Re-forming What We Have Into the Delivery System We Want: A Forum for State and Community Health Center Strategy Development

On June 2nd and 3rd, 2010, the National Academy for State Health Policy (NASHP) convened a forum to examine evolving model approaches as well as surface new strategies that can be promoted with federal and state policymakers, foundations and the health center community to help progression toward reformed health systems. This forum for participants and key partners in NASHP’s National Cooperative Agreement with the Health Resources and Service Administration Bureau of Primary Health Care included group learning sessions as well as facilitated breakout sessions to discuss issues, brainstorm approaches, and identify follow-up strategies to work toward a transformed delivery system. Below is a link to a paper based on the vision outlined at the forum for a re-formed delivery system and the strategies identified by participants as to how this vision can be achieved as well as links to the presentations that took place at the forum.

Paper: Re-Forming Health Care Delivery Systems: A Summary of a Forum for States and Health Centers

Presentations: (View the full agenda here)

What do you want? Where do you want to go? Designing a delivery system that meets access, cost and quality goals, especially for vulnerable populations.

• Enhancing the Capacity of Federally Qualified Health Centers to Achieve High Performance
  Jonathan Sugarman, President and CEO, Qualis Health
• Colorado Public Insurance Service Delivery Reform
  Joan Henneberry, Executive Director, Colorado Health Care Policy & Financing and NASHP Academy Advisor for the HRSA National Cooperative Agreement

Taking inventory of resources. Part I: New federal support.

• The Affordable Care Act
  Donald L. Weaver, Acting Director, Office of Special Health Affairs, U.S. Department of Health and Human Services Health Resources and Services Administration
• Putting Medicaid into Reform and Reform into Medicaid: A Two-Way Street
  Mary Kennedy, Senior Policy Advisor, Center for Medicaid, CHIP, Survey & Certification
• Creating a New CMS in a Post Health Reform World
  Tony Rodgers, Deputy Administrator for Strategic Planning, CMS

Taking inventory of resources. Part II: Transforming the primary care workforce to meet new delivery system needs.

• Promoting a Sustainable CHW Workforce in Massachusetts
  Gail Hirsch, Director, Office of Community Health Workers, Division of Primary Care and Health Access, Massachusetts Department of Public Health and NASHP Academy Advisor for the HRSA National Cooperative Agreement
• Blending Behaviorists into the Healthcare Home: Expanding Access, Improving Outcomes and Reducing Healthcare Cost
  Dennis Freeman, Cherokee Health Systems
• The Patient-Centered Medical Home Model and Implications for the FQHC Workforce
  Tina Hahn, Project Manager, Pittsburgh Regional Health Initiative

Taking inventory of resources. Part III: Coordinating care across providers.

• Coordinating Care Among Safety Net Providers
  Leighton Ku, Professor, Department of Health Policy, The George Washington University
• Montana Health Improvement Program
  Janice Gomersall, Medical Advisor to Montana Medicaid
• Regional Extension Centers: Working to Assist Safety Net Providers to Achieve Meaningful Use of Health Information Technology
  Mat Kendall, Acting Director, Office of Provider Adoption Support, Office of the National Coordinator for Health IT. Former Director of Operations, New York City Department of Health and Mental Hygiene Primary Care Information Project

Aligning incentives. Part I: Using measurement and transparency to inspire better performance.

• Measuring Data, Public Reporting and Quality Improvement: The California Experience
  Melissa Schoen, Senior Program Officer, Innovations for the Underserved, California Health Care Foundation
• Aligning Incentives for Better Performance: Washington State Initiatives
  MaryAnne Lindeblad, Director, Department of Social and Health Services, Health and Recovery Services Administration, and Current NASHP Academy Advisor for the HRSA National Cooperative Agreement
• Delivering Population Health
  Christopher Koller, Health Insurance Commissioner, Rhode Island Office of the Health Insurance Commissioner

Aligning incentives. Part II: Payment strategies.

• Aligning Incentives: FQHC Reimbursement
  Roger Schwartz, Executive Branch Liaison, Associate Vice President and Legal Counsel, National Association of Community Health Centers
• Pennsylvania’s Chronic Care/Medical Home Initiative: Transforming Primary Care
  Ann Torregrossa, Director, Governor’s Office of Health Care Reform, Commonwealth of Pennsylvania, and NASHP Academy Advisor for the HRSA National Cooperative Agreement
• Oregon: Integrating Health Services for People with Mental Illness or Substance Use Disorders
  Jeanene Smith, Administrator, Oregon Department of Human Services, Health Policy and Research