Monthly Meetings Round Up
NCACH Governing Board
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Download September 2019 Meeting Materials
- No October Board Meeting
- Next meeting: December 2, 2019; (Board met November 4, 2019)
Medicaid Transformation Project Updates
Whole Person Care Collaborative
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- Learning Activities Update
- The Team-Base Care LAN concluded in September. Overall evaluations were well received. LAN was attended mostly by clinical staff, several reported that they would like their leadership to participate so that they understand the psychological safety issues and change fatigue that their staff are feeling.
- NCACH hosted an Access webinar which was also well attended. Participants felt that the information was timely and practical for decisions being made within their organizations.
- The year-long Population Health LAN will begin on November 12th. 10 organizations and 13 clinical teams are participating.
- General Updates
- There was no WPCC meeting in October.
- The Population Health Learning Symposium was attended by 14 organizations and multiple individuals representing all three MCOs. Total attendance was 99 individuals. Morning and afternoon evaluations reveal workshops that were practical, offered many opportunities for peer sharing and very engaging.
- Quarter 3 Progress to Date and Measurement Reports were due September 30th.
- WPCC organizations also submitted their 2020 Change Plans on November 1st.
- Next meeting: December 2, 2019; (Board met November 4, 2019)
Pathways HUB
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- The HUB team worked with independent evaluators to finalize a qualitative evaluation report. Results will be shared with NCACH Governing Board in coming months.
- The HUB team continues to participate in regular cross-ACH HUB calls and activities. The focus of the meetings is to work on standardization of common processes.
- Action Health Partners HUB staff recently attended a series of outreach events including the Medicaid Transformation Forum (hosted in September); Coulee Medical Center's Wellness Pow Wow; Columbia Basin Health and Wellness Fair; and Hands Across the Bridge.
- Next meeting: December 11, 2019
Opioid Project
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- MAT Waiver Training: NCACH is partnering with the Washington State Department of Health to provide a MAT Waiver Training in Wenatchee in early February. More details and a registration link will be available soon.
- Recovery Initiatives: NCACH sponsored a Recovery Coach Training Academy and Training of Trainers in October. There were 14 participants from North Central Washington and three from the Tri-Cities area. NCACH staff worked with Greater Columbia Accountable Community of Health to secure support for these participants from the Tri-cities area. Each trainee is committed to providing a minimum of one Recovery Coach Training in North Central Washington within one year of completing the training. We are exploring contracting with the trainer to provide technical assistance in 2020 to the newly certified Recovery Coach Trainers. Read more here
- Narcan Trainings: NCACH staff provided two Narcan Trainings to the Colville Confederated Tribes in October, including the Police Department. These were Train-the-Trainer trainings to build capacity and ensure continuity of skills for new hires and turnover.
- Facilitated Community Discussions: Instead of holding an Opioid Response Conference in the fall of 2019, the Planning Committee has been exploring developing a module that could be deployed to communities or organizations which would include an educational component and a facilitated discussion. The Planning Committee identified an existing video and facilitation guide that can be used for this purpose. The Planning Committee is currently working to pilot this format in the next couple months and if successful will utilize this format to provide training opportunities in 2020.
- Spring 2020 Opioid Response Conference: The Planning Committee is continuing to meet to make plans for the Spring 2020 Opioid Response Conference. We are currently exploring the theme: The Intersection of ACEs, Resilience, and Opioid Use and the potential to combine this conference with the Annual Summit since NCACH staff are exploring a similar theme for the Summit. If this is done, an attempt will be made to maintain the distributed conference model format.
- 2019 Opioid Project Plan Update: There is currently $43,826 of unallocated and under budget funds in the 2018 Opioid Project budget (see chart below) and it is expected that about 50% of the currently Committed but not expended funds will not be expended. The Opioid Workgroup is recommending to utilize those funds to provide targeted technical assistance to providers who are overprescribing opioids. This proposal was previously brought to the Board in September and the Board requested more information before moving forward.
- Steering Committee: The Steering Committee held its first meeting on September 16th. The Steering Committee endorsed the following 2020 Opioid Project Plan and budget recommendations.
- Next meeting: February 21, 2020; (Group met November 15, 2019)
Transitional Care and Diversion Interventions
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- September 26th workgroup meeting:
- Lake Chelan Community Hospital and Coulee Medical Center presented on current work.
- Approved 2020 budget recommendations for hospital and EMS partners
- Myers and Stauffer (Medicaid Transformation Project Independent Assessor conducted a focus group
- Quarter 3 reports were submitted by hospital and EMS on October 15th.
- NCACH staff have worked with implementation partners to develop final implementation plans and deliverables for 2020 based on the TCDI workgroup approve budget.
- Hospital Partner Update: Hospital partners will focus on key issues in 2020
- Focus funding and process improvement work on maintaining current efforts with an emphasis on collaboration across sectors and within organization’s service areas (e.g. primary care, behavioral health, and community based organizations)
- Have each partner demonstrate how they are working with another agency outside of their own organization (clinical and non-clinical)
- Partners would focus on two areas:
- Better connection with outpatient providers
- Engage community-based partner (if applicable)
- EMS Partner Update: EMS Partners will focus on key issues in 2020
- Invest in additional Certified Ambulance Documentation and WEMSIS trainings.
- Work with providers who would like to develop more robust community paramedicine programs (separate funding stream).
- Support training to EMS providers and NCECC to support providers that need to adapt reporting processes to comply with SSB 5380 (WEMSIS training and expansion for all EMS).
- Continue to support partners to expand their treat and referral programs.
- Offer additional technical assistance to providers as requested (e.g. Quality Improvement and Motivational Interviewing).
- All project plans will be shared with the NCACH Governing Board for final approval.
- Next meeting: November 21, 2019
Coalitions for Health Improvement (CHI)
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- The Regional CHI Leadership Council last met on November 14, 2019. Topics discussed included an update on future plans for the CHIs, as well as an update regarding the CHI Community Initiatives Funding.
- CHI Community Initiatives Funding update: The NCACH Governing Board approved $99,900 to support 5 Small Projects through the CHI COmmunity Initiatives funding process. The remaining $350,100 will be allocated to Medium - Very Large projects through the community investment process in early 2020. Read more here
- Chelan Douglas CHI met October 9, 2019
- Grant County CHI met October 24, 2019
- Okanogan County CHI met September 26, 2019
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