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

©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.

[email protected]


— 2 —

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


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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


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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


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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


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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%


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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


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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


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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.


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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



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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.



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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


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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.



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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.



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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.



— 26 —

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


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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)

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

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