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Community Health Works A Vertically Integrated Rural Suburban Network Serving Seven Counties of Central Georgia Shannon

Community Health Works A Vertically Integrated Rural Suburban Network Serving Seven Counties of Central Georgia Shannon T. Harvey, CEO sharvey@chwg.org 1-478-994-1914. Health Care Central Georgia. Inc. D/B/A Community Health Works Region. CATOOSA. FANNIN. TOWNS. RABUN. DADE. UNION.

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Community Health Works A Vertically Integrated Rural Suburban Network Serving Seven Counties of Central Georgia Shannon

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  1. Community Health Works A Vertically Integrated Rural Suburban Network Serving Seven Counties of Central Georgia Shannon T. Harvey, CEO sharvey@chwg.org 1-478-994-1914

  2. Health Care Central Georgia. Inc. D/B/A Community Health Works Region CATOOSA FANNIN TOWNS RABUN DADE UNION MURRAY WHITFIELD GILMER WALKER HABERSHAM WHITE LUMPKIN STEPHENS CHATTOOGA GORDON PICKENS FRANKLIN DAWSON HART HALL BANKS BARTOW FORSYTH CHEROKEE FLOYD ELBERT JACKSON MADISON POLK BARROW COBB CLARKE OGLETHORPE GWINNETT PAULDING OCONEE HARALSON WILKES WALTON LINCOLN DEKALB DOUGLAS FULTON TALIAFERRO GREENE CLAYTON ROCKDALE COLUMBIA CARROLL MORGAN MCDUFFIE NEWTON HENRY FAYETTE WARREN RICHMOND JASPER PUTNAM COWETA HEARD HANCOCK GLASCOCK BUTTS SPALDING MERIWETHER JEFFERSON BURKE BALDWIN PIKE JONES LAMAR MONROE TROUP WASHINGTON UPSON JENKINS WILKINSON BIBB SCREVEN JOHNSON HARRIS CRAWFORD TWIGGS TALBOT EMANUEL LAURENS TAYLOR PEACH MUSCOGEE BULLOCH EFFINGHAM BLECKLEY MARION HOUSTON TREUTLEN CANDLER MACON CHATTAHOOCHEE MONTGOMERY SCHLEY PULASKI DODGE EVANS DOOLY BRYAN WHEELER CHATHAM WEBSTER STEWART TOOMBS TATTNALL SUMTER WILCOX TELFAIR CRISP LIBERTY QUITMAN LEE LONG JEFF DAVIS TERRELL BEN HILL APPLING TURNER RANDOLPH IRWIN WAYNE MCINTOSH BACON COFFEE CLAY CALHOUN DOUGHERTY WORTH TIFT PIERCE EARLY BAKER ATKINSON GLYNN BERRIEN BRANTLEY WARE MITCHELL COLQUITT MILLER COOK LANIER CAMDEN SEMINOLE CLINCH CHARLTON DECATUR GRADY THOMAS BROOKS LOWNDES ECHOLS

  3. Who We Are… Born, in 2001, from a convening intent to more effectively address common problem of uncompensated care Public/private partnership of county governments, community leaders and providers with common mission of improving communities’ physical and fiscal health

  4. The initial vision….. Labs/Diagnostics Medications Social Services Primary Care Specialty Care PATIENT Hospital Care A and D Services MH Care • HCCG/CHW 2004 … will save money.

  5. Our Initial “Product”: • Enrollment based program to serve… • Uninsured adults 19-64 years old with incomes under 200% FPL and either hypertension, heart disease, diabetes or depression • because chronic unmanaged conditions consume a disproportionate share of costs and are amenable to outpatient care • Three components: • Access to continuum of primary and specialty care, labs/diagnostics, life-sustaining pharmaceuticals and hospital services • Evidence based health promotion and disease management • Holistic care management (including transport PRN)

  6. Our Current Board Leadership • 2 Primary Care Physicians • 2 Specialty Physicians • 5 Hospital CEOs • 1 District Health Director • 2 Behavioral Health System CEOs • 1 Foundation CEO • 1 Medical School Dean • 1 Volunteers in Medicine Clinic Chairman • County Commissioners from 5 Counties (2 Chairmen) • 1 Family Connection Regional Coordinator • 1 Twiggs County Community Leader

  7. Current Network Status

  8. Taking care of patient members… Powered by state-of-the-art, developed partner-linking, web-based IT

  9. Improved Access Improved/Stabilized Health Improved Utilization Lower Costs Evaluation Shows…

  10. ER and hospitalization rates 27% and 13% less, respectively, than the control group of singly diagnosed chronically ill individuals. That translates to $500,000+ in annual savings to regional health system per thousand members, AND… Evaluation Shows…

  11. Trends improve over time of CHW membership!

  12. April 2001 through February 2004… • $1.9M in local cash reprogramming for outpatient/pharmaceutical uninsured care • Beginning 1 new clinic, serving an additional 225 patients currently • Coordination of more than $9.5M in new care across 100+ providers • Primary and specialty (including behavioral health, dental and eye) • Public health • Labs and diagnostics • Hospital • Pharmaceuticals, supplies and DME • $800K+ in pharmaceutical assistance medications for indigent patients • $1,381,549 in new federal and national philanthropic investment to Georgia • $175K in new state philanthropic investment • $1M+ recovered reimbursement for the region’s healthcare system

  13. Demonstration that health/healthcare, partnership and care coordination are economic development engines in communities through more than $2.3M cash economic development impact since 10/01 in 7 rural /suburban counties • Broad and growing regional partnership committed to synergistically improve health

  14. Has brought national recognition to Georgia • Robert Wood Johnson Foundation • National Association of Counties • National Conference of State Legislatures • U.S. Community Health Leadership Network • Stimulated new possibilities • Broad support of CHW as Medicaid care management vendor • Organizational home of cancer RPE planning • Invitation to partner to develop IT “super-system” for national communities committed to access • Request to assist brokering national partnership to support the power of coordinated and engaged communities to improve health

  15. Sustainability… Application of core competencies to covered population Expand IT to serve other markets Demonstrated value to partners and investors Use developed ability to form and sustain “health partnership in action” to leverage new investments

  16. Lessons Learned: • Local, entrepreneurial leadership and tangible commitment to building a system not a project is “make-or-break” in true network development. (Board and Staff) • Networks are logical vehicles to synergistically address multiple health challenges. • Positively impacting access and health status is about systematicleverage.

  17. Community/Regional partnership… Labs/Diagnostics Medications Social Services Primary Care Specialty Care PATIENT Hospital Care A and D Services MH Care • HCCG/CHW 2004 … is essential.

  18. Community/regional partnership… Human Biology 20% Healthy-Lifestyle Promotion Emphasis 51% Culture, policy and strategies to address: Smoking Obesity Stress Nutrition Blood Pressure A and D Use Clean Air and Water 19% COMMUNITY Viable Health Care Provision System 10% • HCCG/CHW 2004 … is essential.

  19. The Strategic Partnerships Necessary for Improved Health and Viable Health Systems NATIONAL GOVERNMENT CONSULTATION - INVESTMENT - POLICY STATE GOVERNMENT POLICY – INVESTMENT -CONSULTATION STATE PHILANTHROPY NATIONAL PHILANTRHOPY • HCCG/CHW 2004 COMMUNITIES Skilled Regional Champions, Senior Leaders& Network Staff with a Health & Viable SystemVision Local Commitment of Real Resources and Entrepreneurial LEADERSHIP toward Vision

  20. Our thanks to The Robert Wood Johnson Foundation, The Medcen Community Health Foundation, The Georgia Department of Community Health, the US Health Resources and Services Administration, the Access Georgia Philanthropic Collaborative, the Georgia Health Foundation, the Healthcare Georgia Foundation as well as our many community partners for making our work possible thus far!

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