Greater Columbia Accountable Community of Health Governors Interagency

Greater Columbia Accountable Community of Health Governor’s Interagency on Health Disparities 5 -10 -17, Yakima, WA

Washington State vision for creating healthier communities and a more sustainable health care system by: Building healthier communities through a collaborative regional approach Ensuring health care focuses on the whole person Improving how we pay for services Better Health, Better Care, Lower Costs

Healthier Washington recognizes that health is more than health care. Health Care 20% Physical Environment 10% Socio-economic Factors 40% Health Behaviors 30% Adapted from: Magnun et al. (2010). Achieving Accountability for Health and Health Care: A White Paper, State Quality Improvement Institute. . Minnesota. 3 Better Health, Better Care, Lower Costs

ACHs are a forum for regional collaborative decision making

Accountable Communities of Healthier Washington is bringing together providers, social service organizations, health plans, hospitals, county governments, tribes, and others through nine regional Accountable Communities of Health. ACHs will support communities in making informed decisions on health needs and priorities. Better Health, Better Care, Lower Costs

Greater Columbia ACH Governance Structure

Backbone Organization GCACH Carol Moser, Executive Director Wes Luckey, Program Manager Aisling Fernandez, Communications Coordinator Eastern WA University Dr. Patrick Jones, Facilitator Board of Directors Public Health Columbia County Meghan Debolt Education ESD 123 Les Stahlnecker Hospital Yakima Memorial Hospital Eddie Miles Philanthropy Three Rivers Community Foundation Carrie Green FQHC Tri-Cities Community Health Martin Valadez, President Managed Care Healthcare Provider Sunnyside Community Hospital Brian Gibbons, Treasurer Housing Yakima United Healthcare Amina Suchoski Neighborhood Health Rhonda Hauff, Vice-President Mental Health Provider Comprehensive Mental Health Ed Thornbrugh Workforce Dev Washington State Allied Health Center of Excellence Dan Ferguson CBO/FBO Social Services Catholic Family and Child Services Darlene Darnell Tribes Yakama Nation Frank Mesplie SE WA Aging and Long Term Care Lori Brown Public Safety Kittitas Fire John Sinclair, Secretary Local Gov’t Vacant Consumer Transportation Vacant People for People Madelyn Carlson

Collective Impact Model 8

Mission: The mission of the Greater Columbia Accountable Community of Health is to advance the health of our population by decreasing health disparities, improving efficiency of health care delivery, and empowering individuals and communities through collaboration, innovation, and community engagement. 9

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Greater Columbia ACH Medicaid Population* Summary Group Name AEM Expansion Adults Statewide Total Adults Children Total Medicaid CN Caretaker Adults 310 803, 828 74, 292 21 12, 476 2, 154 29, 665 136, 746 66 462 7, 476 3 1, 833 244 41 18, 038 0 132, 464 0 0 90 38 3, 285 0 66 132, 926 7, 476 3 1, 923 282 3, 326 18, 038 Medicaid CN Expansion Adults 608, 433 71, 726 0 71, 726 Other Federal Programs 18 61, 165 150, 072 16, 703 0 6, 936 14, 070 2, 762 0 0 3, 489 5 0 6, 936 17, 559 2, 767 Apple Health For Kids Elderly persons Family (TANF) Medical Family Planning Former Foster Care Adults Foster Care Partial Duals Persons with disabilities Pregnant Women's Coverage Total Enrollees in Medical Programs By County Report, 201611* 1, 895, 883 123, 657 139, 371 263, 028

Greater Columbia by County Population & Medicaid %** County Population OFM 4 -1 -16 % GCACH Population on Medicaid* % of GCACH Pop on Medicaid Asotin 22, 150 3% 6, 497 2. 6% Benton 190, 500 26% 55, 853 22. 0% 4, 050 1% 1, 145 0. 5% Franklin 88, 670 12% 34, 916 13. 8% Garfield 2, 200 0. 3% 599 0. 2% Kittitas 43, 710 6% 9, 974 3. 9% Klickitat 21, 270 3% 6, 588 2. 6% Walla 60, 730 8% 16, 568 6. 5% Whitman 47, 940 7% 7, 822 3. 1% Yakima 250, 900 34% 113, 780 44. 8% Total GCACH Pop 732, 120 100% 253, 742 100% Columbia Comparison to WA State 13. 9% Comparison to GCACH Population 34. 7% ** https: //fortress. wa. gov/t/51/views/Healthier. Washington. Dashboard/Population. Explorer

Greater Columbia ACH Differentiations Characteristics Statewide GCACH 18% 23. 3% 11. 2% 26. 4% American Indian/Alaska Native 1. 2% 14. 3% Less than high school graduate 10% 19. 2% Non-Citizen 7. 1% 10. 0% Limited English proficient 7. 9% 13. 5% Migrant Seasonal Farmworker 4. 1% 19. 6% 13. 5% 18. 2% 26% 34. 7% 12. 9% 19. 5% Rural Hispanic/Latino Uninsured Medicaid Insured Below Poverty

Race, by County Period: 2016, Race: Hispanic as Race Source: Washington Tracking Network 16

Median Household Income Source: Washington Tracking Network 17

Population 18 -64 without Health Insurance (%) Source: Washington Tracking Network 18

Population Age 5+ Speaking English Less than Very Well (%) Source: Washington Tracking Network 19

No High School Diploma (%) Source: Washington Tracking Network 20

Yakima County Population Pyramid 2014 % of Population Non-Hispanic 21

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Regional Needs Assessment 23

Washington’s Medicaid Transformation Goals Achieving the Triple Aim • Reduce avoidable use of intensive services and settings • Improve population health • Accelerate the transition to value-based payment • Ensure that Medicaid per-capita cost growth is below national trends 24 Better Health, Better Care, Lower Costs

For more information, contact: Carol Moser cmoser@greatercolumbiaach. org Wes Luckey wluckey@greatercolumbiaach. org Website: www. greatercolumbiaach. org Thank you!