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Region 15Regional Healthcare Partnership

Second Public Meeting

Wednesday, May 23, 2012University Medical Center

of El Paso

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Regional Healthcare Partnership (RHP) Regions

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Confirmation of Participants

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Confirmation of Participants

1. El Paso Children’s Hospital2. El Paso Coalition for the Homeless3. El Paso County Medical Society4. El Paso Specialty Hospital5. Emergence Health Network6. Hospice El Paso7. Hudspeth County8. International Aids Empowerment

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Confirmation of Participants

9. Las Palmas Del Sol Healthcare10. PDN Health Information Exchange11. Project Vida Health Center12. Providence Memorial Hospital13. San Vicente Centro Familiar De Salud14. Sierra Providence East Medical Center15. Sierra Medical Center16. TTUHSC School of Medicine

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Current HHSC Information

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HHSC Updates

RHP Planning Summit – June 28 & 29, 2012Austin, TX

Program Funding & Mechanics (PFM) protocol draft – DSRIP working document● Public Feedback on document – by Thursday, May 31,

2012Feedback Form on UMC WebsiteDraft PFM Protocol on UMC Website

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Community Needs Assessment

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Community Needs Assessment

Primary Care.– The County faces a shortage of 365 primary care physicians,

including shortages in the areas of Family, General Practice, and Internal Medicine. The Organizers recognize the need to improve access to primary care clinics and after-hours physician services as an alternative to over-use of the already burdened emergency room facilities. While the Organizers work with Texas Tech to expand primary care services, more funding is needed to address the needs of County residents. The RHP finds that the El Paso community must prioritize the recruitment of primary care physicians in these areas.

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Community Needs Assessment

Secondary and Specialty Care.– A related challenge faced in the County is the need for more

specialty physicians, and particularly specialty physicians in Psychiatry, Emergency Medicine, General Surgery, Cardiology, and Neurology. The County continues to face shortages of specialists willing and able to provide care to the low-income population, and those that are willing to provide such care increasingly demand higher compensation. In the absence of adequate specialty care, low-income patients resort to hospital emergency rooms that can only provide part of the needed care and at significantly higher costs. By collaborating and identifying specialists to assist in providing follow-up care, the Organizers can increase the availability of quality healthcare and reduce the reliance on hospital emergency rooms for such care.

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Community Needs Assessment

Diabetes. – According to the American Diabetes Association, 18.8 million

people in the United States have been diagnosed, along with another 7 million undiagnosed cases. Texas has one of the highest diabetes rates in the nation, with over 426,000 residents diagnosed with diabetes. Like the rest of Texas, El Paso County has a high number of diabetes-related hospitalizations per year, and incidences of major cardiovascular disease, heart disease, stroke, ketoacidosis and lower extremity amputations, which have been closely tied to diabetes. The El Paso Diabetes Association reports that in 2007 alone, local hospitals spent over $75 Million treating diabetes-related emergencies.

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Community Needs Assessment

Obesity.– In comparison to Texas and the nationwide average, the El

Paso metropolitan area has a higher rate of people that are overweight and obese. About 64.8% of the population falls into one of these two categories, with 27.2% in the obese category (which represents a Body Mass Index of 30- Obesity is also an increasing problem in the younger population of El Paso, as reported by the Paso Del Norte Health Foundation.

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Community Needs Assessment

Behavioral Health. – Of the residents in the County who are in need of mental health

services, only 46% receive such services. Previous research indicates that the County is operating beyond its capacity and is in need of an infusion of $61.6 million. The RHP recognizes that mental illness leads to high treatment cost and represents a health risk to the community because mental illness is a major cause of disability, and the RHP finds a variety of measures necessary, including: increasing the number of mental health providers, increasing mental health funding, and improving awareness of behavioral health.

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Regional Strategic Health Framework

Phase 1 – Needs Assessment Report Phase 2 – Priority Ranking Paso del Norte Blue Ribbon Committee

http://www.elpasotexas.gov/health/_documents/

BRCGapBook.pdf

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PDN Blue Ribbon Needs Assessment Report

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Medicaid Waiver Timelines

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Medicaid Waiver Timeliness

July 15 – Submit RHP Chapters to Anchor Sept. 1 – Submit RHP to HHSC Oct. 31 – HHSC Submit Final RHP to CMS

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Roundtable

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Contact Information

Waiver Website & Email Address:– http://www.hhsc.state.tx.us/1115-waiver.shtml– TXHealthcareTransformation@hhsc.state.tx.us

UMC Website:– http://www.umcelpaso.org

Paso del Norte Blue Ribbon Committee Needs Assessment:

– http://www.elpasotexas.gov/health/_documents/BRCGapBook.pdf