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Monthly Meetings Round Up

June 2018

Governing Board -- July 9, 2018
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  • Board moved to accept minutes from June, approved.
  • Board moved to accept updated financial statement, approved.
  • Board moved to accept the following nominations and updates to the Governing Board and Executive Committee, approved:
    • Rosalinda Kibby to fill Public Hospital Seat 1 (replacing Theresa Sullivan), approved.
    • Kyle Kellum to fill Grant County CHI Seat (replacing Rosalinda Kibby), approved.
  • CHI Updates: The 3 Coalitions for Health Improvement are currently conducting a community feedback survey to learn more about opportunities and barriers to health across the region. Take survey here.
  • Board reviewed the motion to approve a contract with Providence Center for Outcomes Research and Education (CORE) for up to $103,383 through June 2018 to support continued technical assistance and consultation around data needs, and to expand the scope of data analytic support: After review, the Board decided to defer the motion for further discussion at the next Governing Board Retreat.
  • Board motion to approve a contract with the Center for Community Health and Evaluation (CCHE) for up to $7,000 to develop and support an evaluation plan for NCACH's Transformation projects: approved.
  • Board motion to approve the Whole Person Care Collaborative (WPCC) Change Plan evaluation and Stage 2 Funding models for WPCC Learning Community members: approved with amendments.
  • Board motion to approve NCACH entering a contract with the University of Washington AIMS Center for consulting services in the amount of $48,000: approved.
  • Transitional Care and Diversion Interventions (TCDI) Workgroup update: The TCDI Workgroup has developed an application for partnering providers to select approaches and receive funding to implement transitional care management and Emergency Department (ED) Diversions strategies. The TCDI Workgroup will be finalizing partner applications and a funding model to bring as a motion to the Board in August 2018.
    • North Central Emergency Care Council (NCECC) provided an update on the Phase 1 of the Community Paramedicine plan approved by the Board in May 2018. In partnership with the Transitional Care and Diversion Interventions Workgroup, NCECC is proposing to partner with the NCACH to perform a state assessment and incorporate tactics to reduce EMS transport to the ER and reduce readmission rates for chronic disease and high-risk patients through a community paramedicine model that will also standardize how data is collected and shared across EMS providers in the North Central region.
  • Board motion to amend the funding period for the Pathways Community HUB design period from June - December 2018 to June - September 2018: approved.
  • Next meeting: August 6, 2018

Whole Person Care Collaborative -- July 9, 2018
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  • WPCC approved minutes from June's meeting
  • Discussion: Site visit recaps
    • NCACH staff completed 17 one-on-one site visits with WPCC Learning Community members to discuss change plans and check in about the LAN process over the month of June
  • WPCC Workgroup updates: WPCC Workgroup met on July 2, 2018
    • WPCC was asked to give feedback on the Change Plan evaluation criteria and Stage 2 Funding framework developed by the Workgroup
  • Future LAN Offerings: The WPCC reviewed future LAN offerings for WPCC Learning Community members, which include 2 upcoming workshops hosted in Wenatchee
  • Next meeting: August 6, 2018

Whole Person Care Collaborative Workgroup -- July 2, 2018
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  • Bulk of the meeting was spent reviewing proposed change plan evaluation criteria and stage 2 funding framework.
  • Input from the Workgroup shaped revisions in time for recommendations that were endorsed at the July 9th WPCC and Governing Board meetings.
  • Next meeting: August 9, 2018

Pathways Community HUB -- June 27, 2018
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  • Community Choice was selected to serve as the Pathways Community HUB on June 4, 2018
    • The Pathways HUB Technical Workgroup met for an intensive two-day meeting on June 13 - 14, 2018
    • Pathways HUB is projected to start serving clients in Fall 2018, starting in Moses Lake
      • Target population: anyone on Medicaid (or Medicaid eligible) who has been to the ER at least three or more times in the past year, residing in the 98837 zip code (Moses Lake)
    • Workgroup reviewed the outcomes of the two-day meeting, including:
      • Pathways HUB Implementation tasks and timeline
      • Care Coordination Agencies (CCAs) and the care coordination referral network
      • Pathways Community HUB technology platform
      • Pathways Community HUB Scale and sustain plan
    • Workgroup reviewed future planning structure for the Pathways Community HUB as it approaches implementation. The larger Pathways Community HUB Workgroup has been sun setted with June 27th being the last meeting of this group. The Technical Subgroup will convert into the Pathways Community HUB Advisory Board, which is a requirement of certification. The Advisory Board will meet every other Thursday with the first meeting being held on June 28th.
  • Next meeting: This group will no longer be meeting as of June 27

Opioid Project -- June meeting cancelled.
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  • Next meeting: July 20, 2018, Moses Lake

Transitional Care and Diversion Interventions -- June 28, 2018
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  • The TCDI Workgroup reviewed primary focus areas:
    • Transitional Care Management: Group reviewed approach and draft budget for project, as well as a toolkit that they are developing for the region to utilize
    • Emergency Department Diversion: Group is selecting initial approaches and drafting both a budget and application for engagement
    • As both groups are developing an application for interested partners to apply for funding, they decided to combine the applications into one. There will be a subgroup meeting in July that will continue to develop and fine-tune the applications.
  • Small Group Updates:
    • Law Enforcement Diversion Group-- continues to meet to come up with a system to transport eligible clients to the new Parkside facility once it opens. A 'roadmap' (decision flow chart) has been established and will  be distributed to all Police Departments in the area once finalized. This will help ensure that local patients are being given priority at Parkside
    • Emergency Services and Community Paramedicine -- NCACH signed recently signed an MOU with AeroMethow to develop a process to divert people from the Emergency Department. A more in depth update will be provided at the NCACH Governing Board Meeting on July 9
  • Christal Eshelman, NCACH, provided an update on the Pathways Community HUB which has several overlapping goals with the TCDI Workgroup and its partnering providers.
  • Next meeting: July meeting cancelled; resume in August 

Coalitions for Health Improvement (CHIs)
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  • Chelan Douglas CHI met June 13, 2018
    • Members heard from Oliver Crain, with the City of Wenatchee on the Homeless Task Force's plans for a  low-barrier shelter. Members then continued to identify strategies that the CHI can take to complement NCACH initiatives and performance metrics through prevention strategies.
    • Next meeting: July 11, 2018
  • Grant County CHI met June 12, 2018
    • Members identified county-level priorities through facilitated discussions, and decided that the Grant County CHI would like to focus on working with communities affected by substance use disorder. Grant County CHI Board Seat, Rosalinda Kibby, assumed the Public Hospital District Governing Board Seat and Kyle Kellum, Samaritan Healthcare, was nominated to serve on the NCACH Governing Board as the Grant County CHI Board Seat.
    • Next meeting: August 2018
  • Okanogan County CHI met June 26, 2018
    • Members heard from Okanogan County-based Rapid-Cycle Opioid Project Award recipients (Family Health Centers and Washington-211) and identified ways for the CHI to directly support local initiatives. Washington-211 also gave a presentation to the CHI highlighting the services provided and available for the community. 
      • Next meeting: August 2018
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Monthly-Meetings-Round-Up: June 2018

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North Central Accountable Community of Health · 200 Valley Mall Parkway · East Wenatchee, Wa 98802 · USA

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