survey members for capacity along all of the dimensions above Operationalize SharePoint - Ami – Collaborative contact list, shared documents, surveys Branding – developing collateral 11

12. Parking Lot (Issues for later, additional questions for speakers) List here 12