Combating the Cost of Care

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Presentation by Kim A. Schwartz, MA, Chief Executive Officer, Roanoke Chowan Community Health Center

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Combating the Cost of Care

  1. 1. Kim A. Schwartz Chief Executive Officer Roanoke Chowan Community Health Center
  2. 2. Eastern North Carolina The per capita income for Hertford County is $15,641, compared to $20,307 for the state, and $21,587 for the country. US Congressional District 1 – ranked 4th poorest in the nation. 18% of county residents incomes below 100% of the Poverty Level the national rate of have Federal (FPL), compared to 12.3%. nationally health Hertford c North Carolina ranks 12th in terms of the numbers of are uninsured individuals. County uninsured is at 25.6%
  3. 3. RCCHC RPM NC Network Piedmont Health Services Ocracoke Medical Center Roanoke Chowan Community Health Center Robeson Health Care Corporation Chowan Hospital HRSA OAT Gateway Community Health Center Solid Foundations Wake Health Services NC ORH Kinston Community Health Center Greene County Health Services East Carolina Heart Institute Rural Health Group
  4. 4. Hospital and ER Charges n=64 Statistically Significant Reductions Hospital Charges 24 mos. post Telehealth = $438 ER Charges 24 mos. post Telehealth = $44 Analyzed Charges are related to diseases being monitored RCCHC/PPTN Patient Charge Data Ending June 2009 k k
  5. 5. Estimated Savings Hospitalization Charges $4,362,000 Emergency Room Charges $212,000 Total Savings $4.5 Million
  6. 6. Remote Patient Monitoring How do we pay for it? Annual savings from remote monitoring could amount to as much as $10.1 Billion for U.S. Residents with congestive heart failure; $6.1 billion for patients with diabetes; and $4.9 billion for patients with COPD. -Wall Street Journal Report
  7. 7. Emerging Trends  Aging of Population  Increased costs  Wireless  Government pressure  Efficiencies  Dwindling economic  Industry Alliances resources  Decreased healthcare staffing  Emphasis on error reduction  Cost-effectiveness  Healthcare market emphasis on patient experience
  8. 8. Navigating the Future – Primary Care Resources Affordable Care Act ACO’s Remote Meaningful Use Patient Monitoring PCMH Long Term Care Options Changing Payer Structure
  9. 9. Challenges and Opportunities • Vulnerable populations – rural & urban • Equipment/Vendor issues • Connectivity • Provider adoption • Staffing
  10. 10. Establishing Innovative Partnerships
  11. 11. Kim A. Schwartz Chief Executive Officer kschwartz@rcchc.org 252-209-0237

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