ICC Business Plan 1

ICC Business Plan

December, 2001

are

ICC Business Plan 2

Table of Contents

• Environmental Scan• Business Mission• Services and Products• Customers• Organizational Chart• Marketing Strategy• Sustainability

ICC Business Plan 3

Environmental Scan

ICC Business Plan Part One

ICC Business Plan 4

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 5

ICC Business Mission

ICC Business Plan Part Two

ICC Business Plan 6

Overall ICC Mission

• … Affordable access to quality health care for all residents of Williamson, Travis, and Hays Counties.

ICC Business Plan 7

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 8

ICC Initiatives, Services and Products

ICC Business Plan Part Three

ICC Business Plan 9

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 10

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 11

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 12

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 13

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 14

ICC Customers

ICC Business Plan Part Four

ICC Business Plan 15

Our Customers

• Primary Customers.(The people we serve.)• Secondary Customers.(The people who support our work.)

ICC Business Plan 16

Two Sets of Primary Customers

Indigent PatientsOur patients are primarily

uninsured, low income, with multiple health/MH needs, disproportionately Latino/Mexican American, with poorer than average access to health care. They need, but do not have, medical homes.

Safety Net ProvidersOur safety net providers

are primarily clinics and hospitals that serve indigent populations, with some involvement by private practice physicians. They rely heavily on both grants and public dollars to support indigent care.

ICC Business Plan 17

Risks/Responses to ICC Customers in Initiatives and

Product

Risk• Loss of brand identity• Loss of control of patient

data• Loss of services• Loss of revenue and market

share in reorganized system

• Increase of market share without increased revenues

• Loss of values

ResponseCurrent initiatives stay in

placeFormal confidentiality and

consent agreementsImproved coordination of

existing servicesNew revenues to be raised

and shared among partnersPartner agreements not to

shift burden to others; Physician initiative

Consensus-driven mission

ICC Business Plan 18

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 19

ICC Organizational Chart

ICC Business Plan Part Five

ICC Business Plan 20

ICC Organizational Chart

S an d y C oeD irec to r o f R esearch

R W JM H /M R

A n a P erez -G u a ja rd oO ffice M an ag er

H R S AM H /M R

B etsy B u serP ro jec t A d m in is tra to r

H R S AS E TO N

G ary C oeH R S A P ro jec t D irec to r

H R S AS E TO N

C h loe G etseyA p p lica tion s A d m in is tra to r

H R S AM H /M R

C aro le Tam ayoTech n o log y D irec to r

H R S AS E TO N

P au l G ion frid d oE xecu tive D irec to r

R W JM H /M R

B oard o f D irec to rs

Updated as of November, 2001

ICC Business Plan 21

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 22

ICC Marketing Plan

ICC Business Plan Part Six

ICC Business Plan 23

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 24

The Marketing Plan

Patients• Voluntary Access to

Network • Reduced forms,

fewer “questions” • ID Card• Discounts (future)• Call Line• More control over

personal health data

Providers• 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 25

Sustainability

ICC Business Plan Part Seven

ICC Business Plan 26

Three Year Development Phase Financing Plan

• Projected cost for ICC of through June, 2004:

• Total committed by July, 2001 (62%):

• Committed 7-01 thru 12-01 (20%):

• To Be Raised by July 2004 (18%):

Core operations $850,000 MPI/CDR/Project Access $3,200,000Total $4,050,000Core operations (RWJ) $700,000MPI/CDR/Project Access $1,800,000(HRSA,Ascension)Total $2,500,000MPI/CDR/Project Access(HRSA, TCMS) $830,000Core operations $150,000MPI/CDR/Project Access $570,000Total $720,000

Projections current as of July, 2001

ICC Business Plan 27

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):

$300,000

$500,000

$1,000,000

ICC Business Plan 28

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.