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©2006 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting #2 December 6, 2006 SIH Corporate Offices CONNECT SI.

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Presentation on theme: "©2006 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting #2 December 6, 2006 SIH Corporate Offices CONNECT SI."— Presentation transcript:

1 ©2006 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting #2 December 6, 2006 SIH Corporate Offices CONNECT SI Frank Knott, President ViTAL Economy, Inc. Fknottmd@earthlink.net

2 ©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

3 ©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

4 ©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 & Healthcare Economic Models Regional Economic Strategy Healthcare Strategy Regional Economic Framework Five-Year Measurable Goals Implementation & Funding Plan GIS Mapping Team Supports COIs Healthcare Providers COI Strategy Network Providers COI Strategy Connect SI Regional CED COI Strategy Phase 2 Reap the Rewards

5 ©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 ** 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 New Hi-Wage Jobs $989 Million New KBE Activity 1,600+ Firms 2012 Results* Short-Term Win Targets Healthcare Providers COI Strategies Investment Attraction Strategies Industry Cluster Strategies 4 CED COI Strategies Actions Preliminary Goals:

6 ©2006 ViTAL Economy, Inc. 6 Healthcare COI Implementation 1 - Organize COI, Issue ID, Priorities & Goal Setting Jul - Sep 2006 Milestone 1b Leadership MtgSeptember 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

7 ©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

8 ©2006 ViTAL Economy, Inc. 8 Value Linkage ISSUESISSUES Functional Value Functional Value Technology Alternatives Technology Alternatives Content Exchanged Content Exchanged Users Connected Users Connected Application Description Application Description Quantitative Value Quantitative Value ViTAL Economy Application Architecture Ranking

9 ©2006 ViTAL Economy, Inc. 9 ISSUESISSUES Technology Alternatives Technology Alternatives Content Exchanged Content Exchanged Users Connected Users Connected Application Description Application Description User/ Application Matrix User/ Application Matrix Geography Demography Topology Geography Demography Topology End-User Business Case End-User Business Case Value Linkage Priorities Value Linkage Priorities Community Barrier Analysis Community Barrier Analysis Integrated Application Priorities Integrated Application Priorities Value Linkage Ranking Functional Value Functional Value Quantitative Value Quantitative Value ViTAL Economy Application Architecture

10 ©2006 ViTAL Economy, Inc. 10 Value Linkage ISSUESISSUES Ranking Functional Value Functional Value Technology Alternatives Technology Alternatives Content Exchanged Content Exchanged Users Connected Users Connected Application Description Application Description Quantitative Value Quantitative Value User/ Application Matrix User/ Application Matrix Geography Demography Topology Geography Demography Topology End-User Business Case End-User Business Case Value Linkage Priorities Value Linkage Priorities Community Barrier Analysis Community Barrier Analysis Integrated Application Priorities Integrated Application Priorities Application Technology Matrix Application Technology Matrix Application Design Requirements Application Design Requirements Network Services Architecture Network Services Architecture Network Gap Analysis Network Gap Analysis User/ Technology Matrix User/ Technology Matrix Map ViTAL Economy Application Architecture

11 ©2006 ViTAL Economy, Inc. 11 Value Linkage ISSUESISSUES Ranking Functional Value Functional Value Technology Alternatives Technology Alternatives Content Exchanged Content Exchanged Users Connected Users Connected Application Description Application Description Quantitative Value Quantitative Value User/ Application Matrix User/ Application Matrix Geography Demography Topology Geography Demography Topology End-User Business Case End-User Business Case Value Linkage Priorities Value Linkage Priorities Community Barrier Analysis Community Barrier Analysis Integrated Application Priorities Integrated Application Priorities Application Technology Matrix Application Technology Matrix Application Design Requirements Application Design Requirements Network Services Architecture Network Services Architecture Network Gap Analysis Network Gap Analysis User/ Technology Matrix User/ Technology Matrix Map Community Business Case Community Business Case Offer and Commitment Offer and Commitment Service Provider Business Case Service Provider Business Case NETWORKIMPLEMENTATIONNETWORKIMPLEMENTATION NETWORKIMPLEMENTATIONNETWORKIMPLEMENTATION ViTAL Economy Application Architecture

12 ©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

13 ©2006 ViTAL Economy, Inc. 13 Network of care m Patient and care registry m Care models, sharing information and records m Leads to best practices for care m Ensure that best practices are acted on m Best care from team m Increase telemedicine What Are Meaningful/Measurable Goals for the Healthcare COI Health Outcomes

14 ©2006 ViTAL Economy, Inc. 14 GIS Team Asset Mapping Review

15 ©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

16 ©2006 ViTAL Economy, Inc. 16 Healthcare Data Sources Due to incomplete health data, we compiled additional information from 15 sources. Some of these include: m Illinois Department of Public Health (Licensed Illinois Hospitals) m American Hospital Directory m Southern Illinois Healthcare m Illinois Primary Health Care Association m Illinois Department of Human Service m http://www.hospital-data.com (compiled from multiple government and commercial sources) http://www.hospital-data.com m http://www.Qualitycheck.org (The Joint Commission on Accreditation of Health Organizations) http://www.Qualitycheck.org m Department of Neurology at Massachusetts General Hospital (HospitalWeb) m Therapist Unlimited m Egyptian Area Agency on Aging m Community Health & Emergency Service Inc. (http://www.chesi.org)http://www.chesi.org m Others

17 ©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 m List of hospitals in the 20-county region m Health Clinics m Doctors ( Family Practice, Pediatrics,Internal Medicine, OB/GYN) m Dental Care Facilities and Dentists m Eye Care Facilities m Health Services m Specialized Services m Nursing Homes m Rehabilitation m Mental Health m Specialized Facilities m Others

18 ©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)

19 ©2006 ViTAL Economy, Inc. 19 Establish Benchmarks and Set Goals

20 ©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

21 ©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

22 ©2006 ViTAL Economy, Inc. 22 Breakout Group Reports

23 ©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. Marys.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

24 ©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

25 ©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 Data20%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 ONeill 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

26 ©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.

27 ©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%))

28 ©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)

29 ©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)

30 ©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

31 ©2006 ViTAL Economy, Inc. 31 Reduce Critical Skills Shortages -1 Areas of Critical Skills Shortages2004 Present Condition2012 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 Technologist248 Allied Healthcare Instructors

32 ©2006 ViTAL Economy, Inc. 32 Areas of Critical Skills Shortages2004 Present Condition2012 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.orgwww.ihatoday.org Reduce Critical Skills Shortages -2

33 ©2006 ViTAL Economy, Inc. 33 Work Plan Review and Action Team Task Assignments

34 ©2006 ViTAL Economy, Inc. 34 Healthcare COI Work Plan Prior To October 2006-1 Assign 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

35 ©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)

36 ©2006 ViTAL Economy, Inc. 36 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting #2 BACKUP SLIDES December 6, 2006 SIH Corporate Offices CONNECT SI Frank Knott, President ViTAL Economy, Inc. Fknottmd@earthlink.net

37 ©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 healthcares 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

38 ©2006 ViTAL Economy, Inc. 38 Measurable Goals Areas Defined October 24, 2006

39 ©2006 ViTAL Economy, Inc. 39 What Are Meaningful/Measurable Goals for the Healthcare COI Profitability m Increase Provider Profitability m To set percentages, had to look at background issues m Set operability goals m Increasing 3rd party reimbursements -- private health insurance m Connected to employers m First and last goal to be benchmark are closely related, one issue m Connect SI could focus on health care hubs m There are four regions, maybe focus on developing hubs within each to draw specialists to the region m These hubs could then bring patients into the region from other centers m The development of related new business would allow employers to expand coverage

40 ©2006 ViTAL Economy, Inc. 40 m Create an employer health insurance pool, to particularly assist smaller businesses m Market healthcare services available in area to employers m People do not realize the quality of care available locally and feel they have to go outside region m Through Connect SI, map health services available and then communicate them m Identify specific care, specialists, etc. What Are Meaningful/Measurable Goals for the Healthcare COI Profitability

41 ©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

42 ©2006 ViTAL Economy, Inc. 42 Electronic health records m Major cost issue -- very expensive to implement m Human resources is a key issue to implementation; employees already buy; implementation is grueling m Physicians expect electronic records m Need health care leadership (boards, physicians, CEOs) to get word out about these needs and explain m Connectivity between different healthcare providers is key m Exchange of information creates community health record What Are Meaningful/Measurable Goals for the Healthcare COI Profitability

43 ©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 m Need to access economic models for health organizations Dont say subsidize. One invests in communities and health. What Are Meaningful/Measurable Goals for the Healthcare COI Profitability

44 ©2006 ViTAL Economy, Inc. 44 Health outcomes m Identifies illnesses and health issues that require better outcomes: cancers, cardio-vascular disease, flu and pneumonia, chronic respiratory, strokes, accidents, alzheimers m Comment: add mental illness -- depression, severe mental illness m Consider other measures to focus on Goal: decreasing prevalence of targeted illnesses Need to increase collection and sharing of information m Understanding Increase networking m Increase training around prevention m Improving care received What Are Meaningful/Measurable Goals for the Healthcare COI Health Outcomes

45 ©2006 ViTAL Economy, Inc. 45 Network of care m Patient and care registry m Care models, sharing information and records m Leads to best practices for care m Ensure that best practices are acted on m Best care from team m Increase telemedicine What Are Meaningful/Measurable Goals for the Healthcare COI Health Outcomes

46 ©2006 ViTAL Economy, Inc. 46 Increasing access m Increase access to resources in following fields: oral, primary, ob/gyn, behavioral, specialists m Map resources available, populations of need, specialists, etc m This would make using resources easier m Would identify tools in community m Set goals for mental illness What Are Meaningful/Measurable Goals for the Healthcare COI Health Outcomes

47 ©2006 ViTAL Economy, Inc. 47 Critical skill shortages m Identify occupation demand m Doctors, specialists, family practice… m mid level practitioners required including nurses, instructors, RNs, LPNs, specialties m Techs required, including specialties such as nuclear medicine m Behavioral health practitioners sought, want at least a masters degree m CNAs and CMAs m Data on occupational demand hard to find, reliability unclear m Break out group recommended conducting a skills needs survey m Market this link to IHA and other employers of medical professions m Survey Who institutions/practices have now and who they will need m All major hospitals have strategic plans -- one source of information m 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

48 ©2006 ViTAL Economy, Inc. 48 Frank -- need to access service providers for information m How can we do that? m two places -- hospital community through Illinois Hospital Association and Illinois Critical Access Hospital Network m Federally Qualified Health Centers m SIU workforce education program m Survey w/ high completion percentage m Survey educational providers to understand capacity m Identify potential issues m Need support with survey Frank -- CSI will pull together survey m Mantracon has online survey tool What Are Meaningful/Measurable Goals for the Healthcare COI Critical Skill Shortages

49 ©2006 ViTAL Economy, Inc. 49 Connectivity Issues m Financial feasibility m Availability m Broadband Applications m Goal is health information exchange m Move to full electronic medical records m Convergence m Mobile connectivity m Regional Registry -- list of specialties available What Are Meaningful/Measurable Goals for the Healthcare COI Connectivity

50 ©2006 ViTAL Economy, Inc. 50 Connectivity Affordability m Current situation: Different size of operators, solo to large m Home $70-90 / month for up to 786 kbps m Solo practice $70-90 / month for up to 786 kbps m Group practice $20-750 / month for T-1 m Small hospitals, $750-1,000/mo for T-1 m Medium hospitals $1,200-1,500/mo for 3 T-1s m Large hospitals, $1,500/ mo 10 mbps m Goals: increase service and reduce costs for each level m Frank -- will survey what users say they have access to and existing demand m Need to create affordability path m Frank - has emergency communication issues come up m Probably issues What Are Meaningful/Measurable Goals for the Healthcare COI Connectivity

51 ©2006 ViTAL Economy, Inc. 51 Development of comprehensive emergency responses system using HS(?) funds m Healthcare providers tied into emergency system m Hospitals have some connections m 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

52 ©2006 ViTAL Economy, Inc. 52 Measurable Goal Areas Defined By Healthcare COI Leadership Team September 21, 2006

53 ©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

54 ©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 continuing education 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 Providers Address 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

55 ©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

56 ©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

57 ©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

58 ©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

59 ©2006 ViTAL Economy, Inc. 59 What Are Meaningful/Measurable Goals for the Healthcare COI Improve Connectivity Among Providers Address 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

60 ©2006 ViTAL Economy, Inc. 60 Issues of Challenge & Opportunity Plus Suggested Goal Areas Defined By Healthcare COI July 12, 2006

61 ©2006 ViTAL Economy, Inc. 61 Healthcare Issues of Opportunity From 7/12/06 Milestone #1 Mtg Improved health status for children; mental health, medical m 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 m 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 ERs drug seekers moving throughout the region, network the locations together

62 ©2006 ViTAL Economy, Inc. 62 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 3 rd 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

63 ©2006 ViTAL Economy, Inc. 63 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 3 rd 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


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