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.