STATE INNOVATIVE MODEL (SIM) PROGRAM STAKEHOLDERS WORK GROUPS
Work Group Charters
Throughout this process, DHCFP will seek input and on-going involvement from a broad range of stakeholders across the State to drive the model design and development process through participation in work groups and committees.
Two overarching areas will be important to all workgroups. These areas include: Health Information Technology and Data; and Policy & Regulations. We anticipate designating a taskforce for each of these two overarching areas. These taskforces will be convened frequently to review and evaluate questions, models, and needs from each of the workgroups. The taskforces will answer questions such as:
- What is the impact of the proposed effort on payer policies?
- What policies may need to be changed to support an effort and is that the best policy for the payer?
- What data is needed to initiate, maintain, and evaluate the proposed change?
- Is the data available and what analytic tools will be utilized?
- How will communication regarding the project occur?
- How will stakeholder transparency into the SIM project be accomplished?
In addition, we anticipate forming four workgroups and two taskforces related to:
- Provider Responsibilities and Advocacy Workgroup; Identify short-term and long-term strategies to improve access and address workforce capacity, identify network deficiencies common to all payers involved as well as drivers behind network disparities across payers, explore alternatives to traditional access, address urban and rural issues/opportunities and Value Based Purchasing (VBP) from a provider perspective
- Delivery System and Payment Alignment Workgroup; Explore other delivery systems (ex: Patient Centered Medical Homes, Home Health, Accountable Care Organizations, etc.), develop a model to integrate behavioral health and physical health, tools needed by providers to be successful under alternative delivery system models proposed and opportunities to pay for performance and outcomes
- Clinical Outcomes and Quality Workgroup; Define the population health objectives to be accomplished, identify disease states, conditions or populations to be addressed, common clinical practice guideline and messaging for specified areas across multi-payers, identify clinical outcome measures and quality markers that will be used and identify the data needs, data resources and methodologies to measure each outcome/quality measure
- Patient Responsibilities and Advocacy Workgroup; Patient perspective and experience with the healthcare system, identify social determinants impacting health of Nevadans, identify unmet patient needs in the Nevada healthcare system and determine if there are challenges or concerns face by patients in an urban setting differ from those in a rural setting
- Health Information Technology and Data Taskforce; Data sources and availability, standardization of data and data elements, data integration and analytics tool, use of existing health information data, potential of a Nevada statewide Health Information Exchange (HIE), promoting further use of Health Information Technology (HIT) and data availability to support initiatives
- Policy and Regulatory Taskforce; Determines the impact of current or envisioned policies and regulations, identifies policy or regulatory barriers and opportunities to execute the innovation plan components, develops a pathway for alternative policy or regulations that may be necessary and ensures policy alignment with innovation plan components
These workgroups and taskforces will shape the developing State Health System Innovation Plan (SHSIP).
DHCFP is committed to involving all stakeholders in the design and development of an Innovation Model that reflects the unique characteristics of Nevada’s health care environment and population.
To accomplish this objective, DHCFP will:
- Conduct outreach to raise awareness
- Provide education to inform stakeholders about the program
- Engage the public and stakeholders in open dialogues
The purpose of our outreach efforts is to involve stakeholders, as they are an integral part of the success of the plan. We will work with a broad range of geographically diverse stakeholders to transform health care delivery in Nevada.
DHCFP has identified Guiding Principles for transforming health care delivery. If you would like to submit your ideas, which are consistent with these guiding principles, or participate in our workgroups, please complete this Online Survey or submit a completed Innovative Care Comments Form to the email provided under Contact. You can also email any questions you may have.
If you would like to participate in our workgroups, please submit the applicable Stakeholder Charter Form via the email under Contact.
See Stakeholder Meeting Dates, Times, and Locations for collaboration sessions.