Setting the Stage: The Case for Regional Action to Strengthen the Safety Net - PowerPoint PPT Presentation

1 / 49
About This Presentation
Title:

Setting the Stage: The Case for Regional Action to Strengthen the Safety Net

Description:

Russell J. Pietrowiak, CMAP. On-going Efforts to Strengthen the Safety Net ... currently supported by one foundation grant and in-kind contributions ... – PowerPoint PPT presentation

Number of Views:93
Avg rating:3.0/5.0
Slides: 50
Provided by: Lon113
Category:

less

Transcript and Presenter's Notes

Title: Setting the Stage: The Case for Regional Action to Strengthen the Safety Net


1
Setting the Stage The Case for Regional Action
to Strengthen the Safety Net
  • Lon M. Berkeley
  • Health Medicine Policy Research Group
  • Regional Health Care Safety Net Summit
  • June 23, 2009

2
OVERVIEW
  • Progress to Date/History of the Initiative
  • Key Assumptions Terminology
  • Demographic Snapshot of Region
  • - Russell J. Pietrowiak, CMAP
  • On-going Efforts to Strengthen the Safety Net
  • Introduction to Preliminary Recommendations
    Small Group Action Planning

3
MOVING THE BALL DOWN THE FIELD
4
Endorsements to Convene the Regional Health Care
Safety Net Summit
  • Alivio Medical Center
  • Chicago Department of Public Health (CDPH)
  • Chicago Hispanic Health Coalition (CHHC)
  • Chicago Metropolitan Agency for Planning (CMAP)
  • Chicago Partnership for Public Health
  • Community Nurse Health Association
  • Melanie Dreher, Dean, College of Nursing, Rush
    University Medical Center
  • William T. Foley, Chief Executive Officer, Cook
    County Health Hospitals System
  • Patricia Gross, MSPH
  • Illinois Maternal and Child Health Coalition
    (IMCHC)
  • Illinois Public Health Institute (IPHI)
  • Institute of Medicine of Chicago (IOMC)
  • Latinos for a Healthy Illinois
  • Metropolitan Chicago Healthcare Council (MCHC)
  • Near North Health Services Corporation
  • Northern Illinois Public Health Consortium
    (NIPHC)
  • Alderman Toni Preckwinkle, 4th Ward, City of
    Chicago
  • Resurrection Health Care

5
MOVING THE BALL DOWN THE FIELD
6
MOVING THE BALL DOWN THE FIELD
7
KEY TERMINOLOGY OF INITIATIVE
  • Health
  • Safety Net
  • Regional
  • Vulnerable Populations

8
KEY TERMS OF INITIATIVE
  • Health is not merely the absence of illness or
    disability, but also the attainment of mental,
    physical, and spiritual or social well-being.
    (WHO)
  • It is a fundamental human right and that the
    attainment of the highest possible level of
    health is a most important world-wide social goal
    whose realization requires the action of many
    other social and economic sectors in addition to
    the health sector.

9
WHAT DO WE NOT MEAN BY THE HEALTH CARE SAFETY
NET?
10
WHAT DO WE NOT MEAN BY THE HEALTH CARE SAFETY
NET?
11
WHAT DO WE MEAN BY THE HEALTH CARE SAFETY NET?
  • Providers that
  • organize and deliver a significant level of
    health care and other related services
  • to uninsured, Medicaid, and other vulnerable
    populations (IOM), as well as other
    population-based health services.

12
WHAT DO WE MEAN BY THE HEALTH CARE SAFETY NET?
13
WHAT DO WE MEAN BY Regional?
  • INCLUDES COUNTIES OF
  • gt Cook gt DuPage
  • gt Kane gt Kendall
  • gt Lake gt McHenry
  • gt Will

14
(No Transcript)
15
WHAT DO WE MEAN BY Vulnerable Populations?
  • Residents who are vulnerable because health
    services are
  • unavailable
  • inaccessible
  • under-subsidized or
  • not subsidized at all by public or private
    programs
  • Includes the uninsured, under-insured, and people
    on Medicaid

16
KEY ASSUMPTIONS OF INITIATIVE
  • There is no mandate or requirement to pursue this
    regional approach.
  • We dont have to do this
  • There is no sponsor
  • 2) Planning that includes the public and
    private sector increases the probability of
    attaining our goals and desired outcomes.

17
KEY ASSUMPTIONS OF INITIATIVE
  • 3) Collective regional action will strengthen
  • Planning
  • Resource sharing
  • Advocacy
  • Patient Referrals
  • Service Coordination, and
  • Research Opportunities.
  • Other successful regional efforts exist that have
    improved outcomes or operations

18
(No Transcript)
19
(No Transcript)
20
KEY ASSUMPTIONS OF INITIATIVE
  • 4) Improving health status and quality of life
    requires a multi-sectoral approach that extends
    beyond the multiple layers of traditional medical
    care and public health (see Who Takes Care of
    Your Health? diagram below).

21
Who Takes Care of Your Health?
22
KEY ASSUMPTIONS OF INITIATIVE
  • 5) There is a continuum of health care services
    that can be categorized into both vertical and
    horizontal dimensions.
  • 6) We accept the World Health Organizations
    systems building blocks of a health system
    conceptual framework
  • 7) We accept the Institute of Medicines
  • six specific aims for improving the health care
    system.

23
THE WHO Health System Conceptual Framework
Source WHO Health System Strengthening Strategy
2007
24
KEY ASSUMPTIONS OF INITIATIVE
  • Six Aims for Improvement (Institute of Medicine)
  • Safe avoiding injuries to patients from the care
    intended to help them.
  • Effective providing services based on scientific
    knowledge to all who could benefit, and
    refraining from providing services to those not
    likely to benefit.
  • Patient-centered providing care that is
    respectful of and responsive to individual
    patient preferences, needs, and values, and
    ensuring that patient values guide all clinical
    decisions.
  • Timely reducing waits and sometimes harmful
    delays for both those who receive and those who
    give care.
  • Efficient avoiding waste, including waste of
    equipment, supplies, ideas, and energy.
  • Equitable providing care that doesnt vary in
    quality due to personal characteristics such as
    gender, ethnicity, geographic location,
    socioeconomic status.

25
KEY ASSUMPTIONS OF INITIATIVE
  • 8) Health Medicine Policy Research Groups
    (HMPRG) role is to facilitate the process only
  • - currently supported by one foundation grant
    and in-kind contributions
  • - similar to approach with other successful
    projects.

26
KEY ASSUMPTIONS OF INITIATIVE
  • 9) All problem statements, priorities, and
    recommendations, are works-in-progress,
  • - with recognition and apologies to any
    overlooked organizations, projects, and people
    that are interested in contributing to this
    initiative.

27
A Demographic Snapshot of the Region Russell
J. PietrowiakAssociate PlannerChicago
Metropolitan Agency for Planning
28
Total Population Change by County from 1990 - 2006
29
(No Transcript)
30
(No Transcript)
31
Changing Demographics in Cook County
32
Constant growth over more than 3 decades(6
counties)
33
Latinos have the highest rates of uninsured
persons in Illinois
34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
(No Transcript)
39
Ongoing Efforts to Strengthen the Safety Net
  • HMPRG compiling a Summary of Actions
  • Federal State Legislation re
  • Community Building/Coalitions for Safety Net
    Improvements
  • Workforce, IT, Financing
  • Metro-area Initiatives
  • The Chicago Access Puzzle Fitting the Pieces
    Together
  • Healthy San Francisco Initiative
  • Detroit/Wayne County Health Authority
  • Mid-America Regl Council KC Metro Health
    Access
  • Access DuPage
  • Access to Care

40
CMAP GoTo 2040 The Plan For Health
41
CMAP GoTo 2040 The Plan For Health
  • The GoTo 2040 Plan is a comprehensive plan for
    the seven county region of the Chicago
    Metropolitan Agency for Planning (CMAP).1
  • This report presents the plan for health.
  • Purpose To position the region to be
    competitive in a global economy and create an
    environment in which all diverse residents will
    benefit from, and contribute to, the vitality of
    the region.
  • 1 The Illinois counties of Cook, DuPage, Kane,
    Kendall, Lake, McHenry, and Will.

42
CMAP GoTo 2040 The Plan For Health
  • The scope of the plan was guided by
  • 3 decade planning horizon
  • Limitation of no more than 15 indicators
  • Emphasis on the determinants of health
  • Unsustainable cost and quality of life burden of
    chronic disease and
  • Focus on what can be accomplished in the region
    to improve health and not on those factors that
    are beyond regional control.

43
CMAP GoTo 2040 The Plan For Health
  • 4 Recommended Strategies
  • Integrated prevention and health promotion
    strategy that will integrate the regional
    planning agenda with health policy issues and
    integrate the participants in the process.
  • Move toward an all data-real time concept that
    builds on electronic medical records.
  • Address workforce concerns.
  • Strengthen the public health infrastructure in
    response to early signs of deterioration.

44
KEY TERMINOLOGY FOR SUMMIT
  • Preliminary Recommendations
  • May not be complete or the best
  • Blueprint
  • Vision with guidelines
  • Strengthening
  • Existing services need support
  • Moving Recommendations to Action
  • Building on past progress

45
BUILDING A BETTER WORLD
  • CURRENT STATE
  • TRANSITIONAL STATE
  • IMPROVED STATE
  • DESIRED STATE

46
Moving Recommendations to Action
  • Preliminary Recommendation Categories
  • Data/IT
  • Workforce
  • Access
  • Health Equity
  • Finance
  • Planning Approaches

47
Moving Recommendations to Action
  • Preliminary Recommendation Format
  • Problem Statement
  • Vision
  • Recommendation
  • Local/Regional Examples
  • Rate Level of Support
  • Your Role in Implementing the Recommendation
  • gt Leadership gt Participant
  • gt Resource gt Stay Informed gtNot Interested

48
RECAP
  • We are not waiting to be told that we can
    strengthen the health care safety net by working
    across geographic boundaries.
  • As we continue to move the ball down the field
    we hope to gain some momentum from todays
    efforts.
  • We need you to weigh in with your comments,
    ideas, energy, and action to help implement this
    vision.

49
Japanese Proverb
  • Vision without action is a daydream ..
  • action without vision is a nightmare.
Write a Comment
User Comments (0)
About PowerShow.com