coordinated health planning advisory committee
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Coordinated Health Planning Advisory Committee
Fox Wetle, Ph.D.Former Advisory Committee Chair
Associate Dean of Medicine for Public HealthBrown University
Advisory Committee CharterLegislative Language
The Coordinated Health Planning Act of 2006 (Chapter 354, enacted 7/7/06) states:
The Director of the Department of Health, in consultation with an advisory committee composed of representatives of health care consumers, providers and payors, is hereby directed to develop an assessment of the existing state capacity and authority to perform coordinated statewide health planning. Said assessment shall include a plan for the development and revision of strategic plans to improve the quality, accessibility, portability and affordability of the state's health care system, and a study of an expanded role for the department of health in health care planning, including capital investment expansion and introduction of technology.
Coordinated Health Planning Advisory Committee Charge
Assess existing state capacity and authority to perform coordinated statewide health planning
Create a plan for developing statewide health plans
Study an expanded role in health care planning for the Department of Health
Coordinated Health Planning Advisory Committee
Appointed by Director, Department of Health
35 Members, representing
• Consumers, health care providers, advocates, insurers, health care organizations
Six meetings of the Advisory Committee
Two Public Forums
Strategies
Environmental scan nationwide of current statewide and regional health services planning efforts.
Input from the community (via community forums and Advisory Committee discussions)
Reports and recommendations developed with early and frequent input from the Advisory Committee.
Vision
“Every Rhode Islander should have access to high quality, affordable health care, delivered at the most appropriate time and place”
Reality:
• Health care delivery is fragmented, inefficient, and not accessible to all Rhode Islanders
• No incentives for improving health status in the long term
Principles
Deliver evidence-based health care
Improve quality, efficiency and accessibility
Improve affordability
Partner with the consumer in his/her care
Orient system towards person-centered care
Respond to needs with cultural and linguistic competence
Improve health status of the population
Findings
Health care system will not transform optimally without a robust health planning process that features collaboration and coordination across all public and private sector participants
State has the authority to establish process but may need additional authority to fully implement planning as envisioned.
State does not have sufficient capacity to conduct health planning as envisioned.
Recommendation
Implement and fund a Coordinated Health Care Planning and Accountability Council
Governance and Accountability Infrastructure:
• Office of Health Care Planning and Accountability in the Department of Health
Governance:
• Health Care Planning and Accountability Council Co-chaired by Director of HEALTH and Secretary of OHHS
Public Accountability:
• Annual report to the Legislature re: current status, achievement of goals, progress and barriers
RecommendationsObjectives of Health Planning
Conduct ongoing assessments of needs and system capacity.
Develop innovative models of care delivery
Recommend payment that rewards improved health outcomes
Evaluate impact of planning by measuring quality and appropriate use of services
Promote adoption of information technology
Recommend legislation and other actions to achieve accountability and adherence to plan
http://www.health.ri.gov/publications/generalassemblyreports/CoordinatedHealthPlanningInRhodeIsland.pdf
URL for Advisory Council Report (March 30, 2007)
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