MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 - PowerPoint PPT Presentation

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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007

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Title: PowerPoint Presentation Author: MDCH Last modified by: Administrator Created Date: 11/9/2006 7:51:40 PM Document presentation format: On-screen Show – PowerPoint PPT presentation

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Title: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007


1
MICHIGAN DEPARTMENT OF COMMUNITY HEALTHKey
Initiatives and CollaborationsJune 6, 2007
  • Jan Christensen
  • Senior Deputy Director
  • Health Policy Regulation
  • Professions Administration

2
  • Key initiatives center around making health care
    affordable and accessible in Michigan.
  • These include a range of programs from primary
    health care to long term care initiatives to the
    health care workforce in our state.

3
Governor Granholms Plan
  • Making Health Care affordable and Accessible in
    Michigan
  • Step 1The Michigan First Healthcare Plan
  • Step 2Advancing Health Information Technology
  • Step 3Promoting Healthy Lifestyles

4
Michigan First Healthcare Plan
  • Goals
  • Protect and expand health care coverage
  • Reduce trend in health care cost growth
  • Improve business competitiveness
  • Meet goals without increasing state spending

5
Michigan First Healthcare Plan Targets All
Uninsured
  • Under 200 FPL 550,000, 50 of Uninsured
  • Uninsured parents and childless adults
  • - Individuals with adequate access to insurance
    or government programs will be excluded
  • Over 200 FPL 550,000
  • Insurance Pool. Improved access to affordable
    insurance for small businesses No subsidy

6
Michigan First Health Care Plan Benefits
  • Benefit package will include
  • Preventive and primary care
  • Hospital care
  • Emergency room care
  • Mental health services
  • Prescription drugs
  • Includes annual benefit limits

7
Cost Sharing
  • Anticipate monthly premiums below 200
  • Enrollees below 100 of poverty subject to
    co-pays
  • Enrollees between 100 and 200 of poverty level
    will participate through premium payments and co
    payments on a sliding scale not to exceed 5 of
    income

8
Michigan First Healthcare PlanThe Exchange
  • Select managed care plans to offer new affordable
    health insurance products for individuals and
    small businesses
  • Assure that the plans selected offer products
    that comply with state set benefit guidelines,
    healthy lifestyle in values and other value
    purchasing requirements
  • Responsible for enrollment function
  • Administer Michigan First Premium subsidies for
    eligible enrollees
  • Collect any voluntary employer contributions
  • Work with small employers to sponsor insurance
    available through the Exchange for their
    employees

9
Cost Effectiveness
  • Require managed care plans to be a delivery
    mechanism
  • Plans will compete for enrollees on benefit
    design, provider network, quality, access and
    price
  • Value based purchasing principles embedded in
    benefit design and plan requirements
  • Healthy lifestyle Initiatives

10
Financing
  • Amendment to existing Adult Benefit Waiver no
    entitlement
  • Financing builds on mechanisms already approved
    in that waiver
  • State match to come from funds already spent by
    the State of Michigan on health care for the
    uninsured

11
Status
  • Have met with numerous stakeholders to solicit
    input and help with design
  • Ongoing negotiations with the Center for Medicare
    and Medicaid Services (CMS)
  • Developing concrete implementation plans

12
Governor Granholms Plan
  • Making Health Care affordable and Accessible in
    Michigan
  • Step 1The Michigan First Healthcare Plan
  • Step 2Advancing Health Information Technology
  • Step 3Promoting Healthy Lifestyles

13
Advancing the Use of Health Information Technology
In Michigan, we will help our health care
industry stop depending on your memory and their
paper records as databanks. We are going to use
technology to vastly improve the system. -
Governor Granholm, 2006 State of the State
Address
14
MiHIN Background
  • From stakeholder feedback, Governor created the
    MiHIN
  • Began April 2006 on a 180-day mission to create a
    roadmap for Michigan
  • Joint effort of MDCH and MDIT
  • Over 200 Michigan stakeholders volunteered their
    time

15
MiHIN Mission
  • MiHIN will articulate a path to develop a health
    information network connecting health care
    communities across the State of Michigan, with an
    infrastructure and governance model for long-term
    sustainability through public-private partnership.

16
MiHIN Organization Chart
17
The MiHIN Conduit to Care Report was released on
December 11, 2006 An electronic copy can be
found at the following website
www.michigan.gov/mihin
Conduit to Care Michigans e-Health
Initiative December 2006
With support and assistance by the Michigan
Department of Community Health and the Michigan
Department of Information Technology
18
Governor Granholms Plan
  • Making Health Care affordable and Accessible in
    Michigan
  • Step 1The Michigan First Healthcare Plan
  • Step 2Advancing Health Information Technology
  • Step 3Promoting Healthy Lifestyles

19
Promoting Healthy Lifestyles
  • Governor Granholms plan Promote healthy
    lifestyles as a means to improving health
    outcomes and lowering costs
  • Develop public-private partnerships to foster a
    culture of physical activity, prevention and
    wellness
  • Extend Michigan Surgeon Generals Michigan Steps
    Up initiative

20
MDCH Workforce Development
  • Michigan will need to fill more than 100,000
    professional and technical health care jobs over
    the next decade
  • Major shortages will be for nurses, occupational
    therapists, physical therapists, pharmacists,
    radiographers, laboratory technicians, diagnostic
    sonographers, EMTs, and health information
    technicians
  • Supply of health care professionals has major
    implications for quality of care

21
MDCH Workforce Development
  • Chief Nurse Executive appointed by Governor
    Granholm
  • Provides leadership, expertise and coordination
    in nursing workforce development
  • Developed a strategic plan to address the nursing
    shortage The Nursing Agenda for Michigan
    Actions to Avert a Crisis
  • www.michigan.gov/mdch/ocne

22
MDCH Workforce Development
  • MI Opportunity Partnership awarded 30 million
    for accelerated training for nursing, nurse
    faculty and other health professions
  • 36 grants were awarded
  • More than 1,200 individuals are completing
    nursing education
  • Local partnerships have been formed between
    nursing schools, hospitals and
    regional skills alliances

23
MICHIGAN NURSING CORPS
  • Another collaboration between MDCH and MDLEG
  • Funding proposed in 2008 state budget
  • Currently 0, placeholder status
  • Funding depends on ability to increase state
    revenue for 2008

24
  • Michigan Nursing Corps
  • Three year initiative
  • Prepare 300 Masters Degree faculty in 12 month
    Accelerated Program
  • Prepare 200 clinical nursing faculty utilizing a
    certificate program and a uniform statewide
    curriculum.
  • Prepare 20 new doctoral faculty
  • Recruit 200 displaced workers to Accelerated
    Second Degree nursing education programs.

25
Critical Shortage Nursing Faculty
  • How will the program work?
  • Nurses who qualify will be provided with one year
    of salary replacement and tuition to complete the
    masters program
  • Two years for doctoral students
  • In return, they sign contracts to teach in a MI
    nursing education program
  • How will the program be funded?
  • Funds will come from the Governors new revenue
    proposal
  • The cost will be 45 million over 3 years.
  • This will produce 3,000 RNs
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