The health care act is difficult to navigate and nonprofits were written into the act under the auspices of small businesses, making it even more confusing to understand. Gain insights from experts about the intent of the act and the act in its current draft, how it will impact nonprofits as small businesses, the impact on staff, those we serve, and on society at large. Additionally, portions of the act are still being debated and amended; learn of the potential changes and points where the nonprofit sector can influence the outcome.

1. Health Care & Health Care Reform Implications for Nonprofits & the People They Serve 10:00am – 11:15am Facilitator: Candi Castleberry-Singleton, UPMC Speakers: Karen Feinstein, Jewish Healthcare Foundation / Dr. Donald Fischer, Highmark / Susan Rauscher, Catholic Charities

2. Share your thoughts! Text “Summit” to 57682 with your feedback and thoughts on today’s event! Share your thoughts on Twitter by adding #GPNPSummit to your tweets!

3. 2011 Nonprofit Summit Health Care and Health Care Reform – Implications for Non-profits and the People They Serve Karen Wolk Feinstein,PhD President & Chief Executive Officer Pittsburgh, PA May 12, 2011 Spreading Quality, Containing Costs.

4. Original Intent, What Might We Have Missed

6. Efficiency of Care

7. Zero DefectsValue begins at the frontline

8. Focus on Spending Leads to Complex Patients Concentration of Health Care Spending in the U.S. Population, 2007 The 5% of the U.S. population with highest health care expenses was responsible for nearly half of total health care spending Percent of Total Health Care Spending

9. Treating Chronic Illness Accounts for 75% of Expenditures Source: Luft, Harold. Total Cure. Cambridge, 2008: Harvard University Press. pg. 66

10. Currently: Where do the $$$ go? Hospital Care Source: Modern Healthcare January 11, 2010, pg. 7

11. The Complex Patient Who is frequently hospitalized? Do you know your customer? Are you meeting their need?

12. Let the Data Guide Work The Complex Patient Skilled Nursing Chronic Disease (COPD) Behavioral Health and Substance Abuse Multiple Conditions HIV/AIDS End of Life

15. Reducing Preventable Hospitalizations: Behavioral Health Comorbidities Patients with co-morbid depression are more likely to be readmitted Patients with depression and co-morbid substance use disorders are more likely to be hospitalized for four days or longer Source: PRHI Analysis of PHC4 Data 2005-2006, SW PA

19. Thank you from the Greater Pittsburgh Nonprofit Partnership!

20. Workshop Evaluation Text “HCR” to 57682 with your answers to the following questions: Please rate the overall value of this workshop E – Excellent G – Good P – Poor F – Fair Did you learn anything that you will apply at your own organization? Y – Yes N - No Please text other comments and feedback. Submit by hitting “send!” You will receive an auto-reply from the GPNP. Sample text: “HCR E Y I’m beginning to understand the Health Care Act more.”