Performance Improvement Advisory Committee May 27, 2014 Meeting minutes

Transcription

1 Performance Improvement Advisory Committee May 27, 2014 Meeting minutes Roll Call: Present: Regina Ellender (Preferred Home Care), Dr. Edward Maynard (Iron Horse Pediatrics), Liliana Reyna (Community), Anita Rich (CCHAP), Meredith Roach (Community), Dr. Greg Sharp (Ideal Family Healthcare), Laurie Wedemeyer (Community), Dr. Michael Welch (Peak Vista), Staff: Stephanie Anderson, Carol Bruce- Fritz, Dr. Joel Dickerman, Julia Duffer, Joe Farr, Mari Long, Ryan Smith, Kelley Vivian Guests: Mary Ellen Bensen (AspenPointe), Pam Craig (Centennial Mental Health Center), Rachel Deshey (Department of Health Care Policy and Financing- HCPF), Kathryn Jantz (HCPF), Erin Lantz (Colorado Community Health Network), Jennifer Littrell (S.E.T. Family Medical Clinic), David Pump (Peak Vista), Jeff Spicher (UCCS), Anna Vigran, (Colorado Health Institute) The meeting was called to order at 5:40 p.m. Welcome and Introductions: The Performance Improvement Advisory Committee introduced themselves and welcomed all participants. Colorado Medicaid s Accountable Care Collaborative: Strategic Vision and Community Discussion Kathryn Jantz: Colorado Health Institute and the Department of Health Care Policy and Financing presented an overview of their Medicaid Accountable Care Collaborative (ACC)/Regional Care Collaborative Organization (RCCO) goals and strategy. ACC work is focused on three core elements: o Transforming our systems from a medical model to a health model. o Moving toward person-centered, integrated and coordinated supports and o services. Leveraging efficiencies to provide better quality care at lower costs to more people. Colorado s ACC model is to provide a Statewide Data and Analytics Contractor (SDAC), Primary Care Medical Providers (PCMPs) and RCCOs for the patients.

2 The five-point strategic plan is: o Delivery system redesign o State administrative improvement o Technology for implementation and evaluation o Payment reform o Benefit design The next phase of the ACC strategic plan and development of the next Request for Proposals (RFP) for the RCCOS were discussed. Statements and questions from those attending were discussed. Please see the attached presentation for more detail. Public Comment: The Performance Improvement Advisory Committee had no other comments to be addressed. Adjournment: Meeting adjourned at 7:10 p.m. The next meeting of the Community Care of Central Colorado Performance Improvement Advisory Committee will be: Tuesday, August 26, :30 7:00 pm Community Health Partnership David Lord Community Meeting Room 722 South Wahsatch Av, Second Floor Colorado Springs, CO 80903

3 Colorado Medicaid s Accountable Care Collaborative: Strategic Vision and Community Discussion May 27, 2014

4 Today s Discussion Overview of Accountable Care Collaborative (ACC) goals and strategy Group discussion to inform: Next phase of the ACC strategic plan Development of the next Request for Proposals (RFP) for the Regional Care Collaborative Organizations (RCCOS) Next steps 2

5 Strategic Vision: Drivers of Change 3 3

6 ACC Work Is Focused on Three Core Elements 1. Transforming our systems from a medical model to a health model. 2. Moving toward person-centered, integrated and coordinated supports and services. 3. Leveraging efficiencies to provide better quality care at lower costs to more people. 4

7 To What End? 5

8 Colorado s ACC Model 6

9 Strategy in Action: The Five-Point Plan 7 7

10 Five-Point Strategic Plan 8

11 Delivery System Redesign Goal: Provide care in a more integrated and patient-centric way. Comprehensive Primary Care Initiative Integration of behavioral health Colorado State Innovation Model (SIM) Integration of long-term services and supports Medicare/Medicaid demonstration project (will begin Summer 2014) 9

12 State Administrative Improvements Goal: Invest in improvements that support better quality and functionality. Colorado Program Eligibility and Application Kit (PEAK) Alignment with other state services Contract management 10

13 Information Technology Goal: Leverage technology to evaluate, learn and adapt system. Make SDAC dashboard more useful Include additional data sources in SDAC Efforts to provide real time data 11

14 Information Technology: Implementation and Evaluation Data & Evaluation & IT Systems = Better Care Client & Provider web portals Care Delivery Design 12

15 Payment Reform Goal: Test and innovate new models to pay for quality and value. Implementation of shared savings based on quality measures. Expand pay for performance payment reform pilot project to be implemented in RCCO 1. Beginning Summer

16 Benefit Design Goal: Design benefit package in a way that moves from a medical model to a health model. Super-utilizer programs in Pueblo County and El Paso County. (RCCO 4 and RCCO 7) Nurse advice line Comprehensive utilization management plan Benefits collaborative 14

17 Priorities and Discussion 15 15

18 ACC Work Is Focused on Three Core Elements 1. Transforming our systems from a medical model to a health model. Priority: Expand program to serve more people. 2. Moving toward person-centered, integrated and coordinated supports and services. Priority: Increase integration and coordination. 3. Leveraging efficiencies to provide better quality care at lower costs to more people. Priority: Identify and share lessons learned across regions. 16

19 Behavioral Health Integration How should the ACC integrate behavioral health care and primary care? What would that look like to: An ACC client and their family? Primary care providers? Behavioral health providers? Other community partners? BHO? RCCO? 17

20 Long-Term Services and Supports What value can the ACC provide to clients also receiving long-term services and supports? What would that look like to: An ACC client and their family? Medical care providers? Primary and specialty care? Provider of long-term services and supports? Other community partners? RCCO? 18

21 Measuring and Rewarding High Quality Care What are effective methods to measure and reward high quality care? What helps clients access high quality care? What can RCCOs do to incentivize quality? How can HCPF be most helpful? 19

22 Technology in the ACC What should be the ultimate goal of technology in the ACC? What resources or tools are needed to approach these goals? How can technology be used to engage with clients? What barriers / concerns are there about health information technology? 20

23 Lessons Learned What is working well in your region? Is there something every region should be doing? What are ways to build on what works? What has been particularly challenging? What would help with this challenge? What should the ACC do differently? 21

24 Next Steps 22 22

25 Next Steps We will be meeting with local PIACs through mid-june. After that process is complete, we will share a high level summary of discussion themes from the meetings. If you have additional comments or questions, please contact Colorado Health Institute team. 23

26 RCCO Rebid Time Table Date July 2014 Step in Rebid Process Request for Information (RFI) released August 2014 Deadline to submit information March 2015 June 2015 Draft Request for Proposal (RFP) released for public comment Finalized Request for Proposal (RFP) released January 2016 New RCCO contracts begin 24

27 Click to change chapter title Michele Lueck Anna Vigran