Washington Health System Transformation

1. Washington Health System Transformation Community of Health Grantee “Kick Off Webinar” July 10, 2014

2. State Health Care Innovation Plan Webinar Objectives • Officially “Kick-off” the Community of Health (COH) Planning Grant • Provide an update on the current status and anticipated next steps • Establish a forum and points of contact for ongoing collaboration • Allow for questions and answers

3. State Health Care Innovation Plan Webinar Agenda

4. State Health Care Innovation Plan Brief Overview of SHCIP & SIM Round 2 Dorothy Teeter Director Washington State Health Care Authority

5. State Health Care Innovation Plan Three Core Strategies • Buildhealthy communities and people through prevention and early mitigation of disease throughout the life course • Drivevalue-based purchasing across the community, starting with the State as “first mover” • Improve chronic illness carethrough better integration of care and social supports, particularly for individuals with physical and behavioral health co-morbidities(more than 1 illness) Supported by HB 2572 and SB 6312

6. State Health Care Innovation Plan Seven Building Blocks • Quality and price transparency • Person and familyengagement • Regionalize transformation • Accountable Communities of Health (ACHs) • Leverage and align state data • Practice transformation support • Workforce capacityand flexibility

7. State Health Care Innovation Plan SIM Round 2 Application Update The grant application is due July 21, 2014. Here’s an update: • Our public comment period just closed yesterday • Our stakeholdering process has been expansive and we want to continue that with Letters of Support • We anticipate our award announcement on October 31 • We are continuing to move forward to achieve our aims

8. State Health Care Innovation Plan Overview of the Accountable Community of Health (ACH) Initiative John Wiesman Secretary Washington State Department of Health

9. State Health Care Innovation Plan Accountable Communities of Health(ACH) • Regionally based, voluntary collaborativesto align actions to achieve healthy communities and populations, improve health care quality and lower costs. • Based on the premise that no single sector or organization in a community can create transformative, lasting change in health and health care alone. • Clinical, community, and government • entities must coordinate their efforts and • actions around clearly defined • goals that support whole-person • health. • Shift from traditional State- • community engagement • approaches to those of partnership • to achieve mutual aims.

10. State Health Care Innovation Plan Accountable Communities of Health (ACHs) • Collectively impact healththrough regionally driven priorities and solutions • Develop and work in partnership with the state on health systems transformation • Maintain a local identity while aligning with State efforts • Develop a region-wide health assessment and regional health improvement plan, including Medicaid purchasing alignment • Driver of accountabilityfor results • Forum for harmonizingpayment models, performance measures and investments • Healthcoordinationandworkforcedevelopment

11. State Health Care Innovation Plan The COH Planning Grant, Deliverables and Current Landscape Laura Zaichkin AdministratorHCA Office of Health Innovation & Reform

12. State Health Care Innovation Plan Intent of the COH Planning Grant • Create anopportunity for collaborationas the State partners with communities • Informthe development of ACHs • Align, amplify and evolve existing priorities and efforts • Recognize and support communities at different levels in health system development and transformation

13. State Health Care Innovation Plan Intent of the COH Planning Grant

14. State Health Care Innovation Plan COH Planning Grant Milestones Sept 1project narrative & financial progress report templates provided Dec 15final financial report template provided by HCA Oct 15project narrative & financial progress reports due Dec 31performance period / COH plans completed Jan 31final financial report due July 2014 Jan. 2015 Fall ACH certification criteria / process established July 21SIM Round 2 Application Due Sept 1Joint Behavioral Health System Task Force recommend-ations Oct 1HCA and DSHS decide common Regional Purchasing Areas (RSAs) Oct 31SIM Grant Award Announced (estimate) Jan 1SIM Grant performance period begins January two ACHs selected Key: Brown - Specific to COH Planning Grant Green - SIM Round 2, Innovation Plan and “Other”

15. State Health Care Innovation Plan Washington’s Communities of Health (COHs)

16. State Health Care Innovation Plan COH Planning Grantee Landscape

17. State Health Care Innovation Plan COH Planning Grantee Landscape Urban Region Significant Focus on Rural Health Needs

18. State Health Care Innovation Plan COH Planning Grantee Landscape Preliminary Health Concerns (based on an initial review of COH grant applications) • Chronic Disease (e.g., Diabetes, Heart Disease and Obesity) • Access to Healthcare • Mental Health/Chemical Dependency Care • Maintaining Sufficient Providers • Poverty • High Dependency on Public Insurance • Underserved Sub-populations • Rural Health • Aging Population • Payment Reform

19. State Health Care Innovation Plan COH Planning Grantee Landscape A Selection of Current Promising Practices (based on COH grant application reviews): • Rural Primary and Behavioral Health Integration Project – integration of primary and behavioral health services for high utilizing patients (BHT) • Prostate Cancer Screenings and Prostate Wellness Campaigns– public health campaign regarding prostate health tailored for use in Native American communities (SPIPA) • Advanced Care Planning – Initiatives to improve the end-of-life experience (North Sound ACH) • Emergency Department Consistent Care Program – decreased ED usage by more than 40%) (CHOICE) • Community Transformation Grant Partnership – decreased youth obesity in several king county school districts by 17% (King) • Mobile Health Clinic – provides primary and behavioral Health via mobile van (Pierce)

20. State Health Care Innovation Plan What’s Next? State and COH Grantee Relationship Chase NapierACHProgram ManagerHCA Office of Health Innovation & Reform

21. State Health Care Innovation Plan State and COH Grantee Relationship

22. State Health Care Innovation Plan Next Steps Bolster coordination activity throughdedicated support, including the following: • Develop a statewide coordination plan • Create opportunities for regional and/or affinity based convenings and site visits • Develop a communications plan

23. State Health Care Innovation Plan Next Steps In Development: • COH project site • Reoccurring Webinars and one-on-one check-ins • Accessible “living” Q&A for the grant • Regular updates regarding deliverables and deadlines

24. State Health Care Innovation Plan Q&A

25. State Health Care Innovation Plan Q&A and Discussion FAQs: • What’s the status of the ACH designation criteria? • What are the roles of State partners and Strategies 360? • Other questions? Please share your thoughts: • What are your COH’s next steps? Any thoughts or ideas to share? • What is your local communication model and how can we communicate most effectively? • What would be your number one ask of the State for the next couple of weeks?

26. State Health Care Innovation Plan Contact Us Stay informed via the Innovation Plan website: http://www.hca.wa.gov/shcip Share your thoughts and ask questions by emailing the ACH Program Manager: Chase Napierchase.napier@hca.wa.gov (360) 725-0868