Slide 1: 
Implementation Council 2013 Year in Review
December 20, 2013

Slide 2: Overview	
•	Council Charge
•	Meetings and Subcommittees
•	Covered Topics and Speakers
•	Process Improvements
•	Policy Improvements
•	Additional Motions
•	Plans for 2014

Slide 3: Council Charge
•	Convened by the Executive Office of Human Services (EOHHS) to operate during the Duals Demonstration.  
•	The Implementation Council will play a key role in
o	monitoring access to health care and compliance with the Americans with Disabilities Act (ADA), 
o	tracking quality of services, 
o	providing support and input to EOHHS, and 
o	promoting accountability and transparency.
•	The roles and responsibilities will likely include 
o	advising EOHHS,
o	soliciting input from stakeholders,
o	examining One Care plan quality, 
o	reviewing issues raised through the grievances and appeals process and ombudsperson reports, 
o	examining access to services (medical, behavioral health, and LTSS), and 
o	participating in the development of public education and outreach campaigns. 

Slide 4: Meetings and Subcommittees
•	12 Implementation Council Meetings
•	5 Subcommittee Meetings
o	Continuity of Care, Access to Providers and Monitoring and Transparency
o	Cultural Competency, Population Specific Quality Metrics
o	Long Term Services and Supports
•	4 Work Groups
o	By-Laws and Charter
o	Council Priorities
o	Early Indicators Project 
o	Provider Strategy
Slide 5: Covered Topics and Speakers
•	Engaged MassHealth in timely conversations about
o	Ombudsman 
o	Outreach strategy
o	Financing and payment methodology
o	Auto Enrollment
o	Rating categories
o	Early Indicators
o	Quality 
o	Training
o	Early enrollment feedback
•	Assisted with development of outreach and public awareness materials
•	Heard from multiple academic and community leaders
o	BD Group
o	Dr. Lisa Iezzoni, Mongan Institute for Health Policy
o	Roxanne Reddington-Wilde

Slide 6: Process Improvements
•	Elected chair and co-chairs
•	Developed Charter and By-Laws
•	Fully-funded with Implementation Funding for up to 30 meetings
•	Council participation at MassHealth Open Meetings
•	Commitment to including public comments at meetings

Slide 7: Policy Improvements
•	Ombudsman unit criteria, including presence outside of state government
•	Improved payment methodology
•	Phased process for auto-enrollment – beginning with C1
•	Refinements to rating categories C2 and C3
•	Development of Early Indicators

Slide 8-9: Additional Carried Motions
Refer to Approved Motions document, (#) = Motion number
•	Functional Status (5)
o	Concerns with existing tools for measuring functional status
•	Behavioral Health (23)
o	Concerns with electronic health records and sharing psychiatric information with providers without consent
•	Training (24)
o	Ensuring that individuals conducting assessments receive training on cultural competency and how to interview in a sensitive and appropriate manner
•	Wages and benefits (25)
o	Concerns with average wages and benefits for Home Care Agency workers
•	Use of Support Service Providers (SSP) (27) 
o	Ensuring coverage of SSPs for people who need the service in their care plan
•	Sexual orientation and gender identity (28)
o	Ensure questions on these topics are added to the assessment
•	Independent Living – Long Term Services and Supports (IL-LTSS) Coordinator (30-32)
o	Ensure availability for individuals with very high behavioral health needs
o	Ensure enrollees understand the role before deciding to decline or keep an IL-LTSS Coordinator on the care team
o	Allow the IL-LTSS Coordinator to complete the LTSS portion of the assessment during the first 180 days for the first year of the demonstration (for individuals in C1 and C2A)
•	Determine Council Priorities (33)

Slide 10-11: Plans for 2014
•	Development of 2013 Annual Report
•	Development of Council priorities and work plan
o	Build a robust LTSS system that is conflict free 
o	Fully integrating a conflict free role for peers with lived experience in One Care
o	Collect LGBTQ information
o	Respond to results of Early Indicators
o	Monitor impact of current financing on enrollee care
o	Strategize on ways to address barriers to single case agreements with providers
o	Other
•	Hear from community members
o	Community Health Worker
o	Homelessness expert
o	Community Health Center expert
o	Addiction recovery community
o	Others?

Slide 12: Thank you for your participation!
•	Suzann Bedrosian
•	Bruce Bird, The Collaborative: ABH-MA, ADDP & The Provider’s Council
•	Ted Chelmow, Consumer Quality Initiatives
•	Myiesha Demery
•	Joe Finn 
•	Anne Fracht
•	Rebecca Gutman, 1199SEIU
•	Dennis Heaphy, Chair
•	Audrey Higbee, Center for Human Development
•	Denise Karuth
•	Jeff Keilson, Advocates Inc.
•	David Matteodo, MA Association for Behavioral Health Systems
•	Dan McHale, Massachusetts Hospital Association
•	Dale Mitchell, Ethos 
•	Vivian Nunez
•	Jorge Pagan-Ramos
•	Olivia Richard
•	Bob Rousseau, Transformation Center/Fellowship Health
•	Peter Tallas, TMed Holdings, Inc. d/b/a Charm Medical Supply
•	Howard Trachtman, Co-chair
•	Florette Willis, Co-chair