California Accountable Communities for Health Initiative. Welcome! We ll be starting shortly

Transcription

1 California Accountable Communities for Health Initiative Welcome! We ll be starting shortly

2 California Accountable Communities for Health Initiative Informational Webinar January pm

3 California Accountable Communities for Health Initiative Overview Linda Fowells Executive Vice President Community Partners

4 Initiative Partners

5 Housekeeping Call in using the toll-free number, access code, and pin provided to you in the confirmation , OR follow the instructions in the audio panel on your screen. All participants are currently on mute. You can submit questions and comments using the question box in the webinar panel on your screen. Yes, this webinar is being recorded. A link to the recording and the presentation will be available on the website tomorrow.

6 Agenda 1. Overview Linda Fowells, Executive Vice President, Community Partners 2. Welcome Peter Long, PhD President and CEO, Blue Shield of California Foundation 3. History and Background Katie Heidorn, Deputy Secretary, CA Health and Human Services Agency Karen L. Smith, MD, MPH, Director, CA Department of Public Health 4. National Context Leslie Mikkelsen, MPH, RD Managing Director, Prevention Institute 5. California Accountable Communities for Health Initiative Barbara Masters, MA, Project Manager 6. Next Steps Richard Figueroa, MBA Director of Health and Human Services, The California Endowment

7 California Accountable Communities for Health Initiative Webinar Goals Peter Long, PhD President and CEO Blue Shield of California Foundation

8 Today s Webinar Goals Goal 1 To provide background and context about Accountable Communities for Health Goal 2 To provide information about a forthcoming funding opportunity

9 An Accountable Community for Health is a multipayer, multi-sector alliance of major health care systems, providers, and health plans, along with public health, key community and social services organizations, schools, and other partners serving a particular geographic area. An ACH is responsible for improving the health of the entire community, with particular attention to achieving greater health equity among its residents.

10 State Perspective Accountable Communities for Health: A new paradigm for improving health and health care in California Karen L. Smith, MD, MPH Director and State Public Health Officer California Department of Public Health Katie Heidorn Deputy Secretary, Special Programs California Health and Human Services Agency

11 State Innovation Model Grant In December 2014, the Center for Medicare and Medicaid Innovation (CMMI) awarded California a second $3 million Design Grant. Six Projects: o ACH Evaluation Framework o ACH Data-Sharing Toolkit o Maternity Care o All Payer Database o Health Homes Program Technical Assistance o 2016 Innovation Conference

12 ACH Evaluation Framework Develop an evaluation framework for evaluating Accountable Communities for Health Work in close coordination with the foundation effort CHHS has contracted with The Blue Sky Consulting Group to develop the evaluation framework Challenge: developing an evaluation framework that captures each community s nuances

13 Data-Sharing and Toolkit Conduct literature review and environmental scan of current data and information sharing practices occurring within an Accountable Communities for Health (ACH) type of structure or collaborative Develop a toolkit that outlines the spectrum of data and information needs of an ACH Describe an optimal data and information sharing system Identify options for an ACH to create a data and information sharing capacity where none exists Identify options to improve upon and maximize an existing system

14 Leslie Mikkelsen, MPH, RD Sign up for our media alerts:

15 Scan of Sites for ACH Report Trillium Community Health Plan, Oregon Live Well San Diego, California Pueblo Triple Aim Coalition, Colorado Live Healthy Summit County, Ohio 6 Communities, Vermont Pathways to a Healthy Bernalillo County, New Mexico Source: Accountable Communities for Health: Opportunities and Recommendations

16 Comprehensive Strategy Healthcare Behavior Health & Social Services Community-Wide Prevention

17 Core Elements of an Accountable Community for Health 1. Mission 2. Multi-Sectoral Partnership 3. Backbone Organization 4. Governance 5. Data and Assessment 6. Strategy and Implementation 7. Community Resident Engagement 8. Communications 9. Sustainable Financing

18 Examples

19 Cincinnati Children s Hospital Source: Cincinnati Children s Community Health Initiative

20 Moving from Data to Action Source: Cincinnati Children s Community Health Initiative

21 Catalyzing Improvements in Affordable Rental Housing Source: Cincinnati Children s Community Health Initiative

22 Partnership between: Hospital Elected Officials Media Public Schools Rise Vermont District public health office Local medical and dental providers Business Community members Photo Credit: Roy Mercon

23 Our hospital survives by providing value to the community. We look at wellness and prevention and say it's improving quality of life, not just quality of care. We think it reduces costs long term by keeping people out of the [hospital]. - Jonathan Billings Northwestern Vice President, Rise Vermont

24 California Is Ready

25 California Accountable Communities for Health Initiative What is a California Accountable Community for Health? What will the Initiative consist of? Barbara Masters, Project Manager

26 Shared vision and goals Partnerships Leadership Backbone organization Data analytics and sharing capacity Wellness Fund Portfolio of interventions Definitional Elements

27 Shared Vision and Goals Shared understanding of the problem and commitment to addressing it together Partnerships Collaboration is the heart of the ACH Multi-sector partnerships that include health care, public health, community organizations that engage residents, especially in underserved areas

28 Leadership One or more champions Multiple organizations & multiple levels throughout the organization Backbone organization Facilitator and convener Provides overall guidance in support of vision and strategy Mobilizes funding

29 Data analytics and sharing capacity Data collection and analysis at multiple levels: population health, personal health, and financial Infrastructure for data sharing between organizations Wellness Fund Vehicle for attracting resources Support the ACH infrastructure and interventions for which few resources exist

30 Portfolio of interventions Clinical services Community programs & resources Clinical-Community Linkages Public Policy & Systems Changes Environmental Changes Intervention/Program Time Frame (e.g. short, med, long)

31 Initiative OVERVIEW Initiative Grants Research Technical Assistance Evaluation Funding Up to six grantees $250,000 for first year, up to $300,000 years two & three RFP Balance definitional elements with local flexibility High level of readiness and geographic diversity Link Federal CMS Accountable Health Communities Other national efforts to accelerate learning about what works

32 Applicant Listing of collaborative partners, leadership team, and lead applicant A description of the community and geographic boundaries History of Collaboration Past or current collaboratives Experiences engaging community residents Environmental or policy change strategies Local strategic plans for health improvement Data analytics capacity

33 Infrastructure Governance structure Backbone entity Data sharing arrangements Wellness Fund Sustainability plan and types of financial or in-kind resources

34 Program Vision and goals Selected issue: health need, chronic condition, set of related conditions, or community condition Comprehensive plan to address the issue that includes a portfolio of interventions across five domains Health equity Engagement of community Relationship with other existing programs

35 California Accountable Communities for Health Initiative Next Steps Richard Figueroa, MBA Director of Health and Human Services The California Endowment

36 California Accountable Communities for Health Initiative TIMELINE Jan 15: Release of RFP Jan 28 2 pm: Bidders call Feb 26: Proposals due March 28 - April 7: Site Visits April 22: Selections announced May 15: Start Date for Grants

37 California Accountable Communities for Health Initiative For more information, please visit: Please direct inquiries to: Barbara Masters, Project Manager