Health Care Authority Update on Healthier Washington

From Washington State Health Care Authority bulletin:

We’re just getting started

January 31, 2019 marked the end of the State Innovation Models (SIM) grant. SIM created the foundation for Healthier Washington, a multi-agency, multi-sector movement to transform the health and wellness system in Washington State. It changed the way we work together, use state purchasing power, and build infrastructure. It boosted Washington’s commitment to create stronger communities and healthier people.

There’s a difference between SIM and Healthier Washington

SIM funded many Healthier Washington initiatives, and although the grant is ending, Healthier Washington continues. Under the banner of Healthier Washington, we’ll continue to:

  • Support and help sustain Accountable Communities of Health.
  • Integrate physical and behavioral health care, and support person-centered care.
  • Move toward health care purchasing that rewards value rather than quantity of services received.
  • Support providers and clinicians as they transition to value-based care, and work with partners to ensure a robust health workforce.
  • Enhance the Clinical Data Repository so providers can better coordinate care by accessing health care information within one system.
  • Collaborate with the Health Innovation Leadership Network.
  • Support and guide Medicaid Transformation efforts and rural transformation activities.

Healthier Washington isn’t going away

Healthier Washington is a movement—a way of thinking about how we approach health and wellness transformation. In this next phase, we are moving from building infrastructure to finding ways to support and sustain our work. Transformation takes time, and we remain committed to our initiatives and partnerships.

Learn more about Healthier Washington by visiting our website.

Grant Opportunity

Birth Equity Project

Washington State Department of Health’s Office of Family and Community Health Improvement (OFCHI) is pleased to announce a grant opportunity to fund projects aimed at improving maternal health and birth outcomes in priority populations through the Center for Disease Control Preventative Health and Health Services Block Grant (PHHS). We are inviting communities to submit a Letter of Intent (LOI) to apply for direct funds to plan and implement a three year Birth Equity Project aimed at achieving these goals.

Instructions and materials for the Letter of Intent (LOI) to apply can be found here. The LOI is due March 4, 2019.

Snohomish County Releases Report on Opioid Misuse

In a new report released January 9, the Snohomish Health District estimates that between 5,000 and 10,000 people in Snohomish County are suffering from opioid use disorder. It’s likely that another 35,000 to 80,000 people are misusing opioids.
 
“We focused on opioid misuse and opioid use disorder because they are considered the two ends of the spectrum for diagnosable patterns that can lead to overdose and death,” said Dr. Mark Beatty, health officer for the Snohomish Health District. “This data will aid the Health District and the Opioid Response Multi-agency Coordination Group with evidence-based decision making, assessment of interventions, and other planning purposes.”

This data is the result of several months of in-depth research and analysis completed by health officer Dr. Mark Beatty. In his report, Opioid Use Disorder and Opioid Misuse in Snohomish County: Using Capture-Recapture to Estimate the Burden of Disease, Dr. Beatty applied a method originally created to estimate wildlife populations and recently used to estimate the prevalence of kidney disease.

Disease burden estimates are challenging to complete in populations that are difficult to identify or pinpoint. It becomes increasingly more complex when diseases like opioid use disorder are not a notifiable condition, such as measles or whooping cough. While the published literature is sparse, it’s possible to use surveillance for opioid events in order to estimate the disease burden. This requires an additional method known as capture-recapture.

[Click here to view an overview of capture-recapture.]

For this method, Dr. Beatty accessed FirstWatch—a proprietary record management system used for EMS calls across the county—to pull data for all overdose calls recorded in July 2018. During that month, there were 73 opioid-related overdoses identified. Utilizing data compiled by Providence Regional Medical Center Everett and the Health District, made possible through a Centers for Disease Control and Prevention (CDC) grant funded through the Washington State Department of Health, Dr. Beatty then reviewed patients seen in the emergency department. Of those 29 overdose patients at the hospital, 18 were also found in the FirstWatch data. That number translates into approximately 1,400 individuals in Snohomish County hospitalized annually because of opioids.

Using a model published by the CDC that estimates for every one death there are 32 emergency department visits for misuse and abuse, Dr. Beatty modified the calculations using Snohomish County estimates identified from the capture-recapture study.

For more information on efforts being done through the Opioid Response MAC Group, please go to www.snohomishoverdoseprevention.com. This website and accompanying social media accounts were developed to be a one-stop shop for resources. Whether trying to understand the problem, prevent addiction, or save a life, this is a place to find information for that first next step. 

Gratitude and Celebration

November is Native American Heritage Month, proclaimed by Governor Inslee as a time to “honor the unique heritage of this continent’s First People and reaffirm the commitment to respect each tribe’s sovereignty and cultural identity.”  We give thanks for the leadership of the tribes and their approach to whole person care. Our team continues to learn from them and aim to grow those practices in other parts of the North Sound region.

While the media focuses on the day after Thanksgiving as “Black Friday” we hope you will join us in two other (more important) ways. First, Washington is one of several states that celebrates the day after Thanksgiving as Native American Heritage Day, naming it a state and school holiday. But the holiday is only one part; the proclamation also calls for educating students about the history achievements, and contributions of the tribes. Washington is rich in its 29 tribes and you can learn more about each tribe at this link. Spend at least part of your day learning about the Washington’s tribes, their history and culture.

Second, the day after Thanksgiving is a day where we are called to Opt-Outside. You can #optoutside or check out this link at the Nature Conservancy to find ways to get out and connect to the outdoors. The tribes we work with have known the connection between nature and health since time immemorial, and continue to show leadership in positioning the health of our communities, ecosystems, and wildlife as inextricably linked. They might encourage us to ‘Opt Outside’ every day to find the path to our wellness and wholeness. 

We wish you wellness and gratitude this week, and hope you will celebrate your connectedness to others who were here before us, are here in our communities now, and the amazing land that surrounds us. 

Liz

October 2018 Newsletter

Fall has brought several new opportunities and updates we’re excited to share!  Read on to learn what’s happening at North Sound ACH.

Call for North Sound ACH Board Member Solicitation

Would you or someone you know be a good fit for our Board?  The North Sound ACH is now accepting applications from individuals interested in serving on the North Sound ACH Board of Directors. We are looking to fill two seats being vacated by board members with expiring terms on December 31, 2018. 

Change Plans Due this Friday!

Partners working on their Change Plans need to turn them in by this Friday 11/2.  Thanks to those who have already turned them in. We appreciate getting a head start on reviewing these.
 

Exciting Work on Health Equity

We love learning about ways to advance equity!  The North Sound was excited to meet with john a. powell, from the Haas Institute for a Fair and Inclusive Society, during the Healthier Washington Learning Symposium on October 24, 2018. 

Community Partners Working to Achieve Oral Health Equity

Partnering for Oral Health: Arcora Foundation and North Sound ACH have agreed to a multi-year partnership to improve oral health outcomes in the North Sound.
 

A visual summary of the ACH region’s work   

Annual Summary: We put together an online summary taking a look at the work of 2017 and 2018 to get us ready for implementation in the coming year. Take a look back at the work accomplished in the region so far. 
 


News Updates:

Snohomish County’s treatment of opioid addiction as a natural disaster draws national attention

Featured article by the Robert Wood Johnson Foundation on Cultural Humility

 

Upcoming Events:

Tribal AIHC conference 

Othering and Belonging Conference

A Look Back, A Look Forward

We’ve been distracted more than a few times by deliverables and documents, but we finally have a summary that shows what we’ve been up to the last year and a half. You can find it online at this link and we hope to have some print copies by the time of our Board meeting in October. 

Many thanks to the team at Shew Design for helping us get this together. 

Liz

Generous Contribution from Amerigroup

The North Sound ACH region is one of two regions where all five of the state’s Medicaid Managed Care Organizations (MCOs) have a presence.  

One of those MCOs recently made a $20,000 contribution to a fund we are building, a Community Resilience Fund, intended to support upstream, primarily social and community factors that impact health. Amerigroup’s contribution was the first deposit into that fund and we are grateful for their support. 

In April 2018, the North Sound ACH Board of Directors agreed to contribute 10% of all earnings that the ACH receives into that Community Resilience Fund. In early 2019, the Board will begin developing a strategic plan for how those funds will be distributed in the region.* We are hoping that other organizations will be interested in making contributions such as Amerigroup did. 

*Reminder, all standing meetings of the Board are open o the public, either in person or by phone. Check our calendar to see about upcoming meetings.

Two New Board Members Join North Sound!

The North Sound ACH acknowledges, with humility, that the land of the North Sound ACH region today, is the territory of the People of the Salish Sea. We are enriched by having each of the eight tribes consider appointing a tribal member to serve on the North Sound ACH Board of Directors.

We recently had two new appointments to the Board:

  • Lori Hartelius, appointed by the Stillaguamish Tribe of Indians
  • Debra Jones, appointed by Samish Indian Nation 

You can see the full list of North Sound ACH Board members here.

Care Coordination Agencies (CCAs)

As part of North Sound’s commitment to improving care coordination across partners who intersect with patients and clients, we are piloting a model that enhances communication and information sharing in real time. To that end, we have selected four Care Coordination Agencies (CCAs) in implementing a Community HUB to better align the delivery of care coordination services and resources.

We had more than 30 organizations apply to be CCAs, and selected these four organizations to begin piloting the work:

  • Compass Health
  • Northwest Regional Council
  • San Juan County (San Juan County Health and Human Services)
  • Sea Mar Community 

These four partners serve clients/patients in all five North Sound counties, and work across clinical and community settings, including work with tribal partners. Some of the initial work will include developing an Advisory Committee with representatives from other providers, referral sources, and community members.  Stay tuned for more on how you might remain involved as this work expands.

 

Introducing our 2018 Partners!

We had close to 70 applicants for our May 2018 Call for Partners!  The organizations below have successfully completed Milestone 1 and are moving forward to work on Implementation Plans for our region.

We are grateful for the time and commitment of all our partners!  The North Sound region is fortunate to have each of these serving here.

The names are listed as best we can with the IRS recognized name in parentheses. When we run reports on who has received funds, it will be by the IRS name that partners entered in the Financial Executor Portal. 

Organizations with their names bolded will be pilot sites for the Community HUB care coordination model. 

The Arc of Whatcom County
Arcora Foundation (Delta Dental of Washington)
Assured Independence
Bellingham Fire Department (City of Bellingham)
Brigadoon Service Dogs
Brigid Collins Family Support Center
Cascade Medical Advantage
Catholic Community Services of Western Washington
Center for Human Services
Children of the Setting Sun Productions
City of Everett
Community Action of Skagit County
Community Health Centers of Snohomish County
Compass Health
Consistent Care Services
Consumer Voices are Born
Edmonds Police Department (City of Edmonds)
Everett Housing Authority (City of Everett)
Family Care Network
Homage Senior Services (Senior Services of Snohomish County)
Island County (Island County Human Services)
Island Senior Resources (Senior Services of Island County)
Island Hospital
Lake Whatcom Residential and Treatment Center
Lifeline Connections
Lopez Island Family Resource Center
Lydia Place
Lynnwood Police Department (City of Lynnwood)
Medical Information Network 
Mt Baker Planned Parenthood
North County Regional Fire Authority
North End Medical Professional Corporation
North Sound Behavioral Health Organization
Northwest Regional Council
Northwest WA Indian Health Board
Opportunity Council
Orcas Community Resource Center (Orcas Family Connection)
Orcas Island Fire and Rescue (San Juan County Fire District #2)
PeaceHealth
Pioneer Human Services
Planned Parenthood of the Great Northwest
Positively Linked
Providence Health & Services
San Juan County (San Juan County Health and Human Services)
San Juan Island Emergency Medical Services
San Juan Island Family Resource Center
Sea Mar Community Health Centers
Skagit County (Skagit County Public Health Department)
Skagit Pediatrics
Skagit Regional Health (PHD 1 DBA Skagit Valley Hospital)
Snohomish County Fire District 7
Tulalip Bay Fire (Snohomish County Fire Protection District #15)
Snohomish County Human Services
Snohomish Health District
South Snohomish Fire & Rescue
Sunrise Services
Swedish Edmonds
Tulalip Health System (Tulalip Tribes) 
United General District 304 (Skagit CO PHD United General)
Unity Care NW
Verdant Health Commission (Public Hospital Dist 2 Snohomish)
Whatcom Alliance for Health Advancement 
WestCare Foundation
Whatcom County Emergency Medical Services (Whatcom County)
Whatcom County Health Department (Whatcom County)
Whatcom Family & Community Network
Whatcom Family YMCA
WhidbeyHealth (Whidbey General)
WSU Extension (Washington State University)
YMCA of Snohomish County