Region 15 Regional Healthcare Partnership 14 th Public Meeting

1. Region 15Regional Healthcare Partnership14th Public Meeting Wednesday, July 24, 2013 University Medical Center of El Paso Anchor Hospital 1

2. Confirmation of Participants • Roll Call 2

3. Performance Logic DSRIP Tracking • Successful On-Site Implementation July 17th and 18th. • Number of Users that attended the training: 41 • UMC = 21 • Texas Tech = 3 • EHN = 6 • Sierra = 2 • Providence = 1 • Las Palmas Del Sol = 1 • Health Department = 1 • El Paso Childrens Hospital = 2 • Hospice El Paso = 2 • Salvation Army = 1 • VNA Nursing = 1

4. Performance Logic DSRIP Tracking Feedback on using the tool??? Contacts • Neel Shah, Owner • Jeffrey Phruksaraj, Director of Client Services • Office: 212.253.0545 x115 | Cell: 917.796.1980 jphruksaraj@performancelogic.com

5. Category 4 Reports • Category 4 Table: The RHP plan shall include the planned semi-annual reporting period: • 1 -- October 1 – March 31; or • 2 -- April 1 – September 30 for each domain or measure. • DY 2 incentive payments are for submission to HHSC of a status report that describes the system changes the hospital is putting in place to prepare to successfully report Category 4 measures in DYs 3-5 • Category 4 reporting shall begin in DY 3 for Domains 1, 2, 4, 5, and 6 (optional) • DY 4 for Domain 3 • And continue for all Domains through DY 5.

6. Category 4 Reporting Template - Draft

7. Draft DY2 Reporting Template • See Handout – Category 1, 2, 3 Project Info • Attachments Rules 1. Avoid using special characters in a file name. \ / : * ? “ < > |[ ] & $ 2. Use underscores instead of periods or spaces. 3. Include the date of submission to HHSC in the file name. Use the format: YYYYMMDD, where YYYY is the year, MM is the month between 01 and 12 and DD is the day of the month between 01 and 31. 4. If you wish to reference the applicable demonstration year in the title, use DY2. 5. Do NOT include version numbers such as “v03” or “v2.3” 6. Be consistent with regard to how files are named.

8. DY 2 Progress Reporting Template(from Instructions) • The completed template will serve as a basis for authorizing incentive payments to performing providers in an RHP for achievement of DSRIP milestones/metrics. • There is no payment for partial achievement of a Category 1 or 2 metric. • This template will capture progress attained in the second demonstration year. There will be two reporting periods within DY 2: • Reporting period 1 is achieved between October 1, 2012 and July 31, 2013, the reporting and request for payment is due August 31, 2013. • Reporting period 2 is achieved before September 30, 2013, the reporting and request for payment is due October 31, 2013.

9. DY 2 Progress Reporting Template • Once the performing provider has submitted their template: • HHSC and CMS will have 30 days to review and approve, or request additional information regarding the data reported for each milestone/metric measure. • If approved, the project would be paid in the August report period with estimated payment in November 2013. • If additional information is needed, the performing provider will have 15 days to respond. • HHSC and CMS shall then have an additional 15 days to review and approve or deny the request for payment, based on the data provided. • If approved, the project would be paid in the next reporting period of October 2013 with an estimated payment in January 2014.

10. Table 6 and 7 Project Approvals(all other projects) • Providers have revised most of the projects requested by HHSC to date • HHSC has begun sending projects to CMS for final approval for October reporting. • Once projects are sent to CMS, the anchor receives an email and the time begins for CMS review. • CMS has 15 days to respond.

11. DY2 and DY3 DSRIP Reporting / IGT Region 15 • DY2 DSRIP – 1st -- Reporting – August 31, 2013 • IGT Submission – October 21, 2013 • Payment – November 12, 2013 • DY2 DSRIP – 2nd -- Reporting – October 31, 2013 • IGT Submission – January 3, 2014 • Payment – January 24, 2014 _________________________________________________________ • DY3 DSRIP – 1st -- Reporting –- April 30, 2014 • IGT Submission – July 9, 2014 • Payment – July 31, 2014 • DY3 DSRIP – 2nd -- Reporting – October 31, 2014 • IGT Submission – December 30, 2014 • Payment – January 20, 2015

12. DY2 and DY3 UC Region 15 • DY2 UC • IGT - July, 2013 • Payment – August, 2013 • IGT - November, 2013 • Payment – December, 2013 ____________________________________________________ • DY3 UC • IGT – March, 2014 • Payment – April, 2013 • IGT – May, 2014 • Payment – June, 2013 • IGT – August, 2014 • Payment – September, 2013

13. Learning CollaborativeTexas Tech DSRIP Projects in Region 15 Project Presentations: Share updates, successes and challenges Establishing a Child Psychiatry Fellowship Program Dr. Cecilia DeVargas

14. Region 15 Comprehensive Learning Collaborative • Feedback from CMS Learning Collaborative Webinar • Identify a topic / disease to effect change in over time • This will take 6-12-18months to accomplish • One that is a known problem or wide-spread prevalence in Region 15 • One of Region 15’s Community Needs • Begin collaborating with the RHP and learning about experiences with addressing the condition • Challenges, Successes, Failures, Innovative Ideas, Unique Solutions

15. Region 15 Comprehensive Learning CollaborativeDiabetes • Kickoff • RHP Meeting 7/24/13 • Diabetes Symposium – El Paso Diabetes Association, UMC, Texas Tech, UTEP… • Moses Priego, Diabetes Educator • Focused Discussion on Region 15 Diabetes Projects – Include Category 3 Diabetes Outcomes • Form Committees • Identify Lead

16. Roundtable 16

17. Contact Information • Waiver Website & Email Address: • http://www.hhsc.state.tx.us/1115-waiver.shtml • TXHealthcareTransformation@hhsc.state.tx.us • UMC Website: • http://www.umcelpaso.org • Region 15 - RHP • Paso del Norte Blue Ribbon Committee Needs Assessment: • http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf 17