Health Care Delivery and Payment Reform - Health Management ...

Stakeholder engagement should be managed through the life cycle of the reform initiative. This guide ... Additionally, it will be important to include providers across the spectrum of care and ... Therefore, the state will need to ask stakeholders what format works best for them and ..... committee meetings or hosting a webinar.
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HEALTH MANAGEMENT ASSOCIATES Accountable Care Institute

Health Care Delivery and Payment Reform A Guide to Stakeholder Engagement for States January 2016

Authors:

Michealle Gady, JD, Senior Consultant, HMA Contributors: Stephanie Denning, Lynn Dierker, Joan Henneberry, Mike Nardone, Tony Rodgers, Cathy Rudd

180 NORTH LASALLE, SUITE 2305, CHICAGO, ILLINOIS 60601 TELEPHONE: 312.641.5007 FAX: 312.641.6678 WWW.HEALTHMANAGEMENT.COM

CONTENTS

Executive Summary __________________________________________________________________________________________ i Introduction _________________________________________________________________________________________________ 1

Guiding Principles ___________________________________________________________________________________________ 1

Framework___________________________________________________________________________________________________ 2 Stakeholder Analysis ______________________________________________________________________________________ 2 Stakeholder Characteristics ____________________________________________________________________________ 2 Stakeholder Roles and Contributions _________________________________________________________________ 4

Agency Stakeholders ___________________________________________________________________________________ 4

Provider Stakeholders __________________________________________________________________________________ 5 Analysts as Stakeholders _______________________________________________________________________________ 5 Community-based and Advocacy Stakeholders ______________________________________________________ 5 Elected Officials as Stakeholders ______________________________________________________________________ 5

Consumer Stakeholders ________________________________________________________________________________ 6

Engagement Plan Development and Implementation __________________________________________________ 6 Determine Methods for Engaging Stakeholders ______________________________________________________ 6

Identify Stakeholders as Champions of Initiative_____________________________________________________ 6

Address Stakeholder Barriers to Engagement ________________________________________________________ 7 Prepare Stakeholders for Engagement ________________________________________________________________ 7

Manage Stakeholder Dynamics and Set Appropriate Expectations for Stakeholders _____________ 7 Address Legal Barriers _________________________________________________________________________________ 8

Provide Timely Follow-up ______________________________________________________________________________ 8

Tracking Stakeholder Engagement ______________________________________________________________________ 9

On-going Engagement ____________________________________________________________________________________ 9

Appendix A: Stakeholder Engagement Checklist _______________________________________________________ A-1 Appendix B: Stakeholder Analysis Matrix _______________________________________________________________ B-1 Appendix C: Stakeholder Engagement Plan Matrix _____________________________________________________ C-1

Health Management Associates – Accountable Care Institute

EXECUTIVE SUMMARY

To be successful and sustainable, any effort to transform health care must reflect the needs and values of relevant stakeholders. To that end, Health Management Associates (HMA) has created this Guide to Stakeholder Engagement for States based on direct experience and identified best practices in the literature. 1 This guide provides a systematic process for identifying relevant stakeholders and developing a comprehensive stakeholder engagement plan, based on guiding principles for managing stakeholder dynamics that are drawn from concepts o