ConsortiumConsortiumWhy?Why?

Florida Methodology

Consortium?Consortium?

A A consortiumconsortium is an association of two or is an association of two or more individuals, companies, more individuals, companies, organizations or governments (or any organizations or governments (or any combination of these entities) with the combination of these entities) with the objective of participating in a common objective of participating in a common activity or activity or pooling their resourcespooling their resources for for achieving a common goal.achieving a common goal.

• Team Approach to:Team Approach to:

Maximize use of resourcesMaximize use of resources Shared cost for Attorney, Labor Relations, Shared cost for Attorney, Labor Relations,

etc.etc.

Problem SolvingProblem Solving EVH problems – subdivision that cross EVH problems – subdivision that cross

County LinesCounty Lines Shared patient loadShared patient load

(Hospital availability)(Hospital availability)

(Infectious Disease Doctors(Infectious Disease Doctors))

History in FloridaHistory in Florida

HRS – Districts – 1973 – 1997HRS – Districts – 1973 – 1997

1997 – Districts disappeared – 1997 – Districts disappeared –

Lost much supportLost much support

Limited availability but critical need – Limited availability but critical need – Legal, Labor Relations, EEO, etc.Legal, Labor Relations, EEO, etc.

Trust Issues – County governments not Trust Issues – County governments not working with each other.working with each other.

Old line “controllers” started retiringOld line “controllers” started retiring

Departure of cooperate memoryDeparture of cooperate memory

Younger untrained work forceYounger untrained work force

Increased demands for expanded servicesIncreased demands for expanded services

HQ’s need to work closer with localsHQ’s need to work closer with locals

CHD’s start meeting and CHD’s start meeting and conferencingconferencing

Re: common needsRe: common needs

Consortium size varies 4 Counties – 15 Consortium size varies 4 Counties – 15 Counties (? Mike)Counties (? Mike)Consortium complexity variesConsortium complexity varies

A – only Legal and Labor /EEOA – only Legal and Labor /EEOB – Full blown support – HR - IT – F+A, etc.B – Full blown support – HR - IT – F+A, etc.

Mixed bag Mixed bag RE: Control – Support vs LeadRE: Control – Support vs Lead

Positive OutcomesPositive Outcomes

Most successful – no chair or elected Most successful – no chair or elected 1year chair1year chair

Mutual respect and shared lead on issues Mutual respect and shared lead on issues – (letters, e-mails an concerns)– (letters, e-mails an concerns)

Generated better communications with Generated better communications with HQ’s and when multiple Counties had HQ’s and when multiple Counties had concerns it was seen as a serious issuesconcerns it was seen as a serious issues

Funding – grants for expanded servicesFunding – grants for expanded services

Reduce anticipated Expense Budget by Reduce anticipated Expense Budget by sharing cost on multiple staff for both the sharing cost on multiple staff for both the support County and otherssupport County and others

Records Audit Teams from multiple Records Audit Teams from multiple counties in multiple disciplines (Billing – counties in multiple disciplines (Billing – Charting, etc.)Charting, etc.)

Mutual support on IT and other support Mutual support on IT and other support needsneeds

Program/Division/BureauProgram/Division/Bureau Managers also meeting Managers also meeting

Nursing Directors – plan to reduce front end Nursing Directors – plan to reduce front end slowdowns and paperwork reductionslowdowns and paperwork reductionIT Director meet quarterly - common software IT Director meet quarterly - common software and hardware to enhance disaster/problems and hardware to enhance disaster/problems support, etc.?????support, etc.?????EVH – shared engineering and experts, etc.EVH – shared engineering and experts, etc.Administration – billing, purchasing, contracts, Administration – billing, purchasing, contracts, etc.etc.Medical Directors – shared staff– Infectious Medical Directors – shared staff– Infectious Disease Doctors, EPI, etc.Disease Doctors, EPI, etc.

Consortium Cost Savings ComparisonsConsortium Cost Savings Comparisons TITLETITLE HOURLY RATEHOURLY RATE

IN IN HOUSE/OUTSIDEHOUSE/OUTSIDE

HOURS PER HOURS PER WEEKWEEK

COST COST

IN IN HOUSE/OUTSIDEHOUSE/OUTSIDE

ANNUAL COSTANNUAL COST

INSIDERINSIDER

DOCTORDOCTOR 65/15065/150 2/4 2/4 HRS HRS CLINICCLINIC

$ 27,040/$ 27,040/

$62,400$62,400

$135,200$135,200

LABOR LABOR RELATIONSRELATIONS

41/11541/115 4 4 HRS PER HRS PER WK (VARIES)WK (VARIES)

$8,525/$8,525/

$23,920$23,920

$85,280$85,280

LEGALLEGAL 50/23050/230 8 8 HRS HRS (VARIES)(VARIES)

$20,800/$20,800/

$95,680$95,680

$104,000$104,000

EVHEVH 25/7525/75 4 4 HRS HRS

PER WKPER WK

$5,200/$5,200/

$15,600$15,600

$52,000$52,000

ITIT 23/50-7023/50-70 8 8 HRS HRS

PER WKPER WK

$9,568/$9,568/

$20,800-$20,800-29,12029,120

$47,840$47,840

DATADATA

ANALISYSANALISYS

27/16027/160 6 6 HRS HRS

PER WKPER WK

$8,424/$8,424/

$49,920$49,920

$56,160$56,160

Last But Not LeastLast But Not Least

Speaking with common/joint Speaking with common/joint support/agreement. Get attention of HQ support/agreement. Get attention of HQ Secretary, Deputies and comptroller Secretary, Deputies and comptroller attendance at local meetings.attendance at local meetings.

ClosingClosing

We must all hang together or we will all We must all hang together or we will all HANG separately.HANG separately.