Equity 101 Series – Registration & FAQ

Better Health Together is offering an Equity 101 Series of workshops with the goal of growing a shared understanding of equity concepts and language across BHT partner organizations. This series grows from our equity assessment work together last year and the clear need to combat systems of oppression and steward change in our community.

For more information about the series, please see our Frequently Asked Questions Document.

A note on the evolving equity journey
We have yet to see an anti-racist world, but we believe we can build one. We do not strive for perfection in our equity journey, but an openness to learn and willingness to be moved. We will make mistakes, and those mistakes will help us grow. We strive to build accountability in our work that will prevent and reduce the harm to those who have already been impacted by oppression along the way. We owe so much of our learning to people of color and members of other oppressed groups who have taken on a great burden in sharing their experiences of oppression in order for us to see how we must do better. To that end, we do our best to express our commitment as we know how to live it out today in this document. However, our commitment to anti-oppression work is evolving and how we communicate and activate our commitment to this work will also evolve and grow.


Who should attend?

Contracted partners are encouraged to send members of their transformation teams to this series and the subsequent equity statement workshops in October. Submitting an equity commitment statement is a requirement in Year 2 contracts.

Collaborative members with a current MOU are also encouraged to join us, and are eligible to receive up to $2,500 per organization for participating in the series. ($500/session).

More information in the FAQ linked above.

Workshop Topics

Week 1: Equity 101 and Dominant Culture

Week 2: Dominant Culture Impacts, Implicit Bias, Intersectionality, and Representation deep dive.

Week 3: Racism and White Supremacy Culture – what are we really talking about?

Week 4: So why is Spokane so white? Exploring more White Supremacy culture in systems, historical trauma, and cultural appropriation.

Week 5: Small group workshops – How to integrate equity in your work and organization.

Workshop Format

We are offering four cohorts for the 5-part workshop series. The workshops are held once a week at a standard time, with 1 hour of content, 30 minutes of Q&A, and 30 minutes of optional continued discussion or processing time.

Cohort workshops will be led by BHT staff, based off of our internal Equity Workgroup conversation model. The workshops lean heavily on small group discussion and activity. BHT staff will introduce a concept and prompts for discussion/activity, then facilitate small group discussion.

BHT is offering CEUs for this series.

Before you register

  • This is a 5-week workshop series. Please commit to a standard day/time of the week to participate in these trainings with a cohort.

  • Maximum of 3 attendees per organization may register at this time (total, not 3 per cohort).

  • Please designate a team lead among attendees for your organization. Team leads are responsible for correspondence and ensuring team completes any related assignments.

  • There will be an expectation that after each session you will bring activities and reflection questions back to your organization (start the conversation, or keep the momentum!)

How to Register

We are using Eventbrite for our registration process. Please click on the buttons below to reach the event page for your preferred cohort. Please register for and save each of the five weekly meeting dates for your cohort in your calendar, including the Zoom information sent in the confirmation email. You will receive a separate confirmation email for each date/event in the series. 

You will be asked to provide your name, email, title, organization, and whether or not you would like to receive CEUs. 


 Cohort 1

August 11, 8:00 – 10:00 AM

August 18, 8:00 – 10:00 AM

August 25, 8:00 – 10:00 AM

September 1, 8:00 – 10:00 AM

September 8, 8:00 – 10:00 AM


Cohort 2

August 11, 11:00 AM – 1:00 PM

August 18, 11:00 AM – 1:00 PM

August 25, 11:00 AM – 1:00 PM

September 1, 11:00 AM – 1:00 PM

September 8, 11:00 AM – 1:00 PM


Cohort 3

September 15, 8:00 – 10:00 AM

September 22, 8:00 – 10:00 AM

September 29, 8:00 – 10:00 AM

October 6, 8:00 – 10:00 AM

October 13, 8:00 – 10:00 AM


Cohort 4

September 15, 11:00 AM – 1:00 PM

September 22, 11:00 AM – 1:00 PM

September 29, 11:00 AM – 1:00 PM

October 6, 11:00 AM – 1:00 PM

October 13, 11:00 AM – 1:00 PM

Change Management training series – Meeting Materials

Training #1: Change Management 101
July 30, 2020

Topic: An overview of the science of change and change management models, including lessons learned for success.

Materials


Training #2: Achieving Change through Cross-Sector Partnerships
August 6, 2020

Topic: Strategies for working across organizations and sectors to achieve meaningful change in your community.

Materials


Training #3: Quality Improvement and Quality Assurance
August 13, 2020

Topic: An overview of the important role of quality improvement and quality assurance in change management initiatives.

Materials


About the Trainer

Cathy Kaufmann, Kaufmann Strategies

Cathy has been a leader in transforming the delivery of health care and building systems of learning to support that transformation. Prior to forming Kaufmann Strategies, Cathy was a Principal with Health Management Associates, where she worked with state Medicaid agencies, county governments, Medicaid managed care plans and health systems across the country. She is deeply knowledgeable about designing and implementing transformation projects that can drive change in the health care delivery system and across the community.

Patient Activation: Evidence-based Strategies for Depressive Symptoms – Meeting Materials

The UW AIMS Center presents a webinar with Dr. Patrick Raue, Associate Director for Evidence-Based Psychosocial Interventions at the University of Washington AIMS Center.

Topics covered:

  • The Patient Activation model of depressive symptoms

  • How to develop a case formulation for a patient experiencing elevated depressive symptoms

  • Describe how to help patients select activities and make a specific weekly plan

  • Describe how to evaluate the outcome of patients’ efforts and problem solve barriers to action planning

Materials

This training has been approved for CEUs by the NASW Washington State Chapter. Eligibility includes Licensed Social Workers, Marriage & Family Therapists, and Mental Health Counselors.

Contract Payment Policy


Note: The sections “Pay-for-Reporting Payments At Risk” and “Contract Payment Schedules” have been updated 03.10.2020 to reflect new Board decisions.

Pay-for-Reporting Model

In 2018 the BHT Board made several decisions regarding the allocation of Pay-for-Reporting Project dollars and categorization of Partners based on volume. You can read in detail about those decisions in the Funds Flow for 2019, 2020, & 2021 post.

The model states that Partners will be divided into three volume categories:

Large Providers: serving 20,001+ Medicaid Patients
Medium Providers: serving 1,201-20,000 Medicaid Patients
Small Providers: 1,200 or less Medicaid Patients

And also states that Pay-for-Reporting funds will be earned based on three categories of work.

40% Transformation Plan Milestones
40% Pay-for-Achievement Measures
20% Equity Activities & Milestones

In March of 2019 the Board made several more decisions that detail what activities will earn funds, a payment schedule, and minimum achievement. Those decisions are described below.

Earning Pay-for-Reporting Dollars

Over the next three years, a Partner’s earnings from each of the three categories of work and will be based on a combination of selecting measures, then reporting on and meeting those measures. Additionally, Partners will be earning funds based on completing specific activities required by BHT and the HCA.

As a reminder, Pay-for-Reporting and Pay-for-Performance are two different buckets of Project Funds.  Pay-for-Performance funds are earned by the region, for meeting the measures created by the Health Care Authority (HCA). These “at-risk” dollars will make up an increasing portion of our total Project Funds over the next three years.

Pay-for-Reporting Distribution by Partner

Between 2019 and 2021, approximately $17.6M of the total Pay-for-Reporting funds will be allocated to Collaboratives Partners. The table shows the potential Pay-for-Reporting earnings (per Partner), over the next three years:

Pay-for-Reporting Payments At-Risk – Year 1 Contracts

Partners will earn the majority of these Pay-for-Reporting funds based on timely and complete reporting. However, a portion of funding associated with both Transformation Plan Milestones and Pay-for-Achievement Measures will be “at risk” as the expectation for Partners to earn based on achievement increases (similar to the risk that the region has with the Pay-for-Performance funds described above). Meaning that to earn that portion, Partners must meet the Milestones specified in Addendum 3.01 of their Project Specific Agreement (“Contract”), and achieve the standards set for their selected Pay-for-Achievement Measures specified in Addendum 3.02.

In the event that a Partnering Provider meets some, but not all, of its Milestones and Pay-for-Achievement Measures, BHT will calculate partial payments on the “at-risk” portion. The at-risk payment tiers and criteria are as follows:

Pay-for-Reporting Payments At-Risk – Year 2 & Year 3 Contracts

Updated March 2020

For Year 2 and Year 3 contracts, providers must meet full payment criteria of 75%+ in order to earn their “at-risk” achievement-based contract payment.

  • Full Payment: 75%+ of milestones and Pay-for-Achievement measures achieved, including at least one milestone per project area (i.e. bi-directional, opioids, or chronic disease)

  • No payment: Less than 75% of milestones or Pay-for-Achievement measures achieved -or- 75%+ of Milestones/P4A overall but 1+ project area has no milestones met

See the Contract Performance Policy Amendment passed Oct. 2019 by the Board.

Contract Payment Schedules

Updated Dec 2021

Year 1 Contract start dates are April 1, 2019 for January Cohort and October 1, 2019 for August Cohort. Contracted Partners will earn funds from the above work categories, in three scheduled distributions. To view a Year 1 Contract payment breakdown by volume, including the amount at-risk, click on one of the following:

January Cohort – Large | Medium | Small
August Cohort – Medium | Small

Year 2 Contract start dates are July 1, 2020 for January Cohort and November 1, 2020 for August Cohort. Contracted Partners will earn funds from the above work categories, in three scheduled distributions. To view a Year 2 Contract payment breakdown by volume, including the amount at-risk, click on one of the following:

July 1 start date – Large | Medium | Small
Nov 1 start date – Large | Medium | Small

Year 3 Contract start dates are August 1, 2021 for January Cohort and December 1, 2021 for August Cohort. Contracted Partners will earn funds from the above work categories, in two scheduled distributions. To view a Year 3 Contract payment breakdown by volume, including the amount at-risk, click on one of the following:

Aug 1 start date – Large | Medium | Small
Dec 1 start date – Large | Medium | Small

Unearned “At-Risk” Pay-for-Reporting Funds

Any at-risk dollars not earned by Partners will be held in an unearned funds pool. The Board will decide how to use those dollars based on recommendations from our Waiver Finance Workgroup.

Update: See the Contract Performance Policy Amendment passed Oct. 2019 by the Board.

Stay Connected: Behavioral Strategies to Reach Isolated Patients – Meeting Materials

The UW AIMS Center presents a webinar on staying connected with clients during COVID-19. During this webinar Dr. Patrick Raue, Associate Director for Evidence-Based Psychosocial Interventions at the University of Washington AIMS Center will present strategies to support clients to address urgent needs associated with COVID-19. He will highlight how to help clients cope with stress, anxiety and reduce depressive symptoms and improve quality of life during the COVID-19 public health emergency.

Intended audience for the webinar: care coordinators, community health workers, case managers, patient navigators, and supervisors.

This training has been approved for CEUs by the NASW Washington State Chapter. Eligibility includes Licensed Social Workers, Marriage & Family Therapists, and Mental Health Counselors.