Coordinated Health Planning Advisory Committee Fox Wetle, Ph.D. Former Advisory Committee Chair Associate Dean of Medicine for Public Health Brown University

Advisory Committee Charter Legislative Language The Coordinated Health Planning Act of 2006 (Chapter 354, enacted 7/7/06) states: The Director of the Department of Health, in consultation with an advisory committee composed of representatives of health care consumers, providers and payors, is hereby directed to develop an assessment of the existing state capacity and authority to perform coordinated statewide health planning. Said assessment shall include a plan for the development and revision of strategic plans to improve the quality, accessibility, portability and affordability of the state's health care system, and a study of an expanded role for the department of health in health care planning, including capital investment expansion and introduction of technology.

Coordinated Health Planning Advisory Committee Charge  Assess existing state capacity and authority to perform coordinated statewide health planning  Create a plan for developing statewide health plans  Study an expanded role in health care planning for the Department of Health

Coordinated Health Planning Advisory Committee  Appointed by Director, Department of Health  35 Members, representing Consumers, health care providers, advocates, insurers, health care organizations  Six meetings of the Advisory Committee  Two Public Forums

Strategies  Environmental scan nationwide of current statewide and regional health services planning efforts.  Input from the community (via community forums and Advisory Committee discussions)  Reports and recommendations developed with early and frequent input from the Advisory Committee.

Vision  “Every Rhode Islander should have access to high quality, affordable health care, delivered at the most appropriate time and place”  Reality: Health care delivery is fragmented, inefficient, and not accessible to all Rhode Islanders No incentives for improving health status in the long term

Principles  Deliver evidence-based health care  Improve quality, efficiency and accessibility  Improve affordability  Partner with the consumer in his/her care  Orient system towards person-centered care  Respond to needs with cultural and linguistic competence  Improve health status of the population

Findings  Health care system will not transform optimally without a robust health planning process that features collaboration and coordination across all public and private sector participants  State has the authority to establish process but may need additional authority to fully implement planning as envisioned.  State does not have sufficient capacity to conduct health planning as envisioned.

Recommendation  Implement and fund a Coordinated Health Care Planning and Accountability Council

Governance and Accountability  Infrastructure: Office of Health Care Planning and Accountability in the Department of Health  Governance: Health Care Planning and Accountability Council Co-chaired by Director of HEALTH and Secretary of OHHS  Public Accountability: Annual report to the Legislature re: current status, achievement of goals, progress and barriers

Recommendations Objectives of Health Planning  Conduct ongoing assessments of needs and system capacity.  Develop innovative models of care delivery  Recommend payment that rewards improved health outcomes  Evaluate impact of planning by measuring quality and appropriate use of services  Promote adoption of information technology  Recommend legislation and other actions to achieve accountability and adherence to plan

/CoordinatedHealthPlanningInRhodeIsland.pdf URL for Advisory Council Report (March 30, 2007)