Coordinated Health Planning Advisory Committee

1
May 10th General Membership Meeting
May 10, 2007 Providence Marriott RIBGH General
Membership Meeting "Outlook on Rhode Island's
Legislative and Regulatory Health Care Agenda
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May 10th RIBGH General Membership Meeting

• RIBGH Business Meeting 
• Christopher Koller, Rhode Island Insurance
  Commissioner
• Senator Joshua Miller, Member of the Senate
  Health and Human Services Committee and Chair of
  the Small Business Advocacy Council's Legislative
  Workgroup   
• Terrie Wetle, Ph.D., Associate Dean of Medecine
  for Public Health and Public Policy and Professor
  of Community Health at Brown Medical School
  andChair of the Statewide CoordinatedHealth
  Planning Advisory Committee

3
Coordinated Health Planning Advisory Committee

• Fox Wetle, Ph.D.
• Advisory Committee Chair
• and
• Associate Dean of Medicine for Public Health
• Brown University

4
Coordinated Health PlanningIn Rhode Island

• Charge and Charter
• Advisory Committee Process
• Advisory Committee Findings
• Advisory Committee Recommendations
• Proposed Legislation

5
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.

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Coordinated Health PlanningCharge

• 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

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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

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Strategies

• Environmental scan nationwide of current
  statewide and regional health services planning
  efforts.
• Input from the community (via community forums
  and Advisory Committee.)
• Reports and recommendations developed with early
  and frequent input from the Advisory Committee.

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Vision

• Every Rhode Islander should have access to high
  quality, affordable health care, deliver 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

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Vision

• 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

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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.

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Recommendation

• Implement and fund a
• Coordinated Health Care Planning and
  Accountability Council

13
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.

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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

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Legislation

• 2007 legislative proposals
• Relating to Health and Safety Rhode Island
  Coordinated Health Planning Act of 2006
• S 0648
• http//www.rilin.state.ri.us//BillText07/SenateTex
  t07/S0648A.pdf
• H 6125

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• http//www.health.ri.gov/chp/