The Dr. Robert Bree Collaborative Meeting January 21 st , 2015| - - PowerPoint PPT Presentation

The Dr. Robert Bree Collaborative Meeting

January 21st, 2015| 12:30pm – 4:30pm

Agenda

 November 20th Meeting Minutes and Revised Bylaws

 Approve minutes  Approve revised bylaws

 Addiction and Dependence Treatment Report and Recommendations

 Adopt Report and Recommendations

 Bree Implementation Team Update  Coronary Artery Bypass Surgery Bundled Payment Model

 Approve Roster

 Membership Spotlight: CHI Franciscan Health  Hospital Readmission Measures Update  The Plan for a Healthier Washington

Slide 2

November 20th Meeting Minutes

Slide 3

Bylaws – Page 11

Slide 4

Bylaws – Page 12

Slide 5

Bylaws – Page 13

Slide 6

Bylaws – Page 16

Slide 7

Opportunity for Public Comment

Slide 8

Welcome New Bree Member

Paula Lozano MD, MPH Assistant Medical Director, Department of Preventive Care Group Health Cooperative

Slide 9

Addiction and Dependence Treatment

January 21st, 2014

Tom Fritz ADT Workgroup chair, Retired, Previously CEO, Inland Northwest Health Services

Slide 2

Substance Use Disorder Screening, Brief Intervention, Brief Treatment, Referral to Treatment Primary, Prenatal, Emergency Room Settings

Workgroup Members

Name Title Organization

Tom Fritz (Chair) Chief Executive Officer, Bree Member Inland Northwest Health Services Charissa Fotinos, MD, MS Deputy Chief Medical Officer Health Care Authority Linda Grant, MS, CDP Director Evergreen Manor Tim Holmes, MHA Vice President of Outreach Services and Behavioral Health Administration MultiCare Ray Chih-Jui Hsiao, MD Co-Director, Adolescent Substance Abuse Program, First Vice President of the WSMA Seattle Children’s Hospital Scott Munson Executive Director Sundown M Ranch Rick Ries, MD Associate Director University of Washington Addiction Psychiatry Residency Program Terry Rogers, MD CEO, Bree Member Foundation for Health Care Quality Ken Stark, MEd, MBA Director Snohomish County Human Services Department Jim Walsh, MD Addiction Medicine, Family Medicine w/Obstetrics Swedish Observers Zosia Stanley, JD, MHA Policy Director, Access Washington State Hospital Association

Slide 3

Public Comment Survey

Slide 4

53 respondents to online survey plus additional emailed comments

Other

 Psychologists (2)  Washington State Society for Clinical Social Work  Family therapist (addictions), legislative committee member of the Washington State Society of Clinical Social Work  Washington Advocates for Patient Safety  Maternal Fetal Medicine care provider  WA Coalition  Clinical researcher (2)  Non-profit Healthcare Advancement Organization  Specialty Treatment Providers  Outpatient Pain & Addiction specialist  Private, non profit: harm reduction emphasis  3rd party employer rep  Non-Profit Association  Case manager/RN in Aging and Long Term Care  Chemical Dependency Treatment Facility (2)

Slide 5

Problem Statement

 93% agreed with recommendation problem statement (4% no; 4% neutral)  Changes:

 Alignment with DSM-5 Substance use disorder definition  Clear definition as chronic, relapsing-remitting disease  Added prenatal care settings throughout  More clearly defined scope of work

 Not recommending specific treatment modalities  Not recommending changes to areas outside of the medical system (e.g., criminal justice)

 Expanded definition of drugs to include “and medical purposes”  Added discussion of SB 6312 and HB 2572 (integration of mental health, chemical dependency, and primary care)  Clear discussion of benefit of SBIRT to impact those at low levels of use

Slide 6

Substance Use Disorder Framework

Slide 7

Reduce stigma associated with alcohol and other drug screening, intervention, and treatment

 81% agreed with recommendation 1 (6% no; 13% neutral)  Changes:

 Added “culturally competent”  Clear definition as chronic, relapsing-remitting disease

Slide 8

Reduce stigma associated with alcohol and other drug screening, intervention, and treatment

 Train health care staff how to have non-judgmental, empathetic, culturally competent, and accepting conversations about alcohol and drug misuse  Train health care staff on the prevalence of alcohol and other drug misuse, the impact of alcohol and other drug misuse on other health conditions, and the importance of screening for alcohol and other drug misuse  Increase the number of people who see alcohol and other drug misuse screening as a usual part of care and are comfortable discussing alcohol and other drug misuse as a chronic, relapsing-remitting disease on a continuum

Slide 9

Increase appropriate alcohol and other drug use screening

 81% agreed with recommendation 2 (9% no; 9% neutral)  Changes:

 Clearly state we are not recommending a specific tool  Changed screening for those over 13 (age of consent for treatment) from 12  Added acknowledgement of common occurrence of other mental health diagnoses (e.g., anxiety, depression)

 Recommend that patients be screened as appropriate for anxiety and depression, but discussing screening, intervention, and treatment for these co-occurring disorders in more detail is out of the scope of this document

 Added discussion of screening pregnant women and screeners validated for pregnant women.  Added that older adults may need special consideration

Slide 10

Increase appropriate alcohol and other drug use screening

 Increase the number of appropriately trained staff who utilize an evidence-based screening tool  Increase annual alcohol and other drug misuse screening, starting with an initial primary care visit, using a validated, scaled screening tool  Implement universal alcohol and other drug misuse screening in primary, prenatal, and emergency rooms (ER)

Slide 11

Increase capacity to provide brief intervention and/or brief treatment for alcohol and other drug misuse

 85% agreed with recommendation 3 (9% no; 13% neutral)  Changes:

 Added “Provide pregnant women misusing alcohol or other drugs with coordinated, wrap-around care with involvement of appropriate primary, addiction, obstetric, and pediatric providers”

Slide 12

Increase capacity to provide brief intervention and/or brief treatment for alcohol and other drug misuse

 Increase the number of appropriately trained staff who provide brief intervention and/or brief treatment in the primary, prenatal, and ER settings  Increase the number of patients who screen positive for alcohol and other drug misuse who receive appropriate brief intervention and/or brief treatment  Follow-up with patients as appropriate who have received brief intervention and/or brief treatment  Manage adolescents with addictions collaboratively with child and adolescent addiction specialists, if possible  Provide pregnant women misusing alcohol or other drugs with coordinated, wrap-around care with involvement of appropriate primary, addiction, obstetric, and pediatric providers  Enhance ability to triage patients to appropriate level of care if not improving  Increase the accessibility of consulting with qualified behavioral health providers

Slide 13

Decrease barriers for facilitating referrals to appropriate treatment facilities

 87% agreed with recommendation 4 (8% no; 6% neutral)  Changes:

 Added discussion of SB 6312 and HB 2572.  Recommendations are meant to acknowledge the limitations of the current system; recommend steps to improve health care quality, outcomes, and affordability; and support mental health, chemical dependency, and primary care integration in Washington State  Added aspirational goals, not recommendations (e.g., patients would be able to detoxify in one facility and then transfer to another chemical dependency treatment facility)

Slide 14

Decrease barriers for facilitating referrals to appropriate treatment facilities

 Increase the number of patients who screen positive who are referred to and receive care at an appropriate chemical dependency treatment facility consistent with the American Society of Addiction Medicine criteria  Track patients as they receive appropriate recovery care  Contact patients after they receive appropriate treatment to facilitate rapid return to function  Increase cross-site communication and data sharing  Increase chemical dependency resources sufficient to facilitate successful patient recovery for publicly and privately-insured individuals  Address the workforce shortage for certified chemical dependency professionals including training, continuing education, and wages

Slide 15

Address the opioid addiction epidemic

 77% agreed with recommendation 5 (13% no; 9% neutral)  Changes:

 Added “Pregnant women using opioids should be treated according to the standard

• f care.”

 Institute for Clinical and Economic Review published a well-done review of opioid management best-practices, Management of Patients with Opioid Dependence: A Review of Clinical Delivery System, and Policy Options  Included Methadone, Naltrexone including extending release injectable along with Buprenorphine  Added “Providing opioid overdose education and offering a prescription for Naloxone to all persons at risk for having or witnessing an opioid overdose, including those prescribed opioids, using heroin, and those in their social networks as allowed for by law”  Added “Utilizing the Prescription Monitoring Program to evaluate a patient’s controlled substance history for potential risks”

Slide 16

Address the opioid addiction epidemic

 Decrease inappropriate opioid prescribing for non-cancer, non-terminal pain  Increase capacity for primary care providers to prescribe medication assisted treatment (e.g., increase Buprenorphine, Methadone, Naltrexone including extending release injectable, treatment availability)  Train appropriate primary care and emergency room staff to screen, engage, and facilitate both on- site opioid medication assisted treatment and/or facilitate coordinated care with offsite specialized chemical dependency treatment.  Extend state and private capacity and support for opioid medication assisted treatment Facilitate referrals and decrease barriers to opioid addiction treatment (specialized vs on-site addiction treatment)  Track changes to the number of admissions, cost, morbidity, and mortality in emergency room, hospital, and outpatient settings (including prenatal) for patients using opiates to evaluate change

• ver time

 Provide opioid overdose education and offer a prescription for Naloxone to all persons at risk for having or witnessing an opioid overdose, including those prescribed opioids, using heroin, and those in their social networks as allowed for by law  Utilize the Prescription Monitoring Program to evaluate a patient’s controlled substance history for potential risks

Slide 17

Stakeholder-Specific Recommendations

 Added changes made to the five focus areas (e.g., prenatal care, culturally competent training)  Added “Train staff how to do a 42 CFR part 2 compliant release of information”  Aligned hospital recommendations with Potentially Avoidable Hospital Readmission Recommendations and emphasis on hospitals providing patient’s discharge information to primary care provider or aftercare provider  Health Plans contract with medical providers (e.g., primary care, prenatal, hospitals) that provide screening, brief intervention, brief treatment, and referral to treatment

Slide 18

Opportunity for Public Comment

Slide 19

Recommendation

Adopt Addiction and Dependence Treatment Report and Recommendations

Slide 20

January 21st, 2015

BREE IMPLEMENTATION TEAM (BIT) UPDATE

Dan Lessler, MD Chief Medical Officer, WA Health Care Authority Chair, Bree Implementation Team

Assess readiness

• Purchasers interested, not all in same place
• Size is a barrier
• Employee population determines type of bundle wanted
• Third parties are providing bundled payments
• Need to be able to include rural providers and hospitals
• Identify large purchasers
• Identify brokers

Education

• Materials for employers and others

BUNDLED PAYMENTS

NWHPC: non-profit organization providing small and mid-size purchasers (employers and

• thers) in eastern Washington and northern

Idaho

• The opportunity to speak with a common voice
• Influence the delivery and cost of healthcare in this

region

NW HEALTHCARE PURCHASERS COALITION

Participants discussed how their

• rganizations are working to improve low

back pain care Identified areas for improvement Identified barriers to improvement/contributions to fragmented care

REPORT BACK FROM MEETING

CHECKLISTS

Goal to reduce burden of back pain and costs for care at community level

• Implement best practices for low back pain management with

multi-stakeholder participation

• Educate consumers about recommended practices for low back

pain management

• Improving general understanding of different stakeholders’

perspectives

Complete work for organizations to make changes for 2016 benefit year

NEXT STEPS

QUESTIONS? COMMENTS?

CORONARY ARTERY BYPASS GRAFT SURGERY BUNDLE AND WARRANTY

PROPOSED ROSTER AND CYCLES

ROBERT BREE COLLABORATIVE CABG WARRANTY AND BUNDLED PAYMENT MODEL JANUARY 21, 2015

DESIGN TEAM



Providers

1.

Bob Mecklenburg, MD, Virginia Mason, Co-Chair

2.

Drew Baldwin, MD, Virginia Mason

3.

Bob Herr, MD, US HealthWorks

4.

Vinay Malhotra, MD, Cardiac Study Center (WSMA)

5.

Susan Hecker, MD, St. Joseph

6.

One member from WSMA

7.

Two member from WSHA



Purchasers

1.

Kerry Schaefer, King County, Co-Chair

2.

Marissa Brooks, SEIU Healthcare NW Benefits

3.

AlaskaAir

4.

Starbucks

5.

Boeing



Health Plans

1.

Dan Kent, MD, Premera

2.

Regence



Quality Organizations

1.

Susie Dade, Washington Health Alliance

2.

Jeff Hummel, MD, Qualis Health

2

• 1. A WARRANTY FOR CABG

Aligning payment with safety

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• 2. BUNDLED PAYMENT MODEL

Aligning payment with quality

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FEATURES OF THE BUNDLE

• 1. Clinical standard explicitly and transparently defined
• 2. Content supported by transparent evidence appraisal
• 3. Appropriateness standards integrated into care pathway
• 4. Market-relevant quality measured/reported by providers
• 5. Financial accountability for complications as per warranty

5

BUNDLE: FOUR COMPONENTS

EACH SEQUENTIAL COMPONENT IS REQUIRED

• 1. Document disability despite conservative therapy
• 2. Ensure fitness for surgery
• 3. Provide all elements of high-quality surgery
• 4. Facilitate rapid return to function

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RECOMMENDATION

 Approve Draft Roster

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CHI Franciscan Health

/

Who We Are

Hospitals

• St. Joseph Medical Center, Tacoma
• St. Francis Hospital, Federal Way
• St. Clare Hospital, Lakewood
• St. Elizabeth Hospital, Enumclaw
• St. Anthony Hospital, Gig Harbor
• Highline Medical Center, Burien
• Harrison Medical, Bremerton & Silverdale
• Regional Hospital, Burien

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Who We Are

Medical Groups

Franciscan Medical Group

• Clinics in Pierce, King, Kitsap counties

Harrison HealthPartners

• Clinics throughout Kitsap, Mason,

Jefferson and Clallam counties Hospice and Palliative Care

• In-home and inpatient care
• 20-bed Hospice House

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• 12,100 employees *
• 2,346 medical staff members**
• Affiliated with Catholic Health Initiatives

* Includes Highline, Harrison, and Regional ** End of fiscal year 2014

Who We Are

CHI Franciscan Health Family

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Catholic Health Initiatives

• One of largest Catholic health systems in U.S.
• Based in Englewood, Colorado
• 96 hospitals in 18 states
• Non-profit

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Catholic Health Initiatives

Large System Benefits

• Nationally integrated network of medical expertise
• Sharing of best clinical practice
• Access to research and clinical trials
• Diversity of perspectives-faith-based, community and academic
• Purchasing power
• Access to capital
• Project management
• Broader industry access—connected

to national boards for certification

• Advocacy

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Sisters of St. Francis

Founded St. Joseph Hospital in 1891

• Compassionate care
• Faith-based
• Mission-focused
• Modern facilities
• Innovative technologies
• St. Francis of Assisi

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Our Mission

The Mission of Catholic Health Initiatives is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we create healthier communities.

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Our Vision

We are the Puget Sound’s first choice for healing of mind, body and spirit.

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Our Values

• Reverence
• Integrity
• Compassion
• Excellence
• We fulfill a sacred trust to care for those in need and to

support each other.

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Our Strategy Pillars

• Best Place for Health and Healing
• Best Place to Work and Practice
• Best Access to Care
• Best Stewardship

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Creating Healthier Communities

• Community Benefit:

– We provided $95.2 million of free and subsidized programs in fiscal year 2014

• Charity Care:

– We provided $25.4 million in free and reduced-cost care in fiscal year 2014

• We serve all who need care

regardless of ability to pay

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• Cancer care
• Cardiovascular care
• Diagnostic imaging
• Neurosciences
• Orthopedics and sports medicine
• Women’s care
• Primary care, including urgent care

Who We Are

Major Service Lines

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Who We Are

Other Key Clinical Services

• Surgical weight loss
• Emergency care, including Level II Trauma at St. Joseph
• Stroke care
• Dialysis

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Who We Are

Virtual Health Services

Franciscan Virtual Urgent Care

• Available 24/7
• Phone or virtual visit
• First to offer service in Pacific Northwest

Clinical Operations Center

• Dedicated location for patient monitoring
• Improves access to specialists and skilled

clinical staff

• Reduces lengths of stay and mortality
• Lower costs through consolidation

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Who We Are

Leadership Change

Questions?

POTENTIALLY AVOIDABLE HOSPITAL READMISSIONS REPORT AND RECOMMENDATIONS

GINNY WEIR BREE COLLABORATIVE PROGRAM DIRECTOR JANUARY 21ST, 2015

WORKGROUP CHRONOLOGY

2

Draft Proposal to Bree Collaborative 3/19/14 4/23/14 Workgroup meeting framing a three pronged recommendation Revised proposal presented to Bree Collaborative 5/21/14 5/29/14 – 6/20/14 Public Comment Period 6/30/14 Workgroup meeting to review public comments, make further revisions Recommendations Approved 7/17/14

RECOMMENDATIONS SUMMARY

1.

Endorsement of the Washington State collaborative model

2.

Endorsement of tools and techniques to reduce readmissions in Washington State

3.

Measurement: % inpatients diagnosed with acute myocardial infarction (AMI), heart failure (HF), community acquired pneumonia, chronic obstructive pulmonary disease (COPD), and stroke for which there is:

1.

Patient discharge information

2.

Follow-up phone call

3

RECOMMENDATION 1 COLLABORATIVE MODEL

Collaboratives will be recognized by:

 Formally writing a charter that includes a list of participating

• rganizations, shared expectations for best practices, and measures of

success.

 Demonstrating evidence of participation in recurring meetings.  Recognition by the Washington State Hospital Association (WSHA)

• r Qualis Health as an active member. WSHA or Qualis Health will

recognize collaboratives for a period of one year after which time the

• rganizations will reevaluate their roles.

Ideally, will work to follow the Institute for Healthcare Improvement’s collaborative model.

4

RECOMMENDATION II ENDORSEMENT OF STATEWIDE TOOLS AND TECHNIQUES

 Acknowledgement of community initiatives to

reduce potentially avoidable hospital readmissions and support for the continuation of this work.

 The Washington State Hospital Association: Care

Transitions Toolkit

 Qualis Health’s data reports and technical assistance  The Washington Health Alliance work to increase data

transparency

 Hospitals adopt the

Toolkit in its entirety.

 It is understood that some variation may be appropriate

based on clinically compelling reasons.

5

RECOMMENDATION III: MEASUREMENT MEDICAL DISCHARGE SUMMARY

 Medical discharge summary consistent with The

Joint Commission (preliminary acceptable if noted on document)

• r

another form

• f

documentation including:

 The reason for hospitalization  The care, treatment, and services provided  The patient’s condition and disposition at discharge  Provisions for follow-up care  Pending test results  Medications on discharge

6

RECOMMENDATION III: MEASUREMENT FOLLOW-UP PHONE CALL

 Documentation of a discharge phone call to patient or

caregiver within three days after discharge.

 If patient or care provider unavailable, documentation of

attempt as consistent with the hospital’s protocol (e.g., call three times)  Numerator: Number of inpatients with diagnosis of AMI, HF,

community acquired pneumonia, COPD, or stroke for which there is a documented follow-up phone call and discharge information provided to the primary care provider (PCP) or aftercare provider within three days of discharge.

 Denominator: Total number of inpatient discharges with

AMI, HF, community acquired pneumonia, COPD, or stroke.

7

WHERE ARE WE NOW COLLABORATIVE MODEL

Qualis Health

 Many communities developed charters over past years  New QIO contract starting August requires recruitment of

communities in year one representing at least 15% of State’s Medicare population

 Subset for racial/ethnic disparities  Aggressive timeline as part of QIO contract to recruit communities

representing increased % each year with 60% by year four

 Qualis has recruited three communities representing 29% of the state

with charters

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QUALIS HEALTH COMMUNITY MAP

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Readmissions Update Bree Collaborative

Carol Wagner, Senior Vice President Patient Safety

January 21,2015

27.0% reduction in rate. 11,700 fewer patients readmitted, saving $112 million.

7.5 UCL CL=10.3 L… 7.0 7.5 8.0 8.5 9.0 9.5 10.0 10.5 11.0 1Q 2010 2Q 2010 3Q 2010 4Q 2010 1Q 2011 2Q 2011 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 1Q 2013 2Q 2013 3Q 2013 4Q 2013

Washington State Hospital Association Readmissions per 1,000 Medicare Beneficiaries

Readmissions per 1,000 Eligible Medicare Beneficiaries UCL CL LCL

Strategies Creating Change

• WSHA Safe Table Collaboratives
• Best Practices
• National Experts
• WSHA Care Transitions Toolkit
• National Experts
• WSHA/Qualis Health Community Work
• Pay-for-performance
• Transparency

Total Number of Patient Harms Avoided

Patient Protection and Affordable Care Act - Penalties or Rewards

• In 2015, excessive 30-day

readmissions up to 3% of revenue by the CMS.

• The value-based purchasing

program rewards or penalizes hospitals up to 1.5% of Medicare revenue based on a suite of quality indicators.

• New – 2015 1% penalty on all

Medicare revenue if a hospital falls into the bottom quartile in performance on HACs.

Numerous Pay-for-Performance Exist

Numerous Pay-for-Performance Exist

Medicaid Quality Incentive

Discharge Information and Follow-up Phone Call

– Percent of inpatients with diagnosis of acute myocardial infarction (AMI), heart failure (HF), community acquired pneumonia, chronic obstructive pulmonary disease (COPD) and stroke for which there is: – The patient’s discharge information is provided to the primary care provider (PCP) or aftercare provider within three business days of discharge, and – A documented follow-up phone call after discharge within three business days.

Numerous Pay-for-Performance Exist

Numerous Pay-for-Performance Exist

30 Day All Cause Readmissions

Definition: Number of Readmissions per 1,000 Eligible Medicare Beneficiaries

7.5 UCL CL=10.3 L… 7.0 7.5 8.0 8.5 9.0 9.5 10.0 10.5 11.0 1Q 2010 2Q 2010 3Q 2010 4Q 2010 1Q 2011 2Q 2011 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 1Q 2013 2Q 2013 3Q 2013 4Q 2013

Washington State Hospital Association Readmissions per 1,000 Medicare Beneficiaries

Readmissions per 1,000 Eligible Medicare Beneficiaries UCL CL LCL

Leverage Points for Next Change Will be Different for the Next Improvement

Know your Options

Vision: Everyone in Washington State will receive care that honors personal values and goals at the end-of-life.

Successful strategies helping those will less ability to help themselves.

Working Together for a Healthier Washington

Presented by Dan Lessler, Chief Medical Officer, Health Care Authority January 21, 2015

Planning – State Innovation Models Pre-Test

• State Health Care Innovation Plan

Authority – Legislation Enacted

• E2SHB 2572 – Purchasing reform, greater

transparency, empowered communities

• 2SSB 6312 – Integrated whole-person care

Implementation – SIM Test

• $65 million four-year grant to make the

Innovation Plan a reality

Healthier Washington:

Better Health, Better Care, Lower Costs

Goal – A Healthier Washington:

“The Healthier Washington project builds the capacity to move health care purchasing from volume to value, improve the health of state residents, and deliver coordinated whole-person care.”

By 2019, a Healthier Washington will: Shift 80 percent of health care purchasing from paying for volume to paying for value. Have integrated physical and behavioral health services in Medicaid that serve the whole person. Will see engaged communities driving local health innovation and partnering with the state on health purchasing.

Healthier Washington:

Better Health, Better Care, Lower Costs

Systems Working Together for a Healthier Washington

Measurement Financing & Administration Information Technology Public Health Nutritious Food Transportation Employment Education Crisis Intervention Family Support Criminal Justice Consumer Engagement Practice Transformation Workforce Development Substance Abuse Physical Health Long-Term Care Mental Health Oral Health

Health & Recovery System Supports

Housing Built Environment Whole Person

Community

Strategies, Investments and Goals

Accountable Communities of Health (ACHs) will:

• Provide a multi-sector voice for delivery system reform, shared

health improvement goals and regional purchasing strategies.

• Serve as a forum for regional collaborative decision-making to

accelerate health system transformation, focusing on social determinants of health, clinical-community linkages, and whole person care.

• Accelerate physical and behavioral health care integration through

financing and delivery system adjustments, starting with Medicaid.

Community Empowerment and Accountability

SW WA Pierce King North Sound North Central Greater Columbia

Practice Transformation Support

Washington will develop a “Practice Transformation Support Hub” to help providers:

• Work collaboratively to achieve

better health, better care and lower cost

• Coordinate care
• Adapt to value-based payment

Practice Transformation also includes innovative consumer engagement initiatives, a flexible approach to workforce, and better linking of clinical and community resources.

• Model Test 1: Early Adopter of Medicaid Integration

Test how integrated Medicaid financing for physical and behavioral health accelerates delivery of whole-person care

• Model Test 2: Encounter-based to Value-based

Test a value-based alternative payment methodology in Medicaid for federally-qualified health centers and rural health clinics and pursue new flexibility in delivery and financial incentives for participating Critical Access Hospitals

• Model Test 3: Puget Sound PEB and Multi-Purchaser

Through existing PEB partners and volunteering purchasers, test new accountable network, benefit design and payment approaches

• Model Test 4: Greater Washington Multi-Payer

Test integrated finance and delivery through a multi-payer network with a capacity to coordinate, share risk and engage a sizeable population

Payment Redesign

Analytics, Interoperability and Measurement

• A consistent set of measures for

health performance

Common measures set completed January 2015 to inform purchasing strategy

• Enhance information exchange

capacity to support care delivery, clinical-community linkages and improved health

• Bolster analytic capacity at state

and community levels

Project Management

Lead agency

• Join the Healthier Washington Feedback

Network

– Sign up at: healthierwa@hca.wa.gov

NOTE: If you signed up for the State Health Care Innovation Plan Feedback Network, you are already signed up.

• Visit the website for:

– Information on ACHs and regional discussions – Performance measures – Purchasing activities – Implementation updates

www.hca.wa.gov/hw

Opportunities to Participate

For more information contact the Healthier Washington Team

Phone: 360-725-1643 Email: healthierwa@hca.wa.gov Internet: www.hca.wa.gov/hw

Thank you!

The Dr. Robert Bree Collaborative Meeting

Thank you, Steve Hill

Slide 2

Wednesday, March 18, 2015 12:30 - 4:30pm Seattle Central Library

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