mission statement the delaware health care commission is an independent public body reporting to the...
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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.
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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.
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Strategic Initiatives Uninsured Action Plan Health Professional Workforce
Development Information and Technology Research and Policy Development Specific Health Care Issues Cost Containment
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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
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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
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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
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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
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Health Professional Workforce Development
Loan Repayment Program Good results Action:
Continue program and monitor and fine-tune as needed
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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
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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
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Health Professional Workforce Development
Nursing Report and recommendations
released Action:
Proceed with committee to oversee implementation of recommendations
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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
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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
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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.
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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
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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Research and Policy Development
Action Items: Survey Research
Workgroup to evaluate research reports and determine more effective use
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Specific Health Care Issues
Action Items: Infant Mortality
Continued DHCC representation – Dr. Gorum
Health Disparities Participation in informal discussions;
determine appropriate role
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Cost Containment
Action Items: Workgroup to determine how
DHCC should address
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New Workgroups CHAP Evaluation DHIN Website Survey Research Evaluation Cost Containment DIMER Mental Health