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tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

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tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014IED PUBLIC ACCOUNTANTSw STAUFFER*. I CERTIFIED PUBLIC ACCOUNTANTSTo the Texas Health and Human Services Commission (HHSC):Myers and Stauffer LC (Myers

and Stauffer) has completed the Mid-Point Assessment of projects which can earn incentive payments through combined state and federal funds made thro tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

ugh the Texas 1115 Waiver Delivery System Reform Incentive Payment (DSRIP) program The purpose of this engagement was to meet the requirements of Texa

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

s Administrative Code (TAC) §354 1624 of the Texas Healthcare Transformation and Quality Improvement Program (THTQIP) and the Program Funding and Mech

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014ects for the following elements:•Compliance with the approved Regional Healthcare Partnership (RHP) plan for that project.•Compliance with the require

d core components described in the RHP Planning Protocol, including continuous quality improvement activities•Ensuring that activities funded through tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

DSRIP do not duplicate activities funded through other federal funds.•The clarity of the improvement milestones for the fourth and fifth demonstration

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

years and those milestones connection to DSRIP project activities and patient impact.•The benefit of the DSRIP project to the patients served by the

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014 was primarily based on the semi-annual progress reports submitted by the DSRIP participating providers for the period from October 2012 to April 2014

Our assessment was based on a project s level of compliance with the six elements described above and the resulting risk that a project may not meet i tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

ts overall project goals and objectives resulting from any noncompliance with these elements at this stage of the project s life cycle. This assessmen

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

t provides the user of this report with an overview of the status of the projects in the DSRIP program as of April 2014. As such, we did not conduct a

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014iveness of controls or operational processes; therefore, the risks identified in this mid-point assessment do not necessarily reflect actual weaknesse

s or problems with the DSRIP providers' processes or controls. The items we identified reflect potential risk areas of noncompliance with the above-de tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

scribed six elements, based upon the results of the procedures we performed, and information and documentation we reviewed.This report is intended sol

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

ely to meet the requirements of TAC §354 1624 and the PFM and for the information and use of HHSC in the management of the Texas DSRIP programAustin.

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

tx-healthcare-transformation-dsrip-mdpnt-assmnt-043020141Introduction..............................................................1Objectives. Scope and Methodology.........................................

1Background.....................................................................6Overall Mid-Point Assessment Conclusion.............................. tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

..........8Detailed Results Per RHP......................................................12HHSC Response..............................................

tx-healthcare-transformation-dsrip-mdpnt-assmnt-04302014

...................52Appendix 1....................................................................57Appendix 2.......................................

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

Texas Delivery System Reform Incentive Payment Program Mid-Point Assessment of ProjectsFor the Reporting Period Ending41759KAYERS ND w STAUFFERCERTIFI

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