Unit-Based Teams as an Engine of System Transformation

Saving the Safety Net With Small Tests of Change:

Why did we fight for it?

Did we win?

HEALTH CARE REFORM

The Four Main Areas of Reform

1.Insurance Reform

2.Coverage Expansion

3.Health Care Delivery System Redesign

4.Payment Reform

THE AFFORDABLE CARE ACT

2. COVERAGE EXPANSION

• Children can remain on their parents’ insurance plans up to the age of 26

• Individuals who earn incomes up to 133% of the federal poverty level will be Medicaid (Medi-Cal) eligible

• Individuals who earn up to 400% of the Federal Poverty Level will be eligible for a government subsidy to purchase insurance through the exchanges.

TIMELINE FOR IMPLEMENTATION

This is how much time we have to change.

HCR

Safety Net

Expand More

patients

covered

Generate economic activity

Save $$$Create

more

FTE jobs

Expand healthcare coverage

Improve Quality/reduce cost

$ 124 Billion to CA in 10 years

$11 Billion to FQHCs 2015

Private Sector

BUT!!!

WHAT CAN HEALTHCARE REFORM DO FOR OUR SAFETY NET?

Private Sector

THE PREGNANT LADIES CAUTIONARY TALE…

TIMELINE FOR IMPLEMENTATION

UNIT BASED TEAMS – Improving Patient Experience on the Front Lines!

WHAT IS A UNIT-BASED TEAM?

A PROVEN MODEL

MEMBERS OF A UBT WORK COLLABORATIVELY AS PARTNERS AND PARTICIPATE IN:

PURPOSE

UBTs work on: UBTs DO NOT work on:

•Day to day operations•Work environment•Improving performance•Initiatives such as workplace safety•Work flows and design

•Changing DHS’s strategic direction•Scope of practice•Labor relations or contractual issues•Legal or regulatory issues

INITIATE THE 8! UBTS IN DHS

NEXT STEPS…