Delaware State Innovation Model Design

Health Care CommissionMarch 28, 2013

Grant Specifics

• Notice of award February 22, 2013• Project period April 1- September 30,

2013• Total award $2,485,118

Activities to Date

• Notification of all participants to date• Weekly meetings of State team• Critical need procurement waiver• Working with CMMI to finalize

contracting specifics

Anticipated schedule of deliverables

Strategic planning & project management

1

Delivery system3

Data/ analytics4

Payment model2

1.6a Develop stakeholder map1.6b Development stakeholder engagement plan1.6c Develop core materials for stakeholders and maintain “grid” of

key events1.7 Monitor individual and collective workstream progress1.8 Identify and carry out interventions to ensure progress

1.10 Incorporate work product of all workstreams 1.11a Draft plan (first draft)1.11b Draft plan (second draft)

1.1 Define scope and team assignments

1.3 Define processes and communication mechanisms for all aspects of plan design

1.4 Schedule twice-weekly meetings

1.5 Assign workstream leads

1.9 Draft plan outline

1.12 Dissemi-nate draft plan and obtain broad stake-holder feedback

1.13 Finalize plan1.14 Develop

funding application

1.15 Submit application

2.1c Identify and analyze payment reform options2.2a-c Identify, prioritize, and analyze peer state programs

2.3a Agree on preferred option and model potential impact2.3b Identify and define changes in delivery, data and other systems needs2.5a Draft plan (first draft)2.5b Draft plan (second draft)

2.6 Obtain stake-holder feedback and revise plan

2.1a Establish workstream charter and hold kickoff

2.1b Agree to goals and criteria for payment reform

2.7 Finalize model

3.2a Assess existing service delivery mechanisms3.2b-d Identify, prioritize, and analyze peer state programs3.3 Collect DE-specific and national data identifying utilization behaviors

3.4a Agree on preferred option and model potential impact3.4b Identify and define changes to data and other system needs3.6a Develop comprehensive service delivery plan (first draft)3.6b Draft plan (second draft)3.6c Develop action plan for integration of interventions

3.1a Establish workstream charter and hold kickoff

3.1b Agree to goals of delivery system transformation

3.1c Obtain broad consumer and stakeholder input

3.7 Obtain stake-holder feedback and revise plan

3.8 Finalize plan

4.1a Establish workstream charter and hold kickoff

4.1b Agree to goals of data system reform

4.1c Inventory of existing health data sources

4.2 Inventory/assess existing analytic capacity

4.12 Obtain stake-holder feedback and revise plan

4.3a Analyze state health data systems and identify key gaps4.3b Prioritize data and analytic gaps4.4a-c Identify, prioritize, and analyze peer state programs4.5 Engage health care providers4.6 Identify data system linkages4.7 Identify linkages to APCD4.8 Conduct policy and legal research for creation of APCD

4.9a Agree on preferred option to fill data and analytic gaps and model potential impact4.9b Design plan for actuarial capacity4.11a Draft plan (first draft)4.11b Draft plan (second draft)

4.13 Finalize plan

Project set up and initial hypotheses Current state, best practice, and options Preferred option, design and

planning Syndicate Finalize

Anticipated schedule of deliverables (cont’d)

Policy research5

5.2a-c Identify, prioritize, and research peer state best practices

5.3 Define necessary statutory or regulatory updates

5.4 Identify levers appropriate in health benefit redesign

5.5 Define system improvements and projected cost savings

5.7a Draft plan (first draft)5.7b Draft plan (second draft)

5.1a Establish workstream charter and hold kickoff

5.1b Agree to goals of policy research

5.1b Inventory of existing policy, licensure, and purchasing units

5.8 Obtain stake-holder feedback and revise plan

5.9 Finalize plan

Workforce6

6.2 Identify state gaps in providers6.3 Identify gaps in licensure, training,

and recruiting6.4a Review “physician extender” concept6.4b-d Identify, prioritize, and analyze peer

state programs

6.5a Agree on preferred option and model potential impact

6.5b Identify and define changes in delivery, data, and other system needs

6.5c Develop tasks, assignments, measures and timelines for preferred option

6.7a Draft plan (first draft)6.7b Draft plan (second draft)

6.8 Obtain stake-holder feedback and revise plan

6.1a Establish workstream charter and hold kickoff

6.1b Review data and recommendations of HCC Workforce working group

6.1c Align on roles/ responsibilities from HCC Workforce group

6.1d Agree to goals of workforce

transformation

6.9 Finalize plan

Population health7

7.2a-c Identify, prioritize, and research peer state and best practices of population health

7.3a Agree on preferred option and model potential impact

7.3b Identify and define changes in delivery, data, and other system needs

7.3c Attach tasks, budget, and timelines to

recommendations7.4 Design action plan to

integrate individual and population health

7.6a Draft plan (first draft)7.6b Draft plan (second draft)

7.1a Establish workstream charter and hold kickoff

7.1b Review recommendations of

Governor’s Council on Health Promotion and Disease Prevention

7.1c Align on roles/ responsibilities from Governor’s Council

7.1d Agree to goals of population health

7.7 Obtain stake-holder feedback and revise plan

7.8 Finalize plan

Project set up and initial hypotheses Current state, best practice, and options Preferred option, design and

planning Syndicate Finalize

High-level project sequence

Weeks 1 to 2 Weeks 3 to 6 Weeks 7 to 10 Weeks 11 to 14 Weeks 15 to 22

Outline report

First draft

report

Second draft

report

Final report& Testing proposal

Vision & setup

Delivery systemPopulation health

Payment model

Data and analytics

Workforce

Policy

Plan finalization

Timeline for project planApr May Jun Jul Aug Sep

1.11a 1.11bPreferred design and plan

1.12

1.13-1.14 1.15

1.6c-1.8Current state and options

1.6a,b

Project set up1.1,1.2

Phase

Finalization

1.3-1.5

Syndication1.9

2.1a,bProject set up

2.2a,b 2.2c

Finalization2.7

Syndication

Current state and options

2.6

2.5a 2.3 2.5bPreferred design and plan 2.1c

3.2b,c

Finalization

Project set up

3.8

3.1a,b

Syndication3.7

Preferred design and plan3.6b,c3.6a3.4b3.4a

Current state and options 3.33.2a,d

3.1c

4.1c-4.3, 4.6-4.84.4a,b

4.1a,bProject set up

4.4c

4.13

Syndication4.12

Preferred design and plan4.9b4.54.11b4.11a4.9a

Finalization

Current state and options

Strategic plan-ning & project management

1

Payment model2

Delivery system3

Deliverable committed to CMS Final deliverable

Data/analytics4

Apr Jul SepAugMay JunPhase

5.1

Finalization5.9

Syndication5.8

Preferred design and plan5.7b5.3-5.55.7a5.2c

Current state and options 5.2a,b

Project set up

Timeline for project plan (cont’d)

6.9

Syndication6.8

Finalization

Preferred design and plan6.5c 6.7b6.7a

Current state and options6.3, 6.4d6.4a, 6.2, 6.4b,c

Project set up

6.5a,b

6.1

Syndication

7.8Finalization

7.1Project set up

7.2a,b 7.2cCurrent state and options

7.3 7.6a

7.7

7.4 7.6bPreferred design and plan

Deliverable committed to CMS Final deliverable

Policy research5

Workforce6

Population health7

Next Steps

• Finalize contract• Schedule project activities including• Workstream meetings• Stakeholder engagement and feedback