Oregon Health Authority Quality and Health Outcomes Committee AGENDA MEETING INFORMATION Meeting Date: March 13, 2017 Location: HSB Building Room 137A‐D, Salem, OR Parking: Map ◦ Phone: 503‐378‐5090 x0 Call in information: Toll free dial‐in: 888‐278‐0296 Participant Code: 310477 All meeting materials are posted on the QHOC website. Clinical Director Workgroup Time Topic Owner Materials -Speaker’s Contact Sheet (2) Welcome / -January Meeting Notes (2 – 12) 9:00 a.m. Mark Bradshaw Announcements -PH Update (13 – 14) -BH Directors Meeting Minutes (15 – 17) 9:10 a.m. Legislative Update Brian Nieubuurt -CCO and OHP Bills (18 – 20) Safina Koreishi 9:20 a.m. PH Modernization -Presentation (21 – 27) Cara Biddlecom 9:40 a.m. QHOC Planning Mark Bradshaw -Charter (28 – 29) 10:00 a.m. HERC Update Cat Livingston -HERC Materials (30 – 78) -Letter to FFS Providers re: Back Line Changes (79 – LARC and Back 80) 10:30 a.m. Implementation Check- Kim Wentz -Tapering Resource Guide (81 – 82) in -LARC Letter to Hospitals (83 – 84) -LARC Billing Tips (85) 10:45 a.m. BREAK Learning Collaborative -Agenda (86) -Panelist Bios (87) 11:00 a.m. OHIT: EDIE/PreManage -Presentations (88 – 114) -BH Care Coordination Process (115) 12:30 p.m. LUNCH Quality and Performance Improvement Session Jennifer QPI Update – 1:00 p.m. Johnstun Lisa Introductions Bui -Pre-Survey (116 - 118) 1:10 p.m. Measurement Training Colleen Reuland -Presentation (117 – 143) Transition to Small 2:10 p.m. All Table exercise 2:15 p.m. Small table Exercise All 2:45 p.m. Debrief All Upcoming April QHOC: Chronic Use Opioid Statewide Performance Improvement Project Chair contact info: [email protected] OHA contact info: [email protected] Topics may be subject to change due to availability SALEM CAPITOL MALL AREA D STREET 810 830 850 870 Archives North Mall Building Parrish Heritage Middle 880 Park 885 School 796 N North State Mall Lands Building HIGH STREET CHURCH STREET WINTER STREET COTTAGE STREET Office Building Railroad Pacific Southern S Veterans Building <<<<-----SUMMER STREET CAPITOL STREET ----->>>> Employ. 605 Agri- Employment Orange Salem Cottage culture Building Lot Office Pkg Lot Building UNION STREET Dept. of ODOT Mill Energy Creek Bldg. Barbara Roberts Green Lot Human Services Public Utility Movie Land Building Comm. Building <<<<----- MARION STREET Yellow Lot Safeway (gravel) Macy's Revenue Building Red Lot STREET 12TH STREET 13TH Park & Pay Daily Parking Real Estate CENTER STREET ----->>>> 1144 McDonalds Center Labor & Trans- Industries portation Building Building 1133 Chemeketa Lane >>> ng Structure t Lane<<< t i i CHEMEKETA STREET Salem Transit State Public Station Library Service Chemeketa Customer Service 1158 - 1178 Building Building Office <<<Bus Transi YMCA 775 Court >>>Bus Transi 1175 Court Capitol Mall Parki <<<<----- COURT STREET Justice Building Marion County Commerce Courthouse Willson Park State Capitol Building Building Structure Supreme Robertson Executive Parking Executive Building Executive Court Building WAVERLY ST WAVERLY STATE STREET ----->>>> General Services Willamette University Campus Building FERRY STREET FERRY STREET 1202 / 1240 WINTER STREET Ferry Ferry Street Str. State of Oregon Meters - OK to use Agency issued one-day permit Capitol Mall Structure Meters - OK to use Agency Issued one-day permit Yellow Lot & Ferry Structure Rooftop Visitor Spaces - OK to use Agency issued one-day permit Daily_permit.xlsx - 5/01/14 March 2017 QHOC Packet - Page 1 SPEAKER CONTACT SHEET QHOC – March 2017 AGENDA TOPIC SPEAKER CONTACT INFO Legislative Update Brian Nieubuurt [email protected] PH Modernization Safina Koreishi [email protected] Cara Biddlecom [email protected] HERC Update Cat Livingston, MD, MPH [email protected] LARC & Back Implementation Kim Wentz, MD, MBA [email protected] Checkin Learning Collaborative: Susan Kirchoff, RN [email protected] OHIT: EDIE/PreManage Lisa Parks, QMHP [email protected] Liz Whitworth, MPH [email protected] Daniela Onofrei, BSN, [email protected] RN‐BC Susan Otter [email protected] Kristen Bork [email protected] Britteny Matero [email protected] Susan Kirchoff, RN [email protected] Lisa Parks, QMHP [email protected] Liz Whitworth, MPH [email protected] Daniela Onofrei, BSN, [email protected] RN‐BC QPI Update Jennifer Johnstun [email protected] Measurement Training Colleen Reuland QHOC CHAIRS Medical Mark Bradshaw, MD [email protected] Behavioral Health Athena Goldberg [email protected] Oral Health Dayna Steringer [email protected] Quality Jennifer Johnstun [email protected] OHA LEADS Medical Kim Wentz, MD [email protected] Behavioral Health Royce Bowlin, MS, CPRP [email protected] Oral Health Bruce Austin [email protected] Quality Lisa Bui [email protected] QHOC Website: http://www.oregon.gov/oha/hpa/csi/Pages/Quality‐and‐Health‐Outcomes‐Committee.aspx Questions: [email protected] or call Lisa Bui at 971‐673‐3397 March 2017 QHOC Packet - Page 2 Quality & Health Outcomes Committee (QHOC) February 13, 2017 Meeting Notes Chair- Mark Bradshaw (All Care) Co-Chairs- Jennifer Johnstun (Primary Health) Attendees: (in person) Anne Alftine (JCC); Susan Arbor (OHA/HSD); Katie Beck (OHA);Carla Bennett (WVCH); Maggie Bennington-Davis (HealthShare); Tara Bergeron (Tuality); Amanda Blodgett (CHA); Summer Boslaugh (OHA/TC); Royce Bowlin (OHA); Stuart Bradley (WVCH); Mark Bradshaw (All Care); Lisa Bui (OHA/TC); Barbara Carey (Health Share); Jody Carson (HealthInsight); Roger Citron (OHA/OSU); Cheryl Cohen (Health Share); Laurence Colman (GOBHI); Coleen Connolly (Trillium); Donna Erbs (HealthInsight); Leslie Ford (CPCCO/GOBHI); Mike Franz (PacificSource); Ruth Galster (UHA); Bennett Garner (FamilyCare); David Geels (WOAH/Coos Co MH);Athena Goldberg (AllCare); Walter Hardin (Tuality); Jenna Harms (Yamhill CCO); Hank Hickman (OHA/HSD); Todd Jacobsen (GOBHI); Charmaine Kinney (Mult. Co./Health Share); Alison Little (PacificSource); Cat Livingston (HERC); Deborah Loy (Capitol Dental); Andrew Luther (OHMS); Ruth McBride (Primary Health); Laura McKeane(AllCare); Kevin McLean (FamilyCare); Jamilah Mooney (WOAH); Tracy Muday (WOAH); Chris Norman (OHA); Bhavesh Rajani (Yamhill CCO); Ariel Smits (OHA/HERC); Debbie Standridge (UHA); Dayna Steringer (DK Strategies); Anna Stern (WVCH); Melanie Tong (Washington Co.); Alison Tonje (OHA); Jennifer Valentine (OHA); Anna Warner (WOAH); Kim Wentz (OHA/HSD) Mark Whitaker (Providence); Eryn Womack (IHN); Amarissa Wooden (WOAH/NBMC) ; Cheryl Youk (Trillium) By phone: Cynthia Ackerman (AllCare); Ellen Altman (IHN/CCO); Leah Dungey (PacificSource); Kevin Ewanchyna (IHN/CCO); Kerrie Fowler (UHA); Cynthia Lacro (EOCCO); Nicole Merrithew (CareOregon); Corinne Thayer (ODS Dental) Pg. 1 February 13, 2017 QHOC Meeting Notes ‐ DRAFT March 2017 QHOC Packet - Page 3 Quality & Health Outcomes Committee (QHOC) February 13, 2017 Meeting Notes CLINICAL DIRECTORS SESSION Introductions/ Announcements: Announcements . Dr. Wentz introduced Royce Bowlin as OHA’s Behavioral Health Director; Mark Bradshaw: . Two surveys have been sent out- 1) What we want to see in the learning collaborative 2) QHOC needs Lisa Bui: . Handouts on Dual Eligibles from Jennifer Valentine; . There will be a Transformation Conference held March . The Transformation Conference has been scheduled for March 17, 2017; . There have been 15 responses to the survey sent in regard to what folks want to see in the Learning Collaboratives. May resend the survey link; . Sarah Bartlemann is no longer with us in OHA. Metrics Update . The committee has removed the claims-based SBIRT measure from the 2017 incentive measure set; . SB440- applications received and waiting for appointment. Pg. 2 February 13, 2017 QHOC Meeting Notes ‐ DRAFT March 2017 QHOC Packet - Page 4 Quality & Health Outcomes Committee (QHOC) February 13, 2017 Meeting Notes Pharmacy & There have been two meetings since the last time QHOC met. Therapeutics Update- Roger November meeting: Citron . DUR PA criteria; . Opioid analgesics- PA criteria for short/long acting. Exempt patients with terminal diagnosis; . MS glance rebate- use Copaxin instead; January meeting: . OHA request PA for Suboxone for initial therapies; . Discussed Trexone; . Removal of PA for POS pharmacy claims; . Oral agent added; . Hormone replacement (generic); The next P & T Committee meeting will be March 23, 2017. There will be discussion on sedatives. Public comment will be accepted. Hep-C Case . Risk Corridor in effect January 1, 2017; Management . This was in draft November-December 2016 with one month for feedback. More feedback is requested today for Jim Rickards; Pg. 3 February 13, 2017 QHOC Meeting Notes ‐ DRAFT March 2017 QHOC Packet - Page 5 Quality & Health Outcomes Committee (QHOC) February 13, 2017 Meeting Notes Implementation . Incorporates FFS goals- adherence, mitigate variance, eliminate gaps, and check in improve patient experience; . SER data vs. value-based purchasing; . Use actuarial services; . Define exactly what we need; . No process for reporting; . Discussed implementation and road bumps. HERC Update- . Discussed new format; Cat Livingston EbGS: and Ariel Smits . 50 Coverage Guidance’s. Update as needed for re-review or significant changes in process; . Corticosteroid injections; . Prenatal Genetic testing; HTAS: . Dr. Wally Shaffer is back and assisting; . 3D Mammography; VbBS: