Maricopa Integrated Health System

March 23, 2017

Transcript:

JOSE CARDENAS: GOOD EVENING AND WELCOME TO HORIZONTE. I'M JOSE CARDENAS. MARICOPA COUNTY HOSPITAL AND HEALTH CARE SYSTEM IS MOVING FORWARD WITH A $1 BILLION PLAN TO IMPROVE PATIENT CARE AND COMMUNITY HEALTH. PLUS, WE'LL TALK TO A DOCUMENTARY DIRECTOR AND PRODUCER ABOUT HIS FILMS AND COVERING BORDER ISSUES. AND, A VALLEY WOMAN WINS A BUSINESS COMPETITION AND LAUNCHES A SUBSCRIPTION SERVICE FOR SPANISH LANGUAGE CHILDREN'S BOOKS. ALL THIS COMING UP NEXT ON ”HORIZONTE".

"HORIZONTE" IS MADE POSSIBLE BY CONTRIBUTIONS FROM THE FRIENDS OF ARIZONA PBS, MEMBERS OF YOUR PBS STATION. THANK YOU.

JOSE CARDENAS: MARICOPA INTEGRATED HEALTH SYSTEM IS MOVING AHEAD WITH A PLAN TO REINVENT THE WAY HEALTH CARE IS DELIVERED TO PATIENTS AND TO THE COMMUNITY. THE PLANS INCLUDE REPLACING THE AGING MARICOPA MEDICAL CENTER AND REBUILDING SEVERAL OUTPATIENT HEALTH CLINICS. JOINING ME IS MARY ROSE WILCOX, BOARD MEMBER FOR THE MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT. AND STEVE PURVES, PRESIDENT AND C-E-O FOR THE MARICOPA INTEGRATED HEALTH SYSTEM. THANK YOU BOTH FOR JOINING US ON "HORIZONTE." STEVE, THIS HAS BEEN A LONG TIME COMING IN SOME RESPECTS. THERE WAS A BOND ISSUED IN 2014??

STEVE PURVES: NOVEMBER 2014.

JOSE CARDENAS: WHAT HAVE YOU BEEN DOING SINCE THEN TO GET READY FOR THIS ANNOUNCEMENT?

STEVE PURVES: WE HAVE BEEN PLANNING FOR THE REINVENTION OF OUR HEALTHCARE SYSTEM AND ARE FORTUNATE THROUGH THE GENEROSITY OF THE PUBLIC HAVE THE RESOURCES TO REPLACE OUR AGING FACILITIES AND ACTUALLY REINVENT THE WAY HEALTH CARE IS DELIVERED FOR THE FUTURE BECAUSE AS WE KNOW HEALTH CARE HAS BEEN RAPIDLY CHANGING.

JOSE CARDENAS: AS I UNDERSTAND IT, THOUGH, ONE OF THE REASONS WHY IF IS ONLY NOW IN 2017 THAT YOU ARE READY TO GO FORWARD IS YOU WERE GETTING THE SYSTEM READY AND PREPARED?

STEVE PURVES: CORRECT. IN 2013, MARICOPA INTEGRATED HEALTH SYSTEM AS THE REGION'S SAFETY NET SYSTEM OF CARE LOST A LARGE AMOUNT OF SUPPLEMENT FUNDING DUE TO THE EXPIRATION OF A SAFETY NET CARE POOL. WE HAD TO MAKE UP OVER $50 MILLION IN SUPPLEMENT FUNDING AND THAT TOOK A LOT OF HARD WORK BY A LOT OF EMPLOYEES, OUR PHYSICIANS, AND THE BOARD WAS ENGAGED IN THAT PROCESS. WE FINALLY GOT OUR FINANCES IN ORDER AND DURING THAT TIME WE WENT THROUGH A FAIRLY EXHAUSTIVE PLANNING PROCESS TO MAKE SURE WE HAD THE RIGHT EXPERTS ASSEMBLED TOGETHER TO ASSIST US. IT HAS BEEN SEVERAL YEARS BUT WE READY TO GO AND EXCITED ABOUT WHAT WE ARE GOING TO BE ABLE TO DO FOR THE COMMUNITY.

JOSE CARDENAS: I WANT TO GO THROUGH AND UNPACK THE PLANS THAT HAVE BEEN LAID OUT. BEFORE WE DO THAT, MARY ROSE, YOU ARE NEW TO THE BOARD BUT NOT NEW TO THE WHOLE ISSUE BECAUSE YOU WERE ON THE OTHER SIDE OF THE TABLE.

MARY ROSE WILCOX: I WAS A MARICOPA COUNTY BOARD SUPERVISOR AND I APPOINTED MYSELF TO THE BOARD INSTEAD OF APPOINTING SOMEBODY BECAUSE HEALTH ISSUES ARE PREVALENT IN THE COMMUNITY AND I THOUGHT I NEED TO UNDERSTAND HOW THE SYSTEM WORKS. I SERVED FOR 14 YEARS. WE SPUN IT OFF INTO A TAXATION DISTRICT SO IT COULD SURVIVE AND GENERATE MORE MONEY AND DO THINGS LIKE GO OUT FOR BONDS TO BUILD NEW FACILITIES. SO IM BACK ON THE BOARD, I RETIRED AND WANTED TO STILL GIVE BACK AND RAN AND GOT ELECTED IN NOVEMBER AND STARTED SERVING IN DECEMBER.

JOSE CARDENAS: AND PART OF THE REASON THAT I THINK PEOPLE VIEW YOUR PRESENSCE THERE AS YOUR INVOLVEMENT OVER THE YEARS AS SO IMPORTANT IS THE LARGEEST HISPANIC POPULATION THE HOSPITAL SERVES STANDS OUT.

MARY ROSE: VERY MUCH SO. WE HAVE 85% LATINO PARTICIPATION IN SOME CLINICS AND IN HEAVY HISPANIC AREAS LIKE SOUTH PHOENIX AND AVONDALE. AND THE CLINICS ARE SERVING THEM. I THOUGHT IT WAS VERY IMPORTANT FOR ME TO GO ON AND BRING DIVERSITY TO THE BOARD AND ALSO BRING IN THIS BUILDING PROGRAM WE ARE GOING TO HAVE MASSIVE COMMUNITY MEETINGS AND I WANT TO MAKE SURE THE RIGHT PEOPLE ARE THERE, PEOPLE WHO USE THE CLINIC IN GUADALUPE COME TO MEETINGS AND WE GET THEIR TOWN AND COUNCIL AND MAYOR SO WE KNOW WHAT THEY WANT IN HEALTH CARE. WE WILL SHARE WHAT OUR IDEAS ARE BUT THEY HAVE TO DRIVE IT.

JOSE CARDENAS: STEVE, I THINK PEOPLE THINK OF ONE HOSPITAL BUILDING AT 24TH AND ROOSEVELT BUT IT IS A SYSTEM. DESCRIBE THAT AND TELL US HOW IT WILL CHANGE.

STEVE PURVES: WE WHERE MUCH MORE THAN A HOSPITAL. EVERYBODY IS FAMILIAR WITH MOEP MARICOPA MEDICAL CENTER. THAT IS OUR TEACHING CENTER. THAT IS WHERE YOUR ARIZONA BURN CENTER, WHICH IS THE SECOND LARGEST BURN PROGRAM IN THE UNITED STATES, IS LOCATED. THEY DO PHENOMENAL WORK. OUR LEVEL ONE TRAUMA CENTER IS THERE AND OUR IN PATIENT TEACHING PROGRAMS AND OUR IN-PATIENT SERVICES. WE HAVE A SPECIALITY CLINIC ON THE CAMPUS AS WEM. WE ARE MORE THAN THAT. WE HAVE TWO FREE STANDING BEHAVIORAL HEALTH HOSPITALS. ONE ON THE THE CAMPUS CALLED THE BEHAVIOR HEALTH ANEX AND DESERT MESA. WHICH IS A FREE STANDING BEHAVIORAL HEALTH HOSPITAL IN MESA. THE CAPACITY WE HAVE TO SERVE BEHAVIORAL HEALTH SERVICES HAS LONG SINCE BEEN INADEQUATE. WE ALSO HAVE A NETWORK OF 14 COMMUNITY HEALTH CENTERS ALL THROUGHOUT MARICOPA COUNTY AND EVERY SINGLE ONE OF THOSE FACILITIES WILL BE ADDRESSED THROUGH PROPOSITION 480 THE FUNDING WE HAVE NOW TO REINVENT OUR HEALTH SYSTEMS.

JOSE CARDENAS: SO WHERE DOES THIS ALL BEGIN? IS THE MAIN HOSPITAL BUILDING GOING TO BE RAISED AND BUILT A NEW FACILITY?

STEVE PURVES: WE WILL GET STARTED ON THE CLINIC NETWORKS FIRST BECAUSE THEY ARE EASIER. THE CLINICS IN THE OUTLYING AREA IS WHERE WE EXTEND THE ACCESS TO CARE TO VULNERABLE POPULATIONS IN PLAR. THE PLAN FOR THE HOSPITAL IS TO BUILD THE NEW FACILITY ON OUR CAMPUS IN ROOSEVELT. THERE WILL BE A CAMPUS MASTER PLAN DEVELOPED FOR THAT. ULTIMATELY, THE EXISTING BUILDING WILL BE RAISED AND TORN DOWN TO MAKE ROOM FOR OTHER FACILITIES WE NEED AND MAKE SURE WE ARE FULFILLING OUR TEACHING MISSION BUT TO MAKE SURE WE HAVE AN INPATIENT POLITICAL THAT WORKS THE RIGHT WAY AND MAKES US MORE SUFFICIENT.

JOSE CARDENAS: MARY ROSE, WE WERE TALKING ABOUT THE LARGE HISPANIX POPULATION AND AS I UNDERSTAND ABOUT A THIRD OF THEM ARE MONOLANGUAGE SPEAKERS. HOW ARE YOU GOING TO GET THEM INVOLVED IN THIS PLANING PROCESS?

STEVE PURVES: THE HOSPITAL IS VERY BILINGUAL. WHEN YOU GO INTO THE HOSPITAL, THERE INTERPRETERS ALL OVER THE PLACE. MANY OF THE STAFF AS WELL. WE WILL REACH OUT AND HAVE INTERPRETERS AT THE MEETING, THAT PEOPLE FEEL WELCOME, WE WILL BE USING HISPANIC MEDIA TO ATTRACT THEM. WE ARE DOING A LOT OF MARKETING TO GET THEM THERE. I FEEL AS THE COUNTY, MANY PEOPLE KNOW THE COUNTY HOSPITAL AND FEEL COMFORTABLE AND WE JUST HAVE TO REACH OUT AND SAY IN THIS BUILDING THESE ARE GOING TO BE YOUR BUILDINGS. TAXPAYERS ARE PAYING FOR IT AND WANT TO MAKE SURE THEY ARE IN THE RIGHT LOCATION. THE 14 CLINICS WE HAVE HAVE BEEN ESTABLISHED FOR DECADES SO WE ARE DOING A LOT OF STUDYING. WHAT THE BOARD DID FOR TWO YEARS IS A LOT OF EXTENSIVE WORK AND SEEING WHERE THE NEED IS. FOR EXAMPLE, ON BELL ROAD THERE IS A LARGE HISPANIC POPULATION AND NO MEDICAL SERVICE. ARE WE GOING TO LOOK AT OTHER AREAS? THAT IS THINGS WE HAVE TO DECIDE.

JOSE CARDENAS: STEVE, YOU MADE IT CLEAR YOU ARE NOT JUST TALKING ABOUT KNOCKING DOWN BUILDINGS BUT REINVENTING HEALTH CARE. HOW SO?

STEVE PURVES: HEALTH CARE IS REALLY CHANGING. IT HAS CHANGED OVER THE LAST FIVE YEARS DRAMATICALLY. THERE IS MORE EMPHASIS ON TAKING CARE OF PEOPLE OUTSIDE THE HOSPITAL AND ADDRESSING SOCIAL NEEDS AND SOCIAL DETERMANANCE THAT IMPACT THEIR WELLBEING AND THAT TAKES A DIFFERENT CARED MODEL THAN BEFORE THAT WAS TESTS, TREATMENTS AND TRANSACTIONS. THE FUTURE OF HEALTH CARE IS MORE POPULATION BASED, IT WILL BE MORE INTEGRATED AND FOCUSED ON MAKING SURE PEOPLE ACHIEVE THEIR HIGHEST STATE OF ILLNESS RATHER THAN TAKING CARE OF THEM WHEN THEY ARE JUST ILL. WE NEED THAT BUT WANT TO MAKE SURE OUR CLINICS ARE INTEGRATED SO THEY CAN RECEIVE INTEGRATED, BEHAVIORAL CARE, IN ADDITION TO THE SPECIALTY SERVICES THAT THESE COMMUNITIES NEED. IT IS A DIFFERENT APPROACH AND WE HAVE THE OPPORTUNITY TO REINVENT OUR SYSTEM SO IT WORKS BETTER, COST EFFECTIVE, AND PRODUCED BETTER PATIENT OUTCOMES AND PATIENTS AND FAMILIES HAVE BETTER EXPERIENCE OF CARE AND THAT TAKES MORE THAN BRICKS AND MOTOR.

JOSE CARDENAS: SO STEVE, THE GORILLA IN THE ROOM IS OF COURSE THE REPEAL OF OBAMACARE. IT MAY NOT PASS THIS WEEK BUT SOMETHING IS GOING TO HAPPEN, WHAT IS THE LIKELY IMPACT OF THAT?

STEVE PURVES: WE ARE VERY CONCERNED ABOUT THE REPEAL OF THE AFFORDABLE CARE ACT ESPECIALLY IF IT IS NOT REPLACED WITH SOMETHING THAT INSURES THE UNINSURED PATIENTS HAVE ACCESS TO CARE. WE ARE A LARGE SAFETY NET OF CARE. WE HAVE A LARGE AMOUNT OF UNCOMPENSATED CARE WE ARE PROVIDING. WHAT HAPPENS TO MEDICAID AND THE ACCESS PROGRAM IN THE STATE HAS A PROFOUND IMPACT ON US. WE ARE VERY CONCERNED ABOUT IT AND HAVE BEEN VERY ENGAGED WITH OUR CONGRESSIONAL DELEGATION. WE WILL SEE WHAT HAPPENS IN THE HOUSE THIS THURSDAY BUT WE HAVE HOPEFULLY THERE WILL BE A REASONABLE APPROACH AS IT TRICKLES DOWN TO THE STATE SO WE PROTECT THE SAFETY NET WERE THE VULNERABLE POPULATION.

JOSE CARDENAS: MARY ROSE, IF THINGS GO FORWARD AS YOU HOPE THEY DO, WHAT WILL THE HISPANIC COMMUNITY SEE THAT IS DIFFERENT THAN THE KIN DOF CARE THEYRE GETTING NOW?

MARY ROSE: WE WILL COME IN AND TALK. WE HAVE THE MCDOWEL HIV CLINIC AND WE MAY NEED A SPECIALITY CLINIC. MANY IMMIGRANT CHILDREN COME IN WITHOUT VACCINES AND PRIMARY CARE THAT OUR CHILDRENS WHO LIVED HERE FOR AGES HAVE GOTTEN. WE WILL LOOK IN THE COMMUNITY AND MAY SEE A SPECIALITY CLINIC FOR THE HISPANIC CHILDREN COMMUNITY. THERE COULL DBE ALL KINDS OF POSSBILITIES. THE OTHER THING IS WE ARE TRYING TO FIND PARTNERS AND TALKING TO NON-PROFITS AND WE MAY TEAM UP AND WE WILL TRY TO STRETCH THE BOND.

JOSE CARDENAS: SO IT WILL LIVE UP TO THE NAME OF INTEGRATED HEALTH CARE SYSTEM. THANK YOU BOTH FOR JOINING US.