1. Consortium Why? Florida Methodology

2. Consortium? A consortium is an association of two or more individuals, companies, organizations or governments (or any combination of these entities) with the objective of participating in a common activity or pooling their resources for achieving a common goal.

3. Team Approach to: Team Approach to: Maximize use of resources Shared cost for Attorney, Labor Relations, etc. Shared cost for Attorney, Labor Relations, etc. Problem Solving EVH problems – subdivision that cross County Lines EVH problems – subdivision that cross County Lines Shared patient load Shared patient load (Hospital availability) (Infectious Disease Doctors )

4. History in Florida HRS – Districts – 1973 – 1997 1997 – Districts disappeared – Lost much support Limited availability but critical need – Legal, Labor Relations, EEO, etc. Trust Issues – County governments not working with each other.

5. Old line “controllers” started retiring Departure of cooperate memory Younger untrained work force Increased demands for expanded services HQ’s need to work closer with locals

6. CHD’s start meeting and conferencing Re: common needs Consortium size varies 4 Counties – 15 Counties (? Mike) Consortium complexity varies A – only Legal and Labor /EEO B – Full blown support – HR - IT – F+A, etc. Mixed bag Mixed bag RE: Control – Support vs Lead RE: Control – Support vs Lead

7. Positive Outcomes Most successful – no chair or elected 1year chair Mutual respect and shared lead on issues – (letters, e-mails an concerns) Generated better communications with HQ’s and when multiple Counties had concerns it was seen as a serious issues Funding – grants for expanded services

8. Reduce anticipated Expense Budget by sharing cost on multiple staff for both the support County and others Records Audit Teams from multiple counties in multiple disciplines (Billing – Charting, etc.) Mutual support on IT and other support needs

9. Program/Division/Bureau Managers also meeting Nursing Directors – plan to reduce front end slowdowns and paperwork reduction IT Director meet quarterly - common software and hardware to enhance disaster/problems support, etc.????? EVH – shared engineering and experts, etc. Administration – billing, purchasing, contracts, etc. Medical Directors – shared staff– Infectious Disease Doctors, EPI, etc.

10. Consortium Cost Savings Comparisons TITLE HOURLY RATE IN HOUSE/OUTSIDE HOURS PER WEEK COST IN HOUSE/OUTSIDE ANNUAL COST INSIDER DOCTOR65/150 2/4 HRS CLINIC $ 27,040/ $62,400$135,200 LABOR RELATIONS 41/115 4 HRS PER WK (VARIES) $8,525/$23,920$85,280 LEGAL50/230 8 HRS (VARIES) $20,800/$95,680$104,000 EVH25/75 4 HRS PER WK $5,200/$15,600$52,000 IT23/50-70 8 HRS PER WK $9,568/ $20,800- 29,120 $47,840 DATAANALISYS27/160 6 HRS PER WK $8,424/$49,920$56,160

11. Last But Not Least Speaking with common/joint support/agreement. Get attention of HQ Secretary, Deputies and comptroller attendance at local meetings.

12. Closing We must all hang together or we will all HANG separately.