Meeting Minutes Population Health Workgroup 8/5/15 | 1:30-3:00 pm | CDPHE Type of meeting

Workgroup

Chair

Liz Whitley

Co-Chair

John Douglas

SIM Staff Liaison

Nicole King

Members in Attendance Barbara Becker, Tim Byers, Joshua Ewing, Jennifer Fanning, Terri Hurst, Karen Koenemann, Tyler Payne, Neha Patel, Jamie Morin, Kelley Vivian

Discussion Overview of SIM Population Health Work: Nicole King gave an overview of the broader population health efforts related to SIM. This presentation was given in order to situate the Regional Population Health Collaboratives grant opportunity within the broader context of SIM initiatives related to population health. Slides from the presentation are available online at: https://drive.google.com/file/d/0BxUiTIOwSbPUS1FFc3owbk41VXM/view The presentation addressed:  Interagency agreement with the Colorado Department of Public Health and Environment and a pending agreement with the Office of Behavioral Health  Provider training modules that address pregnancy-related depression, obesity and depression, and depression in men  Population health funding opportunities, including the Population Health Collaboratives and grants to Local Public Health Agencies  Health Extension efforts and Community Health Workers  Avenues by which population health supports the SIM goal The group also discussed opportunities for workgroup engagement beyond release of the Regional Population Health Collaboratives RFP. At the next meeting, the workgroup will hear from CDPHE staff about their work related to SIM. These leaders will be asked to provide guidance on how the workgroup can best support their work. Update on Population Health Collaboratives Funding Opportunity: Liz Whitley reviewed the possibility of moving forward with a joint RFP with the Denver Foundation’s Colorado Health Access Fund. She discussed that while there are pros and cons to partnering, the overall sentiment among the SIM Advisory Board, Population Health Workgroup, CDPHE staff, and the Denver Foundation was to move forward on a joint RFP process.

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 Liz Whitley then discussed strategies to mitigate potential conflicts of interest in developing the joint RFP.  She suggested that individuals who work for agencies that may apply to the funding opportunity recuse themselves from discussing what language to include in the joint RFP. Members agreed with this approach.  Workgroup members who did not foresee having a conflict of interest volunteered to review the Denver Foundation’s existing RFP, available on the Colorado Health Access Fund webpage.  Members who were uncertain as to whether or not their organizations would apply for funding were asked to refrain from participating in discussions around designing the RFP, but are welcome to serve as grant reviewers should their organizations choose not to pursue the opportunity. Liz Whitley announced that the Centers for Medicare and Medicaid Services (CMS) approved the plan to move forward with a joint RFP, on the condition that the organizations do not comingle funds. Liz Whitley discussed the different funding streams related to the RFP.  The Denver Foundation has committed 5 million dollars per year for a period of eight years to this opportunity. SIM would be joining their second funding cycle.  SIM has 2.2 million dollars to grant out, and plans to make one-time awards to organizations for a period of up to three years.  The Denver Foundation funds four areas, one of which is community collaboratives. The SIM funding stream will only fund community collaboratives and will not be used for operating expenses or other areas that may be covered by the broader Denver Foundation RFP.  The Denver Foundation currently focuses exclusively on behavioral health treatment and not prevention. SIM/CPDHE will exclusively fund primary prevention and not treatment. The language of the existing RFP will be amended to reflect the prevention funding.  Applicants may apply for funding to advance strategies that address both prevention and treatment. In those cases, CDPHE funding would support prevention and Denver Foundation funds would be used to support treatment. The plan is currently to release the RFP on September 1 st , with applicants given six weeks to apply. Announcements of awardees will be made in January, with a target start date of February 1 st . Public Comment Period: Brian Turner from the Colorado Behavioral Healthcare Council asked whether or not the funding opportunity would be limited to Local Public Health Agencies (LPHAs). Liz Whitley responded that the Regional Population Health Collaboratives would not be

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 limited to LPHAs. Nicole King clarified that the other two funding opportunities mentioned in the slide deck (USPSTF A and B recommendations and Community Education grants) will be limited to LPHAs, but with the expectation that LPHAs partner with community based organizations to carry out their work.

Outstanding Questions   

 

How can pediatric health best be addressed by broader SIM population health efforts? Should CDPHE/SIM fund the Regional Population Health Collaboratives for a threeyear period? Or should collaboratives be given the opportunity to apply for one or two year funding periods as well? How can the other two CDPHE/SIM funding opportunities (USPSTF and Community Education grants to Local Public Health Agencies) align with th e Regional Health Population Collaboratives opportunity? Should collaboratives seeking to address stigma reduction or issues related to USPSTF guidelines be prevented from applying to the joint RFP in order to avoid duplication? Can CDPHE’s internal procurement process realistically handle issuing a joint RFP? If not, how can SIM/CDPHE best ensure that the two separate RFPs refer to one another? What does “evidence-based practice” really mean when it comes to prevention? Should this definition just be limited to SAMSHA when it comes to substance use disorders? Are there other sources of evidence?

Action Items Topic

Responsible Party

Set next meeting date.

Deadline

Nicole King

8/13/2015

Invite leaders of CDPHE’s population health work to Nicole King present at next workgroup meeting.

8/13/2015

Check in with CDPHE’s procurement staff to get an update on the logistics of issuing a joint RFP.

Liz Whitley

By Next Meeting

Email volunteer RFP editors a copy of the Denver Foundation RFP with CDPHE/SIM Office edits. Solicit additional feedback.

Liz Whitley

By Next Meeting

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 Topic

Responsible Party

Pull together various examples of “evidence-based practices” related to behavioral health prevention.

Nicole King

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.

Deadline

8/20/2015

2015-08-05 Population Health Workgroup Minutes DRAFT.pdf ...

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

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