Mission Statement The Delaware Health Care

Commission is an independent public body reporting to the Governor and the General Assembly, working to promote accessible, affordable, quality health care for all Delawareans.

Key Goals Access - Improve access to health care

for all Delawareans. Cost - Promote a regulatory and financial

framework to manage the affordability of health care.

Quality - Promote a comprehensive health care system assuring quality care for all Delawareans.

Strategic Initiatives Uninsured Action Plan Health Professional Workforce

Development Information and Technology Research and Policy Development Specific Health Care Issues Cost Containment

Uninsured Action Plan

Uninsured PersonsNumber/Percent

Of Uninsured People Strategies

Eligible for existing programs – Medicaid, CHIP, etc.

27,066

30%

Outreach and Enrollment through CHAP

Supporting Medical Society of Delaware RWJ grant

Income between 100% - 200% FPL

17,36020%

CHAP

Income above 200% FPL

44,90050%

Developing strategies to expand coverage – target small businesses

 Uninsured Action Plan CHAP State Planning Program

CHAP Issues and Questions: Health Status improvement Non-citizen enrollment Effectiveness – CHAP model vs. alternatives Future beyond August, 2003 Hospitals – not enrolling as many people as Community

Health Care Centers

Action: Workgroup to examine issues

Uninsured Action Plan CHAP State Planning Program

Issues and Questions: Prepare options for when implementation is feasible Public Interest in pooling vs. Del. small size Old association plans (i.e. DSCC) Affordability of insurance – small business

Action: Address small employer issues through HR 82 Task Force Continue briefings and interviews Prepare final report for HRSA Determine feasibility for health policy conference

Health Professional Workforce Development Downstate Residency Rotation Pilot Project

Issues and Questions: What is best value of program? Recruitment or

education? Level of interest in program

Action: Continue program for one additional year and evaluate

next steps, including continuation, or “spin-off” Dr. J. Lieberman to discuss with key program

participants

Health Professional Workforce Development

Loan Repayment Program  Good results  Action:

Continue program and monitor and fine-tune as needed

Health Professional Workforce DevelopmentDIMER  Issues and Questions:

Delawareans returning after medical education Low number of applicants from Downstate Low number of minority applicants

  Action:

Workgroup to: Explore outreach opportunities for minorities

and Kent and Sussex Countians Identify opportunities to promote DIMER

Health Professional Workforce Development

DIDER Issues and Questions:

Ability of DIDER to implement Dental Task Force Recommendations

Working relationship with DHCC – DIDER newest member of the “family”

Action: Establish closer working relationship, and invite

DIDER chair to participate when appropriate

Health Professional Workforce Development

Nursing Report and recommendations

released  Action:

Proceed with committee to oversee implementation of recommendations

Information and Technology Delaware Health Information Network Community Clinical Information Sharing (CCIS)

CCIS is departure from original intent of DHIN, but does enjoy support from provider community

Evidence that access to better information results in improved patient care

How did DHIN arrive at this concept as best course of action? Comprehensiveness of utility – Implications of not including all medical

records Most appropriate role of DHCC

  Action:

DHIN completes business plan Seriously examine opportunity to increase quality and decrease cost of

health care Info on whether doctors make better decisions with more information

Information and TechnologyDelaware Health Information Network Website

Issues and Questions: How much is it used? (Has not been publicized) Opportunities to promote? Can it be used to achieve other commission

initiatives? Should it be merged with commission’s website?

Action: Form workgroup to evaluate and report

Information and TechnologyDelaware Health Information Network HIPAA Education

Issues and Questions: Previous DHIN pilot explored using organization

as focal point for HIPAA compliance, but very little interest both in public and private sector

Now that HIPAA deadlines are approaching, new need identified

  Action:

Explore whether DHIN should re-examine role in HIPAA compliance activities.

Research and Technology Delaware Health Fund Advisory Committee Issues and Questions:

Increased spending on DPAP Decreased funding for strategic reserve DHCC continue its role in funding priorities

Action: Continue to provide research and support for

committee Encourage cost-efficient management of DPAP Continued $1million funding for uninsured Continued funding for diabetes

Research and Policy Development

Survey Research  Issues and Questions:

Is commission making best and fullest use of research reports?

Should they be conducted on an annual basis?

Action: Data workgroup to review and report -

Particular focus - CAHPS report

Specific Health Care Issues Diabetes Issues and Questions:

Should DHCC continue to oversee? Should diabetes continue to be the chronic

disease funded through Health Fund?

  Action:

Complete SFY 02 activities Identify projects for SFY 03 with Diabetes control

plan as guide Determine SFY 04 priorities

Specific Health Care IssuesInfant Mortality

DHCC representation on Perinatal Board works well

Action: Continue

Health Disparities  What is role of commission in addressing issue? 

Action: Participate in informal discussions and

determine appropriate role

Cost Containment Rising costs becoming over-

arching theme in health care. Where can DHCC make a difference?

Action: Form workgroup to identify

opportunities to address cost issues.

Uninsured Action PlanAction Items: CHAP

Workgroup to examine questions and issues Make recommendations to Commission

State Planning Participate in HR 82 Task Force Examine next steps in preparing options Prepare final report for HRSA Continued briefings and interviews

Health Professional Workforce Development

Action Items: Downstate Residency Rotation

Continue monitoring – determine future in one year.

Loan Repayment Program Continue as is – fine tune as needed

Health Professional Workforce DevelopmentAction Items: DIMER

Workgroup to examine opportunities to promote program and recruit downstaters and minorities

DIDER Develop closer working relationship and

include DIDER chair Nursing

Implementation committee

Information and TechnologyAction Items: DHIN

Receive business plan and recommendations from DHIN Board on CCIS

Workgroup to examine DHIN website vs. DHCC website

Re-examine feasibility of HIPAA compliance activities

Research and Technology

Action Items: Health Fund Advisory

Committee Continue supportive and research

guidance role Recommend funding for:

$1 million uninsured$500,000 for diabetes

Research and Policy Development

Action Items: Survey Research

Workgroup to evaluate research reports and determine more effective use

Specific Health Care Issues

Action Items: Infant Mortality

Continued DHCC representation – Dr. Gorum

Health Disparities Participation in informal discussions;

determine appropriate role

Cost Containment

Action Items: Workgroup to determine how

DHCC should address

New Workgroups CHAP Evaluation  DHIN Website Survey Research Evaluation Cost Containment DIMER Mental Health