Southern Illinois Broadband Initiative

1
CONNECT SI
Southern Illinois Broadband Initiative Healthca
re COI Leadership Milestone Meeting 1b Progress
Meeting
Jim Haguewood - jim_at_onegroupconsulting.com Frank
Knott - fknottmd_at_earthlink.net
2
Agenda Healthcare COI LeadershipMilestone 1B
Progress Meeting
0.00 - Welcome Introductions of
Participants 010 Objective of 1B Meeting,
Strategy Review, Role of Research and GA 040
Establishing Measurable Goals 115 Work Plan
Review, Assignments, Action Teams, Schedule 145
Next Steps Agreement 200 Adjourn
3
Objectives of Milestone 1B Meeting

• Reinforce Connect SI Initiative and role of
  Healthcare COI
• Review role of GA and COIs relationship to value
  added research by Connect SI
• Establish measurable strategic goals
• Focus on preliminary short term wins assess
  status and next steps
• Review and evaluate COI progress on Milestone 1
  work plan
• Identify action plans with leadership assignments
• Begin to develop COI work plan document
• Establish COI, leadership and action team meeting
  schedules
• Get ready for Milestone 2 meeting the week of
  October 23

4
Connect SI 20-County Phase 1 Roadmap Led By
Connect SI Core Leadership Team
5
Healthcare COI Implementation
1 - Organize COI, Issue ID, Priorities Goal
Setting Jul - Sep 2006 2 - Map COI Value
Chain, Conduct Gap Analysis, Oct -
Dec 2006 Quantify Economic Impact 3 - ID
Quantify Connectivity Implications
Jan - Feb 2007 for Healthcare Providers and
Patients 4 - Prioritize Define 3 Tele-Health
Apps Mar - Apr 2007 Value
Propositions 5- Develop Economic/jobs
strategy Connect COI Strategy May 2007
to Region Strategy
6

• Connect SI Value Added Research
• Available to COI

7
Connect SI 20-County Readiness-Assessment - 1

• Interviews with community, business, government,
  finance and network provider leadership in each
  of four economic sub regions of Connect SI
• Interviews with federal, state, and local
  economic development officials
• Assess formal and informal leadership-understandin
  g of the strategic role of connectivity in
  changing the way a community lives, works and
  governs
• Assess connectivity provider understanding of the
  role of connectivity assets for improving
  economic opportunity and performance
• Assess regions broadband connectivity versus
  best practice benchmarks

8
Connect SI 20-County Readiness-Assessment - 2

• Assess role of community development assets in
  terms of the community vitality of the region in
  support of an integrated economic development
  strategy
• Assess the regions climate of innovation,
  risk-taking and entrepreneurship
• Assess collaborative leadership capacity and
  experience in the region
• Assess entrepreneurial mindset, and creative debt
  and equity capacity and capability to support and
  grow entrepreneurial knowledge based enterprises
• Review asset mapping to identify opportunities
  for emerging rural industry clusters

9
Regional Economic Model

• Develop a regional economic model which will
  allow users, without sophisticated economic
  expertise, to determine economic benchmarks for
  the region, four sub-regions and counties.
• This economic model will be able to be used to
  analyze existing economic performance and project
  future impacts based on key assumptions
• A standardized county level report template will
  be developed, so that standardized consistent
  reports can be quickly prepared for each of the
  20 counties and four regions of Connect SI
• Develop a sub-assessment of Tourism and
  Knowledge-Based Enterprise (KBE) impacts within
  the four economic sub-regions of Connect SI.
  Integrate the results of this analysis into the
  economic model. Conduct industry specific
  interviews to assist in this sub-assessment
• Create a standard projections report, so that
  five-year projections of potential regional
  economic performance can be produced based on
  changes in employment and average wage
  assumptions
• Produce an Economic Model Training Manual which
  explains the model, how to use it and for what it
  can be used. Conduct a training session in the
  Connect SI region

10
Regional Healthcare Economic Model

• Develop a regional healthcare economic model
  which will allow users to prepare and print
  standard economic reports outlining key measures
  such as healthcares role in GDP, etc.
• Modify the regional economic model. Supplement it
  with healthcare data from other sources such as
  regional hospitals, previous studies, medical
  association statistics, to provide a more
  detailed analysis of healthcare in the region and
  within its four economic sub-regions
• Conduct a detailed analysis of the leakage of
  healthcare services from the region to
  neighboring states. Conduct interviews with
  healthcare professionals, assess available
  statistical data from multiple sources to
  establish a statistical basis for measuring
  leakage by type of service, location and
  demographic.
• Develop a micro-study of the economic activity
  related to a typical area hospital based on
  available data and interviews with regional
  industry leaders. Develop a standardized regional
  report on healthcare activity and its economic
  impact on the region.
• Create a standard projections report, so that
  five-year projections of potential regional
  economic performance can be produced based on
  changes in employment and average wage
  assumptions. Produce an Economic Model Training
  Manual which explains the model, how to use it
  and for what it can be used. Conduct a training
  session in the Connect SI region

11
Job DescriptionConnect SI Graduate Assistant

• 1. Coordinate meetings for and work with
  members of Connect SI Leadership Team and the
  Community of Interest (COI) to be represented.
• 2. Record, distribute, and post meeting and COI
  documents
• 3. Assist in maintaining and archiving listservs,
  emails, and other online communications pertinent
  to the respective COI.
• 4. Assist in relevant research related to the
  COI.
• 5. Provide regular contact, support, and
  encouragement for COI participants.
• 6. Coordinate closely with other COI and project
  graduate assistants. Attend meetings as needed,
  and collaboratively share ideas and thoughts for
  the betterment of the COIs and the project.
• 7. Assist in the promotion, development, and
  advancement of the Connect SI regional
  initiative.
• 8. Provide administrative support to the Connect
  SI Director.
• Complete other tasks as assigned by the Connect
  SI Director.

12

• Establishing Measurable Goals

13
Step 1 - Relate Goals to Priority IssuesHow
Other Health COIs Have Done This

• Unhealthy increase in percent of revenues from
  Medicaid/Medicare
• Critical skills shortages lowers service and
  increases costs
• 3rd Party Paid health service dollars accessing
  services outside region
• Appearance remoteness of region hinders
  attraction of professionals
• Inadequate access to healthcare services and poor
  health outcomes
• Lack of coordination of and connection between
  services within region

A vision for the future is dependent on defining
a regions issues of challenge and opportunity
14
VEs Essential Guiding Principle If You Cannot
Measure It, You Cannot Manage It!
Vision and/or Mission Must Be Achievable,
Believable and Transforming
Benchmarks For Where We Are Today Must Be
Established
Measurement of Accomplishments Between Benchmark
and Vision Is Critical
Goals Must Enable The Realization of the Mission
and Be Measurable
Strategies Enable Measurable Accomplishment of a
Specific Goal
Action Plans Are Measurable Implementations of a
Strategy
All Actions Are Measured and Related Back to the
Intended Goal, Strategy and Vision
15
Step 2 - Establish Benchmark of Where You are
Now and Establish a Measurable Goal for Where
You Want to be in 5 Years

• Decrease Medicaid/Medicare percent of revenues
  by ___
• Establish skills shortage deficit by profession
  and quantify the measurable benefit that will
  result from addressing this gap
• We will recapture ________ of 3rd Party Revenue
  within 5 years
• Define a specific improvement in access to health
  services
• Define measurable improvement in specific areas
  of health outcomes
• Define what services coordination will be
  improved and how connecting services will change
  the cost or revenue equation for what sectors

16
Healthcare Issues of Opportunity From Milestone
1 Mtg

• Your ideas
• Improved health status for children mental
  health, medical
• Benefit reduced healthcare costs, better
  performance in school, parenting, less gaps in
  care, cost avoidance, system of care
• Access to applications for other resources
• IHN involvement in access, audit, authenticity
• Regional health information system birth to
  death
• Benefits coordination of care, efficiency of
  system, better outcomes, transportation costs
• One stop/page for prescription programs, list of
  all prescription programs
• PCCM model of care, pick a medical home/provider
  and stay with it
• Connectivity is a relationship issue,
  identification of need in the other areas and
  share HR costs
• VA has access to specific specialties, unified
  approach to recruiting skills
• Provide high speed to 900 VA employees secure
  network ability to work at home
• Delivery of education programs
• Sharing the HR in the area physical therapist,
  supervisory relationships
• No pediatric neurologist in the Southern IL
  region, bring in to area with networks
• Billing/payment issues across state-lines
• Sustainable funding mechanism for small business
  health insurance
• ERs drug seekers moving throughout the region,
  network the locations together

17
Healthcare Issues of Challenge From Milestone 1
Meeting

• Your ideas
• Fearful of movement to digital medical records
• Workforce that is capable of working in a
  e-health network system
• Good communication and education plan to deeply
  engrain SI into the region.
• Lack of an easily updated resource list, regional
  healthcare talents
• What is available? Hospital placement for mental
  health clients, beds
• Leap between e-health network and keeping people
  in region and a climate of working together,
  capture of out-migration of revenues
• 3rd party payers going outside of SI region for
  services
• Specialist that come from Springfield, St. Louis
  and other areas see patient and then take them
  outside area for surgery
• Involvement of physicians (federal, clinic,
  independents, hospital) in the Connect SI
  Healthcare COI
• Identifying a patients that should be seen with
  tele-health
• E-health having a negative impact on local
  service delivery, bring resource into the
  community (local control), getting more from the
  healthcare system
• Using already scarce resource to highest patient
  and system benefit

18

Measurable Goals Ideas From Milestone 1 Meeting

• What Healthcare COI goals are important to you
  and why
• Reduce the prevalence of chronic illness, improve
  the outcomes of chronic illness status in the
  region
• Change in the payer mix, higher 3rd party
• Increase connectivity of healthcare providers at
  home
• of prescriptions filled through e-health system
• Eliminate the nursing shortage in the region,
  different levels and determine degree of shortage
• Healthcare training slots in the region
• Clinical placements
• Identification of fiscal resources for
  implementation of chartless system, national
  standards

19
What Are Meaningful/Measurable Goals for the
Healthcare COI

• Is it Improvement in healthcare access, outcomes,
  revenue or jobs, etc?
• Your ideas

20

• Work Plan Review
• and
• Action Team Task Assignments

21
Healthcare COI Work Plan Prior To October
2006-1 Assign Task Completion to Leaders or
Action Teams

• Establish a leadership team to manage the work
  of the healthcare COI (Leaders)
• Develop a champion and investor recruitment plan
  to sustain Connect SI (Team)
• Identify healthcare industry research reports
  for Connect SI team
• Clarify how Connect SI could help
  accelerate/benefit existing initiatives (Leaders)
• Define what will enable and sustain regional
  collaboration versus competition
• Establish Marketing Committee to address 5 and 7
• Clarify how the sub-regional input involvement
  can be maximized by COI
• Sub-Region Engagement team complete this task

?
?
22
Healthcare COI Work Plan Prior To October 2006-2

1. Establish strategies that will address challenges
   to regional collaboration (Marketing)
2. Complete, and prioritize issues of challenge and
   opportunity (Team)
3. Prioritize definition of measurable goals for COI
   (Team)
4. Select the issue that creates the greatest sense
   of urgency for the COI (Leaders)
5. Focus on collaborations that can result in short
   term wins linked to process (Leaders)
6. Define what makes your investment of time, talent
   and treasure worthwhile (Leaders)

23
Confirm Leadership Team - Task 1

• Who

24
Champion and Investor Recruitment Team - Task 2

• Who
• When?

25
Marketing Committee - Tasks 5 7

• Who
• When

26
Sub-Regional Engagement Plan - Task 6

• Who
• How it links back to the region
• When

27
Issues of Challenge Opportunity Team - Task 8

• Who
• When

28
Measurable Goals Team - Task 9

• Who
• When

29
Leadership Team -Tasks 1,4,10,11,12

• Who
• When

30
Agree on Next Steps

• Action Team Meeting Time Frames
• Milestone 2 Meeting in October or November