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the alaska federal health care partnership

A formal, voluntary, inter-agency relationship between the IHS, VA, DoD and DHS, working together by the sharing of each other's resources, talents, and experience to improve patient care throughout the state of Alaska. What is the

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the alaska federal health care partnership

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    1. The Alaska Federal Health Care Partnership “ An Overview of Multi-Agency Collaboration”

    2. A formal, voluntary, inter-agency relationship between the IHS, VA, DoD and DHS, working together by the sharing of each other’s resources, talents, and experience to improve patient care throughout the state of Alaska What is the ‘Partnership?’

    3. We, the Alaska Federal Health Care Partnership, are dedicated to providing our beneficiaries ready access to quality, customer oriented, compassionate, comprehensive, and cost-effective health care Mission

    4. A Partnership of multi-cultural intra-agencies working in concert, achieving the highest level of health status for beneficiaries. Vision

    5. Facilitate patient access to the right care at the right time Optimize technology Promote patient wellness Create a better business environment Maintain medical preparedness Overall Goals…

    6. Learning Organization Patient centered Health care as close to home as possible Long term relationships Respectful of individual cultures Evolving process Inclusive not exclusive Underlying Philosophy

    7. Alaska is large - 20% of the entire United States Air evacuation is the only practical means of patient transportation The travel budget for some health corporations is comparable to their staffing budget Limited competition in medical services market - ‘fee-for-service’ Challenges

    8. Medical Environment… Alaska ranks 48th in Provider-to-Patient ratio (~1:5000) for sub-specialists Medical resources limited: One cardiology group One neonatology group One neurosurgery group

    9. Medical Environment…

    10. Who are the ‘Partners?’ Department of Defense (USA & USAF) Department of Homeland Security (USCG) Department of Veterans Affairs Indian Health Service Alaska Native Tribal Health Consortium (ANTHC) Alaska Native Medical Center (ANMC)

    11. The ‘Partners…’ Department of Defense - (DoD)

    12. The ‘Partners…’

    13. The ‘Partners…’

    14. The ‘Partners…’

    15. Population*

    16. History… 1940-1970 Informal cooperation to serve a geographically isolated community 1980s VA/Elmendorf AFB joint venture to build a new hospital 1993-1994 Alaskan military medical treatment facilities (MTF’s) form a partnership to pursue TRICARE objectives

    17. History… Oct 1994 Implementation of the DoD Alaska Region Health Care Plan (ARHCP) 1994-1995 DoD, VA and Indian Health Service (IHS) in Anchorage & Fairbanks join to form Federal “alliance” Aug 1995 Creation of the Alaska Federal Health Care Partnership (AFHCP) Jan 1999 Alaska Native Tribal Health Consortium (ANTHC) joins Partnership

    19. Organization and Functions Cooperative leadership: Joint Executive Committee Joint sub-committee’s Partnership Office (PO) Efficient use of federal resources within Alaska: Five primary agencies ~235 medical facilities

    21. Roles and Responsibilities… Clearing-house for Partnership information Support for Partnership work-plan priorities Coordination Analysis Recommendations Monitor goals and achievements Report on activities Ensure coordination and consistency in efforts

    22. Legal Authority AFHCP “Interagency Umbrella Agreement”: VA, DoD, DHA, IHS, and Tribal Sharing and Interagency Agreements (PL97-174, Economy Act 1932) Indian Health Care Improvement Act (25 U.S.C.) Indian Self Determination Act (PL638) Other joint competitive contracts: Federal Acquisition Regulation (FAR)

    23. Partnership Agreements

    24. Resource Sharing Staff: Medical Specialty Services Urology Ophthalmology -3MDG provides services to VA & ANMC (IHS/tribal) Hepatology - ANMC (IHS/tribal) provides services to DOD & VA Oncology – VA provides Certified Tumor Registrar to IHS/tribal oncology program Audiology Dermatology

    25. Resource Sharing Staff (continued): Nursing Telemedicine, Teleradiology, and Teleconferencing Education, training, and logistics, etc. Partnership Office Staff

    26. Resource Sharing – Joint Venture Alaska is one of two states without a VA hospital (Hawaii is the other) VA sends patients to 3rd Med Group at Elmendorf Air Force Base and Alaska Native Medical Center VA awards multi-agency contract with local hospital for inpatient care for all Partnership members at reduced rates

    27. Contract Services Emergency Air Ambulance services - IHS/Tribal contract for all Partners (AEROMED) Preferred-Provider hospitals - VA contract for Inpatient & Outpatient Prime Vendor Pharmacy – VA (Amerisource) Urology services Transcription services

    28. Partnership Agreements Perinatology Agreement ANMC/3MDG 81 Flights Avoided Timely Access to Genetic Counseling 3MDG OB/GYN Clinicians better manage patients Care No Longer Refused Estimated FY-03 1st Quarter Cost-Savings: $51,390.00

    29. Partnership Agreements Medical Training Services Agreement ANTHC/1984th Battalion 4- RN’s 1-LPN 2-OR Techs 1-EMT Over 368 hrs

    30. Partnership Agreements

    31. Alaska Federal Health Care Access Network (AFCHAN) Partnership-driven proposal for state-wide telemedicine system – AFCHAN 4-year, multi-million dollar endeavor Connected 235 IHS, DoD, VA and DHS sites throughout Alaska by a statewide telehealth network Continued integration with teleradiology system (digital computed radiography) Improved access to specialty care for patients in extremely rural locations – audiology, radiology, cardiology, dermatology

    32. FY-2003 Financial Outcomes FY03 (1st – 3rd Qtr) Cost Savings: $3,540,532.80

    33. Strategic Goals…2003 and Beyond Strategic Goal: access to health care for federal beneficiaries Complete AFHCAN sustainability plan and enhance telehealth capabilities Evaluate and implement new agreements which support the mission of AFHCP Implement initiative to evaluate clinical outcomes in common areas, using common measures Provide educational sessions for members

    34. 2002 – 2003 Accomplishments Completed over 40 clinical and administrative initiatives (contracts, MOU’s etc.) Successfully completed initial 4-year plan for telemedicine/telehealth – system installation Financial outcomes exceeded $3 million for partner organizations Hosted professional educational offerings to over 330 partner clinicians Received national awards and recognition

    35. Published in Modern Healthcare (1996) VA US-Health, Strategic Alliance Award (1997) AK FEA Federal Employee Team of the Year Award (1997) VP Gore’s Hammer Award - Reinventing Government (1997) Published twice in US Medicine (1997) DHHS Secretary’s Award (1998) Published in Veterans Health System Journal (1999) AstraZenca Partnerships In Government Award presented by NMHCC (2002) Government Executive Magazine Grace Hopper Award – Innovations in Government Technology AFHCP Recognition

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