HomeMy WebLinkAboutMINUTES - 02052013 - D.2RECOMMENDATION(S):
ACCEPT a report from Contra Costa Regional Medical Center and Health Centers on the current state of CCRMC
and Health Centers and the impacts of health care reform. (Anna Roth, CCRMC & Health Centers CEO)
FISCAL IMPACT:
No fiscal impact - informational only.
BACKGROUND:
This report will include an update on the current state of Contra Costa Regional Medical Center and Health Centers
and the impacts of the Affordable Care Act. The presentation will cover CCRMC and Health Center strengths and
challenges, work underway to implement health reform, organizational priorities, and strategic planning.
CONSEQUENCE OF NEGATIVE ACTION:
The Board and the publice may not have important information.
CHILDREN'S IMPACT STATEMENT:
Not Applicable.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 02/05/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
Contact: Dorothy Sansoe,
925-335-1009
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: February 5, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: , Deputy
cc:
D. 2
To:Board of Supervisors
From:William Walker, M.D.
Date:February 5, 2013
Contra
Costa
County
Subject:Health Services Department Workshop
CLERK'S ADDENDUM
Speaker Rollie Katz, Public Employees' Union Local One.
ATTACHMENTS
Presentation
Contra Costa Regional Medical Center & Health Centers
2013 Bridge to Reform
Anna Roth, CEO, CCRMC & Health Centers
Contra Costa County Board of Supervisors
February 5, 2013
Overview
•Affordable Care Act
•Current State
Strengths
Challenges
•Bridge to Reform
Foundation
2013 priorities
•Beyond the Bridge
Strategic Planning
Affordable Care Act of 2010 (ACA)
•By 2014 the ACA is
expected to insure 32
million currently
uninsured
•Once fully implemented
it is estimated 92% of
Californians will be
insured.
Current State
Strengths
•Continuity of care
•Alternative care
models
•Length of stay for
medical surgical
service
•Integrated health
system
Challenges
•Access
•Capacity
•Coverage expansion
•Support infrastructure
The Opportunity
Delivery System Reform Incentive Payment Program (DSRIP)
“The DSRIP shall be foundational, ambitious,
sustainable and directly sensitive to the needs
and characteristics of an individual hospital’s
population, and the hospital's particular
circumstances; it shall be deeply rooted in the
intensive learning and generous sharing that
will accelerate meaningful improvement.”
The California 1115 Waiver terms and conditons
“Many key concepts underlying
federal health care reform will be
tested, evaluated, and refined in
California.”
Delivery System Reform Incentive
Payment Program (DSRIP)
DSRIP Performance Measures
Infrastructure
Development
Primary Care
Capacity
Training Primary
Care Workforce
Interpretation
Services and
Culturally
Competent Care
REAL data to
reduce disparities
Innovation
and Redesign
Medical Homes
Patient Experience
Integrate Physical
and Behavioral
Care
Medication refill
process in
ambulatory care
Population-
based
Improvement
Patient / Care
giver experience
Care Coordination
Patient Safey /
Preventative
Health
At Risk
Populations
Urgent
Improvement
in Care
Sepsis Detection
and Management
Central Line
Associated
Bloodstream
Infection
Hospital Acquired
Pressure Ulcer
Prevention
Venous Thrombo-
embolism
HIV Transition
Projects
Access to Ryan
White Services
HIV Clinical
Support Tools
Enhanced Data
Sharing
Coverage Expansion
•Additional millions will have access to coverage
•California plans to expand Medi -Cal
•Insurance Exchange
•Some people will not have health coverage
New Markets
•New Roles
•Purpose
•Opportunity/threats
Payment Reform
•Quality will be emphasized
•Volume and utilization will have new roles
•Incentive and disincentive programs
Shared Risk
•Stand alone systems may rethink
•Accountable Care Organizations
•Regional information and care collaboration exchanges/cooperative
New Rules:
What we do and don’t know about Health Reform
Phase I: Bridge to Reform
Foundation
•Health Care Reform (ACA)
•Hospital Sustainability Study
•Delivery System Reform Incentive Payments (DSRIP)
•Employee input
CCRMC &Health Centers
2013 Priorities
•Health Home
•Safety
•Best People/
Workforce
•Leadership and
Oversight
Focusing our efforts
Health Home Safety
Leadership and OversightBest People/Workforce
Phase II: Beyond the Bridge
Strategic Planning
MANAGEMENT & IMPROVEMENT SYSTEM
FOUNDATIONAL ELEMENTS
STRATEGIES
VALUES
MISSION
VISION
PATIENT
COMMUNITY
Mar
2014
Jan’13 Apr
Present Bridge Plan
BOS
SP Session
JuneMay
2013
Feb
SP Session
Review and Present Plan
Strategic Planning
Kick-off
CCRMC & Health Centers
Strategic Planning Proposed 2013 Timeline
AugJuly Jan Sept DecOctNovDec
Communication and
Branding
Publish Strategic Plan
Virtual Working Sessions Stakeholder Meetings
Discussion