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    Icahn Icahn Presentation Transcript

    • Pat Schou, Executive Director Illinois Critical Access Hospital Network April 13, 2010
    •  Group of generally like organizations “coming together” for a common purpose and joint programs ◦ Difference between group and network  A network has a written agreement that defines its purpose, member roles and responsibilities  A network is not owned/dominated by one entity  A network functions according to an explicit strategic plan that included accountability.
    •  What can organizations do together?  What can organizations do/accomplish?  What do we want to do – long range?  What should we do to start?  Why start?
    • RWHC Eye On Health Before After Courtesy RWHC
    •  Takes time to develop a network FORM EVOLVE MATURE
    • Formative Evolving Mature Program planning and Joint program Administrative evaluation marketing consolidation Performance Shared services New clinical services benchmarking Professional peer Common treasury New lines of business networks services (money in) Network resource Clinical service Common budgeting manual extensions and resource planning
    •  Does the service or program provide value to the members?  Does the service or program provide value to the network?  Is the service needed?  Do you have the necessary resources to be successful?  How will you announce the service and measure success?  How will the service be developed? Staff? Members? Consultants?
    •  Informal  Affiliations  Memorandum of Agreements  Not for Profit ◦ 501 (c) (3) ◦ 501 (c) (6) ◦ Cooperative  For Profit ◦ Networks are not an association
    •  Bylaws and/or agreement  Dues/assessments  Leadership  Horizontal or vertical  Time frame and support
    •  Flex Grant sponsored a program on network development summer 2002  18 IL CAHs chief executive officers had a vision to create its own network to share resources in event we lose grant funding and support  Articles of Incorporation filed for 501 ( c) (3) non-profit corporation  $5,000 annual dues; 5,000 initial assessment  9 member governing board elected April 2003
    •  Center for Rural Health concerned about losing rural funding and state support moved Flex and SHIP grants to ICAHN  Infrastructure to administer the grants and build the network was needed  Executive Director hired December 2003; IT coordinator added to continue IT support and IT network  Office established
    •  What can a network do to improve viability of a hospital and provide in member services?
    •  What can ICAHN  Benchmarking members do better  Voice for CAH together? program ◦ Hospital operations –  Shared services best practices ◦ Education and training  50 CAHs – 1250 ◦ Grants beds; net revenues ◦ User Groups (50 x 15 million) ◦ Connectivity  Provide primary and ◦ Purchasing/buying emergency services power for 60% Illinois counties  Your ideas…
    •  Infrastructure  Connectivity – communication  Value – member services  Relationships - sustainability
    •  Telehealth Services: video conferencing; list servers; hands on technical assistance; survey member IT needs and readiness; increase awareness through education  User groups: Nurse leaders; ancillary; business office/HIM; CFOs; materials managers; QI  Member connection and create comfort level  ICAHN staff support and communication
    •  User Groups/list serves  Benchmarking – quality scorecard and financial benchmarks  Access to grants  Education programs/workshops  Peer review  Shared services and products  Group purchasing/buying power ◦ (Sponsorship program)
    •  External Partners: Center for Rural Health; Illinois Hospital Association; universities; IL Rural Health Association; AHEC; other state associations and organizations; business partners  Internal Partners: Members working with other members; local networks
    •  Be a partner who can be trusted  Respect the need to effect your future  Respect the partners  Involve all in the planning  Share your big picture  Agree on accountability up front  Communicate  Work towards win-win  Understand influence
    •  Staff…employee versus contractor  Capital  Accounting system  Communication with members  Office space  Project to start
    • • ICAHN Quality  Statewide workshops – Scorecard; Financial EMS, Facilities, RHC, and Productivity Annual CAH; EMTALA Benchmarks  Joint programs – IHA • External Peer Review and HFMA Network  Insurance; Interim Cost • User Groups – now 12 Report; Managed Care and list serves (3-4 x Contracting year meetings)  Information technology • Group Purchasing – services/CIO OSF/Amerinet; other  Critical Access products; after hrs. Recruitment Services pharmacy (CARS) • Grants – added  Programs in pharmacy; Flex HIT; development SIU; FCC, Verizon, IFMC
    •  ICAHN Mission is to strengthen Illinois critical access hospitals through collaboration and accomplished by these core activities:  ensure funding and resources; become recognized resource for CAHs in IL; promote use of HIT among members; maintain user groups and focus on improving hospital operations and connectivity; offer educational opportunities and resources; offer programs that are self-sustaining and add value; and offer shared services that offer value to members.
    •  12 Staff members: 8.3 FTEs  ICAHN Office – rural Princeton
    •  50 Member strong – interest from other groups to join  Net assets of $425,000 (budget $4.5 M)  Active participation from all members  First resource for members
    •  User Group Survey - December/January  Annual member survey (35/50 response) – January 2009  Focus Groups at Annual Meeting • Advocacy for CAH • Place around the table
    • • User Group – Meetings 100% valuable and prefer on-site and 4 x a year • Focus Group – Networking; voice for all CAHs; resource; education; business opportunities; cutting edge; members are involved; sustainability to keep what we have and grow • Member Survey – Networking most valuable; services and staff rated 4 + on (1-5 scale) ▫ Issues: Workforce; Reimbursement: CAH program; Physical Plant; IT; Medicaid
    •  Members are involved and committed from CEO to staff and department director  Value is no longer an issue  CAHs and ICAHN are now included in state discussions (IHA, HFS, HIE, IDPH, etc)  Development has reached the next level.. ◦ Always must be ready to “kick it up a notch”
    •  Relationship with other organizations – don’t want to duplicate; trust: what is ICAHN purpose?  Creating infrastructure – staff…do you hire employees or independent contractors? Policies and procedures; need competent staff as you technical assistance often  Developing programs and services – work with members takes longer
    • • Initiative I: Maintain current • Initiative III: Establish a programs and services and business development expand staff competency and process for purposes of administrative infrastructure increasing sustainability for continued growth and generating new Initiative II: Identify strategic • partners and become revenue sources as well intentional about relations as provide opportunities and expectations for members to obtain operational efficiencies • Initiative IV: Expand current ICAHN efforts and leadership role in the implementation and integration of information technology services for its members
    •  Membership dues - • Office and supplies $7,000/yr • Staff – employees and  Grant administration – contractual staff fees and support staff • Benefits and office • Insurance – employee  Sponsorships and network • Legal fees  Purchasing Services • Accounting (Quick Books)  IT services • Education and meetings  Critical Access Hospital • Initiatives Recruitment Services • Network support – IT  Business Development • Other Revenues Expenses
    • • Rural Environment - keeping pulse on membership and communities • Reimbursement – program changes…federal program ….Stimulus Package • Collaboration…while partners want to collaborate? • Fresh…providing continued good programs and being open to new ideas • Sustainability • Relationships with other networks/organizations
    •  Connectivity – sharing and learning; exchanging ideas and solutions  Resources  “Better Together”