26 July 2012
California Edition
Calendar
August 1-3
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UCLA, MinuteClinic Enter Into Deal
Systems Docs Will Manage Facilities, Share EHRs
UCLA Healthcare has entered into a deal with MinuteClinic to use the latters walk-in facilities in the Los Angeles area to better manage chronic diseases. Under the arrangement announced on Wednesday, UCLA physicians will manage 11 MinuteClinic sites currently operating in the Los Angeles area, while the clinics themselves will make referrals to the larger health system when necessary. MinuteClinic, an afliate of retail pharmacy giant CVS, operates walk-in sites in 25 states, including 34 in Southern California. Staffed by a nurse practitioner, they offer basic primary and preventative care services, such as treatments for the u and bladder infections. They charge on average about $79 for services. UCLA branding will appear at the MinuteClinic sites, which include two in Los Angeles, as well as others in outlying areas including Burbank, Agoura, Montrose, Sherman Oaks, Manhattan Beach, Torrance, Arcadia, Marina del Rey and Pomona. Additionally, UCLA and MinuteClinic will work toward developing an electronic health record for walk-in patients, which will be sent to UCLA with patient consent. The MinuteClinic locales will also be used for current UCLA patients who have chronic health issues such as diabetes, high cholesterol and high blood pressure. They can go to the clinics in between visits to their primary care physicians if they need additional monitoring, ofcials said. Our commitment is to improve the health of our communities by exploring new and innovative ways to deliver patient care and manage chronic conditions," said UCLA Healthcare President David Feinberg, By providing access to our physicians' expertise through MinuteClinic services, we can help members of the community to lead healthier lives. However, UCLA ofcials cautioned that the clinics would not be used as an alternative to visiting a hospital emergency room, where many patients who cannot control their
Continued on Next Page
August 13-15
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August 19-21
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WEBINAR
Wednesday, August 15, 2012
10 A.M., PDT
CALIFORNIA HEALTH BENEFIT EXCHANGE: A PROGRESS REPORT
E-Mail
[email protected] with the details of your event, or call (877) 248-2360, ext. 3. It will be published in the Calendar section, space permitting.
Please join David Panush, director of government relations, the California Health Benefits Exchange, Anthony Wright, executive director, Health Access, and Jon Gabel, senior fellow, NORC/University of Chicago, to discuss the next major step in the implementation of the Affordable Care Act in California.
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NEWS
UCLA/MinuteClinic (Continued from Page One)
chronic illnesses often wind up when their conditions deteriorate. Although such walk-in facilities had typically been unafliated with hospitals or medical groups, MinuteClinic has been quickly afliating with larger entities. The entity has inked four such agreements with hospitals in Florida, New Jersey and Tennessee within the past six months. Jim Lott, executive vice president of the Hospital Association of Southern California, believes such deals will attract unafliated but newly insured patients as part of the Affordable Care Act.
Page 2
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In Brief
HHS Recognizes UCLA AIDS Prevention Program
The U.S. Department of Health and Human Services has recognized an HIV-prevention collaboration between the UCLA School of Nursing and the National Latino Fatherhood and Family Institute as a national model. The program, known as Respeto/Proteger, focused on Latino parents with children who are at least three years old. They are invited to attend six sessions of HIV prevention lessons that last 12 hours in total. Young Latino adults are considered to be at higher risk for contracting HIV than other ethnic groups due to a variety of factors, including poverty and social isolation, researchers said. Such factors can lead to ongoing engagement in unprotected sexual activity. The program was based on ndings that showed that young men and women are willing to make profound changes in their lives when they become parents, said Deborah Koniak Grifn, director of the Center for Vulnerable Populations Research at the UCLA School of Nursing. The curriculum integrates basic information about HIV awareness and prevention with culturally relevant discussions and activities on taking responsibility for your actions and being a role model. Respeto/Proteger was evaluated by the organizations Mathematica Policy Research and Child Trends for the HHS. The program will be added to the HHS list of evidence-based programs that are successful, and could provide funding to expand the program elsewhere.
The clinics are another primary care doorway or channel to commercial and government-supported ACOs with which many hospitals will be aligned, Lott said. UCLA ofcials were fairly close to the vest as to the nancial arrangements between it and MinuteClinic. It is not a nancial relationship and there is no revenue sharing, UCLA Healthcare spokesperson Roxanne Moster. UCLA doctors will be in administrative oversight roles. The physicians or their employer will be reimbursed for their oversight time at fair market value.
Entire Hospital Foundation Resigns
Rift Over Fundraising Direction For Sonoma Valley
The entire 12-member board of the charitable foundation that services Sonoma Valley Hospital has resigned following conicts over its role in fundraising to build a replacement facility for the 83-bed hospital. At a meeting of the foundation last week, hospital Chief Executive Ofcer Kelly Mather and two trustees of the Sonoma Valley Hospital District were named to run the entity. Hospital attorneys are trying to determine whether the move is legal, reported the Santa Rosa Press-Democrat. The resignations were in response to the management of the Sonoma Valley hospital imposing strict restraints upon the activities of the foundation; and requiring the foundation to give up its development activities on behalf of the hospital, foundation executive chairperson Carolyn Stone said in a statement. Apparently, the hospitals management is at odds with the foundation to raise the nearly $40 million required to build a replacement facility. According to the Press-Democrat, the hospital has raised about $4.1 million over the past year, while the foundation has raised about $250,000. The latter has primarily done so through overhead-intensive community events rather than direct solicitations. They raise in the thousands. Our needs are now in the millions, hospital spokesperson Bonnie Durrance told the PressDemocrat. Another hospital ofcial noted that having two entities fundraising for the same goal may also be causing confusion among would-be donors. The resignations came after the hospital asked the foundation for its donors list and did not return it in a timely manner, according to the Press-Democrat. According to the Association of Healthcare Philanthropy, healthcare organizations have seen their charitable pledges slip since the start of the Great Recession at the end of 2007. Those organizations with better staffed and better coordinated development staffs tend to do better a job of raising funds in the current environment, according to a report issued by the organization last spring.
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Continued on Page 3
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First 5 L.A. To Expand Services
Response to Favorable State Court Ruling
After prevailing over a legislative attempt to take back hundreds of millions of dollars of its funding, the First 5 Commission of Los Angeles County has begun adding new programs and is funding existing programs on an accelerated timetable. Altogether, the commission has earmarked about $70 million for new programs and another $110 million on an accelerated spending timetable for existing programs. Thats in addition to the $200 million included in its operating budget for the 2012-13 scal year. First 5 L.A. is stepping up to make a signicant difference for our youngest children," said Los Angeles County Supervisor and First 5 LA Commission Chairman Zev Yaroslavsky. Los Angeles County kids need these health, dental, vision and other services. $40 million will be used to expand dental services to children up to the age of 5. The money will go to community clinics and other points of care operated by the UCLA, USC and Western University dental schools. It is expected to provide services to 100,000 children countywide over the next ve years, according to First 5 L.A. spokesperson Sharon Woodson-Bryant. Another $25 million will be used to create permanent housing for women with young children, and $4.1 million to provide vision services to children. The changes were in response to a successful legal challenge by the First 5 Commission to AB 99, a law designed to address state budget shortfalls by taking back about $1 billion in tobacco tax revenues meant to go to the First 5 programs throughout California. Lawmakers contended that under the law, much of the funds were being unused because they had to create new services rather than supplant existing ones. A state court threw out AB 99 late last year. Yaroslavsky said the new expenditures reect a 'pressing of the reset button' as far as our approach to investments.
In Brief
Premium Regulation Measure Narrowly Misses Ballot Placement
A push to place an initiative on the November ballot that would allow regulators to reject premium increases by health insurers narrowly missed qualifying for the November ballot. The measure was backed by Santa Monica-based advocacy group Consumer Watchdog. Although the organization had gathered some 800,000 signatures to qualify the initiative, an analysis by the Los Angeles County Registrar-Recorder concluded that 66.6% of them were valid, falling short of the 69% validity threshold to qualify for placement. Consumer Watchdog officials said they would push to place the measure on the ballot in 2014.
U.S. News Best Hospitals Named
Two of 17 Facilities Are Located in California
Ronald Reagan UCLA Medical Center and UCSF Medical Center were the two hospitals in California to make the honor roll of U.S. News best hospitals in the nation. UCLA was ranked fth nationwide out of the 17 hospitals that made the list, while UCSF was ranked 13th. Massachusetts General Hospital was the top-ranked hospital on the list. Johns Hopkins Hospital, which had been the ranked the best hospital for the past 21 years, was ranked second. U.S. News ranked the hospitals based on the specialty services they offered, patient safety and outcomes and the facilitys reputation among its physicians. Those facilities chosen for the list comprise less than one-half of 1% of the nations 5,000 hospitals.
CalTAF Hopes Reform Will Lead To Better Substance Abuse Treatment
After the United States Supreme Court upheld the Patient Protection and Affordable Care Act as constitutional, the California Treatment Advocacy Foundation has called for better access to substance abuse programs for those who need them. There has never been a better time to ensure that comprehensive care includes effective and affordable substance use disorder treatment, said CalTAF Executive Director Phillip Greer. Its time to make sure that healthcare reform does not neglect one of our most pressing healthcare issues. According to CalTAF, about 6 million Californians need substance abuse treatment.
STORIES OF ONE HIGHLY LITIGIOUS PHYSICIAN
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OPINION
Page 4
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New Tools For Battling Health Fraud
Predictive Analytics, Link Analysis Playing Larger Roles
During the recession the money price The single biggest mistake in all of health policy barrier to care actually rose among the is the belief that the best way to make uninsured, although the increase was not healthcare accessible is to make it free at the statistically signicant. The number of uninsured point of delivery. This mistake underlies our people reporting access problems because they entire approach to providing healthcare to lowwere worried about cost rose from 91.5% to income families in this country; it is the basis 95.3%. (Translation: virtually everybody who is for the organization of the entire health system uninsured worries about cost.) Yet over the same in most other developed countries; and it is period, the number of people experiencing deeply embedded in the Obama access problems because of waiting and other administrations approach to health reform. non-price barriers was almost cut The major barrier to care for in half. low-income families is the same Suppose that in an attempt to in the United States as it is increase access to care, we add throughout the developed one more doctor, one more nurse world: the time price of care or one more clinic. Who is likely and other non-price rationing to benet? The study implies that mechanisms are far more the higher your income, the important than the money price greater the likelihood you will of care. gain. The burdens of non-price During the recession, for rationing rise as income falls, example, the percent of people with the lowest-income families experiencing an unmet need with facing the longest waiting times income at 400% of the poverty and the largest bureaucratic level or above was more than cut obstacles to care. in half. Yet, among those with The Patient Protection and income below 200% of poverty, Affordable Care Act, by lowering By the percent of those with unmet needs the money price of care for almost John C. actually rose. everybody while doing nothing to Think (metaphorically) of a waiting Goodman change supply, will intensify non-price line for care. The lowest-income rationing and may actually make families are at the end of that line. The longer access to care more difcult for our most the line, the longer they will have to wait. If you vulnerable populations. do something to shorten the line, you will be Interestingly, a natural experiment forms a mainly benetting higher-income people who test of my critique: the recent recession. As are at the front. explained in a report from the Center for Why is that? I believe that many of the skills that Studying Health System Change, middle-class allow people to do well in the market are the families are responding to bad economic times same skills that allow them to do well in nonby cutting back on their consumption of market settings. High-income, highly educated healthcare. They are postponing elective people, for example, will nd a way to get to surgery, forgoing care of marginal value, and the head of the waiting line, whether the thing making more cost-conscious choices when they being rationed is quality education, healthcare do get care. This reduction in demand is freeing or any other good or service. Low-income, up resources, which are apparently being poorly educated individuals will generally be at redirected to meet the needs of people who the rear of those lines. face price and non-price barriers to care. From 2007 to 2010: The percentage of the population experiencing an unmet health care John C. Goodman is founder, president and need actually fell from 7.8 % to 6.5%. The CEO of the National Center for Policy percent of people who say they have delayed Analysis. care fell from 12.1% to 10.7% over the same period. Op-ed submissions of up to 600 words are And this is in the middle of one of our welcomed. Please e-mail proposals to worst recessions!
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MARKETPLACE/EMPLOYMENT
Page 6
CONTROLLER/ DIRECTOR OF FINANCE
Casa Colina Centers for Rehabilitation, a nationally recognized leader in the field of medical rehabilitation located in Pomona, is seeking to fill the vital role of Controller to oversee the Finance and Accounting functions for the entire rehabilitation continuum with a total bed complement of 178 beds, and consisting of a hospital, brain injury program, 3 long term care facilities, an Adult Day Health Center and outpatient childrens program. The selected candidate will be responsible for all financial, payroll and A/P activities. Oversees internal controls to ensure revenue cycle effectiveness, expenditure management and safeguarding of assets. Prepares financial statements in a timely, accurate and efficient manner. Supervises all accounting and payroll staff. Responsible for tax returns and regulatory filings. Requirements include a Bachelors degree in Accounting or Business related field, two (2) years of supervisory experience, prior hospital/ healthcare accounting experience, and a working knowledge of accounting software programs. CPA background is strongly preferred. Excellent work ethic and motivation required. Competitive compensation and excellent benefit options available. To apply, visit us at www.casacolina.org/jobs. Principals only at this time.
HEALTH PLAN/HOSPITAL CONTRACTING CONSULTANT (flexible hours) A dynamic and growing medical group in the Los Angeles County area is currently seeking a highly experienced contracting consultant for the purpose of leading and successfully negotiating and renegotiating health plan and hospital contracts. The ideal candidate will have an understanding of all product lines within the managed care industry, be well-versed in contractual language, excel at maintaining positive working relationships internally and externally, and demonstrate an understanding of legal, financial and operational processes that meet company objectives. Flexible hours and telecommuting are available. If interested, please email your cover letter and resume to: [email protected]
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*New England Journal of Medicine, 2004.
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MARKETPLACE/EMPLOYMENT SEEKING A NEW POSITION?
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CAN HELP.
We publish advertisements for those seeking new career opportunities for just $1.25 a word. If you prefer discretion, well handle all responses to your ad. Call (877) 248-2360, ext. 2, or e-mail [email protected].
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