The board met to narrow down their focus areas for the upcoming recommendation report to the legislature. Most of the meeting was spent in this process. The board also heard presentations on innovative health care models.
Below is the HillCo client report from the May 8 Institute for Health Care Quality and Efficiency Bord of Directors meeting.
The following issues were considered for advancement to the boards list of focus issues. The list was developed through previous board meetings and from board members’ suggestions:
- Serious and Persistent Mental Illness
- Data sharing, best practices, performance measures and performance improvement, collaborative research
- Health Literacy
- Restructuring informed consent form, discharge form requirements
- Choosing Wisely
- Facilitating a pilot project to study the Choosing Wisely initiative (improving provider-patient communication, reducing costs, reducing utilization and improving outcomes), partnering with TRS and Aetna,
- Core Quality Metrics
- Standard set of metrics, evidence based guidelines, simplifying meaningful use requirements
- Administrative Simplification
- Reducing costs though simplification, reducing complexity and waste
- Health Care Services Data: Data Sharing
- Studying other state’s data sharing networks, standardized data sharing process across agencies to improve data collection, improving timeliness, meaningful interventions
- Health Care Services Data: THCIC
- Maximizing use of data, recommending continuation, reducing data lag, PPE reporting
- Promoting Value Based Care
- Encouraging MCOs to implement innovative systems: bundled systems, performance bonuses, shared savings; contractual requirement for implementation
- Expanded Coverage
- Exploring flexible models used in other states, provisions to control costs
- Prevention
- Coordinated state employee wellness program, youth education, obesity prevention, screenings
- Acquired Brain Injury
- Frequency and effects, detection in sports and military medicine,
- Transparency
- Tools to help member shop for health plans and services, strengths and weaknesses of current tools, legal and regulatory barriers
- Institute Operations
- Expanding board membership, authority to spend funds, addition of FTEs
The board decided to move forward with five items for immediate consideration. Other items will be included in the final recommendation report but to a minimal degree. The five items chosen below will be the main focus of the report:
- Promoting Value Based Care
- Health Literacy
- Serious and Persistent Mental Illness
- Expanded Coverage
- Administrative Simplification
The board heard two informational presentations. Slides Attached
- Dr. Randy Krakauer, Vice President and National Medical Director, Aetna
- Denise Esper, Chief Revenue Officer, Lone Star Circle of Care
The following timeline was proposed for the remainder of the year:
- May-July
- Identify recommendation sponsors for topic areas
- Public comment on suggested recommendations
- Engaging legislators/agency staff/stakeholders
- Early August
- Board will review and discuss draft recommendations
- August 14
- Board will consider and vote for proposed recommendations
- September-October
- Draft recommendation report
- Public comment period for draft report
- November 12
- Board will review and vote on final recommendation report