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Regional Healthcare Partnership 17



Regional Healthcare Partnership 17 (RHP 17) is a nine-county partnership,

formed on March 14, 2012, located in the eastern portion of the Central

Texas region. The partners consist of Brazos, Burleson,Grimes, Leon,

Madison, Montgomery, Robertson, Walker and Washington counties.

The Texas A&M Health Science Center (TAMHSC) has been appointed

as the RHP 17 anchor institution.




Ms. Angie Alaniz, Director, TAMHSC 1115 Anchor Teams 

Ms. Shayna Spurlin, RHP 17 Program Director

Ms. Cooper McLendon, RHP 17 Graduate Assistant



Demonstration Year 3 (DY3) is the last opportunity for eligible Performing Providers to add new DSRIP projects as driven by community need and permitted under remaining regional DSRIP allocations. Providers submitted proposals in mid October. Those completing the proposal process by the initial deadline had their proposals scored by volunteer scorers from Region 8. Those who submitted proposals by the extended deadline at the end of October were added to the regional priority list that was reviewed and approved by regional majority on October 16, 2013. The prioritized list and a portfolio of all proposals received was distributed to the region and open for public comments until October 30, 2013. The final prioritized list of RHP 17 new DY3 projects was submitted to HHSC on October 31, 2013. Three providers secured IGT funding for four new DSRIP projects in RHP 17 and those four projects were approved by HHSC on November 18, 2013. The RHP 17 Anchor Team worked with providers throughout November and December to complete full project preparation and submission of a "mini plan" detailing the process and outlining new three-year projects was completed by Region 17 on December 20, 2013.

HHSC is in the process of reviewing all statewide three-year projects, with feedback expected for RHP 17 projects sometime during the week of February 10-14, 2014. Providers will then have approximately two weeks to revise projects and address HHSC feedback in an effort to secure formal project approval for implementation in DY3.



The Region 17 Anchor Team submitted the full RHP 17 Plan to HHSC on January 25, 2013 in response to HHSC's technical feedback. The plan was forwarded to the Center for Medicare and Medicaid Services (CMS) on February 15, 2013. CMS provided formal feedback and initial approvals to RHP 17 on April 4, 2013. Since that time, RHP 17 and the other nineteen regions across the state have been working with HHSC and CMS on detailed revisions and updates the regional plans. Full formal approval from CMS is expected in December 2013, with an updated, clean copy of the fully revised and formally approved regional plans being submitted to HHSC and CMS in March 2014. An updated copy of the RHP 17 plan will be posted to the website at that time. (site last updated 10/08/13; plan dated 1/25/13).


Regional Health Care Partnership 17 Plan for the Texas Health Care Transformation and Quality Improvement Program 1115 Waiver


** PLEASE NOTE: The plan is a very large PDF document that may take several minutes to download; please be patient. A username and password are not required to access the plan; if prompted, please just hit "Cancel" and the document will finish downloading.



May 3, 2012 – Planning Orientation

May 22 - June 5, 2012 – County meetings with IGT entities and health care providers to identify top 3

June 7, 2012 – Community priorities consolidated and DSRIP selection process outlined

July 6, 2012 – Completed DSRIP Project Proposal Forms due

July 9, 2012 – Proposals are sent via email to IGT entities for review

July 11, 2012 – IGT/Provider Project Review Mtg to discuss projects and allow for questions

July 16-27, 2012 – IGT entities will determine the projects they will support; followup meetings scheduled as requested by IGT entities during this time

July 27, 2012 – Completed DSRIP Project Proposal Forms FOR NEW PROJECT AREAS due

July 16 - August 10, 2012 – TAMHSC writing the plan and working with providers on further development of the selected DSRIP projects

August 3, 2012 – Submission of Project Worksheets and Additional Plan Information due to TAMHSC Anchor Team

August 7-8, 2012 – HHSC RHP Planning Summit in Austin

August 24, 2012 –  RHP Hospital Performing Provider Information edits/confirmation due

August 26, 2012 – Edits/Confirmation on all other RHP Performing Provider Information due

September 7, 2012 – Estimated UC and DSRIP IGT Commitments due

October 5, 2012 - Pass 1 Electronic Workbooks due to Anchor

October 8, 2012 - Final UC/IGT and DSRIP Projects with IGT commitments due to TAMHSC

October 15, 2012 - Pass 1 Project Narratives and Tables due to Anchor

October 22-25, 2012 - Meetings w/Providers for Technical Assistance with Finalizing DSRIP Projects

October 26, 2012 - Pass 2 Electronic Workbooks due to Anchor 

October 29, 2012 - Final draft revisions of Pass 1 project narratives and tables

October 31, 2012 - Sections I-III of the RHP 17 Plan due to HHSC by 10 a.m..

November 2, 2012 - Pass 2 Project Narratives and Tables due to Anchor

November 5, 2012 - All hospital Category 4 Narratives and Tables due to Anchor by noon; final edits on ALL project documents due by 5 p.m. 

November 7-12, 2012 - RHP Plan sent out to RHP membership for review/comment and made available for public review/comment

November 12, 2012 - All revisions/comments to the RHP 17 plan submitted to TAMHSC

November 14, 2012 - RHP 17 meeting to sign and certify plan

November 15-16, 2012 - RHP 17 Plan certification completed and plan overnighted to HHSC

December 3, 2012 - Preliminary Guidance released to all regions by HHSC for review/revisions; one-page summaries for all Category 1 and 2 projects requested

December 13 2012 - One-page project summaries due to TAMHSC by 5 p.m.

December 14, 2012 - Providers will begin project revisions based on HHSC guidance, "Common Project Problems"

December 21, 2012 - HHSC to issue formal guidance to RHP 17 Anchor Team after completing technical review of the plan; Anchor Team will disseminate HHSC feedback to project leads

January 2, 2013 - RHP 17 Provider Conference Call held

January 10-11, 2013 - All provider project revisions in response to Common Project Problems and Technical Feedback due to Anchor Team

January 14-18, 2013 - Anchor Team review of provider revisions and incorporation of changes into RHP 17 Plan document

January 25, 2013 - Final revised RHP 17 Plan due and submitted to HHSC

February 15, 2013 - Final revised RHP 17 Plan submitted to CMS by HHSC

April 4, 2013 - Formal RHP 17 Plan approval and feedback letter received from CMS

May 6, 2013 - CMS Plan Approval: Phase 1 Coversheets for RHP 17 sent out by HHSC

May 24, 2013 - CMS Plan Approval: Phase 1 revisions submitted to HHSC by Anchor

May 29, 2013 - CMS Plan Approval: Phase 3 (DY2 metrics) workbooks for RHP 17 sent out by HHSC

June 12, 2013 - CMS Plan Approval: Phase 3 (DY2 metrics) revised workbooks submitted to HHSC by Anchor

June 2013 - Phase 2 (QPI data) to be requested by HHSC in late June

July 1, 2013 - RHP 17 project planning for new DY3 projects starts

August 1, 2013 - RHP 17 prioritized list of new DY3 projects due to Anchor

August 15, 2013 - RHP 17 project planning for new DY3 projects complete

August 30, 2013 - First DY2 DSRIP report due to HHSC from Performing Providers

October 7, 2013 - October Reporting Templates for DSRIP Report #2 released by HHSC

October 31, 2013 - DY2 DSRIP Report #2 due to HHSC; IGT entity change forms due to HHSC; additional documentation for August reporting due to HHSC; New DY3 Prioritized Project List due to HHSC for region

November 5-6, 2013 - Phase 4 Documents posted and Phase 4 webinar hosted by HHSC (plan revision/modifications; review of all milestones & metrics; priority technical corrections)

November 12, 2013 - RHP 17 Phase 4 Provider Meeting

November 15, 2013 - IGT Entity Feedback Forms due to HHSC for October Reports

November 27, 2013 - All Phase 4 documents due to Anchor from Providers

December 2013 - DY4 & DY5 valuation approvals from CMS; Final Phase 1 Approvals of 48 outstanding projects from CMS; updated Category 3 menu and information released by HHSC

December 6, 2013 - ALL Phase 4 Documents and Modification Requests due from Anchors to HHSC

December 15, 2013 - RHP 17 Annual Report due to HHSC from Anchor

December 16, 2013 - All new DY3 projects and documentation due to Anchor from RHP 17 Providers

December 20, 2013 - RHP 17 Plan Submission for fully-developed new DY3 projects due to HHSC  

January 2014 - Changes to Category 3 Outcome Measures and Improvement Targets due to HHSC

January 7, 2014 - IGT due for DY2 October DSRIP reports

January 27, 2014 - DY2 October DSRIP payments to Providers

February 4, 2014 - RHP 17 Providers submit Phase 4 responses to HHSC feedback to Anchor Team  

February 6, 2014 - RHP 17 Phase 4 regional response submitted to HHSC

February 12-14, 2014 - Feedback on new three-year RHP 17 projects due from HHSC 

February 26-28, 2014 - Provider revisions on new three-year projects due back to HHSC

March 6, 2014 - Any new Category 3 Measures and/or Category 3 revisions due from RHP 17 Providers to Anchor Team

March 10, 2014 - RHP 17 Category 3 regional response due to HHSC

April 30, 2014 - DY3 DSRIP Report #1 (covering Oct. 1, 2013 thru Mar. 31. 2014) due to HHSC from RHP 17 Providers




Form for Performing Providers to propose DSRIP projects to IGT entities (updated 7/20/12)

DSRIP Project Proposal Portfolios
Portfolios containing PDF copies of each DSRIP Project Proposal submitted by a Performing Provider in the Region.
NOTE: Proposals were requested/collected from those entities designated to be Performing Providers as defined by HHSC. Based on current HHSC guidelines governing projects and DSRIP funding flow, any other providers participating must do so in a subcontractor role and are instructed to work directly with a Performing Provider for inclusion in projects.



County Executive Summaries
The following are executive summaries for each county related to the community need assessments done for that area. In addition, the full 2010 Brazos Valley Assessment with county-by-county supplemental information (covering all but Walker and Montgomery Counties) that was compiled by the Center for Community Health Development of the Texas A&M Health Science Center School of Rural Public Health is included, along with the full 2011 Montgomery County assessment compiled and provided courtesy of the Montgomery County United Way. The Walker County Executive Summary was provided by Huntsville Memorial Hospital in conjunction with the Walker County Hospital District.  

DSHS In-Depth County Profiles
The following are in-depth county profiles compiled for and provided to RHP 17 by the Texas Department of State Health Services (DSHS) through the Office of the State Epidemiologist. DSHS notes that a minimum of 150 hospitalizations over the five-year period measured were required within a county for an in-depth profile to be produced for any of the ten potentially preventable hospitalization conditions.      

This information is made available to regions as a supplement to their own county health surveys and other needs assessment data. Executive Summaries and associated demographics, county rankings, facility information, and summaries of potentially preventable admissions/readmissions for all of the counties in RHP 17 can be found below in the MEETING MATERIALS for each individual county planning meeting held in May/June 2012.

The following are the electronic workbooks HHSC created and had each Performing Provider receiving DSRIP and/or UC payments complete and return to the Anchor. All funding discussions related to IGT and project/UC support took place between performing providers and IGT entities directly. The RHP 17 Anchor Team had no part in those discussions or negotiations. These workbooks are simply being provided here for convenience and as a service to those entities wanting to perform IGT reviews.





May 13, 2012 – Planning Orientation Meeting
Planning Orientation Presentation (PPT)

May 22 – June 5, 2012 - Community Planning Meetings

May 22nd @ 10:00 a.m.. – Walker County
Huntsville Memorial Hospital – Administrative Board Room
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

May 22nd @2:30 p.m. – Washington County
Scott and White Hospital – Brenham
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

May 23rd @ 10:30 a.m.. – Burleson County
Burleson County Courthouse, County Courtroom – 3rd Floor
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

May 23rd @ 2:00 p.m. – Grimes County
Grimes County Commissioners’ Court
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu) 

May 29th @ 1:30 p.m. – Montgomery County
Montgomery County Hospital District Administration Building
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

May 30th @ 2:15 p.m. – Brazos County
Brazos County Administration Building, Courtroom JP 2.2, Ste 114
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)
June 4th @ 10:00 a.m.. – Madison County
Madison County Courthouse, Commissioners’ Courtroom

Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu) 

June 4th @ 1:30 p.m. – Leon County
Leon County Annex II – Great Room (3rd Floor)
Meeting Materials (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

June 5th @ 9:00 a.m.. – Robertson County
Robertson County Annex Building, 3rd Floor
Meeting Materials  (Agenda, RHP Map, Community Assessment, Quick Facts, County Health & Community Data, Draft DSRIP Menu)

June 7, 2012 @ 1:00 p.m. – Presentation of Consolidated Priorities/DSRIP Project Selection Process Summary
DSRIP Priority/Project Selection Meeting Materials (Agenda, Priority Area Matrix, Draft DSRIP Menu, Project Proposal Form)

June 19, 2012 @ 8:30 a.m.. – RHP Meeting - Regional Priority Areas
Cross-Regional Priority Areas Meeting Materials (Agenda, Draft DSRIP Menu - RHP 17 Projects of Interest version)

July 11, 2012 @ 9:00 a.m.. – RHP IGT/Provider Project Review Meeting (Agenda)

July 20, 2012 @ 10:00 a.m.. – RHP Provider Meeting
PowerPoint Presentation and Meeting Materials (Agenda, Summary of PFM, Updated DSRIP Menu, Updated Proposal Matrix)

July 27, 2012 @ 8:30 a.m.. – RHP Provider Collaboration Meeting (Agenda)

August 15, 2012 @ 1:30 p.m. - RHP Regional Planning Meeting
Agenda and Powerpoint Presentation

September 19, 2012 @ 9:00 a.m.. - RHP Provider Meeting
Agenda/Meeting Materials and PowerPoint Presentation

November 14, 2012 @ 11:30 a.m.. - Regional Meeting to Sign & Certify Plan

December 12, 2012 @ 9:00 a.m. - RHP Provider Meeting & Conference Call
Agenda and Meeting Materials

January 2, 2013 @ 3:00 p.m. - RHP 17 Conference Call

March 5, 2013 - RHP 17 Regional Meeting

Agenda with Meeting Materials and PowerPoint Presentation    

April 25, 2013 - RHP 17 DY2 Reporting Meeting

Agenda and Meeting Materials

June 5, 2013 - RHP 17 Regional Meeting

Agenda with Meeting Materials and PowerPoint Presentation

September 5, 2013 - RHP 17 Regional Meeting
Agenda with Meeting Materials and PowerPoint Presentation

October 16, 2013 - RHP 17 Regional Meeting (New DY3 Prioritized Projects)
AgendaNew DY3 Proposal Portfolio and New DY3 Prioritized Project List

November 12, 2013 - RHP 17 Phase 4 Provider Meeting
Agenda with Meeting Materials and PowerPoint Presentation