Region 15 Regional Healthcare Partnership Orientation Meeting

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Transcript Region 15 Regional Healthcare Partnership Orientation Meeting

Thursday, August 28, 2014
University Medical Center of El Paso
Anchor Hospital
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
Roll Call
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HHSC Statewide Learning Collaborative Summit Registrations have
closed
 Cindy Mann, Director, CMS will be attending the morning of September 9th
 Each Region will have posters or panel presentations as determined by HHSC
 Myers and Stauffer will provide an overview of the mid-point assessment
during breakout sessions for both days of the summit.
 September 11th will also be an Anchor networking session
October Reporting
Category 1 or 2 DY3 Metrics
QPI Metrics
Category 3 Baseline Numbers
Hospitals – Category 4 if not reported in April prior
Project Narrative Summary Updates
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HHSC Mid-Point Assessment
300
Projects will be selected for desk audit (August/September) across the regions
Tl 1,500 DSRIP Projects
Some will have on-site visits in September / October 2014
HHSC and Myers and Stauffer have been holding planning meetings for the mid-point
assessment.
Goal is to complete the mid-point assessment by December 2014.
CMS DY2 DSRIP Financial Management Review
Region
15 was not selected for this audit
Regions 4, 7, 9 and 10 were selected
Project option audit focus 1.1.1, 1.1.2, 1.9.2, 1.12.2, 2.1.1, 2.2.1, 2.6.1, 2.9.1, 2.10.1, 2.13.1, 2.16.1
70 Providers with these project options may have site visits October / November 2014
CMS will also be reviewing the Medicaid encounter data and provide results
HHSC demonstrated to CMS how providers report achievement of metrics, and how HHSC
reviews the metrics
CMS
will issue a draft report in November, 2014.
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HHSC received 2,000 change requests from over 200 providers. They will be
revising these timelines to later dates…
September 12 – HHSC: 1) provides feedback to the anchors on change requests; 2) revises the
project narratives as appropriate and sends them to the anchors; and 3) updates providers’
milestone/ metric workbooks to reflect plan modification requests and posts the updated
workbooks to the Transformation Waiver website.
September 26 – Anchors submit responses to HHSC feedback and revised narratives, as
appropriate. Performing providers must submit responses to HHSC feedback and revised
narratives, as appropriate, to the anchor prior to September 26 (by the date specified by the
anchor) to compile and send in one submission packet to HHSC by the due date.
October 14 - HHSC: 1) provides its preliminary determinations to the anchors (change
requests that are substantial reductions in project scope will require additional review by the
compliance monitor and possibly CMS); 2) revises the project narratives as appropriate and
sends them to the anchors; and 3) updates providers’ milestone/ metric workbooks to reflect
plan modification requests and posts the updated workbooks to the Transformation Waiver
website.

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DY3
1/2/2015
DSRIP 2 of 2
DSRIP 1 of 2
7/6/2016
IGT Due
1/20/2015 Top 14 Paid
7/19/2016
Top 14 Paid
1/30/2015 DY3 DSRIP Pmt
7/29/2016
DY3 DSRIP Pmt
DY4
7/8/2015
IGT Due
DY5
DSRIP 1 of 2
DSRIP 2 of 2
1/3/2017
IGT Due
7/21/2015 Top 14 Paid
1/13/2017
Top 14 Paid
7/31/2015 DY3 DSRIP Pmt
1/31/2017
DY3 DSRIP Pmt
DY4
1/4/2016
IGT Due
DY5
DSRIP 2 of 2
IGT Due
DY5
9/2017 ?
Carry Forward
12 Months
1/15/2016 Top 14 Paid
1/29/2016 DY3 DSRIP Pmt
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DSRIP Projects and Any Other Issues of
Concern for Region 15 Healthcare Partnership

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
Waiver Website & Email Address:
 http://www.hhsc.state.tx.us/1115-waiver.shtml
 TXHealthcare [email protected]

UMC Website:
 http://www.umcelpaso.org
 Region 15 - RHP

Paso del Norte Blue Ribbon Committee Needs Assessment:
 http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf
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