Bruce Siegel MD, MPH President & CEO January 2012

2. America’s Safety Net: Setting the Bar for the Nation Bruce Siegel MD, MPH President & CEO January 2012 1 1 1 1 1 1

3. Who is the National Association of Public Hospitals and Health Systems (NAPH)? • 30+ years advocating for safety net hospitals and health systems • NAPH..... • Represents 140 hospitals with a shared mission—access for all • Effectively advocates at the federal level on issues of concern to safety net hospital systems • Conducts research and shares innovations on health system changes at member hospitals • Communicates value of the safety net to policymakers and the public

4. How Do NAPH Hospitals Serve Their Communities? One-third of all outpatient visits One out of four emergency room patients One out of five babies born 40% of all Level 1 trauma centers 60% of burn care beds One fifth of uncompensated care Train one quarter of US physicians

5. Health Reform (the one page version) • Insure the Uninsured • Expand Primary Care • Cuts Safety Net Funding (DSH) • Regulate the Insurance Market • Tie Payment to Quality • Create New Models to do all of the Above (ACOs)

6. Rethinking UHS San AntonioThe UHS Network

7. LSU Medical Home DIABETES DIABETES DISEASE KIDNEY DIABETES CANCER DIABETES DISEASE CANCER ASTHMA KIDNEY CHF ASTHMA CANCER CHF CANCER ASTHMA CHF ASTHMA HIV CHF HIV HIV HIV THROMBOGENIC STATE CONTROL GLYCEMIC CONTROL LIPID CONTROL DIET EXERCISE WEIGHT CONTROL SMOKING CESSATION SCREENING BLOOD PRESSURE CONTROL

10. 30-Day Heart Failure Readmission Rates A Comparison of LSU's Hospitals to the NAPH Membership and Other US Hospitals Data Covers Patients Hospitalized Between July 2007 to June 2010

13. Readmissions Resources

14. NAPH Safety Network (NSN) Note: Final participation still to be confirmed.

15. tc.nphhi.org

16. NAPHcommunity.org

17. The Key to Success “Do something. If it works, do more of it. If it doesn’t, do something else.” Franklin Delano Roosevelt