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Monthly Meetings Round Up


NCACH Governing Board 
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Download July 2019 Meeting Materials

  • Motion to approve May meeting minutes (no June meeting), passed. 
  • Motion to approve monthly financial statement, passed.
  • Motion to accept nomination of Cathy Meuret to the Education Seat on the NCACH Governing Board, passed.
  • Motion to approve updated NCACH Regional Opioid Stakeholders Workgroup Charter, with amendment to include Workgroup Chair as a part of the steering committee, passed.
  • Motion to approve allocation of $48,125 to Workforce Development (Chemical Dependency Professional Apprenticeship) in the 2019 NCACH Annual Budget, passed.
  • Motion to approve the 2019 Coalition for Health Improvement Community Initiatives applicant materials for immediate use and distribution, passed.
  • Motion to approve an increase the 2019 budgeted amount for the contract with Oregon Health Sciences University (consultants) to support current initiatives, including strategic planning, through the end of 2019, passed.
  • Special presentation from Link Transit regarding Proposition 1 to expand transportation services in Chelan and Douglas Counties. (See July Meeting Materials to learn more.)
  • NCACH Medicaid Transformation Project Workgroup Updates:
    • Scroll down to the NCACH Medicaid Transformation Project Updates section below to learn more.
  • Next meeting: September 9, 2019 (Board met August 5, 2019)

Medicaid Transformation Project Updates

Whole Person Care Collaborative
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  • Learning Activities Update:
    • The Motivational Interviewing Train-the-Trainer was offered in June,14 individuals participated. We are building capacity in our region to offer more trainings to a broader NCACH audience.
    • Continue to participate in the Team-Based Care LAN, receiving individual team technical assistance from the faculty.
    • The Collective Medical Technology Webinars started this month. The WPCC staff are helping organizations decide if this platform is right for them as well as helping current utilizers optimize use of the platform. 
  • General Updates:
    • Healthcare Authority will be conducting three assessments/evaluations: Value Based Purchasing survey was distributed July 1, plus other evaluation activities conducted by both Independent Assessors and Independent External Evaluation teams. The WPCC Learning Community will be asked to complete a survey, participate in a one-on-one interview, and/or a focus group.
    • Practice Facilitators continue to conduct MeHAF assessments to measure the level of bi-directional care achieved by organizations. This assessment is required by the Healthcare Authority.
    • Christal Eshelman, Project Manager for the NCACH, gave an update on the Opioid Project.
  • Next meeting: (WPCC met August 5, 2019) Next meeting, September 9, 2019

Pathways HUB 
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  • Action Health Partners (AHP) Team attended the All-ACH HUB Executive Director/HUB Director sustainability meeting.
  • Managed Care Organization (MCO) funding conversations continue.
  • AHP has finalized a new Community Specialist Services Agency (CSSA) Memorandum of Understanding and have begun conversations with 3 Chelan-Douglas area agencies to discuss CSSA partnership with HUB.
  • Samaritan Emergency Department EDie reports have been updated to include other zip codes in Grant County, so program is now moving outside the Moses Lake/98837 zip code area.
  • Continuing statewide discussions on project standardization where possible. Pathways Community Specialist / Community Health Worker training standardization planning is actively moving forward in partnership with other HUBs.
  • Next meeting: August 14, 2019

Opioid Project 
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  • School-based Opioid Prevention: Three applicants were selected for funding to implement the School-based Opioid Prevention strategy. They are:
    • Grant County Health District in Grant County
    • Together For Youth in Chelan-Douglas County
    • Rachel Levi in Okanogan County
  • We are in the process of signing MOUs and distributing funding.  Each applicant will be awarded $20,000 for the award period August 2019 – December 2019 for the purposes of:
    • Assessing school-based opioid prevention efforts at all school districts in the area;
    • Financially and/or administratively supporting student-led prevention projects; and,
    • Developing a 2020-2021 Project/Work Plan and budget that includes engagement with new school partners.
  • Recovery Initiatives: The Recovery Coach Training Academy has been scheduled for September 30-October 3 and the Recovery Coach Training of Trainers has been scheduled for October 12-13.  Both trainings will be held in Wenatchee, specific location TBD. Participants will be selected through an application process by NCACH staff and members of the Central Washington Recovery Coalition. All participants will be expected to complete both the Academy and the Training of Trainers programs and provide a minimum of one Recovery Coach Training in North Central Washington within one year of completing the training. NCACH is supporting Central Washington Recovery Coalitions annual awareness event, Hands Across the Bridge, on September 28th.  
  • Rapid Cycle Opioid Awards: Five applicants received funding for the July 2019- June 2020 Rapid Cycle Opioid Award period for a total of $48,099.23. All MOUs have been finalized and signed and funding is in the process of being distributed. A Mid-term report will be due December 31, 2019 which highlights key challenges and barriers and a final report will be due early July 2020.  
  • Next meeting: August 16, 2019

Transitional Care and Diversion Interventions 
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  • The NCACH workgroup completed a midyear workgroup evaluation and met on July 25th to focus on Quarter 2 reporting updates, and discuss the workgroup’s funding strategies in 2020. Workgroup partners will spend the second half of 2020 monitoring current project progress and developing future funding strategies. 
  • Hospital Partner Report:
    • Hospital partners completed Quarter 2 reporting. Key highlights include:
      • There is a need for better coordination between acute care and outpatient primary care and behavioral health providers.
      • There is a need to better connect partners with non-clinical resources.
    • Partners highlighted collaboration and shared learning as the biggest value to their involvement in TCDI. Quotes included the following:
      • “I think the most important part of our involvement has been the networking with like hospitals. Working on the same type projects with small rural hospitals has helped us to not reinvent the wheel and to solidify that the TCM and diversion approaches work at other facilities.”
      • “The greatest value that TCDI has provided our organization cannot be stated as a singular component. The meetings, assistance, grant funding, and one-on-one assistance has been invaluable.”
      • “The shared learning provides insight into what works for others. It provides ideas and options for possible integration into our present systems. It has the potential to save time, money and resources if someone has an effective process. We appreciate the shared learning for the benefits it has to offer.”
    • Transitional Care Management Billing and training webinar was completed in partnership with Confluence Health on July 30th.
    • Collective Medical Technology activated pharmacy claims data to the EDie reports in the middle of July and is in the process of collecting feedback from partners.
  • Emergency Medical Services (EMS) Project Update:
    • The Certified Ambulance Documentation Training in May received strong reviews. North Central Emergency Care Council (NCECC) is looking for additional opportunities to provide additional training in the future.
    • The Department of Health (DOH) provided an overview of WEMSIS on July 9, 2019. Agencies were invited to attend with limited space. Agencies stated there is greater need for additional training opportunities on Image Trend (WEMSIS.)  NCECC will work with DOH to provide future training opportunities.
    • SSB 5380 is requiring Emergency Medical Systems (EMS) to report to WEMSIS either directly or through their current eMIR system. DOH has begun the implementation process for the legislation and they expect the process to extend to December 2020. There will be many rural agencies that will be unable to afford this transition. Although WEMSIS is free, many of them do not have the technology nor the training to utilize WEMSIS.
  • Next meeting: September 26, 2019

Coalitions for Health Improvement (CHI)
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  • The Regional CHI Leadership Council met on August 5, 2019 (no July meeting.) Topics discussed included an update on NCACH's Asset Mapping activities and priorities, as well as an update regarding the CHI Community Initiatives Funding.
    • NCACH will be working with an independent consultant to evaluate the impact of Coalition activities throughout the region during the Medicaid Transformation Project period. Coalition members will be invited to participate in a brief online survey, and a few partners will be invited to complete one-on-one interviews with independent evaluators.
  • The CHI Community Initiatives Advisory Group last met June 26, 2019. The CHI Community Initiatives community investment process developed by the Advisory Group was approved by the Governing Board on July 1, 2019 and now open to community partners. This group will meet on an as-needed basis moving forward.
  • Chelan Douglas CHI met June 12, July 10, and August 14, 2019
  • Grant County CHI met May 14 & August 12, 2019
  • Okanogan County CHI met June 27 & July 30, 2019
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Monthly-Meetings-Round-Up: July 2019

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