The Texas Health & Human Services Commission is implementing the Texas Healthcare Transformation and Quality Improvement Program: a five year Section 1115 Medicaid Waiver. The Waiver is designed to improve access to health care, the quality of care provided and contain costs.
 
The waiver is designed to meet several goals:

• Expand risk-based managed care statewide.
• Support the development and maintenance of a coordinated care delivery system.
• Improve outcomes while containing cost growth.
• Protect and leverage financing to improve and prepare the health care infrastructure to increase access to services.
• Transition to quality based payment systems in managed care and in hospital payments.
• Provide a mechanism for investments in delivery system reform including improved coordination in the current indigent care system in advance of health care reform.

Pass 2 Public Hearing

Parkland Health & Hospital System will hold a meeting on Dec. 18th, 2012 at 6:30pm at the Denton County Commissioners Court. The public hearing will cover Regional Health Partnership Nine on the Transformation and Quality Improvement Waiver to which all interested persons were welcome.

• An overview of the waiver and what it means for the healthcare of Dallas, Kaufman and Denton County residents will be presented. The meeting will address the waiver's goals to transform the delivery of healthcare by enhancing access and increasing the quality of care provided. The region’s delivery system reform incentive projects will also be discussed.

The public is allowed to voice any comments.

Pass 1 Public Hearing

Parkland Health & Hospital System held a meeting on Nov. 7, 2012 at the Dallas County Commissioner's Court for the Regional Health Partnership Nine on the Transformation and Quality Improvement Waiver to which all interested persons were welcome.

An overview of the waiver and what it means for the healthcare of Dallas, Kaufman and Denton County residents was presented. The meeting also addressed the waiver's goals to transform the delivery of healthcare by enhancing access and increasing the quality of care provided. The public was allowed to voice any comments.

Click here to view a video of the meeting.

Click here to read the Pass 1 Report.

Delivery System Reform Incentive Payments (DSRIP)

Hospitals may participate in the DSRIP program which rewards hospitals for achieving specific goals and improvements identified in their specific RGO. Each region’s plan identifies specific actions and timelines for achieving results in 4 categories. Each project that is undertaken must improve the Medicaid system, increase quality and contain cost.

Listed below are the 4 categories and the projects that Parkland will be focused:

1. Category 1 – Infrastructure Development Improvement Projects
2. Category 2 – Innovation and Redesign Improvement Projects
3. Category 3 – Improvement in Quality and Safety
4. Category 4 – Population Focused Improvements

For more information, please visit one of the following:

Texas Health & Human Services Transformation Waiver website
Overview of Texas Health Care Transformation and Quality Improvement Program: 1115 Waiver

For comments or questions, you may also contact us using the form below: