Primary Care Access and Stabilization Grant (PCASG)

Grantee’s MeetingAugust 20, 2009

Co-convened with

Agenda

I. Welcome and Introductions

II. Background/ Historical Perspective

III. Presentation and discussion of Affiliation Agreement and Information Sharing Agreement

IV. Vision for the future and determining next steps

V. Updates and Announcements•Advocacy and sustainability updates•Interpreter Training Opportunity•Pharmacy Technical Assistance Opportunities•GNO Community Campaign update

Background/ Historical Perspective Vision of the four Catholic Health Systems in 2000

Having largely withdrawn as providers, what can Catholic Health do to fill gaps in care in New Orleans?

With the initial focus on two neighborhoods in New Orleans (Carrollton and New Orleans East), strove to better align existing resources to create a seamless system of care for the uninsured, consistent with the principles of the IOM’s Crossing the Quality Chasm

Background/ Historical Perspective MCLNO, primary care safety net convened in the form of

the New Orleans Partnership for Care of the Uninsured with staffing support from LPHI

Purpose was to create referral pathways, care coordination and information infrastructure to align the safety net, inclusion of other supportive social/ human services

HRSA/Community Access Program funding, with Ascension match (name change to Partnership for Access to Healthcare – PATH)

Background/ Historical Perspective Governance framework- provider led, LPHI

supported

  Initial accomplishments: Master Agreement,

Attachments, CLIQ

  Also work towards bi-directional information

sharing, common registration with an eye towards population-level management, focusing on the high risk population, PC planning

Background/ Historical Perspective

Focus grew to regional

Closing of MCLNO W-16 brought urgency to primary care capacity building- loss of 50K visit capacity

Hurricane Katrina hits (ouch)

Background/ Historical Perspective Same work needed to be accomplished,

starting further back, but with a fresh start—PATH as a point of coordination

Regional Primary Care Planning Committee

Recovery, stabilization and expansion, quality improvement, information management platform, and vertical networking

Background/ Historical Perspective HCAP, SSBG, then PCASG

Evolution/ shift of LPHI from neutral convener to funder

  Spin off of shared services organization for

need of a provider controlled, regional network for efficiencies, economies of scale (504Healthnet)

Fast forward to present Working towards 4 goals with expanded provider

group Access Quality Systemness Sustainability

Today’s meeting is about addressing Systemness: creating an organized system of care with a focus on the uninsured

Opportunities Going Forward

We are laying the groundwork for health care reform

Can’t do everything necessary to maintain health at the PC level

Lion’s share of funding for diagnostic and specialty care for the uninsured is with the Public Hospital

Opportunities Going Forward

MCLNO cannot do all the primary care necessary, wants to make alignments with the diversity of community providers so they can focus on what they do best as a largely tertiary academic medical center

Overview of the agreement

Time later for questions, discussion, next steps once we get through the nuts and bolts

Opportunities Going Forward

Dr. Juzar Ali, ILH Medical Director

Dr. Wayne Wilbright, CIO/CMIO LSU Health Care Services Division

Drs. Cassandra Youmans and Carl Walker, Ambulatory Clinics, ILH