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CIE Network Partner KickoffJanuary 30, 2020

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AgendaTime Agenda

9:00 Welcome; Land Acknowledgment

9:05 Make Personal Connections

9:10 Set the Context for Community Information Exchange

9:20 Review What We Learned from You and Others

9:30 Conversation Café: The Good, the Bad, and the Ugly for Referrals

10:30 Generate Ideas to Engage Frontline Staff and Clients in CIE Planning

10:45 Refine Purpose of CIE Network Partner Workgroup

11:00 Next Steps, Thank You

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Personal Connections and Introductions

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“What is the one thing you are most excited about CIE?”

Find a person whom you may not know. In the next 2 minutes,

share your responses with each other

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Community Information Exchange (CIE)

Set the Context

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Legal Services/ Criminal Justice

Primary Medical Care

Crisis Response BehavioralHealth

Housing

Transportation

Substance Use Disorder

Treatment

Emergency Healthcare

Senior or Disabled Care

Specialty Care

Employment

Food Access & Nutrition

Education

Paying for Medications

Today: Too Many Disparate Systems for People to Navigate

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HealthierHere Vision:Co-Create a Connected System of Whole-Person Care

No matter where people enter …

they receive the appropriate care and community supports to live healthier lives.

System is more cost effective and sustainable.

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What is a Community Information Exchange?

An integrated network of health and human service organizations that

▪ Share a resource database

▪ Use a common language to facilitate data sharing

▪ Make bi-directional, closed-loop referrals

▪ Contribute to a longitudinal record for individual clients

For the purpose of providing proactive, holistic, person-centered care.

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Benefits of Community Information Exchange

CIE is one of many tools and approaches to help us collaborate to:

▪ Individuals and Families experience better outcomes, easier access to care

▪ Health and Service Organizations better understand needs and more effectively coordinate care

▪ Our Community makes more effective and equitable allocations of resources based on data.

Organizations

Community

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▪ Clinical and community partners have told us they need it

▪ Momentum building nationally to connect health and community services via CIE –> our opportunity to be at the forefront

▪ Multiple organizations in King County are interested in/pursuing CIEs

▪ HealthierHere has near-term Medicaid Transformation Project resources to support start-up

Why a CIE in King County? Why Now?

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Learn – Define – Plan – Budget for Starting Point(s)

2019 Q2 2019 Q3 2019 Q4 2020 Q1 2020 Q2

CIE Timeline and Progress

Oct 18 Co-Design Collaborative

Dec 6 Co-Design Collaborative

Kickoff Part 1-2: Financial Stakeholders (5/7, 6/27)

Legal Framework + Data & Technology(11/21, 1/16)

Start CIE Network Partners Kickoff

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Review What We Learned from You and Others

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• We emailed a “pre-read” that captured what we heard from you and others through the multiple meetings and conversations we had with you in 2019

• We have printed some of the most relevant slides

Please take 2 mins to look through the print-out and reflect upon:

“What validates what you know already?

What surprises you?”

Review what we learned from you and others

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Now find a person whom you don’t know and take 4 mins to share your thoughts with each other.

“What validates what you know already?

What surprises you?”

Review what we learned from you and others

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Let’s come back together as a group.

“What validates what you know already?

What surprises you?”

Review what we learned from you and others

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Referrals

Conversation Café: The Good, the Bad, and the Ugly

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• You will be invited to sit in a pre-determined circle (as assigned by HealthierHere), to listen to one another’s thoughts and reflect together on a shared question:

“What do you think has been the good, the bad and the ugly for your organization in bi-directional closed-loop referrals?”

Conversation Café

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What is the history and context of talking circles in Native American culture, and their use of Talking Sticks?

Ixtli White Hawk, Mexika-Tenochca, Otomi, Tarasco

Conversation Café: Context

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• Circle: where participants will sit equally together, creating a space for the group’s thoughts, feelings, insights and threads to weave together a new conversational tapestry of co-creation. Inspiration from contemporary circles have come from our own Native Americans.

• Talking Object: Allows for opportunity to stimulate deeper speaking and listening. We do not call it a Talking Stick out of respect for the sacredness that the Talking Stick represents in Native American culture

• Agreements: guidelines (next slides) that provide a common ground for participation. The HealthierHere hosts will support the group to create that safe space

• Rounds: Two rounds will give everyone the opportunity to participate without the pressure to speak, as you can “pass”

• Final Round: Provides a time for reflection and an opportunity to express what was challenging, meaningful, or inspiring for each individual. These take-aways will be captured (anonymously) by HH staff on a flipchart

Conversation Café: Basic Format

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• Each group will have a HealthierHere host, who will gently keep all on track.

• Round 1: Each person will get 2 minutes each, holding the object, to share their response to the question. In this round, please take the opportunity to introduce yourselves. All others are to only listen (no interruptions, comments or questions).

• Round 2: Each person will get 2 mins, holding the object, each to share their thoughts and feelings on what they heard others say in Round 1. All others are to only listen (no interruptions, comments or questions).

• Round 3: Open conversation for 15 mins. This will be an opportunity to all to ask questions and respond to comments, and build upon what was shared earlier.

• Round 4: Each member will get 2 minutes, holding the object, to share their take-aways. These take-aways will be captured by a HealthierHere host on a flipchart.

“What do you think has been the good, the bad and the ugly for your organization in bi-directional closed-loop referrals?”

Conversation Café: The Details

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• Suspend judgment as best as you can

• Respect one another

• Seek to understand rather than persuade

• Invite and honor diverse opinions

• Speak what has personal heart and meaning

• Go for honesty and depth, without going on and on

The HealthierHere host will gently keep everyone on track along the above agreements and take notes in Round 4.

Conversation Café: Agreements and Rules

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• Each group will have a HealthierHere (HH) host, who will gently keep all on track.

• Round 1: Each person will get 2 minutes each to share their response to the question. In this round, please take the opportunity to introduce yourselves. All others are to only listen (no interruptions, comments or questions).

• Round 2: Each person will get 2 mins each to share their thoughts and feelings on what they heard others say in Round 1. All others are to only listen (no interruptions, comments or questions).

• Round 3: Open conversation for 15 mins. This will be an opportunity to all to ask questions and respond to comments, and build upon what was shared earlier.

• Round 4: Each member will get 2 minutes to share their take-aways. These take-aways will be captured by a HH host on a flipchart.

“What do you think has been the good, the bad and the ugly for your organization in bi-directional closed-loop referrals?”

Conversation Café: The Details

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25/10: Generating Ideas

Ideas to Engage Frontline Staff and Clients in CIE Planning

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Write down on an index card your biggest, most innovative idea to:

“Engage frontline staff and clients / patients in planning and usage of a CIE.”

Underneath it, write down:

“What would be the first step to implement this idea?”

How it will work

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Shuffle the cards – pass it along several times.

When prompted, score the Big Idea on the back of the index card.

Rate it anywhere between 1 and 5.

(1 is lowest and you do not like it, 5 is highest – you think it’s amazing!)

When prompted, pass the card along, and score that one.

Repeat 3 times.

How it will work: Next Steps

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Refine Purpose of CIE Network Partner Workgroup

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Overview of CIE WorkgroupsHealthierHere is convening workgroups to ensure that provider and community voice is the foundation of each aspect in the CIE development process.

CIE Advisory Group

Legal FrameworkCIE Network

PartnersData and

Technology

Has met jointly as CIE Legal-Data-

Technology Workgroup (LDT Workgroup)

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▪ HealthierHere will use the input you provided today to:

– Draft a CIE “current state” document

– Draft a Network Partner Workgroup charter

▪ HealthierHere plans to hold monthly Network Partner Workgroup meetings

– The next meeting is planned for Friday, February 28 at this location

– Please fill out evaluation and provide feedback on meeting participants, topics, frequency, duration, location

Next steps

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One Word:How Do You Feel About

CIE in 2020?

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Thank You!