Health Equity into Action: Building on Partnerships and Collaborations
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan...
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Transcript of MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan...
![Page 1: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation.](https://reader036.fdocuments.us/reader036/viewer/2022070400/56649e5f5503460f94b59e41/html5/thumbnails/1.jpg)
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
Key Initiatives and Collaborations
June 6, 2007
Jan ChristensenSenior Deputy Director
Health Policy Regulation & Professions Administration
![Page 2: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation.](https://reader036.fdocuments.us/reader036/viewer/2022070400/56649e5f5503460f94b59e41/html5/thumbnails/2.jpg)
Key initiatives center around making health care affordable and accessible in Michigan.
These include a range of programs from primary health care to long term care initiatives to the health care workforce in our state.
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Governor Granholm’s Plan
• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First
Healthcare Plan
– Step 2…Advancing Health Information Technology
– Step 3…Promoting Healthy Lifestyles
![Page 4: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation.](https://reader036.fdocuments.us/reader036/viewer/2022070400/56649e5f5503460f94b59e41/html5/thumbnails/4.jpg)
Michigan First Healthcare Plan
• Goals:– Protect and expand health care coverage– Reduce trend in health care cost growth– Improve business competitiveness– Meet goals without increasing state spending
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Michigan First Healthcare Plan Targets All Uninsured
• Under 200% FPL – 550,000, 50% of Uninsured
Uninsured parents and childless adults
- Individuals with adequate access to insurance or government programs will be excluded
• Over 200% FPL – 550,000Insurance Pool. Improved access to affordable
insurance for small businesses – No subsidy
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Michigan First Health Care Plan Benefits
• Benefit package will include:– Preventive and primary care– Hospital care– Emergency room care– Mental health services– Prescription drugs
• Includes annual benefit limits
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Cost Sharing
• Anticipate monthly premiums below $200
• Enrollees below 100 % of poverty subject to co-pays
• Enrollees between 100% and 200% of poverty level will participate through premium payments and co payments on a sliding scale not to exceed 5% of income
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Michigan First Healthcare Plan“The Exchange”
• Select managed care plans to offer new affordable health insurance products for individuals and small businesses
• Assure that the plans selected offer products that comply with state set benefit guidelines, healthy lifestyle in values and other value purchasing requirements
• Responsible for enrollment function
• Administer Michigan First Premium subsidies for eligible enrollees
• Collect any voluntary employer contributions
• Work with small employers to sponsor insurance available through the Exchange for their employees
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Cost Effectiveness
• Require managed care plans to be a delivery mechanism
• Plans will compete for enrollees on benefit design, provider network, quality, access and price
• Value based purchasing principles embedded in benefit design and plan requirements
• Healthy lifestyle Initiatives
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Financing
• Amendment to existing Adult Benefit Waiver – no entitlement
• Financing builds on mechanisms already approved in that waiver
• State match to come from funds already spent by the State of Michigan on health care for the uninsured
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Status
• Have met with numerous stakeholders to solicit input and help with design
• Ongoing negotiations with the Center for Medicare and Medicaid Services (CMS)
• Developing concrete implementation plans
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Governor Granholm’s Plan
• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First Healthcare
Plan
– Step 2…Advancing Health Information Technology
– Step 3…Promoting Healthy Lifestyles
![Page 13: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation.](https://reader036.fdocuments.us/reader036/viewer/2022070400/56649e5f5503460f94b59e41/html5/thumbnails/13.jpg)
“In Michigan, we will help our health care industry stop depending on your memory and their paper records as databanks. We are going to use technology to vastly improve the system.”
- Governor Granholm, 2006 State of the State Address
Advancing the Use of Health Information Technology
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MiHIN Background
• From stakeholder feedback, Governor created the MiHIN
– Began April 2006 on a 180-day mission to create a roadmap for Michigan
– Joint effort of MDCH and MDIT
– Over 200 Michigan stakeholders volunteered their time
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MiHIN Mission
MiHIN will articulate a path to develop a health information network connecting health care communities across the State of Michigan, with an infrastructure and governance model for long-term sustainability through public-private partnership.
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MiHIN Organization Chart
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With support and assistance by the Michigan Department of
Community Health and the Michigan Department of Information Technology
Conduit to Care:Michigan’s e-Health Initiative
December 2006
The MiHIN Conduit to Care Report was released on December 11, 2006
An electronic copy can be found at the following website:
www.michigan.gov/mihin
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Governor Granholm’s Plan
• Making Health Care affordable and Accessible in Michigan– Step 1…The Michigan First Healthcare
Plan
– Step 2…Advancing Health Information Technology
– Step 3…Promoting Healthy Lifestyles
![Page 19: MICHIGAN DEPARTMENT OF COMMUNITY HEALTH Key Initiatives and Collaborations June 6, 2007 Jan Christensen Senior Deputy Director Health Policy Regulation.](https://reader036.fdocuments.us/reader036/viewer/2022070400/56649e5f5503460f94b59e41/html5/thumbnails/19.jpg)
Promoting Healthy Lifestyles
• Governor Granholm’s plan: Promote healthy lifestyles as a means to improving health outcomes and lowering costs
– Develop public-private partnerships to foster a culture of physical activity, prevention and wellness
– Extend Michigan Surgeon General’s Michigan Steps Up initiative
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• Michigan will need to fill more than 100,000 professional and technical health care jobs over the next decade
– Major shortages will be for nurses, occupational therapists, physical therapists, pharmacists, radiographers, laboratory technicians, diagnostic sonographers, EMTs, and health information technicians
• Supply of health care professionals has major implications for quality of care
MDCH Workforce Development
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MDCH Workforce Development
• Chief Nurse Executive appointed by Governor Granholm
– Provides leadership, expertise and coordination in nursing workforce development
– Developed a strategic plan to address the nursing shortage: The Nursing Agenda for Michigan – Actions to Avert a Crisis
– www.michigan.gov/mdch/ocne
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MDCH Workforce Development
• MI Opportunity Partnership awarded $30 million for accelerated training for nursing, nurse faculty and other health professions
– 36 grants were awarded
– More than 1,200 individuals are completing nursing education
– Local partnerships have been formed between nursing schools, hospitals and regional skills alliances
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MICHIGAN NURSING CORPS
•Another collaboration between MDCH and MDLEG
•Funding proposed in 2008 state budget
•Currently $0, “placeholder” status
•Funding depends on ability to increase state revenue for 2008
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Michigan Nursing CorpsThree year initiative
• Prepare 300 Masters Degree faculty in 12 month Accelerated Program
• Prepare 200 clinical nursing faculty utilizing a certificate program and a uniform statewide curriculum.
• Prepare 20 new doctoral faculty• Recruit 200 displaced workers to
Accelerated Second Degree nursing education programs.
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• How will the program work?– Nurses who qualify will be provided with one year of salary
replacement and tuition to complete the masters program
– Two years for doctoral students
– In return, they sign contracts to teach in a MI nursing education program
• How will the program be funded?– Funds will come from the Governor’s new revenue
proposal
– The cost will be $45 million over 3 years.
– This will produce 3,000 RN’s
Critical Shortage: Nursing Faculty