TribalCareCoordinationInitiativeOutreachPresentation.Pdf Form

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System 1 AHCCCS Tribal Care Coordination Initiative

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Background and History † Division of Fee For Service Management (DFSM)- Who are we and what do we do? † Utilization Management/Care Management Unit (UM/CM)- What is our role and function? † Tribal Care Coordination “Pilot Project”- How did it begin and where is it going? 2

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Staff Relationships Data The Model The Four Strategic Areas of Focus 3

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System AHCCCS Care Coordination Staff † Care Coordination Leader † Tribal Health Care Coordinator † Behavioral Health Coordinator † Case Managers † Administrative Support † Collaboration with UM Nurses and Techs 4

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Building and Maintaining Relationships † Regional Approach to Outreach † IHS/ Tribal 638/Urban Indian Programs † RBHAs/TRBHAs † Tribal Leaders † Tribally Funded Programs † State and Federal Programs † Housing † Community Resources 5

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Improving Information and Data Sharing Capabilities † What Data? † Where Does This Data Come From? † How Can This Data Be Used to Identify “Super Utilizers” For Care Coordination? 6

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Implementation of a Robust Tribal Care Coordination Model † Alignment with the IHS Improving Patient Care- Care Model for the Indian Health System † Person-Centered Holistic Approach to Care Coordination † AHCCCS as a Care Coordination Data Repository 7

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Tribal Care Coordination Model 8

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System 9 Accomplishments and Next Steps

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System What We Have Accomplished † Established an Internal AHCCCS Tribal Care Coordination Workgroup † Increased AHCCCS Tribal Care Coordination Staff † Identified Target Populations † Quarterly Data Sharing-Statewide Outreach † Coordination with the Behavior Health System † Tribal Care Coordination Work Session 10

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Next Steps † Expand outreach for data sharing to additional IHS/638 facilities † Begin outreach to non-IHS/638 facilities regarding the AIHP population † Establish statewide partnerships with the RBHAs/TRBHAs † Refine Data that is shared † Establish Care Coordination Staffing meetings with IHS/638, non-IHS/638 facilities and RBHAs/TRBHAs 11

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System Achieving Goals TOGETHER 12 Improving health of individuals Improving health outcomes in Native Communities Lowering per capita health care costs

“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment System THANK YOU Elizabeth Carpio, DFSM Care Coordination Leader E-mail: Elizabeth.Carpio@azahcccs.gov Melina Solomon, UM/CM Unit Manager E-mail: Melina.Solomon@azahcccs.gov Denise Taylor-Sands, Tribal Health Care Coordinator E-mail: Denise.Taylor-sands@azahcccs.gov Markay Adams, Behavioral Health Care Coordinator E-mail: Markay.adams@azahcccs.gov 13