ICC Business Plan1 December, 2001

ICC Business Plan2 Table of Contents Environmental Scan Business Mission Services and Products Customers Organizational Chart Marketing Strategy Sustainability

ICC Business Plan3 Environmental Scan ICC Business Plan Part One

ICC Business Plan4 Environmental Scan Over 200,000 people are without health insurance and/or are medically indigent in the three county area. A relatively small number of safety net providers shoulder nearly all of the burden of serving these people. As a result, their resources are being stretched too thin, and their survival is threatened. These providers do not deliver care in a single health care system; they have separate identities and structures. All serve clear market niches, and the survival of all is critical to the safety net structure.

ICC Business Plan5 ICC Business Mission ICC Business Plan Part Two

ICC Business Plan6 Overall ICC Mission … Affordable access to quality health care for all residents of Williamson, Travis, and Hays Counties.

ICC Business Plan7 ICC Business Mission To reduce costs to, and burden on, ICC member providers for caring for the medically indigent, through collaborative initiatives and ventures. To support and help launch a funding initiative for safety net health care providers by 2004 that is comparable in scope to large scale, comprehensive initiatives in Texas Hospital Financing Districts and in other reference counties across the country. To generate annual core income of up to $1 million for ICC operations and initiatives by 2004.

ICC Business Plan8 ICC Initiatives, Services and Products ICC Business Plan Part Three

ICC Business Plan9 Features of Initiatives, Services and Product Development of and access to provider network serving the uninsured. Lower costs, better care management, more medical homes, and improved patient and provider control of care. Voluntary participation; no penalties for those who do not participate, but incentives for those who do. Access to useful individual and aggregate health information for better quality care.

ICC Business Plan10 ICC Initiatives Expanding MAP, CHIP, SETON Care Plus Project Access (TCMS) Pharmacy Initiative Employer-based Insurance Expansion Call Center MH/Primary Care Pilot Oral Health Urgent Care

ICC Business Plan11 ICC Services Development of system financing options. Research, consultation, and evaluation Discounted pharmacy program Discounted labs and specialty referrals Common provider training calendar Patient tracking Aggregate data reports Facilitation of collaborations and promotion of new initiatives

ICC Business Plan12 ICC Product Master Patient Index/Clinical Data Repository (MPI/CDR) –The MPI/CDR will house in electronic form demographic, encounter, pharmacy, and lab data for uninsured adults. These data will be available in individual and aggregate form to ICC members and, under limited conditions, to outside parties.

ICC Business Plan13 Supporting and Launching a Funding Initiative Providing research and information to community leaders about indigent health care Working collaboratively to develop future system structural and financing options Developing communications strategies that inform the general public

ICC Business Plan14 ICC Customers ICC Business Plan Part Four

ICC Business Plan15 Our Customers Primary Customers. (The people we serve.) Secondary Customers. (The people who support our work.)

ICC Business Plan16 Two Sets of Primary Customers Indigent Patients Our patients are primarily uninsured, low income, with multiple health/MH needs, disproportionately Latino/Mexican American, with poorer than average access to health care. They need, but do not have, medical homes. Safety Net Providers Our safety net providers are primarily clinics and hospitals that serve indigent populations, with some involvement by private practice physicians. They rely heavily on both grants and public dollars to support indigent care.

ICC Business Plan17 Risks/Responses to ICC Customers in Initiatives and Product Risk Loss of brand identity Loss of control of patient data Loss of services Loss of revenue and market share in reorganized system Increase of market share without increased revenues Loss of values Response Current initiatives stay in place Formal confidentiality and consent agreements Improved coordination of existing services New revenues to be raised and shared among partners Partner agreements not to shift burden to others; Physician initiative Consensus-driven mission

ICC Business Plan18 Our Secondary Customers The tax-paying and voting public. Foundations. Government officials and leaders, including elected officials. Our donors and grantmakers. Third party payors. Potentially, researchers.

ICC Business Plan19 ICC Organizational Chart ICC Business Plan Part Five

ICC Business Plan20 ICC Organizational Chart Updated as of November, 2001

ICC Business Plan21 Organizations with ICC Board Representation City of Austin Primary Care Department SETON HC Network St David’s HC System People’s Community Clinic Williamson County and Cities Health Dept. Austin Travis County Health and Human Services Austin Travis County MHMR Center El Buen Samaritano Volunteer HC Clinic Central Texas Medical Center Planned Parenthood of the Texas Capital Region Travis County Medical Society

ICC Business Plan22 ICC Marketing Plan ICC Business Plan Part Six

ICC Business Plan23 ICC Communications Strategies: Marketing to Customers Adoption of Communications Plan and Strategies for reaching patients, providers, and public. Development of ICC Logo, and “ICCare” program aimed at patients. Development of mass media messages for public. Implementation of Web-based communications strategies for partners.

ICC Business Plan24 The Marketing Plan Patients Voluntary Access to Network Reduced forms, fewer “questions” ID Card Discounts (future) Call Line More control over personal health data Providers Improved access to individual health data Improved referral system Better patient follow-up monitoring Increased dollars, reduced costs over time Help with HIPAA compliance

ICC Business Plan25 Sustainability ICC Business Plan Part Seven

ICC Business Plan26 Three Year Development Phase Financing Plan Projected cost for ICC of through June, 2004: Total committed by July, 2001 (62%): Committed 7-01 thru (20%): To Be Raised by July 2004 (18%): Core operations $850,000 MPI/CDR/Project Access$3,200,000 Total$4,050,000 Core operations (RWJ)$700,000 MPI/CDR/Project Access$1,800,000 (HRSA,Ascension) Total$2,500,000 MPI/CDR/Project Access (HRSA, TCMS) $830,000 Core operations $150,000 MPI/CDR/Project Access$570,000 Total $720,000 Projections current as of July, 2001

ICC Business Plan27 Future Costs of ICC Products and Services Ongoing projected annual cost of ICC operations only for core operations: Ongoing projected annual cost of maintaining current MPI/CDR product: Target annual revenue (including future research and development costs): $300,000 $500,000 $1,000,000

ICC Business Plan28 Plan for Ongoing Support Partner Contributions from Reduced Costs of Doing Business. Foundation Grants and Awards. Government Grants. HFD Funding (if approved by voters). Fees for Use of Services and Aggregate Databases. Self-sustaining MPI/CDR program through fees and/or assessments.