1. 2014 CT State Health Care Facilities and Services Plan KICK OFF MEETING Thursday, December 12, 2013 9:30am – 11:30am

2. Today’s Agenda 2 9:30Welcome and Introductions Opening Remarks CT DPH 9:45Data Gathering and Planning Process HRiA 10:15Study Methodology and Plan Outline HRiA 10:45Work Group on Standards and Regulations CT DPH 11:15Next Steps and Adjourn CT DPH December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

3. CT DPH 2014 Facilities and Services Supplemental Plan  Builds off of the 2012 Plan, to include:  An inventory of the availability and accessibility of services and facilities  An assessment of the unmet health care related needs of persons at-risk and vulnerable populations;  Projections of future demand, capacity and need for acute care hospital inpatient services and the impact of technology on these services  Recommendations for the expansion, modification, or reduction of certain health care facilities or services  Aligns with CT State Health Improvement Plan and other planning process 3 December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

4. Project Timeline 4 Dec 2013Kick Off Meeting Jan – May 2014Data Collection and Analysis: Facility and Provider Survey Identify Vulnerable Populations Projections of Future Demand and Unmet Need June – Sept 2014Recommendations/Planning Process 4 in-person meetings of Advisory and Work Groups (one per month – June, July, August, Sept) to review data, identify and flesh out recommendations Oct 2014Final 2014 CT State Health Care Facilities and Services Plan Completed December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

5. Roles and Responsibilities  CT DPH to lead effort, conduct analyses on future projects, and provide interns for survey administration  HRiA to manage survey administration, guide interns, write report, and facilitate planning process  Advisory and Work groups to provide feedback on methodology, suggestions/contacts for survey administration, and participate/provide input in planning process during summer 2014  Four (4), 2-hr in-person meetings, one each in June, July, August, September and review draft report December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

6. Review Draft Plan Outline  Current outline is a preliminary draft  Goal is for 2014 report to serve as a supplement to the more comprehensive 2012 report  For overarching issues: What has changed since 2012?  Focus on vulnerable populations and projected demand and unmet need  Can align with CT State Health Improvement Plan December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

7. Data Gathering: Survey Methods  Develop an inventory of the availability and accessibility of outpatient surgical services, imaging services, and facility and practitioner level primary care and behavioral health services, including:  name and location of facility,  type of facility,  hours of operation,  description of services provided, and  total number of clients, treatments, patient visits, procedures, and/or scans performed in a calendar year.) December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

8. Data Gathering: Survey Methods  Conduct survey with a number of follow-ups and reminders  Primarily online  Follow-up by telephone, email, and mail when needed  Use secondary sources (e.g., licensure files, directories) for data already collected or fill in gaps December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

9. Key Questions for Consideration  Who do we conduct the survey with?  Acute care (ED, hospitals, cardiac services, and cancer treatment), outpatient surgery, imaging are all covered under CON requirement  Primary care providers and behavioral health services are not required under plan, but come out of 2012 recommendations Recently there have been 3 provider surveys for different projects that yielded low response rates Behavioral health service directories exist, but no singular one has all practitioners  With current project funding constraints and potentially low response rates, does it make sense to conduct survey with PCPs and behavioral health services given these challenges? December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

10. Key Questions for Consideration  What are your suggestions to maximize the response rate for the facility survey?  What would encourage facilities to participate?  What dissemination methods would work best?  Can you provide suggestions of organizational leaders to engage during this process to serve as champions of this effort? December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

11. Work Group on Standards and Regulations December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting

12. Next Steps and Adjourn December 2013 | CT State Health Care Facilities and Services Plan Kick Off Meeting