2014 Rural Hospital Conference
Dec 25, 2015
2014 Rural Hospital
Conference
The Cost of Doing Nothing is Too High
So, how do we partner to influence the health of our communities?
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Our Mission
Connect Collaborate Achieve
To improve the health care
delivery systems of our rural communities.
Skyline Hospital,
White Salmon
Who we are…4
Adams
Asotin
ChelanClallam
Clark
ColumbiaCowlitz
Douglas
FranklinGarfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Klickitat
Lewis
Mason
Pacific
Thurston
Lincoln
Okanogan PendOreille
Pierce
San Juan
Skagit
Skamania
Snohomish
Spokane
Stevens
WahkiakumWalla Walla
BentonYakima
Ferry
Mason General Hospital, Shelton
Whatcom
Whitman
Willapa Harbor Hospital, South Bend
Snoqualmie Valley Hospital
PeaceHealth United General Hospital, Sedro Woolley
Ocean Beach Hospital,Ilwaco
Forks Community
Hospital
Whidbey General Hospital, Coupeville
Summit Pacific Medical Center, Elma
Jefferson Healthcare, Port Townsend
Morton General Hospital
Prosser Memorial Hospital, ProsserKlickitat Valley Health,
Goldendale
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Board of Directors Renée Jensen, Chair, Summit Pacific Medical Center
Kendall Sawa, Vice Chair, Ocean Beach Hospital
Rodger McCollum, Secretary/Treasurer, Snoqualmie Valley Hospital
Jim Chaney, Forks Community Hospital
Hilary Whittington, Jefferson Healthcare
Leslie Hiebert, Klickitat Valley Health
Eric Moll, Mason General Hospital
Tim Cournyer, Morton General Hospital
Jim Barnhart, PeaceHealth United General Medical Center
Julie Petersen, PMH Medical Center
Robb Kimmes, Skyline Hospital
Tom Tomasino, Whidbey General Hospital
Carole Halsan, Willapa Harbor Hospital
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Strengths and Values
Membership is strong and committed Leadership team that meets monthly Expanded subcommittees to promote valuable exchanges:
CFO, Nursing, Quality, HR, HIM, CMO, Business Office Professional growth for leaders Synergy to discuss and develop ideas Forum for education
Work aligns and supports members missions Flexible and nimble Able to respond quickly to opportunities Maximize the value of collaborative as affiliate partner
Promotes efficiencies Grants Shared contracting (Lab, Insurance, Compliance Hotline, ICD 10
Training)
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What we do… Convene hospitals for mutual support, exploration, development,
preparation and implementation: Innovation – tele-psychiatry, referral management, wellness program Piloting new models – HIE and Rural ACO Health care reform: Exchanges and Medicaid
Seek to reduce the unit cost of care for participating organizations Joint contracts/negotiations: Reference lab, PACS Shared services: ComplianceHotline, ICD 10 training
Sharing innovative programs and share best practices among members Policies and procedures, cardiac and stroke guidelines, compliance Reviews and reports on the status of quality measures and initiatives Quality and critical access hospital requirements, as well as expanding
services such as cardiology clinics and education.
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Current Activities… Strategic Focus 2014: Establish a Performance Quality Improvement Initiative
Focus on both clinical quality and financial measures Goals:
Develop standardized benchmarking tools dashboards and metrics Develop a process for quality and financial performance improvement across multiple hospitals Explore models to scale PI through regional collaboratives (both formal and informal) and Statewide initiatives Based on opportunities identified through benchmarking, complete at least one PI project (including an
evaluation of the financial impact) during 2014 Partners: DOH , Office of Rural Health, WSHA, Terry Hill, NRHA
Bargaining/Benchmarking/Joint Contracting Benchmarking: ED FTE/Visits, medication errors, staffing ratios tied volumes Compliance Hotline ICD 10 Training Contract Insurance contracting through PHD Joint Operating Board (WRHC is Administrative/Fiscal Agent) Joint Contracting Underway:
Lab: Estimated savings of $850,000 annually GPO PACS Malpractice Insurance
Preparing for and implementing health care reform Maximize the value collaborative as a affiliate partner Preparing for a shift from volume to value based purchasing Exploration of forming a rural ACO HRSA HIT Grant – preparing hospitals to achieve meaningful use
Access to Resources: Shared services, best practices and learnings Active Committees: CEO, CFO, Nursing & Quality, HR, HIM, Marketing and Foundation, Compliance , emerging
CMO
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PHD Joint Operating Board
Skyline Hospital,
White Salmon
PHD Joint Operating Board
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Adams
Asotin
ChelanClallam
Clark
ColumbiaCowlitz
Douglas
FranklinGarfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Klickitat
Lewis
Mason
Pacific
Thurston
Lincoln
Okanogan PendOreille
Pierce
San Juan
Skagit
Skamania
Snohomish
Spokane
Stevens
WahkiakumWalla Walla
BentonYakima
Ferry
Mason General Hospital, Shelton
Whatcom
Whitman
Willapa Harbor Hospital, South Bend
Snoqualmie Valley Hospital, Snoqualmie
Ocean Beach Hospital,Ilwaco
Forks Community
Hospital, Forks
Whidbey General Hospital, Coupeville
Summit Pacific Medical Center, Elma
Jefferson Healthcare, Port Townsend
Morton General Hospital, Morton
Prosser Memorial Hospital, Prosser
Cascade Valley Hospital, Arlington
Skagit Valley Hospital, Mt. Vernon
Valley General Hospital, Monroe
Island Hospital, Anacortes
Klickitat Valley Health, Goldendale
Lincoln Hospital, Davenport
Newport Hospital, Newport
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PHD Joint Operating Board Established in 2006 Contracts with WRHC to provide fiscal and
administrative support and leadership Authorized under RCW 70.44.240 and RCW
70.44.450 18 Public Hospital District hospitals have entered into
an Interlocal Agreement, under the name PHD Joint Operating Board, authorizing collective negotiations with public and private health plans and provider groups.
Governance Structure Board: 18 Public Hospital Districts Chair: Tamara Cesena, Skagit Regional Health Volunteer board with bylaws and clear participation
agreements
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Our Goals To create economies of scales through a
centralized contract negotiations process. Enhance the expertise of contract negotiations. Add resources to enable faster, more sophisticated
interactions with insurance carriers. Poise member public hospital districts in a stable
position for the Health Insurance Exchange and Risk-Based/Value Based Contracting.
Share the lessons learned, processes and tools.
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Current Activities
Develop and analyze models and strategies to negotiate, enter into and carry out joint agreements and contracts for health care service delivery and payment with public and private entities that operate within the State of Washington.
Engage in other collective negotiations with health plans or provider groups desiring to contract in the State of Washington;
Exploring models related to value-based and risk-based contracting and
Engage consultants as PHD deems necessary to assist in evaluating the various models and strategies under consideration.
Member advocacy Share the lessons learned, processes and tools
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Flex Activities 2013 -2014
Year 1: Develop the framework and necessary infrastructure
to effectively develop and implement a joint contracting model that is compliant with Washington State laws.
Year 2: Convene a financial network to identify and share best
practices for negotiating contracts with health plans and language and rates among our members with a specific focus on creating the organizational readiness and potential responses to valued based contracting
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Questions?
Contact for further information:
Holly Greenwood, Executive Director,Washington Rural Health Collaborative PHD Joint Operating Board (360) 346-2351holly@washingtonruralhealth.orgwww.washingtonruralhealth.org