Maine State Innovation Model Leadership Meeting Insights
Explore details from the SIM Leadership Meeting discussing the importance of collaboration, SIM overview, Maine's SIM Grant impact, the role of transparency, and the necessity of stakeholder collaboration for successful healthcare reform initiatives.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
n SIM Leadership Meeting June 28, 2013 1
SIM Leadership Team Agenda Agenda Topic Lead Time Allocated Welcome and Opening Comments from Commissioner Commissioner Mayhew 10 Introduction of Chair of Leadership Team, Group Introductions Holly Lusk 15 SIM Overview Dr. Flanigan 10 The Importance of Collaboration/Consensus Dr. Flanigan 5 SIM Framework Overview Randy Chenard 10 SIM Governance Model Review Dr. Flanigan 20 Governance by Consensus Dr. Flanigan 10 Operational Plan Report Randy Chenard 20 2
SIM Overview n to test whether new payment and service delivery models will produce superior results when implemented in the context of a state-sponsored State Health Care Innovation Plan. These plans must improve health, improve health care, and lower costs for a state s citizens through a sustainable model of multi-payer payment and delivery reform, and must be dedicated to delivering the right care at the right time in the right setting. 3
Overarching High-Level View of Maine s SIM Grant n This grant will position Maine to assess the full impact associated with existing healthcare test reform models by moving them to the next level through: Enhanced care delivery capabilities Greater access to high-value care information and data Enhanced care delivery actor (provider and patient) training / support Introduction of targeted incentives 4
SIM will not be successful without collaboration among all stakeholder n If you bring the appropriate people together in constructive ways with good information, they will create authentic visions and sustainable responses to issues and opportunities within their communities and organizations. - David Chrislip, Collaborative Leadership Strategist 5
Transparency Chair: HealthInfoNet Admissions, Discharges, Trans ED Notifications PH Record Statewide HIE State: Lead Convener - Public Reporting --Share best practices --What s working, what s not? SIM Triple AIM GOAL Examples: Int. BH/PH PCP Utilization Surgery Infection ED Costs Costs per Life PAYMENT REFORM Chair: MHMC Data Analytics VBP Development & Learning Health Care Cost Workgroup Development of Behavioral HCC Workgroup SERVICE DELIVERY REFORM Chair: Quality Counts PCMH & HH Learning Collaborative ACO Learning Collaborative Support Leadership Development (RFP) Behavioral Health Collaborative (RFP) Public Reporting MAINE CDC Patient Engagement Diabetes Prevention 5 Sites Pilot w/ Community Health Workers Payer Populations MaineCare Medicare Commercial Self-Insured Employers 6
SIM Leadership Team Accountabilities n 7
SIM Maine Leadership Team n 1. Maine Leadership Team (MLT) o Fundamental Accountability/Role: The State has overall accountability for the achievement of the Grant objectives; as such its role is to be the final decision-maker on issues impacting scope, cost and timelines and assurance that the Grant overall work remains aligned with the Grant overall objectives o Expectations of the State Executive Leadership Team: Accountable for fulfilling reporting requirements of CMMI Accountable for managing the Partner/Contractor relationships including contract management Accountable for financial Grant management Consistent understanding of status against plan overall Final arbiter on escalated issues impacting scope, cost or timeline and on issues the Steering Committee cannot reach consensus agreement on Designate the Steering Committee Chair Assure that MaineCare-specific objectives are managed and achieved through the Grant Manage periodic stakeholder meetings The MLT will be responsible for approval of changes to budget and scope of work, and any major shifts in State resource allocation and decisions requiring senior State authority. The SIM Program Manager will make monthly reports to the MLT on performance, financial, workplan progress, and any recommendations coming out of the Steering Committee. 8
Operational Plan Development and Review: n Timeline and Process July 10: Steering Committee Begins Review and submits requests for more information Aug 1: June 10 28 Operational Plan Development Submission of SIM Operational Plan to CMMI June 28: Deadline for Content Submission July 27: Steering Committee Approval for Submission Oct 1: Deadline for CMMI approval to move into implementation phase 9
Next Steps Future Meeting Schedule By-Laws Distribute today and plan to adopt at next meeting Public Comment 10
The Maine SIM Theme: Collaboration n If you bring the appropriate people together in constructive ways with good information, they will create authentic visions and sustainable responses to issues and opportunities within their communities and organizations. - David Chrislip, Collaborative Leadership Strategist 11
