April 26, 2016 Meeting Notes
Quick Links
April 26 slides | Christian Soura - Presentation | May 26 Webinar Registration
May 20 Summit Registration | Alliance Members
Main Takeaways:
  • Rich Sweet's advice to Alliance members on alignment: Streamline information that you have about the services available to people in a clear and concise manner. 
  • From Christian Soura: Do not do paper enrollment in Medicaid. Please use electronic enrollment.
  • Share the health insurance enrollment image below under "access to healthcare and resources"
  • Encourage your Human Resources department to learn more about SC Thrive, www.sc211.org, and Palmetto Project; and how these organizations can help your employees and their families.
Detailed Notes
1. Progress and Updates
  • For a comprehensive quarterly report, search for an email from Ana Gallego on April 15 at 2:40pm. If you don't find it please ontact agallego@scha.org for a copy.
  • Population Health Summit scheduled for May 20. More information here
  • Webinar on how to use SCAN-GIS database scheduled for May 26. More information here
    • 4 more webinars are scheduled for 2016. 
    • Thank you CCME for offering to sponsor the webinars!
    • Major focus on data stratification, diversity, community engagement, and cultural competence.
  • Alliance resources:
    • Slide sets for 1, 5, 20 and 60 minute presentations are available by request to lperret@scha.org.
    • Follow @healthiersc and retweet, or send your own tweets using #HealthierSC.
2. Access to Healthcare and Resources
  • Rich Sweet, CFO of Total Comfort Solutions, encouraged Alliance members to align efforts beyond what each one is currently doing. An example of something that would be useful for the business community is to streamline the information about the services available for people. 
  • The Policy and Advocacy Team was charged with finding a way to align communication efforts to enroll the 300,000 uninsured eligible for subsidized health insurance in the state to either Medicaid or Silver (and up) marketplace plans.
  • Certified Insurance Navigators from Sign-up SC: 1-888-998-4646.
    • They do enrollment in Medicaid and Health Insurance Marketplace.
    • Families with 100%-400% of the Federal Poverty Line are eligible for subsides.
    • Human Resource departments of any organization should be aware that new employees, exiting employees, or employees whose family size changes, are eligible to enroll in marketplace as soon as their family/income status changes. They don't need to wait for open enrollment. 
  • SC Thrive navigator: 1-800-726-8774.
    • They do enrollment in Medicaid and other public benefits such as food stamps, veteran services, taxes, etc. 
  • If you can't remember those numbers, refer them to 211 (call, or go to www.sc211.org), who can direct the patient to the correct service for health insurance enrollment, or any health and human service listed in their database.
  • Insurance is not the only need people have. We should all work to improve the coordination of services to meet people where they are.
    • 211 is a line and online database of health and human services. The new aging line as well as several others are connected to the 211 system. Contact Rich LaPratt for more information.
    • SC Thrive is providing telephonic and in-person enrollment services in public benefits. Contact Tricia Richardson.
    • PASOs and several FQHCs have Community Health Workers. Contact Julie or Vicki
  • Personal contact is very important. Community health workers and human capital investment are needed. See below some ideas that came up in the discussion.
    • We need to use trusted brokers in the community to reach the hardest to reach populations. Julie Smithwick, PASOs
    • We should strive to connect people to a service home.
    • What about geo-locating CHWs and "people who know about services"? Anton Gunn, MUSC.
    • What about doing priority hiring in the communities where we are finding challenges?. Instead of hiring an outsider to develop trust, hire a trusted person for your organization, and contribute to develop economic and human capital in the hot-spot. Michael Cunningham, AnMed.
      • Spartanburg is doing this as a result of their investment in increasing community pride. 
3. Christian Soura, DHHS 
  • See presentation here
  • The venn diagram below shows the most important DHHS programs as they relate to the Triple Aim. 
  • Takeaways:
    • Nearly all initiatives touched the population health circle
    • The most central initiatives were BOI and hospital readmissions policies, with HOP (Healthy Outcomes Plan) not far behind. These were also the items with the largest engagement from outside stakeholders.
    • Items that were ranked as lower priority have been treated as such in the past year: hospital transformation application window is now closed, there is a narrower focus for the Palmetto Coordinated System of Care, and Checkup members are not renewing
    • Future Initiatives:
      • Transitioning to value-based pay system
      • Reducing avoidable cost
      • Preparing for long-term improvements
  • Questions for Christian Soura
    • How do DHHS and the Alliance contribute to each other’s goals?
    • How can the alliance support Medicaid enrollment?
      • Do not do paper enrollment in Medicaid. Please use electronic enrollment.
      • Look at retention data as well as enrollment data. We need to invest in keeping the enrolled, enrolled.
      • Medicaid penetration is at 91.5%. The agency does not know where the remaining 8.5% are (Apx 100k people). These are mostly adults, maybe people who aged out of the foster care system. The agency is investing in better enrollment processes for inmates about to leave jail. 
4. Next Meetings
AnMed Health
AnMed Health
Bon Secours St. Francis Health System
Care Coordination Institute (CCI)
Catalyst for Health
Children's Trust of South Carolina
Health Sciences SC (HSSC)
Mary Black Foundation
McLeod Health
Palmetto Care Connections
PASOs Programs
SC Area Health Education Consortium
SC Business Coalition on Health
SC Campaign to Prevent Teen Pregnancy
SC Children's Hospital Collaborative
SC Department of Alochol and Other Drug Abuse Services
SC Department of Health and Environmental Control
SC Department of Health and Environmental Control
SC Department of Health and Human Services
SC Department of Mental Health
SC Hospital Association
SC Institute of Medicine and Public Health
SC Institute of Medicine and Public Health
SC Institute of Medicine and Public Health
SC Office of Rural Health
SC Office of Rural Health
SC Primary Health Care Association
SC Thrive
Self Family Foundation
Spartanburg Regional Healthcare System
The Carolinas Center for Hospice and End of Life Care
The Carolinas Center for Hospice and End of Life Care
The Duke Endowment
Total Comfort Solutions
Teresa Arnold
Michael Cunningham
Bill Manson
Saria Saccocio, MD
Rob Davis
Richard Foster, MD
Sue Williams
Helga Rippen
Kathy Dunleavy
Donna Isgett
Anton Gunn
Sabra Slaughter, PhD
Kathy Schwarting
Julie Smithwick
David Garr, MD
Lisa Wear-Ellington
Forrest Alton
Ann Faulks
Sara Goldsby
Joe Kyle
Lisa Davis
Christian Soura
John Magill
Thornton Kirby
Lee Pearson, DrPH
Kester Freeman
Bruce Snyder, MD
Graham Adams, PhD
Melinda Merrell
Vicki Young, PhD
Tricia Richardson
Frank Wideman
Renée Romberger
Marisette Hasan
Carolyn Meyer
Mary Piepenbring
Rich Sweet
Also in attendance: Lena Bretous-Blue Cross Blue Shield SC, Cindy Carron, SC Thrive, Joan Hoffman-Children's Trust of SC, Meka Sales-The Duke Endowment, Maya Pack-SC Institute of Medicine and Public Health, Anita Garrett-United Way Association of South Carolina, Ally Money-Health Sciences SC, Richard LaPratt-United Way Association of South Carolina, Robert Bank - SCDMH.
The Alliance for a Healthier SC is an unprecedented collaboration of 50+ diverse organizations across the state working together on coordinating action to achieve healthier bodies, minds and communities for ALL—while reducing the future cost of care. Through the collective efforts of its members paired with those of other strong state and community coalitions, the Alliance is working toward the day when South Carolina leads the nation in the continuous improvement of health and healthcare for ALL people in the state.