Data Workgroup June 6, 2019 Welcome, Meeting Purpose & - - PDF document

Data Workgroup

June 6, 2019

Welcome, Meeting Purpose & Introductions

Agenda

• Review Action Items
• Community Updates
• SWACH Partner Reporting
• Pathways Community Benchmarking
• Future Direction

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Action Items from Last Meeting

• Revisit PeaceHealth and Legacy representation at

Data Workgroup (SWACH)

• Share draft partner reporting guidance (SWACH)
• Share RHIP Council dashboard (SWACH)
• Share information about measles outbreak(Clark PHD)
• Share SDOH screening questionnaire (Providence)

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Community Updates

Workgroup members share any data related updates from their organizations: new or updated data sources, data projects, new analyses, exciting news, etc

Workgroup Member Updates?

Community Priorities Project

Measles Outbreak Data

SWACH Updates

‐ Welcome Kim!

SWACH Partner Reporting

‐ Review baseline results ‐ Review Q2 report template

SWACH Partner Reporting

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Year 1 (2019)

Reporting Period Report Due Date Baseline 15 days after executed contract April – June 2019 July 15, 2019 July – September 2019 October 15, 2019 October – December 2019 January 15, 2020

Year 2 (2020)

Reporting Period Report Due Date January – March 2020 April 15, 2020 April – June 2020 July 15, 2020 July – September 2020 October 15, 2020 October – December 2020 January 15, 2021

SWACH has finalized partner reporting schedules and guidance

Baseline Reporting – Initial Results

Baseline Reporting (to date)

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Received responses from 12 clinical partners and 5 community serving organizations. All data presented here are subject to change

Baseline MeHAF (to date)

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1 2 3 4 5 6 7 70 80 90 100 120 130 140 150 160 170 180 Number of Sites Total Score

Distribution of Baseline MeHAF Scores

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5.20 5.70 5.00 6.55 7.05 5.00 6.00 6.40 6.05 6.80 5.50 6.53 7.95 5.45 5.90 6.10 5.05 5.85 4.45 4.45 3.70 Level of integration: primary care and mental/behavioral health care Screening and assessment for emotional/behavioral health needs Treatment plan for primary care and behavioral/mental health care Patient care that is based on (or informed by) best practice evidence Patient/family involvement in care plan Communication with patients about integrated care Follow‐up of assessments, tests, treatment, referrals and other services Social support (for patients to implement recommended treatment) Linking to community resources Patient care that is based on (or informed by) best practice for prescribing of psychotropic… Tracking of vulnerable patient groups that require additional monitoring and intervention Accessibility and efficiecny of behavioral health practitioners Organizational leadership for integrated care Ptaient care team for implementing integrated care Providers' engagement with integrated care (buy‐in) Continuinty of care between primary care and behavioral/mental health Coordination of referrals and specialists Data systems/patient records Patient/family input to integration management Physician, team and staff education and training for integrated care Funding sources / resources

Average Baseline MeHAF Score by Question (to date)

Baseline Opioid Questions (to date)

Of the 6 clinical partner organizations participating in an opioid project…

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Opioid Prescribing Guidelines (to date)

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83% 0% 67% 0% 17%

AMDG / Washington State Bree Collaborative CDC Other None

AMDG and CDC prescribing guidelines are most popular

N=6

Clinical Decision Support (to date)

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More than half have some level of clinical decision support for opioid prescribing

N=6

67% 67% 50% Integrated morphine equivalent dose (MED) calculators Links to opioid prescribing registries or Prescription Drug Monitoring Programs (PDMPs) Automatic flags for co‐prescriptions of benzodiazepines

Protocols (to date)

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All have screening protocols to evaluate patients with opioid use disorder for behavioral health interventions

N=6

100% 67% 0% 17% 50% Screening and treatment occurs on site for depression and anxiety Screening occurs on site for depression and anxiety, and patients are referred for treatment Contracting with providers who offer these services Formalized referral relationship (through MOU or similar arrangement) with providers who offer these services Informal referral relationships with providers who offer these services

Q2 2019 Report Template

Pathways Community Benchmarking

Brainstorm ways for Pathways to monitor progress against community standards

Example: Housing Pathway

22 ID client in need

• f housing

ID why housing is required Schedule meeting with housing

• rganization to

discuss options Confirm client kept appointment and whether client is

• n waiting list

Follow up bi‐ weekly to monitor progress Confirm client has moved into housing for at least 2 months

Example: Housing Pathway

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147 110 64 118 Washington State Clark Klickitat Skamania

Length of Time Homeless (median days), 2018

Data source: Washington State Homeless System Performance Dashboards https://www.commerce.wa.gov/serving‐communities/homelessness/homeless‐system‐performance/

Employment Pathway

24 Client requests assistance in

• btaining a job

ID education and work history and barriers to employment Work with client to complete resume Work with client to monitor applications Confirm client has found consistent source of steady income / employed for 3 months

Which Pathways need Benchmarks?

• Adult Education
• Behavioral Health
• Developmental Referral
• Developmental Screening
• Education
• Employment
• Family Planning
• Health Insurance
• Housing
• Immunization Referral
• Immunization Screening
• Lead
• Medical Home
• Medical Referral
• Medication Assessment
• Medication Management
• Postpartum
• Pregnancy
• Smoking Cessation
• Social Service Referral

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Next Steps

• Volunteers to help with continued

community benchmark brainstorming?

• Pathways Advisory Council looking for a

data guru

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Future Direction

‐ Review charter ‐ Future role / tasks for the workgroup

Wrap Up

• Next Meeting: August 1st
• Review action items

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