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Monthly Meetings Round Up


NCACH Governing Board -- January 7, 2019
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Download January 2019 Meeting Materials

  • Motion to approve December meeting minutes, passed. 
  • Board reviewed monthly financial statement.
  • Motion to approve an increase of $116,425 to the current 2019 budget amount allocated (increasing the total budgeted amount to $215,710) for the contract with Qualis Health to provide Health Information Technology (HIT) technical assistance for Whole Person Care Collaborative partners, passed.
  • Motion to approve the formation of the 2019 Community Initiatives Advisory Group and group charter to develop the community investment process for the funding allocated for local and regional health projects through the Coalitions for Health Improvement, passed.
  • Motion to approve updates to the Coalition for Health Improvement membership charter, passed. 
  • NCACH Medicaid Transformation Project Workgroup Updates:
    • Scroll down to the NCACH Medicaid Transformation Project Workgroup Updates section below to learn more.
  • Next meeting: (Board met February 4, 2019) Next meeting, March 4, 2019

Medicaid Transformation Project Updates

Whole Person Care Collaborative -- January 7, 2019
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  • Change Plan Scoring Summary were emailed to each organization on January 14th. There were a few organizations who did not score 90 or above. They had until January 31st to resubmit their Change Plan for a rescore. NCACH staff and coaches worked with each organization to help them achieve their intended score. Scores will be finalized on February 15th.
  • Points on Change Plan Funding Amounts
    • 90-100 Maximum funding
    • 60-89 60-89% of funding (each point = 1%)
    • <60 No funding*
  • 4th Quarter Reports were received. We are working with our Improvement Advisor to synthesize the information and report out to our partners
  • Two individuals have been hired for the Practice Facilitator position.
  • Learning Activities: We are supporting our WPCC funded partners with learning activities that will support their practice transformation. The current schedule was initially created based on the feedback from the WPCC partners at the 2018 kick-off. It has since been adapted based on the needs of the WPCC
    • Behavioral Health Integration LANS were a success. There are opportunities for improvement that we will incorporate into future learning activities. Overall, participants in both LANS had a positive experience and appreciate the opportunity to share challenges and successes with peers. Participants felt the experts were great. The tools, worksheets, and homework assignments were mentioned a few times as really helpful to the process. Some mentioned new insights and understanding about their systems and the need for changes.
    • Empanelment Sprint continues to be active every Friday and monthly QI Affinity Group calls continue to be well attended.
    • Foundations of Motivational Interviewing will be offered in Moses Lake (February) and Okanogan (April) and a virtual Introduction to Quality Improvement.
    • In consultation with CCMI/CSI we are in the beginning stages of planning a population health management LAN and access LAN.
  • Dr. Manriquez presented on the Washington State University (WSU) Mobile Needs Assessment and conducted a Q&A with our WPCC partners.
  • Regional and county-level data HCA measure data was reviewed with the WPCC. We will have more in-depth data to share with the WPCC soon.
  • Next meeting: (WPCC met February 4, 2019) Next meeting, March 4, 2019

Whole Person Care Collaborative Workgroup -- The WPCC Workgroup is no longer meeting. The last meeting was hosted in November 2018. 

Pathways HUB -- January 2019
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The Pathways HUB Advisory Board, convened by 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.

  •  January Pathways Community HUB Advisory Board Meeting Highlights (Detailed agenda and notes available here)
  • January Pathways Community Specialist (PCS)/Supervisor Meeting was held January 22nd.
    • Trainings will be set up to better assist the PCS in tracking caseload, open pathways and client data.
    • Outreach, engagement, retention are still the biggest challenges. Brainstorming is taking place to be creative with the approach. Dr. Sara Redding will be providing an educational event on the topic with what works.
    • Action Health Partners' (AHP) marketing group is updating Pathways HUB materials including the brochure, script, door hangers, and outreach letters.
  • The Action Health Partners HUB admin team attended the All ACH HUB monthly meeting in person in Spokane. The onsite meeting provided a great opportunity to discuss strategies in a variety of areas now that more HUBs are launched. The ongoing collaboration and monthly calls with ACH partners will provide peer support and be invaluable moving forward.
  • AHP staff participated in an All Accountable Communities of Health (ACH) HUB workgroup to begin framing a statewide Community Health Worker/PCS training system.
  • Increased activity working with Whole Person Care Collaborative (WPCC) partners and other community programs that are recognizing the benefit of partnership
  • Grant Integrated Services has a Supervisor in place and PCS hired and ready to start training in February.
  • Next meeting: February 13, 2019

Opioid Project -- December 21, 2018
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  • Of eight proposals submitted, Grant County Health District was selected for
    the Opioid Awareness and Education Marketing Campaign. Funding for this
    campaign is $30,000 for the project period of mid-February through
    December 2019.
  • The Planning Committee for the NCW Opioid Response Conference Pathways to Prevention, has been working hard to confirm site locations.
    • Recognized the critical need to have youth and the educational system
      involved in opioid prevention efforts, we have approached schools districts
      to be host sites for the conference. There has been a lot of enthusiasm by
      the schools – some have committed to being the host site and others have
      opted to partner with other community organizations to be a host site. We
      currently have seven sites through NCW confirmed. A save the date was sent
      to the NCACH distribution list and the flyer is attached.
  • The Evidence-based Dental Pain Care Conference will be held on May 3rd, 9am-1:30pm at the Confluence Technology Center. We have confirmed all six
    speakers for the event. NCACH staff is continuing to work with L&I to ensure continuing education credits are available and that it will satisfy the one-time credits required with the new rules for opioid prescribing. The Operations Manager for the Prescription Monitoring Program will be on-site for participants to register to access the program. The WA State Dental Association, BREE Collaborative, FQHC Dental Directors, and NCACH staff are working to market the conference through various channels.
  • Applications for the Targeted Narcan Training and Distribution program will open by mid-February for Grant County, Chelan/Douglas Counties, and Okanogan County. NCACH staff have coordinated with the Colville Confederated Tribes to adjust the process for the funding allocated to the Colville Confederated Tribes to support the current Narcan Training and Distribution program.
    • In March, Samaritan Healthcare will present to the Transitional Care and Diversion Interventions Workgroup on the Narcan distribution in the ED program they piloted as part of the Rapid Cycle Opioid Application in 2018.
    • NCACH staff and the Workgroup explore opportunities for the two workgroups to partner on this initiative to expand the program throughout the region.
  • A Recovery Committee and a School-based Prevention Committee are newly formed and will be meeting the first week of February to start developing recommendations for a process to utilize funding allocated to those initiatives.
  • Next meeting: February 15, 2019

Transitional Care and Diversion Interventions -- January 24, 2019
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  • TCDI Workgroup Updates (Meeting held January 24th, 2019):
    • Approved update to the TCDI Charter 
    • NCACH Capacity Development and Grant Manager, Tanya Gleason, gave a presentation on Medical Respite Programs. Next steps include obtaining more information on national and local medical respite programs and sharing information with TCDI partners to determine next steps. 
  • Project/Partner Updates:
    • Hospital Partner Work: Hospital Reports submitted February 1st, 2019
    • TCM training started
    • EDie training underway
    • Initial hospital meeting held January 24th, key outcomes include:
  • Discussed Transitional Care Model (TCM) design between organizations – Will review expanding TCM model to behavioral health partners in 2019/2020
    • Reviewed initial TCDI Hospital report requirements
    • Plan to utilize the TCDI webpage to share resources for implementation partners (Same portal as WPCC)
  • EMS Project Update:
    • Developed a draft plan with DOH to work on regional data collection and reporting
    • Outlined key goals for EMS partners (North Central Emergency Care Council)
  • Next meeting: March 28, 2019

Coalitions for Health Improvement (CHI)
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  • The Coalitions for Health Improvement (CHI) Leadership Council (a diverse group of community-based organizations, providers, and service agency members who make up each Coalition's Leadership Group and participate in monthly calls with NCACH) met on December 19, 2018, to discuss the next steps of the CHI Community Initiatives funding, which includes the formation of an advisory group to oversee the community investment process that will be developed in 2019. A motion to approve the formation of the advisory group, as well as a charter for the group, will be submitted during the January 2019 Governing Board meeting. (Motion was approved at the January 7, 2019 Governing Board meeting.) The next CHI Leadership Council call will be hosted on February 5, 2019.
  • The CHI Community Initiatives Advisory Group held an introductory meeting on January 31, 2019. The Advisory Group is tasked with advising on the development of a community investment process for the regional health improvement funding allocated to the Coalitions for Health Improvement by the NCACH Governing Board in the 2019 annual budget. The group will meet next for a strategic design workshop facilitated by Oregon Health Sciences University (OHSU) on February 21, 2019. 
  • Chelan Douglas CHI met January 9, 2019
  • Grant County CHI met December 10, 2018
    • See minutes
    • Grant County CHI 's December meeting focused on the CHI Community Initiatives funding, and began identifying local priorities that could be funded in 2019.
    • Next meeting: TBD
  • Okanogan County CHI met January 29, 2019
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Monthly-Meetings-Round-Up: January 2019

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

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