1. 1 11111 bruce siegel md, mph president & ceo january 2012 2 americas safety net: setting the...
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111111
Bruce Siegel MD, MPHPresident & CEO
January 2012
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America’s Safety Net: Setting the Bar for the Nation
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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
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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
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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)
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Rethinking UHS San AntonioThe UHS Network
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LSU Medical HomeD
IABE
TES
DIA
BETE
SD
IABE
TES
DIA
BETE
S
CHF
CHF
CHF
CHF
HIVHIV
HIVHIV
KID
NEY
DIS
EASE
KID
NEY
DIS
EASE
CAN
CER
CAN
CER
CAN
CER
CAN
CER
ASTH
MA
ASTH
MA
ASTH
MA
ASTH
MA
THROMBOGENIC STATE CONTROL
BLOOD PRESSURE CONTROL
GLYCEMIC CONTROL
LIPID CONTROL
SMOKING CESSATION
DIET EXERCISE WEIGHT CONTROL
SCREENING
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0
10
20
30
40
50
60
70
80
90
100
67.862.7
73
HCAHPS: Patients Who Gave a Rating of '9' or '10' (High)
LSU's Top Performing Hospital Compared to NAPH Membership, Other US Hospitals
Data Covers Patients Hospitalized Between January 2010 and December 2010
Perc
en
t o
f P
ati
en
ts W
ho
Gave a
Rati
ng
of
‘9’
or
‘10
’
Source: October 2011 CMS Hospital Compare Data Release
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National Average NAPH Average Lallie Kemp Regional Medical Center
0
10
20
30
40
50
60
70
80
90
100
69.666.5
77
HCAHPS: 'YES', Patients Would Definitely Recom-mend the Hospital
LSU's Top Performing Hospital Compared to NAPH Membership, Other US Hospitals
Data Covers Patients Hospitalized Between January 2010 and December 2010
Perc
en
t o
f P
ati
en
ts R
ep
ort
ing
Th
ey W
ou
ld D
efi
nit
ely
Reco
mm
en
d
the H
osp
ital
Source: October 2011 CMS Hospital Compare Data Release 9
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30-Day Heart Failure Readmission RatesA Comparison of LSU's Hospitals to the NAPH Membership and
Other US HospitalsData Covers Patients Hospitalized Between July 2007 to June 2010
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Readmissions Resources
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NAPH Safety Network (NSN)
14Note: Final participation still to be confirmed.
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tc.nphhi.org
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NAPHcommunity.org
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The Key to Success
“Do something. If it works, do more of it. If it doesn’t, do something else.”
Franklin Delano Roosevelt
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