Welcome to RHP 9 – Transforming Healthcare Now

Waiver Information

  • Five-year demonstration waiver that began on September 1, 2011
  • Aligns with the Triple Aim of the Centers for Medicare and Medicaid Services (CMS): Improve the experience of care, Improve the health of populations, and Reduce the per capita costs of healthcare without compromising quality.
  • Creation of Regional Healthcare Partnerships (RHP) that support coordinated, efficient delivery of quality care, and a plan for system transformation that is driven by the needs of the community.
  • Provides incentive payments for quality improvement and healthcare delivery system reform

Quick Facts on RHP 9:

  • 3 Counties: Dallas, Denton, & Kaufman
  • 2,530 square miles
  • Population of 3.1 million
  • 40% are low income
  • 25 providers participating in Delivery System Reform Incentive Payment (DSRIP) projects
  • Needs assessment: Gaps in access, behavioral health, and overall care coordination.
  • 129 DSRIP projects
    • 46 Infrastructure Development projects (Category 1)
    • 83 Program Innovation and Redesign projects (Category 3)
    • 200 Plus Outcome Measures (Category 3)

Wednesday, June 28, 2017: Project Evaluation Webinar by JPS Health/RHP 10.  Register at  https://rhp9hostsprojectevaluation.eventbrite.com
Late June 2017: HHSC webinar on Measure Bundle Protocol and changes to the PFM. 
Monday, July 3, 2017: IGT due for April DY6 reporting DSRIP payments and Monitoring IGT
Friday, July 7, 2017: Measure Bundle Protocol survey closes 
Friday, July 7, 2017, 11:59 PM: Due date for NMI responses and incomplete semi-annual progress reports 
Friday, July 14, 2017: April reporting DY6 DSRIP payments processed for transferring hospital and top 14 IGT entities
Thursday, July 27, 2017: RHP 9 Denton Roadshow.  Register at  https://rhp9roadshowdenton.eventbrite.com
Monday, July 31, 2017: April reporting DY5 DSRIP payments processed for all providers and DY6 DSRIP payments processed for remaining providers
Wednesday, August 9, 2017: HHSC and CMS will approve or deny the NMI responses and semi-annual progress reports. Metrics approved will be paid in the next DSRIP payment period (January 2018)
Thursday, August 17, 2017: RHP 9 Learning Collaborative – Biannual Event .  Register at https://rhp9learningcollaborative.eventbrite.com
Wednesday, September 6, 2017: Lakes Regional Community Center . Register at https://rhp9roadshowlakesregional.eventbrite.com
Tuesday, September 19, 2017: RHP 9 Technology in Healthcare . Register at https://rhp9technologyinhealthcare.eventbrite.com
November 2017: Regional Community Needs Assessment due.  
Tuesday, December 5, 2017: RHP 9 Rapid Cycle Improvement Cohort.  Register at https://rhp9rapidcycleimprovement.eventbrite.com


Making a Difference

Measure Bundle Protocol
  • Attached are the measure bundle protocol survey questions and the webinar slides
  • Survey feedback is due by Friday, July 7th.  The survey can be found at:   https://www.surveymonkey.com/r/W6MC9LL
  • Category D (which replaced Cat 4) has been expanded to all provider types.  The state will have access to all data, with the exception of patient satisfaction scores for the hospitals, and will work on a process to provide data to the providers. 
  • Goal of Cat D is to be able to provide an RHP and statewide perspective of population health to assist with collaboration for future transformation. 
Waiver Negotiations:
Talks are ongoing.  Will provide more details when available. 
DSRIP Online Reporting System Enhancement
  • HHSC recently added a bulletin board feature to the online reporting system. This will allow HHSC to post information and documents more quickly than just posting on the waiver website. Info will still be posted on the waiver website but also check the bulletin board for updated information.
  • When a user logs in to the online reporting system, they’ll see a “Bulletin Board” tab in the navigation panel at the top. Current documents posted to the Bulletin Board include the Measure Bundle Protocol and other related documents sent to anchors on 6/22/17; the presentation slides from the 6/21/17 webinar; a link to the Measure Bundle Protocol survey; DSRIP Reporting Summaries including April DY6 information; the RHP Contact Change form; and the IGT Entity Change Form.
Compliance Monitoring
  • Cat 1 & 2: Round 3 reviews will be completed by end of June.  Notification will be sent about the results of the review. Those projects that have carry over status (31 total) will not be validated by the end of the month. Final recoupment notifications will be sent by HHSC during the next 2 weeks. 
  • Cat 3:  MSLC is hoping to complete in June.  
MSLC Monitoring
  • Cat 1/2 and Cat 3: Reviews continue.  Goal is to be finish current reviews by June. 
  • Cat 1/2 :  If a provider receives a MSLC notification Complete - Metric Revised - Achieved for the metric that was reviewed in Round 3 and was also reviewed in Round 2 with the status Complete-Not Achieved, that MSLC notification is final for that metric and HHSC is not sending notifications for providers with these scenarios.
  • Recoupments:
    • HHSC adjusted its approach to notifying providers about recoupments. HHSC is sending preliminary notifications and providers have 3 business days to respond. Providers that receive preliminary notifications should also expect to receive final communication from HHSC.
    • Some providers are given an option to select which metric (e.g. DY3 or DY4) should be recouped. In this case providers have 5 business days to respond.