Ambulatory Services (6850P)

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Ambulatory Services (6850P)"

Transcription

1 1-132 Program Locator County Healthy Community Administration and Financial Services Patient Care Services Psychiatry Services Ancillary and Support Services Long-Term Care Services Ambulatory Services Headline Measures Cycle Time in Primary Care Clinics (in minutes) Estimate Percent of Clinic Visits by Payor Source 100% 75% 50% 25% 0% County 26% 34% 33% 34% 34% Medi-Cal/ Medicare Estimate % Other Pay ors 25% Program Outcome Statement Ambulatory Services provides high quality, patient focused, outpatient care services through a system of community-based clinics throughout the County. The Division provides primary care and chronic disease management services for adults and children as well as a full spectrum of medical and surgical specialty care that is (1) patient centered, (2) culturally competent, (3) outcomes based, and (4) chronic disease-focused while continually striving to open doors to health care for those who have traditionally encountered access barriers. Services and Accomplishments Ambulatory Services Program (ASP) contributes to the Shared Vision of a Healthy Community by 2025 by operating 11 clinics throughout the County that provide primary healthcare, preventive services, and limited public health services. Geographically, this includes three North County Clinics (Daly City Clinic, South San Francisco Clinic, and Daly City Youth Health Center); the Mid- County clinics (Main Campus Clinics, Ron Robinson Senior Care Center, and Coastside Clinic), and five South County clinics (Willow Clinic, Fair Oaks Clinic, Fair Oaks Children s Clinic, Sequoia Teen Wellness Center, and the Methadone Clinic). At the Main Campus Clinics, a full range of medical and surgical sub-specialty services are provided. Ambulatory Services also works with the Health System s Edison Clinic located at s Main Campus to provide HIV, STD, and general infectious disease services. The following are major accomplishments in the current year: Implemented an electronic medical record system at all primary care clinics Opened an Urgent Care Clinic to decompress the Emergency Department Received a Sequoia Hospital District donation of $4 million dollars for provision of care to patients in the District Applied for and received a $400,000 grant for a Mobile Dental Van from American Recovery and Reinvestment Act (ARRA) funds Received $1.7 million dollars in federal stimulus funding to expand services to low income patients in the Coastside area. Existing Coastside Clinic moved to larger, renovated space on the second floor of its building Story Behind Performance The Ambulatory Services Program (ASP) is the major provider of outpatient medical care to indigent persons residing in San Mateo County with approximately 235,000 visits. It serves as the safety-net provider for the medically underserved, uninsured and underinsured members of a culturally diverse population. ASP patients consist largely of the working poor and their families who are often non- English speaking persons. Services are provided by a culturally diverse and multilingual staff of physicians, nurses, and clerical support personnel. In the absence of national or state level solutions to the problem of the rising number of uninsured individuals, ASP addresses the increased need for care through a combination of productivity improvement, cost reduction, aggressive linking of patients to available payor sources, and seeking of external grant

2 1-133 funding to be able to continue to meet the needs of the community in a high quality manner. More than 90% of patients rate overall service quality as good or better. The identification of payor sources is an important component for the Ambulatory Services Program. This information is critical to maintaining the financial health of the Medical Center. Through the expanded use of Community Health Advocates and partnerships with the Human Services Agency, more and more patients are screened for eligibility and, if appropriate, are linked to state and federal funding sources to reduce the reliance on the County General Fund. The data indicate that an increasing percentage of outpatient visits are being attributed as a County payor source. This result must be further qualified wherein many of these outpatient visits are actually registered under the Access and Care for Everyone (ACE) Program which is a County payor source funded through federal grants and only minimally impacts the County General Fund. Increasing the number of pediatric visits was an important part of a plan to increase Medical Center revenue. In contrast to adults, all children in the are covered by insurance through Healthy Kids, Healthy Families, or Medi-Cal. Pediatric visits would therefore have a higher income margin than adult visits. Given its importance, it was added as a performance measure in FY The number of pediatric visits per year is projected to be approximately 60,570 which is very close to stated targets, and represents more than 25% of total outpatient visits program wide. Access into the clinics remains a challenge. As a way to measure access, a new measurement, time to third next available appointment has been added. These are non-urgent, follow-up visits for established patients. This is considered a more accurate assessment of appointment availability rather than simply looking at the next appointment. A next available appointment can be created by a cancellation or other occurrence. The third next available appointment essentially eliminates those unforeseen events from the measurement and more closely reflects availability of follow-up appointments. Cycle Times, a Headline Measure started in FY , is defined as the amount of time in minutes that a patient spends at the clinic, beginning at the time of arrival and ending when the patient leaves the clinic. Patient wait times have been patient satisfaction issues in the past. One project to improve patient satisfaction by decreasing patient wait times has been Cycle Time management. The target was set at an overall average of 60 minutes for each patient s visit. Efficient and timely strategies that reduce delays in a patient receiving care are required to shorten cycle times. These strategies include improved registration, scheduling, and discharge procedures, patient care teams, efficient clinic design, and patient visit planning. In addition to improving cycle times, staff update patients regarding anticipated wait times once in the clinics and alert those to unforeseen problems that could lengthen their visit time. Timely updates regarding events that may impact the patient s cycle time are thought to improve overall satisfaction. Unfortunately, the recent economic recession has caused significant unemployment in the community, consequently causing an increase in the number of uninsured and underinsured patients. This increase in the number of patients using the County Health System, coupled with implementation of the Ambulatory Electronic Medical Record (AEMR) system, has caused Cycle Times to spike in the first half of FY Previous experience has shown that any increases in Cycle Time due to AEMR implementation are only temporary and should improve in FY as staff and providers become more comfortable with the system. The Ambulatory Services Program is able to pursue its goals amidst a culture of innovation and engagement. There is a range of active medical leaders on staff, newer and updated facilities located throughout the County, an integrated system of care, and strong relationships established between the Health Plan of San Mateo and the newly created San Mateo County Health System. In addition, the new Ambulatory Electronic Medical Record will help to more effectively serve patients and meet performance measures. Major challenges over the next two years will to be: To meet the growing demand for medical care amidst resource constraints. The wait list for patients seeking to establish care with the County Health System has grown substantially throughout 2009 To return productivity to pre-aemr implementation levels To manage the cost of indigent health care by increasing non- County payor sources and improving operational efficiencies Program Objectives Ambulatory and Medical Services will meet performance targets by doing the following: Increase the Total Number of Pediatric Visits to 65,000 per Year Implement Evening and Weekend Clinics Develop a recruitment and hiring plan for providers Return Primary Clinic Productivity Levels to Pre-AEMR Implementation Complete AEMR implementation in the Medical and Specialty Clinics Train Clinic Staff in use of new system Monitor for improved management of chronic diseases

3 1-134 Performance Measures Summary Table Performance Measures FY FY FY Estimate FY FY What / How Much We Do (Effort) Number of clinic outpatient visits 218, , , , ,814 Number of senior center visits 9,893 11,319 9,950 12,000 12,000 Number of pediatric visits 55,698 59,254 60,572 65,000 65,000 How Well We Do It (Quality / Efficiency) Cycle time (in minutes) Percent of clinic visits by payor: - County - Medi-Cal / Medicare - Other Payor Sources 26% 49% 25% 34% 33% 34% 34% Is Anyone Better Off? (Outcome / Effect) Percent of customer survey respondents rating services good or better Average length of time (days) between a non-urgent appointment request and the 3 rd next available appointment (1) 98% 95% 93% 90% 90% (1) New performance measure beginning FY Resource Allocation Summary Revised Recommended Change Recommended Salary Resolution (2.0) Funded FTE (3.2) Total Requirements 37,847,879 44,045,991 51,946,332 54,309,222 2,362,890 54,934,432 Total Sources 61,086,417 80,635,451 79,373,809 86,441,200 7,067,391 86,441,200 Net County Cost (23,238,538) (36,589,460) (27,427,477) (32,131,978) (4,704,501) (31,506,768) Discretionary Net County Cost The County s General Fund contributions to the are centrally budgeted as revenue sources in the Medical Center s Administrative and Quality Management Services budget. Ambulatory and Medical Staff Services is funded by patient charges and intergovernmental revenue sources. Gross patient charges are budgeted in this unit and contractual allowances (for Medi-Cal and other payors that provide reimbursement at capitated rates that are below charges) are budgeted centrally in Administrative and Quality Management Services.

4 1-135 FY Program Funding Adjustments The following are significant changes from the FY Revised to the FY Recommended Budget: 1. Adjustments to Provide Current Level of Services Budget adjustments have been made to reflect current costs for existing levels of service and performance: inclusion of merit increases, and increases in retirement contributions and health benefit costs; and inflation for Extra Help, purchased services, supplies and other non-labor expenditures. These appropriation increases will provide needed support for the ambulatory service programs of the Medical Center. 200,240 3,667, ,467, Adjustments to Reflect Operational Requirements Revenues have been increased to align gross patient revenues with prior years performance and projected volumes. Grant funding from the Sequoia Health Care District has been included in this budget unit to align the revenues with expenses. Appropriations have been adjusted to reflect additional needs in Extra Help and overtime. These increases have been offset by reductions to several non-critical patient care expenditures in an effort to meet the budget reduction target. The third-party agreement fee for the Access Care for Everyone (ACE) and has been reduced as a portion of the expense has been budgeted in the Administrative Services unit. 6,301,755 (811,274) 0 0 (7,113,029) 0 3. Comprehensive Perinatal Services Program The Medical Center will begin a Comprehensive Perinatal Services Program (CPSP) that will be reimbursed at Federally Qualified Health Care (FQHC) rates. An existing vacant position will be filled to support this program. 365, (365,298) 0 4. Methadone Clinic Efficiency Increase Revenue has been increased due to an increase in patient volume served at the Methadone Clinic. Additionally, one vacant Community Worker II position has been deleted and one vacant Staff Physician s hours have been reduced as a result of ongoing efficiency efforts in the operation of the clinic. 113,698 (132,744) 0 0 (246,442) (1) 5. Women s Health Exams The Medical Center will offer a Women s Health Exam service, as part of the Pay for Performance agreement with the Health Plan of San Mateo, providing more proactive attention and care to the patient s health. Services will be provided with existing resources. 86, (86,400) 0

5 Workforce Reduction to Meet Budget A vacant Staff Physician position in Pediatrics has been deleted to meet the budget reduction target. A thorough review of the Medical Center s staffing requirement determined that the elimination of this Staff Physician position would have minimal impact on service delivery. 0 (221,427) 0 0 (221,427) (1) 7. Vacant Position Freeze A vacant Staff Physician position has been frozen to reduce labor expenditures. There will be minimal impact to performance. 0 (221,427) 0 0 (221,427) 0 8. Long Term Care - Hours of Care Reduction A vacant Medical Services Assistant II has been deleted with the reduction of hours of care provided in the Long-Term Care unit at the main campus. 0 (36,807) 0 0 (36,807) (1) 9. Staffing Adjustments - Specialty Clinic Realignment A vacant full-time Office Assistant I position has been deleted, and a half-time Patient Services Assistant II position has been added to improve service and prepare for a greater volume of patients in the Speciality Clinic. 0 (25,080) 0 0 (25,080) Administrative Services Manager An Administrative Services Manager has been added to support patient service delivery. A vacant Clinical Services Manager position in the Patient Care Services Program (6610P) has been deleted to offset this addition , ,919 1 TOTAL FY PROGRAM FUNDING ADJUSTMENTS 7,067,391 2,362, (4,704,501) (2)

6 FY Program Funding Adjustments The following are significant changes from the FY to the FY Recommended Budget: 11. Adjustments to Provide Current Level of Services Budget adjustments have been made to meet performance targets: inclusion of merit and health benefit cost increases. The Medical Center expects to make up this gap with net revenue increases , ,

Health Administration (5500B)

Health Administration (5500B) 6-14 Program Locator County Health Health Administration Headline Measures Number of Eligible San Mateo County Residents 80,000 60,000 40,000 20,000 0 Enrolled in Health Insurance 02-03 03-04 04-05 Estimate

More information

HUMAN RESOURCES DEPARTMENT

HUMAN RESOURCES DEPARTMENT HUMAN RESOURCES DEPARTMENT Administration and Support HUMAN RESOURCES DIRECTOR Human Resources - Personnel Services - Employee and Labor Relations - Risk Management - Training and Development - Equal Employment

More information

Westchester Medical Center. 2012 Operating Budget

Westchester Medical Center. 2012 Operating Budget Westchester Medical Center 2012 Operating Budget December 7, 2011 WESTCHESTER COUNTY HEALTH CARE CORPORATION Overview Westchester Medical Center s (WMC) 2012 Operating Budget reflects significant reductions

More information

Key Performance Measures for School-Based Health Centers

Key Performance Measures for School-Based Health Centers Key Performance Measures for School-Based Health Centers As health care reform continues to take shape and additional provisions of the Affordable Care Act are implemented, there is an increasing demand

More information

Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings

Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings Alameda County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The Health Care Coverage Initiative (HCCI) Program in Alameda County is called Alameda County Excellence

More information

Fall 2010. best practice report laurens county health care system and good shepherd free medical clinic of laurens county: practitioner sharing

Fall 2010. best practice report laurens county health care system and good shepherd free medical clinic of laurens county: practitioner sharing best practice report laurens county health care system and good shepherd free medical clinic of laurens county: practitioner sharing 1 From a tiny church in Clinton, SC, Good Shepherd Free Medical Clinic

More information

Regulatory and Legislative Action Since the September 2010 Membership Meeting:

Regulatory and Legislative Action Since the September 2010 Membership Meeting: MEMBERSHIP MEETING January 19, 2011 Delivery System Reform: Healthcare Workforce Issue: The passage of health reform will bring millions of newly insured individuals into the system and drive patients

More information

Possible Opportunities for Collaboration in Health Care Reform

Possible Opportunities for Collaboration in Health Care Reform MEDICARE EXTENDERS Part B Payments to Indian Hospitals and Clinics. (Sec. 2902) Spends $200 million over 10 years. Section 630 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003

More information

Survey of Nurse Employers in California 2015

Survey of Nurse Employers in California 2015 Gordon and Better Moore Foundation Survey of Nurse Employers in California 2015 Conducted by UCSF Philip R. Lee Institute for Health Policy Studies, HealthImpact (formerly California Institute for Nursing

More information

COMMUNITY SERVICES 238 HUMAN SERVICES. Mission Statement. Mandates. Expenditure Budget: $37,580,036 30.7% of Human Services

COMMUNITY SERVICES 238 HUMAN SERVICES. Mission Statement. Mandates. Expenditure Budget: $37,580,036 30.7% of Human Services Mission Statement We are committed to improving the quality of life for people with or at risk of developing mental disabilities and substance abuse problems and to preventing the occurrences of these

More information

Human Resources. General Government 209. Prince William County FY 2014 Budget MISSION STATEMENT. Human Resources; 3.7%

Human Resources. General Government 209. Prince William County FY 2014 Budget MISSION STATEMENT. Human Resources; 3.7% Prince William Self- Insurance Group; 8.6% General Registrar; 2.5% Unemployment Insurance Reserve; 0.1% Board of County Supervisors; 4.4% Executive Management; 3.9% Audit Services; 1.0% County Attorney;

More information

Chapter Four: Enrollment & Finance Trends & Projections

Chapter Four: Enrollment & Finance Trends & Projections Chapter Four: Enrollment & Finance Trends & Projections Financial Planning Each December the Vice President of Administration presents the College s projected budget for the upcoming fiscal year to the

More information

HOSPITAL ADMINISTRATOR I (UNCLASSIFIED) MARTIN LUTHER KING

HOSPITAL ADMINISTRATOR I (UNCLASSIFIED) MARTIN LUTHER KING County of Los Angeles DEPARTMENT OF HEALTH SERVICES INVITES RESUMES FOR HOSPITAL ADMINISTRATOR I (UNCLASSIFIED) MARTIN LUTHER KING ANNUAL SALARY: $113,540 - $171,852 (Schedule S13) FILING PERIOD: July

More information

Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016

Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016 Southwestern Vermont Medical Center Operating Budget Fiscal Year 2016 Southwestern Vermont Medical Center s (hereafter SVMC or Medical Center ) Operating Budget for Fiscal Year (hereafter FY ) 2016 has

More information

HEALTH PROFESSIONAL WORKFORCE

HEALTH PROFESSIONAL WORKFORCE HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS) (Information compiled from the Democratic Policy Committee (DPC) Report on The Patient Protection and Affordable Care Act and the Health Care

More information

Department on Disability Services

Department on Disability Services Department on Disability Services (JM0) www.dds.dc.gov Telephone: 202-730-1700 % Change FY 2009 FY 2010 FY 2011 from Description Actual Approved Proposed FY 2010 Operating Budget $125,142,693 $95,129,832

More information

FY 2012 Operating & Capital Budget (February 2011)

FY 2012 Operating & Capital Budget (February 2011) FY 2012 Operating & Capital Budget (February 2011) Harris County Hospital District FY2012 Operating & Capital Budget Executive Summary Introduction The past twelve (12) months have been very challenging,

More information

Care Navigation Council. Nenick Vu Care Navigation Council Director

Care Navigation Council. Nenick Vu Care Navigation Council Director Care Navigation Council Nenick Vu Care Navigation Council Director Care Navigation Council The Challenge With the passage of the Affordable Care Act, Medi-Cal coverage for all legally present low income

More information

Health Care Reform and Its Impact on Nursing Practice

Health Care Reform and Its Impact on Nursing Practice Health Care Reform and Its Impact on Nursing Practice UNAC-UHCP Convention Las Vegas, NV November 9, 2010 Katherine Cox AFSCME International What Have Your Heard? What Do You Think? How do you think the

More information

Community Clinics and Health Centers under the Patient Protection and Affordable Care Act

Community Clinics and Health Centers under the Patient Protection and Affordable Care Act Community Clinics and Health Centers under the Patient Protection and Affordable Care Act Background On March 23, 2010, President Barack Obama signed into law a comprehensive health care reform bill, the

More information

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 STAFF ANALYSIS

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 STAFF ANALYSIS MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT JUNE 2016 CON REVIEW HG-RB-0416-009 JACKSON HMA, LLC, D/B/A MERIT HEALTH CENTRAL EXPANSION OF PSYCHIATRIC BEDS

More information

Department of Administration for Human Services

Department of Administration for Human Services Operational Management Financial Management Human Resources Contracts and Procurement Management Physical Resources Mission The Department of Administration for Human Services promotes excellence across

More information

HEALTH and HUMAN SERVICES AGENCY PUBLIC HEALTH ADMINISTRATION...4010 STACEY CRYER, Director

HEALTH and HUMAN SERVICES AGENCY PUBLIC HEALTH ADMINISTRATION...4010 STACEY CRYER, Director Public Health Services Administration Division is in partnership with the community to promote and safeguard the health and wellness of the people of Mendocino County. The Administration Division is responsible

More information

San Mateo Medical Center Innovative Care Clinic

San Mateo Medical Center Innovative Care Clinic San Mateo Medical Center Innovative Care Clinic 2 2009 CAPH/SNI Quality Leaders Awards NARRATIVE DESCRIPTION OF PROGRAM Please respond to the following questions. Please give detailed, but succinct answers

More information

Employee Benefits. To provide centralized budgetary and financial control over employee fringe benefits paid by the County.

Employee Benefits. To provide centralized budgetary and financial control over employee fringe benefits paid by the County. Mission To provide centralized budgetary and financial control over employee fringe benefits paid by the County. Focus Agency 89, Employee Benefits, is a set of consolidated accounts that provide budgetary

More information

Implementation Plan for Needs Identified in the Community Health Needs Assessment for Spectrum Health Hospitals d/b/a Spectrum Health Grand Rapids

Implementation Plan for Needs Identified in the Community Health Needs Assessment for Spectrum Health Hospitals d/b/a Spectrum Health Grand Rapids Implementation Plan for Needs Identified in the Community Health Needs Assessment for Spectrum Health Hospitals d/b/a Spectrum Health Grand Rapids FY 2013-2015 Covered Facilities: Spectrum Health Hospitals

More information

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 STAFF ANALYSIS

DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 STAFF ANALYSIS DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT (THURMAN) APRIL 2004 NORTH MISSISSIPPI MEDICAL CENTER TEM FOR RADIOLOGY CAPITAL EXPENDITURE: $9,250,000 LOCATION: TUPELO, MISSISSIPPI STAFF ANALYSIS

More information

Prepared By: Erica Crall & Lucien Wulsin, Jr.

Prepared By: Erica Crall & Lucien Wulsin, Jr. Insure the Uninsured Project San Diego County Counties, Clinics, Hospitals, Managed Care and the Uninsured: Ten-Year Trend Report (1996-2006) Prepared By: Erica Crall & Lucien Wulsin, Jr. COUNTY ECONOMY

More information

Sacramento Region Health Care Partnership SWOT Analysis

Sacramento Region Health Care Partnership SWOT Analysis Sacramento Region Health Care Partnership SWOT Analysis The following Strength, es, and (SWOT) analysis has been prepared from data collected, stakeholder interviews, site visits, SRHCP convenings, advisory

More information

Health Center and Public Housing National Symposium. How Investing in Public Housing Residents Changed a City

Health Center and Public Housing National Symposium. How Investing in Public Housing Residents Changed a City Health Center and Public Housing National Symposium How Investing in Public Housing Residents Changed a City RCHD: Resource Centers I. Background and History II. Academic Partnerships III. Community Advocates

More information

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization

Pediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric

More information

Comparison of Health Care Reform Proposals

Comparison of Health Care Reform Proposals Comparison of Health Care Reform Proposals Individuals Covered Every Californian will have improved access with more healthcare options and services that are more affordable and costefficient. Reallocates

More information

INSTRUCTIONS. For Using the. Sample Local Survey on Third-Party Billing and Reimbursement for. HIV/AIDS and Viral Hepatitis Services

INSTRUCTIONS. For Using the. Sample Local Survey on Third-Party Billing and Reimbursement for. HIV/AIDS and Viral Hepatitis Services INSTRUCTIONS For Using the Sample Local Survey on Third-Party Billing and Reimbursement for HIV/AIDS and Viral Hepatitis Services The passage of the Affordable Care Act (ACA) coupled with an economic downturn

More information

New Hampshire s Community Health Centers

New Hampshire s Community Health Centers New Hampshire s Community Health Centers Bi-State Primary Care Association PCA for New Hampshire and Vermont Since 1986 Vision: Healthy individuals and communities with quality health care for all. Mission:

More information

California Public Hospitals and the Health Care Coverage Initiatives: A Model for Health Care Reform

California Public Hospitals and the Health Care Coverage Initiatives: A Model for Health Care Reform California Association of Public Hospitals and Health Systems April 2009 POLICY BRIEF 70 WASHINGTON STREET, SUITE 215 OAKLAND, CALIFORNIA 94607 510.874.7100 WWW.CAPH.ORG California Public Hospitals and

More information

Federal Reform-Related Funding for the Health Care Workforce (May 2010)

Federal Reform-Related Funding for the Health Care Workforce (May 2010) Highlights of HRSA Stimulus Related (ARRA) for the Health Care Workforce ARRA includes $500 million for health workforce programs. $200 million is directed to scholarships, loans and loan repayment and

More information

JFK UNIVERSITY COMMUNITY COUNSELING CENTERS: A ROADMAP TO BUILDING ROBUST AND RESILIENT COUNSELING CENTERS

JFK UNIVERSITY COMMUNITY COUNSELING CENTERS: A ROADMAP TO BUILDING ROBUST AND RESILIENT COUNSELING CENTERS JFK UNIVERSITY COMMUNITY COUNSELING CENTERS: A ROADMAP TO BUILDING ROBUST AND RESILIENT COUNSELING CENTERS JFKU CCC 3-Year Strategic Plan EXECUTIVE SUMMARY With the publication of its Strategic Plan for

More information

Department of Parks and Recreation

Department of Parks and Recreation www.dpr.dc.gov Telephone: 202-673-7647 (HA0) % FY 2014 FY 2015 FY 2016 from Description Actual Approved Proposed FY 2015 Operating Budget $39,035,118 $45,561,683 $44,252,694-2.9 FTEs 501.5 601.0 602.0

More information

CATEGORY I OR 2 PROJECT NARRATIVE

CATEGORY I OR 2 PROJECT NARRATIVE Identifying Project and Provider Information CATEGORY I OR 2 PROJECT NARRATIVE Title of Project: Integrate Primary and Behavioral Health Care Services Category / Project Area / Project Option: 2.15.1 RHP

More information

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015

MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015 MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT DECEMBER 2015 CON REVIEW HR-RC-1015-022 RENOVATION OF 6 th FLOOR, PATIENT AND NURSING AREA LOCATION: JACKSON,

More information

Health Reform and the AAP: What the New Law Means for Children and Pediatricians

Health Reform and the AAP: What the New Law Means for Children and Pediatricians Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for

More information

RE: Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Saving Program

RE: Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Saving Program Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS 1345 NC P.O. Box 8013 Baltimore, MD 21244 8013 RE: Medicare Program; Request for Information Regarding Accountable

More information

Compensation 2013: Evolving Models, Emerging Approaches

Compensation 2013: Evolving Models, Emerging Approaches Compensation 2013: Evolving Models, Emerging Approaches Results from the AMGA 2013 Medical Group Compensation and Financial Survey By Bradley S.J. Vaudrey, M.B.A., CPA, and Sara Loos, CCP Findings from

More information

Financial Accounting and Management Reports

Financial Accounting and Management Reports Financial Accounting and Management Reports To manage a medical practice effectively, whether it be a solo or a group practice, the practitioner and its managers and advisors must have continual access

More information

DEPT: Human Resources UNIT NO. 1140 FUND: General - 0001. Budget Summary

DEPT: Human Resources UNIT NO. 1140 FUND: General - 0001. Budget Summary Budget Summary Category 2014 Budget 2014 Actual 2015 Budget 2016 Budget 2016/2015 Variance Expenditures Personnel Costs $5,710,284 $5,581,227 $5,982,709 $6,342,873 $360,164 Operation Costs $284,245 $256,846

More information

Mission Possible: Implementing econsult in the Los Angeles County Healthcare System

Mission Possible: Implementing econsult in the Los Angeles County Healthcare System SEPTEMBER 2013 Mission Possible: Implementing econsult in the Los Angeles County Healthcare System INTRODUCTION With the full implementation of the Affordable Care Act fast approaching, providers are getting

More information

2016 Public Policy Statements

2016 Public Policy Statements 2016 Public Policy Statements Health Care Access and Affordability The National Association of Free & Charitable Clinics believes that when discussing health care access and reform it is necessary for

More information

Research Brief. The Economic Recession: Early Impacts on Health Care Safety Net Providers

Research Brief. The Economic Recession: Early Impacts on Health Care Safety Net Providers Research Brief Findings From HSC NO. 15, JANUARY 2010 The Economic Recession: Early Impacts on Health Care Safety Net Providers BY LAURIE E. FELLAND, PETER J. CUNNINGHAM, GENNA R. COHEN, ELIZABETH A. NOVEMBER

More information

CERTIFICATE OF NEED REVIEWED BY THE DEPARTMENT OF HEALTH DIVISION OF POLICY, PLANNING AND ASSESSMENT 615-741-1954 DATE: December 31, 2015 APPLICANT: Reeves Eye Surgery Center 2328 Knob Creek Road, Suite

More information

New and Existing Pathways to Emerging Health Careers

New and Existing Pathways to Emerging Health Careers New and Existing Pathways to Emerging Health Careers CT Learns & Works Conference May 14, 2010 Panelists: Alice Pritchard (CWEALF) Kimberly Kalajainen (Lawrence & Memorial Hospital) Marcia Jehnings (Manchester

More information

U.S. House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies. Department of Health and Human Services

U.S. House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies. Department of Health and Human Services Testimony of the Nursing Community Regarding Fiscal Year (FY) 2015 Appropriations for the Title VIII Nursing Workforce Development Programs, the National Institute of Nursing Research, and Nurse-Managed

More information

Quality and Performance Improvement Program Description 2016

Quality and Performance Improvement Program Description 2016 Quality and Performance Improvement Program Description 2016 Introduction and Purpose Contra Costa Health Plan (CCHP) is a federally qualified, state licensed, county sponsored Health Maintenance Organization

More information

Expanding Health Coverage in Kentucky: Why It Matters. September 2009

Expanding Health Coverage in Kentucky: Why It Matters. September 2009 Expanding Health Coverage in Kentucky: Why It Matters September 2009 As the details of federal health reform proposals consume the public debate, reflecting strong and diverse opinions about various options,

More information

National Nursing Workforce Minimum Datasets: Demand. Rationale for Selection and Measurement of Minimum Dataset Items

National Nursing Workforce Minimum Datasets: Demand. Rationale for Selection and Measurement of Minimum Dataset Items National Nursing Workforce Minimum Datasets: Demand Rationale for Selection and Measurement of Minimum Dataset Items Prior to development of this draft, the National Forum of State Nursing Workforce Centers

More information

Telehealth: Today & Tomorrow National Health Policy Forum

Telehealth: Today & Tomorrow National Health Policy Forum Telehealth: Today & Tomorrow National Health Policy Forum April 11, 2014 Karen E. Edison, MD Philip Anderson Prof. & Chair, Dept. of Dermatology Medical Director, Missouri Telehealth Network Director,

More information

Porter Hospital Narrative FY 2014 Budget Submission

Porter Hospital Narrative FY 2014 Budget Submission Porter Hospital Narrative FY 2014 Budget Submission Summary: Porter Hospital s FY14 budget represents a continuation of the significant and positive financial turnaround commencing from January, 2013 and

More information

Cross Country Healthcare Jefferies 2014 Global Healthcare Conference

Cross Country Healthcare Jefferies 2014 Global Healthcare Conference Cross Country Healthcare Jefferies 2014 Global Healthcare Conference JUNE 2014 Forward Looking Statements This presentation contains forward-looking statements. Statements that are predictive in nature,

More information

Shaping our Physician Workforce

Shaping our Physician Workforce Shaping our Physician Workforce Our Vision Every Nova Scotian should have access to a family doctor and other primary care providers. When Nova Scotians need to see a specialist, they should get the best

More information

FY 2012 & FY 2013 Proposed Balancing Measures. March 22, 2010

FY 2012 & FY 2013 Proposed Balancing Measures. March 22, 2010 FY 2012 & FY 2013 Proposed Balancing Measures March 22, 2010 1 Introduction National Economic Recovery - Slow General Fund - FY 12 ($3M) FY 13 ($4M) Special Funds ($9.5M) Federal Budget proposed cuts to

More information

HEALTH AND FAMILY SUPPORT

HEALTH AND FAMILY SUPPORT HEALTH AND FAMILY SUPPORT MISSION To promote health equity in Minneapolis and meet the unique needs of the urban population by providing leadership and fostering partnerships. BUSINESS LINES A. Promote

More information

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas

And in rural areas. Chart 3: Median number of days to fill vacant RN positions in urban and rural areas RN Shortages in Hospitals March 1999, Vol. 1, No. 2 Nurses comprise the largest sector of the healthcare workforce and the majority of nurses work in hospitals. Because of the prominence and importance

More information

FORCES OF CHANGE ASSESSMENT

FORCES OF CHANGE ASSESSMENT APPENDIX C FORCES OF CHANGE ASSESSMENT Report of Results 2011 Page C1 FORCES OF CHANGE ASSESSMENT PROCESS SUMMARY The Florida DOH led a coordinated, statewide effort to conduct a Forces of Change Assessment

More information

The Patient Contact Center: Finding My Way!

The Patient Contact Center: Finding My Way! The Patient Contact Center: Finding My Way! Presented by James Hawkins SVP, Patient Contact Center Convergent 1 For Today s Discussion Market Conditions ANI Survey Results Patient Contact Center Overview

More information

KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES

KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES Actual FY 2014 Agency Est. Agency Req. Agency Req. FY 2017 FY 2017 Operating Expenditures: State General Fund $ 561,860,405 $ 618,190,288 $ 632,670,211

More information

Response to Serving the Medi Cal SPD Population in Alameda County

Response to Serving the Medi Cal SPD Population in Alameda County Expanding Health Coverage and Increasing Access to High Quality Care Response to Serving the Medi Cal SPD Population in Alameda County As the State has acknowledged in the 1115 waiver concept paper, the

More information

COPLEY HOSPITAL, INC. FY 2013 BUDGET NARRATIVE

COPLEY HOSPITAL, INC. FY 2013 BUDGET NARRATIVE FY 2013 BUDGET NARRATIVE Overview of Copley Hospital Financial Goals and Objectives Budget Assumptions Other Disclosures OVERVIEW OF COPLEY HOSPITAL Copley Hospital is the critical access-designated community

More information

Free Clinic of Central Virginia. Strategic Plan Timeline

Free Clinic of Central Virginia. Strategic Plan Timeline Free Clinic of Central Virginia Implement volunteer, EHR, PM and Rx software solutions Implement dental EHR software Pharmacy expanded, classroom created Community Clinic opens Expanded 1016 Main St Clinic

More information

The Impact of Federal Stimulus Funds on Oral Health Services in California. n DHCS may begin paying incentives any time

The Impact of Federal Stimulus Funds on Oral Health Services in California. n DHCS may begin paying incentives any time The Impact of Federal Stimulus Funds on Oral Health Services in California C ALIFORNIA HEALTHCARE FOUNDATION The recently enacted American Recovery and Reinvestment Act of 2009 (ARRA) allocates funding

More information

Vermont s Health Care System Overview: Payers & Players

Vermont s Health Care System Overview: Payers & Players 1 Vermont s Health Care System Overview: Payers & Players (as we currently know it) Updated January 2015 Nolan Langweil, Joint Fiscal Office 2 Parts of a Health Care System Patients Providers Payers (Insurance

More information

Jackson Health System Observations and Recommendations. Duane J. Fitch, CPA, MBA President March 15, 2010

Jackson Health System Observations and Recommendations. Duane J. Fitch, CPA, MBA President March 15, 2010 Jackson Health System Observations and Recommendations Duane J. Fitch, CPA, MBA President March 15, 2010 JHS Observations Jackson Health System An academic health system with a public healthcare mission

More information

PENNSYLVANIA PRIMARY CARE LOAN REPAYMENT PROGRAM

PENNSYLVANIA PRIMARY CARE LOAN REPAYMENT PROGRAM PENNSYLVANIA PRIMARY CARE LOAN REPAYMENT PROGRAM Practice Site Application Reference Guide & Instructions PENNSYLVANIA DEPARTMENT OF HEALTH Bureau of Health Planning Division of Health Professions Development

More information

Child and Family Services Agency

Child and Family Services Agency (RL0) www.cfsa.dc.gov Telephone: 202-442-6000 % Change FY 2012 FY 2013 FY 2014 from Description Actual Approved Proposed FY 2013 Operating Budget $239,332,924 $257,067,200 $237,643,927-7.6 FTEs 821.5 817.0

More information

State Notes TOPICS OF LEGISLATIVE INTEREST Fall 2011

State Notes TOPICS OF LEGISLATIVE INTEREST Fall 2011 Community College Revenue Sources - REVISED By Bill Bowerman, Associate Director Data Updates by Jack Hummel, SFA Intern Introduction This article updates information included in the March/April 2009 State

More information

Patrick A. Sorrentino, MS 304 Juliana Lane ~ Bloomingdale, IL. 60108 Work Phone (630) 990-4448 Home Phone (630) 295-9360 Cell Phone (630) 514-9226

Patrick A. Sorrentino, MS 304 Juliana Lane ~ Bloomingdale, IL. 60108 Work Phone (630) 990-4448 Home Phone (630) 295-9360 Cell Phone (630) 514-9226 SUMMARY OF QUALIFICATIONS Over 20 years of progressive and diversified healthcare experience holding senior management positions at Rush University Medical Center, Arthur Andersen, Midwest Medical Network

More information

Debt Management. Department Description

Debt Management. Department Description Department Description Debt Management conducts planning, structuring, and issuance activities for short-term and long-term financing to meet the City's cash flow needs and to provide funds for capital

More information

Texas Workforce Commission Explorer Series. Industry Day at the Alamo Colleges. April 16, 2014

Texas Workforce Commission Explorer Series. Industry Day at the Alamo Colleges. April 16, 2014 Texas Workforce Commission Explorer Series Industry Day at the Alamo Colleges April 16, 2014 Workforce Statistics for Texas Texas economy added 312,400 jobs over the last year for an annual growth rate

More information

Among the many challenges facing health care

Among the many challenges facing health care The Value of Visit Management at Your Organization BY ELIZABETH WEIDMAN, SENIOR ANALYST Catch Data Systems April 2014 Among the many challenges facing health care organizations today, few have the potential

More information

County of San Mateo Health System

County of San Mateo Health System County of San Mateo Health System Request for Information Unified Patient Portal for the Health System Issue Date: Thursday, April 25, 2013 Submit Information Packets to: County of San Mateo San Mateo

More information

Utilizing Benchmarking to Manage Health Center Operations. Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com

Utilizing Benchmarking to Manage Health Center Operations. Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com Utilizing Benchmarking to Manage Health Center Operations Curt Degenfelder Managing Director curtis.degenfelder@rsmi.com 1 KEY COMPONENTS OF COST PER VISIT! Physician Productivity! Physician Salary & Fringe!

More information

FY 2012 Total County - $388,239,166. FY 2012 Health County Dollars - $29,978,137. Medical Examiner 0.6%

FY 2012 Total County - $388,239,166. FY 2012 Health County Dollars - $29,978,137. Medical Examiner 0.6% Health Service Area FY 2012 Total County - $388,239,166 Health 7.7% FY 2012 Health County Dollars - $29,978,137 Medical Examiner 0.6% CenterPoint Human Svcs. 20.9% Public Health 78.5% OPERATING POLICIES

More information

Department of Human Resources

Department of Human Resources Workforce Services Workforce Policy and Planning Department Management/ Human Resource Information Systems Employee Relations Employment Compensation and Workforce Analysis Employee Benefits Organizational

More information

To provide high quality, holistic, integrated healthcare to those in need, in an environment that dignifies and empowers the whole person.

To provide high quality, holistic, integrated healthcare to those in need, in an environment that dignifies and empowers the whole person. Our Mission To provide high quality, holistic, integrated healthcare to those in need, in an environment that dignifies and empowers the whole person. Our Vision We will live in a healthy community where

More information

Ministry of Health and Health System. Plan for 2015-16. saskatchewan.ca

Ministry of Health and Health System. Plan for 2015-16. saskatchewan.ca Ministry of Health and Health System Plan for 2015-16 saskatchewan.ca Statement from the Ministers We are pleased to present the Ministry of Health s 2015-16 Plan. Saskatchewan s health care system is

More information

THE GROWING USE OF LOCUM TENENS DENTISTS

THE GROWING USE OF LOCUM TENENS DENTISTS TREND WHITE PAPER THE GROWING USE OF LOCUM TENENS DENTISTS WE VE EARNED THE JOINT COMMISSION S GOLD SEAL OF APPROVAL The Leader in Locum Tenens Staffing IN THIS WHITE PAPER INTRODUCTION BACKGROUND: PHYSICIANS

More information

Department of Economic Security Employment and Rehabilitation Services

Department of Economic Security Employment and Rehabilitation Services Department of Economic Security Employment and Rehabilitation Services JLBC: OSPB: Jay Chilton Chris Hall FY 2009 ACTUAL FY 2010 ESTIMATE FY 2011 BASELINE OPERATING BUDGET Full Time Equivalent Positions

More information

STATE HEALTH PLAN FOR FACILITIES AND SERVICES: ACUTE CARE HOSPITAL SERVICES. COMAR 10.24.10 Effective January 26, 2009

STATE HEALTH PLAN FOR FACILITIES AND SERVICES: ACUTE CARE HOSPITAL SERVICES. COMAR 10.24.10 Effective January 26, 2009 Marilyn Moon, Ph.D. CHAIR Rex W. Cowdry, M.D. EXECUTIVE DIRECTOR MARYLAND HEALTH CARE COMMISSION 4160 PATTERSON AVENUE BALTIMORE, MARYLAND 21215 TELEPHONE: 410-764-3460 FAX: 410-358-1236 STATE HEALTH PLAN

More information

HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS)

HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS) HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS) (Information compiled from the Democratic Policy Committee (DPC) Report on The Patient Protection and Affordable Care Act and the Health Care

More information

SBHC Pro-Forma Financial Statement Instruction Manual

SBHC Pro-Forma Financial Statement Instruction Manual SBHC Pro-Forma Financial Statement Instruction Manual Overview The pro-forma financial statement is an integral component of any business plan. It represents a projection of revenue and expenses (or cash

More information

Instructions for Schedule H (Form 990)

Instructions for Schedule H (Form 990) 2011 Instructions for Schedule H (Form 990) Hospitals Department of the Treasury Internal Revenue Service Contents Page requirements a hospital organization Purpose of Schedule General Instructions...

More information

Hennepin County. The program will operate with 2,857.0 FTEs, flat when compared to the 2013 adjusted budget of 2,856.8 FTEs.

Hennepin County. The program will operate with 2,857.0 FTEs, flat when compared to the 2013 adjusted budget of 2,856.8 FTEs. Major Program: Human Hennepin County Mission: Human and Public Health Department's mission is to "strengthen individuals, families and communities by increasing safety and stability, promoting self-reliance

More information

SPECIAL QUESTIONS. August 26, 2014

SPECIAL QUESTIONS. August 26, 2014 August 26, 2014 SPECIAL QUESTIONS Data were collected Aug. 4 7, and 191 Texas business executives responded to the survey. 1. What are your best estimates of the annual percentage change in your firm's

More information

case study Denver Health & Hospital Authority IT as a Change Agent in the Transformation of Healthcare Summary Introductory Overview ORGANIZATION:

case study Denver Health & Hospital Authority IT as a Change Agent in the Transformation of Healthcare Summary Introductory Overview ORGANIZATION: The Computerworld Honors Program Denver, Colorado, United States Summary For the past nine years, has partnered with Siemens Medical Solutions to further its mission as a safety net city-wide hospital

More information

COMPARISON OF THE FY 2015 HOUSE AND SENATE BUDGET PROPOSALS FOR MASSHEALTH AND HEALTH REFORM PROGRAMS

COMPARISON OF THE FY 2015 HOUSE AND SENATE BUDGET PROPOSALS FOR MASSHEALTH AND HEALTH REFORM PROGRAMS COMPARISON OF THE HOUSE AND SENATE BUDGET PROPOSALS FOR MASSHEALTH AND HEALTH REFORM PROGRAMS BUDGET BRIEF JUNE 2014 The Fiscal Year (FY) 2015 Massachusetts state budget has moved into the final stages

More information

Executive Total Compensation Review for Natividad Medical Center

Executive Total Compensation Review for Natividad Medical Center Executive Total Compensation Review for Natividad Medical Center July 26, 2011 Presented to: Monterey County Board of Supervisors 2011 Sullivan, Cotter and Associates, Inc. The material may not be reproduced

More information

Susan Harrington, MS, RD Director of Public Health Riverside County, California

Susan Harrington, MS, RD Director of Public Health Riverside County, California Susan Harrington, MS, RD Director of Public Health Riverside County, California Strategic Plan 2007 2011 More than half a million new residents since 2000 Rural to urban/suburban shift Ten new cities each

More information

Page 1 of 12. Subject As passed by Senate As passed by House Legislative intent; findings; purpose

Page 1 of 12. Subject As passed by Senate As passed by House Legislative intent; findings; purpose Page 1 of 12 Side-by-side comparison of S.252, An act relating to financing for Green Mountain Care, as passed by House and Senate Prepared by Jennifer Carbee, Legislative Counsel, Office of Legislative

More information

Instructions for Schedule H (Form 990)

Instructions for Schedule H (Form 990) 2013 Instructions for Schedule H (Form 990) Hospitals Department of the Treasury Internal Revenue Service Contents Page Future Developments...1 Purpose of Schedule...1 Specific Instructions...2 Part I.

More information

WHAT S IN THE PROPOSED FY 2016 BUDGET FOR HEALTH CARE?

WHAT S IN THE PROPOSED FY 2016 BUDGET FOR HEALTH CARE? An Affiliate of the Center on Budget and Policy Priorities 820 First Street NE, Suite 460 Washington, DC 20002 (202) 408-1080 Fax (202) 408-1073 www.dcfpi.org April 16, 2015 WHAT S IN THE PROPOSED FY 2016

More information

Frequently Asked Questions Ohio Health Information Partnrship

Frequently Asked Questions Ohio Health Information Partnrship Frequently Asked Questions Ohio Health Information Partnrship Q. What is the Ohio Health Information Partnership? A.The Ohio Health Information Partnership (OHIP) is the non profit entity that will assist

More information

Virtual Mentor American Medical Association Journal of Ethics November 2006, Volume 8, Number 11: 771-775.

Virtual Mentor American Medical Association Journal of Ethics November 2006, Volume 8, Number 11: 771-775. Virtual Mentor American Medical Association Journal of Ethics November 2006, Volume 8, Number 11: 771-775. Medicine and society Crowded conditions: coming to an ER near you by Jessamy Taylor Most people

More information