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95-497c�F�# 9S 5�97 ORIGINAL �sn�# 3DSo � �� .r�Y�yv:� rs^?-a��:r� Referred To Commikee: Date �7 WHEREAS, under Minnesota Statute 145A, the Saint Paul City Council is designated a Community Health Board; and WHEREAS, under Minnesota Statute 62J, Community Health Boards are asked to designate a representative to the Regional Coordinating Board who is elected by the Community Health Boards in the region; and WHEREAS, the Minnesota Department of Health has determined that Region Four shall be composed of the seven county metropolitan area; and WHEREAS, the Directors of the Community Health Agencies in Region Four have met and recommend that Jane Norbin be appointed as the elected Community Health Board Representative; and BE IT RESOLVED, the Saint Paul City Council designates Jane Norbin, Director of Public Health Nursing for Ramsey County, as the Community Health Board Representative on Regional Coordinating Board, #4. e �� Yea. Navs Absen Gnmm � — Guetin am�'s — — Megazd — Rethnan — — une � '� Adopted by Council: Date � \ � «�, �a Adoption Certified by Coimcil Secie Br- °��-_ � -_ �.�-�...� Requested by Depar[ment of: Public Health BY� `� ��-�z-_. Form pro�� By: Approved by s Approv by Mayor r bmission to Council By: �' q � Public H alth� DA S/4/95 GREEN SHEE N_ 30506 CONTACT PERSpN & PHONE INRIAVDATE INRIAVDATE DEPAR7MENTDIRE �CfiYCOUNCIL Uiane Holmgren 292-7712 A��N CITYATfORNEV �CINCLERK XUMBERFOR MU5T BE ON CAUNCII AGENDA BY (DATE) q�� O BUDGET DIRECTOF � FIN. & MGT. SEFVICES DIR. May 17 , 1995 onoen Q Mavoa (oa assisrnrin � TOTAL # OF SIGNATURE PAGES 1 (CLIP ALL LOCA710NS FOR SIGNATURE) ACTION REQUEStED: City signatures on a Resolution to designate a representative to the Minnesota Care Regional Coordinating Board for the metro area. aECAMMENDAnONS: Approve (A) or Reject (R) PERSONAL SEflVICE CONTRACTS MUST ANSWER TNE FOLLOWING UUESTIONS: _ PLANNING COMMISSION _ CIVIL SEBVICE COMMISSION �� Has ihis persoNfirtn ever worked untler a contract for this departmeM? - _ CIB COMMI7TEE _ VES NO _� 2. Has this person/firm ever been a city employee? — , YES NO _ DISTRIC7 COURT � _ 3. Does this srsonfirm ossess a skfll not normall p p y possessed by any current city empioyee? SUPPORTS WHICH COUNCIL O&IECTIVE? YES NO Explain all yes anawers on separote sheat and attaeh to green sheet 7NRIATING PROBLEM. ISSUE, OPPOfiTUN{N (NTO. What, When. Whera, Why): The N.innesota Care healthcare legislation developed Regional Coordinating Boards (RCBs) to discuss healthcare issues at a more local level. The metro area, RCB4, has agreed to designate'Jane Norbin from Ramsey County Public Health as the public health Community Health Board representative to the RCB. Resolutions are needed from the Metro Community Health Boards approving this. To date, five other metro area Community Health Boards have approved this action. ADVANTAGESIFAPPROVED: ' The representative will receive an adequate number of supporting resolutions from CommuniCy Health Boards to represent the metropolitan area on the MinnesotaCare Regional Coordinating Board. ' Saint Paul will have an opportunity to provide comment and be better informed of the activities of the RCB. � . OISADVANTAGES IFAPPROVED' NoNE MAY 0 5 199� ��,�� °� ��:� T�IAY 04 1�95 C4�s��'�';��r� �ter CIT� A�'�� AY ° 5 i995 DISADVANTAGES IF NOTAPPROVE�: ' The designated individual may not be able to represent the metro area Community Health Boards. ---._--.._.._--- _� ' The Saine Paul Community Health Board may not receive as adequate or timely information, or have the opportunity to provide comment. 70TALAMOUNT OFTRANSACTION $ —� COSttREVENUE BUDGETED(CIfiCLE ONE) YES NO FUNDINGSOURCE NO Funding Necessary ACTIVITYNUMBER FINANCIAL INFORMATION (EXPLAIN) 4��197 z�,e ��BS As a part of a landmark heaTth care reform package in 1992, six regionai boards were established to advise the Commissioner of Health on health care delivery issues for specifzc geographic areas of the state. The Regional Coordinating Boards (RCBs) are intended to serve as a community forum on issues related to cost containment, access, coliaboration{ competition, and qualiry. This is the second Annual Report from the RCBs. This year in ptidition to their mandafed duties, the boards have deveioped Mission, Goals and Role statements. Mission • To impact and influence positive change in regions • To function as a catalyst for health reform activities and advise the Commissioner of Health of regional needs • To develop and coordinate regional planning to improve access quality and affordability of health care Goals • Encourage all citizens and other stakeholders to become part of public policy decisions and health reform activities • Develop and continually evaluate public awareness and participation in health reform • Develop and coordinate public education initiatives on health issues • Assist in the development of a coordinated, efficient health system in each region • Inform and advise the Commissioner of Health of regional needs and respond to policy requesis for information and/or action • Encourage and facilitate voluntary activities of regional providers which are in the best interest of the community and the state as a whole 1 �� /47 . The RCBs � The Rofe of the Regional Coordinating Boards Regional Coordinating Boards strive to understand health reform issues and provide the appropriate influence to create a positive impact on the region's health system. To accomplish this end, RCBs serve as a volunteer neutral body with a diverse and inclusive membership of all stakeholders (including consumers) in health reform and seek to engage communities to achieve the goals of health reform. RCBs serve in an advisory role to the Commissioner of Health and utilize voluntary activities to perform this role. RCBs serve as a catalyst to convene various groups, when necessary, and seek consensus on issues at a regional level. Together, they enhance the region's ability to improve access, increase quality and reduce the cost of health care. RCBs seek to influence actions by providers, health plans, poticy makers, and others which are in the best interest of the region as a whole. As a voluntary board _ with representatives from all areas of the health sector, the board seeks to hold providers, health plans, government agencies, and other organizations publicly accountable for their decisions and actions. 2 9�= y� 7 The Role o� the RCBs ADVtSE THE GOMMtSSIONER OF HEALTH The RCBs work direcdy with people affected by health reform and are the only vehicle on a local level for all stakeholders and other citizens to discuss and understand health reform issues and provide meaningful, informed comment and proposals direcdy to the Commissioner. The RCBs serve as a valid and valued voice of health reform as they strive to balance ihe needs of all entities while offering a real world perspective. The RCBs advise the Commissioner as public policy is being discussed, designed, and imptemented. In 1994, ►Each Board met at least 11 timts ►Public comment wns welcomed at eac1+ meeting .RCB memben came from large. small, urba+t and raral communitia ro work togerher ►Special interar groups were brought togMht� to leam about each other's prioririu and share resousces ►Roundtable distussians we�e held with communiry leaders/ape�n In 1994, RCBs made recommendat4ons on: ►ISN ImpEementasion Plan ►Geographic Service A�eas ►Essentia! Communiry Providen ►Altemative Dispute Ruolution ►Regional Pub2ic Health Goals ►Acdors P1ans .CISNLicentuie Review r Universat Standard Benefit Set rPenonal Rrsportsibiliry BUILD TRUST The RCBs engage citizens in a public forum to bring issues to the forefront and encourage open discussion and affirm the value of community dialogue. The RCBs encourage shared ownership, cooperation, compromise and responsibility for health reform and implementation within the community. The RCBs build suong lines of communication with communities, regional representatives of the legislature and appropriate state agencies. g� �y7 The Rote of th RCBs CATALYST FOR CHANGE The RCBs demonstrate a dzsire and coaunitment to continuousIy seek to improve the quality, effectiveness and e�ciency of the system as a whole and not disturb those azeas which work well. The RCBs proactively seek to understand the strategic intent of payers, providers, purchasers, and government in the region and assist in building their intent into a sound, coordinated health system which must balance with the local economic systems. The RCBs serve as a neutral forum to seek consensus on change strategies. In 1994, RCBs; ►Lecrned about health reform issurs through prutntarions and acrivities ►Condvcted pubtic hearings ►Mer wich legisiators ►Conduaed RCB Summirs and Fnrams ►Provided mnnthly media coverage for each region ►Members pasticipated in radio and print interviews ►Memben pruented infornwtion on heatth �eform to rnmmuniry groups In 1994, RCBs: ►Encouraged CISN. Co-op and purchasing pools developmens ►ExpIoied antirrust iss¢a wich prnviders and orher stakeholders ►Inidated publiclprivate coliaborations to achieve public health goaLs ►Contaued kgislaton on heaUh relared issuu ►Servtd nn sevoal starawide advisory bodiu EDUCATE OUR COMMUNI7lES The RCBs seek a common understanding of the issues, in paztnerstrip with communities and consumers. The RCBs coordinate effons to raise, define, and clarify issues and concerns within the region. The RCBs continue to seek new approaches to gain consumer input on reform related issues. �