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ProgramCouncilAGENDADate:4.06.17Location:SkagitCountyCommissioner'sBuildingCallinoption:1.866.348.8234
ProgramCouncilMembers:GregArnold JenniferJohnson,Chair StephenGockley,JD GregWinterRyanBlackwell DavidKincheloe,PhD LindaMcCarthy LauraWrightSiobhanBrown LaurelLee ChrisPhillips,ViceChair CaitlinSaffordFedericoCruz-Uribe,MD PeterMayer GlennPuckett JanetteSchurmanConnieDavis,MD RobinFenn,PhD TomSebastian
Time Topic/discussionpoints Lead(s) Desiredoutcome Supportingdocuments
1:00pm
1. Welcome
• Agendareview• 3/16/17Minute
approval
ChrisPhillips A) 3/16/17Minutes
B) Leadnotes
1:10
2. ToolKitUpdate
• Reviewsignificantchangestotherevisedtoolkit
LizBaxter
LeeCheLeong• Commonunderstandingofrevisions
ToolkitLink
1:203. ProcessFraming
• ReviewslidedeckChrisPhillips
• Commonunderstandingofprovisionalvssanctionedworkgroups
• Affirm/amendproposal;settimelinefordeliverables
C) SlideDeck
1:40
4. Workgroupprogress
• ReportfromWGleads
o Requiredo Optional
WorkgroupLeads
• StatementsofInterestgeneratedindiscussion
• Missing/neededparticipantsidentified
D) Tables
2:30 5. AssessmentandRNHIupdate
LizBaxter
• Commonunderstandingofplanforthisworkgroupandhowitinterrelateswithotherworkgroups
2:45
6. Adjourn
• Reviewofnextsteps
• Whatwentwell;whatcanbeimproved?
ChrisandLiz
• AgreementontasksanddeliverablesforthemonthofApril
• Didweaccomplishthedesiredoutcomes?
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North Sound ACH Building Healthier Communities
In Snohomish, Skagit, Island, San Juan & Whatcom Counties
March16,20171–3PMProgramCouncilMeeting1.866.348.8234
Page 1
Program Council Members: £ Federico Cruz-Uribe, MD £ Allan Fisher Staff Members:
£ Robin Fenn, PhD by phone £ Chris Phillips, Vice Chair Liz Baxter
n Stephen Gockley, JD n Caitlin Safford by phone Lee Che Leong
n Gary Goldbaum, MD £ Greg Winter Tiffany Edlin
n David Kincheloe, PhD £ Connie Davis Emily Henke (contractor)
n Greg Arnold n Jennifer Johnson, Chair
n Janette Schuman by phone £ Kayla Down
n Linda McCarthy by phone n Peter Mayer
n Tom Sebastian n Siobhan Brown
n Glenn Puckett £ Julie de Losada
n Laurel Lee by phone n Regina Delahunt
DRAFT Minutes
1. Welcome and Meeting Agenda● Motion: to approve March 2 meeting minutes. Seconded. All in favor. No abjections. Approved.
2. Program Council Formation• A big thank you to Chris Phillips for preparing the documents presented today.• Need to have clarity for the folks that have shown interest in both the Program Council and work
groups. Are they invited? Need a process and next steps for interested participants• Process for Program Council interested members was discussed. When interest forms come in,
they will be sent to sector leads for review/approval when needed.Motion: to accept the table of Program Council members as presented at today’s meeting. Seconded. Approved.
• 3 seats were given to the MCO’s. They agreed to caucus with the other 2 MCOs.• Health Coalitions will put forward names for both the Governing Body and the Program Council• Jennifer will reach out to Keith Higman for a representative from Island County.• Stephen will reach out to both WAHA and COGH for a representative from Whatcom County• Gary Goldbaum will reach out to Scott Forslund for Snohomish County.
Motion: to have the Program Council meetings open to the public. Seconded. All in favor. No abstentions. Approved.
Attachment A) 3.16.17 Minutes
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Program Council • Minutes • 03.02.17 Page 2
3. Behavioral Health Integration & Opioid work group formation• BHIfirstgroupmeetingisTuesday.• AnygroupthatschedulesameetingwillbesuretoreachouttotribesandMCOssotheyareawareof
meetingsandcanparticipatewhenable.• GregisworkingonawhitepaperforBHIgroup• Would like more provider perspective on BHI group, then what is currently on the list. Find a lot of
value in hearing from the other side.• Have made an open invite to FQHCs to be a part of the BHI group.• North Sound ACH can fund staff support if you have bodies that are able to do the work. Currently,
the NSACH does not have bandwidth to provide staff support for all groups.• Opioid group is in more of the preliminary process. Just beginning to form group and determine
interest.• David K. will send email/newsletter contact information to Greg A. for potential interested
participants in the opioid group.
4. Optional projectsCareCoordination/Diversion/Transitions
• FedericoisnotheretoprovidereportonCareCoordination/Diversion/TransitionsOralHealth
• Glennisstillworkingonspreadingthewordbeforeconveningtheoralhealthgroup.Thegoalistohavesomethingscheduledbyendofthemonth.
• Wouldliketoincludethedentalconversationwithineachworkgroup,notjustinindependentworkgroup/potentialproject.
MaternalandChildHealth• MaternalHealthgroupplansonmeetingon4/10• LindaMcCarthywillanchorthisgroup.• Theyaredetermininginterestandmomentumalreadyinourcommunities.• Willlookatsynergyforprojectsalreadyinplace.• Wouldlikefolksfromallfivecountiesongroups
RHNI• 5HealthJurisdictionsworkingonaproposalandwillworkwithLiztoassuretheyareonsamepagefor
RHNIbeforemovingforward.• RHNIgroupwillinclude5heathjurisdictionsandotherssuchasRobinFenn.• Wewillnotreplicate/duplicateanywork/projectsthatarealreadyinplace,butwouldliketobuildupon
theenergyandworkthatisalreadyinplace.• TheRHNIisnotexpectedtobeastandalonetool.• LHJ’sandLizwillmeetASAPtodetermineresourcesandproposaltimeline/readiness• GroupdecidedtocreateandpopulateaRHNIgroup.
ChronicDisease• Stilldeterminingworkgroup• GregWinterwasunabletoattendbutprovidedadraftpaperforreview
5. Timeline Review• Need to have a list of standardize criteria and review process to evaluate proposed projects. This
will be based on how the state will be evaluating the projects
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Program Council • Minutes • 03.02.17 Page 3
• Evidence based projects is a requirement• Final toolkit should be posted on Monday, pending CMS approval
6. Next Steps• Separate each group name listed on agenda• Jennifer will reach out to confirm RHNI representatives from San Juan and Island County• If folks know experts in these fields for work groups or posted positions, please send name and
contact information to Liz• LHJs and Liz are meeting ASAP• All groups need charters and white papers• Will circulate Program Council charter to Greg A. for required project charters.
7. Adjourn at 3:00pm
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Notes from the Program Council Workgroup Lead Meeting
April 27, 2017
1. Toolkit Update
Greg A. shared the link to the revised toolkit: http://www.hca.wa.gov/about-hca/healthier-
washington/medicaid-transformation-resources
Liz noted two large shifts in the revised version: a) greater emphasis on reducing unintended pregnancies; and b) more emphasis on oral health being integrated into the rest of the projects.
2. Workgroup formation
We decided that workgroups should be kept to around 12 people; and that workgroup participants should be encouraged to think in terms of developing networks of supporting organizations and interested individuals.
We agreed that the workgroups need to include major players, e.g. health systems, FQHCs and MCOs if we are to be successful, but that we also need to ensure avenues for new voices and fresh perspectives.
Time for public comment and community input will need to be factored into the timelines. Liz noted that we need to strike a balance between getting timely input with having enough real proposals and idea to help share meaningful community engagement.
3. Deeper dive / workgroup review
BH integration and Opioids: focus on formation and scoping
Reproductive Health & Maternal Child Health has a good complement of folks who are fired-up and good to go. Their group meeting is scheduled for 4/10.
Care coordination is looking at the Pathways model and the Health Homes program and looking forward to a meeting in Seattle when both will be discussed by HCA. Still considering how to shape the
group in terms of diversion and care transitions in relation to care coordination. Chris noted that Dan
Murphy and Kim Williams and he have been talking about looking at a care transition project that aims to address the problem of getting people who are covered by Medicaid into community placements post-acute.
Chronic Disease: all agreed that we need to beef-up that workgroup; Jennifer said she would talk with Connie Davis, MD.
Oral Health: Glenn is going to focus integrating oral health into all projects as opposed to pursuing a separate project.
RHNI: Jennifer noted that this workgroup needs a new name in that the work will continue well after the Regional Health Needs Inventory is delivered. A meeting of the public health directors is scheduled.
NEXT STEPS
Liz took notes and will work with Tiffany to update the workgroup tables. Our aim is to have a lead
assigned for each workgroup by the April 6 PC meeting and to have the workgroups filled-out shortly
thereafter.
Jennifer will draft an agenda for the April 6 meeting
Chris and Emily will work on the timeline, Emily for ensuring that compliance and Chris for usability.
Present: Greg Arnold; Liz Baxter; Jennifer
Johnson; Greg Winter, Linda McCarthy;
Emily Henke; Chris Phillips; Federico Cruz-Uribe
Attachment B) Lead Notes
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Gettingonthesamepage/Definitions
• “Provisionalworkgroups”springup/aresprungbyPC
• “Sponsoringorganizations”:Offerin-kindTAandleadershipforPWGs
• PWGsbecomeanofficialWorkgroupviaPCsanction
• Sponsoringorganizationscancontinueinthatrole
• EachWGhasachair/cochair,preferablynotsomeonewhoisonthePC
• EachWGhasacharterthatoutlinesrolesandresponsibilitiesofWGparticipants,NorthSoundACHstaffanddeliverablesforPCreview
Attachment C) Slide Deck
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GrowingProjectProposalsorStagesofPWGDevelopment
Step1 Step2 Step3
STATEMENTOFINTEREST:§ Topicsofinterest
§ Typesofpossibleprojects
§ Otherinformation
PARTICIPANTTABLE:§ Sponsoringorganization/
convener
§ Listingofparticipants
PROJECTPROPOSAL:§ Highlevelprojectsummary
§ CurrentNScommunityeffortsrelatedtotopic
§ HowotherACHsareapproachingtheissue
§ Projectoptionsunderconsideration
§ Possiblebarrierstoconsensus/successinchoosingaproject
§ PCrecommendationformovingforward
STATEMENTOFINTENT:§ Approachfornarrowing
options/definingscope
§ Menuofprojectoptions
§ Processfordevelopingprojectproposalandconsiderationsforpublicinput
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*note:individualnamesareconfirmedarbitrarily
Summaryofresponsibilities
Charge/Charter
NSBHO/Compass Heath Integration of Behavioral health and medical services
Name Organization Interest Form
Confirmed Email
Greg Arnold (Lead)
North Sound Behavioral Health Org.
X greg_arnold@northsoundbho.org
Tom Sebastian (Lead)
Compass Health X tom.sebastian@compassh.org
David Kincheloe Consumer X dkincheloe@gmail.com Janette Schuman
Providence X Janette.Schurman@providence.org
MCO rep X Kayla.L.Down@coordinatedcarehealth.com Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Kat.Latet@chpw.org Laurel.Lee@molinahealthcare.com
Patricia Morris Volunteers of America X pmorris@voaww.org Mike Watson Lake Whatcom
Center X Mike.Watson@lwrtc.org
Elizabeth Anderson
Mental Health Counselor, NWRC
X AnderEA@dshs.wa.gov
Ryan Blackwell NWRC X X BlackRC@dshs.wa.gov Dean Wight Consumer X deantw@aol.com Robert Sullivan Pioneer Human
Services X Robert.Sullivan@p-h-s.com
Des Skubi Unity Care NW Des_Skubi@unitycarenw.org Anji Jorstad Snohomish County X Anji.Jorstad@co.snohomish.wa.us Virginia Ramos SeaMar virginiaramos@seamarchc.org
Lisa Carter Ferndale Family Medical
ldcarter@hinet.org
Tribal Rep X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
Attachment D) Tables
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*note:individualnamesareconfirmedarbitrarily
SummaryofResponsibilities
Charter/Charge
North Sound BHO Opioid use public health crisis
Name Organization Interest Form
Confirmed Email
Shelli Young NSBHO X shelli.young@outlook.com Skye Newhirk Island County
Human Services X s.newkirk@co.island.wa.us
Des Skubi Unity Care NW Des_Skubi@unitycarenw.org MCO Reps X Kayla.L.Down@coordinatedcarehealth.com
Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Siobhan.Brown@chpw.org Laurel.Lee@molinahealthcare.com
Tribal Reps X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
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*note:individualnamesareconfirmedarbitrarily
SummaryofResponsibilities
Charter/Charge:
Organization sponsor/convener unknown Care Coordination/Diversion from ED and Criminal Justice/Care Transitions Name Organization Interest
Form Confirmed Email
Chris Phillips (Lead)
Peace Health X cphillips@peacehealth.org
Greg Winter Opportunity Council
X greg_winter@whatcomhsc.org
Federico Cruz-Uribe (Lead)
SeaMar X FedericoCruz-Uribe@seamarchc.org
Robin Fenn Verdant X robin.fenn@verdanthealth.org MCO rep X Kayla.L.Down@coordinatedcarehealth.com
Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Siobhan.Brown@chpw.org Laurel.Lee@molinahealthcare.com
Joe Nagel Pioneer Human Services
Joe.Nagel@p-h-s.com
Elizabeth Anderson
NWRC AnderEA@dshs.wa.gov
Jennifer Alderman
Snohomish County
X Jennifer.Alderman@co.snohomish.wa.us
Ryan Blackwell
NWRC BlackRC@dshs.wa.gov
Tribal Reps X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
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*note:individualnamesareconfirmedarbitrarily
Summaryofresponsibilities
Charter/Charge
Organization sponsor/convener unknown Chronic Disease
Name Organization Interest Form
Confirmed Email
Greg Winter (Lead)
Opportunity Council X greg_winter@oppco.org
Des Skubi Unity Care NW Des_Skubi@unitycarenw.org Astrid Newell Whatcom County
Health Department ANewell@co.whatcom.wa.us
Dr. Connie Davis Skagit Regional Health
codavis@skagitvalleyhospital.org
Judy Ziels Whatcom County Health Department
jziels@co.whatcom.wa.us
Dr. Gerald Yorioka
Snohomish County Medical Society
X dryorioka@aol.com
Dr. Karl Kleeman League of Woman Voters (retired)
X trainswas@gmail.com
Carol Hawk United General District 304 (Community Health Outreach Programs)
carol.hawk@unitedgeneral.org
Liz McNett Crowl Skagit Valley Hospital
LCrowl@skagitvalleyhospital.org
FQHCs Federico to poll to populate
MCO Reps X Kayla.L.Down@coordinatedcarehealth.com Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Siobhan.Brown@chpw.org Laurel.Lee@molinahealthcare.com
Tribal Reps X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
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*note:individualnamesareconfirmedarbitrarily
Summaryofresponsibilities
Charge/Charter
Organization sponsor/convener unknown Reproductive, Maternal & Child Health Name Organization Interest
Form Confirmed email
Linda McCarthy (Lead)
Mt. Baker Planned Parenthood
X Linda.McCarthy@mbpp.org
Julie de Losada Skagit County Public Health (PH Analyst)
X julied@co.skagit.wa.us
Jennifer Sass -Walton
Skagit County PH (Child * Fam Health Man.)
X jennis@co.skagit.wa.us
David Webster Opportunity Council
X X david_webster@oppco.org
MCO rep X Kayla.L.Down@coordinatedcarehealth.com Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Siobhan.Brown@chpw.org Laurel.Lee@molinahealthcare.com
Des Skubi Unity Care NW Des_Skubi@unitycarenw.org
Tribal reps X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
Astrid Newell Whatcom County Health Department
ANewell@co.whatcom.wa.us
Dr. Francie Chalmers
Skagit Pediatrics X ftcgrs77@gmail.com
Melissa Self Community Action of Skagit
X MelissaS@communityactionskagit.org
Carol Hawk United General District 304
carol.hawk@unitedgeneral.org
Liz McNett Crowl Skagit Valley Hospital
LCrowl@skagitvalleyhospital.org
Lee Che Leong NSACH X leeche@northsoundach.org
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Patricia Dauer Child Strive trish.dauer@childstrive.org
*note:individualnamesareconfirmedarbitrarily
Summaryofresponsibilities
Charter/Charge
Organization sponsor/convener unknown Access to oral health
Name Organization Interest Form
Confirmed Email
Glenn Puckett (Lead)
WA Dental Service Foundation
X gpuckett@deltadentalwa.com
Des Skubi Unity Care NW Des_Skubi@unitycarenw.org
MCO Reps X Kayla.L.Down@coordinatedcarehealth.com Caitlin.Safford@amerigroup.com allan_fisher@uhc.com Siobhan.Brown@chpw.org Laurel.Lee@molinahealthcare.com
Tribal Reps X kcollins@stillaguamish.com marilyns@upperskagit.com jsteinruck@tulaliptribes-nsn.gov NickolausL@lummi-nsn.gov jstephens@swinomish.nsn.us
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*note:individualnamesareconfirmedarbitrarily
Summaryofresponsibilities
Charter/Charge
Organization Sponsor/Convener unknown Assessment Group
Name Organization Interest Form
Confirmed Email
Jennifer Johnson Skagit X jenniferj@co.skagit.wa.us David Jefferson Skagit X davidj@co.skagit.wa.us Aaron Ignac X AIgnac@co.whatcom.wa.us
Carrie McLachlan Snohomish X cmclachlan@snohd.org
Linda Gipson Island X Gipsol@whidbeygen.org
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