Transcript Region 15 Regional Healthcare Partnership Orientation Meeting

Region 15
Regional Healthcare Partnership
14th Public Meeting
Wednesday, July 24, 2013
University Medical Center of El Paso
Anchor Hospital
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Confirmation of Participants
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2
Roll Call
Performance Logic DSRIP Tracking
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Successful On-Site Implementation July 17th and 18th.
Number of Users that attended the training: 41
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UMC = 21
Texas Tech = 3
EHN = 6
Sierra = 2
Providence = 1
Las Palmas Del Sol = 1
Health Department = 1
El Paso Childrens Hospital = 2
Hospice El Paso = 2
Salvation Army = 1
VNA Nursing = 1
Performance Logic DSRIP Tracking
Feedback on using the tool???
Contacts
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Neel Shah, Owner
Jeffrey Phruksaraj, Director of Client Services
Office: 212.253.0545 x115 | Cell: 917.796.1980
[email protected]
Category 4 Reports
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Category 4 Table: The RHP plan shall include the planned semi-annual
reporting period:
– 1 -- October 1 – March 31; or
– 2 -- April 1 – September 30 for each domain or measure.
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DY 2 incentive payments are for submission to HHSC of a status report that
describes the system changes the hospital is putting in place to prepare to
successfully report Category 4 measures in DYs 3-5
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Category 4 reporting shall begin in DY 3 for Domains 1, 2, 4, 5, and 6
(optional)
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DY 4 for Domain 3
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And continue for all Domains through DY 5.
Category 4 Reporting Template - Draft
Category 4 Reporting- DY 2
Provider:
RHP:
TPI:
Instructions for Reporting on Category 4, Population Specific Improvements: Please indicate for each domain whether or not you are
able to report. If you are unable to report on a given domain, please indicate why in the following row. Please also summarize any
challenges you are having reporting across all domains.
Note: For Domains 1 and 2, HHSC will provide all necessary data. Unless you have an objection to using HHSC's data, all
providers should be able to report on these domains.
Category 4 Domain Identifier:
Project DSRIP Allocation:
RD-1
If No, explain plans to be prepared to
report.
RD-2
If No, explain plans to be prepared to
report.
RD-4 (Please indicate Yes or No)
If No, explain plans to be prepared to
report.
RD-5
If No, explain plans to be prepared to
report.
Rd-6 (Not Applicable Unless Originally
Indicated in Provider's Plan, Please
Indicate Yes or No)
If No, explain plans to be prepared to
report.
Summary of Reporting Challenges:
(i.e., RD-4.1)
Yes
Yes
Insert here any possible challenges you may have reporting on your Category 4 outcomes for
DY 2.
Draft DY2 Reporting Template
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See Handout – Category 1, 2, 3 Project Info
Attachments
Rules
1. Avoid using special characters in a file name. \ / : * ? “ < > |[ ] & $
2. Use underscores instead of periods or spaces.
3. Include the date of submission to HHSC in the file name. Use the format:
YYYYMMDD, where YYYY is the year, MM is the month between 01 and 12
and DD is the day of the month between 01 and 31.
4. If you wish to reference the applicable demonstration year in the title, use
DY2.
5. Do NOT include version numbers such as “v03” or “v2.3”
6. Be consistent with regard to how files are named.
DY 2 Progress Reporting Template
(from Instructions)
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The completed template will serve as a basis for authorizing
incentive payments to performing providers in an RHP for
achievement of DSRIP milestones/metrics.
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There is no payment for partial achievement of a Category 1 or 2 metric.
This template will capture progress attained in the second
demonstration year. There will be two reporting periods within DY 2:
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Reporting period 1 is achieved between October 1, 2012 and July 31,
2013, the reporting and request for payment is due August 31, 2013.
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Reporting period 2 is achieved before September 30, 2013, the reporting
and request for payment is due October 31, 2013.
DY 2 Progress Reporting Template
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Once the performing provider has submitted their template:
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HHSC and CMS will have 30 days to review and approve, or request
additional information regarding the data reported for each
milestone/metric measure.
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If approved, the project would be paid in the August report period with
estimated payment in November 2013.
If additional information is needed, the performing provider will have 15
days to respond.
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HHSC and CMS shall then have an additional 15 days to review and approve
or deny the request for payment, based on the data provided.
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If approved, the project would be paid in the next reporting period of October
2013 with an estimated payment in January 2014.
Table 6 and 7 Project Approvals
(all other projects)
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Providers have revised most of the projects requested
by HHSC to date
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HHSC has begun sending projects to CMS for final
approval for October reporting.
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Once projects are sent to CMS, the anchor receives an
email and the time begins for CMS review.
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CMS has 15 days to respond.
DY2 and DY3 DSRIP Reporting / IGT
Region 15
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DY2 DSRIP – 1st -- Reporting – August 31, 2013
– IGT Submission – October 21, 2013
– Payment – November 12, 2013
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DY2 DSRIP – 2nd -- Reporting – October 31, 2013
– IGT Submission – January 3, 2014
– Payment – January 24, 2014
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DY3 DSRIP – 1st -- Reporting –- April 30, 2014
– IGT Submission – July 9, 2014
– Payment – July 31, 2014
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DY3 DSRIP – 2nd -- Reporting – October 31, 2014
– IGT Submission – December 30, 2014
– Payment – January 20, 2015
DY2 and DY3 UC Region 15
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DY2 UC
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IGT - July, 2013
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Payment – August, 2013
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IGT - November, 2013
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Payment – December, 2013
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DY3 UC
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IGT – March, 2014
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Payment – April, 2013
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IGT – May, 2014
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Payment – June, 2013
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IGT – August, 2014
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Payment – September, 2013
Learning Collaborative
Texas Tech DSRIP Projects
in Region 15
Project Presentations: Share updates, successes and challenges
Establishing a Child Psychiatry Fellowship Program
Dr. Cecilia DeVargas
Region 15 Comprehensive Learning
Collaborative
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Feedback from CMS Learning Collaborative Webinar
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Identify a topic / disease to effect change in over time
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This will take 6-12-18months to accomplish
One that is a known problem or wide-spread prevalence in Region 15
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One of Region 15’s Community Needs
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Begin collaborating with the RHP and learning about experiences with
addressing the condition
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Challenges, Successes, Failures, Innovative Ideas, Unique Solutions
Region 15 Comprehensive
Learning Collaborative
Diabetes
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Kickoff
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RHP Meeting 7/24/13
Diabetes Symposium – El Paso Diabetes Association,
UMC, Texas Tech, UTEP…
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Moses Priego, Diabetes Educator
Focused Discussion on Region 15 Diabetes Projects –
Include Category 3 Diabetes Outcomes
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Form Committees
Identify Lead
Roundtable
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Contact Information
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Waiver Website & Email Address:
– http://www.hhsc.state.tx.us/1115-waiver.shtml
– [email protected]
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UMC Website:
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http://www.umcelpaso.org
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Paso del Norte Blue Ribbon Committee Needs Assessment:
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Region 15 - RHP
http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf