©2006 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting...

©2006 ViTAL Economy, Inc.

— 1 —

Southern Illinois Broadband Initiative

Healthcare COI Milestone Meeting #2

December 6, 2006SIH Corporate Offices

CONNECT SI

Frank Knott, President

ViTAL Economy, Inc.

[email protected]


— 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 —

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 —

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 & 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


— 5 —

Positive Feedback Loop(Economic Growth Multipliers)

Market Growth Drivers — “Demand-Pull” Model

*Results are only for Interim GE, SE and S5 COI Goals*Results are only for Interim GE, SE and S5 COI Goals** Increased ICT Opportunity Based on MIT, OECD Multipliers of GDP** 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 NewHi-Wage Jobs

$989 MillionNew KBE Activity

1,600+ Firms

2012 Results*

Short-TermWin Targets

HealthcareProviders COI

Strategies

InvestmentAttractionStrategies

IndustryCluster

Strategies

4 CED COIStrategies

Actions

Preliminary Goals:


— 6 —

Healthcare COI Implementation

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 - 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 —

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 —

Value Linkage

ISSUES

FunctionalValue

FunctionalValue

TechnologyAlternativesTechnologyAlternatives

Content Exchanged

Content Exchanged

Users Connected

Users Connected

ApplicationDescriptionApplicationDescription

QuantitativeValue

QuantitativeValue

ViTAL Economy — Application Architecture

RankingRanking


— 9 —

ISSUES


Content Exchanged

Content Exchanged

Users Connected

Users Connected


User/Application

Matrix

User/Application

Matrix

GeographyDemography

Topology

GeographyDemography

Topology

End-UserBusiness

Case

End-UserBusiness

Case

Value Linkage

Priorities

Value Linkage

Priorities

CommunityBarrier

Analysis

CommunityBarrier

Analysis

IntegratedApplicationPriorities


Value Linkage

RankingRanking

FunctionalValue

FunctionalValue

QuantitativeValue

QuantitativeValue



— 10 —

Value Linkage

ISSUES

RankingRanking

FunctionalValue

FunctionalValue


ContentExchanged

ContentExchanged

Users Connected

Users Connected


QuantitativeValue

QuantitativeValue

User/Application

Matrix

User/Application

Matrix

GeographyDemography

Topology

GeographyDemography

Topology

End-UserBusiness

Case

End-UserBusiness

Case

Value Linkage

Priorities

Value Linkage

Priorities

CommunityBarrier

Analysis

CommunityBarrier

Analysis



ApplicationTechnology

Matrix


Matrix

ApplicationDesign

Requirements

ApplicationDesign

Requirements

NetworkServices

Architecture

NetworkServices

Architecture

NetworkGap

Analysis

NetworkGap

Analysis

User/ Technology

Matrix

User/ Technology

Matrix

MapMap



— 11 —

Value Linkage

ISSUES

RankingRanking

FunctionalValue

FunctionalValue


ContentExchanged

ContentExchanged

Users Connected

Users Connected


QuantitativeValue

QuantitativeValue

User/Application

Matrix

User/Application

Matrix

GeographyDemography

Topology

GeographyDemography

Topology

End-UserBusiness

Case

End-UserBusiness

Case

Value Linkage

Priorities

Value Linkage

Priorities

CommunityBarrier

Analysis

CommunityBarrier

Analysis




Matrix


Matrix

ApplicationDesign

Requirements

ApplicationDesign

Requirements

NetworkServices

Architecture

NetworkServices

Architecture

NetworkGap

Analysis

NetworkGap

Analysis

User/ Technology

Matrix

User/ Technology

Matrix

MapMap

CommunityBusiness

Case

CommunityBusiness

Case

Offer andCommitment

Offer andCommitment

ServiceProviderBusiness

Case

ServiceProviderBusiness

Case

NETWORK

IMPLEMENTATION

NETWORK

IMPLEMENTATION



— 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 —

Network of care Patient and care registry

Care models, sharing information and records Leads to best practices for care Ensure that best practices are acted on Best care from team Increase telemedicine

What Are Meaningful/Measurable Goals for the Healthcare COI

Health Outcomes


— 14 —

GIS Team Asset Mapping Review


— 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 —

Healthcare Data Sources

Due to incomplete health data, we compiled additional information from 15 sources. Some of these include:

Illinois Department of Public Health (Licensed Illinois Hospitals) American Hospital Directory Southern Illinois Healthcare Illinois Primary Health Care Association Illinois Department of Human Service http://www.hospital-data.com (compiled from multiple government and

commercial sources) http://www.Qualitycheck.org (The Joint Commission on Accreditation of

Health Organizations) Department of Neurology at Massachusetts General Hospital (HospitalWeb) Therapist Unlimited Egyptian Area Agency on Aging Community Health & Emergency Service Inc. (http://www.chesi.org) Others


— 17 —

Healthcare Data Source Content @ 11/28/06

Healthcare assets have been compiled by the GIS team for the 20-county region

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


— 18 —

Healthcare Facilities linked with DSL & Mediacom

Courtesy of U.S. Bureau of the Census (TIGER/Line Data, 2000), NAVTEQ (2005), Mediacom (2006)


— 19 —

Establish Benchmarks and Set Goals


— 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 —

• 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 —

Breakout Group Reports


— 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. Mary’s.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 —


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 —


Increase % of Patient with Private Payer Insurance Present Condition

2012 Goal

Regional Medical Center-Data Source is Comp Data 20% 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 O’Neill 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 —


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 —

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 —

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 —

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



— 30 —


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 —

Reduce Critical Skills Shortages -1

Areas of Critical Skills Shortages 2004 Present Condition 2012 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 Technologist 248

Allied Healthcare Instructors


— 32 —

Areas of Critical Skills Shortages 2004 Present Condition 2012 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.org

Reduce Critical Skills Shortages -2


— 33 —

Work Plan Review

and

Action Team Task Assignments


— 34 —

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


— 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 —

Southern Illinois Broadband Initiative

Healthcare COI Milestone Meeting #2BACKUP SLIDES

December 6, 2006SIH Corporate Offices

CONNECT SI

Frank Knott, President

ViTAL Economy, Inc.

[email protected]


— 37 —

Develop a regional healthcare economic model which will allow users to prepare and print standard economic reports outlining key measures such as healthcare’s 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 —

Measurable Goals Areas Defined

October 24, 2006


— 39 —


Profitability

Increase Provider Profitability To set percentages, had to look at background issues Set operability goals

Increasing 3rd party reimbursements -- private health insurance Connected to employers First and last goal to be benchmark are closely related, one issue

Connect SI could focus on health care hubs There are four regions, maybe focus on developing hubs within each to draw

specialists to the region These hubs could then bring patients into the region from other centers The development of related new business would allow employers to expand

coverage


— 40 —

Create an employer health insurance pool, to particularly assist smaller businesses

Market healthcare services available in area to employers People do not realize the quality of care available locally and feel

they have to go outside region

Through Connect SI, map health services available and then communicate them

Identify specific care, specialists, etc.


Profitability


— 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


Profitability


— 42 —

Electronic health records Major cost issue -- very expensive to implement Human resources is a key issue to implementation; employees already

buy; implementation is grueling Physicians expect electronic records Need health care leadership (boards, physicians, CEOs) to get word out

about these needs and explain Connectivity between different healthcare providers is key

Exchange of information creates community health record


Profitability


— 43 —

Frank - create a list serve of team members If we get access to local team economic models, can

create model for region Need to access economic models for health organizations

Don’t say subsidize. One invests in communities and health.


Profitability


— 44 —

Health outcomes Identifies illnesses and health issues that require better outcomes:

cancers, cardio-vascular disease, flu and pneumonia, chronic respiratory, strokes, accidents, alzheimers

Comment: add mental illness -- depression, severe mental illness Consider other measures to focus on

Goal: decreasing prevalence of targeted illnesses Need to increase collection and sharing of information

Understanding Increase networking

Increase training around prevention Improving care received


Health Outcomes


— 45 —

Network of care Patient and care registry

Care models, sharing information and records Leads to best practices for care Ensure that best practices are acted on Best care from team Increase telemedicine


Health Outcomes


— 46 —

Increasing access Increase access to resources in following fields: oral,

primary, ob/gyn, behavioral, specialists Map resources available, populations of need, specialists, etc

This would make using resources easier Would identify tools in community

Set goals for mental illness


Health Outcomes


— 47 —

Critical skill shortages Identify occupation demand

Doctors, specialists, family practice… mid level practitioners required including nurses, instructors, RNs, LPNs, specialties Techs required, including specialties such as nuclear medicine Behavioral health practitioners sought, want at least a masters degree CNAs and CMAs

Data on occupational demand hard to find, reliability unclear Break out group recommended conducting a skills needs survey

Market this link to IHA and other employers of medical professions Survey Who institutions/practices have now and who they will need

All major hospitals have strategic plans -- one source of information Junior colleges have been active in training and have studied demand to develop

programs


Critical Skill Shortages


— 48 —

Frank -- need to access service providers for information How can we do that? two places -- hospital community through Illinois Hospital Association and Illinois Critical

Access Hospital Network Federally Qualified Health Centers SIU workforce education program

Survey w/ high completion percentage

Survey educational providers to understand capacity Identify potential issues

Need support with survey

Frank -- CSI will pull together survey Mantracon has online survey tool


Critical Skill Shortages


— 49 —

Connectivity Issues Financial feasibility Availability Broadband

Applications Goal is health information exchange Move to full electronic medical records Convergence Mobile connectivity Regional Registry -- list of specialties available


Connectivity


— 50 —

Connectivity Affordability Current situation: Different size of operators, solo to large

Home $70-90 / month for up to 786 kbps Solo practice $70-90 / month for up to 786 kbps Group practice $20-750 / month for T-1 Small hospitals, $750-1,000/mo for T-1 Medium hospitals $1,200-1,500/mo for 3 T-1s Large hospitals, $1,500/ mo 10 mbps

Goals: increase service and reduce costs for each level Frank -- will survey what users say they have access to and existing demand

Need to create affordability path Frank - has emergency communication issues come up

Probably issues


Connectivity


— 51 —

Development of comprehensive emergency responses system using HS(?) funds Healthcare providers tied into emergency system Hospitals have some connections 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


Connectivity


— 52 —

Measurable Goal Areas Defined

By

Healthcare COI Leadership Team

September 21, 2006


— 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 —

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 continuingeducation 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 ProvidersAddress 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 —

• 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 —

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


Increase access to primary, Oral, Ob-Gyn and Behavioral Healthcare Services



— 57 —


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



— 58 —


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



— 59 —


Improve Connectivity Among ProvidersAddress 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 —

Issues of Challenge & Opportunity

Plus

Suggested Goal Areas

Defined By Healthcare COI

July 12, 2006


— 61 —

Healthcare Issues of Opportunity From 7/12/06 Milestone #1 Mtg

Improved health status for children; mental health, medical 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

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 ER’s drug seekers moving throughout the region, network the locations together


— 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 3rd 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 —

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 3rd 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

©2006 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting...

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