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FHPC. PUBLIC POLICY CONVENING. Overview. Welcome – Tony Overview for Session – Mary and Pat Slide of Federal State Priorities – Mary Slide of Hierarchy of Public Policy Strategy –Mary Slide of Public Policy Interventions – Mary Update of Federal Issue – Ron BNAF/Productivity Factor
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FHPC PUBLIC POLICY CONVENING
Overview • Welcome – Tony • Overview for Session – Mary and Pat • Slide of Federal State Priorities – Mary • Slide of Hierarchy of Public Policy Strategy –Mary • Slide of Public Policy Interventions – Mary • Update of Federal Issue – Ron BNAF/Productivity Factor Med-Pac/U-shaped curve/certifications Concurrent Care Model Transitions Care Management
Overview • Brief History of CON – Mary • Florida vs. Nation – Tony AHCA Presentation • Methodology Flaw/Revision – Pat Lehotsky • Priority of CON – All • Future of CON – All • Potential Modifications – All • Strategy to Accomplish – All • Setting the Stage for Tomorrow – The Process of Advancing Public Policy
Public Policy Interventions • Strategic Influencing • Relationship Cultivation/Legislators, Regulators, Influencers • Champions • Policy Briefs/Talking Points • Grass Roots Mobilization • Leadership in Hospice Associations • Coalition Building • AARP, AAHSA, AHA, etc.
Public Policy Interventions • Lobbying • Op-eds/Media • Technology Mobilization/Opinion Shaping/Blogs/Web/Communities • Public Engagement • Forums/Town Hall Meetings • Data Collection • Research/Literature Searches • Litigation • Other
PUBLIC POLICY STRATEGY LARGER SCOPE OF HOSPICE IN HC REFORM HEALTH CARE REFORM NOT RE-INVENT EOL CARE DEMONSTRATIONS OF REVISON OF BENEFIT REDESIGN OF REIMBURSEMENT STOP RATE REDUCTION KEEP INTACT RETAIN BENEFIT
Federal Update • Rates BNAF/Productivity Factor • Med-Pac Recommendations • Concurrent Care Model • Transitions Care Management
History of Hospice CON 1980 - Hospice became covered by Florida CON 1983 - (and repeatedly since) Legislature recommended repeal of CON for Hospice of the FL Suncoast 1990 - Agency began process to amend rule 1994 - Rule change enacted 2001 - Florida Certificate of Need Workgroup Report
Hospice Models Community Hospice Teaching/Research Academic Affiliation Hospice Classic Hospice Comprehensive Hospice/Palliative Care/ Bereavement Continuum The Hospice of the Florida Suncoast