ICC Business Plan December 2001 ICC Business Plan
ICC Business Plan December, 2001 ICC Business Plan 1
Table of Contents • • Environmental Scan Business Mission Services and Products Customers Organizational Chart Marketing Strategy Sustainability ICC Business Plan 2
Environmental Scan ICC Business Plan Part One ICC Business Plan 3
Environmental Scan Over 200, 000 people are without health insurance and/or are medically indigent in the three county area. A relatively small number of safety net providers shoulder nearly all of the burden of serving these people. As a result, their resources are being stretched too thin, and their survival is threatened. These providers do not deliver care in a single health care system; they have separate identities and structures. All serve clear market niches, and the survival of all is critical to the safety net structure. ICC Business Plan 4
ICC Business Mission ICC Business Plan Part Two ICC Business Plan 5
Overall ICC Mission • … Affordable access to quality health care for all residents of Williamson, Travis, and Hays Counties. ICC Business Plan 6
ICC Business Mission • To reduce costs to, and burden on, ICC member providers for caring for the medically indigent, through collaborative initiatives and ventures. • To support and help launch a funding initiative for safety net health care providers by 2004 that is comparable in scope to large scale, comprehensive initiatives in Texas Hospital Financing Districts and in other reference counties across the country. • To generate annual core income of up to $1 million for ICC operations and initiatives by 2004. ICC Business Plan 7
ICC Initiatives, Services and Products ICC Business Plan Part Three ICC Business Plan 8
Features of Initiatives, Services and Product • Development of and access to provider network serving the uninsured. • Lower costs, better care management, more medical homes, and improved patient and provider control of care. • Voluntary participation; no penalties for those who do not participate, but incentives for those who do. • Access to useful individual and aggregate health information for better quality care. ICC Business Plan 9
ICC Initiatives • • Expanding MAP, CHIP, SETON Care Plus Project Access (TCMS) Pharmacy Initiative Employer-based Insurance Expansion Call Center MH/Primary Care Pilot Oral Health Urgent Care ICC Business Plan 10
ICC Services • • Development of system financing options. Research, consultation, and evaluation Discounted pharmacy program Discounted labs and specialty referrals Common provider training calendar Patient tracking Aggregate data reports Facilitation of collaborations and promotion of new initiatives ICC Business Plan 11
ICC Product Master Patient Index/Clinical Data Repository (MPI/CDR) – The MPI/CDR will house in electronic form demographic, encounter, pharmacy, and lab data for uninsured adults. These data will be available in individual and aggregate form to ICC members and, under limited conditions, to outside parties. ICC Business Plan 12
Supporting and Launching a Funding Initiative • Providing research and information to community leaders about indigent health care • Working collaboratively to develop future system structural and financing options • Developing communications strategies that inform the general public ICC Business Plan 13
ICC Customers ICC Business Plan Part Four ICC Business Plan 14
Our Customers • Primary Customers. (The people we serve. ) • Secondary Customers. (The people who support our work. ) ICC Business Plan 15
Two Sets of Primary Customers Safety Net Providers Indigent Patients Our safety net providers Our patients are primarily clinics and uninsured, low income, hospitals that serve with multiple health/MH indigent populations, needs, disproportionately with some involvement Latino/Mexican American, by private practice with poorer than average physicians. They rely access to health care. heavily on both grants They need, but do not and public dollars to have, medical homes. support indigent care. ICC Business Plan 16
Risks/Responses to ICC Customers in Initiatives and Product Risk Response • Loss of brand identity • Loss of control of patient data • Loss of services • Loss of revenue and market share in reorganized system Current initiatives stay in place Formal confidentiality and consent agreements Improved coordination of existing services New revenues to be raised and shared among partners Partner agreements not to shift burden to others; Physician initiative • Increase of market share without increased revenues • Loss of values Consensus-driven mission ICC Business Plan 17
Our Secondary Customers • The tax-paying and voting public. • Foundations. • Government officials and leaders, including elected officials. • Our donors and grantmakers. • Third party payors. • Potentially, researchers. ICC Business Plan 18
ICC Organizational Chart ICC Business Plan Part Five ICC Business Plan 19
ICC Organizational Chart Updated as of November, 2001 ICC Business Plan 20
Organizations with ICC Board Representation • City of Austin Primary Care Department • SETON HC Network • St David’s HC System • People’s Community Clinic • Williamson County and Cities Health Dept. • Austin Travis County Health and Human Services • Austin Travis County MHMR Center • El Buen Samaritano • Volunteer HC Clinic • Central Texas Medical Center • Planned Parenthood of the Texas Capital Region • Travis County Medical Society ICC Business Plan 21
ICC Marketing Plan ICC Business Plan Part Six ICC Business Plan 22
ICC Communications Strategies: Marketing to Customers • Adoption of Communications Plan and Strategies for reaching patients, providers, and public. • Development of ICC Logo, and “ICCare” program aimed at patients. • Development of mass media messages for public. • Implementation of Web-based communications strategies for partners. ICC Business Plan 23
The Marketing Plan Patients Providers • Voluntary Access to Network • Reduced forms, fewer “questions” • ID Card • Discounts (future) • Call Line • More control over personal health data • Improved access to individual health data • Improved referral system • Better patient follow-up monitoring • Increased dollars, reduced costs over time • Help with HIPAA compliance ICC Business Plan 24
Sustainability ICC Business Plan Part Seven ICC Business Plan 25
Three Year Development Phase Financing Plan Projections current as of July, 2001 • Projected cost for ICC of through June, 2004: Core operations $850, 000 MPI/CDR/Project Access $3, 200, 000 Total $4, 050, 000 Core operations (RWJ) $700, 000 • Total committed MPI/CDR/Project Access $1, 800, 000 by July, 2001 (HRSA, Ascension) (62%): Total $2, 500, 000 MPI/CDR/Project Access • Committed 7 -01 $830, 000 thru 12 -01 (20%): (HRSA, TCMS) Core operations $150, 000 • To Be Raised by July 2004 (18%): MPI/CDR/Project Access $570, 000 Total $720, 000 ICC Business Plan 26
Future Costs of ICC Products and Services • Ongoing projected annual cost of ICC operations only for core operations: • Ongoing projected annual cost of maintaining current MPI/CDR product: • Target annual revenue (including future research and development costs): ICC Business Plan $300, 000 $500, 000 $1, 000 27
Plan for Ongoing Support • Partner Contributions from Reduced Costs of Doing Business. • Foundation Grants and Awards. • Government Grants. • HFD Funding (if approved by voters). • Fees for Use of Services and Aggregate Databases. • Self-sustaining MPI/CDR program through fees and/or assessments. ICC Business Plan 28
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