HPM EMP End of Term Simulation

HPM EMP End of Term SimulationLenovo Instructional Innovation GrantCenter for Faculty Excellence, UNC-Chapel HillCurriculum IntegrationYear 1Year 2FallSpringSummerThe Healthcare Context: Macro Level 4 (Hobbs) HPM 754Healthcare Statistics3 (Porto) HPM470Applied Leadership Integrative ModuleFinancial and Managerial Accounting5 (Zelman) HPM746Leadership and Workforce Man4 (Paul/Fried) HPM728Applied Leadership Integrative ModulePublic Health Concepts3 (Porto/Biddle/Wells) HPM 611Finance and Economic Analytics4 (Vernon) HPM 747Strategic Planning and Marketing 3 (Thomas) HPM 725Healthcare Policy and Economics of Healthcare Insurance3 (Vernon/Reiter) HPM748Applied Leadership Integrative ModuleHealth Law3 (Harris) HPM 710Capstone4 (Sloate/Levy) HPM 736Business PlanMaster of Healthcare Administration (MHA)Program Foundation (On-Campus Workshops & Seminars)Distance Learning CourseworkOn-Campus Integrated ExerciseApplied Leadership Integrative ModuleBaseCamp II BaseCamp I Leadership Practicum & JournalingAdvanced Analytics4 (Wheeler/Hassmiller Lich) HPM777H I & Quality Tools HPM7582 (Mandelkehr)H I & Quality Apps HPM 7632 (Mandelkehr)Leadership PracticumLeadership PracticumApplied Leadership Integrative ModuleProject TeamSteering CommitteeJim Porto (EMP Program Director/Faculty)Roger Ackers (Sheps/Lineberger)Libby Evans (ITS)Bob Henshaw (CFE)Sue Hobbs (HPM Faculty)Steve Sloate (HPM Faculty)Scott Williams (ITS)DevelopmentJay Levy (Project Manager)Larry MandelkehrJason Morningstar

Initial project funding provided by a Lenovo Grant awarded by the Center for Faculty Excellence (CFE) Monroe County, State of Franklin

Diverse Population

City of Easttowne

Governance EnvironmentFunded by Property TaxesFunded by Sales Taxes and FeesDecision Variables (Inputs)County Property Tax Rate per $100 Assessed ValuePoverty Level Household Income CutoffEstablished that State has exemption to self-fund Medicaid above federal Poverty Level Income CutoffCounty Public Health Budget Allocation (% of property tax collections)County Public Hospital Budget Allocation (% of property tax collections) Outcome Variables (Outputs)VariableObjectiveNumber of UninsuredMinimizeNumber of ED Visits MinimizeSTD CasesMinimizePublic Hospital Operating MarginMaximizeSystem Hospital Operating Margin MaximizePublic Health Clinics Operating MarginMaximizePublic Support Index **Maximize** Public Support Index serves as a proxy for public opinion based on political affiliation and changes in variables Linkage Matrix

Simulator RoundsRound 1Single Decision Variable InputTax RateRound 2Multiple Decision Variables InputTax RatePoverty LevelRound 3All Decision Variables InputRound 4All Decision Variables InputIntroduce ShockRound 5All Decision Variables Input after integration of shockInput Document Round 1

Decision and Output Variables Business RulesNew Tax CollectionsNumber of Direct Pay Change due to Tax Rate (Offset in Uninsured)New Percent Below Poverty LevelChange to Poverty PopulationChange to Medicaid Covered (Offset by Uninsured)Change in West Franklin Hospital System ED Visits from Change in UninsuredChange in McPherson Hospital ED Visits from Change in UninsuredChange in West Franklin Hospital System ED Visits from Change to AllocationsChange in McPherson Hospital ED Visits from Change to AllocationsChange in West Franklin Hospital System Charity Write-off Amount from Change in UninsuredChange in McPherson Hospital Charity Write-off Amount from Change in UninsuredNew Tax Burden on West Franklin Hospital SystemChange to West Franklin Hospital System ED CostsChange to McPherson Hospital ED CostsChange to McPherson Hospital AllocationChange to PH Clinic Costs based on UninsuredChange to PH AllocationChange in STD cases from Change in UninsuredChange in STD cases from Change in PH AllocationPublic Support Business RulesApproximate Change in Favorable SupportConservativeLiberalIndependentTax Rate Increase-50%5%0%Poverty Level Cutoff Increase (Increase in Medicaid Eligible Population)-10%20%10%Allocation to Public Health Increase0%15%10%Allocation to County Clinics Increase-8%8%0%West Franklin Healthcare System Operating Margin Increase15%3%5%McPherson Hospital Operating Margin Increase10%10%5%Number of Uninsured Increase-30%30%8%STD Increase-10%-50%-25%ED Visit Increase-30%-15%-5%Public Health Clinic Losses Increase-15%0%-5%Movement of affiliation for greater than 15% Tax Increase-5% to Independent-10% to ConservativeMovement of affiliation for greater than 15% increase to Poverty Level-10% to LiberalMovement of affiliation for greater than 20% increase in PH Allocation-10% to Independent-5% to ConservativeRound Resultswith Introduction of Shock

Recap Results

Preliminary Survey ResultsBecause of this two day integrated exercise, I am better prepared and able to apply the concepts from my courses this fall semester91% agreed or strongly agreedThe Franklin State Simulation is an effective way to visualize the complexity of public health issues in the real world94% agreed or strongly agreedOverall, the Franklin State Simulation is an effective way to bring together all the topics covered this semester94% agreed or strongly agreedEvaluation performed by the Center for Faculty Excellencen=53Three pronged approach