AccountableCommunities

ofHealth

April 29th, 2015Kittitas Board of Health

Change is coming – Why?

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SB 6312- Treating the Whole Person– Integration of purchasing by 2020– Creates behavioral health

organizations –Medicaid purchasing regionalized

(2016)– Early adopter and outcome-based

incentives

Legislation

3

HB 2572- Better Health Care Purchasing– Establishes first ACH– Establishes statewide performance

measures committee– Creates practice transformation hub– All payer claims database– Directs HCA to increase VBP

contracting

Legislation Cont.

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ACH Purpose

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Community Empowerment & Accountability

Accountable Communities of Health (ACHs) will:

• Provide a multi-sector voice for delivery system reform, shared health improvement goals and regional purchasing strategies.

• Serve as a forum for regional collaborative decision-making to accelerate health system transformation, focusing on social determinants of health, clinical-community linkages, and whole person care.

• Accelerate physical and behavioral health care integration through financing and delivery system adjustments, starting with Medicaid.

A Forum for regional collaborative decision making

Regionalization

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10 regions received up to $50,000 each from Washington

10 Awards for Communities of Health Planning

State Health Care Innovation State Health Care Innovation PlanPlan

RSA – Regional Service Areas*

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*Service area for Medicaid purchasing for physical and behavioral health care. Serve as a foundation for aligning state agencies’ along a “Health in all Policies” approach.

ACH

Funding

• The state has requested $92 million from CMS to be spent between CY 2015-2018. It estimates that implementation of the plan will save $1.05 B over the next 4 years.

• Actual Money Received =$64.9 million

State – SIM Grant Money

• 2014 = $36k was awarded to the Benton-Franklin Community Health Alliance for the 6 County COH

• 2015 = $135k Greater Columbia ACH– $100k HCA, $10k Amerigroup (facilitator) +

$25k GCBH RSN (in-kind)

• 2015 = PMH Medical Center - $100k HRSA

Regional - ACH Planning Grants

Next Steps

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Where We’re Going

Q3 2014

Q4 2014 2015 2016 2017

Two Pilot ACHs

2018

You are here!

Progression through the “ACH Continuum”

Fully developed ACHs by the end of 2018!

COH Planning Grants

Design Communities

Greater Columbia ACH TimelineMilestones 2015 Jan Feb Mar April May June July Aug Sept Oct Nov Dec

Monthly meetings of Leadership Council

Formalize stakeholder participation in Greater Columbia COH

Meetings of Governing Board?

Finalize Governance Structure Adopted 16 Member GB 2/19

1 more fm Healthcare Provider?

BehavHealth/FQCH new Sector; Food Systems w/CBO/FBOs

Develop/Finalize Vision/Mission Statement

Adopted 3/19

Sectors Finalize Governing Board & Criteria; Role of GB & Leadership Council

Public Health: Martha Lanman

Hsg: R. Hauff Educat: L. Stahlnecker Philan: C. Greenwood Hosp: L SavitchosHoHH

Retreat with LC & GB?

Develop Communications Framework

Working Groups begin developing Regional Health Improvement Plan (RHIP) and Community Outreach Plan

Working Groups present RHIP/COP to Leadership Council & Governing Board for approval

?

Working Committees finalize RHIP

?

Determine Performance Measures, sustainability plan

•Determine Governance Structure

•Determine Funding/Sustainability

•Determine Needs

•Determine Projects

Current Plans for Greater Columbia ACH

Questions?

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Thank you