Texas Healthcare Transformation and Quality Improvement Program

Regional Healthcare Partnership(RHP)

PLAN

January 25, 2013

Regional Healthcare Partnership 17

RHP Lead Contact:Ms. Angie Alaniz

Texas A&M Health Science Center

1266 TAMU

College Station, Texas 77843-1266

979.458.1594

Table of Contents

Section I. RHP Organization

Section II. Executive Overview of RHP

Healthcare Environment

Patient Population

Health Systems and Providers

Key Health Challenges

RHP Goals and Vision, and Plans for Achieving the Goals

Section III. Community Needs Assessment

Community Needs Assessment Approach

Demographics

Population/Age

Race/Ethnicity

Income

Education

Employment

Health Coverage

Healthcare Infrastructure and Environment

Hospital Sizes & Costs

Potentially Preventable Hospitalizations

Services & Systems

HPSA Designations

Current DHHS-funded Initiatives

Projected Changes during Waiver Period

Health Infrastructure Development

Future Considerations

Political Impact

Key Health Challenges

Poor access to primary care

Poor access to specialty care

Poor access to behavioral/mental health services

Lack of coordinated care, especially for those with multiple needs

Summary of Key Community Needs

Section IV. Stakeholder Engagement

RHP Participants Engagement

Organization of RHP 17

RHP Engagement throughout the Planning Process

RHP Engagement Beyond Plan Submission

Public Engagement

Public Meetings

Public Comment on RHP Plan

Section V. DSRIP Projects

RHP Plan Development

RHP 17 Requirements

Pass 1 / Pass 2

RHP 17 Goals

Project Valuation

Category 1: Infrastructure Development

Category 2: Program Innovation and Redesign

Category 3: Quality Improvements

Category 4: Population-Focused Improvements (Hospitals Only)

Section VI. RHP Participation Certifications

Section VII. Addenda

Section I. RHP Organization

TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
ANCHORING ENTITY
Academic Health Science Center / 198523601 / 3-709709709-3-000 / State owned / Texas A&M Health Science Center / Ms. Angie Alaniz
Project Director / Texas A&M Health Science Center
1266 TAMU
College Station, TX 77843-1266

979-458-1594
IGT ENTITIES
Academic Health Science Center / 3-709709709-3-000 / State-owned / Texas A&M Health Science Center / Mr. E.J. Pederson
Acting President / 8441 State Hwy. 47
Clinical Bldg. 1, Suite 3100
Bryan, TX 77807

979-436-9100
Community Mental Health Center (CMHC) / 1-74-1793265-8-004 / Non State-owned Public / MHMR Authority of Brazos Valley / Mr. Bill Kelly
Executive Director / P.O. Box 4588
Bryan, TX 77805

979-361-9840
Community Mental Health Center (CMHC) / 1-76-0032662-7-001 / Non State-owned Public / Tri-County Mental Health and Mental Retardation Services / Ms. Cindy Sill
Executive Director / 1506 FM 2854
Conroe, TX 77304-2206

936-521-6118
County / 1-74-6000433-0-038 / Non State-owned Public / Brazos County / Hon. Duane Peters
County Judge / Brazos County Administration Building
200 South Texas, Suite 332
Bryan, TX 77803

979-361-4102
County / 1-74-6000041-1-000 / Non State-owned Public / Grimes County / Hon. Betty Shiflett
County Judge / P.O. Box 160
Anderson, TX 77830

936-873-4476
County / 1-74-6000503-0-003 / Non State-owned Public / Leon County / Hon. Byron Ryder
County Judge / P.O. Box 429
Centerville, TX 75833

903-536-2331
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
IGT Entities (continued)
County / 1-74-6001672-2-017 / Non State-owned Public / Madison County / Hon. Art Henson
County Judge / 101 W. Main St., Rm 110
Madisonville, TX 77864

936-348-2670
County / 1-74-6000408-2-024 / Non State-owned Public / Washington County / Hon. John Brieden
County Judge / 100 East Main, Ste. 104
Brenham, TX 77833-3753

979-277-6200
Hospital District / 1-74-1612400-0-000 / Non State-owned Public / Angleton Danbury Hospital District / David Bleakney
Chief Executive Officer / 132 E. Hospital Drive
Angleton, TX 77515

979-849-7721
Hospital District / 1-76-0636528-0-555 / Non State-owned Public / Bellville County Hospital District / Clay Kistler
Board Chairman / 44 N. Cummings
Bellville, TX 77418

979-413-71728
Hospital District / 1-74-1820731-6-555 / Non State-owned Public / Burleson County Hospital District / Mr. Kirk Chapman
President / P.O. Box 456
Caldwell, TX 77836

979-567-3245
Hospital District / 1-74-6003411-3-000 / Non State-owned Public / Calhoun County Hospital District dba Memorial Medical Ctr / Jason Anglin
Chief Executive Officer / 815 North Virginia Street
Port Lavaca, TX 77979

361-552-0222
Hospital District / 1-74-1536936-6-324 / Non State-owned Public / Harris County
Hospital District / Mike Norby
Chief Financial Officer / 2525 Holly Hall Drive
Houston, TX 77054

713-566-6400
Hospital District / 1-20-2797853-0-000 / Non State-owned Public / Liberty County Hospital District / C. Bruce Stratton
President / 624 Fannin
Liberty, TX 77575

936-336-7400
Hospital District / 1-74-1772120-0-003 / Non State-owned Public / Montgomery County Hospital District / Mr. Randy Johnson
Executive Director / P.O. Box 0478
Conroe, TX 77305

936-523-5001
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
IGT Entities (continued)
Hospital District / 1-74-2086610-9-000 / Non State-owned Public / Walker County Hospital District / Robert Hardy
Chairman / P.O. Box 1267
Huntsville, TX 77340

936-295-0038
Hospital District / 1-76-0488120-5-010 / Non State-owned Public / West Wharton County Hospital District / Rebecca VonDerAu
Board Chairman / 303 Sandy Corner Road
El Campo, TX 77437

979-543-6251
Regional Planning Commission / 1-74-1562020-6-002 / Non State-owned public / Brazos Valley Council of Governments / Mr. Tom Wilkinson
Executive Director / PO Box 4128
Bryan, TX 77805-4128

979-595-2801
PERFORMING PROVIDERS
Community Mental Health Center (CMHC) / 136366507 / 1-74-1793265-8-004 / Non State-owned Public / MHMR Authority of Brazos Valley / Mr. Robert Reed
Director, Mental Health Services / P.O. Box 4588
Bryan, TX 77805

979-821-9401
Community Mental Health Center (CMHC) / 081844501 / 1-76-0032662-7-001 / Non State-owned Public / Tri-County Mental Health and Mental Retardation Services / Ms. Cindy Sill
Executive Director / 1506 FM 2854
Conroe, TX 77304-2206

936-521-6118
Local Health Department / 130982504 / 1-74-6000433-0-038 / Non State-owned Public / Brazos County Public Health District / Ms. Sara Mendez
Health Education & Promotion Director / 201 North Texas Avenue
Bryan, TX 77803-5317

979-361-5730
Local Health Department / TPI: In Progress
NPI: 1275882128 / 1-46-0698418-6-000 / Non State-owned Public / Montgomery County Public Health District / Ms. Penny Wilson
Director, Health Care Services / 1400 South Loop 336 West
Conroe, TX 77304

936-523-1103
Physician Group Associated with Academic Health Science Center / 198523601 / 3-709709709-3-000 / State Owned / Texas A&M Physicians Group / Dr. Lee Ann Ray
Chief of Staff / 8441 State Highway 47
Clinical Building 1, Suite 3100
Bryan, TX 77807

979-436-9100
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
Performing Providers (continued)
Private Hospital / 020860501 / 1-62-1762360-8-002 / Private For-profit / College Station Medical Center / Ms. Shelby Pulverenti
Director / 1604 Rock Prairie Road
College Station, TX 77845

979-764-5213
Private Hospital / 020841501 / 1-62-1801361-9-003 / Private For-profit / Conroe Regional Medical Center / Mr. Thomas Holt
Chief Financial Officer / 504 Medical Center Blvd
Conroe, TX 77304

936-539-7413
Private Hospital / 189791001 / 1-20-3069241-7-000 / Private Non-profit / Huntsville Memorial Hospital / Ms. Sally Nelson
Chief Executive Officer / 110 Memorial Hospital Drive
P.O. Box 4001
Huntsville, TX 77342-4001

936-291-4513
Private Hospital / 135226205 / 1-74-2519752-6-000 / Private Non-profit / Scott & White Hospital Brenham / Mr. Gentry Woodard
Director of Development / 3000 Briarcrest Drive, Suite 418
Bryan, TX 77802

979-691-3085
Private Hospital / 127267603 / 1-74-1282696-2-501 / Private Non-profit / St. Joseph Regional Health Center / Mr. Tim Ottinger
Vice President / 2801 Franciscan Drive
Bryan, TX 77802

979-776-3777
Private Hospital / 160630301 / 1-76-0536234-6-005 / Private Non-Profit / St. Luke’s Community Medical Center – The Woodlands / Mr. Ken Zieren
Administrative Director / St. Luke’s Episcopal Hospital System
3100 Main St., Suite 569
Houston, TX 77002

832-355-3862
UC-ONLY HOSPITALS
Private Hospital / 112724302 / 1-62-1619857-8-002 / Private For-Profit / Kingwood Medical Center / Ms. Melinda Stephenson
Chief Executive Officer / 22999 US Highway 59 North
Kingwood, TX 77339

281-348-8000
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS
Regional Public Health Director / Texas Public Health Region 6/5 South / Dr. Paul McGaha
Region 5S/6 Director / 5425 Polk, Suite J
Mail Code 1906
Houston, TX 77023

713-767-3000
Regional Public Health Director / Texas Public Health Region 7 Director / Dr. Lisa Cornelius
Region 7 Director / 2408 South 37th Street
Mail Code 1902
Temple, TX 76504

254-778-6744
Clinic / Brenham Express and Family Medicine / Washington County
(St. Joseph System) / 110 Highway 290
Brenham, TX 77833
979-830-5584
Clinic / Family Care Center / Leon County
(College Station Medical Center) / 1686 West US 79
Buffalo, TX 75831
903-322-2204
Clinic / Huntsville Memorial Hospital Medical Clinic / Walker County (Huntsville Memorial) / 521 IH-45 South, Suite 4
Huntsville, TX 77340
936-291-3240
Clinic / Huntsville Memorial Hospital Medical Clinic - Madisonville / Madison County (Huntsville Memorial) / 1613 East Main
Madisonville, TX 77864
936-349-0350
Clinic / Navasota Medical Center / Grimes County / 501 East Washington
Navasota, TX 77868
936-825-6444
Clinic / The Rural Healthcare Center / Robertson County / 702 Main Street
(**108 E. Hanna St.)
Calvert, TX 77837
979-364-3888
Clinic / Scott & White Clinic – College Station / Ms. Linda Clark
Administrator / 1600 University Drive
College Station, TX 77840

979-691-3300
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
Clinic / St. Hope Foundation Conroe Clinic & Dental Services / Montgomery County (St. Hope Foundation) / 1414 S. Frazier, Suite 105
Conroe, TX 77301

Clinic: 936-441-2440
Dental: 713-778-0827
Clinic / St. Joseph Family Medicine Clinic - Navasota / St. Joseph Hospital System / 9409 State Highway 6
Navasota, TX 77868
936-825-7200
Community Free Clinic / Health For All / Ms. Elizabeth Dickey
Executive Director / PO Box 5913
Bryan, TX 77805

979-774-4176
Community Free Clinic / Washington County Health & Services Center Faith Mission / Mr. J.D. Young
Executive Director / 100 S. Chappell Hill St.
Brenham, TX 77833

979-251-9882
County / 1-74-6000467-8-023 / Non State-owned Public / Burleson County / Hon. Mike Sutherland
County Judge / 100 West Buck, Suite 306
Caldwell, TX 77836

979-567-2333
County / 1-74-6000558-4-020 / Non State-owned Public / Montgomery County / Hon. Alan Sadler
County Judge / 501 North Thompson, Suite 401
Conroe, TX 77301

936-539-7812
County / 1-74-6000871-1-019 / Non State-owned Public / Robertson County / Hon. Jan Roe
County Judge / P.O. Box 427
Franklin, TX 77856

979-828-3542
County / 1-74-6001432-1-016 / Non State-owned Public / Walker County / Hon. Danny Pierce
County Judge / 1100 University Avenue, Room 204
Huntsville, TX 77340

936-436-4910
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
County EMS / 000122401 / 1-74-6000408-2-003 / Non State-owned Public / Washington County EMS / Mr. Kevin Deramus
Director / 1875 Hwy 290 West
Brenham, TX 77833

979-277-6267
County Medical Society / Anderson-LEON County Medical Society / Dr. Mike Smith
President / 3201 S. Loop 256, Suite 610
Palestine, TX 75801-6905
903-729-6768
County Medical Society / Austin-GRIMES-Waller County Medical Society / Dr. Wilford Morris, Jr.
President / 3433 Hwy 36 South
Sealy, TX 77474-3854
979-885-0848
County Medical Society / BRAZOS-ROBERTSONCounty Medical Society / Dr. Mark Florian
President / 3201 University Drive East, Suite 345
Bryan, TX 77802-3484

979-731-8465
County Medical Society / MONTGOMERYCounty Medical Society / Mr. Paul Purcell
President / PO Box 133067
The Woodlands, TX 77393

281-298-9655
County Medical Society / WALKER-MADISON-Trinity County Medical Society / Dr. Curtis Montgomery / 100 Medical Center Pkwy, Suite 500
Huntsville, TX 77340-4965
936-291-0614
County Medical Society / WASHINGTON-BURLESON County Medical Society / Dr. Jon Bode / 605 Medical Court, Suite 203
Brenham, TX 77833
979-836-2822
FQHC / Brazos Valley Community Action Agency (BVCAA) / Ms. Karen Garber / 1500 University Drive East, Suite 100
College Station, TX 77840

979-846-1100
FQHC / ABC Women and Children’s Clinic / Brazos County / 1651 Rock Prairie Road
College Station, TX 77845
979-693-7400
FQHC / Bryan College Station Community Health Center / Brazos County / 3370 S. Texas Avenue, Suite B
Bryan, TX 77802
979-595-1700
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
FQHC / Bryan College Station Community Health Center / Brazos County / 624 Mary Lake
Bryan, TX 77801
979-846-2500
FQHC / Burleson County Community Health Clinic / Burleson County / 600 Memory Lane
Somerville, TX 77879
979-596-1441
FQHC / Caldwell Community Health Clinic / Burleson County / 302 W. Hwy. 21
Caldwell, TX 77836
979-567-3287
FQHC / The Community Dental Center / Montgomery County / 101 Pine Manor Road
Oak Ridge North, TX 77385
936-539-4004
FQHC / Family Health Center, Pedi Dental & Medical Services / Montgomery County / 506 Medical Center Blvd., Suite 320
Conroe, TX 77304
936-523-5292
FQHC / Grimes County Community Health Center / Grimes County / 1905 Dove Crossing, Suite C
Navasota, TX 77868
936-825-0000
FQHC / Hearne Community Health Clinic / Robertson County / 709 Barton Street
Hearne, TX 77859
979-279-3451
FQHC / Leon County Community Health Center / Leon County / 607 Lassater Street
Centerville, TX 75833
903-536-3687
FQHC / Lone Star Family Health Ctr – Region 5S/6 FQHC Admin. / Montgomery County / 704 Old Montgomery Road
Conroe, TX 77301
936-539-4004
FQHC / Madison County Community Health Center / Madison County / 813 South State Street
Madisonville, TX 77864
936-348-3396
FQHC / Robertson County Community Health Center / Robertson County / 1002 West Brown Street
Hearne, TX 77859
979-279-0701
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
FQHC / St. Joseph Health Point Franklin / Robertson County / 808 W. Highway 79
Franklin, TX 77856
979-828-4540
Hospice / Aseracare Hospice / Montgomery County / 19221 I-45 South, Suite 190
Shenandoah, TX 77385
Hospice / Embracing Hospice / Montgomery County / 2040 N. Loop 336 West, Suite 324
Conroe, TX 77304
936-788-5900
Hospice / 000203700 / Hospice Brazos Valley, Inc. / Craig Borchardt, PhD
President/CEO / 502 W. 26th Street
Bryan, TX 77803

979-821-2266
Hospice / Lighthouse Hospice / Montgomery County / 200 Riverpointe
Conroe, TX 77304
Hospice / Odyssey Hospice of Conroe / Montgomery County / 100 I-45 N, Suite 300, Box 103
Conroe, TX 77301
936-788-7707
Hospice / Thee Hospice / Walker County / PO Box 6548
Huntsville, TX 77342
936-291-8439
Hospice / Traditions Hospice / Brazos County / 1862 Rock Prairie Road, Suite 204
College Station, TX 77845
979-822-5511
Private Hospital / 112725003 / 1-74-2759890-3-000 / Private Non-Profit / Burleson St. Joseph Health Center / Mr. John Hughson
Administrator / 1101 Woodson Drive
Caldwell, TX 77836

979-567-3245
Private Hospital / 147918003 / 1-74-1282696-2-002 / Private Non-Profit / Grimes St. Joseph Health Center / Ms. Dia Copeland
Administrator / 210 South Judson
Navasota, TX 77868

936-870-4511
Private Hospital / 020990001 / 1-74-2761145-8-005 / Private Non-Profit / Madison St. Joseph Health Center / Mr. Reed Edmundson
Administrator / P.O. Box 698
Madisonville, TX 77864

936-348-2631
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
Private Hospital / Memorial Hermann The Woodlands Hospital / Mr. Steve Sanders
CEO / 9250 Pinecroft
The Woodlands, TX 77380

713-897-2300
Private Specialty Hospital / Aspire Behavioral Health of Conroe, LLC – Geriatric Psychiatric Hospital / Montgomery County / 2006 S. Loop 336 West, Suite 500
Conroe, TX 77304

936-647-3500
Rural Health Clinic / Brenham Clinic / Washington County
(College Station Medical Center) / 600 North Park Street
Brenham, TX 77833
979-836-6153
Rural Health Clinic / Falls Community Hospital Clinic - Bremond / Robertson County (Falls Community Hospital (Marlin)) / 201 South Main
Bremond, TX 76629
254-746-7264
Rural Health Clinic / Huntsville Memorial Hospital Medical Clinic / Walker County (Huntsville Memorial) / 2507 Lake Road, Suite 2
Huntsville, TX 77340
936-291-3219
Rural Health Clinic / Scott & White Family Practice – Brenham / Washington County (Scott & White) / 539 Medical Parkway
Brenham, TX 77833
979-836-1883
Rural Health Clinic / St. Joseph Caldwell Family Medicine Clinic / Burleson County
(St. Joseph System) / 1103 Woodson Drive
Caldwell, TX 77836
979-567-7080
Rural Health Clinic / St. Joseph Franklin Family Medicine Clinic / Robertson County
(St. Joseph System) / 305 Gay Street
Franklin, TX 77856
979-828-4540
Rural Health Clinic / St. Joseph J.B. Heath Family Health Center / Madison County
(St. Joseph System) / 100 W. Cross Street
Madisonville, TX 77864
409-348-3418
Rural Health Clinic / St. Joseph Normangee Family Medicine Clinic / Leon County
(St. Joseph System) / 910 Highway 3 West
Normangee, TX 77871
936-396-2806
TABLE 1-1. RHP PARTICIPANT & STAKEHOLDER INFORMATION
RHP Participant Type / Texas Provider Identifier (TPI) / Texas Identification Number (TIN) / Ownership Type / Organization Name / Lead Representative / Lead Representative Contact Information
OTHER STAKEHOLDERS (continued)
Rural Health Clinic / St. Joseph Somerville Family Medicine Clinic / Burleson County
(St. Joseph System) / 600 Memory Lane
Somerville, TX 77879
979-596-1441
Urgent Care Clinic / Brazos Valley Urgent Care Clinic / Brazos County / 2911 Texas Avenue South, Suite 103
College Station, TX 77845
979-764-2882
Urgent Care Clinic / Buffalo Urgent & Family Care Clinic / Leon County / 1045 E. Railroad Street
Buffalo, TX 75831
903-322-9066
Urgent Care Clinic / NextCare Urgent Care – Montgomery/Lake Conroe / Montgomery County (partial) / 15320 Highway 105 West, Suite 120
Montgomery, TX 77356

RHP Plan for RHP 171

Section II. Executive Overview of RHP

The Region 17 Regional Healthcare Partnership (RHP 17) is a nine-county partnership that formed on March 14, 2012 and is located in the eastern portion of the Central Texas region. RHP 17 consists of Brazos, Burleson, Grimes, Leon, Madison, Montgomery, Robertson, Walker, and Washington Counties.RHP 17 covers 6,986 square miles, and has a population density of 120.68 residents per square mile[1] compared to a statewide density of 95.92. A map of the region is included in Addendum 1.

Healthcare Environment

Patient Population

According to the 2010 Census, the total population for RHP 17 was 843,054 with Brazos and Montgomery Counties consisting of about 77% of the region’s residents. Montgomery County has the highest percentage of children aged 18 or less in the region while children make up about one fifth of the population in the rest of the region. Brazos County has the smallest percentage, 7.2%, of seniors aged 65+ while Leon County’s senior population is significantly higher than the rest of the region at 21.5%. The senior population is 4% to 7% higher than the state average of 10.5%.

A large percentage of RHP 17 is uninsured. Just over a quarter of the adult population in Brazos, Montgomery, and Washington Counties are uninsured. With the exception of Madison County, which has the highest uninsured rate at 38%, the remainder of the RHP 17 counties have approximately a 30% uninsured adult population. Burleson, Leon, and Madison Counties have slightly higher rates than the Texas average of uninsured children, which is 17.6%. All counties had fewer children enrolled in the CHIP program than the statewide average of 7.2%, with the exception of Grimes County, which was the same, as seen in Table 3-3.