Our Healthcare System: Its Challenges

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Our Healthcare System Its Challenges

• Rising healthcare costs
• Growing numbers of uninsured
• Increasing shortages of caregivers
• Accelerating numbers of chronically ill

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Meeting the Challenge Collectively...

• Provide access to affordable care
• Reverse the trend of avoidable illness
• Emphasize staying well
• Focus on information technology that leads to
  better healthcare decisions

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and Individually

• Achieve healthier lifestyles
• Take responsibility for health behaviors
  choices

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The Hospital Communitys Vision
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What Would this Framework for Change Mean for Our
Country State?

• Reduced chronic illness
• Healthier, balanced lives for children adults
• Efficient, affordable care
• Access to coverage care
• Care experience would exceed expectations

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Arizonas Hospitals Promote Health

• 397 million in uncompensated care in 2008

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Arizonas Hospitals Promote Health

• 1 billion in community health improvement as
  well as other community benefit programs
  delivered to 1.5 million Arizonans25 percent of
  the states populationin 2006

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Focus on the Framework Healthcare for All, Paid
for By All

• Current Status
• High rates of uninsured in Arizona

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Focus on the Framework Healthcare for All, Paid
for By All

• Framework for Change
• Creating a network of non-profit,non-government
  entities offeringhealth plans that would
• negotiate rates with providers
• compete with commercial insurers
• For hospitals to thrive in our communities,
  payment cannot be based on Medicare rates

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Focus on the Framework Wellness in Arizona

• Current Status
• Chronic disease is leading cause of death
• Obesity impacts significant numbers
• Consumers do not pursue prevention

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Focus on the Framework Wellness in Arizona

• Framework for Change
• Focusing on primary care
• Promoting healthy behaviors

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Focus on the Framework Efficient Affordable
Care in Arizona

• Current Status
• Premiums soaring
• People curtailing care due to cost
• Public payment system underpays, leading to
  higher cost to businesses consumers

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Focus on the Framework Efficient Affordable
Care

• Framework for Change
• Create a value-based purchasing program
• Reauthorize Section 1011
• Ban physician self-referral to hospitals in which
  they have a financial interest

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Focus on the Framework Highest Quality Care in
Arizona

• Current Status
• Arizonas national status as a leader
• Shortage of doctors, nurses other healthcare
  professionals

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Focus on the Framework Highest Quality Care

• Framework for Change
• Increased investment in Graduate Medical
  Education (GME)
• Reduce avoidable hospitals re-admissions

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Focus on the Framework Best Information

• Good information
• Good results

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Key Opportunities

• To Improve
• Arizonans collective health status
• System efficiency
• Quality
• To Reduce
• Chronic disease
• Administrative costs
• Uncompensated care

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The Bottom Line

• Does the Plan
• Expand access to healthcare
• Improve the health of our nation
• Emphasize quality
• Reduce costs