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©2006 ViTAL Economy, Inc.
Southern Illinois Broadband Initiative
Healthcare COI LeadershipMilestone Meeting #1b Progress Meeting
CONNECT SI
Jim Haguewood - [email protected] Frank Knott - [email protected]
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Agenda – Healthcare COI LeadershipMilestone #1B Progress Meeting
0.00 - Welcome & Introductions of Participants
0:10 – Objective of #1B Meeting, Strategy Review, Role of Research and GA
0:40 – Establishing Measurable Goals
1:15 – Work Plan Review, Assignments, Action Teams, Schedule
1:45 – Next Steps Agreement
2:00 – Adjourn
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Objectives of Milestone 1B Meeting
Reinforce Connect SI Initiative and role of Healthcare COI
Review role of GA and COI’s relationship to value added research by Connect SI
Establish measurable strategic goals
Focus on preliminary short term wins; assess status and next steps
Review and evaluate COI progress on Milestone #1 work plan
Identify action plans with leadership assignments
Begin to develop COI work plan document
Establish COI, leadership and action team meeting schedules
Get ready for Milestone #2 meeting the week of October 23
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Greater Egypt COI Strategy
Southeastern COI Strategy
Southern Five COI Strategy
Greater Wabash COI Strategy
Connect SIRegional CED COIStrategy
Phase 1 Outcomes
GIS Asset Maps
Broadband Strategy
Economic Benchmarks
Regional Economic Strategy
Healthcare Strategy
Regional EconomicFramework
Five-Year Measurable Goals
Implementation &Funding Plan
Phase 2
Connect SI 20-County Phase 1 Roadmap “Led By Connect SI Core Leadership Team”
GIS Mapping Team Supports COI’s
HealthcareProviders
COI Strategy
Network Providers
COI Strategy
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Healthcare COI Implementation
1 - Organize COI, Issue ID, Priorities & Goal Setting Jul - Sep 2006
2 - Map COI Value Chain, Conduct Gap Analysis, Oct - Dec 2006 Quantify Economic Impact
3 - ID & Quantify Connectivity Implications Jan - Feb 2007 for Healthcare Providers and Patients
4 - Prioritize & Define 3 Tele-Health Apps Mar - Apr 2007 & Value Propositions
5- Develop Economic/jobs strategy & Connect COI Strategy May 2007 to Region Strategy
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Connect SI Value Added Research
Available to COI
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Interviews with community, business, government, finance and network provider leadership in each of four economic sub regions of Connect SI
Interviews with federal, state, and local economic development officials
Assess formal and informal leadership-understanding of the strategic role of connectivity in changing the way a community lives, works and governs
Assess connectivity provider understanding of the role of connectivity assets for improving economic opportunity and performance
Assess region’s broadband connectivity versus best practice benchmarks
Connect SI 20-County Readiness-Assessment - 1
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Assess role of community development assets in terms of the community vitality of the region in support of an integrated economic development strategy
Assess the region’s climate of innovation, risk-taking and entrepreneurship
Assess collaborative leadership capacity and experience in the region
Assess entrepreneurial mindset, and creative debt and equity capacity and capability to support and grow entrepreneurial knowledge based enterprises
Review asset mapping to identify opportunities for emerging rural industry clusters
Connect SI 20-County Readiness-Assessment - 2
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Develop a regional economic model which will allow users, without sophisticated economic expertise, to determine economic benchmarks for the region, four sub-regions and counties.
This economic model will be able to be used to analyze existing economic performance and project future impacts based on key assumptions
A standardized county level report template will be developed, so that standardized consistent reports can be quickly prepared for each of the 20 counties and four regions of Connect SI
Develop a sub-assessment of Tourism and Knowledge-Based Enterprise (KBE) impacts within the four economic sub-regions of Connect SI. Integrate the results of this analysis into the economic model. Conduct industry specific interviews to assist in this sub-assessment
Create a standard projections report, so that five-year projections of potential regional economic performance can be produced based on changes in employment and average wage assumptions
Produce an Economic Model Training Manual which explains the model, how to use it and for what it can be used. Conduct a training session in the Connect SI region
Regional Economic Model
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Develop a regional healthcare economic model which will allow users to prepare and print standard economic reports outlining key measures such as healthcare’s role in GDP, etc.
Modify the regional economic model. Supplement it with healthcare data from other sources such as regional hospitals, previous studies, medical association statistics, to provide a more detailed analysis of healthcare in the region and within its four economic sub-regions
Conduct a detailed analysis of the leakage of healthcare services from the region to neighboring states. Conduct interviews with healthcare professionals, assess available statistical data from multiple sources to establish a statistical basis for measuring leakage by type of service, location and demographic.
Develop a micro-study of the economic activity related to a typical area hospital based on available data and interviews with regional industry leaders. Develop a standardized regional report on healthcare activity and its economic impact on the region.
Create a standard projections report, so that five-year projections of potential regional economic performance can be produced based on changes in employment and average wage assumptions. Produce an Economic Model Training Manual which explains the model, how to use it and for what it can be used. Conduct a training session in the Connect SI region
Regional Healthcare Economic Model
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Job DescriptionConnect SI Graduate Assistant
1. Coordinate meetings for and work with members of Connect SI Leadership Team and the Community of Interest (COI) to be represented.
2. Record, distribute, and post meeting and COI documents
3. Assist in maintaining and archiving listservs, emails, and other online communications pertinent to the respective COI.
4. Assist in relevant research related to the COI.
5. Provide regular contact, support, and encouragement for COI participants.
6. Coordinate closely with other COI and project graduate assistants. Attend meetings as needed, and collaboratively share ideas and thoughts for the betterment of the COI’s and the project.
7. Assist in the promotion, development, and advancement of the Connect SI regional initiative.
8. Provide administrative support to the Connect SI Director.
Complete other tasks as assigned by the Connect SI Director.
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Establishing Measurable Goals
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Step #1 - Relate Goals to Priority Issues
How Other Health COI’s Have Done This
Unhealthy increase in percent of revenues from Medicaid/Medicare
Critical skills shortages lowers service and increases costs
3rd Party Paid health service dollars accessing services outside region
Appearance & remoteness of region hinders attraction of professionals
Inadequate access to healthcare services and poor health outcomes
Lack of coordination of and connection between services within region
A vision for the future is dependent on defining a regions issues of challenge and opportunity
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VE’s Essential Guiding Principle“If You Cannot Measure It, You Cannot Manage It!”
Vision and/or Mission Must Be Achievable, Believable and Transforming
Benchmarks For Where We Are Today Must Be Established
Measurement of Accomplishments Between Benchmark and Vision Is Critical
Goals Must Enable The Realization of the Mission and Be Measurable
Strategies Enable Measurable Accomplishment of a Specific Goal
Action Plans Are Measurable Implementations of a Strategy
All Actions Are Measured and Related Back to the Intended Goal, Strategy and Vision
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Step #2 - Establish Benchmark of Where You are Now and
Establish a Measurable Goal for Where You Want to be in 5 Years
Decrease Medicaid/Medicare percent of revenues by ___%
Establish skills shortage deficit by profession and quantify the measurable
benefit that will result from addressing this gap
We will recapture $________ of 3rd Party Revenue within 5 years
Define a specific improvement in access to health services
Define measurable improvement in specific areas of health outcomes
Define what services coordination will be improved and how connecting
services will change the cost or revenue equation for what sectors
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Healthcare Issues of Opportunity From Milestone #1 Mtg
Your ideas… Improved health status for children; mental health, medical
Benefit; reduced healthcare costs, better performance in school, parenting, less gaps in care, cost avoidance, system of care
Access to applications for other resources IHN involvement in access, audit, authenticity Regional health information system; birth to death
Benefits; coordination of care, efficiency of system, better outcomes, transportation costs One stop/page for prescription programs, list of all prescription programs PCCM model of care, pick a medical home/provider and stay with it Connectivity is a relationship issue, identification of need in the other areas and share HR costs VA has access to specific specialties, unified approach to recruiting skills Provide high speed to 900 VA employees; secure network ability to work at home Delivery of education programs Sharing the HR in the area; physical therapist, supervisory relationships No pediatric neurologist in the Southern IL region, bring in to area with networks Billing/payment issues across state-lines Sustainable funding mechanism for small business health insurance ER’s drug seekers moving throughout the region, network the locations together
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Healthcare Issues of Challenge From Milestone #1 Meeting
Your ideas… Fearful of movement to digital medical records Workforce that is capable of working in a e-health network system Good communication and education plan to deeply engrain SI into the region. Lack of an easily updated resource list, regional healthcare talents What is available? Hospital placement for mental health clients, beds Leap between e-health network and keeping people in region and a climate of working together,
capture of out-migration of revenues 3rd party payers going outside of SI region for services Specialist that come from Springfield, St. Louis and other areas see patient and then take them
outside area for surgery Involvement of physicians (federal, clinic, independents, hospital) in the Connect SI Healthcare
COI Identifying a patients that should be seen with tele-health E-health having a negative impact on local service delivery, bring resource into the community
(local control), getting more from the healthcare system Using already scarce resource to highest patient and system benefit
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Measurable Goals Ideas From Milestone #1 Meeting
• What Healthcare COI goals are important to you and why…
•Reduce the prevalence of chronic illness, improve the outcomes of chronic illness status in the region
•Change in the payer mix, higher 3rd party %
•Increase connectivity of healthcare providers at home
•% of prescriptions filled through e-health system
•Eliminate the nursing shortage in the region, different levels and determine degree of shortage
•Healthcare training slots in the region
•Clinical placements
•Identification of fiscal resources for implementation of chartless system, national standards
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What Are Meaningful/Measurable Goals for the Healthcare COI
Is it Improvement in healthcare access, outcomes, revenue or jobs, etc? Your ideas…
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Work Plan Review
and
Action Team Task Assignments
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Healthcare COI Work Plan Prior To October 2006-1Assign Task Completion to Leaders or Action Teams
1. Establish a leadership team to manage the work of the healthcare COI (Leaders)
2. Develop a champion and investor recruitment plan to sustain Connect SI (Team)
3. Identify healthcare industry research reports for Connect SI team
4. Clarify how Connect SI could help accelerate/benefit existing initiatives (Leaders)
5. Define what will enable and sustain regional collaboration versus competition• Establish Marketing Committee to address 5 and 7
6. Clarify how the sub-regional input & involvement can be maximized by COI • Sub-Region Engagement team complete this task
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Healthcare COI Work Plan Prior To October 2006-2
7. Establish strategies that will address challenges to regional collaboration (Marketing)
8. Complete, and prioritize issues of challenge and opportunity (Team)
9. Prioritize definition of measurable goals for COI (Team)
10. Select the issue that creates the greatest sense of urgency for the COI (Leaders)
11. Focus on collaborations that can result in short term wins linked to process (Leaders)
12. Define what makes your investment of time, talent and treasure worthwhile (Leaders)
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Confirm Leadership Team - Task 1
Who…
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Champion and Investor Recruitment Team - Task 2
Who…
When?
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Marketing Committee - Tasks 5 & 7
Who…
When…
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Sub-Regional Engagement Plan - Task 6
Who…
How it links back to the region…
When…
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Issues of Challenge & Opportunity Team - Task 8
Who…
When…
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Measurable Goals Team - Task 9
Who…
When…
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Leadership Team -Tasks 1,4,10,11,12
Who…
When…
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Agree on Next Steps
Action Team Meeting Time Frames
Milestone #2 Meeting in October or November