Download - Region 15 Regional Healthcare Partnership 19 th Public Meeting

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Wednesday, January 22, 2014University Medical Center of El

PasoAnchor Hospital

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Roll Call

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Texas Regions: 320 providers reported on over: 1250 category 1 or 2 projects 1800 category 3 outcomes 150 category 4 hospital reports

93% of the metrics were approved

$1.088 billion will be paid for DSRIP $1.165 billion was reported (NMI returns) $1.688 billion could have been reported

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Due to CMS still not approving Category 3, HHSC is proposing a broader streamlined strategy that will help providers meet the expectation to report performance improvement in DY4-5.

Their strategy is to prepare for “Waiver 2” with DSRIP measurement approaches

DY4-5 –50% allocation for Pay for Performance P4P and 50% allocation for Pay for Reporting P4R

DY3 Pay for Reporting P4R Only

10% improvement measures will be adopted as standard

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HHSC posted excel document with the Category 3 Menu and PFP or PFR indicated on each item.

For DY3 reporting, Providers can only report on 50% of the metric in April. This will be

a qualitative status report on preparing for baseline and technical assistance needs.

In October, providers report on the other 50% by providing baseline data.

Hospital providers may re-select from a subset of PPA, PPC, PPR and the cat 3 choices don’t have to directly tie to main project

Non-hospital providers choose a subset of measures or collaborations to promote data sharing or reliability of measures

HHSC will hold a webinar to explain the category 3 measures.

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January 27th Phase 4 Results to ProvidersFebruary 3rd Providers submit responses to AnchorFebruary 24th HHSC completes Phase 4 review

January 31st HHSC send Anchor Annual Reports and Learning Collaborative Plans to CMS

February 7th NMI responses from October are approved or denied

February 12th HHSC provides 3 year project feedback Late February Providers respond to 3 year project feedbackMarch 14 HHSC submits 3 yr projects to CMS (eligible April reporting)Late April CMS responds to 3 yr projects

March 7th Providers return selected Category 3 measures to HHSC

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DSRIP Project Discussions

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Waiver Website & Email Address: http://www.hhsc.state.tx.us/1115-waiver.shtml TXHealthcare [email protected]

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