1. Primary Care Access and Stabilization Grant (PCASG) Grantee’s Meeting August 20, 2009 Co-convened with

2. Agenda I. Welcome and Introductions II. Background/ Historical Perspective III. Presentation and discussion of Affiliation Agreement and Information Sharing Agreement IV. Vision for the future and determining next steps V. Updates and Announcements Advocacy and sustainability updates Interpreter Training Opportunity Pharmacy Technical Assistance Opportunities GNO Community Campaign update

3. Background/ Historical Perspective  Vision of the four Catholic Health Systems in 2000  Having largely withdrawn as providers, what can Catholic Health do to fill gaps in care in New Orleans?  With the initial focus on two neighborhoods in New Orleans (Carrollton and New Orleans East), strove to better align existing resources to create a seamless system of care for the uninsured, consistent with the principles of the IOM’s Crossing the Quality Chasm

4. Background/ Historical Perspective  MCLNO, primary care safety net convened in the form of the New Orleans Partnership for Care of the Uninsured with staffing support from LPHI  Purpose was to create referral pathways, care coordination and information infrastructure to align the safety net, inclusion of other supportive social/ human services  HRSA/Community Access Program funding, with Ascension match (name change to Partnership for Access to Healthcare – PATH)

5. Background/ Historical Perspective  Governance framework- provider led, LPHI supported  Initial accomplishments: Master Agreement, Attachments, CLIQ  Also work towards bi-directional information sharing, common registration with an eye towards population-level management, focusing on the high risk population, PC planning

6. Background/ Historical Perspective  Focus grew to regional  Closing of MCLNO W-16 brought urgency to primary care capacity building- loss of 50K visit capacity  Hurricane Katrina hits (ouch)

7. Background/ Historical Perspective  Same work needed to be accomplished, starting further back, but with a fresh start— PATH as a point of coordination  Regional Primary Care Planning Committee  Recovery, stabilization and expansion, quality improvement, information management platform, and vertical networking

8. Background/ Historical Perspective  HCAP, SSBG, then PCASG  Evolution/ shift of LPHI from neutral convener to funder  Spin off of shared services organization for need of a provider controlled, regional network for efficiencies, economies of scale (504Healthnet)

9. Fast forward to present  Working towards 4 goals with expanded provider group Access Quality Systemness Sustainability  Today’s meeting is about addressing Systemness: creating an organized system of care with a focus on the uninsured

10. Opportunities Going Forward  We are laying the groundwork for health care reform  Can’t do everything necessary to maintain health at the PC level  Lion’s share of funding for diagnostic and specialty care for the uninsured is with the Public Hospital

11. Opportunities Going Forward  MCLNO cannot do all the primary care necessary, wants to make alignments with the diversity of community providers so they can focus on what they do best as a largely tertiary academic medical center  Overview of the agreement  Time later for questions, discussion, next steps once we get through the nuts and bolts

12. Opportunities Going Forward  Dr. Juzar Ali, ILH Medical Director  Dr. Wayne Wilbright, CIO/CMIO LSU Health Care Services Division  Drs. Cassandra Youmans and Carl Walker, Ambulatory Clinics, ILH