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Monthly Meetings Round Up

October 2018
 

Governing Board -- October 1, 2018
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Download October 2018 Meeting Materials

  • Motion to approve September meeting minutes, passed with one correction: Note that the motion to approve the 2019 Opioid Workgroup plan was passed.
  • Motion to approve monthly financial statement, passed
  • Budget deviation policy - developed by the NCACH Governing Board Executive Committee and staff: The NCACH Executive Director (ED) is authorized to deviate up to 10% or $50,000, whichever is less, from any spending decision or budget allocation made by the Governing Board without further action by the Board, provided that any additional funds are used for the same specific purpose as the original allocation. The ED must approve such deviations in writing, and they must be reported (like any other expenditure) in NCACH monthly financial statements. The ED would be accountable to demonstrate that any additional spending of this sort is subjected by the staff to the same degree of oversight and accountability as any other NCACH spending.
    • Motion to approve the budget deviation policy, passed.
  • Executive Director's Update: 
    • Introduced new staff member, Tanya Gleason, NCACH's Capacity Development and Grant Manager
    • Upcoming event - HCA Learning Symposium (Oct 24)
    • Governor Jay Inslee will be visiting area on October 12th to meet with behavioral health provider agencies; updates to follow.
  • Presentation on Supportive Housing and Supported Employment, Initiative 3 under the Medicaid Transformation (download presentation here)
  • Coalitions for Health Improvement (CHI) Update:
    • The three NCACH Governing Board members representing each Coalition shared an overview of the findings from the recently conducted CHI stakeholder survey.
  • NCACH Medicaid Transformation Project Workgroup Updates:
    • Scroll down to the NCACH Medicaid Transformation Project Workgroup meetings below to learn more
  • Other ACH Updates:
    • Community Partnership for Transition Solutions (CPTS) - In May 2018, NCACH and WorkSource partnered to bring stakeholders together to explore the CPTS model (currently 9 across Washington State, North Central will be the 10th), which is centered around transforming systems to support individuals transitioning out of incarceration, and back into their community.
      • First official North Central CPTS meeting happened in August; next meeting is October 4
      • To get involved, contact Christal Eshelman
    • Okanogan County Fully Integrated Managed Care (FIMC) Update: Okanogan County providers are continuing to meet monthly in preparation for FIMC in 2019 (the last two meetings are scheduled November 13 and December 11)
  • Next meeting: (Board met November 5) Next meeting, December 3, 2018


Whole Person Care Collaborative -- October 1, 2018
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  • Reviewed upcoming learning activities including Bi-Directional Integration LANs due to start that week. Also shared information about SUD Consent Management guidance that HCA has drafted and that BH providers may want to review and provide feedback on.
  • Provided an update on status of Stage 2 MOUs as well as change plan and measurement logistics in portal (including reporting expectations).
  • Updated the group on current coaching activities that are designed to support change plan implementation. Kathy Reims shared reflections from recent coaching activities that have been specific to measure specifications, while also helping teams think through their change plan ideas.
  • Roger Chaufournier led a leadership discussion specific to aligning change plan with internal priorities as well as external factors, including what we know about our collective performance on certain measures. Discussion focused on areas where we might strengthen alignment which ended up including asthma management and follow-up after ED/hospitalization for behavioral health issues (measures where we are not performing as well as a region.)
  • Ended with a roundtable, giving leaders at the table a chance to share their current reflections.
  • Next meeting: (WPCC met November 5) Next meeting, December 3, 2018

Whole Person Care Collaborative Workgroup -- October 11, 2018
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  • Reviewed learning activity schedule as well as role of coaching network and ways to promote peer sharing.
  • Brainstormed options for WPCC participants completing the Motivational Interviewing Train the Trainer track to offer trainings to broader NCACH community.
  • Solicited feedback on best way for NCACH to communicate with WPCC community (method, content, frequency) given fast-paced and evolving nature of communications.
  • Discussed pros and cons around measures being reported for entire patient panel versus Medicaid only. Generally agreed that panel level data minimizes reporting burden and more in line with improvement perspective, though acknowledged that will be harder to connect dots to data from HCA.
  • Reviewed draft summary of SDOH screening tools and reiterated that goal is not to prescribe one tool for all WPCC members, but rather to encourage alignment of core domains across different tools. NCACH will update summary to include a cross walk to HUB intake questions, and post to portal as a resource.
  • Discussed ways to synchronize efforts of partners being funded through various NCACH workgroups. Incorporating updates into broader WPCC meetings will promote better information sharing, but queuing up shared learning activities between different workgroup providers may be more effective for synchronizing the work.
  • Next meeting: December 13, 2018


Pathways HUB Advisory Board -- September 6, 2018
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The Pathways HUB Advisory Board, convened by Community Choice (dba Action Health Partners), meets bi-weekly. The group serves as an advisory body to support the HUB. You can keep up with all things HUB by visiting our Care Coordination page on the NCACH website, where we'll share updates and meeting documents.

  • Pathways Community HUB successfully launched on October 1, 2018. In the first 20 days of the program launch the HUB received 113 Active Referrals; 22 of those referrals were triaged to another community care coordination program; 9 referrals declined services; 79 remaining clients have been assigned to CSSA/PCS; and 3 clients are actively enrolled. Health Insurance, Medical Referral, Social Service Referral, and Tobacco Cessation are the current active pathways PCS are working on with the three enrolled clients.
  • A monthly dashboard report will be created for reports moving forward.
  • Pathways Community Specialists (PCS) and their supervisors participated in the SkillSource Partner Resource Van Tour on October 16th visiting numerous social service partners in the Moses Lake area. Pathways Community Specialists reported this tour to be very informative and they gained a lot of information about resources available for HUB clients.
  • Two of the PCS have also enrolled in the Washington State Department of Health Community Health Worker training as part of ongoing continuing education for their work.
  • Action Health Partners staff held a Pathways Community HUB Informational meeting in Moses Lake on October 19th. The meeting objectives were to understand the Pathways Community HUB project (>76% reported increased knowledge/understanding); identify intersections across care coordination programs; and identify next steps to collaboration. There were 39 participants representing 25 agencies in attendance. The group collectively identified three next steps and prioritized these based on impact and effort. These solutions include:
    • Schedule regular care coordination networking opportunities for all programs
    •  Being personable to clients and peers across programs/don’t assume client comprehension, and;
    • Increase communication via data base or other IT system
  • HUB Advisory Board met on October 18th. The group reviewed the initial metrics of the first two weeks of HUB services. Outreach and engagement challenges were discussed and a workgroup will form to assess the current target criteria and will work with staff on quality improvement processes to address the challenges.
  • MCO conversations continue and to date the team has had initial conversations with all three MCOs serving the NCACH region.
  • HUB staff is working with Care Coordination Systems CHW Trainers on scheduling/planning the 2019 PCStrainings. The goal is to have the HUB Clinical Director certified as a Pathways Community HUB Clinical Master Trainer no later than Q2 2019.
  • Next meeting: TBD - November


Opioid Project -- October 19, 2018
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  • The first round of the 2019 Rapid Cycle Opioid Application is due on November 2nd.  The application is available at: https://ncach.org/opioid-project/.  A total of $50,000 is available for organizations (up to $10,000 per organization) to implement opioid initiatives January-June 2019.
  • The Workgroup is forming a planning committee for the March 2019 Opioid Response Conference (which will use a distributed conference model).  If you would like to join the committee, contact Christal Eshelman (christal.eshelman@cdhd.wa.gov).
  • The Workgroup received two presentations in October by 2018 Rapid Cycle Opioid Application awardees – the Syringe Service Program in Grant County and the Regional Opioid Communications Plan. 
  • With Steve Clem's retirement at the end of this year the NCW Opioid Stakeholders Group (aka. Steve Clem’s group) has requested to be facilitated in conjunction with the Regional Opioid Stakeholders Workgroup.  Both sets of stakeholders will be invited to the Regional Opioid Stakeholders Workgroup meetings, starting in December.  Since both groups have experienced declining attendance this seems like a good opportunity to maintain attendance and reduce duplication of meetings.
  • Next meeting: November 16, 2018


Transitional Care and Diversion Interventions -- October 25, 2018
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  • NCACH staff have been working with the North Central Emergency Care Council (NCECC) Board to finalize the EMS proposal to present to the Transitional Care and Diversion Intervention Workgroup.  NCECC board members met on Thursday October 18th for final review.  The EMS proposal was approved at the TCDI workgroup on 10.25.18. Check out the 10.25.18 meeting documents for a full version of the proposal.
  • Seven regional hospitals have submitted applications, went through a review process and received final scores in October. Within the application, all seven hospitals will implement a regional transitional care model, and 6 hospitals
  • are participating in Emergency Department Diversion practices. A summary of Hospital projects will be posted on the TCDI workgroup page by Friday November 16th.  
  • The workgroup will be reviewing 2019 work plans and next steps during the November and December meetings.
  • Next meeting: November 15, 2018


Coalitions for Health Improvement (CHIs)
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  • Chelan Douglas CHI met October 10, 2018
  • Grant County CHI met October 19, 2018
    • Grant County CHI partnered with the Pathways Community HUB to host an informational meeting in Moses Lake on October 19th which provided an opportunity for Grant County service providers to become familiar with the HUB model. There were 39 participants representing 25 agencies were in attendance. The group collectively identified next steps and prioritized based on impact and effort.
    • Next meeting: TBD
  • Okanogan County CHI met October 30, 2018
    • Okanogan County CHI's October meeting topics included: forming a local Medication-Assisted-Treatment (MAT) Consortium of local primary care, behavioral health, and peer support providers; CHI membership; a recently hosted youth resilience conference; and a roundtable to identify agenda items for future CHI meetings. 
      • Next meeting: TBD
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Monthly-Meetings-Round-Up: October 2018

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