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Monthly Meetings Round Up

May 2018

Governing Board -- June 4, 2018
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  • Board moved to accept minutes from May, 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:
    • David Olson, Columbia Valley Community Health, to fill the Federally Qualified Health Center (FQHC) seat left vacant by Sheila Chilson.
    • Brooklyn Holton was nominated to be the Treasurer of the Governing Board's Executive Committee
    • Blake Edwards was nominated to be the Secretary of the Governing Board's Executive Committee
  • Motion to approve the Medicaid Transformation Projects Budget projections (approved as a framework, not as a binding document, with Board approval required annually), passed.
  • Motion to approve the process for, and guiding document, "Emerging Initiative Recommendations," or the process to work with or accept new projects that are not currently a part of NCACH selected Evidence-Based approaches. Passed.
  • Motion to approve decision flow for funding design and allocation process map, passed.
    • The process map (developed by NCACH staff at the recommendation of the Governing Board) will help stakeholders, Workgroup members, Board, and staff understand the process that NCACH goes through to make programmatic and funding decisions as it relates to NCACH projects.
  • Motion to approve technical assistance funding for Behavioral Health providers who have undergone (or will be undergoing) Fully Integrated Managed Care (FIMC), as required by the Health Care Authority, passed. 
  • Motion to disperse and approve award allocations to Rapid-Cycle Opioid Project applicants, passed.
  • Motion to appoint Community Choice to serve as the lead agency for Pathways Community HUB for NCACH, passed. 
  • Motion to approve Pathways Community HUB Technical Subgroup Charter, passed with amendments.
    • Charter to be updated to include "with MCO representation as needed."
  • Motion to approve new position, Capacity Development and Grant Specialist, and authorize funding (up to $7,500) for a consultant to assess current state asset mapping resources and develop recommendations for NCACH, passed.
    • Position to be posted soon
  • Next meeting: July 9, 2018

Whole Person Care Collaborative -- June 4, 2018
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  • WPCC approved minutes from May's meeting
  • Discussion: Recent WPCC activities, WPCC Workgroup, and Learning Community report-out
    • The WPCC Workgroup moved to remove measures from the change plan template that are no longer required by the HCA for reporting requirements. 
    • The WPCC Workgroup also reviewed Stage 2 Funding recommendations for members of the WPCC Learning Community. No further recommendations at this time; the group would like to focus on the change plan evaluation process and its impact on funding distribution during the June WPCC Workgroup meeting.
    • WPCC Learning Community Update: Nearly 72% of portal invitations have been accepted out of 110 providers. The Learning Community has had four Change Plan Learning-and-Action-Network (LAN) webinars to date. 
    • Group reviewed proposedLAN offerings and schedule into 2019. NCACH staff will be working to obtain formal commitments from the WPCC Learning Community to start engaging faculty for future LAN sessions.
  • Next meeting: July 9, 2018

Whole Person Care Collaborative Workgroup -- May 10, 2018
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  • Discussion: Reviewed main recommendations that came from April's Workgroup meeting
    • MeHAF assessment & PRAPARE Social Determinants of Health (SDOH) assessment tools: Workgroup wants to use tools to help create consistent approaches to BH & SDOH across the region. Workgroup recommends that semi-annual assessments should not be a part of the required reporting elements.
      • Workgroup recommends that semi-annual MeHAF assessments should not be a part of the required reporting elements
      • Workgroup will review a core minimum of SDOH screening questions for providers to incorporate into their existing or planned screening tools.
  • Discussion: Workgroup reviewed Learning and Action Network (LAN) progress and change plans that are being completed by members of the WPCC Learning Community.
    • HCA recently changed its measure requirements, which affects the change plan templates that the WPCC Learning Community is currently working on. NCACH staff and CSI (consultants who are assisting with change plan template and WPCC Learning Community Portal) will work together to remove measures from the change plan template that are no longer required by the HCA and are hard to quantify/measure
    • Group will continue discussions on method for evaluating and measuring change plans once they are submitted on July 31, 2018
  • Discussion: Review Updates to Stage 2 Funding for WPCC Learning Community partnering providers and Domain 1 assessment questions
    • Group will revisit at the next WPCC Workgroup meeting
  • Discussion: Feedback on future LAN offerings
    • Workgroup members identified additional topics of interest. NCACH staff will create and circulate revised schedule for Workgroup to review
  • Next meeting: June 14, 2018

Pathways Community HUB -- May 23, 2018
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  • Pathways HUB Request for Proposals (RFP) closed on April 27, 2018. A review committee has been established to score the application and make final selections. 
    • A Pathways HUB Technical Subgroup has also been established to assist the Pathways HUB lead agency and define the target population to be served by the HUB
  • Presentation: Case Studies by Dr. Sarah Redding
    • Pathways to a Better Health of Muskegon Michigan, a case study focusing on inmates released from jail with health conditions. The HUB program focused on reducing recidivism. 
    • NE Oregon Network, case study of a HUB that originally started with three counties, now expanded to five counties serving a rural area. The HUB provides Community Health Worker training as a part of its model, as Community Health Workers can find clients who may be benefitted by the Pathways HUB program.
  • Discussion: Data, target population refinement, and group check-in
    • Group is continuing to refine target population based on need, available data, and program efficacy. Will continue to refine target population and explore data, particularly around vulnerable community members with Behavioral Health conditions
  • Next meeting: June 27, 2018

Opioid Project -- May 25, 2018
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  • The Regional Opioid Stakeholders Workgroup reviewed the Rapid-Cycle Funding Applications submitted on May 11th.
    • The funding requests totaled $104,974. Based on a recommendation from the NCACH Governing Board's Executive Committee, the Workgroup worked to reduce each applicants' award amount on a sliding scale between 2%-9% to meet the approved $100,000 funding pool for the Rapid-Cycle projects.
    • The Workgroup will present a motion to the Governing Board to approve and disperse funding for selected applicants.
  • Next meeting: June 15, 2018

Transitional Care and Diversion Interventions -- May 24, 2018
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  • The TCDI Workgroup reviewed primary focus areas:
    • Emergency Medical Service Protocols - Focused on how EMS providers can divert patients to more appropriate settings of care and assist in the transition of patients that are discharged out of acute care settings. 
    • Emergency Department Diversion - Group has been reviewing the following initiatives: providing follow-up appointments and education for those inappropriately using the ED, as well as providing Naloxone prescriptions in the ED
    • Transitional Care Model - providing follow-up phone calls for patients discharged from in-hospital settings
    • ER for Emergencies - Group discussed what the target population should be to keep non-acute patients from visiting (or revisiting) the ED with non-acute (non-emergency) conditions through follow-up appointments, education, and case management strategies.
  • Small Group Updates:
    • Transitional Care Model Group -- recently went on site visits to Confluence to tour their Transitional Care Management Department
      • Group decided to adopt model across the TCDI Workgroup as a best practice and starting point to best assist those exiting acute and in-hospital care settings
    • Emergency Department Diversion -- Still developing strategies but see a lot of potential for the Emergency Department, Community-based Organizations, Primary Care Providers, and Managed Care Organizations develop a consistent message to patients on where to appropriately seek care for their medical issues. 
    • Community paramedicine -- The NCACH Governing Board approved the Phase 1 EMS Plan proposed at the May meeting. The North Central Emergency Care Council and Aero Methow Search and Rescue are working to complete Phase 1 planning work
    • Law enforcement -- -- Law enforcement wants to utilize an Integrated Systems Data Analyst to enhance the collection of information, from initial phone call to the final resolution of visit. Will be continuing to work with providers to identify strategies, including developing a transportation plan for Parkside clients
  • The Workgroup reviewed HCA deliverable timeline, due from NCACH to the Health Care Authority. NCACH will be submitting a Semi-Annual Report to the HCA on June 30th and a Project Implementation Plan on September 30th.
  • Next meeting: June 28, 2018

Coalitions for Health Improvement (CHIs)
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  • Chelan Douglas CHI met May 13, 2018
    • Members reviewed NCACH Project Metrics and CHI Goals to develop prevention strategies and action plans to supplement NCACH Workgroup Project initiatives. June's meeting will focus on further developing action plans, as well as submitting feedback to the City of Wenatchee's Homeless Task Force as they continue to develop plans to address homelessness through a low-barrier shelter assessment.
    • Next meeting: June 13, 2018
  • Grant County CHI meets every other month
    • Next meeting: June 12, 2018
  • Okanogan County CHI meets every other month
    • Next meeting: June 26, 2018
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Monthly-Meetings-Round-Up: May 2018

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

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