Meeting Minutes Practice Transformation Workgroup 04/12/2016 | 2:00 – 4:00 MT | HCPF Type of Meeting: Chairs:

Workgroup Meeting Mindy Klowden

SIM Representative:

Nicole King

Note Taker:

Matthew Welchert

Members in Attendance:

Jo Anne Doherty, David Brody, Beth Neuhalfen, Anita Rich, Nicole Deaner, Lori Stephenson, Susan Mathieu, Claudia Zundel, Polly Anderson, Patrick Gordon.

Ex Officio and Gusts:

Heather Stocker, Emily Haller, Tara Smith, David Bartsch.

Action Items and Decisions:       

Practice Engagement discussion to be teed up in future meeting. Continue a deeper dive into cohort practice characteristics, and workgroup needs to consider recommendations on what info will be required for the future cohort. Continue to monitor and report on CPC+ in order to have further conversation with the workgroup and how it relates to SIM and TCPI SIM Will update a matrix which includes various initiatives related to SIM. Workgroup Members will provide feedback on how to monitor current initiatives as they update in real time. Please provide feedback on the Draft Regional Health Connector host organization. Clarify communications to practices and PTOs regarding where the MPC is at with the cohort support and what the timeline of connecting with practices looks like.

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The 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.

Meeting Minutes Discussion Summary: 

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Characteristics of the First Practice Transformation Cohort: o A good diversity of practices, geographic representation, wide spread of participating health systems, an abundance of pediatric and family practices, mixture of Medicaid coverage, and 32 CPC practices.  The SIM Office will continue a deeper dive into the characteristics for the practices for further details and demographics.  Need to begin focusing on the future cohort 2; what gaps do we have which we will want to cover in the future and what questions do we want to ask?  Subpopulations within the cohort will remain an important evaluation consideration. Multi-Payer Collaborative Update: o MPC met 2 weeks ago and discussed need for alignment of communication and completion of contacting practices to clear up confusion and ensure a connection between practices and payers.  A list of practices payers will be supporting will be completed by 4/30; 30 days later the SIM Office will have connected with each practice site regarding who will be their payer support and primary contact. o Quality Assurance Committee: Dorien Rawlinson from United will be on the Committee representing the MPC. o Perry Dickinson has been invited to meet with the MPC regularly to ensure routine discussion of SIM PT concerns. o Data Aggregation: Remains a significant commitment of time and energy for the MPC and they will commit to these resources for well into 2017. CPC+ Announcement: o A brand new announcement; more information and understanding will come in time, but initial reaction is very positive.  CPC+ will be a kind of narrative continuation of the work laid forth in CPC and currently being done with SIM.  It expands the number of states and practices which will be involved.  An application process will be required, first by the MPC then by the practices. However, former CPC practices and SIM states will be given a preference in the application process.  There will be a lot of opportunity for alignment between SIM and CPC+, they will have to be viewed as integrated elements; e.g. a practice in SIM will be successful in SIM and will not need to drop out for CPC+. 2

The 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.

Meeting Minutes 

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Will provide added resources to practices which may help reinforce what we need to accomplish with SIM while SIM can help practices be successful with CPC+. Alignment will be key; the MPC does not seem them as different entities and does not want to treat them as such.  There will be 2 tracks of payment in CPC+, and the second track is explicitly focused on complex populations with mental health aspects. We will have to see how well that links with behavioral health integration; but an area wherein alignment may be facilitated and SIM-CPC+ can be leveraged together. Regional Health Connectors Update: o A draft RFP for feedback is posted online (link through the SIM website) which CHI will use to consult with regarding the final RFP which will be posted by 6/1/16. Feedback on the draft RFP is appreciated. Looking at December for placement of first RHCs. o CHI will be going on a roadshow to different regions and will also post an F&Q. o EvidenceNOW RHC FTEs and SIM RHC FTEs will be aligned as one workforce in the state. Transforming Clinical Practices Initiative (TCPI): o The Federal Change Package has been altered to align better with SIM which has improved recruitment efforts.  A number of large systems will be signing up soon as well as specialty groups; those interested in joining are encouraged to apply soon before the positions are filled. o The Practice Transformation Workgroup will also include TCPI items as a part of the Workgroup’s roles and responsibilities. Small Grants Program: o The Colorado Health Foundation’s funds can be used for contracting in addition to hiring, but reallocating current employees will not be covered. The Foundation wants the funds to help with new staffing.  Still working on the question of registry and care management software.  Foundation can support new FTE, Renovation of clinic space, and tech pieces not covered by CMMI. o CMMI will provide support patient and family engagement, patient advisory councils, updating electronic health records, and other technological updates. o Late April the RFP will be released, left open for about 5 weeks with the final selections 6/30/16.  Please provide feedback on what will be included in the RFP so we may be proactive about what we are asking from applicants in relation to what information we are going to need. 3

The 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.

Meeting Minutes o Workgroup feedback:  Demonstrating how the funds will translate to certain milestones the practice wants to accomplish will be good.  Ask who in the practice is leading the efforts related to the grant.  Provide a sample response for practices unfamiliar with this kind of application practice to encourage good responses.  Be certain to ask more objective elements like a detailed budget.  To measure impact, consider evaluating what activities took place, what was affected, and how these funds helped the practice progress towards goals.  Include PTOs in the webinar for potential applicants so they may be another resource to practices during the application process. o The application process may also be a good opportunity to gather some additional information from practices for TriWest’s evaluation process.  Workgroup will consider in the future what could be easy to collect. Refer to the Evaluation Workgroup regarding what might be important.

Referrals: 

The application process may also be a good opportunity to gather some additional information from practices for TriWest’s evaluation process. Refer to the Evaluation Workgroup regarding what might be important to collect.

Public Comments: 

N/A

Next Meeting:

05/24/2016 2:00-4:00 HCPF 303 E. 17 th Ave. 11C

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The 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.