Health Planning Council

Meeting 4

Madeleine Biondolillo, MDDirector, Bureau of Health Care Safety and Quality

Department of Public HealthAugust 27, 2013

Slide 2

Agenda

• Approval of minutes from June meeting • Report from Health Planning Advisory Committee meeting in

July

• Update on health planning activities

• Presentation on Geographic Regions from the Health Policy Commission

Slide 3

Approve Minutes

Slide 4

Health Planning Advisory Committee

Health Planning Advisory Committee

• Advisory Committee held its first meeting on July 19, 2013

• Dr. Myechia Minter-Jordan, President & CEO of the Dimock Center, was elected Chair of the Committee

• Staff presented the Analytic Plan approved by the Council and received feedback from the Committee members

Feedback

• Focus on how plan will ultimately be used for planning purposes; inventory must be linked to policy

• Calculate supply not only by capacity, but also by use. – E.g. evaluate MRI supply not only by the number of machines,

but also by the number of scans performed

• Develop a systematic process for moving services between Levels I, II and III over time

• Include evaluations of unlicensed members of the workforce, such as personal care attendants

Feedback

• The behavioral health category should include state-run programs

• The Plan should analyze and determine both under-supply and over-supply of services

• The Plan should determine if supply and demand for a particular service are affected by that service’s affordability

• The Advisory Committee can help direct staff to existing databases that could be leveraged to create the inventory

Feedback

• Affirmed the importance of health planning

• Discussed need for adequate funding to complete this work

• Raised questions about the timeline for completion of this work outlined in the Analytic Plan

• Next meeting scheduled for September 20

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Update on Health Planning Activities

Health Planning Activities

June: Analytic Plan approved by Council» State Health Plan due Jan 1, 2014 » Estimated $1.2 million budget required for completion

July: State Budget finalized» $1.6 million requested for health planning activities» Account containing funding for health resource planning was

severely underfunded

August: DPH issued RFR for execution of Analytic Plan

» Issued for approximately $300K» Availability of $300K contingent on ability to carry over

unexpended FY2013 funds

Health Planning Activities

• RFR sought comprehensive execution of Analytic Plan, to be completed by January 1

• Issued August 1

• Closed August 15 with only 1 bid

• DPH suspects misalignment of scope, budget and timeline influenced low response rate

Revised Approach

• DPH will use existing resources to complete Level 1 analysis:– Due January 1, 2014

• Refine RFR to reflect a phased approach – Issued when DPH has more clarity about existing

funding

• Prioritize foundational work on definitions, as allowed within existing resources

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Geographic Regions

Next Steps

• Level I Analysis underway using DPH staff

• Second Health Planning Advisory Committee meeting scheduled for September 20

• Staff is redrafting RFR

• Planning public hearings and stakeholder meetings to discuss proposed definitions of services