Mission Statement

1
Mission Statement

• The Delaware Health Care Commission is an
  independent public body reporting to the Governor
  and the General Assembly, working to promote
  accessible, affordable, quality health care for
  all Delawareans.

2
Key Goals

• Access - Improve access to health care for
  all Delawareans.
• Cost - Promote a regulatory and financial
  framework to manage the affordability
  of health care.
• Quality - Promote a comprehensive health care
  system assuring quality care for all
  Delawareans.

3
Strategic Initiatives

• Uninsured Action Plan
• Health Professional Workforce Development
• Information and Technology
• Research and Policy Development
• Specific Health Care Issues
• Cost Containment

4
Uninsured Action Plan
5
 Uninsured Action Plan

• CHAP State Planning Program
• CHAP Issues and Questions
• Health Status improvement
• Non-citizen enrollment
• Effectiveness CHAP model vs. alternatives
• Future beyond August, 2003
• Hospitals not enrolling as many people as
  Community Health Care Centers
• Action
• Workgroup to examine issues

6
Uninsured Action Plan

• CHAP State Planning Program
• Issues and Questions
• Prepare options for when implementation is
  feasible
• Public Interest in pooling vs. Del. small size
• Old association plans (i.e. DSCC)
• Affordability of insurance small business
• Action
• Address small employer issues through HR 82 Task
  Force
• Continue briefings and interviews
• Prepare final report for HRSA
• Determine feasibility for health policy conference

7
Health Professional Workforce Development

• Downstate Residency Rotation Pilot Project
• Issues and Questions
• What is best value of program? Recruitment or
  education?
• Level of interest in program
• Action
• Continue program for one additional year and
  evaluate next steps, including continuation, or
  spin-off
• Dr. J. Lieberman to discuss with key program
  participants

8
Health Professional Workforce Development

• Loan Repayment Program
•  
• Good results
•  
• Action
• Continue program and monitor and
• fine-tune as needed

9
Health Professional Workforce Development

• DIMER 
• Issues and Questions
• Delawareans returning after medical education
• Low number of applicants from Downstate
• Low number of minority applicants
•  
• Action
• Workgroup to
• Explore outreach opportunities for minorities and
  Kent and Sussex Countians
• Identify opportunities to promote DIMER

10
Health Professional Workforce Development

• DIDER
• Issues and Questions
• Ability of DIDER to implement Dental Task Force
  Recommendations
• Working relationship with DHCC DIDER newest
  member of the family
• Action
• Establish closer working relationship, and invite
  DIDER chair to participate when appropriate

11
Health Professional Workforce Development

• Nursing
• Report and recommendations released
•  
• Action
• Proceed with committee to oversee implementation
  of recommendations

12
Information and Technology

• Delaware Health Information Network
• Community Clinical Information Sharing (CCIS)
• CCIS is departure from original intent of DHIN,
  but does enjoy support from provider community
• Evidence that access to better information
  results in improved patient care
• How did DHIN arrive at this concept as best
  course of action?
• Comprehensiveness of utility Implications of
  not including all medical records
• Most appropriate role of DHCC
•  
• Action
• DHIN completes business plan
• Seriously examine opportunity to increase quality
  and decrease cost of health care
• Info on whether doctors make better decisions
  with more information

13
Information and Technology

• Delaware Health Information Network
• Website
• Issues and Questions
• How much is it used? (Has not been publicized)
• Opportunities to promote?
• Can it be used to achieve other commission
  initiatives?
• Should it be merged with commissions website?
• Action
• Form workgroup to evaluate and report

14
Information and Technology

• Delaware Health Information Network
• HIPAA Education
• Issues and Questions
• Previous DHIN pilot explored using organization
  as focal point for HIPAA compliance, but very
  little interest both in public and private sector
• Now that HIPAA deadlines are approaching, new
  need identified
•  
• Action
• Explore whether DHIN should re-examine role in
  HIPAA compliance activities.

15
Research and Technology

• Delaware Health Fund Advisory Committee
• Issues and Questions
• Increased spending on DPAP
• Decreased funding for strategic reserve
• DHCC continue its role in funding priorities
• Action
• Continue to provide research and support for
  committee
• Encourage cost-efficient management of DPAP
• Continued 1million funding for uninsured
• Continued funding for diabetes

16
Research and Policy Development

• Survey Research 
• Issues and Questions
• Is commission making best and fullest use of
  research reports?
• Should they be conducted on an annual basis?
• Action
• Data workgroup to review and report -
• Particular focus - CAHPS report

17
Specific Health Care Issues

• Diabetes
• Issues and Questions
• Should DHCC continue to oversee?
• Should diabetes continue to be the chronic
  disease funded through Health Fund?
•  
• Action
• Complete SFY 02 activities
• Identify projects for SFY 03 with Diabetes
  control plan as guide
• Determine SFY 04 priorities

18
Specific Health Care Issues

• Infant Mortality
• DHCC representation on Perinatal Board works well
• Action
• Continue
• Health Disparities 
• What is role of commission in addressing issue? 
• Action
• Participate in informal discussions and determine
  appropriate role

19
Cost Containment

• Rising costs becoming over-arching theme in
  health care. Where can DHCC make a difference?
• Action
• Form workgroup to identify opportunities to
  address cost issues.

20
Uninsured Action Plan

• Action Items
• CHAP
• Workgroup to examine questions and issues
• Make recommendations to Commission
• State Planning
• Participate in HR 82 Task Force
• Examine next steps in preparing options
• Prepare final report for HRSA
• Continued briefings and interviews

21
Health Professional Workforce Development

• Action Items
• Downstate Residency Rotation
• Continue monitoring determine future in one
  year.
• Loan Repayment Program
• Continue as is fine tune as needed

22
Health Professional Workforce Development

• Action Items
• DIMER
• Workgroup to examine opportunities to promote
  program and recruit downstaters and minorities
• DIDER
• Develop closer working relationship and include
  DIDER chair
• Nursing
• Implementation committee

23
Information and Technology

• Action Items
• DHIN
• Receive business plan and recommendations from
  DHIN Board on CCIS
• Workgroup to examine DHIN website vs. DHCC
  website
• Re-examine feasibility of HIPAA compliance
  activities

24
Research and Technology

• Action Items
• Health Fund Advisory Committee
• Continue supportive and research guidance role
• Recommend funding for
• 1 million uninsured
• 500,000 for diabetes

25
Research and Policy Development

• Action Items
• Survey Research
• Workgroup to evaluate research reports and
  determine more effective use

26
Specific Health Care Issues

• Action Items
• Infant Mortality
• Continued DHCC representation
• Dr. Gorum
• Health Disparities
• Participation in informal discussions determine
  appropriate role

27
Cost Containment

• Action Items
• Workgroup to determine how DHCC should address

28
New Workgroups

• CHAP Evaluation 
• DHIN Website
• Survey Research Evaluation
• Cost Containment
• DIMER
• Mental Health