Building Sustainable Healthcare Networks for the Uninsured: Past, Present, and Future Perspectives

1. Primary Care Access and Stabilization Grant (PCASG)Grantee’s MeetingAugust 20, 2009 Co-convened with

2. 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

3. Background/ Historical Perspective • Vision of the four Catholic Health Systems in 2000 • Having largely withdrawn as providers, what can Catholic Health do to fill gaps in care in New Orleans?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

4. 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)

5. 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

6. 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)

7. 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

8. 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)

9. 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

10. 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

11. 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

12. 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