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Transformation of the Health and Human Services System

Public hearing on December 2, 2015 discussing the opportunities to restructure the health and human services system in Texas to be more functional, efficient, effective, and responsive. Input and involvement from stakeholders are essential for its success.

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Transformation of the Health and Human Services System

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  1. Transformation of theHealth and Human Services System Public Hearing December 2, 2015

  2. HHS Transformation • Transformation of the health and human services system in Texas presents opportunities to restructure the system to be more: • Functional • Efficient • Effective • Responsive • Your input to and involvement in this transformation will be essential elements of its success

  3. Legislative Guidance on HHS Transformation • Reorganizes the HHS System, consolidating client services, regulatory functions, and residential facility operations at HHSC • Focuses DSHS on public health functions and DFPS on protective services functions • Creates a Transition Legislative Oversight Committee to provide guidance to the Executive Commissioner on the HHS system transformation • Requires the Executive Commissioner to develop and implement a transition plan and to assess the continuing need for DFPS and DSHS as standalone agencies • Creates a new HHS Executive Council to receive public input and advise the Executive Commissioner on agency operations

  4. Guiding Principles for Transformation Transformation activities will produce an accountable, restructured HHS system that: • Is easier to navigate for people seeking information, benefits, or services • Aligns with HHS’ mission, business and statutory responsibilities • Breaks down operational silos to create greater program integration • Creates clear lines of accountability within the organization • Develops clearly defined and objective performance metrics for all organizational areas

  5. Guiding Principles for Transformation Transformation will be conducted in a way that: • Results in seamless transition of services • Does not diminish the array of programs and administrative supports for those programs • Invites internal and external stakeholder input • Keeps leadership, staff, and stakeholders informed • Promotes innovation while retaining institutional knowledge • Focuses on measurable outcomes

  6. External Stakeholder Input • Stakeholder input will significantly inform all phases of the transformation process • Stakeholder input opportunities: • An online questionnaire is available on the HHS Transformation website: http://www.hhsc.state.tx.us/hhs-transformation/index.shtml • Eight regional stakeholder hearings scheduled from 1:30-3:30PM in: • Austin – December 2 • Abilene – December 8 • Amarillo – December 10 • El Paso – January 5 • Fort Worth – January 7 • Houston – January 11 • Tyler – January 13 • Harlingen – January 19

  7. HHS Staff Workgroups • Seven workgroups are focusing on the organizational structure for core functions of the health and human services system: • Eligibility and Enrollment • Direct Delivery & Contracted Services • Clinical Services & Quality Initiatives • Regulatory Services • State-operated Facilities • DSHS – Public Health • DFPS – Protective Services • Six workgroups are focusing on ways to improve administrative support services for those core functions.

  8. HHS Transformation Transition Plan • Phase one of this planning and implementation process focuses on the structure of the HHS system • Proposals produced by the workgroups and stakeholder input will inform the content of the HHS Transition Plan • The Transition Plan is to be submitted to the Transition Legislative Oversight Committee no later than March 1, 2016 • After the structural changes have been accomplished, the next phase of the process will focus on substantive review and restructuring of core programs and functions within the transformed organizational structure

  9. Focus Areas for This Stakeholder Meeting • What structural changes in the HHS system should be given highest priority? Why? • What suggestions do you have for improving communication and transparency in decision-making and agency operations? • What structural changes should be made to improve: • Access to services • Coordination of services • Quality of services • What structural changes should not be made? Why? • What are some risks and challenges that may result from structural changes?

  10. Questions and Contact Info • Transformation Website http://www.hhsc.state.tx.us/hhs-transformation/index.shtml • Chris Adams christopher.adams@hhsc.state.tx.us • Kelly Garcia kelly.garcia@hhsc.state.tx.us • Donna Jessee donna.jessee@hhsc.state.tx.us

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