michigan department of community health key initiatives and collaborations june 6, 2007

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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation & Professions Administration

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MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007. Jan Christensen Senior Deputy Director Health Policy Regulation & Professions Administration. Key initiatives center around making health care affordable and accessible in Michigan. - PowerPoint PPT Presentation

TRANSCRIPT

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

Key Initiatives and Collaborations

June 6, 2007

Jan ChristensenSenior Deputy Director

Health Policy Regulation & Professions Administration

Key initiatives center around making health care affordable and accessible in Michigan.

These include a range of programs from primary health care to long term care initiatives to the health care workforce in our state.

Governor Granholm’s Plan

• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First

Healthcare Plan

– Step 2…Advancing Health Information Technology

– Step 3…Promoting Healthy Lifestyles

Michigan First Healthcare Plan

• Goals:– Protect and expand health care coverage– Reduce trend in health care cost growth– Improve business competitiveness– Meet goals without increasing state spending

Michigan First Healthcare Plan Targets All Uninsured

• Under 200% FPL – 550,000, 50% of Uninsured

Uninsured parents and childless adults

- Individuals with adequate access to insurance or government programs will be excluded

• Over 200% FPL – 550,000Insurance Pool. Improved access to affordable

insurance for small businesses – No subsidy

Michigan First Health Care Plan Benefits

• Benefit package will include:– Preventive and primary care– Hospital care– Emergency room care– Mental health services– Prescription drugs

• Includes annual benefit limits

Cost Sharing

• Anticipate monthly premiums below $200

• Enrollees below 100 % of poverty subject to co-pays

• Enrollees between 100% and 200% of poverty level will participate through premium payments and co payments on a sliding scale not to exceed 5% of income

Michigan First Healthcare Plan“The Exchange”

• Select managed care plans to offer new affordable health insurance products for individuals and small businesses

• Assure that the plans selected offer products that comply with state set benefit guidelines, healthy lifestyle in values and other value purchasing requirements

• Responsible for enrollment function

• Administer Michigan First Premium subsidies for eligible enrollees

• Collect any voluntary employer contributions

• Work with small employers to sponsor insurance available through the Exchange for their employees

Cost Effectiveness

• Require managed care plans to be a delivery mechanism

• Plans will compete for enrollees on benefit design, provider network, quality, access and price

• Value based purchasing principles embedded in benefit design and plan requirements

• Healthy lifestyle Initiatives

Financing

• Amendment to existing Adult Benefit Waiver – no entitlement

• Financing builds on mechanisms already approved in that waiver

• State match to come from funds already spent by the State of Michigan on health care for the uninsured

Status

• Have met with numerous stakeholders to solicit input and help with design

• Ongoing negotiations with the Center for Medicare and Medicaid Services (CMS)

• Developing concrete implementation plans

Governor Granholm’s Plan

• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First Healthcare

Plan

– Step 2…Advancing Health Information Technology

– Step 3…Promoting Healthy Lifestyles

“In Michigan, we will help our health care industry stop depending on your memory and their paper records as databanks. We are going to use technology to vastly improve the system.”

- Governor Granholm, 2006 State of the State Address

Advancing the Use of Health Information Technology

MiHIN Background

• From stakeholder feedback, Governor created the MiHIN

– Began April 2006 on a 180-day mission to create a roadmap for Michigan

– Joint effort of MDCH and MDIT

– Over 200 Michigan stakeholders volunteered their time

MiHIN Mission

MiHIN will articulate a path to develop a health information network connecting health care communities across the State of Michigan, with an infrastructure and governance model for long-term sustainability through public-private partnership.

MiHIN Organization Chart

With support and assistance by the Michigan Department of

Community Health and the Michigan Department of Information Technology

Conduit to Care:Michigan’s e-Health Initiative

December 2006

The MiHIN Conduit to Care Report was released on December 11, 2006

An electronic copy can be found at the following website:

www.michigan.gov/mihin

Governor Granholm’s Plan

• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First Healthcare

Plan

– Step 2…Advancing Health Information Technology

– Step 3…Promoting Healthy Lifestyles

Promoting Healthy Lifestyles

• Governor Granholm’s plan: Promote healthy lifestyles as a means to improving health outcomes and lowering costs

– Develop public-private partnerships to foster a culture of physical activity, prevention and wellness

– Extend Michigan Surgeon General’s Michigan Steps Up initiative

• Michigan will need to fill more than 100,000 professional and technical health care jobs over the next decade

– Major shortages will be for nurses, occupational therapists, physical therapists, pharmacists, radiographers, laboratory technicians, diagnostic sonographers, EMTs, and health information technicians

• Supply of health care professionals has major implications for quality of care

MDCH Workforce Development

MDCH Workforce Development

• Chief Nurse Executive appointed by Governor Granholm

– Provides leadership, expertise and coordination in nursing workforce development

– Developed a strategic plan to address the nursing shortage: The Nursing Agenda for Michigan – Actions to Avert a Crisis

– www.michigan.gov/mdch/ocne

MDCH Workforce Development

• MI Opportunity Partnership awarded $30 million for accelerated training for nursing, nurse faculty and other health professions

– 36 grants were awarded

– More than 1,200 individuals are completing nursing education

– Local partnerships have been formed between nursing schools, hospitals and regional skills alliances

MICHIGAN NURSING CORPS

•Another collaboration between MDCH and MDLEG

•Funding proposed in 2008 state budget

•Currently $0, “placeholder” status

•Funding depends on ability to increase state revenue for 2008

Michigan Nursing CorpsThree year initiative

• Prepare 300 Masters Degree faculty in 12 month Accelerated Program

• Prepare 200 clinical nursing faculty utilizing a certificate program and a uniform statewide curriculum.

• Prepare 20 new doctoral faculty• Recruit 200 displaced workers to

Accelerated Second Degree nursing education programs.

• How will the program work?– Nurses who qualify will be provided with one year of salary

replacement and tuition to complete the masters program

– Two years for doctoral students

– In return, they sign contracts to teach in a MI nursing education program

• How will the program be funded?– Funds will come from the Governor’s new revenue

proposal

– The cost will be $45 million over 3 years.

– This will produce 3,000 RN’s

Critical Shortage: Nursing Faculty