Imperial Valley Community Health Organization

History

• IVHRA as the cornerstone.
• IVHAC Momentum & Success.
• Need for trust assisted by Irvine Foundation.
• Needed managed care administration vehicle.

Mission

Maximize healthcare opportunities for the community by providing a locally owned administrative services organization which is a collaborative of healthcare providers, employers and the public. The collaborative is dedicated to improving access to the existing healthcare services through Valley wide health administrative coordination and to improving the health status of the community.

Operating Assumptions

• Expanding on the IVHRA & IVHAC successes.
• Independent collaborative planning process maximizes grant opportunities for the Valley.
• Outreach is the key to education the public on healthcare payors available to them.
• Identifies managed care projects and and administration.

Governance

Horacio Rodiles, MD
President
Imperial Valley Community Health Organization

Ted Fox
Chief Executive Officer
El Centro Regional Medical Center

Claire Kuczkowski
Chief Executive Officer
Pioneers Memorial HealthCare District

James Ellis, MD
Imperial County Medical Society

James Roach, MD
President
Imperial County Physicians,
Medical Group

Mohamed Suliman, MD
Physicians For Better Care

Catalina Santillan
Secretary
Imperial Valley Health Resource Authority

Yvonne Smith
Director
Imperial County Public Health Department

Janice Stewart-Grady
Senior Vice President-Director of Human Resources
Valley Independent Bank

Marcy Feuerstein
Supervisor-Employee Benefits Services
Imperial Irrigation District

Linda Fitch
Field Services Director
American Cancer Society

Structure Highlights

• Works to focus on strengths and successes.
• Reduces impact of weaknesses seen in IVHRA.
• Provides a united community forum.
• Has mission to increase number of insured and improve health status.
• Increase local technical expertise.

Imperial Valley Community Health Organization Product Lines

Managed Care Services

Offering "full risk" management services including:

• Provider Network Contracting & Management
• Claims Administration
• Bi-lingual Customer Inquiry Services
• Clinical Operations Program
• Provider Credentialing

Medical Management

• Utilization Review Committees & Staff Services
• Case Management Committees & Staff Services
• Quality Assurance Committees & Staff Services
• Provider Profiling & Data Collection

Outreach Services

1. The Public. IVCHO will assist in meeting the healthcare access needs of the community by engaging in various outreach activities and insurance enrollment
   • Healthy Families
   • HMO’s
   • PPO’s
   • MediCal
   • AIM Program
2. Payors. Regardless of medical risk responsibility status, payors can turn to the IVCHO as a cooperative vehicle for a variety of business needs.
3. Physicians. Education on programs available to the community.

Imperial Valley Blood Services

Imperial Valley Blood Services provides donor recruitment services uniquely tailored to the Imperial Valley in coordination with the sponsoring organization, San Diego Blood Bank.

Administrative Services

Centralized administrative services specializing in the support of health care agencies and providers by coordinating meetings, functions and ongoing communication.

Ability to "get the word out" to a variety of organizations.

Clients currently include:

• Imperial County Medical Society
• Imperial Valley Health Resource Authority (Hospital JPA)
• Physician’s for Better Care (PPO based IPA)

Imperial Valley HealthCare Advisory Council

1. Grant Facilitation. The IVHAC,IVCHO, IVCHO clients will continue to pursue grants for the enhancement of the community consistent with its mission.

Imperial Valley Community Health Organization Staffing Chart

Imperial Valley HealthCare Advisory Council an independent advisory body supported by the Imperial Valley Community Health Organization

Imperial Valley HealthCare Advisory Council

Mission

The mission of the Council is to develop a community consensus as to the healthcare status of the residents of the Imperial Valley.

Key Values

The pre-eminent value of the council will be the establishment of consensus. The founding principle here is that the Council be an educational entity whose purpose is to be inclusive and expansive in its participative understanding of things.

Imperial Valley HealthCare Advisory Council
"IVHAC"
"Accomplishments"

• DRIS Imperial Data Report Comprehensive Imperial Health Survey
• Healthy Families Training
• AIM Trainings
• EPA Study Partners (2 of 11 Projects)
• Tumor Board with American Cancer Society
• CMSP Mobile Medical Services Van
• State Injury Prevention Allocation (50k)

Imperial Valley HealthCare Advisory Council
"IVHAC"
"Facilitated Funding"

• MediCal Outreach Grant (195k)
• MRMIB Van Grant (60k)
• Border Health Initiative Chamber of Commerce Joint Project (30k)
• DRIS Operation Grant (200k)
• DRIS Council Grant (50k)
• MRMIB Outreach Grant (10k)
• UCLA Tele Health Grant (20k)

Imperial Valley Community Health Organization
How to Succeed & Goals

How To Succeed?

Grants	Community Agencies	Hospitals
Physicians for Better Care (PBC)	ASO	IPA
Physician’s HealthCare Network (PHCN)	Imperial County Medical Society (ICMS)	Imperial County Public Health Department (ICPHD)

Steps to Success

• Stage I - Building from the needs and basis available. Give customers more than they expect.
• Stage II - Success depends on building an Information Electronic Service Center. As it grows, becoming more efficient and knowledgeable, it will attract clients.

Measuring Success

JIF Data Report Showed:

1. Large outmigration to San Diego, Riverside and Yuma.
2. Preventable diseases.

Goals of IVCHO:

1. Improve quality of health services through medical management.
2. Improve health status of community by addressing preventable disease.
3. Increase number of insured individuals.

Measurable Outcomes over Three Years:

1. Reduce outmigration by 10%.
2. Improve health status by increasing prevention and access programs.
3. Increase number of insured by 10%.
4. Eliminate need for outside Managed Care Administration vendors.

Imperial Valley Community Health Organization Q & A

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