Commonwealth Federal Funds in the Health Area and Governor’s PrioritiesA HEALTHCARE SYSTEM FOR ALL

Dr. Jesús Irizarry MoraGovernor Health Advisor

P.R. Federal Grants and Contracts Training Summit

Puerto Rico Convention Center, San JuanFebruary 3 & 4, 2015

Puerto Rico Department of Health Regions

2

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

Health Agencies/Corporations

Puerto Rico Department of Health (DS) Puerto Rico Health Insurance Administration (ASES) Office of the Commissioner of Insurance (OCS) Automobile Accident Compensation Administration (ACAA) Puerto Rico State Insurance Funds Corporation (CFSE) Commonwealth of Puerto Rico Medical Services Administration

(ASEM) Mental Health and Anti Addiction Services Administration (ASSMCA) Puerto Rico Health Information Network (PRHIN)

3

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

Health Program Action Items

#1: Establish an integrated, regional healthcare system #2: Create a Regulatory Board to evaluate the new

healthcare system #3: Implement a new health information system #4: Provide universal access to healthcare #5: Establish new disease prevention and health promotion

programs

4

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

Health Program Action Items (cont.)

#6: Promote mental health and prevent related conditions targeting young people

#7: Provide quality, managed care for the elderly

#8: Ensure the availability of medications at a reasonable cost

#9: Guarantee continued medical education

#10: Provide the PR Medical Center the necessary resources to optimize its performance

#11: Begin a multisectoral dialogue on medical malpractice

5

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

Federal Funds According to Goverment Health Program Agenda, 2014

Agency Action Item # of Programs

Funds Total (in Millions)

DS (ASEM, ASSMCA, PRHIN*) 1, 2, 3, 4, 5, 6, 10 61 $419

ASES** 1, 4, 7, 8 8 $2,894

OCS*** 4, 11 1 $2

UPR (Medical Sciences Campus) 9 133 $47.4

Total 203 $3,362.4

___________* PRHIN did not receive any funds during 2014. Between 2012-14 received $7.7 millions of which $1.6 millions were returned to the federal government in 2014. ** Includes Medicaid funds for Mi Salud.*** OCS only used $800,000 of the 2 millions assigned due to changes in ACA legislation.

6

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015

Challenges Ahead

Improve health status of the PR population ACA funds ending by summer 2018 External resources infrastructure at each health sector

agency/corporation Capacity building of the professional workforce Improve efficiency, effectiveness Sharing specialists and difficult recruitment personnel PR Medical Center sustainability Make more with less!

7

P.R. Federal Grants and Contracts Training Summit - February 3 & 4, 2015