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2. 1 11111 Bruce Siegel MD, MPH President & CEO January 2012 2 Americas Safety Net: Setting the Bar for the Nation

3. Who is the National Association of Public Hospitals and Health Systems (NAPH)? 30+ years advocating for safety net hospitals and health systems NAPH..... Represents 140 hospitals with a shared missionaccess for all Effectively advocates at the federal level on issues of concern to safety net hospital systems Conducts research and shares innovations on health system changes at member hospitals Communicates value of the safety net to policymakers and the public 3

4. How Do NAPH Hospitals Serve Their Communities? One-third of all outpatient visits One out of four emergency room patients One out of five babies born 40% of all Level 1 trauma centers 60% of burn care beds One fifth of uncompensated care Train one quarter of US physicians 4

5. Health Reform (the one page version) Insure the Uninsured Expand Primary Care Cuts Safety Net Funding (DSH) Regulate the Insurance Market Tie Payment to Quality Create New Models to do all of the Above (ACOs) 5

6. 6 Rethinking UHS San Antonio The UHS Network

7. LSU Medical Home DIABETES CHF HIV KIDNEY DISEASE KIDNEY DISEASE CANCER ASTHMA THROMBOGENIC STATE CONTROL BLOOD PRESSURE CONTROL GLYCEMIC CONTROL LIPID CONTROL SMOKING CESSATION DIETEXERCISEWEIGHT CONTROL SCREENING 7

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10. 30-Day Heart Failure Readmission Rates A Comparison of LSU's Hospitals to the NAPH Membership and Other US Hospitals Data Covers Patients Hospitalized Between July 2007 to June 2010 10

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13. Readmissions Resources 13

14. NAPH Safety Network (NSN) 14 Note: Final participation still to be confirmed.

15. tc.nphhi.org 15

16. NAPHcommunity.org 16

17. The Key to Success Do something. If it works, do more of it. If it doesnt, do something else. Franklin Delano Roosevelt 17