Regional Health Improvement Plan Council April 17, 2018 Meeting - - PowerPoint PPT Presentation

Regional Health Improvement Plan Council April 17, 2018

Meeting Objectives

• Review potential changes to the Charter
• Review status of current state assessments
• Receive updates on community engagement and

policy work

• Discuss and provide feedback phase one funds

flow

• Discuss Board and RHIP roles

Review Charter

• Review RHIP’s role
• Discuss membership
• Other suggestions or additions

Community Engagement

• Community Engagement Coordinator
• Skamania Listening Session
• Future Listening Sessions - Klickitat
• System of Community Engagement –

volunteers need for a subcommittee

• Upcoming opioid meetings

Policy Updates

• HLC Quarterly meeting
• Moving from state to local policy

– Active Transportation – Housing and homelessness – Tobacco and youth marijuana prevention

• Recommendations from RHIP

Health Information Exchange Assessment Results

Background

• Goal: understand current state of HIE capacity and

functionality in region (at organizational level)

• Results will inform project implementation planning
• Fielded Feb-March 2018

Respondents

SWACH received responses from 28 physical health and behavioral health organizations

Catholic Community Services Child and Adolescent Clinic Children’s Center Children’s Home Society Columbia River Mental Health Services Community Services Northwest Comprehensive Healthcare Cowlitz Tribe Daybreak Youth Services Family Solutions Institute for Family Development Kaiser Permanente Klickitat County Klickitat Valley Health Legacy Health Lifeline Connections Lutheran Community Services NW NAMI SW WA North Shore Medical Group One Community Health PeaceHealth Providence Rose Medical Group SeaMar Skamania County Skyline Hospital Telecare Corporation The Vancouver Clinic

Electronic Health Record Use

• 96% of responding organizations have an EHR
• Diversity in EHRs being used in the region

Modifying Electronic Health Records

46% of organizations have the ability or licensing right to modify their EHR 23% have the ability or licensing right to establish HIE interfaces without EHR vendor or third party

Small EHR vendors, particularly those serving behavioral health

• rganizations, may not support

HIE interfaces or be open to developing interfaces.

The majority of health information exchange

• ccurring is within the health system

Most information exchange is still manual (fax, paper)

11 organizations participate in state and/or national HIEs

50% use EDIE and/or PreManage

What gaps in HIE infrastructure exist?

Cost is a barrier Not all

• rganizations

are connected to an HIE Interoperability Gaps are not limited to HIE

What are the biggest obstacles to effectively exchanging information with other orgs?

Lack of standards Remaining HIPAA compliant EHR challenges Communication Costs

Discussion

Reflections

• Do these findings resonate with your understanding of

the region’s HIE infrastructure and capacity?

• What findings were surprising?
• What do these findings suggest re: next steps?

Four High Level Funds Flow Categories

ACH Admin Community Resiliency Fund Regional Capacity Investments Transformation Plan Implementation

• Administrative operating

expenses of SWACH

• Legal
• Financial
• Facilities
• Equipment
• Funds for ACH to make

regional investments that support partners for specific purposes including workforce, health IT / HIE, training, and

• ther infrastructure funds.
• Funds will be used to promote

large scale transformation and sustainability across the region.

• Funds paid directly to partners

to plan for and achieve DSRIP goals and overall transformation.

• Assessments
• Transformation plans
• Partnership support
• Implementation

support

• Funds investments impacting

upstream factors and innovative solutions.

How Many Dollars Are There?

$8.7M FIMC $? Community Resiliency Fund

$721,217 – Year 1 (10%) $? – Year 2 $? – Year 3 $? – Year 4 $? – Year 5

Projects

$7.2M Year 1

$1.8M (25%)

$9.2M Year 2

$?

$7.8M Year 3

$?

$7.3M Year 4

$?

$5.9M Year 5

$? $4M (55%) $? $? $? $?

% to the Community Resiliency Fund

Regional Capacity Investments Partners Transformation Plans/Implementation

To support bi-directional integration across Clark, Skamania, and Klickitat Counties

ACH Admin Year 1 = $721,217 (10%)

Year 1 Transformation Plan Implementation

$2.3M Implementation

Equity/Stigma Incentive Pool Partnership Agreements Incentive Pool Implementation Agreements

$1.7M Planning

Assessments Transformation Plan

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