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Monthly Meetings Round Up

September 2018

Governing Board -- September 10, 2018
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  • Motion to approve July meeting minutes, passed
  • Motion to approve monthly financial statement, passed
  • Executive Director's Update: 
    • Parkside - opening in October 2018
    • HCA is offering their Fall Learning Symposium for ACHs and Medicaid Transformation Project partners - all are invited to attend.
    • ACHs will be meeting with state legislators and with one another this month - updates to come at October meeting. 
  • Coalitions for Health Improvement (CHI) Update:
  • Whole Person Care Collaborative (WPCC) Updates:
    • New staff, Wendy Brzezny, has joined as Whole Person Care Collaborative Manager
    • Change plan update -- all 17 organizations passed their change plans. Currently undergoing a feedback and write-back process. Practice transformation coaches are currently working one-on-one with organizations to refine measures and staff are finalizing MOUs for Stage 2 funding
    • Motion to authorize additional funding (up to $40,000 plus travel expenses not-to-exceed $5,000) for coaching network to support WPCC providers over next 4 months, passed.
  • Pathways Community HUB Update:
    • HUB now has 2.4 FTE staff and is in process of developing MOUs with Care Coordination Systems (CCS) to develop HUB software platform
    • Motion to authorize disbursement of $242,000 (taken from 2019 allocated budget) to support HUB operations beginning October 1, 2018, passed.
  • Opioid Project Update:
    • NCACH's Opioid Workgroup has developed a budget allocation and activities plan for 2019, which will include another Rapid-Cycle Project Application, a series of continued education events, a school-based prevention program, naloxone distribution and training, as well as a reserve for funds eligible for community-identified Emerging Initiatives.
    • Motion to approve 2019 budget allocation and activities recommended by the Opioid Workgroup for $285,000, passed.
  • Transitional Care and Diversion Interventions (TCDI) Update:
    • Motion to approve the TCDI Hospital Intervention application evaluation process and scoring template, passed.
    • Care on Wheels proposal: The TCDI Workgroup makes the recommendation that Board approve $20,000 for Confluence Health to complete a feasibility study of the Care on Wheels model -- a mobile services program that brings providers directly to patients. 
      • Motion to approve $20,000 for Care on Wheels feasibility study, passed. (Confluence representatives, Rick Hourigan and Doug Wilson, abstained from voting.)
    • North Central Emergency Care Council update: the NCECC is developing a final report from the funding approved in June by the Governing Board to conduct a needs assessment of EMS providers in the area. Updates will be presented to the Governing Board in October or November. 
  • Other ACH Updates:
    • NCACH submitted its Semi-Annual Report to the Health Care Authority in July -- will share report when it becomes available. 
    • Tanya Gleason has been hired as the Capacity Development and Grant Manager. She will join NCACH on September 12, 2018.
    • NCACH has entered into a contract with King County Public Health District to access data from the All-Payer-Claims-Database (APCD). Current contract is up for up $4,500 through end of December 2018 and includes accessing a variety of data streams that will support current projects and workflows.
  • Next meeting: (Board met October 1, 2018) November 5, 2018

Whole Person Care Collaborative -- September 10, 2018
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  • Summarized results of change plans that were submitted by 17 member organizations at the end of July.
  • Shared major takeaways as well as next steps, which include signing of Stage 2 MOUs.
  • Also previewed how agencies will be asked to submit quarterly quantitative and qualitative reports through the portal.
  • Provided an overview of coaching that is being provided in the immediate future around measure specifications. Also discussed the role of coaches and our need for longer-term coaching by building a coaching network in our region.
  • Reviewed upcoming learning activity schedule, expectations around participation, and registration process.
  • Discussed leadership engagement and intention to shift some of the discussions at WPCC meetings to be more strategic.
  • Next meeting: (WPCC met October 1, 2018) November 5, 2018

Whole Person Care Collaborative Workgroup -- no September meeting
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  • September meeting cancelled due to broader WPCC Stakeholder meeting on September 10, 2018
  • Next meeting: October 11, 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 as it enters operation in Fall 2018. The Pathways Community HUB Workgroup is no longer meeting. 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.

  • September 14th-Pathways Community HUB presentation at NCW Care Coordinator Summit
  • September 21st-Action Health Partners Pathways Community HUB staff and Health Gen invited WSDOH program staff to present at the first monthly PCS meeting held in Moses Lake. A big thanks to the WSDOH staff for helping to educate the PCS on available programs for clients!!
  • Moses Lake Community Health Center and Rural Resources have signed MOU agreements to become Community Specialist Services Agencies in Grant County. Legal documents including CSSA agreements have been sent to current MOU partners as well as Grant Integrated Services for review and signatures.
  • CCS Platform for Pathways HUB reporting and data collection contract confirmed and configuration in process
  • Pathways Community HUB General and HIPAA P&P manuals complete.
  • The three Grant County area Pathways Community Specialists have been working on practicums and are completing week two onsite training this week.
  • HUB staff met with Samaritan Healthcare ED staff and finalized the referral processes for go live.
  • Pathways Community HUB informational learning tool is in the final stages of development and will be launched soon.
  • HUB has engaged in a contract with Blue Orange Compliance for HIPAA assessment and support.
  • Next meeting: October 19, 2018

Opioid Project -- no September meeting
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  • The September Opioid Workgroup meeting was cancelled due to scheduling conflicts.
  • NCACH staff attended State Agency and ACH/Tribal Opioid Lead Meeting in Burien on Sept. 14th with the intent of sharing information, surfacing potential synergies, and best processes for state/local/Tribal collaboration.
  • NCACH staff conducted a Narcan training with two PCAP (Parent/Child Assistance Program) case managers focusing specifically on chemically dependent pregnant women and mother with babies 12 months and under.
  • NCACH staff attended Okanogan County’s Recovery Event on September 22nd and provided Narcan training to those who were interested and Narcan kits to those who qualified.
  • The NCW Opioid Stakeholders Group has requested to be hosted by NCACH.  This group will continue to meet quarterly and coincide with the NCACH Regional Opioid Stakeholders Workgroup Meetings.
  • The next round of the Rapid Cycle Opioid Application will open the week of Oct 1st.  The application will be open for about one month with funding announced the beginning of December.  The funding period will be January – June 2019 
  • Next meeting: October 19, 2018

Transitional Care and Diversion Interventions -- no September meeting
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  • TCDI Hospital Application – Hospital applications were due Friday September 28th (Full list of applicants will be verbally provided at meeting). A technical assistance session was provided to applicants August 28th and partners have been able to ask application questions through the month of September. The application review process will begin October 1st with final scores provided to partners no later than November 2nd.
    • September 27th TCDI Meeting cancelled – Meeting was cancelled and updates provided to partners in lieu of meeting. No major workgroup decisions and updates were needed at this time to justify holding a meeting.
      • Transitional Care Management (TCM) – Developing a contract with Confluence Health to provide training and technical assistance for all hospitals that implement the TCM model. This includes the following:
        o Onsite training for TCM nurses at Confluence Health Call Center
        o Support for monthly learning webinars
        o Site visits to see progress of hospital partners.
  • Emergency Department Diversion (Emergency Department Information Exchange (EDie) Training/Integration) – NCACH Staff has been working with Collective Medical Technologies to outline the process of EDie integration into hospital partner’s EMRs and what a regional training schedule to better integrate EDie into clinical workflows would look like for organization’s staff..
  • North Central Emergency Care Council has been working with EMS partners to better define how they quantify patient volumes of their providers. This will help create a funding model for the EMS proposal. A full proposal is expected to be presented in October to the TCDI Workgroup
  • Next meeting: October 25, 2018

Coalitions for Health Improvement (CHIs)
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Monthly-Meetings-Round-Up: September 2018

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