Consortium Why?
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Transcript of Consortium Why?
ConsortiumConsortiumWhy?Why?
Florida Methodology
Consortium?Consortium?
A A consortiumconsortium is an association of two or is an association of two or more individuals, companies, more individuals, companies, organizations or governments (or any organizations or governments (or any combination of these entities) with the combination of these entities) with the objective of participating in a common objective of participating in a common activity or activity or pooling their resourcespooling their resources for for achieving a common goal.achieving a common goal.
• Team Approach to:Team Approach to:
Maximize use of resourcesMaximize use of resources Shared cost for Attorney, Labor Relations, Shared cost for Attorney, Labor Relations,
etc.etc.
Problem SolvingProblem Solving EVH problems – subdivision that cross EVH problems – subdivision that cross
County LinesCounty Lines Shared patient loadShared patient load
(Hospital availability)(Hospital availability)
(Infectious Disease Doctors(Infectious Disease Doctors))
History in FloridaHistory in Florida
HRS – Districts – 1973 – 1997HRS – Districts – 1973 – 1997
1997 – Districts disappeared – 1997 – Districts disappeared –
Lost much supportLost much support
Limited availability but critical need – Limited availability but critical need – Legal, Labor Relations, EEO, etc.Legal, Labor Relations, EEO, etc.
Trust Issues – County governments not Trust Issues – County governments not working with each other.working with each other.
Old line “controllers” started retiringOld line “controllers” started retiring
Departure of cooperate memoryDeparture of cooperate memory
Younger untrained work forceYounger untrained work force
Increased demands for expanded servicesIncreased demands for expanded services
HQ’s need to work closer with localsHQ’s need to work closer with locals
CHD’s start meeting and CHD’s start meeting and conferencingconferencing
Re: common needsRe: common needs
Consortium size varies 4 Counties – 15 Consortium size varies 4 Counties – 15 Counties (? Mike)Counties (? Mike)Consortium complexity variesConsortium complexity varies
A – only Legal and Labor /EEOA – only Legal and Labor /EEOB – Full blown support – HR - IT – F+A, etc.B – Full blown support – HR - IT – F+A, etc.
Mixed bag Mixed bag RE: Control – Support vs LeadRE: Control – Support vs Lead
Positive OutcomesPositive Outcomes
Most successful – no chair or elected Most successful – no chair or elected 1year chair1year chair
Mutual respect and shared lead on issues Mutual respect and shared lead on issues – (letters, e-mails an concerns)– (letters, e-mails an concerns)
Generated better communications with Generated better communications with HQ’s and when multiple Counties had HQ’s and when multiple Counties had concerns it was seen as a serious issuesconcerns it was seen as a serious issues
Funding – grants for expanded servicesFunding – grants for expanded services
Reduce anticipated Expense Budget by Reduce anticipated Expense Budget by sharing cost on multiple staff for both the sharing cost on multiple staff for both the support County and otherssupport County and others
Records Audit Teams from multiple Records Audit Teams from multiple counties in multiple disciplines (Billing – counties in multiple disciplines (Billing – Charting, etc.)Charting, etc.)
Mutual support on IT and other support Mutual support on IT and other support needsneeds
Program/Division/BureauProgram/Division/Bureau Managers also meeting Managers also meeting
Nursing Directors – plan to reduce front end Nursing Directors – plan to reduce front end slowdowns and paperwork reductionslowdowns and paperwork reductionIT Director meet quarterly - common software IT Director meet quarterly - common software and hardware to enhance disaster/problems and hardware to enhance disaster/problems support, etc.?????support, etc.?????EVH – shared engineering and experts, etc.EVH – shared engineering and experts, etc.Administration – billing, purchasing, contracts, Administration – billing, purchasing, contracts, etc.etc.Medical Directors – shared staff– Infectious Medical Directors – shared staff– Infectious Disease Doctors, EPI, etc.Disease Doctors, EPI, etc.
Consortium Cost Savings ComparisonsConsortium Cost Savings Comparisons TITLETITLE HOURLY RATEHOURLY RATE
IN IN HOUSE/OUTSIDEHOUSE/OUTSIDE
HOURS PER HOURS PER WEEKWEEK
COST COST
IN IN HOUSE/OUTSIDEHOUSE/OUTSIDE
ANNUAL COSTANNUAL COST
INSIDERINSIDER
DOCTORDOCTOR 65/15065/150 2/4 2/4 HRS HRS CLINICCLINIC
$ 27,040/$ 27,040/
$62,400$62,400
$135,200$135,200
LABOR LABOR RELATIONSRELATIONS
41/11541/115 4 4 HRS PER HRS PER WK (VARIES)WK (VARIES)
$8,525/$8,525/
$23,920$23,920
$85,280$85,280
LEGALLEGAL 50/23050/230 8 8 HRS HRS (VARIES)(VARIES)
$20,800/$20,800/
$95,680$95,680
$104,000$104,000
EVHEVH 25/7525/75 4 4 HRS HRS
PER WKPER WK
$5,200/$5,200/
$15,600$15,600
$52,000$52,000
ITIT 23/50-7023/50-70 8 8 HRS HRS
PER WKPER WK
$9,568/$9,568/
$20,800-$20,800-29,12029,120
$47,840$47,840
DATADATA
ANALISYSANALISYS
27/16027/160 6 6 HRS HRS
PER WKPER WK
$8,424/$8,424/
$49,920$49,920
$56,160$56,160
Last But Not LeastLast But Not Least
Speaking with common/joint Speaking with common/joint support/agreement. Get attention of HQ support/agreement. Get attention of HQ Secretary, Deputies and comptroller Secretary, Deputies and comptroller attendance at local meetings.attendance at local meetings.
ClosingClosing
We must all hang together or we will all We must all hang together or we will all HANG separately.HANG separately.