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Primary Care Access and Stabilization Grant (PCASG) Grantee’s Meeting August 20, 2009. Co-convened with. Agenda. I. Welcome and Introductions II. Background/ Historical Perspective III. Presentation and discussion of Affiliation Agreement and Information Sharing Agreement - PowerPoint PPT Presentation
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Primary Care Access and Stabilization Grant (PCASG)
Grantee’s MeetingAugust 20, 2009
Co-convened with
Agenda
I. Welcome and Introductions
II. Background/ Historical Perspective
III. Presentation and discussion of Affiliation Agreement and Information Sharing Agreement
IV. Vision for the future and determining next steps
V. Updates and Announcements•Advocacy and sustainability updates•Interpreter Training Opportunity•Pharmacy Technical Assistance Opportunities•GNO Community Campaign update
Background/ Historical Perspective Vision of the four Catholic Health Systems in 2000
Having largely withdrawn as providers, what can Catholic Health do to fill gaps in care in New Orleans?
With the initial focus on two neighborhoods in New Orleans (Carrollton and New Orleans East), strove to better align existing resources to create a seamless system of care for the uninsured, consistent with the principles of the IOM’s Crossing the Quality Chasm
Background/ Historical Perspective MCLNO, primary care safety net convened in the form of
the New Orleans Partnership for Care of the Uninsured with staffing support from LPHI
Purpose was to create referral pathways, care coordination and information infrastructure to align the safety net, inclusion of other supportive social/ human services
HRSA/Community Access Program funding, with Ascension match (name change to Partnership for Access to Healthcare – PATH)
Background/ Historical Perspective Governance framework- provider led, LPHI
supported
Initial accomplishments: Master Agreement,
Attachments, CLIQ
Also work towards bi-directional information
sharing, common registration with an eye towards population-level management, focusing on the high risk population, PC planning
Background/ Historical Perspective
Focus grew to regional
Closing of MCLNO W-16 brought urgency to primary care capacity building- loss of 50K visit capacity
Hurricane Katrina hits (ouch)
Background/ Historical Perspective Same work needed to be accomplished,
starting further back, but with a fresh start—PATH as a point of coordination
Regional Primary Care Planning Committee
Recovery, stabilization and expansion, quality improvement, information management platform, and vertical networking
Background/ Historical Perspective HCAP, SSBG, then PCASG
Evolution/ shift of LPHI from neutral convener to funder
Spin off of shared services organization for
need of a provider controlled, regional network for efficiencies, economies of scale (504Healthnet)
Fast forward to present Working towards 4 goals with expanded provider
group Access Quality Systemness Sustainability
Today’s meeting is about addressing Systemness: creating an organized system of care with a focus on the uninsured
Opportunities Going Forward
We are laying the groundwork for health care reform
Can’t do everything necessary to maintain health at the PC level
Lion’s share of funding for diagnostic and specialty care for the uninsured is with the Public Hospital
Opportunities Going Forward
MCLNO cannot do all the primary care necessary, wants to make alignments with the diversity of community providers so they can focus on what they do best as a largely tertiary academic medical center
Overview of the agreement
Time later for questions, discussion, next steps once we get through the nuts and bolts
Opportunities Going Forward
Dr. Juzar Ali, ILH Medical Director
Dr. Wayne Wilbright, CIO/CMIO LSU Health Care Services Division
Drs. Cassandra Youmans and Carl Walker, Ambulatory Clinics, ILH