1. What does health care reform
mean for River Falls?
Leadership River Falls
April 7, 2016
Heather K. Logelin, MBA
River Falls Area Hospital, part of Allina Health
Leadership River Falls Alumna – Class of 2006

2. • Affordable Care Act 101
• Allina Health in River Falls
• The future of health care
2
AGENDA
“I actually like the name
[Obamacare],
because I do care!”
- President Obama, August 8, 2012

3. Affordable Care
Act 101

4. What’s with “Obamacare?”
nearly 1,000 pages
followed by more than 10,000 pages of regulations

5. • too many uninsured
• spending too much on healthcare
• inefficient system of delivery and payment
• focus on treatment instead of prevention
• payment for volume vs. payment for value
• little attention to social determinants of health
Why did we need it?

6. • … but is ranked
37th in health
outcomes
Source: The Commonwealth Fund, May 2012
Cost: Spending too much on healthcare
• The US spends
double the amount
spent by other
developed nations
“Obamacare will … ruin the best healthcare system in the world.”
- House Speaker John Boehner, 07/01/12

7. Note: Dollar amounts in parentheses are the annual expenses per person in each percentile. Population is the civilian noninstitutionalized
population, including those without any health care spending. Health care spending is total payments from all sources (including direct
payments from individuals, private insurance, Medicare, Medicaid, and miscellaneous other sources) to hospitals, physicians, other providers
(including dental care), and pharmacies; health insurance premiums are not included.
Source: Kaiser Family Foundation calculations using data from U.S. Department of Health and Human Services, Agency for Healthcare
Research and Quality, Medical Expenditure Panel Survey (MEPS), 2008.
Cost: Health Care Spending in the U.S.
(≥$44,338) (≥$16,336) (≥$9,148) (≥$6,074) (≥$4,374) (≥$825)
(<$825)
PercentofTotalHealthCareSpending

8. The ACA was fundamentally about two things:
1. Insurance reform
A. Expand coverage
B. Mandate coverage
2. Improving the health care delivery system
A. Higher quality
B. Lower cost
The success of the ACA requires successful implementation of all of
its parts. As an example, assumptions about reforms to the delivery
system are based on assumptions about expansion of coverage.
Affordable Care Act

9. Whatever you call it, health care
reform is grounded in the Triple Aim:
1. Improved patient experience
2. Improved health outcomes
3. Decreased cost of care
“Service, Quality, Cost”
– sound familiar?
www.chfa.net

10. Traditional “health care” cannot
achieve the Triple Aim on its own!
What can we do to have an impact on this 40%?
only about 10%
And what about this 15%

11. Allina Health in
River Falls

13. • River Falls Area Hospital
– Emergency Room
– Surgical Services
– Birth Center
– Inpatient Care
– Lab and Radiology
• Virginia Piper Cancer Institute
• Courage Kenny Rehabilitation Institute
• Allina Health Home Care and Hospice
• Allina Home Oxygen and Medical Equipment
Allina Health
Services in River Falls

14. Community Health Improvement Initiatives
System-wide initiatives:
– Health Powdered Kids
– Change to Chill
– Free Bikes 4 Kidz
– New Shoes, Healthy Kids
– Kirby Puckett Eye Mobile
– Heart Safe Communities AED Grant Program
Local initiatives and partnerships:
– Healthier Together Pierce and St. Croix Counties
– The Remember Project (St. Croix Valley Foundation)
– Success By 6 (United Way)
– Healthy Cooking Classes
– Mindfulness Classes
– “Stepping On” Community Falls Prevention Program
– Living Well with Chronic Conditions
– Bike Rodeos and Car Seat Clinics
– Halloween Candy Buyback
Financial Support
– Charitable Contribution Program
– Neighborhood Health Connection Grants
14
But what about the other 80-90%?

15. The future of
healthcare
= health

16. Current healthcare industry incentives…

17. Where we are headed…

18. Preventable Complications
Unnecessary Treatments
Inefficiency
Errors
Services
That
Add
Value
40%
Waste
60%
Value
All
Services
Add
Value
100%
Value
Future
Now
What we are paid for:

19. Questions to ponder:
- How do we identify and eliminate services
that don’t add value?
- How do we best work with community
partners to provide “whole person care?”
- How far “upstream” should hospitals and
health systems go?

20. heather.logelin@allina.com
thank
you!
Kids Cooking Class - River Falls Area Hospital - June 2015