Health Care Vision 2020
WMHIE

Business/Finance Work Group
 Charter

DRAFT

Chairpersons:   TBD    

Reports To:  HCV 2020 Governance Board 

Purpose:  To develop a business plan for the Health Care Vision 2020 initiative, describing: 1) how the initiative will become financially self-sustaining on an ongoing basis; and 2) how the initiative will secure the resources needed to support its operation up to the point at which operations become self-sustaining.  To assist the Alliance in its efforts to secure resources needed to support HCV 2020 operations until it reaches self-sustainability.

Charge: 

• Review MiHIN Conduit to Care report findings and recommendations
• Evaluate and assess current Health Information Exchange (HIE) cost models
• Evaluate eHealth and other business models and tools for applicability to HCV 2020 initiatives.
• Articulate the benefits (value propositions) and beneficiaries of HVC 2020 products and services, both HIE and Aligning Forces for Quality (AF4Q) initiatives:  1) health information exchange and health information technology (HIT) for the West Michigan MTA; 2) “all payer” provider performance analyses and reports—to care/service providers themselves, to the public; 3) the West Michigan Center for Health Improvement which creates a quality improvement infrastructure to support and assist service providers to improve quality, efficiency and value; 4) consumers who are more knowledgeable, competent and confident in taking greater responsibility for their own health; and 5) increased capacity of service providers and health plans to consistently execute and be recognized and rewarded for excellence.
• Determine WMHIE funding and financing requirements.
  • Identify specific financial actions required to support the first key process flow(s) as identified by the Performance Measurement and Clinical Work Groups
  • Provide an estimate for total cost of implementation of the first key process flow(s) and performance measurement reports
• Propose and help implement strategies for funding HIT and health data exchange (startup and long term), including the appropriate role of public and private sectors
  • Identify specific financial actions required to support regional development and sustainability
• Translate HCV 2020 resource requirements to support and carry out performance of AF4Q initiatives (measurement, performance reporting, quality improvement infrastructure creation, consumer engagement and aligned performance recognition and rewards) (transmitted from other work groups) into funding and financing requirements for phase One (to point of self-sustainability) and phase Two (ongoing requirements after reaching self-sustainability).
• Develop and help implement a plan to secure resources (funding, other) needed during phase One of HCV 2020 activity.
• Evaluate Kent Medical Trading Area (MTA) with use of Blue Cross / Priority Health data
• Examine approaches and successful examples of financial strategies to increase adoption of HIT and health data exchange from efforts within Michigan and other areas of the United States
• Collaborate with the eHealth Initiative, state or other regional initiatives in leveraging best practices and business models
• Coordinate with and give input to the Performance Measurement, Public Reporting, Consumer Engagement, Quality Improvement, Clinical, Technical,  and Legal Work Groups
• Present findings, analysis and recommendations at the appropriate Governance Board meetings

Expectations of work group members: 

• Duration of committee appointment—a 1, 2, or 3-year term of appointment; maximum of 3 terms.
• Attendance at work group meetings—will meet as needed, with meeting frequency expected to range from bi-weekly to monthly.  Three successive absences constitute resignation.
• Additional work

Membership 

• 8 - 10 members

• To be selected so as to achieve appropriate balance/diversity of gender, race/ethnicity, and geography, such as
  • Organized labor
  • Religious group/association representative
  • Employers
  • Rural perspective, e.g., northeast portion of the region
  • Public health dept representative