CENTRAL MINNESOTA HEALTHCARE COALITION LOOKING BEHIND AHEAD DON
CENTRAL MINNESOTA HEALTHCARE COALITION LOOKING BEHIND AHEAD DON SHELDREW RACHEL MOCKROS
Purpose Mission statement The Central Minnesota Healthcare Preparedness Coalition serves our communities in collaboration with other partners to coordinate emergency preparedness, response and recovery activities. 2
Hospital Preparedness Program Definition: • Collaborative network of healthcare organizations and their respective public and private sector response partners Health Care Coalition • Multi-Agency Coordinating group that assists emergency management, local and regional partners with activities related to healthcare organization disaster operations Has mitigation, preparedness, response, and recovery roles NOT a command control function
Healthcare Preparedness Program(HPP) Evolution 2002 -2011 • Facility-based equipment purchasing approach • HPP funding was disbursed directly to hospitals for establishing regional partnerships and purchasing equipment and supplies, including personal protective equipment, mobile medical units, and pharmaceutical caches. 2012 -2016 • Development and Strengthening of HCCs and Healthcare Capabilities • HPP funding focuses on the development of HCCs and support of their members. Awardees disbursed funds to promote health care capabilities. 2017 and Beyond • HCCs operationalized to respond • HPP funding will focus on operationalizing HCCs for effective response by optimizing their membership, as well as population and geographic coverage.
Health Care Coalition Response Functions • Promote situational awareness • Facilitate resource sharing/coordination • Facilitate information sharing • Facilitate coordination of incident response actions among member organizations • Promote efficient interface of member organizations with jurisdictional authorities • Support the request and receipt of assistance from local, State and Federal authorities
Hospital Preparedness Program Funding • • Enables health care systems to save lives during emergencies that exceed day-today capacity of health and emergency response systems. The only source of federal funding that supports regional health care system preparedness Promotes a sustained national focus to improve patient outcomes, minimize the need for supplemental state and federal resources during emergencies, and enable rapid recovery. Prepares the health care system to save lives through the development and sustainment of regional health care coalitions (HCCs) that incentivize diverse and often competitive health care organizations with differing priorities and objectives to work together.
Current Grant Funding • Defines the parameters of the grant • Provides clear expectations and priorities • Intended to ensure focus on the 2017 -2022 Health Care Preparedness and Response Capabilities • Health Care Coalition focused
Funding Flow • Congress • Assistant Secretary of Preparedness and Federal Response (ASPR) State Regional Local • States – Minnesota Department of Health (MDH) • Regions – Central Region • Local Partners - Hospitals
HCC Core Membership – Enabling HCC Response While HCCs should have diverse membership, there are four core members that must be present. Behavioral and Mental Health Centers and Agencies Outpatient Facilities Emergency Medical Services Hospitals Home Health Agencies Health Centers Rural Health Centers Community Health Centers Emergency Management Agencies Physicians Primary Care Specialists Long Term Care Health Care Coalition (HCC) Skilled Nursing Facilities Hospice Care Community Partners Academic Institutions Non-profits Volunteers Local Government Elected Officials Fire Departments Police Departments Public Health Departments
Where We Are At Currently Why Participate? Mandated Money Motivated by Value
Mandates and Compliance 11
Financial “The future of the 22 mature, well established TX HCCs is currently at risk due to federal NHPP funding cuts. ” (NACCHO, 2014)
• Value-Added Concepts (High Functioning Coalition): § Commitment, shared goals and ideas § Coordinated response § Information sharing and situational awareness § Technology adjuncts • Impacts: § Some degree of continuity despite funding changes or loss § Relationship building § Common operating picture § Adaptation and innovation § Sustainment Value Motivation
Health Care Coalition (HCC) Sustainability • Sustainability planning is a critical component in HCC development • Strong governance mechanisms, constant regional stakeholder engagement and sound financial planning form the foundation to continue HCC activities well into the future
What Does All This Mean for Executives? • Understanding and influence • Ultimate responsibility for compliance • Provide support and tools for staff doing the work • Identify resources (staff, equipment, space) • Promote effective and efficient work processes (i. e. collaboration, information sharing, coordination, resource sharing, etc. ) • Participation during practice opportunities 15
Looking Ahead Where Do We Want To Go? • Planning for a Self Determined group • Increased ability to provide for facility and coalition level needs • Determine important items at the coalition level • Plan for funding outside of the Federal parameters • Planning for long term functioning • Maintain and augment structures that work for us
Looking Ahead / Next Steps • Brainstorming on what sustainment looks like • Understanding of needs • Development of value added tools and resources • Development of future coalition model • Discussion on best ways to accomplish goals • Begin minimizing need of Federal funds 17
Questions Don Sheldrew Donald. Sheldrew@centracare. com 320 -255 -5967 Rachel Mockros Rachel. Mockros@centracare. com 320 -492 -0890 18
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