Cchhs hc reform presentation 7 9 10


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Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically.

The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included

*Michael McRaith, Director, Illinois Department of Insurance
*Julie Hamos, Director, Illinois Department of Healthcare and Family Services
*Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH)
*Bill Foley, CEO, Cook County Health & Hospitals System
*Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association
*Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA
*Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System

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Cchhs hc reform presentation 7 9 10

  1. 1. July 2010 MAJOR EFFECTS OF HEALTHCARE REFORM ON CCHHS Presented by: William T. Foley Chief Executive Officer
  2. 2. Cook County Health & Hospital System The Safety Net Healthcare System for Cook County Cook County Department of Public Health Ambulatory and Community Health Network Provident Hospital Oak Forest Hospital John H. Stroger, Jr. Hospital Ruth M. Rothstein CORE Center Cermak Health Services
  3. 3. Implications for Healthcare Reform <ul><li>Hundreds of Thousands remain without access to healthcare services </li></ul><ul><li>Potential opportunities to keep CCHHS patient population and attract new populations </li></ul><ul><li>Providers and payors adapting aggressive strategies to capture populations </li></ul><ul><li>Medicaid expansion statewide ~$3-4B to providers </li></ul><ul><li>New enrollees >500K </li></ul><ul><li>Medicaid DSH reductions begin 2014 </li></ul>
  4. 4. The Impact of Healthcare Reform Pre-Reform: 850,000+ Uninsured Post-Reform: 225,000+ Uninsured Cook County
  5. 5. CCHHS Uninsured vs. Other Hospitals Source: Illinois Department of Health and Family Services Rank Hospital Provider Est. Cost of Care to Uninsured 1 CCHHS Hospitals $ 496,500,000 2 OSF Saint Francis Medical Center $ 32,474,000 3 Mount Sinai Hospital $ 30,266,000 4 Advocate Christ Medical Center $ 28,085,000 5 Advocate Illinois Masonic Med. Ctr. $ 20,833,000 6 Ingalls Memorial Hospital $ 19,239,000 7 University of Chicago Hospitals $ 17,593,000 8 Mercy Hospital & Medical Center $ 11,862,000 9 Norwegian-American Hospital $ 11,748,000 10 St. Francis Hospital & Hlth. Ctr. $ 11,625,000 11 Holy Cross Hospital $ 11,504,000 12 Saint Mary of Nazareth Hosp. Ctr. $ 10,037,000
  6. 6. Process Change System Alignment Training and Culture Change Adoption Expansion Journey to Patient Centered System Vision 2015 The Road Ahead
  7. 7. The Current State Assessment Key System Issues <ul><li>Significant unmet healthcare needs </li></ul><ul><li>Large disparities in access to healthcare and location of healthcare services. </li></ul><ul><li>System resources are disproportionately centered around inpatient environment. </li></ul><ul><li>Misalignment among providers, service delivery, facilities, and service demand. </li></ul><ul><li>Can not sustain current service delivery model in the changing environment. </li></ul><ul><li>Cost structure requires significant realignment to drive efficiency. </li></ul>
  8. 8. CCHHS has Embraced these GUIDING PRINCIPLES <ul><li>Shift to a population-centered vs. hospital-centered health delivery model. </li></ul><ul><li>Enhance accessibility to services. </li></ul><ul><li>Align service delivery with population demand for services. </li></ul><ul><li>Build specialty care capability. </li></ul><ul><li>Extend primary care services through partnerships. </li></ul><ul><li>Provide quality-cost effective healthcare. </li></ul><ul><li>Focus on service excellence , employee satisfaction, and leadership development. </li></ul><ul><li>Strengthen CCHHS image in the market. </li></ul>
  9. 9. Our Core Goals <ul><li>Access to Health Services </li></ul><ul><li>Quality, Service Excellence, and Cultural Competence </li></ul><ul><li>Service Line Strength </li></ul><ul><li>Staff Development </li></ul><ul><li>Leadership Stewardship </li></ul>
  10. 10. Patient-Centered Accountability Across the Continuum of Care System-Wide Care Management Acuity Primary Care Specialty Care Emergency Care Inpatient Care Post Acute Care <ul><li>Patient-Centered Care </li></ul><ul><li>Ready access to full continuum of services </li></ul><ul><li>Top-quartile quality & service excellence </li></ul><ul><li>System-wide case management + care coordination </li></ul><ul><li>Integrated patient records </li></ul><ul><li>Provider partnerships to complement System capabilities </li></ul>
  11. 11. Expanded Outpatient Locations CCHC ROC ACHN Sites Ambulatory Community Health Network Northwest CCHC (new site) West CCHC – Cicero Oak Forest ROC South CCHC- Cottage Grove Provident ROC Central ROC – Rebuilt Fantus Comprehensive Community Health Center Regional Outpatient Center
  12. 12. Source: CCHHS, ICS Analysis Forecast for Primary Care and Specialty Visits 2006 – 2015 50% Increase from 2009 to 2015 Actual Visits Projected Visits
  13. 13. Expected Benefits <ul><li>Improved Access to Healthcare Services </li></ul><ul><li>Better Patient Experiences </li></ul><ul><li>Growth in Services to 900,000 outpatient visits by 2015 </li></ul><ul><li>Patient Centric Workforce </li></ul><ul><li>Performance Driven Leadership and Stewardship </li></ul><ul><li>Improved Infrastructure </li></ul>