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©2006 ViTAL Economy, Inc.
— 1 —
Southern Illinois Broadband Initiative
Healthcare COI Milestone Meeting #2
December 6, 2006SIH Corporate Offices
CONNECT SI
Frank Knott, President
ViTAL Economy, Inc.
©2006 ViTAL Economy, Inc.
— 2 —
Agenda – Healthcare COI Meeting #2
8:30 AM - Welcome, Introductions, Meeting Objectives, Progress Review
8:45 AM - COI Outcome Goals and Asset Mapping Drives Connectivity Needs
9:05 AM – Goal Setting Breakout Sessions for (1)Improved Profitability,
(2)Health Outcomes, (3)Critical Skills Shortages, (4)Connectivity
9:50 AM - Reports from each of the four goal setting breakout groups
10:20 AM – Confirm Healthcare COI Priority Measurable Goals
10:50 AM - Clarify COI Work Plan Next Steps, Schedule & Locate Next Mtg
11:00 AM - Wrapup & Close
©2006 ViTAL Economy, Inc.
— 3 —
Objectives of Healthcare COI #2 Meeting
Finalize measurable goals in 4 priority outcome areas defined by COI
Establish clear linkage of goal setting, asset mapping as drivers of connectivity
Review and advise on direction of healthcare asset mapping
Review and advise on development of healthcare economic impact model
Set stage for beginning value chain and asset mapping process
Identify Short Term Win opportunities and establish action plans for each
Get ready for Milestone #3 meeting the week of March 19-25
Establish progress review points leading to March meeting
©2006 ViTAL Economy, Inc.
— 4 —
Connect SI 20-County Phase 1 June 06-Sept 07“Led By Connect SI Leadership Advisory Board”
Greater Egypt COI Strategy
Southeastern COI Strategy
Southern Five COI Strategy
Greater Wabash COI Strategy
Phase 1 Outcomes
GIS Asset Maps
Broadband Strategy
GDP & HealthcareEconomic Models
Regional Economic Strategy
Healthcare Strategy
Regional EconomicFramework
Five-Year Measurable Goals
Implementation &Funding Plan
GIS Mapping Team Supports COI’s
HealthcareProviders
COI Strategy
Network Providers
COI Strategy
Connect SIRegional CED COIStrategy
Phase 2
Reap the Rewards
©2006 ViTAL Economy, Inc.
— 5 —
Positive Feedback Loop(Economic Growth Multipliers)
Market Growth Drivers — “Demand-Pull” Model
*Results are only for Interim GE, SE and S5 COI Goals*Results are only for Interim GE, SE and S5 COI Goals** Increased ICT Opportunity Based on MIT, OECD Multipliers of GDP** Increased ICT Opportunity Based on MIT, OECD Multipliers of GDP
Current
Broadband
Customer
Base
$200 Million+
Increased
Annual ICT
Market
Opportunity**
$200 Million+
Increased
Annual ICT
Market
Opportunity** $2 Billion
New Annual Wages
30,968 Existing Jobs
>$5,000/Yr
24,768 NewHi-Wage Jobs
$989 MillionNew KBE Activity
1,600+ Firms
2012 Results*
Short-TermWin Targets
HealthcareProviders COI
Strategies
InvestmentAttractionStrategies
IndustryCluster
Strategies
4 CED COIStrategies
Actions
Preliminary Goals:
©2006 ViTAL Economy, Inc.
— 6 —
Healthcare COI Implementation
1 - Organize COI, Issue ID, Priorities & Goal Setting Jul - Sep 2006• Milestone 1b Leadership Mtg September 21, 2006• Milestone #1b COI Meeting October 24, 2006
2 - Finalize Measurable Goals, Begin Value Chain Mapping Dec 2006-Feb 2007 Review Health Economic Model, Gap Analysis
“Agree on COI Leadership Progress Review Checkpoints Prior to #3”
3 - Continue Value Chain Mapping, ID & Quantify Mar - Apr ‘07 Connectivity Implications for Healthcare Providers and Patients
4 - Prioritize & Define COI Connectivity Requirements May - June ‘07
Tele-Health Applications & Value Propositions
5- Develop & Quantify COI Economic & Jobs Strategy July ‘07 Connect COI Strategy to Connect SI Regional Strategy
©2006 ViTAL Economy, Inc.
— 7 —
Connecting The Dots Between Goal Setting,
Asset Mapping, Value Linkage, and Increased
Availability of Broadband Services To
Connect Healthcare Assets for Improved
Healthcare COI Outcomes
VE Applications Architecture
©2006 ViTAL Economy, Inc.
— 8 —
Value Linkage
ISSUES
FunctionalValue
FunctionalValue
TechnologyAlternativesTechnologyAlternatives
Content Exchanged
Content Exchanged
Users Connected
Users Connected
ApplicationDescriptionApplicationDescription
QuantitativeValue
QuantitativeValue
ViTAL Economy — Application Architecture
RankingRanking
©2006 ViTAL Economy, Inc.
— 9 —
ISSUES
TechnologyAlternativesTechnologyAlternatives
Content Exchanged
Content Exchanged
Users Connected
Users Connected
ApplicationDescriptionApplicationDescription
User/Application
Matrix
User/Application
Matrix
GeographyDemography
Topology
GeographyDemography
Topology
End-UserBusiness
Case
End-UserBusiness
Case
Value Linkage
Priorities
Value Linkage
Priorities
CommunityBarrier
Analysis
CommunityBarrier
Analysis
IntegratedApplicationPriorities
IntegratedApplicationPriorities
Value Linkage
RankingRanking
FunctionalValue
FunctionalValue
QuantitativeValue
QuantitativeValue
ViTAL Economy — Application Architecture
©2006 ViTAL Economy, Inc.
— 10 —
Value Linkage
ISSUES
RankingRanking
FunctionalValue
FunctionalValue
TechnologyAlternativesTechnologyAlternatives
ContentExchanged
ContentExchanged
Users Connected
Users Connected
ApplicationDescriptionApplicationDescription
QuantitativeValue
QuantitativeValue
User/Application
Matrix
User/Application
Matrix
GeographyDemography
Topology
GeographyDemography
Topology
End-UserBusiness
Case
End-UserBusiness
Case
Value Linkage
Priorities
Value Linkage
Priorities
CommunityBarrier
Analysis
CommunityBarrier
Analysis
IntegratedApplicationPriorities
IntegratedApplicationPriorities
ApplicationTechnology
Matrix
ApplicationTechnology
Matrix
ApplicationDesign
Requirements
ApplicationDesign
Requirements
NetworkServices
Architecture
NetworkServices
Architecture
NetworkGap
Analysis
NetworkGap
Analysis
User/ Technology
Matrix
User/ Technology
Matrix
MapMap
ViTAL Economy — Application Architecture
©2006 ViTAL Economy, Inc.
— 11 —
Value Linkage
ISSUES
RankingRanking
FunctionalValue
FunctionalValue
TechnologyAlternativesTechnologyAlternatives
ContentExchanged
ContentExchanged
Users Connected
Users Connected
ApplicationDescriptionApplicationDescription
QuantitativeValue
QuantitativeValue
User/Application
Matrix
User/Application
Matrix
GeographyDemography
Topology
GeographyDemography
Topology
End-UserBusiness
Case
End-UserBusiness
Case
Value Linkage
Priorities
Value Linkage
Priorities
CommunityBarrier
Analysis
CommunityBarrier
Analysis
IntegratedApplicationPriorities
IntegratedApplicationPriorities
ApplicationTechnology
Matrix
ApplicationTechnology
Matrix
ApplicationDesign
Requirements
ApplicationDesign
Requirements
NetworkServices
Architecture
NetworkServices
Architecture
NetworkGap
Analysis
NetworkGap
Analysis
User/ Technology
Matrix
User/ Technology
Matrix
MapMap
CommunityBusiness
Case
CommunityBusiness
Case
Offer andCommitment
Offer andCommitment
ServiceProviderBusiness
Case
ServiceProviderBusiness
Case
NETWORK
IMPLEMENTATION
NETWORK
IMPLEMENTATION
ViTAL Economy — Application Architecture
©2006 ViTAL Economy, Inc.
— 12 —
Western New York Between Erie PA and Buffalo NY
Issues Share Education & Healthcare Resources, Youth Brain Drain, Save Healthcare Assets,
Improve Access to Care, Make Remoteness an Asset, Transform Economy,
Solutions First Shared Use Learning Service in NY State-67 Sites Linked 161 healthcare provider sites across 4 counties and 7 LATAs 4 County Collaborative Fiber Ring Designed by Community Created virtual rural healthcare service between Eire, PA and Buffalo, NY Saved and expanded two hospitals, attracted more medical professionals Improved health services attracted knowledge workers to transform economy Transformed Economic Vision to an INFOMUNITY
VE Application Architecture at Work
©2006 ViTAL Economy, Inc.
— 13 —
Network of care Patient and care registry
Care models, sharing information and records Leads to best practices for care Ensure that best practices are acted on Best care from team Increase telemedicine
What Are Meaningful/Measurable Goals for the Healthcare COI
Health Outcomes
©2006 ViTAL Economy, Inc.
— 14 —
GIS Team Asset Mapping Review
©2006 ViTAL Economy, Inc.
— 15 —
• Identify Value Chain Components that are required for each goal area to achieve its measurable outcomes
• Map all healthcare assets that need or should be connected to create critical mass and demonstrate ability of region to address access and quality of service regardless of location
• Provide a basis for gap analysis
Value Chain and Asset Mapping
©2006 ViTAL Economy, Inc.
— 16 —
Healthcare Data Sources
Due to incomplete health data, we compiled additional information from 15 sources. Some of these include:
Illinois Department of Public Health (Licensed Illinois Hospitals) American Hospital Directory Southern Illinois Healthcare Illinois Primary Health Care Association Illinois Department of Human Service http://www.hospital-data.com (compiled from multiple government and
commercial sources) http://www.Qualitycheck.org (The Joint Commission on Accreditation of
Health Organizations) Department of Neurology at Massachusetts General Hospital (HospitalWeb) Therapist Unlimited Egyptian Area Agency on Aging Community Health & Emergency Service Inc. (http://www.chesi.org) Others
©2006 ViTAL Economy, Inc.
— 17 —
Healthcare Data Source Content @ 11/28/06
Healthcare assets have been compiled by the GIS team for the 20-county region
List of hospitals in the 20-county region Health Clinics Doctors ( Family Practice, Pediatrics,Internal Medicine, OB/GYN) Dental Care Facilities and Dentists Eye Care Facilities Health Services Specialized Services Nursing Homes Rehabilitation Mental Health Specialized Facilities Others
©2006 ViTAL Economy, Inc.
— 18 —
Healthcare Facilities linked with DSL & Mediacom
Courtesy of U.S. Bureau of the Census (TIGER/Line Data, 2000), NAVTEQ (2005), Mediacom (2006)
©2006 ViTAL Economy, Inc.
— 19 —
Establish Benchmarks and Set Goals
©2006 ViTAL Economy, Inc.
— 20 —
Healthcare COI Measurable Goals Process
July 12, 2006 - COI Defines Issues of Challenge and Opportunity
September 21, 2006 - COI Leaders Prioritize Four Areas for Benchmarks & Goals
1 - Improved Profitability
2 - Improved Healthcare Outcomes
3 - Improved Connectivity between Healthcare Assets
4 - Reduced Critical Skills Shortages
October 24, 2006 - COI breakout groups detail goal & benchmark priorities
December 4, 2006 - COI defines current benchmarks and sets goals for 2012
©2006 ViTAL Economy, Inc.
— 21 —
• Participants breakout into goal area of specific interest to them
• Each breakout group reviews and prioritize current goal areas
• Discuss how you want to measure accomplishment of stated goal areas
• Define data sets to be used to set current benchmarks & 2012 goals
• Establish agreed current benchmarks and 2012 goals
• Begin process of defining who needs to be at the table to realize results
• Recruit team leaders to pursue each agreed goal area
• Agree on who and what will be reported out to general session
Breakout Teams Establish Measurable Goals
©2006 ViTAL Economy, Inc.
— 22 —
Breakout Group Reports
©2006 ViTAL Economy, Inc.
— 23 —
Improved Healthcare Profitability-1
Reduce Overall Out-Migration of Healthcare Revenues Present Condition
2012 Goal
Cardiac Treatment Referrals after primary care diagnosis-good insurance dollars- St. Louis, Springfield, Paducah, Evansville, Cape Girardeau
Oncology/Cancer Care
St. Louis and Evansville
Neuro Surgery
St. Louis, Cape Girardeau
Above three are primarily related to regional medical centers of SIH, Heartland and Good Samaritan/St. Mary’s.Collaboration with smaller rural hospitals to allow local testing and post surgical treatments. Key is for the regionals not to capture all revenues-to share what can be shared
Tom Keim will pull data by county or economic region from CompData for each of the 3 areas above
Goals will be established after documenting the current condition, economic model will be used to forecast impact of all recapture goals
©2006 ViTAL Economy, Inc.
— 24 —
Improved Healthcare Profitability-1
Reduce Overall Out-Migration of Healthcare Revenues Present Condition
2012 Goal
Focus on recapture relative to acute care hospitals, where normal everyday services outlined below are at risk, essentially everything above primary care is at risk from diagnosis, surgery to treatment
OB/GYN
Gastro Intestinal
General Surgery
Orthopedics
Extreme Rural is also loosing primary care dollars
Goal to be established after understanding present condition
©2006 ViTAL Economy, Inc.
— 25 —
Improved Healthcare Profitability-2
Increase % of Patient with Private Payer Insurance Present Condition
2012 Goal
Regional Medical Center-Data Source is Comp Data 20% 30%
Acute Care- Data Source is CompData +10% Pts
Critical Access-Data Source is Comp data +10% Pts
Skilled Care –contact information Nursing Rehabilitation-Life Services Network, IHCA, and AHCA-Sandra to provide
+10% Pts
Nursing Home- contact information Nursing Rehabilitation-Life Services Network, IHCA, and AHCA-Sandra to provide
+10% Pts
Community Health-contact information Nursing Rehabilitation-Life Services Network, IHCA, and AHCA-Sandra to provide
+10% Pts
Federal Qualified Health Centers-Illinois Primary Healthcare Association George O’Neill will provide contact information
+10% Pts
Physicians Practices- Tom Keim, Frank Caruso and Leo Childers to get data from PFS and other Billing Services
+10% Pts
©2006 ViTAL Economy, Inc.
— 26 —
Improved Healthcare Profitability-3
Increase % of Chartless System Present Condition
2012 Goal
50% Increase
Need to add additional healthcare providers to break out team such as Harrisburg, McLeansboro, DuQuoin SIH, etc.
Bob Wesley has agreed to coordinate next meetings of breakout group to finalize information-Bob has asked to have prior members of this COI added to the team list serve
Rob Beynon of InterVISTAS and the VE team will contact each data source to coordinate gathering and compiling of data for use by the breakout group. Rob will establish a schedule for this.
©2006 ViTAL Economy, Inc.
— 27 —
Improved Healthcare Outcomes (Aggregated for 20 Counties & by County)
Improved/increased health promotion/disease prevention (Increase the level of participation by 20%)
Increasing Access to Care (Increase the # of providers in each of these areas by 10%)
Improve Chronic Disease Management (Increase the # of people participating in CDM Programs by 10%))
©2006 ViTAL Economy, Inc.
— 28 —
Improved/increased health promotion/disease prevention (Increase the level of participation by 20%)
Present Condition
2012 Goal
Early disease detection
Wellness
Awareness Programs
Education/Training
Accident Prevention
Improved Healthcare Outcomes-1 (Aggregated for 20 Counties & by County)
©2006 ViTAL Economy, Inc.
— 29 —
Increasing Access to Care (Increase the # of providers in each of these areas by 10%)
Present Condition
2012 Goal
Behavioral/Substance Abuse
OB/GYN
Primary Care
Oral
EMS (training and skill levels)
Specialists
Population Uninsured
Improved Healthcare Outcomes-2 (Aggregated for 20 Counties & by County)
©2006 ViTAL Economy, Inc.
— 30 —
Improved Healthcare Outcomes-3 (Aggregated for 20 Counties & by County)
Improve Chronic Disease Management (Increase the # of people participating in CDM Programs by 10%))
Present Condition
2012 Goal
Cancer — Morbidity, Years of Life Loss (Cervical, Lung, Prostate, Childhood, Breast, Colorectal)
Diabetes
Stroke
Cardiovascular
Mental Health
©2006 ViTAL Economy, Inc.
— 31 —
Reduce Critical Skills Shortages -1
Areas of Critical Skills Shortages 2004 Present Condition 2012 Goal
Doctors, Specialists, Family Practice (2004, 19 county, w/o Randolph) Family Prac. 135
Surgeons 103
Physicians/Surgeons, other 155
Psychiatrists
Child Psychiatrists
13
1
Nurse Instructors and Faculty
RNs,
LPNs
CNA
Medical Assistants
Physician Assistants
136
2908
731
2033
311
38
Health Information Technologist 248
Allied Healthcare Instructors
©2006 ViTAL Economy, Inc.
— 32 —
Areas of Critical Skills Shortages 2004 Present Condition 2012 Goal
Nuclear medicine Technician
Radiology Technician
Medical Lab Technician
Diagnostic Medical Sonographers
23
188
190
44
Pharmacists
Techs
Aids
252
235
87
Licensed Clinical Social Worker, source: IDFPR
Increase Training Slots for Healthcare Professions (Shanel: collect course, capacity and graduation rate, certification rate)
Increase retention of graduates, Source: Collect data from regional colleges and Universities, ICCB, Illinois Hospital Association website/workforce
Increase % of school K-12 youth interested in healthcare
Source: www.ihatoday.org
Reduce Critical Skills Shortages -2
©2006 ViTAL Economy, Inc.
— 33 —
Work Plan Review
and
Action Team Task Assignments
©2006 ViTAL Economy, Inc.
— 34 —
Healthcare COI Work Plan Prior To October 2006-1Assign Task Completion to Leaders or Action Teams
1. Establish a leadership team to manage the work of the healthcare COI (Leaders)
2. Develop a champion and investor recruitment plan to sustain Connect SI (Team)
3. Identify healthcare industry research reports for Connect SI team
4. Clarify how Connect SI could help accelerate/benefit existing initiatives (Leaders)
5. Define what will enable and sustain regional collaboration versus competition• Establish Marketing Committee to address 5 and 7
6. Clarify how the sub-regional input & involvement can be maximized by COI • Sub-Region Engagement team complete this task
©2006 ViTAL Economy, Inc.
— 35 —
Healthcare COI Work Plan Prior To October 2006-2
7. Establish strategies that will address challenges to regional collaboration (Marketing)
8. Complete, and prioritize issues of challenge and opportunity (Team)
9. Prioritize definition of measurable goals for COI (Team)
10. Select the issue that creates the greatest sense of urgency for the COI (Leaders)
11. Focus on collaborations that can result in short term wins linked to process (Leaders)
12. Define what makes your investment of time, talent and treasure worthwhile (Leaders)
©2006 ViTAL Economy, Inc.
— 36 —
Southern Illinois Broadband Initiative
Healthcare COI Milestone Meeting #2BACKUP SLIDES
December 6, 2006SIH Corporate Offices
CONNECT SI
Frank Knott, President
ViTAL Economy, Inc.
©2006 ViTAL Economy, Inc.
— 37 —
Develop a regional healthcare economic model which will allow users to prepare and print standard economic reports outlining key measures such as healthcare’s role in GDP, etc.
Modify the regional economic model. Supplement it with healthcare data from other sources such as regional hospitals, previous studies, medical association statistics, to provide a more detailed analysis of healthcare in the region and within its four economic sub-regions
Conduct a detailed analysis of the leakage of healthcare services from the region to neighboring states. Conduct interviews with healthcare professionals, assess available statistical data from multiple sources to establish a statistical basis for measuring leakage by type of service, location and demographic.
Develop a micro-study of the economic activity related to a typical area hospital based on available data and interviews with regional industry leaders. Develop a standardized regional report on healthcare activity and its economic impact on the region.
Create a standard projections report, so that five-year projections of potential regional economic performance can be produced based on changes in employment and average wage assumptions. Produce an Economic Model Training Manual which explains the model, how to use it and for what it can be used. Conduct a training session in the Connect SI region
Regional Healthcare Economic Model
©2006 ViTAL Economy, Inc.
— 38 —
Measurable Goals Areas Defined
October 24, 2006
©2006 ViTAL Economy, Inc.
— 39 —
What Are Meaningful/Measurable Goals for the Healthcare COI
Profitability
Increase Provider Profitability To set percentages, had to look at background issues Set operability goals
Increasing 3rd party reimbursements -- private health insurance Connected to employers First and last goal to be benchmark are closely related, one issue
Connect SI could focus on health care hubs There are four regions, maybe focus on developing hubs within each to draw
specialists to the region These hubs could then bring patients into the region from other centers The development of related new business would allow employers to expand
coverage
©2006 ViTAL Economy, Inc.
— 40 —
Create an employer health insurance pool, to particularly assist smaller businesses
Market healthcare services available in area to employers People do not realize the quality of care available locally and feel
they have to go outside region
Through Connect SI, map health services available and then communicate them
Identify specific care, specialists, etc.
What Are Meaningful/Measurable Goals for the Healthcare COI
Profitability
©2006 ViTAL Economy, Inc.
— 41 —
Identify issues related to profitability of specific types of care such as behavioral, acute, and long-term care
Communicate regional services available to employee assistance programs
Hold county governments accountable to fact that health care is a key employer and community resource and they need to support it. If lose it, will lose economic engine.
Recruit youth in the region as future employees
What Are Meaningful/Measurable Goals for the Healthcare COI
Profitability
©2006 ViTAL Economy, Inc.
— 42 —
Electronic health records Major cost issue -- very expensive to implement Human resources is a key issue to implementation; employees already
buy; implementation is grueling Physicians expect electronic records Need health care leadership (boards, physicians, CEOs) to get word out
about these needs and explain Connectivity between different healthcare providers is key
Exchange of information creates community health record
What Are Meaningful/Measurable Goals for the Healthcare COI
Profitability
©2006 ViTAL Economy, Inc.
— 43 —
Frank - create a list serve of team members If we get access to local team economic models, can
create model for region Need to access economic models for health organizations
Don’t say subsidize. One invests in communities and health.
What Are Meaningful/Measurable Goals for the Healthcare COI
Profitability
©2006 ViTAL Economy, Inc.
— 44 —
Health outcomes Identifies illnesses and health issues that require better outcomes:
cancers, cardio-vascular disease, flu and pneumonia, chronic respiratory, strokes, accidents, alzheimers
Comment: add mental illness -- depression, severe mental illness Consider other measures to focus on
Goal: decreasing prevalence of targeted illnesses Need to increase collection and sharing of information
Understanding Increase networking
Increase training around prevention Improving care received
What Are Meaningful/Measurable Goals for the Healthcare COI
Health Outcomes
©2006 ViTAL Economy, Inc.
— 45 —
Network of care Patient and care registry
Care models, sharing information and records Leads to best practices for care Ensure that best practices are acted on Best care from team Increase telemedicine
What Are Meaningful/Measurable Goals for the Healthcare COI
Health Outcomes
©2006 ViTAL Economy, Inc.
— 46 —
Increasing access Increase access to resources in following fields: oral,
primary, ob/gyn, behavioral, specialists Map resources available, populations of need, specialists, etc
This would make using resources easier Would identify tools in community
Set goals for mental illness
What Are Meaningful/Measurable Goals for the Healthcare COI
Health Outcomes
©2006 ViTAL Economy, Inc.
— 47 —
Critical skill shortages Identify occupation demand
Doctors, specialists, family practice… mid level practitioners required including nurses, instructors, RNs, LPNs, specialties Techs required, including specialties such as nuclear medicine Behavioral health practitioners sought, want at least a masters degree CNAs and CMAs
Data on occupational demand hard to find, reliability unclear Break out group recommended conducting a skills needs survey
Market this link to IHA and other employers of medical professions Survey Who institutions/practices have now and who they will need
All major hospitals have strategic plans -- one source of information Junior colleges have been active in training and have studied demand to develop
programs
What Are Meaningful/Measurable Goals for the Healthcare COI
Critical Skill Shortages
©2006 ViTAL Economy, Inc.
— 48 —
Frank -- need to access service providers for information How can we do that? two places -- hospital community through Illinois Hospital Association and Illinois Critical
Access Hospital Network Federally Qualified Health Centers SIU workforce education program
Survey w/ high completion percentage
Survey educational providers to understand capacity Identify potential issues
Need support with survey
Frank -- CSI will pull together survey Mantracon has online survey tool
What Are Meaningful/Measurable Goals for the Healthcare COI
Critical Skill Shortages
©2006 ViTAL Economy, Inc.
— 49 —
Connectivity Issues Financial feasibility Availability Broadband
Applications Goal is health information exchange Move to full electronic medical records Convergence Mobile connectivity Regional Registry -- list of specialties available
What Are Meaningful/Measurable Goals for the Healthcare COI
Connectivity
©2006 ViTAL Economy, Inc.
— 50 —
Connectivity Affordability Current situation: Different size of operators, solo to large
Home $70-90 / month for up to 786 kbps Solo practice $70-90 / month for up to 786 kbps Group practice $20-750 / month for T-1 Small hospitals, $750-1,000/mo for T-1 Medium hospitals $1,200-1,500/mo for 3 T-1s Large hospitals, $1,500/ mo 10 mbps
Goals: increase service and reduce costs for each level Frank -- will survey what users say they have access to and existing demand
Need to create affordability path Frank - has emergency communication issues come up
Probably issues
What Are Meaningful/Measurable Goals for the Healthcare COI
Connectivity
©2006 ViTAL Economy, Inc.
— 51 —
Development of comprehensive emergency responses system using HS(?) funds Healthcare providers tied into emergency system Hospitals have some connections Recent emergency exercise conducted in the region
Most Hospital CEOs have videoconferencing facilities; could be sites for some meetings
Want shared list of participants Frank -- list serves for each COI on Connect SI web
site
What Are Meaningful/Measurable Goals for the Healthcare COI
Connectivity
©2006 ViTAL Economy, Inc.
— 52 —
Measurable Goal Areas Defined
By
Healthcare COI Leadership Team
September 21, 2006
©2006 ViTAL Economy, Inc.
— 53 —
Improve Healthcare Outcomes
Reduce the prevalence of top seven illnesses
Improve the outcomes of these illnesses in the region
Increase access to primary, Oral, Ob-Gyn and Behavioral Healthcare Services
Increase Provider Profitability
Change the payer mix to a higher 3rd party X%
Reduce out-migration of healthcare revenue by X%
Increase by % the use of the chartless system (ref: national standards)
Increase availability of employer sponsored Health Insurance
Healthcare COI Four Goal Setting Areas of Focus
©2006 ViTAL Economy, Inc.
— 54 —
Address Skills Shortage
Reduce identified critical skilled shortage areas (e.g., nursing, rad-techs, therapy, MD-specialists)
Increase X% of Healthcare training slots in the region to meet the capacity needs (also continuingeducation needs)
Increase # of Clinical practicum and internship sites from X to Y
Increase # of nurse educators & nurse practitioners from X to Y
Improve Connectivity Among ProvidersAddress financial feasibility issue
Improve availability at an affordable price
Increase % with broadband connection
Increase % of prescriptions filled through e-health system
(Identify at least three more e-health applications to build medical practitioner business case)
Healthcare COI Four Goal Setting Areas of Focus
©2006 ViTAL Economy, Inc.
— 55 —
• Participants breakout into goal area of specific interest to them
• Discuss how you want to measure accomplishment of stated goal area
• Define data sets we will need to use to set benchmarks for where we are and goals for where we want to be by 2012 in each goal area
• Begin process of defining who needs to be at the table to realize results
• Recruit team leaders to pursue each agreed goal area
• Agree on who and what will be reported out to general session
Breakout Teams Establish Measurable Goals
©2006 ViTAL Economy, Inc.
— 56 —
Measurable Goals for the Healthcare COI
Improve Healthcare Outcomes
Reduce the prevalence of top seven illnesses
• Your conclusions
Improve the outcomes of these illnesses in the region
• Your conclusions
Increase access to primary, Oral, Ob-Gyn and Behavioral Healthcare Services
• Your conclusions
©2006 ViTAL Economy, Inc.
— 57 —
What Are Meaningful/Measurable Goals for the Healthcare COI
Increase Provider Profitability
Change the payer mix to a higher 3rd party X%
• Your conclusions
Reduce out-migration of healthcare revenue by X%
• Your conclusions
Increase by % the use of the chartless system (ref: national standards)
• Your conclusions
Increase availability of employer sponsored Health Insurance
• Your conclusions
©2006 ViTAL Economy, Inc.
— 58 —
What Are Meaningful/Measurable Goals for the Healthcare COI
Address Skills Shortage
Reduce identified critical skilled shortage areas (e.g., nursing, rad-techs, therapy, MD-specialists)
• Your conclusions
Increase X% of Healthcare training slots in the region to meet the capacity needs (also
continuing education needs)
• Your conclusions
Increase # of Clinical practicum and internship sites from X to Y
• Your conclusions
Increase # of nurse educators & nurse practitioners from X to Y
• Your conclusions
©2006 ViTAL Economy, Inc.
— 59 —
What Are Meaningful/Measurable Goals for the Healthcare COI
Improve Connectivity Among ProvidersAddress financial feasibility issue Your conclusions
Improve availability at an affordable price Your conclusions
Increase % with broadband connection Your conclusions
Increase % of prescriptions filled through e-health system Your conclusions
(Identify at least three more e-health applications to build medical practitioner business case)
1
2
3
©2006 ViTAL Economy, Inc.
— 60 —
Issues of Challenge & Opportunity
Plus
Suggested Goal Areas
Defined By Healthcare COI
July 12, 2006
©2006 ViTAL Economy, Inc.
— 61 —
Healthcare Issues of Opportunity From 7/12/06 Milestone #1 Mtg
Improved health status for children; mental health, medical Benefit; reduced healthcare costs, better performance in school, parenting, less gaps in care, cost
avoidance, system of care Access to applications for other resources IHN involvement in access, audit, authenticity Regional health information system; birth to death
Benefits; coordination of care, efficiency of system, better outcomes, transportation costs One stop/page for prescription programs, list of all prescription programs PCCM model of care, pick a medical home/provider and stay with it Connectivity is a relationship issue, identification of need in the other areas and share HR costs VA has access to specific specialties, unified approach to recruiting skills Provide high speed to 900 VA employees; secure network ability to work at home Delivery of education programs Sharing the HR in the area; physical therapist, supervisory relationships No pediatric neurologist in the Southern IL region, bring in to area with networks Billing/payment issues across state-lines Sustainable funding mechanism for small business health insurance ER’s drug seekers moving throughout the region, network the locations together
©2006 ViTAL Economy, Inc.
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Healthcare Issues of Challenge From 7/12/06 Milestone #1 Meeting
Fearful of movement to digital medical records Workforce that is capable of working in a e-health network system Good communication and education plan to deeply engrain SI into the region. Lack of an easily updated resource list, regional healthcare talents What is available? Hospital placement for mental health clients, beds Leap between e-health network and keeping people in region and a climate of working together, capture of
out-migration of revenues 3rd party payers going outside of SI region for services Specialist that come from Springfield, St. Louis and other areas see patient and then take them outside area
for surgery Involvement of physicians (federal, clinic, independents, hospital) in the Connect SI Healthcare COI Identifying a patients that should be seen with tele-health E-health having a negative impact on local service delivery, bring resource into the community (local
control), getting more from the healthcare system Using already scarce resource to highest patient and system benefit
©2006 ViTAL Economy, Inc.
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Measurable Goals Ideas From 7/12/06 Milestone #1 Meeting
What Healthcare COI goals are important to you and why…
•Reduce the prevalence of chronic illness, improve the outcomes of chronic illness status in the region
•Change in the payer mix, higher 3rd party %
•Increase connectivity of healthcare providers at home
•% of prescriptions filled through e-health system
•Eliminate the nursing shortage in the region, different levels and determine degree of shortage
•Healthcare training slots in the region
•Clinical placements
•Identification of fiscal resources for implementation of chartless system, national standards