Ann Monroe, a friend from Buffalo, New York, will be joining us to present on her experiences with the health transformation taking place in New York. Ann works in a PPS, the equivalent of ACHs in New York, and will be sharing some of what she as well as other PPSs have learned during their Transformation Project, which is currently in Year 3. She will be giving a short presentation and there will be a large period of time dedicated to Q&A after. This will be a great opportunity to ask questions to someone that is a little further ahead in their health systems transformation experience and we hope it can be utilized to its fullest. We look forward to seeing you at the Spokane Regional Health District for our first Leadership Council of 2018! If you plan to attend, register here.
Thank you to everyone that was able to attend one of our Collaborative 101 learning sessions! If you didn't get a chance to make one of the learning sessions this week, there are still two dates left - one in Spokane County and one in Lincoln. View dates and details here. You can also view the slides for the presentation here as well as the Collaborative Work handout here and the background data for BHT Collaboratives here. It was great to start talking about Year 2 and beyond for BHT ACH's Medicaid Transformation Project (MTP) and we really appreciate all of the time that our partners and community members have taken to make it possible. A lot of great questions were asked at these learning sessions and in further efforts to keep consistent communication and understand each other's work, we thought it would be good to share a couple of questions and answers.
Q: Who gets to decide on the Collaborative participants?
A: We have set the structure of Collaborative to include participants from the following settings; primary care, behavior health & SUD, oral, pharmacy, social determinants of health, county, hospitals, and tribal. We have also complied a list of suggested partners, but it will be up to the Collaborative members to make the connections to bring the individual partners to the table from each setting.
Q: What’s the next step? What are the expectations for partner organizations moving forward?
A: The most immediate action we need is a signed commitment form. This is a soft commitment (the final date to withdraw is June 30), but there will be an incentive payment for this commitment form due on February 22. From that point forward, the Collaborative work really kicks in. BHT is here to support all Transformation efforts, but our stewardship will be to assist you and your county partners in determining the most important metrics and goals for your county, and in taking the initial steps to transition to VPB and integrated care.
Happy New Year from BHT! We are so excited for Year 2 of the Medicaid Transformation Project (MTP) and its kickoff with Collaborative work and the Collaborative 101 Learning Sessions. The Community Health Transformation Collaboratives will be comprised of Health System and Social Determinant partners serving as the activation network for Transformation Projects. Collaboratives will form in each of our counties, and will be responsible for developing an implementation plan to meet project requirement of MTPs.
During the month of January, the focus will be on developing members for these, bringing everybody up to speed on where MTP work will be taking us next and outlining Collaborative responsibilities. We hope to see you at one of the Collaborative 101 Learning Sessions! See dates and details below, and please RSVP to Chelsea@BetterHealthTogether.org if you plan to attend. We hope to see you there!
Adams County- Tuesday, January 9th, 10:00 am – 12:00 pm; Columbia Basin Health Association Othello Clinic, 1515 E. Columbia St, Othello WA 99344
Ferry County- Tuesday, January 9th, 10:00 am – 12:00 pm; First Presbyterian Church, 605 S. Keller St, Republic WA 99166
Lincoln County- Tuesday, January 16th, 2:00 pm – 4:00 pm; Lincoln County Courthouse – Commissioners’ Chambers, 450 Logan St, Davenport, WA 99122
Pend Oreille County- Thursday, January 11th, 8:00 am – 10:00 pm Camas Center for Community Wellness, 1821 LeClerc Rd N, Cusick, WA 99119
- Monday, January 8th, 1:30 pm -3:00 pm; Downtown Spokane Public Library, 906 W Main Ave, Spokane, WA 99201
- Wednesday, January 10th, 10:30 am – 12:00 pm; Location TBD
- Tuesday, January 16th, 11:30 – 1:30 pm (following the ACH Leadership Council at the Spokane Regional Health District), 1101 W College Ave, Spokane, WA 99201
To date, we've authorized $118,000 in payments to partners who completed our Health Systems and Care Coordination Inventories. These inventories have provided helpful data to shape project and Community Health Transformation Collaboratives recommendations and planning to inform implementation. We offered a performance payment for completion of the inventories. We are in the process of authorizing payments; the total anticipated payout is $181,000. We are excited to make another set of transformation Performance payments to the region.
The BHT team is delighted to welcome Charisse Pope as our new Director of Clinical Integration! We feel like we’ve scored the jackpot on recruiting her to our ACH efforts. Charisse will bring on the ground clinical experience as both a provider and an administrator, and her work with the RSN/BHO will be invaluable as we move to integrated care. She will hit the ground running, as BHT only knows one speed full speed ahead, on January 2nd. Here’s a bit of bio on Charisse, if you don’t already know her.
Charisse grew up in Eastern Wasington and has 20 years of non-profit and social service experience. She has a Masters in Counseling Psychology and started out in social services as a therapist working with adolescent girls. She then went on to earn a Masters in Business Administration to support the work of others as an administrator. Charisse continued in administration working for the Spokane County Regional Support Network overseeing a provider network, contracting, fiscal allocations, utilization, and working with other counties and regions as chair of County Human Services for several years. She then returned to her roots at Excelsior and served as Chief Business Officer. In her free time, she loves being at home with family, weekend outings, and playing with her sidekick dog. Welcome, Charisse!
The Provider Champions Council met on Tuesday night for the first time and it was a great success. The Provider Leadership Council represents a group of provider champions and practitioners from the region necessary to improve the community health of our region. We discussed the Medicaid Transformation timeline, the BHT Integration Framework and the 2018 Collaborative work. View the slides from the meeting here as well as the Provider Champions Council Charter here for more information on the council and its goals.
The Practice Transformation Support Hub hosted four webinars, Preparing for Integrated Billing: An Assessment for Behavioral Health Agencies, in December. 175 providers, stakeholders, governmental staff and others registered participated in the webinars and received the self-assessment and other planning tools provided prior to the webinar, which you can see below.
Practice Transformation is making a special request to all BHOs, ACHs and provider organization stakeholders to provide feedback on the tools so that they can modify and improve them for final statewide publication in early 2018. Completing the survey will take 5 minutes and is an opportunity to provide them with essential user feedback. You can also access a recording of the webinar here.
Also, they invite you to join them for the scheduled office hours to hear answers to commonly asked questions and to ask your specific questions related to the Integrated Billing tools.
You can also contact them via the Practice Transformation Help Desk at HubHelpDesk@qualishealth.org and by phone at (206) 288-2540 or (800) 949-7536 ext. 2540. It is important to prepare early for a successful transition to MCO billing processes, so take advantage of this current opportunity for resources!
Last Wednesday, Susie Dade, Deputy Director of the Washington Health Alliance, came to Spokane to present the 2017 Community Checkup, a comprehensive report on health care quality in our state. It includes results for dozens of measures of quality and patient experience, and results cover four million insured lives, both commercial and Medicaid, as well as 39 counties and all 9 ACHs. Excitingly, we got to explore and focus on results for the greater Spokane area and BHT region, and there was definitely no shortage of new information.
Something that we were unaware of is that Washington is actually one of only three states in the country that has earned an ‘A’ for healthcare reporting. Although this unfortunately does not correlate with the actual quality of health care in Washington state, this transparency helps us know what we are doing well and where we need to target improvements. As a state, we strive to be in the top 10 percent in the nation on the most important measures of quality, and this report helps to inform us on how to get there.
So, how do we get there? Some things discussed during the presentation were collaboration as well as aligning efforts, implementing effective strategies and aligning payment with outcomes. Transparency is also a foundational step on a long journey that involves various different publics and stakeholders. While transparency remains the foundational step for success, action is the critical one. In addition, fostering honest dialogue about the challenges ahead and what needs to change is essential to drive improvement.
At the end of the day, it is important to celebrate our successes, stay positive and look ahead. We are thankful for all of our partners and are extremely excited about where this work will be taking us together. It’s been a great Year 1 in our Medicaid Transformation and BHT is definitely looking ahead as we move into Year 2.
Read more about the Community Checkup as well as its 2017 report here.
Come be the first to review the results from the 2017 Community Checkup with Susie Dade, Deputy Director with the Washington Health Alliance, who will be in Spokane to present this comprehensive report on health care quality in our state. It includes results for dozens of measures of quality and patient experience, including the WA State Common Measure Set on Healthcare Quality. This presentation will focus especially on results for the greater Spokane area and BHT, so we encourage you to attend. All are welcome!
When: Wednesday, December 13, 2017, 10:30am - 12pm
Where: The Philanthropy Center (1020 W. Riverside Ave., Spokane, WA)
Thank you to everyone that attended or called Thursday with the Spokane County Regional Behavioral Health Organization to give your input on questions for the Request for Proposal, which the HCA will be using to select MCOs for our region! It will definitely be helpful as we move forward as a mid-adopter region for FIMC and make the transition into Medicaid payments being contracted via the MCOs. We are currently in Phase 2 on the HCA Mid-Adopter RFP & FIMC Implementation Timeline, which you can view the draft of here.
At the Washington State Senior Citizens’ Foundation’s 2017 Fall Conference, a panel was hosted to talk about Health Homes and provide a deeper understanding of the services that they provide as well as the results that the program has experienced.
A sizable number of citizens in Washington state are currently receiving Medicaid and/or Medicare. Health outcomes have not been great for these populations. Health Home is a person-center care coordination reaching statewide that helps either high risk individuals on Medicaid or dual eligible individuals figure out things such as the following:
- What is important to their health
- How to get connected to providers in the community
- What additional resources they need
- What their person-centered goals are
- What they need help with to be successful
This range of services provided through care coordinators help stabilize these individuals’ situations so they can achieve better health outcomes. For more information, watch the panel presentation here or read more about Health Home here.
At this week’s Spokane City Council meeting, the Council voted to 'ban the box' in Spokane. After hearing testimony from felons who had difficulty finding work and social justice groups after their release, it was decided that the policy would lift the initial barrier for those hoping to avoid relapses into crime. This decision will enforce fines for businesses asking about an applicant’s criminal history before an interview, either on an application or over the phone. Fines will not be enforced until 2019 to allow local businesses time for transition and the law does not prevent businesses from conducting background checks.
At BHT, we strongly support the removal of barriers that lead to better, whole person health and self improvement. Individuals transitioning out of jail are one of the most underserved populations and face extreme barriers to receiving whole person care—access to housing, employment, etc. These barriers are a major contributing factor to the City of Spokane’s high recidivism rates. 'Ban the box' is a positive step forward in helping to stabilize the population transitioning out of jail and equip them with better access to resources that will help meet their needs, ultimately, leading to healthier individuals and a healthier society.
Read more about City Council’s decision to 'ban the box' in The Spokesman-Review here.
The Health Care Authority (HCA) is preparing to release a final Request for Proposals (RFP) to secure Managed Care Organizations (MCOs) that will implement Integrated Managed Care in the remaining regions across the state of Washington. As part of this RFP, HCA will include the number of MCOs it intends to contract with, within each Regional Service Area (RSA).
Please provide any recommendations to this approach by December 1, 2017. Recommendations can be sent to Alice Lind via email at firstname.lastname@example.org. Read the full request here.
Moving into 2018, much of the detailed work of this transformation will shift to the Collaboratives in individual counties. With this in mind, we are again seeking your input as to what the role of the Leadership Council should be as we move into project implementation, as well as how often you would like to meet and your preferred means of communication. Please take the survey here.