1. Health Planning Council Meeting 4 Madeleine Biondolillo, MD Director, Bureau of Health Care Safety and Quality Department of Public Health August 27, 2013

2. Slide 2 Agenda Approval of minutes from June meeting Report from Health Planning Advisory Committee meeting in July Update on health planning activities Presentation on Geographic Regions from the Health Policy Commission

3. Slide 3 Approve Minutes

4. Slide 4 Health Planning Advisory Committee

5. Advisory Committee held its first meeting on July 19, 2013 Dr. Myechia Minter-Jordan, President & CEO of the Dimock Center, was elected Chair of the Committee Staff presented the Analytic Plan approved by the Council and received feedback from the Committee members

6. Feedback Focus on how plan will ultimately be used for planning purposes; inventory must be linked to policy Calculate supply not only by capacity, but also by use. –E.g. evaluate MRI supply not only by the number of machines, but also by the number of scans performed Develop a systematic process for moving services between Levels I, II and III over time Include evaluations of unlicensed members of the workforce, such as personal care attendants

7. Feedback The behavioral health category should include state-run programs The Plan should analyze and determine both under-supply and over-supply of services The Plan should determine if supply and demand for a particular service are affected by that service’s affordability The Advisory Committee can help direct staff to existing databases that could be leveraged to create the inventory

8. Feedback Affirmed the importance of health planning Discussed need for adequate funding to complete this work Raised questions about the timeline for completion of this work outlined in the Analytic Plan Next meeting scheduled for September 20

9. Slide 9 Update on Health Planning Activities

10. Health Planning Activities June:Analytic Plan approved by Council »State Health Plan due Jan 1, 2014 »Estimated $1.2 million budget required for completion July:State Budget finalized » $1.6 million requested for health planning activities » Account containing funding for health resource planning was severely underfunded August:DPH issued RFR for execution of Analytic Plan »Issued for approximately $300K »Availability of $300K contingent on ability to carry over unexpended FY2013 funds

11. Health Planning Activities RFR sought comprehensive execution of Analytic Plan, to be completed by January 1 Issued August 1 Closed August 15 with only 1 bid DPH suspects misalignment of scope, budget and timeline influenced low response rate

12. Revised Approach DPH will use existing resources to complete Level 1 analysis: –Due January 1, 2014 Refine RFR to reflect a phased approach –Issued when DPH has more clarity about existing funding Prioritize foundational work on definitions, as allowed within existing resources

13. Slide 13 Geographic Regions

14. Next Steps Level I Analysis underway using DPH staff Second Health Planning Advisory Committee meeting scheduled for September 20 Staff is redrafting RFR Planning public hearings and stakeholder meetings to discuss proposed definitions of services