Meeting Minutes July Consumer Engagement Workgroup Meeting 7/20/15 | 3:00-4:30 pm | HCPF Type of meeting

Consumer Engagement

Chair

Joe Sammen

Co-Chair

Kyle Brown

SIM Representative

Nicole King

Members in Attendance: Ryan Biehle, Amy Board, Kyle Brown, Gabriel Guillaume, Alison Laevey, Michael Lott-Manier, Joe Sammen, Bev Sloan, Matt Sundeen, Antionette Taranto, Jessica Wilbanks

Discussion Items: Overview of SIM: 

Nicole King provided an overview of SIM in Colorado, including an explanation of SIM workgroups, the SIM governance structure, overall budget, and reasoning for including Consumer Engagement in SIM’s work. The slide deck is available online at: https://drive.google.com/a/state.co.us/file/d/0BxUiTIOw bPURmZvTHl5TFdFY3c/view?usp=sharing

Who is a consumer? 

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Joe Sammen asked the group to consider who consumers are and who we want to reach. o Anyone who uses health care o Everyone in the state of Colorado  A consumer could be someone with an undiagnosed condition or who isn’t able to access care o Member of a health plan o Anyone who plays an active role in their healthcare o Caregivers and guardians for someone who uses the healthcare system o Individuals, rather than broad systems or large groups The group discussed the need to consider difference between consumers.

Avenues for Engagement 

Joe Sammen led a discussion regarding ways in which consumers could be engaged in their healthcare. Workgroup members identified the following pathways for engagement: o Clinical engagement  Using the Patient Activation Measure would be one example of this avenue. o Engaging the consumer in the community  Consumers need to be engaged before they use the health system so they know what services are available and how to access them. o Designing systems with the consumer in mind

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

Meeting Minutes Simplicity and transparency are core elements of systems that benefit the consumer. Consulting with the consumer regarding his or her experience  This avenue helps to identify barriers to care. Partnering to better health outcomes  Patients should be equipped with skills and knowledge they need to take charge of their health. Including the consumer voice at the center of policy decisions  The disability community’s slogan of “nothing about us without us” reflects this approach. Engaging with the consumer at all stages of care  Strategies that address prevention, early intervention, treatment, and recovery, all need to engage the consumer. 

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Workgroup Charter 

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Members brainstormed four possible roles the workgroup could fulfill: 1. Consult and advise other workgroups, the SIM Advisory Board, and the SIM Office on consumer engagement related issues. 2. Take on periodic ad hoc assignments related to consumer engagement. 3. Think broadly about how integration of physical and behavioral health could improve the consumer experience. 4. Ensure that consumers are part of the SIM process and that their interests and needs are met. Members discussed potential key principles for the workgroup: o Balance capacities of other stakeholders (such as providers) with needs/interests of consumers  Recommendations should be realistic and implementable o Maintain a sense of urgency regarding the work the group does o Be conscious to include vulnerable populations o Do not approach issues as a representative of one organization, but with a broader consumer perspective Members discussed whether the group would be responsible for directly engaging consumers (via focus groups or town halls). Consensus was that due to budgetary and time limitations, the group would not directly engage consumers in these ways, but rather provide recommendations to other groups on how to do so. Matt Sundeen expressed that one role of the group may be to more clearly define key terms used in SIM as a means of offering greater clarity. o Integration, population health, primary care, and consumer engagement were identified as terms needing greater clarity.

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.

Meeting Minutes Advisory Board Expansion 

A motion was made by the SIM Advisory Board at the June meeting to expand membership by two or four members. The Advisory Board also recommended that at least one new member represent a consumer voice. o Boards and Commissions has accepted the recommendation and will be reopening an application process for Advisory Board members. o The SIM Office will not have any influence over selection of candidates. However, individuals and agencies may submit recommendations to the SIM Office regarding candidates, and the SIM Office will pass these suggestions along to Boards and Commissions.

Future Meetings 

The group decided to meet monthly moving forward, but may adjust to meet with more or less frequency, depending on the amount of work referred by other workgroups.

Outstanding Questions:     

How does the SIM Office view the role of the workgroup? Should the workgroup make recommendations regarding points at which consumers can be engaged in the SIM process? Could the Consumer Engagement workgroup be renamed? (e.g. as the Consumer Empowerment workgroup)? What terms need greater clarity that the consumer engagement workgroup could define? The workgroup has three open spaces – what process should the workgroup use to fill those slots? Does the workgroup want to ensure that slots are filled by consumers? Who is the group’s target population?

Action Items: Topic

Responsible Party

Deadline

Provide a list of possible terms for the group to define.

Nicole King

8/3/2015

Schedule next meeting.

Nicole King

8/3/2015

The Project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services.