SWACH Dashboards. Presented to RHIP Council January 2019

Transcription

1 SWACH Dashboards Presented to RHIP Council January

2 Operations Dashboard Key Strategies Major Milestones Target Date Success Metric Status Staffing Opioid Coordinator Jim Jensen Equity and Inclusion Manager Sky Wilson Pathways HUB Coordinator November December December Position Filled Position Filled Position Filled Two Positions Filled; Seeking applications for HUB coordinator Review organizational roles and potential staffing models that support functions; implement changes to organizational structure October Organizational structure to support 2019 Work Finalized; Board reviewed 12. Marketing & Communications Hired a Communications Director to develop a communications plan August Position filled/plan created Communications Plan Launch and integration of Healthy Living Collaborative Robert Wood Johnson Healthy Communities Application submitted Executive Director participated on two community panels: Leadership Clark County and Clark County Health Care Advisory Board Winter /2019 November December Communications Plan; SWACH brochure; SWACH video. 1 st & 2 nd Round approval Brochure completed; 2 nd Round Application being submitted

3 Operations Dashboard (continued) Key Strategies Major Milestones Target Date Success Metric Status Budget/Funds Flow Board approved operating budget. Board approved five-year Funds Flow Allocations Board approved Pathways/HUB budget. Winter /2019 Approved 2019 budget; Approved Multi-Year Funds Flow; Approved Pathways/HUB Budget Multi-Year Funds Flow & Hub Budget approved; 2019 SWACH Budget approved. New Opioid funding New Opioid Treatment Network Funding September December Grant approved Funding Received Funding Approved Internal Policies & Procedures Review operational policies and procedures for gaps; prepare and implement policies and procedures; complete Personnel and Finance Policies & Procedures Fall d operations policies and procedures Personnel Policies under review by Legal; Finance Policies drafted. Reporting & Accountability SARs 100%; Implementation Plan submitted Summer SARS 100% Healthy Living Collaborative Integration Integrate Healthy Living Collaborative programs, staffing, and services into SWACH regional plan CHW Neighborhood Pilot Transition CHW presented at National Kaiser Permanente Conference Winter /9 December CHW s transitioned to new organizations Cowlitz & Wahkiakum CHW transition complete; Rose Village CHW Leads transitioned to SWACH

4 Our Vision A healthy southwest Washington region where all people have equitable access to quality whole person care and live in connected and thriving communities without barriers to wellness

5 Partnering to build a healthier future in Southwest Washington for everyone WHOLE PERSON CARE Clinical Transformation COMMUNITY CLINICAL LINKAGES Integration of Social Determinants into Clinical Transformation COMMUNITY HUB Care Traffic Control COLLABORATIVE IMPACT Learning, Action, Equity, and Sustainability

6 Partnering to build a healthier future in Southwest Washington for everyone WHOLE PERSON CARE Clinical Transformation CLINICAL PARTNERS Clinical Improvement (Target Populations/issues) Clinical Integration (BH/PH) Participate in Targeted Learning Collaboratives Integrated Managed Care - Klickitat STAKEHOLDER ENGAGEMENT SYSTEM: Clinical Transformation Workgroup; Clinical Community Opioid T.F.; Integrated Managed Care CORE (Klickitat); Pre-Managed Learning Collaborative: Tribal Partners SWACH ROLE Support for Value Based Payment, Workforce Development, Health Information Exchange/Technology, Equity and quality improvements supports and evidenced based interventions towards integrated care for target populations (opioid, chronic disease, behavioral health) Technical assistance and learning collaboratives

7 Whole Person Integrated Care Dashboard Key Strategies Major Milestones Target Date Success Metric Status Integrated Care Framework Development Co-Created Goals Integration of Physical and Behavioral Health Value Based Payment Goals Established Success Metrics Established Workforce Needs Established October Implementation Plan Cohort of Providers for Clinical Transformation Clinical Partner Assessment Review Transformation Plan (TP) July Transformation Plan Developed Clinical Transformation Plan developed disseminated and returned August Transformation Plan d Clinical Transformation Plan review October- early December Transformation Plan Mapping file Established Cohort of Clinical Partners invited into a binding agreement to begin workplan negotiations and Pay for Performance tied to transformation plans. January 2019 Binding Agreements Pending Provider Contracts completed March 2019 Binding Agreements Pending Learning Collaborative(s) Learning Collaborative process and curriculum developed January-March 2019 Collaboratives Developed Pending

8 Partnering to build a healthier future in Southwest Washington for everyone INDIVIDUAL TRANSFORMATION PARTNER ROLE a Community Serving Organization Request for Information (RFI) Cross-sector regional opioid response plan Promote and support CHW neighborhood teams in Clark, Cowlitz and Wahkiakum counties Address barriers to school attendance at McLoughlin Middle School through the Education Community Health worker initiative COMMUNITY CLINICAL LINKAGES Integration of Social Determinants into Clinical Transformation STAKEHOLDER ENGAGEMENT SYSTEM: Community Health Advocates and Peer Supports Network CHAPS/HLC; Community Councils; Behavioral Health Advisory Board; Healthy Living Collaborative Committee SWACH Role Matchmaking of Community Serving Organizations to connect social determinants into clinical transformation efforts Support prioritized initiatives with a target population of opioid, chronic disease, and behavioral health Continue to support the HLC Community Health Worker Initiatives

9 Community Clinical Linkages Dashboard Key Strategies Major Milestones Target Date Success Metric Status Engage Community Serving Organizations into Transformation Request for community serving organizations that support addressing the social determinants of health to partner with clinical partners October RFI s Received Establish review and matchmaking process and criteria November Process Developed Pending Invite Community Serving Organizations into a transformation Cohort and binding agreements February 2019 Cross-Setting collaboratives Current Project - SeaMar/CVAB Hep C CURES QI Ongoing Improvement Cycle Rapid Response MAT Clinic Collaborative QI Project Ongoing Improvement Cycle Healthy Living Collaborative Initiatives Promote and support CHW neighborhood teams in Clark, Cowlitz and Wahkiakum counties; Select partner organizations for CHW teams. Address barriers to school attendance at McLoughlin Middle School through the Education Community Health worker initiative November Ongoing MOUs completed Barriers identified Support growth of CHAPS network (namely Advocates, Community Health Workers, Certified Peers and their organizations) serving Southwest Washington, to improve holistic health outcomes for the Community Ongoing

10 Partnering to build a healthier future in Southwest Washington for everyone COMMUNITY HUB Care Traffic Control PARTNER ROLE: Become a Care Coordination Agency or Referral Agency for a specific pilot population that uses the Pathways model and technology for care coordination, Community Health Workers, and pay for performance. SWACH ROLE Provide a Care Traffic Control System by building a Community HUB that uses health exchange technology to support community based care coordination with a pay for performance mechanism to connect individuals and families to community supports and care teams STAKEHOLDER ENGAGEMENT SYSTEM: Pathways Community HUB Advisory Committee; Care Coordination Agencies

11 Community HUB Dashboard Key Strategies Major Milestones Target Date Success Metric Status Community HUB Board adopts pathways June Board Approval CTPs identify Klickitat and Skamania interest in Pathways model (rural engagement) September RFA released Contract with CCS for HUB Technology and Technical Assistance Includes prelaunch support with Healthy Gen for CHW workforce development September Contracts signed Pathways HUB 2-Day Strategic Planning Meeting September Implementation Tasks and Timeline developed Rural CCAs announced: Skamania County Community Health & Washington Gorge Action Program November Rural CCAs announced Implementation Team and HUB Advisory Committee formed November First meetings scheduled Planning All CCAs Trained February 2019 Training completed Planning Community HUB Go Live! March 2019 First person enrolled Planning

12 Partnering to build a healthier future in Southwest Washington for everyone PARTNER ROLE: Participate in regional shared learning; Identify policy barriers to whole person care. SWACH ROLE Assess community needs and map assets Collaborative Impact: Neutral convener of diverse partners (stakeholder and community engagement system to include Tribal partners) Sustainability & Equity: Community Resiliency Fund to invest in Social Determination of Health Policy & Action: Prioritized regional policy issues that respond to community needs Equity & Inclusion planning (organizational and regionwide) Shared Learning & Sustainability: o Regional Training & Skills Building and Knowledge on key regional topics (I.e. Equity, HLC Quarterly Convenings) o Monitoring & Evaluation (Transformation Dashboards) o Community Connections (Cross Sector Data Sharing) STAKEHOLDER ENGAGEMENT SYSTEM: RHIP Council; Policy Committee (HLC); Data Workgroup; Healthy Living Collaborative Stakeholders COLLABORATIVE IMPACT Learning, Action, Equity, and Sustainability

13 Collaborative Impact Dashboard Strategy Key Milestones Target Date Success Metric Status Cross Sector Shared Learning Monthly Stakeholder Meetings Held Opioid Learning Sessions: Successful events for providers The Uses of Suboxone in a Practical Clinical Setting ; Events in Clark and Skamania Counties 9/ Minimum attendance of 40 Providers Community Engagement System Conduct an internal assessment of SWACH s community engagement efforts, collate community engagement knowledge, and refine and communicate community engagement strategy 1/2019 Assessment completed In progress Form local and regional community councils 3/2019 Councils formed In progress Host community engagement sessions Ongoing Quarterly community engagement sessions Create a culture of community engagement within SWACH as an organization and within the work groups and learning collaboratives it supports Ongoing

14 Collaborative Impact Dashboard (continued) Strategy Key Milestones Target Date Equity Planning Hire Equity Manager and Equity Consultant team 12/18 Developed Equity Shared Learning Cohort and Curriculum 3/19 Support partners to equity assessment and plans an internal assessment and plan Support equity, stigma reduction and trauma informed training and capacity building across the region 2/19 4/19 12/19 ongoing Success Metric Hired Equity Manager Create Equity Consultant Team Curriculum developed Partners complete assessment and plans SWACH completes assessment and plan Trainings completed quarterly Status Platform for Policy and System Changes Conduct policy watch and analysis at the local regional, state and federal levels. Maintain a high functioning Policy committee Develop a policy agenda that is community led and supported Support advocacy at local, state, and federal levels, to include letter writing, direct outreach to decision makers, and public testimony Develop a process for bridging SWACH and HLC policy agenda Connect to organizational/system policy change and identify opportunities to influence by bringing an equity, health and community lens Ongoing Ongoing Ongoing Ongoing Evaluation Developing 3 rd evaluation plan in partnership with CORE Community Resiliency Funding Community Resiliency Fund is invested in social issues prioritized by the community