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

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Nov 04, 2023 122 likes •341 views

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,

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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

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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

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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.

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California Rural Hospitals and Critical Access Hospitals By the Numbers

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352 California Community Hospitals (1)

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69 Rural Hospitals (19% of all CA Hospitals) (2)

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31 Critical Access Hospitals (Included with Rural Hospitals) (3)

(1)

American Hospital Association AHA Hospital Statistics 2010 Edition

(2)

California OSHPD ALIRTS 2008

(3)

California State Office of Rural Health 2010

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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

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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

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Formation of the California Critical Access Hospital Network

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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

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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

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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.

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Formation of the California Critical Access Hospital Network

So How Have We Done?

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Formation of the California Critical Access Hospital Network

√ Create CCAHN Webpage

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 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

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Formation of the California Critical Access Hospital Network

√ Convene Regular Meetings of Network Participants

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Formation of the California Critical Access Hospital Network

√ Develop a CCAHN Model √ Conduct a Comprehensive Strategic Planning Process

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Formation of the California Critical Access Hospital Network

So How Do We Pay For It?

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Formation of the California Critical Access Hospital Network

Funding

 Flex Program funding  HRSA Network Planning Grant  Member Dues  Programs and Services  Other Grants

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Formation of the California Critical Access Hospital Network

Structure and Operations

 CCAHN Board and Members  California Health Foundation and Trust  Executive Leadership

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

CCAHN Organizational Chart

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