Healthcare, Put People First Presented by of Freedom.com Non-profit-NGO Debunking the Myths Debunking the Myths Basic Facts and Statistics Basic Facts and Statistics Health Centers Making a Difference Health Centers Making a Difference Restoring Sources of Revenue Restoring Sources of Revenue New Revenue Sources New Revenue Sources Responsibility and Accountability Responsibility and Accountability Vision & Goals Vision & Goals

MythTruth Widespread Abuse 246 cases audited by the Clerk of the Court found that the clients had been screened according to Health and Social Services’ procedures Only 2 exceptions were found & they were clerical errors resulting in an overpayment of $176

Myth Truth Out sourcing and sending patients to other healthcare facilities is not necessary Hillsborough County does not have all the technology and treatment options to meet the needs of certain health issues; these range from expanded burn units to neurological repair hospitals

MythTruth Guidelines are lax Clerk of the Circuit Court Audit found that the program has many guidelines that limit how often individuals can be assisted and how much assistance can be provided for food, shelter and incidentals

MythTruth Utilities payments were out of control in the winter of TECO implemented a a temporary 40% increase in utilities during that same period

MythTruth Legal Immigrants are not eligible Legal Immigrants place a greater burden to the Healthcare System Legal residents with permanent residency are eligible in part because they pay taxes Out of 17,660 Plan Members only 414 are legal residents with permanent residency at a total cost of 1.1% of the budget

MythTruth A person’s health does not suffer as the result of being medically underserved Uninsured people are 1.5 times more likely than privately insured people to be hospitalized for a condition that could have been managed with good primary care

Facts and Statistics Florida ranks #43 of the Worst States in Providing Healthcare Florida is projected To grow 29% by This is in addition to the 56% growth occurred between Florida’s population over 65 is projected to grow 66% by 2020 Increases in population will increase the demand for healthcare services Tooth Decay continues to be the single most chronic disease in the Nation

Migrant Farm Workers It takes 519 hours & 43 eight hour days to pick strawberries An unhealthy migrant workforce would undermine the Strawberry Festival and Exports

Corporate Irresponsibility CEO’s income grew by 571% while the nation’s public healthcare system experienced revenue shortages Corporations often bypass the healthcare needs of some workers by hiring part-time employees

Most employers do not offer a living wage e.g. $7.00/hr x 40 hours= $ 280 Taxes 21% = $ 221 Taxes 21% = $ 221 Health Insurance $10/week= $ 211 Child Care $50/week= $ 161 Transportation $10/week= $ 151 Yearly Net Salary = $7852

Health Centers Making a Difference Women receive more up-to-date mammograms reducing the incidence of mastectomies and death Hypertension is more likely to be kept under control which saves lives Patients have lower odds of being hospitalized Clinic patients are less likely to use the emergency room as a primary care center

Restoring Revenue Sources Remove non-plan expenditures 1. Medicaid Match 2. Inmate Healthcare Program 3. Special Payment to Tampa General Hospital 4. Jail Offender Program 5. Repeal $660,000 New Corporation Relocation Tax Refund

New Revenue Sources Issue a Bond to meet current shortfall with a debt free timetable of 2005 Issue a Bond to meet current shortfall with a debt free timetable of 2005 When grants are awarded do not reduce that amount from the operating budget When grants are awarded do not reduce that amount from the operating budget Rural Health Outreach Grant (counties surrounding Hillsborough have received these grants) Rural Health Outreach Grant (counties surrounding Hillsborough have received these grants) Partnership with Corporations to help develop and maintain the healthcare infrastructure Partnership with Corporations to help develop and maintain the healthcare infrastructure Develop a new revenue structure by 2004 Develop a new revenue structure by 2004 Eliminate the Third Party Payer by 2005 Eliminate the Third Party Payer by 2005

Responsibility & Accountability Require the HCAB to establish yearly goals Require HCAB to visit clinics and hold quarterly hearings at the sites Enroll in the HRSA Flex Program Require staff to survey patients and healthcare providers on a yearly basis Open seats on the HCAB should not be allowed beyond 60 days Require HCAB & Staff to work with NGO’s during yearly budget & management workshops

Responsibility & Accountability Who approved using the trust fund to pay for non-healthcare programs? Who approved using the trust fund to pay for non-healthcare programs? Why wasn’t the healthcare trust fund surplus spent to build and expand patient services, and facilities? Why wasn’t the healthcare trust fund surplus spent to build and expand patient services, and facilities? Who’s Responsible? HILLSBOROUGH COUNTY COMMISSIONERS HILLSBOROUGH COUNTY COMMISSIONERS

Responsibility & Accountability Who will restore the reputation of this acclaimed model healthcare program? Who will restore the reputation of this acclaimed model healthcare program? Who will restore funding to meet the healthcare needs? Who will restore funding to meet the healthcare needs? ?

Vision & Goals Begin Compliance with HRSA’s goal of 100% Access & “0” Disparities – Tommy Thompson Customer-Focused Delivery System The costs of care provided are within achievable ranges & distributed equitably and responsibly Health Care occurs within a cultural framework appropriate to the patient Do not reduce services at the expense of the community’s uninsured and healthcare professionals Sources: HRSA; Sec. Tommy Thompson Press Releases; Hillsborough Dept of Health & Social Services; Bureau of Primary Health Care; Census Bureau; Hillsborough Clerk of the Court