State Flex Conference 2011 Ideas to Implementation: The Development - PowerPoint PPT Presentation

State Flex Conference 2011 Ideas to Implementation: The Development of the California Critical Access Hospital Network Peggy Broussard Wheeler Vice President, Rural Health Care and Governance California Hospital Association Sacramento, California

California’s Rural Hospitals Rural Hospital Definition in accordance with: Chapter 67/88 (AB 2148) of the California Health and Safety Code and SB 1458, Section 12480 of the California Health and Safety Code, 1987

California’s Critical Access Hospitals Critical Access Hospital (CAH) – Hospital that is certified to receive cost-based reimbursement from Medicare. The reimbursement that CAHs receive is intended to improve their financial performance and thereby reduce hospital closures. CAHs are certified under a different set of Medicare Conditions of Participation (CoP) that are more flexible than the acute care hospital CoPs.

California Rural Hospitals and Critical Access Hospitals By the Numbers 352 California Community Hospitals (1)  69 Rural Hospitals (19% of all CA Hospitals) (2)  31 Critical Access Hospitals (Included with  Rural Hospitals) (3) American Hospital Association AHA Hospital Statistics 2010 Edition (1) California OSHPD ALIRTS 2008 (2) California State Office of Rural Health 2010 (3)

Rural Hospitals and Critical Access Hospitals Key Issues in 2011  Physician Recruitment and Employment  Access to Specialists/ Telemedicine  Seismic Relief  The State Budget/ Medi-Cal and Medicare Funding  Health Information Technology Implementation  National Health Reform

Formation of the California Critical Access Hospital Network  The first certified CAH in California was Eastern Plumas District Hospital in Portola, California. Certified in 2000.  The program began to grow in 2001 as 7 more CAHs were certified in 2001.  Today - there are now 31 CAHs in California

Formation of the California Critical Access Hospital Network December 2007, a California Flex Program planning session was held.  We determined:  Little networking and sharing of best practices was occurring between CAHs  A CAH network and website should be developed  Flex Program funds should be directed to support network planning February 2008 in conjunction with the annual California Hospital  Association Rural Health Care Symposium, a meeting of the California CAHs was held as a CAH Colloquium.  5 Objectives were agreed upon:  Increase CAH participation in CHART (California Hospital Assessment and Reporting Taskforce)  Challenge CAHs to identify a viability index  Establish a CAH Network Webpage  Identify and Improve CAH Financial Indicators  Develop a CCAHN model

Formation of the California Critical Access Hospital Network  August 2008 - a group of 5 CAHs, with Mendocino Coast District Hospital as the lead, applied for a Federal HRSA Network Planning Grant worth $85,000.  March 2009 - awarded a HRSA grant.

Formation of the California Critical Access Hospital Network So How Have We Done?

Formation of the California Critical Access Hospital Network √ Create CCAHN Webpage

 Program participation began in March 2010  21 CAHs enrolled  15 CAHs with data back to June 2010  Semi-monthly QHi User Group Meetings  Lean initiative

Formation of the California Critical Access Hospital Network √ Convene Regular Meetings of Network Participants

Formation of the California Critical Access Hospital Network √ Develop a CCAHN Model √ Conduct a Comprehensive Strategic Planning Process

Formation of the California Critical Access Hospital Network So How Do We Pay For It?

Formation of the California Critical Access Hospital Network Funding  Flex Program funding  HRSA Network Planning Grant  Member Dues  Programs and Services  Other Grants

Formation of the California Critical Access Hospital Network Structure and Operations  CCAHN Board and Members  California Health Foundation and Trust  Executive Leadership

CCAHN CCAHN Organizational Chart General Membership (31 CAHs) CCAHN Advisory Board Executive Director Year 1 CA Health Foundation & Trust/ CA Hospital Assoc. Administrative Chair Assistant Year 2 Vice Chair Secretary/ Treasurer 4 other Hospital CEO Representatives