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Monthly Meetings Round Up


NCACH Governing Board 
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Download April 2019 Meeting Materials

  • Motion to approve March meeting minutes, passed. 
  • Motion to approve monthly financial statement, passed.
  • Special presentation from the Washington State Health Care Authority, Value Based Purchasing and Rural Payer Models in North Central Washington
  • NCACH Medicaid Transformation Project Workgroup Updates:
    • Scroll down to the NCACH Medicaid Transformation Project Updates section below to learn more.
  • Next meeting: (Board met May 6, 2019) June meeting cancelled. Next meeting, July 1, 2019

Medicaid Transformation Project Updates

Whole Person Care Collaborative
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  • Learning Activities Update:
    • Evaluation surveys are sent out after every learning activity.
    • WPCC funded partners were surveyed to better understand their interests and capacity for future learning activities. We want to ensure that we are meeting the needs of the WPCC.
    • Upcoming Learning Activities:
      • May 8th: Team Roles in Primary Care Integration for Behavioral Health (joint workshop with Better Health Together, ACH in Spokane), Moses Lake, WA
      • May 30th: Person and Family Voice in Quality Improvement, Wenatchee, WA
      • June 5th: Team-Based Care Learning and Action Network, virtual
      • June 10-13: Motivational Interviewing Train the Trainer, Wenatchee, WA
  • General Updates:
  • NCACH staff is currently conducting site visits with each of our funded partners, giving them the opportunity to express successes and challenges of practice transformation. We are also eliciting feedback on the VBP discussion during these site visits.
  • Practice Facilitators have been introduced to most of their practices. They are being invited by the different organizations to participate in various meetings.
  • NCACH staff has decided to apportion time during monthly WPCC meetings for Peer Sharing. Catholic Charities shared their Crisis intervention data during the April meeting and in May, Family Health Centers will be sharing on how they plan to spread their WPCC work throughout all of their clinics.
  • Next meeting: (WPCC met May 6, 2019) Next meeting, June 3, 2019

Pathways HUB 
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The Pathways Community HUB Advisory Board, convened by Action Health Partners, meets monthly. 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.

  • April Pathways Community HUB Advisory Board Meeting Highlights (Detailed agenda and notes available here)
  •  April  Pathways Community Specialist (PCS)/Supervisor Meeting was not held in April due to conference attendance by Action Health Partners (AHP) staff.
  • Continue to work with all ACH HUB Directors and Managers on process standardization across all HUBs.
  • Grant Integrated Services PCS completed the CCS Community Health Worker training the second week in April and is receiving client referrals from the HUB.
  • Continuing conversations occuring between referral partner contracts and Primary Care Providers.
  • Next meeting: May 8, 2019

Opioid Project 
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  • The NCW Opioid Response Conference was held on March 15th at 10 sites
    throughout the region. There were 325 attendees. 13 Action Plans were developed and there were 24 project ideas. 111 Narcan kits were distributed to attendees at the
    post-conference Narcan training. The total cost for the conference, excluding the
    cost of Narcan kits was $3,233. Including the cost of the Narcan kits was $11,052,
    which was offset by $4,000 in sponsorships from the Managed Care Organizations
    and BH-ASO in the region.
    • Conference evaluations had very high scores with 97.7% of participants saying they would return to a NCW Opioid Response Conference.
    • Given the success of the Opioid Response Conference which utilized the distributed conference model, the Workgroup discussed and agreed that it would be more prudent to distribute funding to community partners rather than fund an in-person Fall Opioid Summit ($40,000 was allocated to this event). NCACH staff is currently evaluating holding the next Opioid Response Conference in the fall 2019 or in the spring of 2020 which will utilize the distributed conference model.
  • The Evidence-based Dental Pain Care Conference was hosted May 3rd. 75 dentists attended the event. Attendees received 4 hours of continuing education hours.
  • NCACH received 5 applications for the most recent round of the Rapid Cycle Application requesting a total $48,099.23. The applications are currently being
  • School-based Opioid Prevention: The Workgroup endorsed issuing an RFP for up to $20,000 per area (Chelan/Douglas, Grant, and Okanogan) which would include the following:
    • Assessment of school-based opioid prevention efforts at all school districts in the area;
    • Financial (and administrative) support for student led prevention projects;
    • Development of 2020-2021 Project/Work Plan and budget that includes engagement with new school partners.
    • As funding allows, applicants may apply funding toward school-based opioid prevention efforts. NCACH will encourage partners to develop one application per area.
    • This does require an additional $10,000 school-based opioid prevention efforts than previously allocated. This adjustment can be made while still keeping within the overall 2019 project budget of $300,000. The Workgroup acknowledged that this will require allocating funding (~$30,000 per area) in 2020 and 2021 for implementing project plan, which would be considered non-competitive continuing funding.
    • Tentatively planning to release the RFP by May 13th with applications due May 31st and the funding period being July 15 – December 31, 2019.
  • NCACH staff is supporting a Narcan Training event held by the Central Washington Recovery Coalition on May 15th at the Confluence Sleep Center.
  • Next meeting: May 17, 2019

Transitional Care and Diversion Interventions 
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  • Hospital Partner Report:
    • TCDI portal under webpage was launched for hospital partners to access resources and training webinars.
    • Collective Medical Technologies (CMT) has completed 2 training webinars for Hospital partners to help them better utilize the Emergency Department Information Exchange (EDie) platform. Trainings are uploaded to the TCDI Portal on the webpage.
    • TCDI Quarter 1 2019 reports received. NCACH staff are currently reviewing reports to provide feedback back to teams and utilize information to help develop upcoming QI training for partners.
    • WPCC Practice Facilitators and Manager attended onsite training at the Confluence Health Contact Center to better understand the Transitional Care Model (TCM).
    • Next Steps:
      • QI Training for TCDI hospital partners tentatively scheduled for end of May.
      • CMT to conduct onsite visits to hospital partners who want EDie training in May.
      • NCACH is partnering with Confluence Health to develop TCM billing resources for hospital partners. Anticipated training offered in June/July.
      • Workgroup to start discussing a process to evaluate how partners can better coordinate TCM calls across organizations (Work on this Q3 and Q4 of 2019)
  • Emergency Medical Services (EMS) Project Update:
  • North Central Emergency Care Council (NCECC) submitted project management report for Q1 2019. All major reporting requirements have been completed.
  • EMS partners submitted initial reports on partner projects under the EMS proposal. 9 of 10 EMS agencies chose to participate in project. Each partner is currently at the initial stages of project implementation.
  • NCACH will work with NCECC and partners to refine identified project metrics through 2019.
  • Some key issues that came out of EMS initial reports are as follows:
    • Billing for Community Paramedicine Programs (C.A.R.E.S. Programs):
      • Public entities still need additional support understanding the billing process to receive reimbursement for this work.
      • Private entities are still unable to be reimbursed. These entities want to improve patient care but requires them to be very strategic on how they progress down this path.
    • Some key statistics from initial reporting includes:
      • 30% of all calls EMS providers went on resulted in no-transport (1483 non-transport calls in Q1 of 2019)
      • 10-30% of all transports were for Medicaid clients (Depending on organization)
      • Based on the high level of non-transports, most EMS agencies choose non-transport patients as a target group to improve patient care
    • Next Steps:
      • NCECC will provide reviews to EMS partners on initial reports in May 2019 with feedback on recommended adjustments to reporting metrics. Certified Ambulance Documentation training to be provided to EMS partners May 17th and 18th. The focus of the training is to help agencies improve accuracy of documentation and length of time to complete reports.
      • Department of Health (DOH) coming on site in July to support partners who want to better utilize Image Trend (WEMSIS) in their organization.
      • Quarterly reports are due July 2019. NCACH will work with NCECC and partners to refine project level metrics and utilize those metrics in future quarterly reporting.
  • Next meeting: May 16, 2019

Coalitions for Health Improvement (CHI)
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  • The Coalitions for Health Improvement (CHI) Leadership Council (a diverse group of CHI members who make up each Coalition's Leadership Group and participate in monthly calls with NCACH) met on May 9, 2019. Topics discussed included regional updates, the Regional Opioid Communication Plan being developed by Grant County Health District, and strategies to build collective impact. The next meeting will be hosted in June.
  • The CHI Community Initiatives Advisory Group met April 30, 2019. To date, the Advisory Group has identified: key project focus areas, eligibility requirements, required project qualities, preferred project applicants, project award tiers and required elements, and application review processes.
    • The Advisory Group has green-lit an application submission and review process, which includes opportunities for feedback and review from the full CHI membership. Process refinement is currently underway. More information regarding the proposed application submission and review process will be shared with the Governing Board during the May 31st Governing Board retreat.
    • Based on current projections, the Advisory Group anticipates the funding applications will open to community partners in July 2019. The group will meet next on May 22, 2019.
  • Chelan Douglas CHI met April 10, 2019 and May 8, 2019
  • Grant County CHI met April 9, 2019
  • Okanogan County CHI met March 28, 2019
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Monthly-Meetings-Round-Up: April 2019

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