Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.
-
Upload
alexandrina-wilcox -
Category
Documents
-
view
213 -
download
0
Transcript of Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.
![Page 1: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/1.jpg)
AccountableCommunities
ofHealth
April 29th, 2015Kittitas Board of Health
![Page 2: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/2.jpg)
Change is coming – Why?
2
![Page 3: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/3.jpg)
SB 6312- Treating the Whole Person– Integration of purchasing by 2020– Creates behavioral health
organizations –Medicaid purchasing regionalized
(2016)– Early adopter and outcome-based
incentives
Legislation
3
![Page 4: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/4.jpg)
HB 2572- Better Health Care Purchasing– Establishes first ACH– Establishes statewide performance
measures committee– Creates practice transformation hub– All payer claims database– Directs HCA to increase VBP
contracting
Legislation Cont.
4
![Page 5: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/5.jpg)
ACH Purpose
![Page 6: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/6.jpg)
![Page 7: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/7.jpg)
7
Community Empowerment & Accountability
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.
![Page 8: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/8.jpg)
A Forum for regional collaborative decision making
![Page 9: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/9.jpg)
Regionalization
9
![Page 10: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/10.jpg)
10 regions received up to $50,000 each from Washington
10 Awards for Communities of Health Planning
State Health Care Innovation State Health Care Innovation PlanPlan
![Page 11: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/11.jpg)
RSA – Regional Service Areas*
11
*Service area for Medicaid purchasing for physical and behavioral health care. Serve as a foundation for aligning state agencies’ along a “Health in all Policies” approach.
![Page 12: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/12.jpg)
ACH
![Page 13: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/13.jpg)
Funding
![Page 14: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/14.jpg)
• The state has requested $92 million from CMS to be spent between CY 2015-2018. It estimates that implementation of the plan will save $1.05 B over the next 4 years.
• Actual Money Received =$64.9 million
State – SIM Grant Money
![Page 15: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/15.jpg)
• 2014 = $36k was awarded to the Benton-Franklin Community Health Alliance for the 6 County COH
• 2015 = $135k Greater Columbia ACH– $100k HCA, $10k Amerigroup (facilitator) +
$25k GCBH RSN (in-kind)
• 2015 = PMH Medical Center - $100k HRSA
Regional - ACH Planning Grants
![Page 16: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/16.jpg)
Next Steps
16
![Page 17: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/17.jpg)
Where We’re Going
Q3 2014
Q4 2014 2015 2016 2017
Two Pilot ACHs
2018
You are here!
Progression through the “ACH Continuum”
Fully developed ACHs by the end of 2018!
COH Planning Grants
Design Communities
![Page 18: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/18.jpg)
![Page 19: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/19.jpg)
Greater Columbia ACH TimelineMilestones 2015 Jan Feb Mar April May June July Aug Sept Oct Nov Dec
Monthly meetings of Leadership Council
Formalize stakeholder participation in Greater Columbia COH
Meetings of Governing Board?
Finalize Governance Structure Adopted 16 Member GB 2/19
1 more fm Healthcare Provider?
BehavHealth/FQCH new Sector; Food Systems w/CBO/FBOs
Develop/Finalize Vision/Mission Statement
Adopted 3/19
Sectors Finalize Governing Board & Criteria; Role of GB & Leadership Council
Public Health: Martha Lanman
Hsg: R. Hauff Educat: L. Stahlnecker Philan: C. Greenwood Hosp: L SavitchosHoHH
Retreat with LC & GB?
Develop Communications Framework
Working Groups begin developing Regional Health Improvement Plan (RHIP) and Community Outreach Plan
Working Groups present RHIP/COP to Leadership Council & Governing Board for approval
?
Working Committees finalize RHIP
?
Determine Performance Measures, sustainability plan
![Page 20: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/20.jpg)
•Determine Governance Structure
•Determine Funding/Sustainability
•Determine Needs
•Determine Projects
Current Plans for Greater Columbia ACH
![Page 21: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/21.jpg)
Questions?
21
![Page 22: Accountable Communities of Health April 29 th, 2015 Kittitas Board of Health.](https://reader035.fdocuments.us/reader035/viewer/2022070415/56649eef5503460f94bffc03/html5/thumbnails/22.jpg)
Thank you