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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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ProvisionalWorkgroupsandleadsasof4/3/17

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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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