Empowering Communities to Achieve a Healthier Washington 201 Chase... · 10. Better Health, Better...

Empowering Communities to Achieve a Healthier Washington

Chase NapierCommunity Transformation ManagerWashington State Health Care Authority

Better Health, Better Care, Lower Costs

Today’s Topics

Building healthier communities through

a collaborative regional approach

• Healthier Washington Overview

• Accountable Communities of HealthoWhy and what are they?oHow do they contribute to a

Healthier Washington?

• Next Steps for Washington

Healthier Washington

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Better Health, Better Care, Lower Costs

Washington’s vision for creating healthier communities and a more sustainable health care system:

Improving how we pay for services

Ensuring health care focuses on the whole

person

Building healthier communities through

a collaborative regional approach

Better Health, Better Care, Lower Costs5

Healthier Washington is more than theState Innovation Models (SIM) grant…

2014 Legislation:• House Bill 2572• Senate Bill 6312

Medicaid Transformation Potential $3B federal waiver 5-year demonstration project

SIM Grant:$65 million over 4 years from the federal government

SIM Grant

Legislation

Waiver

State as First Mover and Market Convener

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GOAL: Move 80 percent of state-financed health care

AND 50 percent of the commercial marketto value-based payments within 5 years

Accountable Communities of Health

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Better Health, Better Care, Lower Costs8

We recognize that health is more thanhealth care…

Health Behaviors

30%

Health Care20%

Physical Environment10%

Socio-economic Factors40%

Adapted from: Magnan et al. (2010). Achieving Accountability for Health and Health Care: A White Paper, State Quality Improvement Institute.. Minnesota.

Better Health, Better Care, Lower Costs

…and that clinical-community linkagesare essential for better health outcomes.

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Healthier Washington System Supports• Information Technology / Infrastructure• Data and Measurement• Workforce Development• Practice Transformation• Payment Redesign

Health and Recovery Care

Community Factors Public

Health

Nutritious Food

Transportation

Employment

Education

Crisis Intervention

Family Support

Criminal Justice

HousingBuilt

EnvironmentSubstance

use disorder

Physical Health

Long-Term Care

Mental Health

Oral Health

Better Health, Better Care, Lower Costs10

Building healthier communities through a collaborative regional approach

Accountable Communities of Health are:• Bringing together diverse public and private

community partners to work on shared regional health goals.

• Identifying opportunities for theACH and community partnersto understand and bridgehealth and quality of lifeissues.

• Coordinating systems so thatservices address all aspectsof health at both thecommunity and individuallevels.

Better Health, Better Care, Lower Costs11

ACH Case Study: Cascade Pacific Action Alliance

Better Health, Better Care, Lower Costs12

ACH Case Study: Cascade Pacific Action Alliance

TimelinePre-2014: CHOICE Regional Health Network2014: ACH Planning Grant2015: ACH Pilot Grant2016: ACH Designation and Ongoing SIM Sub-award

Structure• Collective impact• 7 counties; 10+ sectors; 44 members• Consensus-based decision making• County forums

Better Health, Better Care, Lower Costs13

ACH Case Study: Cascade Pacific Action Alliance

Regional Health Needs Inventory (RHNI) conducted to inform priorities:• Access to care & provider capacity• Adverse childhood experiences (ACEs)

prevention & mitigation• Chronic disease prevention & management• Economic & educational opportunities• Health integration & care coordination

Better Health, Better Care, Lower Costs14

ACH Case Study: Cascade Pacific Action Alliance

Youth Behavioral Health Coordination Project

Approach:• Early identification of needs/risk• Assessment and referral• Coordination between community-based

interventions and treatment services

Goal: Decrease number of school-aged youth with unmet behavioral and physical health needs

Next Steps for Washington

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Better Health, Better Care, Lower Costs

• Emphasis on additional engagement. This includes tribes, community members and providers.

• Linking ACHs and Healthier Washington’s shift to Value Based Payment.

• Medicaid Waiver: Transformation through Accountable Communities of Health

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Next steps related to WA’s ACHs…

Better Health, Better Care, Lower Costs

Questions?

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For more information…

Healthier Washingtonhealthierwa@hca.wa.gov

Chase Napierchase.napier@hca.wa.gov

Websitewww.hca.wa.gov/hw

Thank youThe project described was supported by Funding Opportunity Number CMS-1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services.

The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.