Rene S' CabralDaniels, J'D', M'P'H'

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Virginia State Planning Grant Community Outreach
Briefing October 14, 2004

• Rene S. Cabral-Daniels, J.D., M.P.H.
• Director
• Office of Health Policy and Planning
• P.J. Maddox, Ed.D.
• Dir. Office of Research
• George Mason University

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Overview of Objectives Virginia State Planning
Grant (SPG)

• Summarize data, studies, and literature on the
  causes and consequences of non-insurance in
  Virginia.

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Virginia SPG Objectives

• Acquire best available data and synthesize new
  data from Virginia surveys on the costs and
  causes of employed non-insured Examine costs to
  the safety net, state and local governments, and
  society in general.

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Virginia SPG Objectives

• Provide Oversight for the Coordinated State
  Coverage Survey (SHADAC -Subcontractor).

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Virginia SPG Objectives

• Develop estimates of Virginia employer-based
  health coverage, by business sector.

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Virginia SPG Objectives

• Identify feasible options for expanding health
  insurance coverage (using Virginia data and
  lessons learned from other states) and Recommend
  1-2 for consideration in VA.

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Virginia SPG Final Deliverables

• Develop a business plan for Virginia recommended
  coverage options including impact projections.
• Submit recommendations to the Governor through
  Secretary of Health and Human Resources.

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Commonwealth of Virginia SPG Work Groups

• Data Workgroup
• Leadership for collaboration and coordination
  with other SPG Workgroups and contractors, state
  and local stakeholders, and others to identify,
  collect, and analyze information
• Provides secondary data analysis for Model
  Development Workgroup to support workgroup
  decision support and model development.

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Virginia SPG Work Groups

• Model Development Workgroup
• Summarizes public/private coverage options and
  identifies coverage gaps.
• Identifies, assesses, and refines options based
  on review of data and input from others.
• Recommends options -- one or more feasible
  coverage expansion models to the SPG Leadership
  Team.

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Virginia SPG WebsiteInsureMoreVirginians.org
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SPG Website serves as the Virginia web portal and
knowledge center on health insurance matters
Knowledge Center, Work Groups, Regional Data and
Planning

• SPG Website and Work Groups Ensure Community
  Support and Participation in Planning and
  Dissemination

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Virginia SPG Framework Building Health Planning
Regions
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Analysis of Best Available VA Data (Individual
Business)

• National Surveys BRFSS, MEPS-IC, CPS Other
  State SPG data collection findings
• Virginia Specific Information Economic, Business
  and Health Delivery System
• VEC Occupation Forecasts and Employment
• Regional Health Planning Associations Trends in
  Utilization and Health Service Delivery

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Data Collection and Analysis Activities

• Comprehensive Review of Literature
• Compilation of Available Sources of Virginia Data
  Inventory/Compendium
• Analysis of Best available Data Knowledge Center
• Fielded Household Survey
• Employer and Business Key Informant Interview
  and Decision Model Drafted
• Finalized expanded VA MEPS-IC Survey

Source Urban Institute and Kaiser Commission on
Medicaid and the uninsured. Estimates on pooled
March 2002 and 2003 CPS.
Source BRFSS 2002
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Analyses Technical Support White Papers/Briefs
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Data Workgroup Virginia MEPS-IC 2005

• AHRQ scheduled for Spring 2005
• Expanded Virginia survey will support sub-state
  analyses (region and sector)
• 2005 MEPS-IC receipt of VA. Sub-state data SPG
  use of extant data (see Knowledge Center)

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Data Workgroup 2004 Virginia Household Survey

• SPG Data Workgroup (w/ SHADAC)
• Developed VA Household survey
• Developed sampling frame to support sub-state
  analysis
• Household Interviews in process since July (Sept
  completion)
• Two community over-samples underway
• Preliminary Data Report Expected November 2004
  (n 3,840/4000)

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2004 Virginia Health Care Insurance and Access
Survey Discussion of expected and preliminary
Results
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Virginia SPG Continuation Grant (SPG II)

• HRSA continuation funding to
• Implement community-based planning and outreach
  in five SPG project regions.
• Provide research and technical assistance through
  to regional public-private task force
• Participatory approach leverages local leaders
  and resources to support decision-making.
• Community-based planning to align coverage
  expansion options with identified population need
  and delivery system capacity.

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We invite your questions!