Empowering Communities to Achieve a Healthier Washington Chase - - PowerPoint PPT Presentation

Empowering Communities to Achieve a Healthier Washington

Chase Napier Community Transformation Manager Washington State Health Care Authority

Better Health, Better Care, Lower Costs

Today’s Topics

Building healthier communities through a collaborative regional approach

• Healthier Washington Overview
• Accountable Communities of Health
• Why and what are they?
• How do they contribute to a

Healthier Washington?

• Next Steps for Washington

Healthier Washington

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Better Health, Better Care, Lower Costs

Washington’s vision for creating healthier communities and a more sustainable health care system:

Improving how we pay for services Ensuring health care focuses on the whole person Building healthier communities through a collaborative regional approach

Better Health, Better Care, Lower Costs

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Healthier Washington is more than the State Innovation Models (SIM) grant…

2014 Legislation:

• House Bill 2572
• Senate Bill 6312

Medicaid Transformation Potential $3B federal waiver 5-year demonstration project SIM Grant: $65 million over 4 years from the federal government

SIM Grant Legislation Waiver

State as First Mover and Market Convener

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GOAL:

Move 80 percent of state-financed health care AND 50 percent of the commercial market to value-based payments within 5 years

Accountable Communities

• f Health

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Better Health, Better Care, Lower Costs

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We recognize that health is more than health care…

Health Behaviors 30%

Health Care 20%

Physical Environment 10% Socio-economic Factors 40% Adapted from: Magnan et al. (2010). Achieving Accountability for Health and Health Care: A White Paper, State Quality Improvement Institute.. Minnesota.

Better Health, Better Care, Lower Costs

…and that clinical-community linkages are essential for better health outcomes.

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Healthier Washington System Supports

• Information Technology / Infrastructure
• Data and Measurement
• Workforce Development
• Practice Transformation
• Payment Redesign

Health and Recovery Care Community Factors

Public He a lth Nutr itious F

• od

T r a nspor ta tion E mployme nt E duc a tion Cr isis Inte r ve ntion F a mily Suppor t Cr imina l Justic e Housing Built E nvir

• nme nt

Substa nc e use disor de r Physic a l He a lth L

• ng - T

e r m Ca r e Me nta l He a lth Or a l He a lth

Better Health, Better Care, Lower Costs

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Building healthier communities through a collaborative regional approach

Accountable Communities of Health are:

• Bringing together diverse public and private

community partners to work on shared regional health goals.

• Identifying opportunities for the

ACH and community partners to understand and bridge health and quality of life issues.

• Coordinating systems so that

services address all aspects

• f health at both the

community and individual levels.

Better Health, Better Care, Lower Costs

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ACH Case Study: Cascade Pacific Action Alliance

Better Health, Better Care, Lower Costs

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ACH Case Study: Cascade Pacific Action Alliance Timeline

Pre-2014: CHOICE Regional Health Network 2014: ACH Planning Grant 2015: ACH Pilot Grant 2016: ACH Designation and Ongoing SIM Sub-award

Structure

• Collective impact
• 7 counties; 10+ sectors; 44 members
• Consensus-based decision making
• County forums

Better Health, Better Care, Lower Costs

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ACH Case Study: Cascade Pacific Action Alliance

Regional Health Needs Inventory (RHNI) conducted to inform priorities:

• Access to care & provider capacity
• Adverse childhood experiences (ACEs)

prevention & mitigation

• Chronic disease prevention & management
• Economic & educational opportunities
• Health integration & care coordination

Better Health, Better Care, Lower Costs

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ACH Case Study: Cascade Pacific Action Alliance

Youth Behavioral Health Coordination Project Approach:

• Early identification of needs/risk
• Assessment and referral
• Coordination between community-based

interventions and treatment services Goal: Decrease number of school-aged youth with unmet behavioral and physical health needs

Next Steps for Washington

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Better Health, Better Care, Lower Costs

• Emphasis on additional engagement. This includes

tribes, community members and providers.

• Linking ACHs and Healthier Washington’s shift to Value

Based Payment.

• Medicaid Waiver: Transformation through Accountable

Communities of Health

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Next steps related to WA’s ACHs…

Better Health, Better Care, Lower Costs

Questions?

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For more information…

Healthier Washington

healthierwa@hca.wa.gov

Chase Napier

chase.napier@hca.wa.gov

Website

www.hca.wa.gov/hw

Thank you

The project described was supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.