Board of Trustees June 27, 2019 1 Board Agenda Consent Agenda - - PowerPoint PPT Presentation

Board of Trustees

June 27, 2019

1

Board Agenda

• Consent Agenda
• Finance Committee Reports
• Board of Trustees Retreat
• Equity Collaborative

Consent Agenda

• April 2019 Board of Trustee Minutes
• SWACH Dash Board Report

Operations Dashboard

Key Strategies Major Milestones Target Date Success Metric Status Staffing

• Accounting & Human Resources Coordinator
• Transformation Improvement Director
• Deputy Director-Collective Impact

April 2019 May 2019 June 2019 Position Filled Position Filled Position Filled Accting position- open. Improvement Director and Deputy Director hired. Daniel Smith accepted position with CHPW. Kachina Inman relocated to Eugene with family.

• Review organizational roles and potential staffing models that

support functions; implement changes to organizational structure to support necessary functions.

• Integrate functions of two Director positions into Deputy

Director and Executive Director positions. October 2018 April 2019 June 2019 Organizational structure to support 2019 Work Finalized; Board reviewed 12.2018; 3.2019; 6.2019 Marketing & Communications

• ED participated on two community panels: Leadership Clark

County and Clark County Health Care Advisory Board

• ED participated on Panel at Community Action Region X

Conference

• ED represented the ACH-EDs on Washington State CHW Task

Force

• Established regular meetings with Managed Care Plans
• Established SWACH Learning Portal for Partners

May 2019 June 2019 June 2019 Ongoing Ongoing Panel participation. Panel Participation CHW Training Recommendations. Monthly-Quarterly meetings Completed. CHW training recommendations submitted to DOH.

Operations Dashboard (continued)

Key Strategies Major Milestones Target Date Success Metric Status Budget/Funds Flow/Personnel

• Board approved operating budget.
• Board approved five-year Funds Flow Allocations
• Board approved 2018 Pathways/HUB budget.
• New Financial Software Implemented.
• 2017-2018 Financial Audit Completed.
• 2018-2018 Financial Audit Completed.
• 990 Report completed and filed for 2017-2018

Winter 2018/2019 Jan-Feb. 2019 May 2019 July 2019 May 2019 Approved 2019 budget; Approved Multi-Year Funds Flow; Approved 2018 Pathways/HUB Budget. System Implemented. Receipt of Mgt. Letter from Auditor. Qualified Audit. 990 Filed. Multi-Year Funds Flow & 2018 Hub Budget approved; 2019 SWACH Budget approved. On site audit review completed. Audit has not started. 990 approved by Board & Filed.

• Transition HR functions from Contractor to SWACH

December- March 2019 HR Functions internalized. All HR functions internalized

• r with new

sub- contractor.

Operations Dashboard (continued)

Key Strategies Major Milestones Target Date Success Metric Status Internal Policies & Procedures

• Review operational policies and procedures for gaps; prepare and

implement policies and procedures

• -Personnel Policy Manual
• -Financial Policy Manual
• -IT Contract: Identify new IT vendor to support SWACH.

Fall 2018-Spring 2019 May 2019 Completed operations policies and procedures. Vendor approved; implementation transition completed. Personnel Policy Manual approved. Lighthouse IT selected as Vendor. Reporting & Accountability

• SAR 100%; Implementation Plan submitted
• SAR 2.0: Implementation Plan submitted
• SAR 3.0: Implementation Plan submitted.

Summer 2018 January 2019 July 2019 SAR 100% SAR 100% SAR 100% Complete. Complete. In Process. Board Governance/RHIP Council

• Bylaws Revised
• Board of Trustee Officers and Board Members Recommended.
• Executive & Finance Committee Accountabilities Defined
• Hosted a Social Determinants/Clinical Care Panel at RHIP.
• Reevaluation of purpose of RHIP Council.

December 2018 December 2018 February 2019 February 2019 January 2019 June 2019 Bylaws approved Officers & Board Members approved Accountabilities approved. Successful Panel. Updated RHIP Charter. Approved

• Dec. 2018

Approved

• Feb. 2019.

Panel completed.

Whole Person Integrated Care Dashboard

Key Strategies Major Milestones Target Date Success Metric Status Integrated Care Framework Development Co-Created Goals

• Integration of Physical and Behavioral Health
• Value Based Payment Goals Established
• Success Metrics Established
• Workforce Needs Established

October 2018 Implementation Plans submitted. Completed. Cohort of Providers for Clinical Transformation

• Clinical Partner Assessment
• Review Transformation Plan (CTP)

July 2018 Transformation Plan Developed Completed.

• Clinical Transformation Plan developed disseminated and

returned August 2018 Transformation Plan Completed Complete

• Clinical Transformation Plan review

October- early December 2018 Plans reviewed by Staff and External Reviewers. Completed.

• Established Cohort of Clinical Partners invited into a binding

agreement to begin workplan negotiations and Pay for Performance tied to transformation plans. January 2019 Binding Agreements In Process.

• Provider contracts/MOU executed

Mar-June 2019 Binding Agreements In Process.

• Established a Clark County Opioid Taskforce.

April-June 2019 Engagement and ongoing participation of stakeholders. In Process. Learning Collaborative(s)

• Learning Collaborative (QI) process Identified for Integration

Teams June 2019 Collaboratives Developed Meeting with individual teams.

Community Clinical Linkages Dashboard

Key Strategies Major Milestones Target Date Success Metric Status Engage Community Serving Organizations into Transformation

• Request for community serving organizations that support addressing the social

determinants of health to partner with clinical partners October 2018 RFI’s Received Complete

• Establish review and matchmaking process and criteria

November 2018 Process Developed Complete

• Invite Community Serving Organizations into a transformation Cohort; complete

Binding Agreements Mar-April 2019 CSO’s integrated with Clinical Teams In Process

• Current Project - SeaMar/CVAB Hep C CURES QI

Ongoing Improvement Cycle In Process

• New Opioid funding
• New Opioid Treatment Network Funding

September 2018 December 2018 Grant approved Funding Received Funding Approved. Healthy Living Collaborative Initiatives

• Promote and support CHW neighborhood teams in Clark, Cowlitz and

Wahkiakum counties; Select partner organizations for CHW teams. November 2018 Ongoing April 2019 March 2019 June 2019 June 2019 MOUs completed Barriers identified Information. 75% attendance. Improved health

• utcomes.

Complete In Process Complete Complete Complete In Process

• Address barriers to school attendance at McLoughlin Middle School through the

Education Community Health worker initiative.

• RHIP Council entertained panel to discuss school based health and wellness.
• Support growth of CHAPS network (namely Advocates, Community Health

Workers, Certified Peers and their organizations) serving Southwest Washington, to improve holistic health outcomes for the Community.

• Hosted HLC Quarterly meeting with over 60 participants; Wished Kachina Inman

success in her new adventures.

• CHW’s invited to participate in a project with PH primary care providers.

Purpose is to address social determinants of health for clients in Rose Village.

Community HUB Dashboard

Key Strategies Major Milestones Target Date Success Metric Status Community HUB

• Board adopts pathways

June 2018 Board Approval Complete

• CTPs identify Klickitat and Skamania interest in Pathways model (rural

engagement) September 2018 RFA released In progress

• Contract with CCS for HUB Technology and Technical Assistance
• Includes prelaunch support with Healthy Gen for CHW workforce development

September 2018 Contracts signed Complete

• Pathways HUB 2-Day Strategic Planning Meeting

September 2018 Implementation Tasks and Timeline developed Complete

• Rural CCAs announced: Skamania County Community Health & Washington

Gorge Action Program November 2018 Rural CCAs announced In progress

• HUB Advisory Committee formed

November 2018 First meetings scheduled Not complete

• All CCAs Trained

February 2019 Training completed In Process

• Community HUB Go Live! Pathways HealthConnect.

March 2019 52 clients enrolled in Pathways program. June 2019

Collaborative Impact Dashboard

Strategy Key Milestones Target Date Success Metric Status Cross Sector Shared Learning

• Monthly Stakeholder Meetings Held
• Opioid Learning Sessions: Successful events for providers “The Uses of Suboxone in a

Practical Clinical Setting”; Events in Clark and Skamania Counties 9/2018 Minimum attendance

• f 40 Providers

Complete Community Engagement System

• Conduct an internal assessment of SWACH’s community engagement efforts, collate

community engagement knowledge, and refine and communicate community engagement strategy 1/2019 Assessment completed In progress

• Form local and regional community councils

3/2019 Councils formed Pending

• Host community engagement sessions

Ongoing Quarterly community engagement sessions

• Create a culture of community engagement within SWACH as an organization and within the

work groups and learning collaboratives it supports Ongoing Community Resiliency Funding

• MOU approved for Housing & Health Innovation Partnership (VHA; SWWCF; Clark County

Community Services & SWACH)

• VHA to dedicate up to 50% of vouchers to people enrolled in FCS housing support benefit

until total vouchers reaches 200.

• Elwood & Tenny Creek supportive housing funded with 9% tax credit allocation.

10/18 Partnership Agreement Approved. Additional funding for supportive housing approved. Ongoing

Collaborative Impact Dashboard Cont.

Strategy Key Milestones Target Date Success Metric Status Equity Planning

• Hire Equity Manager

12/18 Position Filled Complete

• Developed Equity Shared Learning Cohort and Curriculum

3/19 5/19 12/19

• ngoing

Curriculum developed Partners complete assessment and plans SWACH completes assessment and plan Trainings completed quarterly Steering committee met.

• Support partners in equity assessment and plans
• Complete an internal assessment and plan; convened equity collaborative steering

committee.

• Support equity, stigma reduction and trauma informed training and capacity building across

the region Platform for Policy and System Changes

• Conduct policy watch and analysis at the local regional, state and federal levels.

Ongoing

• Maintain a high functioning Policy committee.

Ongoing

• Develop a policy agenda that is community led and supported.

Ongoing

• Support advocacy at local, state, and federal levels, to include letter writing, direct outreach

to decision makers, and public testimony. Ongoing 12/18 Ongoing Policy Approved. Policy Approved by Board 12/18

• Develop a process for bridging SWACH and HLC policy agenda.
• Connect to organizational/system policy change and identify opportunities to influence by

bringing an equity, health and community lens. Evaluation

• Develop 3rd evaluation plan in partnership with CORE.
• Create SWACH Evaluation Plan with CORE to cover all areas of SWACH.
• Independent External Evaluation Interviews completed with all Staff.

2/19 6/19 6/19 Evaluation Plan done. SWACH Plan final. Interviews complete. Pending Pending Complete

Finance Committee Report

• Financial Report

– March and April Monthly/YTD – Financial Audit: July 2017-June 2018 – 990 Report

Board of Trustees Retreat

• August 22, 2019 and October 24, 2019
• Board Members Only

Equity Collaborative

What is Health Equity?

Health equity means that all people have access to a healthy environment, community, and relationship with local institutions and service providers.

Equity Collaborative—The Vision

The Equity Collaborative represents a bridge that connects us in the present to a future characterized by health equity.

How SWACH Furthers Equity Work in 2019

SWACH supports partners in an Equity Collaborative, where partners work together with peers and experts in completing an equity assessment and/or equity plan.

Equity Collaborative—The Work

The Equity Collaborative will:

• Consist of 14 partner organizations who will complete

an equity assessment and or plan in 2019

• Provide an environment to learn about tools, resources

and approaches to move toward health equity

• Empower participants to discuss barriers and share

successes with other organizations embarking on equity assessments and plans

Closing

• Next Meeting: Thursday, August 22

Thank you!