Post on 27-Mar-2015
©2006 ViTAL Economy, Inc.
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Southern Illinois Broadband Initiative
Healthcare COI Milestone Meeting #2b
March 21, 2007Choate Mental Health Center
CONNECT SI
Frank Knott, President
ViTAL Economy, Inc.
Fknottmd@earthlink.net
©2006 ViTAL Economy, Inc.
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Agenda – Healthcare COI Meeting #2b
8:30 AM - Welcome, Introductions, Meeting Objectives, COI Leaders Update
8:45 AM - Context of Goal Setting Relative to COI and CSI Strategies
9:05 AM – Healthcare Outcomes Goal Setting Report and Discussion
9:25 AM - Healthcare Profitability Goal Setting Report and Discussion
9:50 AM – Break
10:00 AM - Healthcare Critical Skill Shortages Goal Setting, Report and Discussion
10:20 AM - Healthcare Connectivity Goal Setting Report and Discussion
10:40 AM - Healthcare Economic Impact Model Review and Discussion
11:00 AM - COI Work Plan, Short-Term Win Action Plan, Next Steps
11:30 AM - Adjourn
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Objectives of Healthcare COI #2b Meeting
Measurable Goal Setting Progress Reports of four priority outcome areas
Information Sharing-Turning data into valuable information to set goals
Discovery-What has goal setting team learned that was unexpected
Short Term Wins-What opportunities for new collaboration have resulted
Connect the Dots-What are linkages of your work to other goal setting teams
Goal Setting Timeframe-Next steps and action agenda for work of team
Review final draft of economic models impact on COI strategies & plans
Agree on next steps to focus healthcare asset mapping for Milestone #3
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Establish Context of COI Goal Setting
In Relationship to Connect SI Strategy
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Connect SI 20-County Phase 1 June 06-November 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.
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Southern Illinois Wages
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
10,000
2004 2012 Same Trend 2012 COI Goals
Greater Wabash Southern Five Southeastern Greater Egypt
To
tal W
age
s (
$B
illio
ns
)
$5,725m
$7,481m
$9,482m
$2b
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CSI Impact on Southern Illinois
Positive Feedback Loop(Economic Growth Multipliers)
>$200 Million
Increased
Annual ICT
Market
Opportunity** >$2 BillionNew Annual
Wages
41,461 Existing Jobs
>$5,000/Yr
27,298 NewHi-Wage Jobs
$642 MillionNew KBE Activity
1,600+ Firms
2012 Results
Current
Broadband
Customer
BaseShort-TermWin Targets
HealthcareProviders COI
Strategies
InvestmentAttractionStrategies
IndustryCluster
Strategies
4 CED COIStrategies
Actions
** Increased Information Communication Technology (ICT) ** Increased Information Communication Technology (ICT) Opportunity Based on MIT, OECD Multipliers of GDPOpportunity Based on MIT, OECD Multipliers of GDP
©2006 ViTAL Economy, Inc.
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Healthcare COI Phase 1 Planning Cycle
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 - Establish Goal Setting Teams and Set Team Work Plans Dec 2006-Feb 2007 Review Health Economic Model, Gap Analysis
• Action Team Meetings Jan 2006-Mar 2007 • Milestone #2b COI Meeting Mar 2007
3 - Begin 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.
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Current Healthcare COI Vision Statement
Supporting the collaboration and interconnection among healthcare providers and patients to improve:
Healthcare access
Health outcomes
Provider profitability
Through a qualified healthcare workforce in Southern
Illinois
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COI Goal Setting Challenges & Solutions
Challenges
• Setting goals to achieve results, over which we may not have control
• Owning goals we cannot control, but we have to invest real resources
• KBE transformation of SI economy requires transforming COI goals
Solutions
• Effective CED COI strategies require measurable Health COI goals
• All strategies that enable goals are not only owned by Health COI
• Regional COI strategies can impact Health COI Goals
• Goals are owned by the region not just a specific institution
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Our Goal… Our Compelling Objective
The What = Compelling, Measurable Objective
The Hill We are Going To Take… Our Goal
Improved Profitability & Critical Skill Shortages - Top Down
Improved Healthcare Access & Outcomes- Bottom Up
10,000 persons out of poverty - 4,500+ families with health insurance
and tangible reductions in chronic diseases - Lift All Boats
SI becomes rural healthcare model for U.S. - Climate of Opportunity
Increase revenues, profitability, jobs across Connect SI Economy
©2006 ViTAL Economy, Inc.
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Our Goal… Our Compelling Objective
The When = Measurable Time Frame The Defined Time We Need to Achieve Our Goal Our Target is 2012 — Connect SI Goals Are Achieved
The Where = Measurable Strategies The Paths/Routes We Choose to Achieve our Goal
The How = Measurable Action Plans Each step we take along the the path to implement our strategies,
achieve our goal…our compelling objective The Why = Sense of Urgency
What We Will Overcome No longer #1 in 15 of 18 indicators of poverty
= CSI Phase 1 ˙= The Next 18 Months
˙
˙
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Goal Setting Action Team Reports
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Critical Skill Shortages Goal Setting Team
Areas of Critical Skill Shortages
2004 Employee Levels
8-Year Change Based on COI
2012 Goal % Change
Registered Nurses 3249 1776 5025 35%
Nursing Aides, Orderlies … 2210 672 2882 23%
Licensed Practical Nurses 794 272 1066 26%
Medical Assistants 336 240 576 42%
Pharmacists 274 192 466 41%
Med & Clinical Lab Technologists
278 160 438 37%
All Target Occupations 9708 4492 14200 32%
©2006 ViTAL Economy, Inc.
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Outcomes Goals
Source: IPLAN
SI IL Difference 10-Yr Goal
Coronary Heart DiseaseMortality incidence per 100,000
215 161 34%
Malignant Neoplasm% of deaths
22% 24% -2%
Mental Health
Alcohol/Drug
Outcome Targets
©2006 ViTAL Economy, Inc.
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Profitability Measures
CARDIOLOGY* Connect SI Missouri Indiana Kentucky St. Johns Memorial All
Admissions 8,268 1,504 880 777 166 46 11,641
% Admissions 71.0% 12.9% 7.6% 6.7% 1.4% 0.4% 100.0%
Days 27,131 6,760 4,079 3,316 757 183 42,226
% Days 64.3% 16.0% 9.7% 7.9% 1.8% 0.4% 100.0%
ONCOLOGY** Connect SI Missouri Indiana Kentucky St. Johns Memorial All
Admissions 645 348 74 101 8 4 1,180
% Admissions 54.7% 29.5% 6.3% 8.6% 0.7% 0.3% 100.0%
Days 2,967 1,987 394 784 62 12 6,206
% Days 47.8% 32.0% 6.3% 12.6% 1.0% 0.2% 100.0%
ORTHOPEDICS^ Connect SI Missouri Indiana Kentucky St. Johns Memorial All
Admissions 2,979 1,083 426 344 42 25 4,899
% Admissions 60.8% 22.1% 8.7% 7.0% 0.9% 0.5% 100.0%
Days 13,038 4,293 2,026 1,545 143 68 21,113
% Days 61.8% 20.3% 9.6% 7.3% 0.7% 0.3% 100.0%
Source: COMPdata, SIH, SMGS Inc using specialized database form Herveywerks
Three Measures of Patient Migration: Cardiology, Oncology, and OrthopedicsBased on 2005 DRGs
Note: This is a minimum as Tennessee and other states are not included
©2006 ViTAL Economy, Inc.
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Connectivity Goal Setting Team
Discovery: many aspects to healthcare could be affected by connectivity.
Need to focus investment for the most impact.
Short -Term Wins: First regional collaboration -- aligned efforts to
evaluate the new FCC trial healthcare opportunity
Connect the Dots: The medical outcomes, profit and skills teams will
likely drive applications that must be supported by the connectivity team
Timeframes: meeting on march 30th to consider 20 applications and
evaluate priorities.
©2006 ViTAL Economy, Inc.
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Healthcare Economic Model
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Critical Skills Carry: Limited data available for Connect SI region. Need info
on specific occupations. Working with IDES to improve information.
With occupations demand, need to consider families who will care for the elderly. They require ancillary and managerial support.
Short term wins: Developing a critical skills shortage grant proposal for nursing and feeder system, but awaiting information from the State. The State has promised money. Will focus on community based nursing. Leveraged over $270,000 in two weeks but did not win grant.
Next Steps and Action Plans
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Critical Skills:
Track New Services requirements and developments
Decrease out-migration of skilled workers
Need more information on
Physician assistants
Doctor specializations
Nurses
Behavior specialists
Allied Health instructions
Pediatric dentists and dental assistants
Dentists who accept Medicaid
Next Steps and Action Plans
©2006 ViTAL Economy, Inc.
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Outcomes Frank: Health COI could work with large employers, colleges and public
employers. Identify early adopters. Phil Summers, publisher of Daily Register in Mt. Carmel is a potential ally.
Kathy said that Greater Egypt is discussing holding a forum of elected officials to examine issues.
Bob: health administrators extremely creative to provide services with what they have. Need to move to preventive medicine to avoid sickest people with least funding.
Frank: Community groups are realizing they can do something to control their “health” destiny.
Doug: public health and hospitals can work together to encourage preventative medicine. Admissions might reduce, but profitability should increase in this case.
Bob: By increasing preventative medicine, make increase capacity for other procedures in area hospitals.
Next Steps and Action Plans
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Next Steps and Action Plans
Health Outcomes: Focus on a Healthy SI Strategy, based on the US Healthy
People 2010 Initiative
Encourage with Critical Mass of participation, providing more leverage
Reduce sickness by encouraging health
Examine American Heart Association Start Program as a model
For measurements, return to existing data sources: link as a composite for
review of progress
Overlay common strategies from health departments on top of each
region/county
©2006 ViTAL Economy, Inc.
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Outcomes continued Jacki: Tom Robbins at SIU wants cancer centre satellites in IL. Woody: “We have a healthy living problem, not a cancer
problem.” Jacki: SIU stopped offering psychiatric nursing program
because few applicants. Would like to reestablish. Connie to pull together team to look at psychiatric nurse
practitioners. She said psychiatrists are hesitant to work with nurses because of liability concerns.
Frank: Finance cluster will look at creative responses to liability issues.
Next Steps and Action Plans
©2006 ViTAL Economy, Inc.
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Profitability Bob: Analysis of DRGs shows we are losing procedures outside
the region and state. If we brought these patients back, we may have a capacity issue.
Eldorado out-migration goes in Indianna. Region wants to bring specialists to Eldorado. Need information on what public health groups do and how they might help. Need to recognize hospitals have different sizes and objectives.
Bob: Goal of profitability group is “let’s keep patients here and compete amongst ourselves.”
Woody: Need goals within a month. Need to look at profitability of FQHCs and private centres.
Next Steps and Action Plans
©2006 ViTAL Economy, Inc.
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Frank: We need initial goals now. When we move to the strategy, we can come back and modify the goals as needed.
Connectivity Meeting is being set up to coordinate IT people and
healthcare leaders. Need to review IT issues. Plan to use a six sigma process.
Next Steps and Action Plans
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Work Plan Review
and
Action Team Task Assignments
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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.
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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)