Governing Board Meeting – January 9, 2019, 1:00pm – 4:00pm€¦ · Governing Board Meeting – January 9, 2019, 1:00pm – 4:00pm Seattle Foundation: 1601 5th Avenue, Suite 1900,

Governing Board Meeting – January 9, 2019, 1:00pm – 4:00pm Seattle Foundation: 1601 5th Avenue, Suite 1900, Seattle, WA 98101

MEETING GOALS The primary objectives of today’s meeting are to: (1) provide training on how HealthierHere board members and staff can effectively and appropriately engage in policy work, (2) approve the appointment of a new board member for the Managed Care Organization seat, (3) discuss opportunities to further equity in our work as a governing board, and (4) provide an update on HealthierHere’s 2020/2021 investment strategy.

AGENDA

1:00 pm 1) Welcome & Introductions• Meeting goals/agenda

Betsy Lieberman & Esther Lucero, Board Co-Chairs

1:05 pm 2) Governance• Action: MCO board seat appointment

Betsy Lieberman & Esther Lucero, Board Co-Chairs Christina Hulet, Consultant

1:10 pm 3) Training on Policy Approach Susan McLaughlin, HealthierHere Vic Colman, Uncommon Solutions

2:40 pm BREAK

2:50 pm

3:00 pm

3:40 pm

4) Public Comment

5) Discussion of Board’s Equity Work

6) Update on 2020/2021 Investment Strategy

HealthierHere Management Team

Susan McLaughlin, HealthierHere

3:50 pm 7) Board Business• Meeting minutes• ED report• Meeting evaluation

Betsy Lieberman & Esther Lucero, Board Co-Chairs Susan McLaughlin, HealthierHere

4:00 pm ADJOURN

Next Meeting: February 6, 2020, 1:00 pm - 4:00 pm (Seattle Foundation: 1601 5th Avenue, Suite 1900, Seattle, WA 98101)

Agenda Packet Page 1 of 26

DECISION MEMO: Governing Board Managed Care Organization Seat Memo prepared by: Christina Hulet, on behalf of the Executive Committee Date prepared: December 20, 2019 Date of proposed action: January 9, 2020

Issue The region’s five Managed Care Organizations (MCOs) are responsible for nominating one representative to serve on HealthierHere’s Governing Board. Consistent with HealthierHere’s bylaws, the MCOs have elected to rotate their seat appointment on an annual basis. Marissa Ingalls of Coordinated Care served in 2019. It is now time to appoint a new Governing Board member for 2020.

Background HealthierHere’s 26-member Governing Board was established with designated seats representing specific sectors/perspectives (see chart below). In allocating seats, the team sought to balance representation between public, private, and non-profit organizations, as well as between institutional health care partners and community-based organizations/members. In addition, some seats were designated as ‘open’ (i.e., open to applicants from the general public), while others were ‘reserved’ for lead entities to nominate a candidate for the board’s approval.

The Managed Care Organization (MCO) seat is ‘reserved’ to the MCOs to nominate their preferred candidate. As such, the Executive Committee received and reviewed their recent request to appoint Caitlin Safford to the Governing Board for 2020. Caitlin Safford serves as the Director of External Affairs and Community Development for Amerigroup. Prior to this, she was the Strategic Policy and Communications Lead for Health Systems Transformation and Innovation at the Washington State Department of Health. Attached is her full board application and a letter of support from the Managed Care Organizations.


SECTOR / PARTNER # OF SEATS TYPE RESERVED SEATS: LEAD ENTITY

Providers / Payers Primary care provider 1 Open

Federally qualified health centers 1 Reserved Community Health Center Council

Hospital, health systems 3 Reserved Washington State Hospital Association

Behavioral health providers, inc. at least 1 substance use provider

3 Reserved King County Provider Association

Managed care organizations (MCO) 1 Reserved Coordination between MCOs

Local public health 1 Reserved Public Health - Seattle King County

SUB-TOTAL 10 (38%)

Government King County 1 Reserved King County Government

City of Seattle 1 Reserved Seattle Mayor's Office

Suburban area 1 Reserved Sound Cities Association

SUB-TOTAL 3 (12%)

Community / Consumer Community-based equity networks, coalitions and/or consumer advocate organizations

3 Reserved ACH Consumer/Community Voice Committee

SUB-TOTAL 3 (12%)

Tribes Federally recognized tribes in King County 3 Reserved Tribal Governments: Cowlitz,

Muckleshoot, Snoqualmie Indian Tribes Urban Indian Health Board 1 Reserved Seattle Indian Health Board

SUB-TOTAL 4 (15%)

Community Based Organizations / Social Determinants of Health

Housing 1 Open

Long-term care services/supports 1 Open

Non-profit social service organizations 2 Open

Philanthropy 1 Reserved The Seattle Foundation

At-large 1 Open

SUB-TOTAL 6 (23%)

TOTAL SEATS 26


Recommendation The Executive Committee recommends that the Governing Board approve the MCO’s nomination to appoint Caitlin Safford to the MCO seat. Caitlin brings over ten years in healthcare and social service experience, including a focus on policy and systems change transformation. She has also been actively involved in ACH boards and workgroups statewide for the past four years.

Values How does this recommendation align with HealthierHere’s core values of equity, community, partnership, innovation, and results?

In making this recommendation, the Executive Committee relies on the expertise of our community partners to identify their preferred candidate for this seat.


HealthierHere

1000 Second Ave, Suite 1730

Seattle, WA 98104

December 12, 2019

Dear Executive Committee members,

Thank you for providing the opportunity to affirm the rotation of the managed care organization (MCO)

position on the Governing Board of HealthierHere. This letter is submitted in support of transitioning

MCO representation from Coordinated Care (2019) to Amerigroup for calendar year 2020.

Amerigroup has designated the following individual to participate on the Governing Board on behalf of

MCOs:

Caitlin Safford

Director Government Relations

Please work directly with Caitlin if you have any questions. We look forward to your continued

partnership as we move into the next phase of Medicaid Transformation.

Sincerely,

CC:

Laurel Lee, VP Member & Community Engagement, Molina Healthcare

Erin Hafer, VP of Delivery and Health Systems Innovation & Community Partnerships, Community

Health Plan of Washington

Laura Johnson, External Relations Manager, United Healthcare

Amelia Davis, Manager, External Relations, Coordinated Care

Caitlin Safford, Director Government Relations, Amerigroup


King County Accountable Community of Health

Sector Seat Nomination Application

Personal Information

Name: Caitlin Safford

Address: 705 5th Ave S, Suite 300, Seattle, WA 98104

Sector Affiliation (organization, coalition, or other entity): MCO

Email: [email protected] Phone: 206-492-1666

Application Questions

Please respond to the following questions in the space below. Once complete, email this application along with to two letters of support to [email protected] no later than February 10, 2017.

1. Which sector seat you are interested in filling? Why are you interested in serving on this board? MCO sector. It happens to be Amerigroup’s turn at the helm for MCOs but I also am now a resident of King County, and I wasn’t when the ACH first was formed, so I have a vested County resident interest in seeing a better system built within the whole region.

2. What experiences have you had with healthcare, social service systems? I have 10 years in healthcare and social services, mostly on the policy and programmatic side. Most recently, I have spent the last 5 years working on health care transformation implementation, related specifically to policy making and systems change implementation.

3. In what cross-sector and community partnerships are you involved and what strategies will you use to keep them engaged in this work?


I’ve been serving on ACH Boards and workgroups statewide for 4 years, which has included working closely with all sectors to make decisions on the right path forward for the ACH. Additionally, I’ve served in coalition with a variety of organizations to create and advocate for more effective policy changes. The skills I view important in this are having the courage to reach out to partners you wouldn’t normally work with and listen to what you have in common and how they believe you can work together so it’s not one-sided.

4. What talents, skills, or qualifications do you have that would help you be successful in this role? I listen well, communicate back to my sector with ease, am a systems-thinker and strategizer by nature, and have a knack for explaining complex topics in simpler terms for those who aren’t embedded in the day-to-day work.


Governing Board Meeting Summary December 5, 1:00 p.m. – 4:00 p.m. 2100 Building: 2100 24th Avenue South, Seattle WA

Members Present: Elizabeth “Tizzy” Bennett (Seattle Children’s Hospital), Roi-Martin Brown (Washington Community Action Network), Elise Chayet (Harborview Medical Center), Kristin Conn (Kaiser Permanente Medical Group), Shelley Cooper-Ashford (Center for Multicultural Health), Steve Daschle (Southwest Youth and Family Services), Marissa Ingalls (Coordinated Care), David Johnson (Navos Mental Health Solutions), Cathy Knight (Seattle/King County Aging & Disability Services), Betsy Lieberman (Betsy Lieberman Consulting), Victor Loo (Asian Counseling & Referral Service), Daniel Malone (Downtown Emergency Service Center), Semra Riddle (delegate for Erin Sitterley, Sound Cities Association), Jeff Sakuma (City of Seattle), Elizabeth Tail (delegate for Steve Kutz, Cowlitz Indian Tribe), Ingrid Ulrey (delegate for Patty Hayes, Public Health—Seattle & King County), Raleigh Watts (Country Doctor Community Health Centers), Sherry Williams (Swedish Medical Center)

Members Not Present: Ahmed Ali (Somali Health Board), Ceil Erickson (Seattle Foundation), Leo Flor (King County Department of Community & Health Services), Esther Lucero (Seattle Indian Health Board), Giselle Zapata-Garcia (Latinos Promoting Good Health).

Staff: Marya Gingrey, Thuy Hua-Ly, Michael McKee, Susan McLaughlin, and Gena Morgan (HealthierHere), Christina Hulet (Consultant) Guests: Travis Grady (Cowlitz Tribal Health), Candace Hunsucker (CHPW), Kat Latet (CHPW), Laurel Lee (Molina), Marguerite Ro (Public Health – Seattle & King County)

Welcome & Introductions Betsy Lieberman welcomed everyone and facilitated introductions.

Strategic Planning Susan McLaughlin presented the results of HealthierHere’s strategic planning/sustainability survey which was distributed to board members and partners in November. See Powerpoint presentation on HealthierHere’s website. Governing Board reflections on survey results:

• Interest in prioritizing policy work; HealthierHere has a unique position/opportunity as a neutral convener; some were surprised that this scored low on the survey

• Interest in HealthierHere serving/expanding its role as an equity advocate • Surprise that shared care planning, paramedicine and opioid work scored low; could be a

function of being early in implementation • Opportunity to better communicate and make HealthierHere’s work more visible • Theme around HealthierHere spreading its limited dollars too thin; do we need to focus our

work for greater impact?


Governing board and community members broke up into 3 small groups to discuss HealthierHere’s potential role in three areas prioritized by survey respondents. Key themes included: HealthierHere as Service Organization:

• Clear majority for prioritizing Community Information Exchange (CIE) and data sharing; o Window of opportunity to advance CIE as a public utility o Consider local partners such as Microsoft, Amazon, EPIC

• Provide training and technical assistance (e.g., on practice transformation, bidirectional care, behavioral health)

• Consider targeted innovations (e.g., piloting services for most vulnerable populations in partnership with MCOs and clinical providers)

• Policy/advocacy support • Health literacy • Complex care coordination • Development/dissemination of evidence-based practices

HealthierHere as Regional Convener:

• Themes related to the tone and tenor of how HealthierHere should be a regional convener (e.g., cross-sector table, outreach, highlighting successes)

• Bring community voice, community engagement and equity to all tables (e.g., to clinical/system players)

• Legislative policy/advocacy work; HealthierHere is particularly well positioned to create/advance policy across stakeholders

• Project-specific convening (e.g., housing-health connection) • There isn’t a similar entity that is convening all sectors • Consider other models (e.g., Sound Cities Association, Bree Collaborative, the Alliance);

HealthierHere could compliment these organizations with its focus on equity and community engagement

• Consider the use of story to raise visibility on specific projects/community needs HealthierHere as Equity/Community Engagement Leader:

• Developing and disseminating best practices, tools, guidance, models, etc. on equity and community engagement to other organizations

• Amplifying community voice within the healthcare system • CBO/community partnerships • Workforce development (e.g., CHWs, paraprofessionals) • System level advocacy (e.g., funding equity, behavioral health/primary care parity, SDOH) • Serving as equity consultants; work with other organizations to support their equity goals • Facilitate a collective investment in equity by MCOs • Continued work with Tribes • Disseminate information about equity to the general public • Facilitate coordination of equity work already underway across organizations • Consider a business model in which equity work can be a service line HealthierHere offers

Additional themes:

• Recognizing the challenge of spreading ourselves too thin • Synergy between the three potential roles (service organization, convener, equity/community


engagement); these are not mutually exclusive • Alignment with MTP might include, for example:

o Prioritizing CIE o Developing a standardized screening tool for SDOH o Piloting innovation around jail re-entry and demonstrating ROI o Developing 3-5 product lines beyond the MTP such as equity training/consultation and

adoption of emerging technologies and practices

Community Voice/Public Comment Betsy Lieberman opened the floor for public comment. There was no public comment.

Board Business Meeting Minutes The board reviewed and approved the November meeting minutes with no revisions. Abstentions: Roi-Martin Brown (Washington Community Action Network), Kristin Conn (Kaiser Permanente Medical Group), Shelley Cooper-Ashford (Center for Multicultural Health), Cathy Knight (Seattle/King County Aging & Disability Services), Sherry Williams (Swedish Medical Center)

Executive Director’s Report Susan McLaughlin referred to the Executive Director’s Report. She also noted that the State Department of Corrections (DOC) has received funding to open 200 new work-release beds, including some in King County. DOC is convening a workgroup; if members are interested in participating, please let Susan know. Several reports are in process. The state’s mid-point assessment report has been delayed; the draft report will be available January 6th, followed by public comment, and a final report in early February. The ACH self-sufficiency legislative report will be released mid-December. The independent evaluator report is expected in March 2020.

Finance Committee Business 2020 Administrative Budget Thuy Hua-Ly presented the 2020 administrative budget decision memo. This $4.8 million budget was previewed at the November Governing Board meeting and is being recommended for approval by the Finance Committee. There is an 18% total increase in salaries and benefits, which includes 2 additional FTEs and a 4% COLA/merit raise. The board reviewed and unanimously approved the 2020 administrative budget. There were no abstentions.

IGT Payment Approval Thuy Hua-Ly presented the Intergovernmental Payment (IGT) decision memo. The Finance Committee recommended approval. The HCA developed this financing mechanism to address a funding shortfall with CMS. This mechanism serves as a passthrough to IGT contributors. The board reviewed and approved the IGT payment.


Abstentions: Roi-Martin Brown Not present: Elise Chayet left meeting before vote (UW/Harborview Medical Center, IGT contributor)

2020/2021 Investment Strategy Susan McLaughlin gave a preview of the 2020/2021 investment strategy for CBO, clinical and Tribal partners. See PowerPoint presentation on HealthierHere’s website. HealthierHere will have a total of $34.2 million for 2020/2021 investments, of which $15.9 million will be allocated to Medicaid providers, $14 million to CBOs, and $4.3 million to Tribes. HealthierHere joint committees are finalizing the investment strategy and will bring a recommendation to the board for approval in February. There will also be quarterly reporting to assess how HealthierHere is doing, as well as opportunities to reassess the investment strategy midway. Meeting adjourned.


January 2020 Executive Director Report

Date: January 9, 2020

To: HealthierHere Governing Board

From: Susan McLaughlin

Dear Governing Board Members:

Happy New Year! I hope you all had a joyful and relaxing holiday season. We are bringing in the new year and new decade with a sense of excitement and urgency as we prepare to make our largest investments yet to improve the health and well being of the people in our region, while at the same time navigating uncertainty at the Federal, State and local levels. We must act now to continue to support those individuals experiencing homelessness, poor health, suffering from mental illness and substance use disorders and those unable to access or navigate the complex delivery systems today.

As the 2020 Washington state legislative session gets ready to kick off, we will be relying on our Board members, committee members and partners to help us track key pieces of legislation that will impact our work. We have a great training scheduled for today remind us of the do’s and don’ts of advocacy to help us achieve our goals safely and effectively. We will also spend a bit of time deepening our discussions around equity, our role as Board members in helping to advance equity and act as allies to support all voices and perspectives.

As we transition to the new year, this quote stood out to me to mark our journey: “Coming together is a beginning. Keeping together is progress. Working together is success.” – Henry Ford

We’ve been coming together for a while now and have also managed to keep together for several years. Now let’s roll up those sleeves and get to work!

As always, feel free to reach out to me with any questions.

I am honored to be on this journey with all of you.

Warmly,

Susan

Monthly Spotlight: December Co-Design Collaborative Digs into CIE HealthierHere hosted its third Co-Design Collaborative on December 6, bringing together community, clinical and tribal partners to connect and collaborate. Following our October collaborative’s discussion about community-based care coordination, the December gathering focused on Community Information Exchange (CIE) as a tool that can support care coordination efforts. Our broad network of

We’ve updated our data page to make it easier to navigate. Find our freshly organized reports

and dashboards at healthierhere.org/our-impact.


partners learned about CIE, discussed potential impacts in our region, and took a closer look at how a CIE platform works. Special thanks to Molly Blumgart (National Director, KP) from Unite Us for joining us to provide a demonstration of the Unite Us platform. Huge thanks also to our partners for taking time out of their day to examine, discuss and offer their thoughts and considerations about CIE for King County. We were encouraged to hear that 18 organizations expressed interest in exploring moving forward with CIE planning on Unite Us.

Highlights

Welcoming Christopher Green and Christine Jones to the HH Team We are thrilled to introduce our newest staff members, Chris Green and Christine Jones. Chris joins our team in the role of Practice Transformation Manager as part of the Clinical Practice Transformation Team, led by Michael McKee. Chris brings with him 20+ years of healthcare experience, most recently as a Population Health Analyst at UW Medicine, and he has been involved with projects regarding high-risk care management, risk assessment, and Bree Collaborative care transformation. Christine joins the team in the role of Administrative Specialist and reports to our Chief Operating Officer, Gena Morgan. Christine has a plethora of administrative experience, including support for Sound Community Bank and the American Cancer Society, and has achieved the Professional Administrative Certificate of Excellence (P.A.C.E.) in addition to other continuing education accomplishments.

Please join us in welcoming Chris and Christine to HealthierHere!

Shared Care Plan Pilot Kick Off Congratulations Harborview Medical Center, Evergreen Treatment Services, and Sound Mental Health who kicked off their Shared Care Plan Pilot collaboration with a lively and productive first meeting in mid-November. They are developing a process to identify patients for the pilot and will be joined by a Federally Qualified Health Center partner in early 2020. Thanks to these participants and to the Shared Care Plan Workgroup, which will reconvene in the new year to share progress and gather input about the pilot. The Shared Care Plan pilot work will be coordinated with our Community Information Exchange efforts as we continue to identify ways to better connect our clinical and community partners.

Tribal Health Pay-for-Performance Reporting With advisement from our Tribal Partners, HealthierHere is working to adapt reporting tools to be more culturally appropriate. As part of this work, we recently launched a new Tribal Health reporting tool through which our Tribal Partners are participating in HealthierHere’s semiannual Pay-for-Progress reporting. Pay-for-Progress incentivizes and provides visibility to each Clinical Practice Partner’s improvement over self in areas such as whole person care screenings, population health (registries, risk stratification), and equity. Special thanks to our partners Cowlitz Behavioral Health and


Seattle Indian Health Board for sharing their insights and helping us improve this tool for reporting Tribal Health measures in our region.

Statewide Collective Ambulatory Workgroup Kick Off In partnership with the Washington State Hospital Association (WSHA), we held a kickoff webinar on December 13th for Washington State’s new Collective Platform Standards Workgroup. This workgroup aims to help support implementation and optimization of the Collective Ambulatory technology for Medicaid providers (including hospital/health systems, Community Health Centers and Behavioral Health Agencies) across the state. The workgroup brings together Accountable Communities of Health, providers, Managed Care Organizations, and Collective Medical Technologies (CMT) to develop standardized protocols and processes for the statewide use of Collective Ambulatory.

New Data Collected by Community Grants Partners

Kudos to HealthierHere’s second round of Community Grants Partners for collecting a new set of community data! Like the first round of participating community organizations, this second cohort of grantees set out to connect with members of their communities to learn about their experiences with health care – what’s working, what’s not, and how it can improve. Information was gathered via surveys and focus groups, and the data was submitted to HealthierHere in December. HealthierHere and Public Health – Seattle & King County (under contract with HealthierHere) will analyze the data and share summaries and insights in the coming months.

Updates to Website Data Page We’ve updated the Our Impact page of our website (healthierhere.org/our-impact) to make it easier for visitors to find what they need. You can now navigate to all available data dashboards and reports from one page, and we’ve done our best to update labels with plain descriptive language. Each button will open a new window or tab with the selected report file or Tableau dashboard. Check it out at https://www.healthierhere.org/our-impact/.

Coming soon

Joint Committee Meetings on 2020/2021 Investment Strategy January 14 & 23 HealthierHere’s Committees of the Board came together on November 20 for our first 2020/2021 Investment Strategy meeting. These meetings bring our committee members together to review the strategy proposed by HealthierHere, with the goal of jointly recommending an investment strategy proposal that will be brought to the Governing Board for approval. Thanks to everyone who participated in our first meeting, and to those who provided feedback on how we can best move the process forward. Keeping that feedback in mind, we will have two additional meetings in January to


https://www.healthierhere.org/our-impact/

provide adequate time for discussion and consideration of how we invest resources toward our transformation goals in 2020/2021. The committees will work together to bring a recommendation to the Governing Board at the February 6 meeting.

Clinical Pay-for-Progress Reporting due January 3 HealthierHere’s second Pay-for-Progress reporting period ended on January 3rd. Clinical Practice Partners submitted their data, including self-evaluations related to bi-directional integration of care, population health, and provision of Opioid Use Disorder treatment. Earlier this year, the first reporting period provided a baseline for these measures and, moving forward, these reports will help us view progress over time and identify areas that need additional or ongoing support.

Whole Person Care Innovation Letters of Interest due January 17

In November HealthierHere invited Clinical Practice Partners to respond to a Request for Letters of Interest for a new innovation, ‘Testing Models for Integrated Care.’ Letters of interest are due by January 17 and interested partners will participate in a readiness assessment and site visit with HealthierHere and UW AIMS Center staff in February to assess the feasibility and potential to achieve the proposed innovation. This test of innovation aims to address the lack of communication and shared protocols for people who visit multiple systems to meet their physical and behavioral health needs. The proposed interventions will be scalable to other organizations and will address the following question: ‘What does it take to provide better, more integrated care for the defined focus population?’


Community & Consumer Voice Committee (CCV) Meets the 4th Monday of every month at 1:30pm-3:30pm

Staff: Marya Gingrey, Myani Guetta

Name Organization

Elizabeth "Tizzy" Bennett Seattle Children's Hospital Roi-Martin Brown Washington Consumer Action Network Joe Chrasti IAF Northwest/Health Equity Gladis Clemente Promotora Comunitaria South Park Shelley Cooper-Ashford Center for Multicultural Health Shantel Davis Peoples Harm Reduction Alliance Michelle DiMiscio Community Health Workers KC

Lisa Floyd KC Department of Community and Human Services

Dorothy Gibson Sound Alliance/AF Riham Hashi Living Well Kent Shamso Issak Living Well Kent Elizabeth Kimball Public Health Seattle/KC Guo Liao Asian Counselling and Referral Service AJ McClure Global To Local

Name Organization

Hani Mohamed Community Health Plan of Washington Sonia Morales Molina Health Care Cicily Nordness Seattle Housing Authority Janelle Okorogu Center for Multicultural Health Hallie Pritchett Lake Washington Institute of Technology Isabel Quijano Promotora Comunitaria South Park Jihan Rashid Community Member Marguerite Ro Public Health Seattle/KC Julie Romero Neighborhood House Nadine Shiroma Hepatitis B Foundation Christine Stalie DOH & Washington Immigrant Network Jason Sterne Hepatitis Education Laura Titzer Northwest Harvest Janet Zamzow Bliss Community Member Giselle Zapata-Garcia Latinos Promoting Good Health


Finance Committee (FC) Meets the 3rd Wednesday of every month at 3:30pm-5:00pm; ad

hoc meetings as needed

Staff: Thuy Hua-Ly

Executive Committee (EC) Meets the 3nd Friday of every month at 8:30am-10:00am

Name Organization Kristin Conn Kaiser Permanente Shelley Cooper-Ashford Center for MultiCultural Health Steve Daschle Southwest Youth and Family Services Ceil Erickson Seattle Foundation Patty Hayes Public Health – Seattle & King County Betsy Lieberman Affordable and Public Housing Group Victor Loo Asian Counseling & Referral Service Esther Lucero Seattle Indian Health Board Sherry Williams Swedish Hospital

Staff: Christina Hulet, Susan McLaughlin

Name Organization Roi-Martin Brown Washington Consumer Action Network Janine Childs Neighborcare Steve Daschle (co-chair) Southwest Youth and Family Services David DiGiuseppe MCO - CHPW Ceil Erickson Seattle Foundation Pam Gallagher Swedish Hospital Patty Hayes Public Health – Seattle & King County Stacy Kessel MCO - CHPW Hiroshi Nakano (co-chair)

Valley Medical

Jeff Sakuma City of Seattle, HSD Karen Spoelman King County DCHS - BHRD Jenny Tripp DESC Mike Vanderlinde University of Washington Medicine


Performance Measurement and Data Committee (PMD)

Meets the 2nd Monday of every month at 10:30am-12:00pm

Name Organization Samantha Clark Multicare Matt Doxey Urban Indian Health Institute Melissa Ford Shah King County DCHS Jeff Gepner SCORE Jail Laurel Lee Molina Healthcare of Washington Sunshine Monastrial International Community Health Services Maureena Moran Seattle Children’s Hospital Mattie Osborn Amerigroup Marguerite Ro Public Health – Seattle & King County Sally Sundar YMCA of Greater Seattle Matt Weltner Navos Mental Health Solutions Russ Woolley CHI Franciscan – Highline Hospital

Staff: Alexis Desrosiers

Transformation Committee (TC)

Meets the 2nd Wednesday of every month at 11:00am-1:00pm Name Organization Lois Bernstein MultiCare Siobhan Brown Community Health Plan of Washington Elise Chayet Harborview Medical Center Shelley Cooper-Ashford Center for MultiCultural Health Doug Crandall Sound Katie Escudero King County Housing Authority Michael Erikson NeighborCare Health Chloe Gale Evergreen Treatment Services Jeff Hummel Comagine Health Amelia Davis Coordinated Care Laura Johnson UnitedHealthcare Isabel Jones King County Department of Community

and Human Services Eli Kern Public Health – Seattle & King County Laurel Lee Molina Healthcare of Washington Rayburn Lewis International Community Health Services Susan McLaughlin HealthierHere Marguerite Ro Public Health – Seattle & King County Caitlin Safford Amerigroup Andrea Yip Aging and Disability Services, City of

Seattle

Staff: Gena Morgan, Melissa Warner


Shared Care Plan Workgroup Meets monthly

Name Organization Nathan Bartholome Valley Cities Siobhan Brown Community Health Plan of Washington Shelley Cooper-Ashford Center for MultiCultural Health Arti Desai Seattle Children’s Jon Ehrenfeld Seattle Fire Department Kari Nasby Harborview Medical Center Jeffrey Gepner SCORE Jail Michelle Glatt HealthPoint Darcy Jaffe Washington State Hospital Association Dan Lessler (chair) Comagine Health AJ McClure Global to Local Laura Morgan Country Doctor Michael Myint Swedish Kathie Olson Molina Julie Romero Neighborhood House Amber Sabbatini Harborview Medical Center Tina Seery Washington State Hospital Association Ginny Weir Bree Collaborative

Staff: Victoria Lo, Michael McKee

Integration Design Steering Committee *currently meeting as needed*

Name Organization Betsy Jones HMA/Consultant to KCICN Erin Hafer CHPW Claudia D’Allegri SeaMar (BHA) Kelli Nomura King County BHRD Michelle Glatt HealthPoint

Staff: Michael McKee, Susan McLaughlin


Who Purpose Highlights What’s Next

Governing Board (GB, Board)

• Steward the organization’s overall mission and strategic plan

• Assume fiduciary responsibility/single point of accountability, including financial decision-making authority for demonstration projects and fund allocations

• Hire, fire and evaluate the Executive Director (ED)

• Maintain updated operating agreements and bylaws

• Monitor organizational and project performance

• Appoint Governing Board members • Represent and communicate HH’s

work to the public • Review and approve

consumer/community engagement plan

• Ensure alignment with regional health needs and priorities

• Approved the 2020 Administrative Budget • Approved the Intergovernmental Transfer

Payment (IGT) • Reviewed and reflected on results of

HealthierHere’s strategic planning and sustainability survey

• Received a preview of the 2020/2021 investment strategy for Community, Clinical and Tribal Partners

• Vote on Managed Care Organization (MCO) sector seat nomination for 2020

• Participate in policy approach training

• Discuss Board equity work • Receive an update on 2020/2021

Investment Strategy Next Meeting: February 6

Executive Committee (EC)

• Support the ED in achieving organizational goals

• Oversee ED selection, compensation and evaluation

• Act on behalf of the Governing Board in cases of emergency or when urgent decisions are needed

• Approve expenditures/contracts between $100-$500K not included in the board-approved budget as needed

• Oversee board member recruitment and selection process

• Reviewed bylaws • Reviewed the Managed Care Organization

(MCO) sector seat nomination for the 2020 Governing Board

• Reviewed and discussed potential policy agenda items for 2020

• Discussed o Strategic planning o January Governing Board agenda o Equity opportunity

• Review policy agenda priorities • Discuss Tribal Health Committee

charter and additional seat on Board

• Review proposal for 2020 equity work

Next Meeting: January 17


Who Purpose Highlights What’s Next • Oversee board governance (e.g.,

committee structure, bylaws) • Support HH’s future sustainability

and the development of key initiatives such as the Equity & Wellness Fund

• Approve state-required reports

Finance Committee (FC)

• Oversee HH’s budgeting, financial monitoring, internal control processes and financial policies and procedures

• Ensure adequate protection of HH’s assets

• Oversee distribution of funds to partnering organizations and for investment priorities

• Ensure HH is meeting requirements for state, provider, and other contracts

• Oversee/coordinate with Funds Flow Workgroup

• Facilitate value-based payment

• Reviewed the October Admin Report • Debriefed the November Joint Committee

Investment Strategy meeting

January meeting canceled; instead committee members will participate in Joint Committee Investment Strategy meetings January 14 and 23 Next Meeting: February 20

Transformation Committee (TC)

• Develop recommendations for investment priorities and implementation approaches, including course corrections as needed

• Provide subject matter expertise toward system transformation goals

• Support and monitor project implementation to ensure desired impact and results

• Ensure cohesion in transformation activities to address regional needs, gaps and barriers

• Work within sectors to champion HH’s mission and goals

• Debriefed the November Joint Committee Investment Strategy meeting

• Discussed 2020/2021 investment strategy planning

• Received an update on King County’s Emergency Department Utilization Measure and discussed implications



Who Purpose Highlights What’s Next • Identify sustainability approach for

investments

Performance Measurement & Data Committee (PMD)

• Produce and support data-driven planning, implementation and monitoring of projects

• Facilitate partnerships to support data sharing, linkage and dissemination

• Liaise with the Health Care Authority and other ACHs to support statewide data systems and infrastructure

• Develop recommendations on data investments to support projects

• Coordinate data activities and performance monitoring reports

• On hold for remainder of 2019

Committee members will participate in Joint Committee Investment Strategy meetings January 14 and 23 Next Meeting: TBD

Community & Consumer Voice Committee (CCV)

• Proactively engage communities and beneficiaries to co-design and embed equity in HH’s work

• Engage and support community-based partners and build CBO capacity

• Actively recruit and support community members serving on the Board/committees

• Provide input into and help design the community engagement plan

• Gather data/information on the experience of Medicaid members

• Monitor results and ensure accountability/transparency with communities

• December meeting was cancelled due to holidays


Shared Care Plan Workgroup

• Develop a blueprint for a regional electronic longitudinal patient record, or ‘shared care plan.’

• Develop recommendations around content, workflows, and

• Workgroup meetings are less frequent as we shift focus to the launch of the shared care plan pilot

• Prepared for launch of the pilot with participating partners, Harborview Medical

• Review and provide input on initial pilot workflows

Next Meeting: January 24


Who Purpose Highlights What’s Next expectations for a shared care plan pilot around transitions of care by the end of 2019, as required by the Health Care Authority.

Center, Evergreen Treatment Services, and Sound Mental Health

Integration Design Workgroup

The Integration Design Workgroup is forming to advance a future state in which: • Clinical integration happens

systematically across all physical, behavioral health, and safety net providers

• Physical and behavioral health care partners work together to achieve the quadruple aim

• Clinical design contemplates all services needed to improve outcomes for individuals, including prevention, crisis services, and social services

• Capacity exists to provide integrated, whole person, team-based care to all clients

• Workforce capacity-building supports system needs

• Partners contribute resources to support strategic investments that enhance the system of care

• Transformation and bi-directional integration efforts are aligned to the extent possible

• Released a Request for Letters of Interest to Clinical Practice Partners for the ‘Testing Models for Integrated Care’ innovation

• Letters of interest due by January 17

Next Meeting: TBD


Glossary of Terms

ACH Accountable Community of Health AI/AN American Indian/Alaska Native AIM Analytics, Interoperability, and Measurement, part of the Health Care Authority AIMS Advancing Integrated Mental Health Solutions, part of University of Washington AMDG Agency Medical Directors’ Group BHO Behavioral Health Organization BMI Body Mass Index BRFSS Behavioral Risk Factor Surveillance System CMS Centers for Medicare & Medicaid Services CBO Community-Based Organizations CCM Chronic Care Model CCV Community/Consumer Voice Committee CDP Chronic Disease Prevention and Control Project CDR Clinical Data Repository CEO chief executive officer CHARS Comprehensive Hospital Abstract Reporting System CHW Community Health Worker(s) CLS Community Learning Sessions CMCH Center for Multi-Cultural Health CMS Centers for Medicare & Medicaid Services DCHS Department of Community and Human Services DPC Demonstration Project Committee DPP Diabetes Prevention Program DSHS Department of Social and Health Services DSRIP Delivery System Reform Incentive Payment DT Design Team DY1 DSRIP Year 1 ED Emergency Department EHR Electronic Health Record FIMC Fully Integrated Managed Care FFS Fee-For-Service FPL Federal Poverty Level FQHC Federally Qualified Health Centers G2P Guidelines to Practice HCA Health Care Authority HCP LAN Health Care Payment Learning & Action Network HHSTP Health and Human Services Transformation Plan HIE Health Information Exchange HIT Health Information Technology HKCC Healthy King County Coalition HUD U.S. Department of Housing and Urban Development IDC Integration Design Committee IHCP Indian Health Care Provider


ILC Interim Leadership Council IOM Institute of Medicine IT Information Technology ITU Indian Health Service, tribally operated, or urban Indian health program JAMA Journal of the American Medical Association KCACH King County Accountable Community of Health LEAD Law Enforcement Assisted Diversion LGBT Lesbian, Gay, Bisexual, and/or Transgender LOI Letter of Intent MAT Medication Assisted Treatment MCO Managed Care Organization MeHAF Maine Health Access Foundation MHIP Mental Health Integration Program MIDD Mental Illness and Drug Dependency MOU Memorandum of Understanding MTP Medicaid Transformation Project(s) MVP Medicaid Value-Based Purchasing OUD Opioid Use Disorder P4P Pay-for-Performance P4R Pay-for-Reporting PAL Partnership Access Line PCORI Patient-Centered Outcomes Research Institute PCP Primary Care Provider PHSKC Public Health – Seattle & King County PIMH Partnership for Innovation in Mental Health PMD Performance Measurement and Data PMP Prescription Monitoring Program PRISM Predictive Risk Intelligence System PSH Permanent Supportive Housing QBS Quality Benchmarking System RHIP Regional Health Improvement Plan RHNI Regional Health Needs Inventory SAMHSA Substance Abuse and Mental Health Services Administration SBIRT Screening, Brief Intervention, and Referral to Treatment SCORE South Correctional Entity SIHB Seattle Indian Health Board SIM State Innovation Model(s) SUD Substance Use Disorder TA Technical Assistance TSP Transition Support Program UIHI Urban Indian Health Institute US United States VBP Value-Based Payment VOCAL-WA Voices of Community Activists and Leaders, Washington State Chapter WSHA Washington State Hospital Association WSMA Washington State Medical Association


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Documents

Governing Board Meeting – January 9, 2019, 1:00pm – 4:00pm€¦ · Governing Board Meeting – January 9, 2019, 1:00pm – 4:00pm Seattle Foundation: 1601 5th Avenue, Suite 1900,