addenda - bell county, texas · 2018-11-12 · addenda 1. supplementary documents and weblinks a....

Addenda 1. Supplementary Documents and Weblinks

a. RHP Regions and RHP 8 Map b. Top Employers in RHP 8 c. RHP 8 Community Needs Data d. RHP 8 Narrative – Texas Workforce Commission e. DSHS County Health Facts Profiles – RHP 8 f. Temple ISD Student Data Process (Central Counties Services) g. Statewide SMHF Trust Fund Utilization Analysis (Central Counties Services) h. Texas Homeless Network 2012 Point-In-Time Results - Temple/Killeen i. Homeless Count and Characteristics Survey Results – Temple/Killeen 2012 j. Request from Jail County by Match Type – Burnet & Williamson Counties k. Safety Net Services for People with Intellectual and Developmental Disabilities – Harris

County Model l. Crisis Response Services for People with Co-Occuring Disorders – MHMRA of Harris

County

2. Stakeholder Engagement Documents (To be included in full plan submission) a. Meeting Agendas and Sign-In Sheets b. Community Impact Report Article c. Example of County Medical Society Letters Sent d. Example County Medical Society Follow up Letter e. County Medical Society Support Letter Received f. TAMHSC Press Release for RHP Plan Pass 1 Public Comment g. TAMHSC Website – Public Comment Screen Shot h. RHP Plan Pass 1 Public Comment Received November 8-14, 2012 i. TAMHSC Press Release for Full RHP Plan Public Comment j. RHP Plan Public Comment Received December 3-7, 2012 k. Formal Meeting and Webinar Attendance by RHP Participants

3. Required Documents

a. Collaboration Agreements b. Affiliations and Certifications

i. Affiliation Agreements ii. Governmental Certifications

iii. Hospital Certifications

4. DSRIP Projects Not Included in Final RHP Plan

RHP 8 Plan Addenda

Addendum 1 Links to Supplementary RHP 8 Data

Description Website Addendum 1A RHP Regions and RHP 8 Map

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-a.pdf

Addendum 1B Top Employers in RHP 8

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-b.pdf

Addendum 1C RHP 8 Community Needs Data

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-c.pdf

Addendum 1D RHP 8 Narrative – Texas Workforce Commission

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-d.pdf

Addendum 1E DSHS County Health Facts Profiles – RHP 8

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-e.pdf

Addendum 1F Temple ISD Student Data Process (Central Counties Services)

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-f.pdf

Addendum 1G Statewide SMHF Trust Fund Utilization Analysis (Central Counties Services)

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-g.pdf

Addendum 1H Texas Homeless Network 2012 Point-In-Time Results - Temple/Killeen

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-h.pdf

Addendum 1I Homeless Count and Characteristics Survey Results – Temple/Killeen 2012

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-i.pdf

Addendum 1J Request from Jail County by Match Type – Burnet & Williamson Counties

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-j.pdf

Addendum 1K Safety Net Services for People with Intellectual and Developmental Disabilities – Harris County Model

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-k.pdf

Addendum 1L Crisis Response Services for People with Co-Occuring Disorders – MHMRA of Harris County

http://www.tamhsc.edu/1115-waiver/rhp8-files/addenda-revised/addendum-1-l.pdf

Other Supplementary Web Links Website Bell County Community Needs Assessment 2010

http://www.co.bell.tx.us/2010%20Needs%20Assessment.pdf

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Williamson County and Cities Health District Annual Service Reports

http://www.wcchd.org/statistics_and_reports/index.php#CommunityAssessment0

Central Texas Sustainability Indicators Project- 2009 Data Report

http://www.centex-indicators.org/annual_rept/ar2009.pdf

Williamson Burnet County Opportunities 2011 Community Needs Assessment:

http://www.wbco.net/pdf/2011%20Community%20Needs%20Assessment.pdf

FY 2010 Texas Medicaid Managed Care STAR Quality of Care Report:

http://www.hhsc.state.tx.us/reports/2012/Care-Report-STAR-FY2010.pdf

Texas Department of State Health Services – Health Facts Profiles (2009)

http://www.dshs.state.tx.us/chs/cfs/Texas-Health-Facts-Profiles/

State of Texas Dept of Aging and Disability Services Study on the Costs and Benefits of Initiating a Pilot Project to Provide Services to Adults with Autism Spectrum Disorders and Related Disabilities (2010)

http://www.dads.state.tx.us/autism/publications/HB1574Report.pdf

ICare Healthcare Utilization Among Vulnerable Populations 2011

http://icc-centex.org/wp-content/uploads/2012/07/Vulnerable-Populations-2011_final.pdf

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Region 8 Regional Healthcare Partnership

Regional Planning Meeting – DSRIP Priority Areas and Projects

Thursday, June 14, 2012 9:30 – 11:30 a.m.

Texas A&M Health Science Center Round Rock Campus Auditorium 3950 North A.W. Grimes Blvd. • Round Rock, Texas 78665

AGENDA

I. Welcome

II. Update/Summary of 1115 Medicaid Transformation Waiver

III. Overview of Planning Process for RHP 8 IV. Discuss Identified DSRIP Priority Areas – County and Regional

V. Review of DSRIP Project Proposal Form

VI. Discuss Project Proposal and Selection Process

VII. Closing Remarks and Next Steps

VIII. Adjourn

Meeting will be facilitated by Dr. Monica Wendel and Ms. Angie Alaniz

Visit our 1115 Medicaid Transformation Waiver website: http://www.tamhsc.edu/1115-waiver

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http://www.tamhsc.edu/1115-waiver

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Addendum 2A

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NOTICE OF WORKSHOP SESSION OF THE COMMISSIONERS COURT OF BELL COUNTY, TEXAS

July 2, 2012 Notice is hereby given that a Workshop Session of the Commissioners Court will be held immediately following the Regular Agenda meeting, or if there is no Regular Agenda at 9:30 a.m., in the Commissioners Court Conference Room, County Courthouse, 2nd Floor, Belton, Texas, where the following items will be discussed but no action will be taken. 1. Bell County Construction Status Updates

a. Multi-Purpose Building implementation/operation b. Central Jail project/utilization plan c Animal Control Facility project status d. Truck Wash Facility project status f. Communications Center build out of western wing project status g. Engineering Office project status h. Buildings & Grounds project status i. Construction Projects reports j. Juvenile Detention security wire update k. Contract Manager report l. Records Management Plan and Order m. Update on flooding damage to Belton Annex333 2. Project Management priorities and projects. a. Strategic Capital Improvement Project Plan and Policy and Funding b. Review of Project priorities and current funding status/projections 3. Juvenile Probation Department a. Operation/implementation of JJAEP education program by Southwest Key b. Personnel 4. Engineering Office and Road & Bridge Department Updates a. Subdivision and Precinct issues (1) Pct 1 (2) Pct 2 (3) Pct 3 (4) Pct 4 b. Model Subdivision Rules c. Bell County opening on KTMPO for boundary expansion land area. d. I-35, Loop 363, and US 190 Expansion Projects & funding assistance e. Requirements for eminent domain reporting to Comptroller’s Office f. Belton MUD planning and discussions 5. BellNET meeting review and update a. Amendments to Bylaws and governing documents 6. Technology Services/Communications Center a. Operational Review and systems evaluation b. Update on Indigent Defense Web System project and Jail Management Project d. Update on department and location of fiber/repair or replacement e. Dailey Wells meeting and planning proposal and federal funding request

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f. Video magistration process g. Internet redundancy - Time Warner proposal h. Imaging Proof of Concept Initiative results review I. Jail Software Program status/update j. Retention policy/storage hardware on emails k. Standardization Policy and Social Media Network Policy l. Procurement of Book Drive Pro system for scanning historical books m. Planning for update meeting on Prosecutor and Courts programs n. Web page update and demonstration 7. Financial Information a. FY 2012 budget implementation and FY 2013 budget planning b. Jail leasing pricing and contracts c. Various Cemetery Funds concerning numerous private cemeteries d. Communications Center equipment/hardware and financing alternatives e. Federal funding requests for Project 25 Interoperability Initiative f. Amendments to financing plan for FY 2009-2010 for Temple’s Tax Increment

Financing Zone No. 1. h. Purchase Order Encumbrance Implementation project. I. Tax Abatement requests from Belton, Killeen and Temple businesses j. Modifications to structure/agreements and creations of Temple’s Reinvestment

Zones k. Appointment to Bell County and Central Texas Housing Finance Corporation

Boards l. Audit reviews and financial planning 8. Social Services Updates a. Bell County Needs Survey and implementation of Community Health Assessment

recommendations b. Report on non-profits/FEMA funding cuts to TERF Board. c. HELP Center planning/partnership potentials and 211 program status d. HHS 1115b Waiver Issues and Regional Plans e. Indigent Health payment status and 8% report 9. Personnel and Human Resources - PR Bond/Pretrial Services Department Updates a. NACo prescription card comparison with other vendor product. b. Indigent defense assessment/review and grant implementation status c. Coverage policy on retirees d. Health coalition/committee discussion e. Review and discussion on health insurance proposals/alternatives 10. EXPO Center modifications/renovations update, management agreement, marketing, and

hotel/motel occupancy tax review a. EXPO’s consultant’s analysis/costing projections for expansion b. Hotel/Motel occupancy tax legislation c. Planning meetings; and consultant updates d. Financing potentials for alternate expansion plans 11. Emergency Management/Fire Marshall update a. Burn Ban/Disaster Declaration evaluation and enforcement b Emergency Management grants, training, and EMS Service updates

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c. Volunteer Fire Department issues, service fees and swift water rescue boat replacement

d. Volunteer Fire Department radio proposals e. Contingency Contracts for emergency services f. Storage of food preparation trucks and trailers 12. Building and Grounds Updates a. Projects with Corporate Facilities Management Services, LLC, and other

providers b. Project manager agreements c. Juror reporting/parking signage d. Use of Killeen Annex parking area by private organization e. Possible location for foreclosure actions during inclement weather. f. Social services facility ideas for Temple Reinvestment Zone 13. Election/precinct issues a. Precinct lines for TABC determinations b. Redistricting submission/voting precincts c. 2012 Elections 14. Current legislative session, meetings of County organizations, and conferences. a. NECJCA 2012 meetings b. CUC Education Conference c. TAC/CJCA/NACo Legislative/Annual Conferences d. Input on Federal and State Legislative Hearings 15. Open records requests. 16. Litigation and potential litigation issues, claims, and updates. Workshop items may be considered and/or discussed in a different order than set forth above. Bell County Commissioners Court reserves the right to discuss any above items in executive (closed) session whenever permitted by the Texas Open Meetings Act. WILL ATTEND: Where County Business may be discussed but no action taken unless otherwise posted. 1. Commissioners Court members luncheon following Workshop on Monday, July 2, 2012

with location to be announced at Workshop. Workshop may continue in the Conference Room after lunch and may continue until the next day.

2. Budget planning and implementation workshops at specifically listed times and at 9:30 a.m. and 1:30 p.m. in Commissioners Conference Room on: a. Monday, July 2, 2012 b. Tuesday, July 3, 2012 c. Wednesday, July 4, 2012 – HOLIDAY

` d. Thursday, July 5, 2012 e. Friday, July 6, 2012 3. Planning meeting on 1115(b) Medicade Waiver at 1:30 p.m. on Monday, July 2, 2012 in

the Commissioners Conference Room or the Commissioners Courtroom, if space is needed.

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4. Meeting with representatives of Klotz Engineering at 10:00 a.m. on Tuesday, July 3, 2012 in Commissioners Conference Room.

5. July 4th events beginning at 9:00 a,m. on Wednesday, July 4, 2012 on first floor of Historic Courthouse and continuing with July 4th parade at 10:00 a.m. in Belton.

JON H. BURROWS, County Judge By: I, SHELLEY COSTON, Bell County Clerk, do certify that the above Notice of Workshop Session of the Commissioners’ Court is a true and correct copy of said notice, and that I posted a true and correct copy of said Notice on the bulletin board at the Courthouse door of Bell County, Texas, at a place readily accessible to the general public at all times on the ____ day of June, 2012, and said Notice remained so posted continuously for at least 72 hours preceding the scheduled time of said meeting. Dated this the ____ day of June, 2012. SHELLEY COSTON, Bell County Clerk By County Clerk

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Proposal Review Meeting

Held at the Round Rock Annex • 1801 E. Old Settlers Blvd• Round Rock, Texas

Thursday, July 19, 2012 9:30 a.m. to 1:00

AGENDA

I. Welcome & Introductions II. Provider Presentations/Q&A

A. 9:30 – 10:00 a.m. Scott & White Hospital System B. 10:00 - 10:30 a.m. St. David’s Round Rock Medical Center C. 10:30 – 11:00 a. m. Central Counties Services

III. IGT Entities /Discussion A. Valuation B. DSRIP Funding and other funding issues C. DSRIP Planning Protocol (formerly DSRIP Menu)

IV. Next Steps

V. Adjourn

Visit our 1115 Medicaid Transformation Waiver website: http://www.tamhsc.edu/1115-waiver

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http://www.tamhsc.edu/1115-waiver

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NOTICE IS HEREBY GIVEN THAT THE ROCKDALE HOSPITAL DISTRICT BOARD OF DIRECTORS

WILL MEET Thursday August 2, 2012 at 5:30 P.M

Richards Memorial Hospital (Main Hospital Dining Room)

For the following purpose AGENDA

Opening Prayer 1. Call to Order

Carl Hudson, Board Chairman Richard Burns, Vice Chairman Dr. Lucile Estelle, Secretary Karolyn Puccio Terry Browning Mike Vance Dennis Brooks

2. UPL Payment Discussion 3. Adjourn to Closed Session pursuant Section 551.085: Certain Deliberations by

Governing Board of Public Hospital, Section 551.071: Consultation with Attorney and/or Section 551.072: Deliberations about Real Property, Section 551.074: Personal Matters of the Texas Government Code

4. Adjourn from Closed Session to Open Session

5. Adjourn Meeting

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Provider Meeting Wednesday, August 15, 2012 • 3:00 p.m. – 4:30 p.m.

Webinar

AGENDA

I. Welcome a. Webinar Protocol b. Introductions

II. Overview of Meeting a. Highlights from HHSC Planning Summit b. Discuss RHP 8 Status & Revised Timeline c. Review and Approval of Key Planning Elements d. Discuss Information from HHSC Summit

III. Brief Highlights from Summit a. Timeline for CMS Approval of Planning/PFM Protocols and Anticipated Changes b. Inclusion of UC in Plan c. 8% funds discussion

i. DSHS to allow IGT from 8% pool to count as credit for indigent care requirements ii. provider statement that they are serving the indigent in Affiliation Agreements

d. Redistribution of Funding Allocations for RHPs in DY 3 e. Other Questions…

IV. RHP 8 Timeline & Tasks a. RHP 8 Plan and Process b. Plan Submission to HHSC – September 7th (tasks x timeline in PP) c. Finalization of IGT Commitment for UC and DSRIP d. Completion of Affiliation Agreements for UC e. Authorization to Sign RHP Plan and Certifications, Flexibility in Funding b/t UC & DSRIP f. New Certification Date g. Planning for DY3

V. Discuss and Approve Proposed RHP Goals

VI. Discuss and Approve Proposed RHP Approach to Project Valuation

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VII. Update on Program Funding and Mechanics Protocol

VIII. Update on RHP Planning Protocol

IX. Coordination of RHP 8 Category 3 Projects

a. Discuss interest in PPR Project as Cat 3 for all providers b. Development of common Cat 3 proposals

X. Uncompensated Care Tool & Regional UC Information for the RHP 8 Plan a. Early completion/good projections necessary to determine UC/DSRIP Ratio for RHP Plan

XI. Wrap Up

a. New overviews of the PFM and Funding Sheet forthcoming b. Expect approval of Protocols soon c. HHSC releasing Planning Protocols piecemeal for Sections V d. Expect new Plan Sections and return them e. New Certification date f. HSC website and contacts; revising calendar

XII. Adjourn

RHP 8 Plan Addenda


Provider Meeting Wednesday, August 22, 2012 • 3:00 p.m.

Webinar

AGENDA

I. Welcome

II. Overview of Meeting a. Highlights from HHSC Anchor Call b. Discuss RHP 8 Status, Tasks & Timeline c. Approval of Key Planning Elements d. Discuss Revised Protocols

III. Brief Highlights from Anchor Call a. Timeline for CMS Approval of Planning/PFM Protocols and Anticipated Changes b. Status of UC and role in the Plan c. Guidance on use of 8%; Redistribution of Funding Allocations for RHPs d. Remaining Questions…

IV. RHP 8 Timeline & Tasks a. Plan Submission to HHSC – September 14th b. Finalization of IGT Commitment for UC and DSRIP c. Completion of Affiliation Agreements d. Authorization to Sign RHP Plan and Certifications e. Planning for DY3

V. Update on Program Funding and Mechanics Protocol

VI. Update on RHP 8 Planning Protocol

VII. Coordination of RHP 8 Category 3 Projects

a. Discuss interest in PPR Project as Cat 3 for all providers b. Development of common Cat 3 proposals

VIII. Uncompensated Care Tool & Regional UC Information for the RHP 8 Plan a. Early completion necessary to determine UC/DSRIP Ratio for RHP Plan

IX. Wrap Up & Adjourn

a. Next Steps

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Meeting Thursday, September 20, 2012 • 9:30 a.m.

TAMHSC Auditorium Round Rock

AGENDA

I. Welcome

II. Overview of Meeting a. Highlights from HHSC Anchor Call b. Approval of Key Planning Elements c. Discuss Revised Protocols d. Discuss RHP 8 Status, Tasks & Timeline

III. Brief Highlights from Anchor Call a. Timeline for CMS Approval of Protocols and Anticipated Changes b. Upcoming webinars

IV. Update on Program Funding and Mechanics Protocol a. PFM approved by CMS on 8/31/2012 b. UC Requirements & Tool c. DSRIP changes & key information

V. Update on RHP 8 Planning Protocol a. Approval Timeline b. Approved Categories 1 & 2 project areas c. Draft Category 3 outcomes d. Category 3 requirements e. Capital & transportation projects

VI. RHP Plan a. New template, electronic work and plan checklist b. Plan Process c. New plan requirements

VII. RHP 8 Timeline & Tasks

VIII. Wrap Up & Adjourn

a. Next Steps

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Addendum 2B

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Addendum 2C

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October 16, 2012

Name Street Address City, State, Zip Code

RE: Letter of Support - 1115 Medicaid Transformation Waiver

Dear ___________:

We hope you received our letter dated September 28, 2012 that provided an overview of the Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver which was approved by the Centers for Medicare and Medicaid Services (CMS) in December 2011. As we mentioned, the goal of the waiver is to transform healthcare delivery systems in Texas through the development of Regional Healthcare Partnerships (RHPs). RHP 8 consists of Bell, Blanco, Burnet, Lampasas, Llano, Milam, Mills, San Saba and Williamson Counties.

We are excited about this opportunity to encourage broad stakeholder involvement and improve the health of residents in RHP 8. Any and all participation by county medical societies in our region is welcomed and appreciated. Throughout the waiver process, we will continue to hold public meetings to provide opportunities for the general public and regional stakeholders to participate in and receive feedback on waiver activities.

Letters of support are requested to be included with the submission of the RHP 8 plan. If you would like to acknowledge the waiver activities and support the efforts for health care transformation going on in our region, we have taken the liberty of drafting a letter for you. If you are willing to submit a letter of support, please edit the attached as you wish, sign and return it to us by Wednesday, October 31, 2012.

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Addendum 2D

The anchor team in Region 8 currently consists of Ms. Janice Ehlert and Ms. Lindsay Pollok. Additional information related to the 1115 Waiver and activities specific to Region 8 can be found on our website: http://www.tamhsc.edu/1115-waiver/index.html.

Sincerely, Janice Ehlert, MBA Project Director Texas A&M Health Science Center Phone: (512) 341-4975 Fax: (512) 341-4217 [email protected]

RHP 8 Plan Addenda

http://www.tamhsc.edu/1115-waiver/index.html

mailto:[email protected]

Name Organization Street Address City, State, Zip Code October 16, 2012

Texas Health and Human Services Commission 4900 North Lamar Blvd. Austin, TX 78751

RE: Letter of support for Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver

[Name of institution or organization] would like to indicate our support of the Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver in Regional Healthcare Partnership 8, anchored by the Texas A&M Health Science Center in Round Rock, Texas.

The waiver provides opportunities for regional collaborations; the development of meaningful, high-impact projects; and broad stakeholder involvement which is essential to create health care delivery transformation in Regional Health Partnership 8. We anticipate residents of RHP 8 will experience significant and direct benefits as a result of the waiver, such as better access to care, increased efficiency in the health care delivery system, and lower health care costs over the long-term.

The 1115 Medicaid Waiver is aligned with the needs of residents of our community and we expect the following positive impacts:

1) Improving access to timely, high quality care for residents, including those with multiple needs;

2) Increasing the proportion of residents with a regular source of care;

3) Increasing coordination of prevention and care for residents, including those with behavioral or mental health needs; and

4) Reducing inappropriate utilization of services

Please accept this letter as formal recognition of the value of this initiative in Texas which allows Regional Healthcare Partnerships to tailor projects that aim to reform the health care delivery system to better meet the needs of their residents.

Sincerely, Name Job Title

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Addendum 2E

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TAMHSC Marketing and Communications

007 Medical Sciences Library Building | College Station, TX 77843-1114 | 979.845.1934 | Fax 979.845.5667 | www.tamhsc.edu

Date: November 7, 2012

Contact: Scott Maier (979) 458-0770

Texas A&M Health Science Center Marketing and Communications

Public comment period open through Nov. 13 for Central Texas

Medicaid regional health care partnership plan

(COLLEGE STATION, TX) — Following federal approval for a waiver that allows Texas to provide

cost-saving Medicaid improvements, the Texas A&M Health Science Center (TAMHSC) has taken a leading

role in two of the state’s new regional health care partnerships. Public comment on a proposed partnership plan

for a portion of Central Texas is open through noon Nov. 13.

The new waiver allows Texas to expand Medicaid managed care while preserving hospital funding for

indigent care and will capture more federal dollars – up to $29 billion over five years – to support innovation in

the state’s health care delivery system. This includes formation of regional health care partnerships to improve

access, quality, cost-effectiveness and coordination among communities.

There are 20 regional partnerships statewide, with TAMHSC anchoring two, including Region 8

comprised of Bell, Blanco, Burnet, Lampasas, Llano, Milam, Mills, San Saba and Williamson counties. As

anchor, the health science center serves as the single point of contact, coordinating activities and handling

administrative functions.

Each partnership is developing a four-year plan that incorporates regional health assessments,

participating local public entities, identification of hospitals receiving incentives and their yearly performance

measures, and incentive projects such as infrastructure development, program innovation and redesign, quality

improvements and population-focused improvements. Input is being provided by county medical associations

and organizations, local government partners, key stakeholders and the general public.

A portion of the plan is due to the Texas Health and Human Services Commission on Nov. 16, and the

fully submitted plan can be amended during the four-year period. Projects in the plan will be monitored and

measured to ensure funding is used efficiently and effectively.

The plan and public comment form are posted at www.tamhsc.edu/1115-waiver/rhp8.html. Comments

can be made by mail or online. For more details, contact information and to comment, visit

www.tamhsc.edu/1115-waiver.

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News Release

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Addendum 2F

Regional Healthcare Partnership 8

Regional Healthcare Partnership 8 (RHP 8) is a

nine-county partnership located in the Central

Texas region of the state. The partners consist of

Bell, Blanco, Burnet, Lampasas, Llano, Milam,

Mills, San Saba and Williamson counties. The

Texas A&M Health Science Center (TAMHSC)

has been delegated to serve as the RHP 8 anchor

institution.

ANCHOR TEAM

Ms. Janice Ehlert

Ms. Lindsay Pollok

PASS 1 OF THE RHP 8 PLAN IS NOW AVAILABLE FOR PUBLIC COMMENT

The Region 8 Anchor Team is pleased to release the RHP 8 Plan for both regional and broad public review and comment. Comments and proposed changes will be accepted using the RHP 8

Plan Public Comment Form. Comments must be returned per the instructions on the form no later than 5 p.m. on Wednesday, November 14, 2012.

Regional Health Care Partnership 8 Plan - Pass 1

for the

Texas Health Care Transformation and Quality Improvment Program 1115 Waiver

Addendum 1 - List of All Supplementary Documents and Weblinks

Addendum 1A - RHP Regions and RHP 8 Map

Addendum 1B - Top Employers in RHP 8

Addendum 1C - RHP 8 Community Needs Data

Addendum 1D - RHP 8 Narrative – Texas Workforce Commission

Addendum 1E - DSHS County Health Facts Profiles – RHP 8

Addendum 1F - Temple ISD Student Data Process (Central Counties Services)

Addendum 1G - Statewide SMHF Trust Fund Utilization Analysis (Central Counties Services)

Addendum 1H - Texas Homeless Network 2012 Point-In-Time Results - Temple/Killeen

Addendum 1I - Homeless Count and Characteristics Survey Results – Temple/Killeen 2012

Addendum 1J - Request from Jail County by Match Type – Burnet & Williamson Counties

Addendum 1K - Safety Net Services for People with Intellectual and Developmental Disabilities – Harris County Model

Regional Healthcare Partnership 8 - Texas A&M Health Science Center http://www.tamhsc.edu/1115-waiver/rhp8.html

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Addendum 1L - Crisis Response Services for People with Co-Occuring Disorders – MHMRA of Harris County

** PLEASE NOTE:

- the plan is a very large document, so it may take several minutes for it to download from the server - please be patient;

- please know that while this is considered a FINAL draft for Pass 1 of the plan, it is still in draft form and minor formatting revisions are still taking place to correct issues with the table of contents as well as uniformity in

formatting of all the project documentation. Additional addenda will be posted with the final draft of the complete RHP Plan.

TIMELINE

UPDATED (11-8-12):

October 31, 2012 TAMHSC submitted Sections I-III electronically to HHSC

November 1, 2012 Pass 1 providers will receive proposed revisions to their narratives and milestone & metrics

tables (Categories 1-3). DY 1 allocations estimates will be provided to DSRIP Performing

Providers

November 2, 2012 Pass 2 providers are to submit their first draft of their narratives and milestone & metric tables

(Categories 1-3)

November 6, 2012 Pass 1 final narratives and milestones & metrics tables due by noon.

November 8-14, 2012 RHP 8 Plan for Pass 1, including all the sections, will be made available for

review and comment by RHP 8 and the general public.

November 9, 2012 - UC providers must turn in the UC tool to HHSC. Please let us know what your

final UC numbers were.

- Affiliation agreement and certification documents for governmental entities and

hospitals are also due for UC.

- Pass 2 providers receive proposed revisions to their narratives and milestone &

metrics tables (Categories 1-3).

November 13, 2012 Performing Providers let TAMHSC know if they have secured IGT for their DY

allocation.

November 15, 2012 Pass 2 providers return their final narratives and milestones & metrics tables by

noon.

November 16, 2012 RHP 8 delivers final version of the RHP 8 Plan for Pass 1 to HHSC.

Late

November/Early

December

Sign and Certify RHP Plan and Submit to HHSC

RHP 8 RESOURCES

Approved RHP Planning Protocol - Approved by CMS 9/24/12

Checklists for Narratives and Tables:

Category 1

Category 2

Category 3


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*NEW: Sample DSRIP Project provided by HHSC (posted 10/16/12)

*NEW: HHSC Waiver FAQs (updated 10/25/12)

*NEW: RHP Plan Companion Document (posted 10/17/12)

DSRIP Narrative Templates

Category 1 & 2 (blank)

Category 1 & 2 (with instructions)

Category 3 (blank)

Category 3 (with instructions)

Category 4 (blank) *NEW

Category 4 (with instructions) *NEW

UC Tools Are Now Available http://www.hhsc.state.tx.us/rad/hospital-svcs/1115-waiver.shtml

DSH and Non-DSH Texas Hosptial UC Tool

DSH and Non-DSH Texas Hospital UC Tool Instructions

TXHUC Checklist for completion of UC Tool

Completed UC Tools must be submitted to HHSC no later than November 9, 2012. UC Tools received after the due date will not be accepted.

Waiver Payment Forms - These forms are necessary to certify the UC & DSRIP program and are the means to have payments delivered and make IGTs. (posted 8/9/2012)

New DSRIP Categories 1 & 2 Reference List - Summary of the approved project categories from the Draft DSRIP RHP Planning Protocol found on HHSC's Website. (updated 9/20/12)

PFM Summary - Summary of the Final DSRIP Program Funding and Mechanics (PFM) Protocol released by HHSC 8/31/2012. (updated 9/20/12)

UC and DSRIP Chart for RHP 8 - Chart explaining waiver allocations for DY1-5 and first & second pass funding outlined in the new Final PFM released by HHSC 8/31/2012. (updated

9/20/12)

Example of DSRIP Milestone Achievements - Summary of information on milestones completed and incentive payments based on the Final PFM released by HHSC 8/31/12. (updated 9/20/12)

Program Timeline - Overview of waiver activities through 2016 based on the new Final PFM released by HHSC 8/31/12. (posted 9/20/12)

Pass 1 Hospital Allocations - posted 9/12/12

Broad Participation Requirement - posted 9/12/12

Major Safety Net Hospitals - posted 9/12/12

Small Rural Exempt Hospitals - posted 9/12/12

RHP 8 PLAN

RHP 8 Plan Sections I-III - resubmitted to HHSC November 2, 2012.

Revised Addenda 11-1-12:

Addendum 1 - List of All Supplementary Documents and Weblinks

Addendum 1A - RHP Regions and RHP 8 Map


3 of 5 11/14/2012 4:56 PM

RHP 8 Plan Addenda

Addendum 1B - Top Employers in RHP 8

Addendum 1C - RHP 8 Community Needs Data

Addendum 1D - RHP 8 Narrative – Texas Workforce Commission

Addendum 1E - DSHS County Health Facts Profiles – RHP 8

Addendum 1F - Temple ISD Student Data Process (Central Counties Services)

Addendum 1G - Statewide SMHF Trust Fund Utilization Analysis (Central Counties Services)

Addendum 1H - Texas Homeless Network 2012 Point-In-Time Results - Temple/Killeen

Addendum 1I - Homeless Count and Characteristics Survey Results – Temple/Killeen 2012

Addendum 1J - Request from Jail County by Match Type – Burnet & Williamson Counties

Addendum 1K - Safety Net Services for People with Intellectual and Developmental Disabilities – Harris County Model

Addendum 1L - Crisis Response Services for People with Co-Occuring Disorders – MHMRA of Harris County

County Assessment Data

Local health assessment data by county to include demographic information, health ranking, potentially preventable hospitalizations, and a health care snaphsot for each area in a downloadable

PDF.

Bell County Milam County

Blanco County Mills County

Burnet County San Saba County

Lampasas County Williamson County

Llano County

MEETINGS/PRESENTATIONS

June 14, 2012 @ 9:30 a.m. - Presentation of Consolidated Priorities/DSRIP Project Selection Process Summary

Texas A&M Health Science Center – Round Rock Campus Auditorium

Meeting Materials

July 19, 2012 @ 9:30 a.m. - Proposal Review Meeting for Projects Covering Multiple Counties in Region 8

Williamson County Annex - Round Rock, TX

Meeting Materials

August 15, 2012 - 3:00-4:30pm - Webinar to Provide RHP 8 with Updated Information on 1115 Waiver

Webinar Slides

August 22, 2012 - 3:00-4:00pm - Webinar to Provide RHP 8 with Updated Information on 1115 Waiver

Webinar Slides

September 20, 2012 - 9:30-11:00am - RHP 8 meeting to review updates and changes, and discuss the new timeline


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RHP 8 Plan Addenda

Meeting Materials


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RHP 8 Plan Addenda

Texas Transformation and Quality Improvement Program 1115 Waiver Regional Healthcare Partnership Plan – Region 8 Feedback Form

Name: Cindy Sexton, Vice President and Chief Financial Officer Date: November 14, 2012 Organization: St. David’s Round Rock Medical Center Type of Organization (e.g. public hospital, private hospital, professional organization, academic health science center, county agency): Private Hospital County where organization is located: Williamson County Complete the following table to submit comments regarding the Regional Healthcare Partnership 8 Plan for the Texas Transformation and Quality Improvement Program 1115 Waiver. Please add rows as needed. If you have additional comments, please include them in the second section of the table below. Comments will only be considered if submitted to the Texas A&M Health Science Center using this form by 5:00 p.m. on November 14th. Please save the feedback form as a Microsoft Word file and email to Lindsay Pollok ([email protected]). The Texas A&M Health Science Center prefers to receive feedback in a Microsoft Word file sent via email; however, if you are unable to access email, please fax to ATTN: Lindsay Pollok at 512-341-4217.

Section Page # Comment/Issue Proposed Change

Example: I p. 2 Hospital District Lead Representative phone number is incorrectly listed

Phone number is 512-845-6462

I: RHP Organization

p. 6 The hospital’s lead representative is listed without a title.

Cindy Sexton, Vice President and CFO

II: Executive Overview

RHP 8 Plan Addenda

mailto:[email protected]

lpollok

Typewritten Text

Addendum 2H

III: Community Needs Assessment

p. 31 p. 32

(1) The Community Needs Assessment describes the rate of uninsured in six of the nine counties in Region 8 as having higher uninsured rates than the statewide average, and lists Williamson, Bell, and Llano counties as having uninsured rates below the statewide average. However, those counties’ uninsured rates are 6%, 9%, and 13% higher than the national benchmark (respectively), and thus the uninsured rate in the more urban areas of Region 8 is also an issue that the DSRIP projects must address. Data source: footnote 8 of the Region 8 RHP Plan. (2) The section of the Community Needs Assessment addressing “Healthcare Infrastructure and Environment” describes the high number of providers located in Williamson and Bell counties, citing those counties’ higher population density and hospital locations as a reason for this statistic. However, the Community Needs Assessment fails to note that Williamson County’s ratio of primary care physicians to County residents is well above both the national benchmark and the statewide average. Thus, even with a high number of providers in total, there is still a shortage for Williamson County residents seeking primary care. Data source: footnote 8 of the Region 8 RHP Plan.

(1) Insert the following sentence after the second sentence of the last paragraph on page 31: “Although Williamson, Bell, and Llano counties fall below the statewide average rate of uninsured, each of these counties has a higher rate of uninsured than the national benchmark. Additionally, the Federally Qualified Health Center located in Williamson County, Lone Star Circle of Care, is a federally designated Health Professional Shortage Area in the areas of primary, dental and mental health care, and is the only clinic in the county treating uninsured patients. Thus, access to primary care for uninsured in Williamson County is an issue Region 8 must address through DSRIP.” (2) Insert the following sentence after the third sentence in the last paragraph on page 32: “However, despite the high number of overall providers in Williamson County, the ratio of residents to primary care providers is still well above the national benchmark and the statewide average ratio. Thus, access to primary care in the urban areas of Region 8 is also a problem, despite the hospitals located in those areas.”

IV: Stakeholder Engagement

V: DSRIP Projects –

RHP 8 Plan Addenda

Category 1

V: DSRIP Projects – Category 2



VI: Participation Certifications

95741

Additional comments:

RHP 8 Plan Addenda

Date: November xx, 2012 Contact: Scott Maier (979) 458-0770 Texas A&M Health Science Center Marketing and Communications

Public comment period open through Dec. 7 for Central Texas Medicaid regional health care partnership plan

(COLLEGE STATION, TX) — Following federal approval for a waiver that allows Texas to provide

cost-saving Medicaid improvements, the Texas A&M Health Science Center (TAMHSC) has taken a leading

role in two of the state’s new regional health care partnerships. Public comment on a proposed partnership plan

for a portion of Central Texas is open from Dec. 3-7.

The new waiver allows Texas to expand Medicaid managed care while preserving hospital funding for

indigent care and will capture more federal dollars – up to $29 billion over five years – to support innovation

in the state’s health care delivery system. This includes formation of regional health care partnerships to

improve access, quality, cost-effectiveness and coordination among communities.

There are 20 regional partnerships statewide, with TAMHSC anchoring two, including Region 8

comprised of Bell, Blanco, Burnet, Lampasas, Llano, Milam, Mills, San Saba and Williamson counties. As

anchor, the health science center serves as the single point of contact, coordinating activities and handling

administrative functions.

Each partnership is developing a four-year plan that incorporates regional health assessments,

participating local public entities, identification of hospitals receiving incentives and their yearly performance

measures, and incentive projects such as infrastructure development, program innovation and redesign, quality

improvements and population-focused improvements. Input is being provided by county medical associations

and organizations, local government partners, key stakeholders and the general public.

The final Regional Healthcare Partnership plan for Region 8 will be submitted for review to the Texas

Health and Human Services Commission on December 14, 2012, and can be modified during the four-year

period. Projects in the plan will be monitored and measured to ensure funding is used efficiently and

effectively. A partial version of this plan was posted in November.

The plan and public comment form are posted at www.tamhsc.edu/1115-waiver/rhp8.html. Comments

can be made by mail or online. For more details, contact information and to comment, visit

www.tamhsc.edu/1115-waiver.

-30-

News Release

Addendum 2I

RHP 8 Plan Addenda

Addendum 2J

Placeholder for Public Comments Submitted to TAMHSC

December 3-7, 2012

RHP 8 Plan Addenda

Addendum 2K

Formal Meeting and Webinar Participation

Type Entity Name 6/14/2012 7/19/2012 8/15/2012 8/22/2012 9/20/2012 Co Bell County X X X X X Co Blanco County Co Burnet County X X Co Lampasas County X Co Llano County X X Co Milam County X Co Mills County Co Williamson County X X X X Health Authority Llano Hospital Authority X X X X Health Dist Bell County Health District X X Health Dist Williamson County Cities Health District X X X X Hospital Cedar Crest X X Hospital Cedar Park Regional Medical Center X Hospital Little River Healthcare X X X X Hospital Metroplex X X Hospital Scott & White X X X X X Hospital Scott & White - Llano X Hospital Seton X X X Hospital Seton Highland Lakes X Hospital St. David's X X X X X Hospital St. David's - Georgetown Hospital St. David's - Round Rock X LMHA Bluebonnet X X X X LMHA Central Counties X X X X plus 4 X LMHA Hill Country MHDD X X X X LMHA Center for Life Resources MHMR X X X plus 4 Consultant Brown McCarroll X

RHP 8 Plan Addenda

'] .. , · A M . f~XAS .. & ·---.-. .. ,.-----........ --- --

1-IEALTH SCIENCE CENTER

October 5, 2012

RE: Collaboration Agreement Between Texas A&M Health Science Center and Bluebonnet Trails Community Services

Provider Collaboration Is allowed In the Texas 1115 Medicaid Transformation Waiver under Attachment J, paragraph 25.c.iv of the lexa~ Healthcare Transformation and Quality Improvement Program (ProJect Number 11-W-00278/6) 11,15 (a) Demonstration Waiver.

Texas A&M Health Science Center .{T AMHSC) is the only Academic Health Science Center ln Regional Healthcare Partnership (RHP) 8; however, TAMHSC does not currently have an affiliated physician p~actlce In RHP 8 that will be performing under the Delivery System Reform Incentive Pool (DSRIP). As It will not use the allocation provided under Attachment J1

paragraph 25.c.ll.2, TAMHSC freely provides the following annual allocations to Bluebonnet Trails Community Services (Bluebonnet} for their use In Pass 1 of the DSRIP allocation.

TAMHSC and Bluebonnet agree that this arrangement will benefit regional transformation as it will support projects aimed at increasing access to care, lmproVin~ quality of care, reducing health ca re costs, and Improving population health.

Allocation Gifts by Demonstration Year:

DY 2: $1,200,482 DY 3: $2,165,847 DY 4: $1,919,329 DY 5: $1,518,973

~#W President, Texas A&M Health Science Center VIce Chancellor for Health Affairs, TAMUS

"

) Andrea Richardson Executive Director Bluebonnet Trails Community Services

RHP 8 Plan Addenda

lpollok

Typewritten Text

Addendum 3A

TEXAS A&.lvr--" -..:..---.

HEALTH SCIENCE CENTER

October 5, 2012

RE: Collaboration Agreement Between Texas A&M Health Science Center and the Center forlife Resources

Provider Collaboration Isallowed In the Texas 1115 Medicaid Transformation Waiver underAttachment J, paragraph 2S.c..lv of the Texas Healthcare Transformation and QualityImprovement Program (Project Number ll-W-00278/6} 1115 (a) Demonstration Waiver.

TexasA&M Health Science center (TAMHSC) is theonly Academic Health Science Center inRegional Healthcare Partnership (RHP) 8; however, TAMHSCdoes not currently have-anaffiliated physician practice in RHP8 that will be performing under the Delivery System ReformIncentive Pool (DSRIP). As It will not use the allocation provided under Attachment J,paragraph 25.c.II.2, TAMH$C freely provides the following annual allocations to the Center forUfe Resources (the Center) for their use in Pass i of the D$RIP allocation.

TAMHSC arid the center agree that.this arrangement wi!! benefit regional transformation as itwill support projects aimed at increasing access to care, improving quality of care, reducinghealth care costs, and improving population health.


DY 2: $124j062DY 3: s 62,205DY 4:$ 60,477DY 5: $ 72,622

C:;:::U::k.Dlon- .Nanty W. ,91cf<ey, M.D. .

President, Texas A&M Health Science CenterVice Chancellor for Health Affairs, TAMUS

RHP 8 Plan Addenda

ThxAsA&M

HEALTH SCIENCE CEN TER

October5,2012

RE: Collaboration Agreement Be~een Texas A&M Health Sdence Center and Central Counties MHMR·Servlces

ProVIder Collaboration Is allowed In the Texas 1115 Medicaid Transformation Waiver under Attachment J, para.graph 25.c.lv of the Texas Healthcare Transformation and Quality Improvement Program (Project Number 11-W-()()278/6} 1115 (a} Demonstration Waiver.

Texas A&M Health Science .Cent~r (TAMHSC) ts the only Academic Health Sclence Center In Regional Healthcare Partnership (RHP) 8; however, TAMHSC does not currently have an affiliated physician practice In RHP 8 that will be performing under the Delivery System Reform Incentive Pool {DSRIP)~ As It will not use the aiJocatlon provided under Attachment J, paragrap.h 25.c.ll.2, TAMHSC freely provide:; the following annual ~!locations to Central Counties MHMR Services (Central Counties) for their use In Pass 1 of the DSRIP aiiQcation.

TAMHSC and Central Counties agree that this arrangement will benefit regional transformation as It will support projects aimed at Increasing access to care, Improving quality of care, reducing health care costs, and Improving population health;

Allocation Gifts by Denlonstratlon Year:

·ov 2: $1,510,994 DY 3: $ 928,205 DY 4: $1t052,556 DY 5: $1,4961884

~~~ Pres{dent, Texas A&M Health Science Center Vice Chancellor for Health Affairs, TAIYIUS

ab~ --~~~~ :~:~~tive Officer ~ Central C9untles MHMR Services

RHP 8 Plan Addenda

rfrE1CA.S A.&M~

HEALTH SCIENCE CENTER

October 5, 2012

RE: Collaboration Agreement Between Texas A&M Health Science Center and Hill (;ountry MHDD Centers

Provider Collaboration is allowed in the Texas 1115 Medicaid Transformation Waiver under Attachment J, paragraph 25.c.lv ofthe Texas Healthcare Transformation and Quality Improvement Program {Project Number 11-W-00278/6) 1115 (a) Demonstration Waiver.

Texas A&M Health Science Center (TAMHSC) is the only Academic Health Science Center in Regional Healthcare Partnership (RHP) 8; however, TAMHSC does not currently have an affiliated physician practice in RHP 8 that will be performing under the Delivery System Reform Incentive Pool (DSRIP). As It will not use the allocation provided under Attachment J, paragraph 25.c.ii.2, TAMHSC freely provides the following annual a,llocatlon's to Hill Country MHDD Centers {Hill Country) for their use In Pass 1 of the DSRIP allocation.

TAMHSC and Hill Country agree that this arrangement will benefit regional transformation as it will support projects aimed at Increasing a.ccess to care, Improving quality of care; reducing health tare costs, and Improving population health.


DY 2: $150,000 DY .3: $173,870 DY 4: $186,000 OY s: $202,i74

~y~~A/Q President, Texas A&M Health Science Center Vice Chancellor for Health Affairs, TAM US

RHP 8 Plan Addenda

RHP 8 Plan Addenda

Addendum 3B

Indigent Care Affiliation Agreements

Government Entity1 Hospital2 Date Sent to HHSC • Bell County • Scott & White Memorial

Hospital • Metroplex Health System • Cedar Crest Hospital &

RTC

November 9, 2012

• Burnet County • Seton Highland Lakes Hospital

October 23, 2012

• Lampasas County • Metroplex Health System • Rollins Brook Community

Hospital

November 6, 2012

• Llano County • Scott & White Hospital - Llano

November 9, 2012

• Llano County Hospital Authority

• Scott & White Hospital - Llano

November 9, 2012

• Rockdale Hospital District • Little River Healthcare October 23, 2012 • Williamson County • Seton Medical Center

Williamson • St. David’s Round Rock

Medical Center

November 6, 2012

• Williamson County • Scott & White Hospital – Round Rock

November 9, 2012

• Williamson County • Cedar Park Regional Medical Center

November 8, 2012

1Certifications of Governmental Participation were sent for each of these Governmental Entities on the same day as the Indigent Care Affiliation Agreement. 2 Certifications of Hospital Participation were sent for each of these hospitals on the same day as the Indigent Care Affiliation Agreement.

RHP 8 Plan Addenda

Addendum 4

Proposed Projects Not Included in RHP 8 Final Plan

Projects not included in Final Plan for reasons such as no IGT and/or change in organization’s priorities. Early in the Waiver planning process, TAMHSC encouraged potential performing providers to develop their projects and talk to IGT entities. As HHSC guidelines became more clear, providers were able to narrow down the projects

Performing Provider Valuation (If Applicable) Notes

Central Counties 1.B (Expand Behavioral Health Access) - Supportive Day Services in Killeen N/A Not in plan – building sold

1.B (Expand Behavioral Health Access) - Supportive Day Services in Milam Co. N/A Not in plan – try again in DY 3

1.C (Expand Behavioral Health Access) - Centralize BH Intake $83,800 Not in plan – building sold

Hill Country MHDD Cat 2, Project Area 6: Integrate Physical and Behavioral Health Care Project Title: Physician Training and Consultation

$160,000

Scott & White Cameron Clinic 2.A (Expand Primary Care Access) - Expand Clinic Hours to Nights/Weekends N/A Not participating in DSRIP

Scott & White Hospital - Llano 2.A (Expand Primary Care Access) - After Hours Primary Care N/A

5.D (Enhance Behavioral Health Services) - Transition of Care Facility to Home N/A

Metroplex Hospital 8.A (Enhance Public Health Preventive Services) - Child Influenza Vaccines N/A UC Only

Cat 1 - Metroplex Hospital - Expand Behavioral Health Services to Bell Co. Inmates N/A UC Only

3.A (Dev Innovations in Health Promotion/Disease Prevention) - Diabetes Self Mgmt N/A UC Only

Cat 2 - Metroplex Hospital - Community Education Programs N/A UC Only

Cat 2 - Metroplex Hospital - Expand Inpatient Beds to Include Adolescent Care N/A UC Only

Cat 2 - Metroplex Hospital - Post Discharge Support N/A UC Only Scott & White Round Rock

RHP 8 Plan Addenda

2.A (Expand Primary Care Access) - Hours and Clinic Locations N/A UC Only

3.I (Dev. Innovations in Hlth Promotion/Disease Prev.) - Evidence-based care coord. Model for mammography/breast cancer screening

N/A UC Only

Scott & White Taylor 2.A (Expand Primary Care Access) - Partnership through LSCC N/A Not participating in DSRIP

3.A (Dev Innovations in Health Promotion/Disease Prevention) - YMCA Physical Therapy N/A Not participating in DSRIP

3.C (Develop Innovations in Health Promotion/Disease Prevention) - Diabetes Self Mgmt

N/A Not participating in DSRIP

3.I (Dev. Innovations in Hlth Promotion/Disease Prev.) - Increase Breast Cancer Screening N/A Not participating in DSRIP

Cedar Park Regional Medical Center 1.F (Expand Behavioral Health Access) - Expand LMSW Training Slots N/A UC Only

2.A (Test Financing Mechanisms for Providers) - Employee Wellness Clinic N/A UC Only

8.B (Reduce Inappropriate ED Use) - ED Case Mgmt. N/A UC Only 2.A (Immunizations) - Reduce Pot. Prev. COPD Readmits N/A UC Only

Seton Highland Lakes 1. (Reduce Potentially Preventable Admissions/Readmissions) - Nurse Care Coord in ED N/A

Seton Medical Center Williamson 2.A (Test Financing Mechanisms for Providers) - Expand Patient Navigation Program N/A UC Only

St. David’s Round Rock Medical Center 1.A (Expand Behavioral Health Access) - 24/7 telemed to support ED N/A No IGT available

1.A (Expand Behavioral Health Access) - 24/7 Social Worker staffing for Eds N/A No IGT available

3.A (Expand Specialty Care Access) - Free Standing Emerg./Urgent Care Clinic N/A No IGT available

3.B (Expand Specialty Care Access) - Patient Call/Transfer Center N/A No IGT available

3.C (Expand Specialty Care Access) - 24/7 Teleneurology Services N/A No IGT available

3.D (Expand Specialty Care Access) - Neurohospitalist staffing N/A No IGT available

7.A (Develop Patient Centered Medical Home Model Infrastructure) - Primary Care Med. Home Network

N/A No IGT available

RHP 8 Plan Addenda

1.A (Reduce Potentially Preventable Admissions/Readmissions) - Reduce Readmits for Target Pop.

N/A No IGT available

8.B (Reduce Inappropriate ED Use) - High Alert Program N/A No IGT available

Williamson County Cities and Health District 6.B (Implement Disease or Care Management Registry) - Electronic Hlth. Record N/A Not Included – Protocol

Change 6.C (Implement Disease or Care Management Registry) - Maintain/Exp Imm. Reg. N/A Not Included – Protocol

Change

RHP 8 Plan Addenda