©2007 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting...

©2007 ViTAL Economy, Inc.

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Southern Illinois Broadband Initiative

Healthcare COI Milestone Meeting #4 & #5

July 18, 2007Heartland Regional Medical Center

CONNECT SI

Frank Knott, President

ViTAL Economy, Inc.

[email protected]

Joe Visker, SIUC Graduate Assistant

Connect SI- Health COI

[email protected]


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Agenda – Healthcare COI Meeting #4 & #5

1:00 PM - Welcome, Introductions, Meeting Objectives, COI Leaders Update

1:10 PM - Purpose of Milestone #4 and Milestone #5

1:20 PM - Overview of Connect SI COI Goals & Link to Health COI

1:45 AM - Heath COI Goal Team and Physician Progress Reports• Health Outcomes• Critical Skills• Profitability• Physician• Connectivity

2:30 PM - Broadband Action Agenda Addressing Milestone #4 Requirements

3:00 PM - Breakout of goal teams to address Milestone #5 strategy integration

3:45 PM - Next Steps, Final Phase 1 Meeting Date - Wks of Sep 17 or Oct 15

4:00 PM - Adjourn


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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 May 23, 2007

Goal and Action Team Meetings May-July 2007

4 - Prioritize & Define COI Connectivity Requirements May - Sept ‘07

Tele-Health Applications & Value Propositions

5- Develop & Quantify COI Economic & Jobs Strategy July-Sept ‘07 Connect COI Strategy to Connect SI Regional Strategy

Health COI Milestone #5 COI strategy will be integrated with other COI strategies by Oct 2007


— 4 —

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


— 5 —

Milestone #4

Prioritize opportunities to connect providers and users of Healthcare resources.

Maximize interaction of providers, patients and/or patient information and diagnostics without regard to geographic location, distance and time.

Demonstrate how broadband connection of health resources can enable the improvement of health outcomes and sharing of resources.

Establish broadband connectivity plan for the connection of all SI health resources

Purpose of Milestone #4 & #5

Milestone #5Quantify the impact of Health COI goals and strategies. Develop a clear linkage of them

to Connect SI COI Goals and Strategies in a measurable way.

Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy. This is intended to improve policy makers

understanding of the economic impact of Healthcare as an economic attraction resource for business as well as an economic growth engine rather than just a social service


— 6 —

Overview of Connect SI Regional COI Goals

&

Link To Health COI Goals


— 7 —

Strategic Relationship Between Milestones

Milestone #1Milestone #1Foundation

•Establish Leadership

•Issues of Challenge and Opportunity

•Define Sense of Urgency

•Determine specific goals

•What is worth the commitment of time and treasure?

•Uncover short term opportunities

Foundation•Establish Leadership

•Issues of Challenge and Opportunity

•Define Sense of Urgency

•Determine specific goals

•What is worth the commitment of time and treasure?

•Uncover short term opportunities

Milestone #2Milestone #2Discovery

•Identification of key industries

•Indigenous Resources

•Industry Value Chain Mapping

•Identification of industry trends

•Climate in innovation

•Pursue and achieve short term wins

Discovery•Identification of key industries

•Indigenous Resources

•Industry Value Chain Mapping

•Identification of industry trends

•Climate in innovation

•Pursue and achieve short term wins

Milestone #3Milestone #3Connect

•Analyze discovery and mapping

•Recognize discoveries

•Determine how to leverage key industries and assets for economic benefit

Connect•Analyze discovery and mapping

•Recognize discoveries

•Determine how to leverage key industries and assets for economic benefit


— 8 —

Southeastern COI Goals

Southeastern Region

(23 Feb 2007)

Baseline 2012 Same Trend

2012 Goal Change vs. Baseline

Change vs. 2012 Same

Population (2004) 49,465 47,833 56,000 +13.2% +17.1%

Employable Population (16-64) (2000)

31,115 30,373 36,400 +17.0% +19.8%

Labor Participation (16-64) (2000) 63.4% 63.4% 70.0% +10.4% +10.4%

Employed 2004 All Ages 21,903 19,256 25,500 +16.4% +32.4%

Average Wage 2004 $27,494 $35,604 $40,206 +$12,782 +$4,672

Total Region Wages 2004 $602.2m $685.6m $1,027m +$424.8m +$341.4m

Determination of specific measurable, wage and employment goals from change in regional wages vs. 2012 trend

NEW JOBS: 3,746 WAGE: $43,500 $163.0m

NEW JOBS AT AVERAGE WAGE: 2,498 WAGE: $40,276 $100.6m

IMPROVEMENT OF EXISTING JOBS: 4,381 WAGE: $5,000 $21.9m

CLIMATE OF ECONOMIC OPPORTUNITY: $56.0m


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Greater Egypt COI Goals

* Jobs are the result of action plans related to industry cluster and workforce development strategies.

Greater Egypt Region

(23 Feb 2007)




Population (2004) 253,049 258,869 274,432 +8.45% +6.0%


164,134 167,909 179,238 +9.2% +6.8%



Average Wage 2004 $27,830 $35,765 $40,765 +$12,935 +$5,000

Total Region Wages 2004 $3,748m $5,019m $6,432m +$2,684m +$1,413m


NEW JOBS:* 10,468 WAGE: $43,500 $455.4m

NEW JOBS AT AVERAGE WAGE:* 6,979 WAGE: $40,765 $284.5m

IMPROVEMENT OF EXISTING JOBS:* 26,937 WAGE: $5,000 $134.7m

CLIMATE OF ECONOMIC OPPORTUNITY: 1,300 KBE Firms $538.4m


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Southern Five COI Goals

Southern Five Region

(23 Feb 2007)

Baseline 2012 Same Tren

d

2012 Goal

Change vs. Baseline


Population (2004) 58,644 53,971 63,000 +7.4% +16.7%


35,887 33,014 40,950 +14.1% +24.0%



Average Wage 2004 $27,959 $35,980 $37,591 +$9,632 +$1,611



NEW JOBS: 784 WAGE: $43,500 $34.1m

NEW JOBS AT AVERAGE WAGE: 522 WAGE: $36,517 $19.6m




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Greater Wabash COI Goals

Greater Wabash Region

(23 Feb 2007)




Population (2004) 51,421 49,561 53,000 +3.1% +6.9%


31,980 30,777 32,913 +2.9% +6.9%



Average Wage 2004 $26,311 $33,671 $36,517 +$10,206 +$2,846



NEW JOBS: 1,381 WAGE: $43,500 $60.1m

NEW JOBS AT AVERAGE WAGE: 920 WAGE: $36,517 $33.6m




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>$2 BillionNew Annual

Wages

41,461 Existing Jobs

>$5,000/Yr

27,298 NewHi-Wage Jobs

$642 MillionNew KBE Activity

1,600+ Firms

+4500 Families with Healthcare

Coverage

Lift 10,000 Citizens Out Of Poverty

$200 Million Information Technology Investment

Current Milestone #4B Regional COI Activity

National Economic Trends

Global Market Trends

Connect SIIndigenous Resources

andAssets Breakthrough

Opportunities

Industry Cluster Priorities

DiversificationStrategy

Strategic Thinking& Priorities


— 13 —

Potential Impacts of New Health Positions:

30% of Regional COI High Value Job Goals (27,298)

Jobs Earnings GDP Output

Direct SI impacts 4,676 $214,688,145 $260,284,263 $469,835,750

Indirect and induced 2,408 $75,371,406 $156,289,685 $253,371,221

TOTAL 7,084 $282,265,193 $424,506,066 $688,193,978

Indirect Employment: Employment in down-stream industries that result from the presence of

a particular business, activity or industry. Indirect employment is generally generated in

industries that supply or provide services the direct business, activity or industry.

Induced Employment: Employment generated because of expenditures made by individuals

employed directly or indirectly by the particular business, activity or industry.

Source: Calculated using BEA RIMS II multipliers


— 14 —

Connect SI - Preliminary Industry Cluster Priorities

1. KBE

2. Tourism

3. Agriculture

4. Healthcare Technology Products & Services

5. Advanced Manufacturing

6. Energy

7. Mining Technology

8. Education & Training

9. Transportation, Logistics & Warehousing

10. Senior Living

11. Recreational Products & Technologies

12. Creative & Performing Arts and Services

13. International Incubation and Innovation

All New Jobs Created By

Industry ClustersWill Be Targeted

To IncludePrivate Payer

Health BenefitsFor WorkersAnd Families


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Potential Impacts of Connect SI Job Goals:Improved Healthcare Revenue Mix

Insured population 10%

Medicaid 26%

Medicare 18%

UninsuredUninsured 32% 32%>$2 BillionNew Annual

Wages


>$5,000/Yr



1,600+ Firms


Coverage



0

10

20

30

40

50

60

Es

tim

ate

d P

erc

en

tag

e

Note: 60% of the US population hademployment based insurance in 2004

Current State2004

Desired Future State2012

A Far BetterPayor Mix than

Today

A Far BetterPayor Mix than

Today

Insu

red

Med

icai

dM

edic

are

Uni

nsur

ed

Source: Estimates based on IPLAN, and Census Bureau data


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Connect SI 20-County Phase 1 June 06-December 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

>$2 BillionNew Annual

Wages


>$5,000/Yr



1,600+ Firms


Coverage




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Goal Setting Action Team Reports


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Health Outcomes Goal Setting Team

July Progress Report and Update


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Committee Members

Rob Beynon Doug Corbett Todd Carr Tess Ford Jessica Hall Stan Halle Beth Hartke Nancy Holt

Robin Koehl Frank Knott George O’Neill Whitney Mehaffy Ginger Meyer Miriam Link-Mullison Lisa Sorensen Woody Thorne


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Outcomes Goal Setting Team

Our group considered the following listed health outcome areas:

Cancer, Cardiovascular Disease, Strokes

Flu and Pneumonia, Chronic Respiratory

Substance Abuse, Depression, Severe Mental Illness,

Alzheimers, Accidents

Also considered were issues of access with regard to

Oral, OB/GYN, Behavioral and other Specialists

Increased training of providers around retention

Increased education of patients around retention


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Finding Measurement Indicators

Behavioral Risk Surveillance

IPLAN

Nine Health Departments: Egyptian, Franklin-Williamson, Hamilton, Monroe Randolph, Jackson, Perry, Southern Seven, Wabash, Wayne


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Final Healthy Outcome Goals

One overarching goal to potentially impact a number of other downstream

health outcomes:

Reduce cardiovascular disease mortality from 215 ->166 deaths per

100,000 by 2012 (Healthy People 2010).

Four strategies will guide achievement of this goal:

Increase physical activity levels (exercise) of population

Improve eating habits

Decrease tobacco use

Increase diabetes management


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Committee Activities

Letter of Intent to apply for RWJ grant “The Use of Social Marketing to Prevent Heart Disease in Hard to Reach Populations in Southern Illinois”

Matrix of all health departments goals under each category: exercise, eating, tobacco, diabetes management

Beginning Value Added Linkage development chart

Next meeting: July 26th 1:00 pm, CRHSSD


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Reduce CVD disease mortality in SI 20 Counties to a rate of 166 deaths per 100,000 by 2012


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— 27 —

Critical Skills Shortage Goal Setting Team



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Top Five Priority Critical Skills Shortage Areas

OccupationsResponse

PercentResponse

Count

Nursing (Includes all areas of nursing including LPN'S, RN's, MSN's, NP's, CNA's, Psychiatric nurses, nursing instructors, etc).

85.19% 46

Nursing Instructors and Faculty 33.33% 18Family and General Practitioners 33.33% 18Child Psychiatrists 31.48% 17Radiology Technologists/Technicians 25.93% 14Psychiatrists 25.93% 14Pharmacists 20.37% 11Physical Therapists 20.37% 11General Dentists 20.37% 11Physician Assistants 18.52% 10

Responses for the Critical Skill Shortages Priority Survey


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Critical Skills Group Next Steps

The Critical Skill Shortages group will establish occupational workgroups for each of the top five occupations from the survey. (Nursing, Family and General Practitioners, Child Psychiatrists, Radiological Technologists/Technicians, Psychiatrists)

These five workgroups will identify challenges/issues facing each occupation, develop solutions for the challenges, complete the value chain mapping process, and work to implement the solutions to reduce the shortages of their group’s occupation.


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Profitability Goal Setting Team



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Profitability Team July Progress Report-1

1) Re-assessment of Goals and Objectives Need to substantiate reasons for patient out-migration Reasons may vary in their impact in different locales

throughout the region. Action - gathering information necessary to determine the

validity of the 9 reasons for patient regional out-migration identified in April

2) Marketing Group members noted that they already spend a good deal

on marketing efforts. Marketing among providers, identifying regional facilities,

capabilities and specialties might be worth considering


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Marketing (Cont’d) Consider marketing to groups such as major employers, chambers of

commerce, hospital administrators, and others. These groups might be included in the action plan for developing

marketing plans.

Legal issues associated with a regional healthcare marketing effort must be explored. Is it necessary to gain agreement from individual clinicians to market on their behalf? The legal requirements of stark laws and self-

referral regulations must be assessed. Regional healthcare profitability occurs within a regional competitive

environment among providers. An explanation must be given to investors and business partners (cardiologists for example) about how cooperation with Connect SI will positively impact hospitals and their role in it.


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Marketing to Physicians It is physicians who refer patients to other physicians and hospitals.

Making certain that referring physicians are aware of all services available in the region may enhance relationships among providers.

3) Items for the future Ongoing discussions among regional hospitals should be encouraged. A better linkage between Connect SI and the Healthcare Facilities

Planning Board should be considered. This may, among other things, provide a basis for expanding hospitals and healthcare services in the region.


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Items for the future (Cont’d) Develop a broader understanding of the relationship among

Connect SI, Vital Economy, and the Arthur Agency Develop a broader understanding of the role of Connect SI

in developing healthcare profitability in the region. Examine key issues that must be addressed before Value-

Chain Mapping can occur: 1) How do providers collaborate within Connect SI and maintain a

competitive posture? 2) How do we collaborate within Connect SI and keep physicians

involved? 3)How do we legally collaborate as healthcare providers?


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Physicians Workgroup



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Priorities Identified at Physicians June 21 Meeting

1. Expanded broadband connectivity for providers & health facilities

Connections needed in short term between hospitals, outpatient surgical

centers and ambulatory care centers and clinics

Route 13 meetings already underway with NP COI

Connections needed for practitioners at home and at office in near term

Addresses needed to locate gaps and aggregate demand ( Have now

from VA)

NP COI meeting in regions to identify gaps and plan B-band rollout by

COI

Ridgeway, Omaha City, Cairo, Albion, Fairfield and Mt. Carmel

announced


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Priorities Identified at Physicians June 21 Meeting

2. Implement regional secure exchange of healthcare information

Locations identified as critical include critical and urgent care sites, radiology

groups, FQHC’s, labs, hospitals, nursing homes, pharmacies, rehab centers,

health departments, free clinics, physicians in the office, at home and on the

go throughout the 20-county region

Critical need to improve system inter-operability

Improves patient outcomes, safety and convenience, reduces liability and mal

practice premiums, increases reimbursement, makes physicians more efficient

Connectivity and application priorities parallel Health COI goals


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Health COI Connectivity Team Goals

Fifty different individuals representing 30 different healthcare organizations within the Connect SI region reviewed 14 different connectivity applications identified in prior meetings. From this process five priority e-health applications were identified:

Electronic Master Patient Index

Linking Hospitals and Physicians with Electronic Health Records

Mental Health Primary Consulting

Workforce Education and Training

Tracking System for Drug Seekers


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Connectivity Goal Setting Team



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Healthcare Connectivity

20 people attended a June 29th meeting

4 sub-committees reported on progress Drug Seek Tracking Electronic Master Patient Index and Electronic Health

Records Broadband Driven Workforce Education and Training Mental Health


— 41 —

Drug Seek Tracking

Team is studying a model from Kentucky ( KASPER Project)

Kentucky’s Inspector General has agreed to discuss program with CSI Drug Seeker Team

Veterans Administration has a Drug Seeker program which will be reviewed as well

CSI Drug Seeker team set to meet with Illinois Attorney Generals Office to discuss programs


— 42 —

Electronic Master Patient Index and Electronic Health Records

Team is focused on three areas What commonality exists in current patient identifiers

What legal scenarios will effect ability to exchange information

How can the various systems interact in the future


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Broadband Driven Workforce Education and Training

Currently working with Damon Brown to identify a phase one group of users to create a model for applications based interconnectivity


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Mental Health

Team is focusing on mobile operations for psychiatrists ( Vans, Laptops, Desktops) to enable off-site or in patient home consultation

Team reviewed IL Senate Bill 6 which supports under the Medicaid program. The Department of Healthcare and Family Services will reimburse psychiatrists for mental health services they provide via Tele-Psychiatry

Bill is to provide methods for reimbursement to providers for facilities, equipment to be used at Tele-Psychiatry sites as well as offices


— 45 —

Broadband Action Agenda

Addressing Milestone #4 Requirements


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Broadband Action Agenda Addressing Milestone #4 Requirements

Medical Transportation Study- Office of Rural Health How can Health COI leverage this mapping of assets

Most Wired Health Care Facilities Survey Using Survey Monkey to assess current level of e-health applications

Regional Connect SI NP COI Broadband Activity

Regional COI broadband expansion planning underway

Route 13 Broadband Expansion for health facilities

Additional health corridors that should be targeted

Access & map addresses of health professionals in region

Health COI assists NP COI achieve 2012 broadband goals


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NP COI Strategy to Achieve World Class Broadband Benchmark

of 54% Penetration Goal by 2012

25%

35%

45%

55%

65%

75%

85%

12%17%

24%31%

38%45%

54%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Today 2007 2008 2009 2010 2011 2012

Broadband networkcoverage

Penetration %Broadband for allHouseholds

Today 2007 2008 2009 2010 2011 2012

Penetration % Broadband for all Households 12% 17% 24% 31% 38% 45% 54%

Broadband network coverage 25% 35% 45% 55% 65% 75% 85%

Take Rate of Households 48% 49% 53% 56% 58% 60% 64%


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Breakout of Goal Teams to Address

Milestone #5 Strategy Integration


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Quantify the impact of Health COI goals and strategies.

Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way.

Develop a positive and measurable way to communicate the impact of the

Healthcare system on the Southern Illinois Economy.*

*This is intended to improve policy makers and citizenry understanding of the economic impact of Healthcare on the local and regional economy, its role as an economic attraction resource for business and an economic growth engine rather than just a social service.

Each Goal Setting Team Define How Best To Address Milestone #5 Objectives as Outlined

Below


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Healthcare system on the Southern Illinois Economy.

Health Outcomes Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below


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Critical Skills Team Defines How Its Goals Address Milestone #5 Objectives as Outlined Below


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Healthcare system on the Southern Illinois Economy.*

*This is intended to improve policy makers and citizenry understanding of the economic impact of Healthcare on the local and regional economy, its role as an economic attraction resource for business and an economic growth engine rather than just a social service.

Profitability Team Defines How Its GoalsAddress Milestone #5 Objectives as Outlined Below


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Connectivity Team Defines How Its GoalsAddress Milestone #5 Objectives as Outlined Below


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Profitability Group 1) Quantify the impact of Health COI goals and strategies

- Specific DRG data obtained - Determine ratio’s from payer mix databases Track total revenue and specific medicare revenue

2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way 5% in crease will develop more jobs (knowledge based jobs) Increased connectivity will improve physician communication (telemedicine)

3) Develop a positive and measurable way to communicate the impact of the Healthcare system on the Southern Illinois Economy


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Profitability Group (Cont’d)


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Critical Skills Shortages 1) Quantify the impact of Health COI goals and strategies

Recruiting cost for new hires go down Increase retention rates Increases employment base Increase competition – Increase quality of workforce Increase productivity

2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way Short term win – VA can offer clinical services training



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Critical Skills Shortage Group (Cont’d)


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Outcomes Group 1) Quantify the impact of Health COI goals and strategies

Decrease in deaths from heart disease Decrease in sick days from work Decrease in health insurance premiums Decrease in cost of treating people Increase in quality of life Increase recreation usage

2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way



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Outcomes Group (Cont’d)


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Connectivity Group 1) Quantify the impact of Health COI goals and strategies

Improve quality of delivered healthcare Increase retention of healthcare dollars Facilitate the ability for providers to care for the additional 4,500 workers that will be

added 2) Develop clear linkage to Connect SI COI Goals and Strategies in a measurable way



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Connectivity Group (Cont’d)


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Next Steps

Confirm Milestone Meeting Date, Time, Location

Follow-up actions: - At milestone #5 meeting – get as many people as possible at

this meeting - How do we get these individuals together?

©2007 ViTAL Economy, Inc. 1 Southern Illinois Broadband Initiative Healthcare COI Milestone Meeting...

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