Colorado Hospital Transformation Program Matt Haynes Department of - - PowerPoint PPT Presentation

Colorado Hospital Transformation Program

Matt Haynes Department of Health Care Policy and Financing

Improving health care access

and outcomes for the people we serve while demonstrating sound stewardship of financial

resources

Our Mission

On the Road to Better Health

How the Department of Health Care Policy and Financing is Driving Improved Health Care Delivery and Payment Systems in Colorado

Hospital Transformation Program (HTP) Overview

• The Hospital Transformation Program (HTP) is a critical step

toward adding value into the system over time

• Delivery system transformation continues to be a central goal
• f HCPF
• Tied to the existing supplemental payments
• Focus on Community Engagement

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HTP Goals

• Improve patient outcomes through care redesign and

integration of care across settings;

• Improve the patient experience in the delivery system by

ensuring appropriate care in appropriate settings;

• Lower Health First Colorado (Colorado’s Medicaid Program)

costs through reductions in avoidable hospital utilization and increased effectiveness and efficiency in care delivery;

• Accelerate hospitals’ organizational, operational, and systems

readiness for value-based payment; and

• Increase collaboration between hospitals and other providers

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HTP Hospital Role

Colorado’s hospitals have a critical role to play in the HTP, and will be asked to:

• Engage with community partners
• Recognize and address the social determinants of

health

• Prevent avoidable hospital utilization
• Ensure access to appropriate care and treatment
• Improve patient outcomes
• Ultimately reduce costs and contribute to reductions in

total cost of care

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HTP Focus Populations & Priorities

The HTP envisions transforming care across the following populations and priority areas:

• High Utilizers
• Vulnerable Populations (including pregnant women

and the elderly)

• Behavioral Health and SUD Coordination
• Clinical and Operational Efficiencies
• Community Development Efforts to Address Population

Health and Total Cost of Care

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Community and Health Neighborhood Engagement (CHNE)

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CHNE

Hospitals must engage stakeholders to conduct an environmental scan and plan for their HTP participation. Community and Health Neighborhood Engagement (CHNE) should be:

• Meaningful
• Inclusive
• Not duplicative
• Evidence-based and data-driven

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CHNE Action Plan

The CHNE process begins with submission of an Action Plan that identifies:

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• Stakeholders to be

engaged

• Existing meetings that will

be leveraged

• Outreach, communications

and engagement strategies

• Planned activities
• Data to be used in

conducting the environmental scan

• Anticipated barriers and

mitigation strategies

Hospitals must also include letters from their local RAE and two other stakeholders stating that they are aware of, and intend to participate in, the hospital’s plan for CHNE.

Stakeholders

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Stakeholders will assist planning efforts by providing:

• Data and expertise about the community the hospital serves
• Information on and connections to available community

resources

• Ideas and support for HTP initiatives

Convening Stakeholders

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When convening, hospitals and stakeholders should come prepared with information about the community, including the results of recently completed community needs assessments. Community needs and resources should be compared to the HTP priorities to begin identifying opportunities for initiatives and partnerships.

Convening Stakeholders

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A diverse range of venues, locations, times and manners should be used when convening stakeholders and should match the goal of the engagement activity:

Engagement Type Engagement Goal Engagement Activity/Forum Consultation Provide community perspective Focus groups Interviews Surveys Involvement Provide perspective and information that drives decision-making Advisory Committees Public forums Discussion groups Partnership Actively participate in decision-making Topic-Specific workgroups Meetings

CHNE Environmental Scan

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Hospitals must complete an environmental scan during the first half of the CHNE process. The environmental scan must be evidence-based, and include:

• A description of the

community (demographics, health status)

• Existing hospital and

community resources

• An assessment of access to

and availability of services and any service gaps

• An assessment of the

current state of health information exchange

CHNE Process

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Initiate or leverage relationships with

• rganizations that serve

and represent the community Include organizations that represent a broad cross- section of the community Leverage existing forums and collaborations Develop a plan for addressing gaps, including recruiting as needed Develop and submit a proactive Action Plan

• utlining the hospital’s

engagement strategy and approach to the process Include: organizations to be engaged; forums to be utilized; strategies and activities; sources of information to be leveraged; and expected challenges and solutions Include Letters of Support from key community

• rganizations

Leverage or host ongoing discussions to complete and gather input on an environmental scan Identify and discuss data and sources of information, including CHNAs Work with partners to identify and describe the community and its challenges and needs, including specific to HTP priorities Include opportunities for bidirectional dialog scheduled at regular intervals, leverage a range

• f venues and pathways,

and provide notice and follow-up communication Submit a midpoint report

• n the CHNE process, with

a focus on engagement to- date, environmental scan findings, and plans going forward Submit a final report on the CHNE process, with a focus on engagement

• verall, progress in

planning HTP participation, and plans for ongoing CHNE

Now – October 2018 Now – December 2018 October 2018 – April 2019 April –September 2019 April - October 2019

Leverage or host ongoing discussions for providing input on needs and

• pportunities for HTP

initiatives Work with partners to prioritize community needs, identify target populations and initiatives, and build partnerships for initiatives via an evidence-based and stakeholder-informed decision-making process Include opportunities for bidirectional dialog scheduled at regular intervals, leverage a range

• f venues and pathways,

and provide notice and follow-up communication

Hospital Activities

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Engage priority stakeholders: RAEs, provider and trade associations, health alliances, and other government agencies Leverage stakeholders to communicate expectations to community organizations; identify potential risks to CHNE process and mitigation strategies

Now – October 2018

Release CHNE Guidebook Launch web-based training series

• n CHNE

Provide facilitated Q&A calls and

• ne-on-one TA calls as needed

Work with hospitals to refine and revise Action Plans for the CHNE process Work with participants on an

• ngoing basis to ensure

expectations are met and assist with navigating challenges and

• bstacles

Now - September 2019

Review midpoint reports of the progress and findings from the environmental scan and provide recommendations Review final report of the stakeholder-informed plans for HTP participation and provide recommendations

April - September 2019

Department Activities

Contact Information

Matt Haynes Special Finance Projects Manager Matt.Haynes@state.co.us HTP Technical Assistance and General Inquiries COHTP@state.co.us Colorado.gov/HCPF

Thank You

Matt Haynes Special Finance Projects Manager Matt.Haynes@state.co.us