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CALL TO ACTION REVISITED

CALL TO ACTION REVISITED. A THREE YEAR RETROSPECTIVE: 1997-2000 “ A proposal and business plan to move the Coalition forward; developing ownership, focus and achievable outcomes (November 21, 1997)” Greater Flint Health Coalition Stephen Skorcz Board of Directors President & CEO

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CALL TO ACTION REVISITED

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  1. CALL TO ACTIONREVISITED A THREE YEAR RETROSPECTIVE: 1997-2000 “A proposal and business plan to move the Coalition forward; developing ownership, focus and achievable outcomes (November 21, 1997)” Greater Flint Health Coalition Stephen Skorcz Board of Directors President & CEO November 20, 2000

  2. CALL TO ACTIONREVISITED • Board Retreat - September 15, 1997 at Eagle Crest in Ypsilanti, Michigan • Following the Retreat the President was directed by Executive Committee to develop a business plan • Call to Action - presented and approved by the board November 21, 1997

  3. CALL TO ACTIONREVISITED • Why this presentation? • Three year anniversary of business plan • Pulse-taking! • Opportunity for board members to take stock, assess progress, and give feedback!

  4. CALL TO ACTIONREVISITED Board Retreat - comments of Will Ellis, Ph.D. facilitator “Overall, I view the Board Retreat with mixed emotions and the outcome as a limited success. We both saw the apparent frustration on the part of the attendees at the lack of progress and limited resolution of many challenging issues. At times the energy seemed low and the participant behavior listless, almost a response of learned helplessness about the possibility of making substantive progress given the diverse points of view and the complexity of the task. However, the silver lining is that we learned a great deal about the true current mindset on the Board and their opinions about the work of the past. If you truly understand where you are, you can make progress.” September, 1997

  5. CALL TO ACTIONREVISITED Existing board members who were at Sept. ‘97 retreat: Boucree Seitz Emerson Shultz Fuhs Stanley 15/27 or 55% Fosdick Stasunas Gaines Svitkovich Lee Weiss Mahoney Wingfield Pestronk

  6. CALL TO ACTIONREVISITED Purpose of Call to Action: (3 years ago) Board ownership Coalition Focus Outcome Oriented Structural changes that: focus organization’s activities use board member input relate committees/task forces to mission of Coalition

  7. CALL TO ACTIONREVISITED Four Focus Areas: Quality Cost & Resource Planning Access Health Improvement

  8. CALL TO ACTIONREVISITED Next Steps (3 years ago) Structure Ownership Focus Outcomes

  9. CALL TO ACTIONREVISITED • Achievements: • . 7000 out of 12,000 uninsured children in Genesee County obtain coverage through MIChild/Healthy Kids • . UAW GM Evaluation (February 14, 2000) • UAW GM executives gave the Greater Flint Health Coalition high marks for its impact on health care in the past five years. • Among its greatest achievements: • Reducing the inpatient mortality rate by 35% for GM employees. • Reducing cardiac catheterizations and improving the positive rates by 10%. • Improving breast cancer screenings to 70% of women, the highest among GM communities across the state. • Improving cervical cancer screenings to 65 % of women, the highest among GM communities across the state.

  10. CALL TO ACTIONREVISITED • Achievements (continued): • . “Just a Bit Gets You Fit” Campaign • . Data Management Center at the University of Michigan (Ann Arbor) to monitor utilization in Genesee County and support Cost & Resources Planning Committee. • . Cardiac Catheterization four year study: improving positivity rate • . HbA1c Strategy: compliance improved from 60 to 65% • . Peer Review Protection for Coalition studies via the three health systems.

  11. CALL TO ACTIONREVISITED • Achievements (continued): • . Low Cost Health Coverage • . REACH 2010 - partnership role: major grant to deal with racial disparities in infant mortality in African American community • 0. Diabetes Inventory • 1. Antibiotic resistance strategies • 2. board commitment to deal with racial disparities in all committee/task force activities • 3. H. pylori “experiment”

  12. CALL TO ACTIONREVISITED • Studies • “Cardiac Task Force: A Community Success Story: A four year study of cardiac catheterizations in Genesee County” 11/99 • “Health Improvement Committee: Improving Sedentary Lifestyle Activity in Genesee County” 7/99 • “Examination of Health Care Needs of Uninsured Diabetic Patients in Genesee County” 3/99 • “Nursing Education Report: Assessing the Need for Baccalaureate or higher education for RNs in Genesee County” 8/99 • H. pylori protocol & study 1996/1997

  13. CALL TO ACTIONREVISITED Grants Applied for (those received are in bold) 1998 W.K. Kellogg “Community Voices: Health Care for the Underserved Initiative” 1998 State of Michigan “Insuring Kids Health” 1998 BCBSMF “Seek-Find-Enroll” 1998 State of Michigan “Medicaid Outreach” 1998 CFGF “MIChild Outreach” 1999 BCBSMF “Seek-Find-Enroll 2000” 1999 HCFA “Insure Kids Now” 2000 CDC “REACH 2010” (Phase I & II) partnership activity 2000 C.S. Mott Foundation “GFHC Support” 2000 BCBSMF “Reduce Accidental Injuries in Hospitals”

  14. CALL TO ACTIONREVISITED Annual Meetings Year Title Speaker 1998 “Fixing Healthcare in Greater Flint” Bruce Vladeck, M.D. Everyone has to part of the Solution 1999 “Eliminating Racial & Ethnic Disparities in David Satcher, M.D.,Ph.D. Health - Searching for a Cure” 2000 “Labor & Business: Impacting Health Care” Richard Shoemaker

  15. CALL TO ACTIONREVISITED Priorities 2000-2001 ACCESS Low cost coverage product for working poor Healthy Kids/MIChild Medicaid Outreach QUALITY Cancer strategy Medical errors proposal HEALTH STATUS Just a Bit Gets You Fit Campaign (through 2001) COST & RESOURCE PLANNING Benchmarking community healthcare costs

  16. CALL TO ACTIONREVISITED Priorities 2000-2001 (continued) CLINICAL PROJECTS HbA1c Compliance Hysterectomy Task Force Congestive Heart Failure Program Reducing Antibiotic Utilization RACIAL DISPARITIES Undoing Racism/Healing Racism Workshops NURSING Nursing Recruitment MENTAL HEALTH & SUBSTANCE ABUSE

  17. CALL TO ACTIONREVISITED • Partnerships: • FACED • Genesee County Health Department • REACH 2010 • PRIDE Coalition • Community Network • Prevention Research Center (PRC) • University of Michigan (Ann Arbor and Flint)

  18. CALL TO ACTIONREVISITED • Intangibles: • Credibility • Even handedness / fairness • Community Linkage • forum to discuss & debate varying points of view • education of larger community • re: health issues

  19. CALL TO ACTIONREVISITED Dues: FY 96/98 $523,500 FY 98/99 $471,500 FY 99/00 $302,000 FY00/01 (projected) $322,500 Total $1,619,500

  20. CALL TO ACTIONREVISITED Grants (FY 97-01) MIChild Outreach/et al $245,000 Medicaid Outreach/State $200,000 Group for Low Cost Health Coverage/State $ 75,000 REACH 2010 - Phase II $ 75,000 H. pylori/Astra-Merck $ 40,000 REACH 2010 - Phase I $ 20,000 Cardiac/Astra-Merck $ 15,000 Total $670,000

  21. CALL TO ACTIONREVISITED Dues & Grants (1997 - 2001) Dues: $1,619,500 Grants: $ 670,000 Total $2,289,500

  22. CALL TO ACTIONREVISITED Program Expenses (FY 1997-2001) MIChild Outreach $245,000 Medicaid Outreach $200,000 REACH 2010 - Phase II $ 75,000 Group for Low Cost Health Coverage $ 75,000 Data Management Center $ 74,000 Cardiac Cath Study $ 67,000 Just A Bit Gets You Fit $ 50,000 H. pylori $ 40,000

  23. CALL TO ACTIONREVISITED Program Expenses (continued) REACH (GFHC) $ 26,000 Diabetes (2 Studies) $ 24,000 Quality (including peer review protection) $ 20,000 REACH 2010 Phase I $ 20,000 Antibiotic Resistance $ 10,000 PRIDE Coalition $ 5,000 Nursing Study $ 5,000 Total $936,000

  24. CALL TO ACTIONREVISITED • “core budget” ~ $350,000 • “staffing” 15 committees - strategizing and follow-up • coordinate research & studies • grant writing • partnership activity • media, public relations • spokesperson • administration • accounting/bookkeeping

  25. CALL TO ACTIONREVISITED • Did we achieve what Call To Action proposed? • Structure • Ownership • Focus • Outcomes

  26. CALL TO ACTIONREVISITED • Next Steps • C.S. Mott Foundation Response • Access to healthcare • Quality of healthcare • Racial Disparities in healthcare access & outcomes • Small business to access affordable healthcare

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