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Recommendations for Consideration

This document provides recommendations for consideration at the Public Health and Health Planning Council Retreat on September 8, 2017. It covers various aspects including public health, post-acute long-term care, governance/establishment, and modernizing CON to align with health system transformation. It also highlights other important issues such as continuum of ambulatory care and workforce concerns.

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Recommendations for Consideration

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  1. Recommendations for Consideration Public Health and Health Planning Council Retreat September 8, 2017

  2. Recommendations PUBLIC HEALTH • Public health would become part of the CON review process and considered by PHHPC under “such other matters” authority. OPH and OPCSHM will develop recommendations for implementation • Make Health Across Policies and Healthy Aging the framework for next iteration of the Prevention Agenda, and at local level, require local health departments and health systems to align their community health improvement plans POST-ACUTE LONG TERM CARE • Build on the 2016 nursing home need methodology recommendations to distinguish rehab from long-stay beds in need determination, and also take into account age friendly considerations and community benefit • The Regulatory Modernization Initiative’s (RMI) Need Methodologies and Innovative Models Workgroup will look at post-acute and long term care holistically with a focus on community need and age friendliness

  3. Recommendations GOVERNANCE/ESTABLISHMENT: • Incorporate quality measures into Character & Competence determination MODERNIZE CON TO ALIGN WITH HEALTH SYSTEM TRANSFORMATION: • Eliminate financial feasibility reviews for provider applicants that demonstrate financial stability (criteria to be defined by OPCHSM) • Eliminate CON for primary care clinic construction projects (Rec #6 from 12/6/12 PHHPC Report). • OPCHSM to develop proposal to eliminate CON for all facility construction projects that do not reflect changes in services (projects would still be reviewed for compliance with health facility construction standards)

  4. Recommendations OTHER IMPORTANT ISSUES TO BE ADDRESSED • Continuum of ambulatory care • Workforce (supply, credentialing, scope of practice) • The regulatory modernization recommendations of the RMI Workgroups on cardiac services, integrated primary and behavioral health services, telehealth, and post-acute care management models (late 2017 early 2018)

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