Regional Healthcare Partnerships
RHP Plans
General InformationUnder the Texas 1115 Waiver, each RHP is required to create a regional plan as the basis for:
- Voluntarily improving regional access, quality, cost-effectiveness and collaboration;
- Identifying transformation programs, performance metrics, and incentive payments for each participating hospital consistent with the Delivery System Reform Incentive Payment (DSRIP) menu of projects; and
- Payment of funds (formerly Upper Payment Limit funding) protected under the Texas Healthcare Transformation and Quality Improvement Program 1115 waiver.
- Category 1 - Infrastructure Development: lays the foundation for delivery system transformation through investments in technology, tools, and human resources that will strengthen the ability of providers to serve populations and continuously improve services;
- Category 2 - Program Innovation & Redesign: includes the piloting, testing, and replicating of innovative care models;
- Category 3 - Quality Improvements: includes outcome reporting and improvements in care that can be achieved within four years; and
- Category 4 - Population-focused Improvements: the reporting of measures that demonstrate the impact of delivery system reform investments under the waiver; applicable to hospitals only.
RHP 4 PlanThe RHP 4 Plan describes DSRIP projects proposed by the hospitals, local mental health authorities, and a public health department located in RHP 4 (Providers). The focus of the plan is the DSRIP projects, and it provides detailed information about those projects. The plan is submitted to the Texas Health & Human Services Commission (HHSC) and U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services (CMS).
Original RHP 4 Plan (2012)
To access the RHP 4 Plan originally submitted to HHSC/CMS in 2012, click Original RHP 4 Plan; to access the original plan's associated data file, click Original RHP 4 Plan Data File. The Original RHP 4 Plan includes the RHP 4 Community Needs Assessment.
Process Used for Adding Three-Year DSRIP Projects to RHP 4 Plan
Three-Year projects are additional Texas 1115 Waiver DSRIP projects selected by providers in 2013 from Categories 1, 2, or 3 that operate only in Demonstration Years 3, 4, and 5. Funding for the Three-Year Projects comes from unallocated Waiver funds available from those Demonstration Years.
To view the process used by RHP 4 for adding Three-Year DSRIP Projects, click 3-Year Project Selection. The final Three-Year Projects for RHP 4 are available at All RHP's 3-Year DSRIP Projects; sort the linked workbook for RHP 4.
Updated RHP 4 Plan (2015)
To access information about the RHP 4 Plan currently on file with HHSC/CMS, click the links below for the particular DSRIP project information desired:
- Category 1 & 2 Projects:
- Category 3 Outcome Selections:
- Category 4 Measures (hospitals only):
The Anchor Entity is required to present draft changes to the RHP 4 Plan for public review and stakeholder comments. The purpose of the 2018 RHP 4 Plan Update Draft is two-fold. First, it is to reflect the providers' planned evolution of Demonstration Years 2-6 (DY2-6) DSRIP projects to Demonstration Years 7-8 (DY7-8) provider-level outcomes; the draft provides a crosswalk of Provider's DY2-6 discrete projects to the provider's system-wide activities intended to achieve provider-level outcomes. Second, it is to show the outcome measure bundles tentatively selected by each provider to achieve their particular outcomes in DY7-8.
The Draft 2018 RHP 4 Plan Update files are shown in the links listed at the bottom of this webpage; click the link to access the file.
HHSC information about the RHP Plan Update is available at RHP Plan Update.
Updated RHP 4 Plan Final (April 2018)
The Anchor Entity is required to present the final version of the 2018 Updated RHP 4 Plan for public review. The purpose of the 2018 RHP 4 Plan Update is two-fold. First, it is to reflect the providers' final evolution of Demonstration Years 2-6 (DY2-6) DSRIP projects to Demonstration Years 7-8 (DY7-8) provider-level outcomes; the final version provides a crosswalk of Provider's DY2-6 discrete projects to the Provider's system-wide activities intended to achieve provider-level outcomes. Second, it is to show the outcome measure bundles final selected by each provider to achieve their particular outcomes in DY7-8.
The Final 2018 RHP 4 Plan Update files are shown in the links listed at the bottom of this web page; click the link to access the file.
The RHP 4 Plan is subject to change.
File Access: The files shown below are in Adobe PDF format and require Adobe Reader.
- Mar. 23, 2018 Draft 2018 RHP 4 Plan Update - Community Needs Assessment
- Mar. 23, 2018 Draft 2018 RHP 4 Plan Update - Anchor Entity Template
- Apr. 5, 2018 Draft 2018 RHP 4 Plan Update - Stakeholder Input Public Meeting Presentation
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Community Needs Assessment
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Anchor Entity Template
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Christus Spohn Hospital Alice
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Christus Spohn Hospital Beeville
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Christus Spohn Hospital Corpus Christi
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Christus Spohn Hospital Kleberg
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Citizens Medical Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Coastal Plains Community MHMR Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Corpus Christi Medical Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - DeTar Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Driscoll Children's Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Gonzales Memorial Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Gulf Bend MHMR Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Jackson County Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Lavaca Medical Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Nueces County Local Health Department
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Nueces County MHMR Community Center
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Otto Kaiser Memorial Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Refugio County Memorial Hospital
- Apr. 23, 2018 Final 2018 RHP 4 Plan Update - Yoakum Community Hospital
Last updated: 5/2/2018