Cchhs hc reform presentation 7 9 10
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July 2010 MAJOR EFFECTS OF HEALTHCARE REFORM ON CCHHS Presented by: William T. Foley Chief Executive Officer
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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
Transcript of Cchhs hc reform presentation 7 9 10
July 2010
MAJOR EFFECTS OF HEALTHCARE REFORM
ON CCHHS
Presented by:
William T. Foley
Chief Executive Officer
Cook County Health & Hospital System
Cook County Department of Public Health
Ambulatory and
Community Health Network
Provident Hospital
Oak Forest Hospital
John H. Stroger, Jr.
HospitalRuth M. Rothstein
CORE Center
Cermak Health
Services
The Safety Net Healthcare System for
Cook County2
Implications for Healthcare Reform
Hundreds of Thousands remain without access to healthcare services
Potential opportunities to keep CCHHS patient population and attract new populations
Providers and payors adapting aggressive strategies to capture populations
Medicaid expansion statewide ~$3-4B to providers
New enrollees >500K
Medicaid DSH reductions begin 2014
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The Impact of Healthcare Reform
Pre-Reform:
850,000+ Uninsured
Post-Reform:
225,000+ Uninsured
Cook County
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CCHHS Uninsured vs. Other HospitalsRank Hospital Provider Est. Cost of Care to Uninsured
1 CCHHS Hospitals $ 496,500,0002 OSF Saint Francis Medical Center $ 32,474,0003 Mount Sinai Hospital $ 30,266,0004 Advocate Christ Medical Center $ 28,085,0005 Advocate Illinois Masonic Med. Ctr. $ 20,833,0006 Ingalls Memorial Hospital $ 19,239,0007 University of Chicago Hospitals $ 17,593,0008 Mercy Hospital & Medical Center $ 11,862,0009 Norwegian-American Hospital $ 11,748,000
10 St. Francis Hospital & Hlth. Ctr. $ 11,625,00011 Holy Cross Hospital $ 11,504,00012 Saint Mary of Nazareth Hosp. Ctr. $ 10,037,000
Source: Illinois Department of Health and Family Services5
Process Change
System Alignment
Training and Culture Change
Adoption
Expansion
Journey to Patient Centered System
Vision 2015 The Road Ahead
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The Current State Assessment Key System Issues
Significant unmet healthcare needs
Large disparities in access to healthcare and location of healthcare services.
System resources are disproportionately centered around inpatient environment.
Misalignment among providers, service delivery, facilities, and service demand.
Can not sustain current service delivery model in the changing environment.
Cost structure requires significant realignment to drive efficiency.
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CCHHS has Embraced these GUIDING PRINCIPLES
Shift to a population-centered vs. hospital-centered health delivery model.
Enhance accessibility to services.
Align service delivery with population demand for services.
Build specialty care capability.
Extend primary care services through partnerships.
Provide quality-cost effective healthcare.
Focus on service excellence, employee satisfaction, and leadership development.
Strengthen CCHHS image in the market.8
Our Core Goals
I. Access to Health Services
II. Quality, Service Excellence, and Cultural Competence
III. Service Line Strength
IV. Staff Development
V. Leadership Stewardship
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Patient-Centered Accountability Across the Continuum of Care
System-Wide Care Management
Acuity
Primary Care
Specialty Care
Emergency Care
Inpatient Care
Post Acute Care
Patient-Centered Care•Ready access to full continuum of services
•Top-quartile quality & service excellence
•System-wide case management + care coordination
•Integrated patient records
•Provider partnerships to complement System capabilities
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Expanded Outpatient Locations
CCHC
ROC
ACHN Sites
Ambulatory Community Health Network
Northwest CCHC(new site)
Northwest CCHC(new site)
West CCHC – CiceroWest CCHC – Cicero
Oak Forest ROCOak Forest ROC
South CCHC- Cottage GroveSouth CCHC-
Cottage Grove
Provident ROCProvident ROC
Central ROC – Rebuilt FantusCentral ROC – Rebuilt Fantus
Comprehensive Community Health Center
Regional Outpatient Center
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Source: CCHHS, ICS Analysis
Forecast for Primary Care and Specialty Visits 2006 – 2015
50% Increase from
2009 to 2015
12 Actual VisitsActual Visits Projected VisitsProjected Visits
Improved Access to Healthcare Services
Better Patient Experiences
Growth in Services to 900,000 outpatient visits by 2015
Patient Centric Workforce
Performance Driven Leadership and Stewardship
Improved Infrastructure
Expected Benefits
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