STRATEGIC PLANNING & INNOVATION - TN

STRATEGIC PLANNING &INNOVATIONProvider Stakeholder GroupApril 25, 2018

Agenda Primary Care Transformation (PCT) - ADT UpdateEpisodes of Care – Annual Feedback Session2018 Legislative Update2

Care Coordination ToolAdmissions, Discharges, and Transfers(ADT) UpdateAs of 4/12/18, the following are sending ADT feeds to the State for distribution in theCare Coordination Tool (CCT): 66% of hospitals71% of licensed hospital beds18 health systems live102 hospitals live17,645 hospitals beds live3

List of hospitals currently submitting ADT information as of 4/12/18:In ProductionHealth SystemN/AN/AN/AWest Tennessee HealthcareWest Tennessee HealthcareWest Tennessee HealthcareWest Tennessee HealthcareErlanger Health SystemErlanger Health SystemErlanger Health SystemErlanger Health SystemErlanger Health SystemErlanger Health SystemMaury Regional Health SystemMaury Regional Health SystemMaury Regional Health SystemMethodist Le Bonheur HealthcareMethodist Le Bonheur HealthcareMethodist Le Bonheur HealthcareMethodist Le Bonheur HealthcareMethodist Le Bonheur italDecatur County General HospitalNorthCrest Medical CenterCookeville Regional Medical CenterBolivar General HospitalCamden General HospitalJackson-Madison County GeneralMilan General HospitalErlanger – BledsoeErlanger – EastErlanger – Baroness HospitalErlanger – NorthErlanger – TCT Children’sErlanger – SequatchieMarshall Medical CenterMaury Regional Medical CenterWayne Medical CenterMethodist University HospitalMethodist South HospitalMethodist North HospitalMethodist Le Bonheur Germantown HospitalLe Bonheur Children’s HospitalLincoln Medical CenterHenry County Medical CenterParkridge East HospitalParkridge Medical CenterParkridge Valley Adult & Senior CampusParkridge Valley Child & Adolescent CampusParkridge West HospitalTristar Ashland City Medical CenterTristar Centennial Medical CenterTristar Children’s At Centennial Medical CenterTristar Hendersonville Medical CenterTristar Horizon Medical CenterBed 463192555914212827564847012621261101494

montWellmontVanderbiltVanderbiltTristar Natchez Emergency DepartmentTristar Portland Medical CenterTristar Skyline Madison CampusTristar Skyline Medical CenterTristar Southern Hills Medical CenterTristar Spring Hill Emergency DepartmentTristar StoneCrest Medical CenterTristar Summit Medical CenterJellicoRidgeview Psychiatric HospitalBristolHancock CountyHawkins CountyHolston ValleyVanderbilt University Medical CenterVanderbilt Children’s Hospital – Monroe Carell Jr. Children’s ALaughlin MemorialMountain States Health Alliance Franklin Woods Community Hospital14080Mountain States Health Alliance Johnson City Medical Center516Mountain States Health Alliance Johnson County Community Hospital2Mountain States Health Alliance Niswanger Children’s Hospital69Mountain States Health Alliance Woodridge Psychiatric Hospital84Mountain States Health Alliance Indian Path Medical Center239Mountain States Health Alliance Sycamore Shoals Hospital121Baptist Memorial Health CareBaptist Memorial Health CareBaptist Memorial Health CareBaptist Memorial Health CareBaptist Memorial Health CareBaptist Memorial Health CareBaptist Memorial Health Care701371001288173212Baptist – HuntingdonBaptist – Union CityBaptist – TiptonBaptist for WomenBaptist – ColliervilleBaptist – MemphisSpence and Becky Wilson Baptist Children’s5

ointLifePointLifePointLifePointLifePointSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthSt. Thomas HealthN/AN/AMountain HIAcadiaTenetTenetLivingston Regional HospitalRiverview Regional Medical CenterSouthern Tennessee Regional – LawrenceSouthern Tennessee Regional – PulaskiSouthern Tennessee Regional – SewaneeSouthern Tennessee Regional – WinchesterStarr Regional Medical Center – AthensStarr Regional Medical Center – EtowahSumner Regional Medical CenterTrousdale Medical CenterSt. Thomas DeKalb HospitalSt. Thomas Hickman HospitalSt. Thomas Highlands HospitalSt. Thomas Midtown HospitalSt. Thomas River Park HospitalSt. Thomas Rutherford HospitalSt. Thomas Stones River HospitalSt. Thomas West HospitalEast Tennessee Children’s HospitalUniversity of TN Medical CenterUnicoiSweetwaterTakomaRheaWilliamson Medical CenterMonroe Carell Jr. Children’s Hospital Vanderbilt at Williamson MedicalCenterHardinNashville GeneralCHI Memorial – ChattanoogaCHI Memorial - HixsonTrustPoint HospitalSt. Francis HospitalSt. Francis Hospital – 411526094859100251612458150405691014791966

UHSUHSN/AAcadiaAcadiaN/ALakeside Behavioral HospitalRolling Hills HospitalBlount Memorial HospitalCrestwyn Behavioral HealthDelta Medical CenterHouston County Memorial Hospital319803046022325Totals 18 Health Systems102 Hospitals17645 Beds7

Annual Episodes Design Feedback SessionRSVP for May 22, 2018 Please RSVP for this event. You received the RSVP form electronically in thePayment Reform newsletter and the Provider Stakeholder Group email. The Annual Feedback Session provides the opportunity for the public to comment onwhat is working well with each episode's clinical design and where providers wouldsuggest changes for next year. 27 episodes of care in performance (Waves 1 - 6) will be open for public feedback. This event will take place simultaneously in six locations across the state linkingclinicians, administrators, payers and other stakeholders by video-conference inNashville, Chattanooga, Knoxville, Johnson City, Jackson and Memphis.8

Annual Episodes Design Feedback Session:LocationsLocationAddressNASHVILLETennessee Department of HealthMid-Cumberland Regional Office710 Hart LaneNashville, TNJOHNSON CITYJACKSONKNOXVILLETennessee Department of HealthNE Regional Office185 Treasure LaneJohnson City, TNLowell Thomas State Office Building225 Dr. Martin Luther King Jr DriveJackson, TNTennessee Department of HealthEast TN Regional Office2101 Medical Center WayKnoxville, TNMEMPHISLe Bonheur Children’s HospitalChildren’s Foundation Research Center848 Adams AvenueMemphis, TNCHATTANOOGATennessee Department of Environment & Conservation1301 Riverfront Parkway Suite 206Chattanooga, TN9

Annual Episodes Design Feedback Session:Agenda The event is divided into three sessions, outlined below. You can attendmore than one session.Each session will include a presentation and time for any stakeholder toshare their episode feedback.TimeCentral time: 8:30am – 10:15amEastern time: 9:30am – 11:15amSessionProcedural Episodes with Physician Quarterback:TJR, PCI non acute, Bariatric, CABG, Valve,Colonoscopy, Tonsillectomy, EGD, Breast Biopsy,CholecystectomyOutpatient, Perinatal, and Behavioral Health Episodes:Central time: 10:30am – 12:15pmRespiratory Infection, UTI outpatient, Otitis Media, SSTI,Eastern time: 11:30am – 1:15pmPerinatal, HIV, ADHD, ODDCentral time: 1:15pm – 3:00pmEastern time: 2:15pm – 4:00pmAcute Episodes with Facility Quarterback:Asthma, COPD, GI Hemorrhage, Pneumonia, PCI acute, UTIInpatient, Diabetes, CHF, Pancreatitis10

Please Submit your Feedback by May 18thWe are requesting all feedback, comments or questions for theAnnual Feedback Session be submitted through the online formby Friday, May episodes design feedback session11

2018 Legislative UpdateLegislation that affects the Initiative:HB 2001/SB 2155 – Providers can ask for reconsideration of episode risk sharing paymentsrelated to pain relief servicesHB 1729/SB 2639 – Episode penalties now called “risk sharing payments”; study implementationof episodes of careHB 1541/SB 2364 – Exclude anxiety and non-emergent depression episodes12

THANK YOU!

Tristar Ashland City Medical Center: 12. HCA: Tristar Centennial Medical Center. 621: HCA. Tristar Children’s At Centennial Medical Center: 26. HCA: Tristar Hendersonville Medical Center. 110: