It is hard to believe that Demonstration Year two (DY 2) of Washington’s 1115 Waiver is almost over! Project implementation kicks into high gear in 2019 with the organizations contracted for practice transformation reporting on their progress to achieve prescribed milestones beginning in March. Perhaps the easiest way to capture the highlights in 2018 is by the numbers. Although numbers don’t tell the whole story, they punctuate the level of effort with their magnitude. The graphic following this article features the highlights.
January - December: Seven new staff were hired during 2018, doubling the full-time staff from four to ten. 6 Local Health Improvement Networks (LHIN) have formed, stormed, and normed. Yakima County Health Care Coalition is the first LHIN to enter into a contract with a Third Party Administrator to administer $529,088 in Community Health Funds to address the SDOHs.
February - April: The project plan application submitted on November 16th, 2017 was approved on February 14, 2018. GCACH earned $14.4 million, and the Board of Directors appointed 17 members to a newly chartered committee, the Practice Transformation Workgroup. They met the first time in April and had bi-monthly meetings until September.
May: $4 million in Behavioral Health Incentive Funds was received with the expectation that our community behavioral health providers would use those funds to be ready for fully integrated managed care by January 1, 2019. The Current State Assessment was completed and returned by 64 organizations.
June: GCACH leased two cars to facilitate in-person technical assistance by the Practice Transformation Navigators, and for the Community and Tribal Engagement Specialist to attend community meetings and events. The Leadership Council meeting attracted 85 attendees who met to finalize the project plans for the four priority project areas.
July: Twenty-three primary care organizations were chosen to be in the first Patient-Centered Medical Home cohort, and 17 behavioral health organizations began transitioning to managed care. The semi-annual report (SAR) was due July 31st.
August: Sixty-seven providers, managed care representatives, GCACH and HCA staff attended the MCO meet and greet.
September: Seventy-five people attended the Patient-Centered Medical Home kick-off celebration.
October: The Implementation Plans for the four project areas was submitted on October 1st. 50 people attended the Leadership Council Health Fair, and 80 people attended the community meeting in Toppenish to discuss crisis services for the Yakama Nation.
November: $11.5 million was received for the SAR, and $1.4 million was approved for distribution through the Community Health Fund. The Practice Transformation Navigators completed 22 kick-off meetings, and 1,427 surveys were collected to determine community social determinants of health.
December: $2.8 million was earned for the Implementation Plans which will be paid in May of 2019. 17 Practice Transformation Implementation Workplans (PTIW) were completed for integrated managed care, and 20 PTIWs were completed for Practice Transformation. 16,424 miles travelled in the leased cars since June. The Board approved the Delivery System Reform Incentive Payment budget totaling $24.27 million, and an operating budget of $2.7 million.