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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 [email protected]
Chase [email protected]
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.
