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The Community Care Collaborative

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First Amended & Restated Bylaws of the Community Care Collaborative

The Community Care Collaborative “CCC” is a partnership that will move Travis County to an integrated delivery system and transform the way we deliver healthcare for our vulnerable residents. Through the CCC, eligible residents of Travis County will continue to have access to the full range of health services as available under State and Federal law.

The Master Agreement between Central Health and Seton does not restrict the District’s ability to deliver services in any way and Central Health reserves the ability to deliver services through multiple providers. The Master Agreement clearly states that Central Health retains the unilateral right in its sole and exclusive direction to make decisions including, “approval, support and funding of women’s health projects, or other projects, deemed necessary for the community by Central Health that Seton cannot participate in as a result of Ethical and Religious Directives (ERD) restrictions.”

Seton has been a trusted safety net partner in this community for nearly 20 years. During the tenure of this relationship the City and, since 2005, Central Health has delivered a full range of services including access to women’s healthcare. Under the Community Care Collaborative, nothing has changed with regard to our service delivery partners. Moving forward, Central Health will continue to fund its network of providers including Seton, St. David’s, Lone Star Circle of Care, Planned Parenthood, and others to ensure that our residents receive the full range of services and care they need and deserve.

Central Health and its Board of Managers remain committed to providing all residents in Travis County, particularly our most vulnerable residents, with access to the highest quality of care.

Goal of the Community Care Collaborative
The overarching goal of the Community Care Collaborative (CCC) is to provide high quality, cost effective, patient centered care that improves health outcomes through expanded care coordination, types of care, and patient management.

Overview of the Community Care Collaborative
The Community Care Collaborative is Travis County’s new integrated delivery system, a multi-institutional, multi- provider system of healthcare envisioned to provide a coordinated continuum of services to a defined patient population.

Through the CCC, healthcare providers in Travis County will join together to provide patient centered care through a “no wrong door” approach. Wherever a current or eligible patient presents for care, be it the emergency room, community clinic or elsewhere, the system will provide care and navigation services to ensure that individuals receive appropriate levels of services and are connected to a medical home. The system will have a coordinated continuum of services that is easily navigated by and feels seamless to the patient.

Patient Population
The CCC will manage the care of Travis County residents who are uninsured, living at or below 200% of the Federal Poverty Level, and who qualify for services. The initial population served will include: 24,000 current Medical Access Program (MAP) enrollees, 16,000 current sliding fee scale patients, and 10,000 high risk individuals with 2 or more chronic conditions. In total, just under 50,000 individuals will be cared for through the CCC.

How Care Delivery is Improved
This system of care will incorporate new capabilities and services that shift from a focus of treating illness to emphasizing the prevention of illness, management of chronic diseases and the promotion of health. This more effective system will support collaboration among providers, care managers and navigators who will work in partnership with the patient toward a shared goal of improved health.

Services that were once separate and disconnected will be integrated through a single system of care that is dedicated to supporting the patient. The patient will experience better integration into one network of services where care is facilitated by that system. While travel between different care sites may still be necessary, patients won’t be required to navigate the system alone; instead, they will be aided and encouraged through the system, by dedicated system staff.

Patient utilization and cost data will be continuously analyzed and shared with providers. In cases where patients are making multiple visits to the emergency room, for example, protocols will be in place to follow- up and determine best course for addressing patient needs.

Finally, financial incentives will be built into the system so that the providers in the system are rewarded for optimum patient health maintenance based upon agreed upon measures. The fee for service methodology of payment will be replaced over time so that there are no longer incentives for one portion of the system to conduct multiple procedures, tests, or to promote inpatient stays. To accomplish the goals, the new system will have in place appropriate technology that knits together providers, navigators and care managers in multiple locations. This will include a comprehensive patient database and analysis tools that support improved clinical care, patient management and navigation.