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Saving the Safety Net With Small Tests of Change:

Saving the Safety Net With Small Tests of Change:. Unit-Based Teams as an Engine of System Transformation. Health Care Reform. Why did we fight for it? Did we win?. The affordable Care ACT. The Four Main Areas of Reform Insurance Reform Coverage Expansion

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Saving the Safety Net With Small Tests of Change:

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  1. Saving the Safety Net With Small Tests of Change: Unit-Based Teams as an Engine of System Transformation

  2. Health Care Reform Why did we fight for it? Did we win?

  3. The affordable Care ACT The Four Main Areas of Reform • Insurance Reform • Coverage Expansion • Health Care Delivery System Redesign • Payment Reform

  4. 2. Coverage Expansion • Children can remain on their parents’ insurance plans up to the age of 26 • Individuals who earn incomes up to 133% of the federal poverty level will be Medicaid (Medi-Cal) eligible • Individuals who earn up to 400% of the Federal Poverty Level will be eligible for a government subsidy to purchase insurance through the exchanges.

  5. Timeline for Implementation This is how much time we have to change.

  6. What can healthcare Reform do for our safety net? BUT!!! Expand healthcare coverage Safety Net Improve Quality/reduce cost Private Sector HCR Expand More patients covered Save $$$ Generate economic activity Create more FTE jobs $ 124 Billion to CA in 10 years $11 Billion to FQHCs 2015

  7. The Pregnant Ladies Cautionary Tale… Private Sector

  8. Timeline for Implementation UNIT BASED TEAMS – Improving Patient Experience on the Front Lines!

  9. What is a Unit-Based Team? • Labor-Management Model to improve patient experience and quality care . • Brings frontline managers, workers and physicians together to make full use of each individual’s expertise, to make decisions about how to improve the unit. • Focuses on improving performance in that unit by finding efficiencies and better ways of doing day-to-day work. • UBTs will support DHS priorities: performance, service quality, efficiency, and growth.

  10. A Proven Model • Kaiser Permanente – Over the last 7 years they’ve implemented this model – have you seen improvement as a patient? • LAC/USC General Hospital EVS – Went from 2% Patient satisfaction with cleanliness of hospital to 70% satisfaction in a year and a half! • Numerous other healthcare and non-healthcare organizations

  11. Members of a UBT Work Collaboratively as Partners and Participate in: •  Planning and designing work processes. • Setting goals and establishing metrics. • Reviewing and evaluating team performance. • Identifying and resolving problems and issue recommendation to managers.

  12. Purpose

  13. Initiate the 8! UBTs in DHS

  14. Next steps…

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