1. Private Initiatives to Expand Coverage Citizens’ Health Care Working Group Public Meeting and Hearing Testimony of Anthony R. Tersigni, Ed.D., FACHE President and Chief Executive Officer, Ascension Health

2. 2 Ascension Health’s Call to Action

3. 3 Principles (Approved by the Ascension Health Board of Trustees, December 2004) 1.Commitment to access for all 2.Healthcare is a right 3.Reject a “two-tiered” health system 4.Federal solution to finance the care of the underinsured and uninsured 5.Delivery systems must redesign care to achieve safe, accessible care for the uninsured 6.New model of leadership = true public and private partnership

4. 4 Representing the Broader Hospital Field

5. 5 Ascension Health Virtual Access Institute: Helping Achieve 100% Access A. National Legislative Leader D. National Public Policy Partner C. Voice of the Voiceless B. Access Model Catalyst

6. SYSTEMIC CHANGE = 100% ACCESS Building the Ascension Health 5-Step Access Model © Ascension Health 5.Sustainable Funding (State, local gov’t/business community investments) 4.Private Physicians Volunteer as Medical Home 3.Redesign the Uninsured Care Model 2.Service Gaps Filled (Dental/Pharmaceutical/ Mental Health) 1.Formal Infrastructure Leadership Coalition Shared Information Systems Catalyst Funding

7. 7 The Case for Redesigning Care: One Patient Shopping for Access 2/20/04Acute URIBrackenridge Hospital ER 2/20/04BronchitisSt. David ER 3/9/04BackacheSt. David ER 3/11/04Lumbago, HypertensionSt. David ER 3/11/04Skin Disturb.Brackenridge Hospital ER 4/1/04LumbagoSeton McCarthy 4/13/04NeuritisAustin Travis County FQHC 5/12/04Joint PainAustin Travis County FQHC 5/13/04LumbagoBrackenridge Hospital Outpatient

8. 11 Daughters of Charity Services of New Orleans New Orleans, LA New Orleans Partnership for Care of the Uninsured (NOPCU) SETON Healthcare Network, Austin, TX Indigent Care Collaboration (ICC) St. John Health System Detroit, MI Voices of Detroit Initiative (VODI) Our Lady of Lourdes Memorial Hospital Binghamton, NY Southern Tier Family Health Link (FHL) Saint Thomas Health Services Nashville, TN, Nashville Consortium of Safety Net Providers Genesys Health System Flint, MI, Genessee County CAP (GCCAP) Delta Healthcare Consortium Dumas/Gould, AR St. Vincent Health, Indianapolis, IN, Rural Underserved Access to Health (RUAH) Building 12 Access Models 2005 © Ascension Health 2005 Good Samaritan Regional Medical Center Pottsville, PA Highway to Health St. Mary’s Medical Center, Saginaw, MI Healthy Futures St. Joseph Hospital, Tawas City, MI Rural Prevention Network Lourdes Health Network, Pasco, WA BFCHA Carondelet Health Network, Tucson, AZ Pima County Access Program