REGION 15-REGIONAL HEALTHCARE PARTNERSHIP

Wednesday, November 30, 2016

1:00 p.m.

Texas Tech University Health Sciences Center at El Paso

Medical Education Building (MEB) Rm

El Paso, TX 79905

PRESENT

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PRESENT

Cathy Gibson, CCO, Chief Waiver Officer-UMC
Oscar Perez, UMC
David Smead, UMC
Mathangi Mudhu,, Las Palmas –Del Sol
Cynthia Santilian, Las Palmas – Del Sol
Deyanira Zambrano, Del Sol Medical Center
Lisa Badillo, TTUHSC
Mary Harris-Reese, UMC NHC
Annette Gomez Chacon, UMC NHC
Cindy Hernandez, EHN / Victor Quiroz, UMC
Modinat Lawal, EP Dept of Public Health
William Canelon, The Hospitals of Providence
Ivonne Marquez, EP Dept. of Public Health
Norma C. Garcia, TTUHSC
Garrett Levin, MD, TTUHSC
Tom McConnell, Tender Care Home Health
Letty Flores, UMC
Geri Shangreaux, UMC NHC
Luis Contreras, UMC NHC
1. CALL TO ORDER & ROLL CALL- INTRODUCTIONS

Oscar Perez, 1115 Waiver Program Manager, called the meeting to order at 1:07 pm and welcomed all participants. He conducted the roll-call of organizations present and then invited everyone to introduce themselves to the other regional partners.

Regional Health Partner(s) not represented at this meeting: El Paso Children’s Hospital.

2. REVIEW of MINUTES

There were no corrections to the minutes. Approved by a majority of the membership.

3. ANCHOR UPDATES

Cathy Gibson updated the group on the following items:

A.  Compliance Monitoring

  1. Myers & Stauffer will prepare a summary for Cat 1 and 2 reviews soon. Once this is received the anchor will distribute via e-mail.

B.  Waiver Renewal

  1. Many things may change due to the election of Donald Trump. Many new questions are now on the table.
  2. HHSC met with CMS (Washington DC) in October to further negotiate the waiver for Texas.
  3. Key areas in negotiation for the Waiver were:
  4. Size of the UC pool for Texas
  5. Evolution and size of the DSRIP pool for Texas
  6. CMS strongly supports Managed Care delivery model for Texas
  7. Period for next cycle of Waiver: 5-years starting January 01 2018
  8. Key areas in negotiation for DSRIP were:
  9. Payment reform
  10. Should NOT be on-going program operations
  11. Should be to incentivize, start-up, or build capacity
  12. Integration into Medicaid Manage Care
  13. HHSC still unsure of CMS definitions for value based purchasing (and subsequent timelines)

C.  Community Health Needs Assessment

  1. Currently RHP 15 will partner with Paso Del Norte Health Foundation for the CHNA
  2. Targeting June 2017 as a completion date
  3. DRAFT is already prepared. May need to add more DSRIP content.

D.  Timeline

Upcoming deadlines and payment dates:

  1. December 2nd – DEADLINE for IGT changes
  2. January 13th – PAYMENTS processed for hospitals
  3. January 16th – DEADLINE for NMI requests
  4. January 31st – PAYMENTS processed for all others
  5. February 24th – APPROVE or DENY NMI requests

4. DSRIP PROJECT PRESENTATIONS – LEARNING AND SHARING OF IDEAS

A.  Las Palmas-Del Sol Hospital Congestive Heart Failure Clinics – by Mathangi Madhu-Purushotham, Deyanira Zambrano and Cynthia Santillan

Ms. Madhu-Purushotham and team provided an overview and update of the activities of the Congestive Heart Failure Clinic project as delivered by the Las Palmas-Del Sol Hospital network. The team described the metric achievements and challenges that have been met throughout the project this demonstration year. Power point slides of the presentation are incorporated by reference and are available for review on the RHP15 website.

5. DSRIP ANNUAL REPORT INPUT

Oscar Perez administered a real-time survey and collected data regarding RHP 15. The qualitative questions were solicited from the members in order to include in the annual report to HHSC for our region. The following questions were asked to all members attending. Responses were submitted real-time via cell phone or laptop:

1.  Which DSRIP Provider are you representing today?

2.  How would you rank your progress toward transforming healthcare delivery in the El Paso region?

3.  Give the name of a project in your portfolio that you feel has performed extremely well in DY.

4.  Do you believe that the changes that have occurred with your DSRIP projects can be sustained after the waiver has ended?

5.  Describe some of the barriers to sustainability of your DSRIP projects.

6.  What is the greatest lesson learned from participating in DSRIP?

7.  How would you rank the monthly RHP meetings?

8.  How would you improve the monthly RHP meetings?

Oscar informed the group that the results of the survey would be posted and available for review on the RHP 15 website.

6. DY6 MILESTONES

Oscar Perez reviewed the requirements for the four standardized DY6 milestones. Oscar also mentioned that a separate session was probably needed to explain the sustainability plan.

7. REGIONAL LEARNING COLLABORATIVES

Oscar explained that a NEW Learning Collaborative Plan is needed for DY6 (and beyond). The new plan is due soon to the state (HHSC). As such, he again solicited feedback from the group regarding the current learning collaboratives (Diabetes and Behavioral Health). The questions were:

1. In the past year, which Learning Collaborative(s) have you participated (attended)?

2. Have you attended OTHER Learning Collaboratives across the state?

3. If so, where?

4. What are the STRENGTHs of the Learning Collaborative model?

5. What are the CHALLENGEs with the Learning Collaborative model?

6. What have been the STRENGTHs of the Diabetes collaborative?

7. What have been the STRENGTHS of the Behavioral Health collaborative?

8. What have been the CHALLENGES with the Diabetes collaborative?

9. What have been the CHALLENGES with the Behavioral Health collaborative?

10. Overall, do you believe our Learning Collaboratives have been effective?

11. What OTHER areas would you like to see explored via a Learning Collaboratives?

Oscar again informed the group that the results of the survey would be posted and available for review on the RHP 15 website

8. STAKEHOLDER’S FORUM

Oscar Perez asked the group to provide contacts for other community members who might want to participate in a stakeholder’s forum which will be planned for late Spring or early Summer 2017. The purpose of this forum is to present the accomplishments of the DSRIP projects and get feedback from a wide range of community stakeholders. This is a requirement for the region in DY6. Oscar will collect these at the next meeting.

9. ROUND TABLE DISCUSSION of PROJECTS or any ISSUES OF CONCERN

There were no additional round-table discussions or issues brought forward.

10. ADJOURNMENT

Meeting was adjourned at 2:31 p.m.. The next Meeting will be held on January 25, 2017 at 1:00 pm. Oscar mentioned that the December meeting is cancelled due to the Christmas - New Year holiday.

Ms. Cathy Gibson, Chief Waiver Officer

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