Efficient Tactical and Strategic Planning Using Geographic Information Systems (GIS)

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Efficient Tactical and Strategic Planning Using
Geographic Information Systems (GIS)
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Geographic Information System (GIS)

• An integrated collection of computer software
  and data used to view and manage information
  about geographic places, analyze spatial
  relationships, and model spatial processes. A
  GIS provides a framework for gathering and
  organizing spatial data and related information
  so that it can be displayed and analyzed.
• -ESRI

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Stark II Regulations

• Physician Recruitment Regulation
• The hospitals geographic service area is defined
  as the area composed of the lowest number of
  contiguous zip codes from which the hospital
  draws at least 75 of its inpatients.

Medicare Program Physicians Referrals to
Health Care Entities Wit h Which They Have
Financial Relationships (Phase II), 60FR 16.094
(Mar. 28, 2004).
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Stark III Regulations

• Physician Recruitment Regulation
• Stark II with the following clarifications
• The zip codes need to be contiguous to each
  other, but not necessarily to the zip code in
  which the hospital is located.
• A recruited physician may relocate his or her
  practice to a zip code not counted among the
  contiguous zip codes (donut hole), as long as the
  contiguous zip codes from which the hospital
  derives 75 of its inpatients surround that
  donut hole.
• http//www.drinkerbiddle.com/Templates/media/files
  /publications/2007/top-10-things-to-know-for-stark
  -iii
• compliance.pdf (Accessed June 27, 2012)

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Stark III Regulations

• Physician Recruitment Regulation
• Stark II with the following clarifications
• If a hospital draws fewer than 75 of its
  inpatients from all of the contiguous zip codes
  from which it draws patients, the hospitals
  service area may be deemed to include all those
  contiguous zip codes from which it draws
  inpatients.
• http//www.drinkerbiddle.com/Templates/media/files
  /publications/2007/top-10-things-to-know-for-stark
  -iii
• compliance.pdf (Accessed June 27, 2012)

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Stark III Regulations

• Physician Recruitment Regulation
• Stark II with the following clarifications
• If a hospital can meet the applicable threshold
  for inpatients (i.e. 75 or 90 for rural
  hospitals) using multiple zip code
  configurations, the hospital may use one or more
  of the configurations. Consequently, the
  hospital can use different geographic service
  areas for different recruitment arrangements as
  long as the service area requirements are met on
  the date the recruitment arrangement is entered
  into with the physician.
• http//www.drinkerbiddle.com/Templates/media/files
  /publications/2007/top-10-things-to-know-for-stark
  -iii
• compliance.pdf (Accessed June 27, 2012)

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Patient Protection and Affordable Care Act

• Requires all 501(c)(3) hospitals to conduct a
  community health needs assessment (CHNA) at least
  once every 3 years (http//www.irs.gov/charities/c
  haritable/article/0,,id236275,00.html) (Accessed
  July 17, 2012).

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Patient Protection and Affordable Care Act

• Section 501(r)(3)(B) of Section 9007 requires
  that a CHNA take into account input from
  persons, including those with special knowledge
  of public health. (http//www.irs.gov/pub/irs-dro
  p/n-11-52.pdf) (Accessed July 17, 2012)

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GIS is Efficient

• Using the power of maps to convey spatial
  information about your market, GIS can be used in
  Medical Staff Development Plans (MSDPs) as well
  as displaying community assets and demographic
  profiles from the CHNA at the same time!

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Questions?