Advisory
Council on Health Systems Development
Membership
(5-year terms)
Representing health care delivery
Maroulla Gleaton, MD (ophthalmologist, president of Maine Medical Association)
Norman Ledwin (CEO, Eastern Maine Healthcare)
Representing long term care
Steve Farnham (Exec. Director, Aroostook Area Agency on Aging)
Representing mental health
Brian Rines, PhD (Psychologist, Mayor of Gardiner) CHAIR
Representing public health care financing/Medicaid
Christine Hastedt (Public Policy Specialist, Maine Equal Justice Partners)
Representing rural health care and private health care financing
Andrew Coburn, PhD (Director, Institute for Health Policy, Muskie School
at USM)
Representing health care quality
Josh Cutler, MD (Maine Cardiology Associates)
Representing public health
Lani Graham, MD (physician)
Representing consumers
Edward Miller (Exec. Director, American Lung Association of Maine)
John Carr (President, Maine Council of Senior Citizens)
Representing the Department of Human Services
Dora Mills, MD, MPH (Director, DHS Bureau of Health)
Key Charges
- Development of State Health Plan
- Establishment of Capital Investment Priorities to Determine CON
Capital Investment Fund Cap
Important Dates
- First plan must be submitted by May 2004.
- Major and Substantive rules will dictate that the plan be submitted
to the Legislature for review prior to May 2004.
Legislative Charge
The council shall advise the Governor in developing the state health
plan by:
A. Collecting and coordinating data on health systems development in
this State;
B. Synthesizing relevant research; and
C. Conducting at least 2 public hearings on the plan and the capital
investment fund each biennium.
State Health Plan Purpose
The state health plan must set forth a comprehensive, coordinated approach
to the development of health care facilities and resources in the State
based on statewide cost, quality and access goals and strategies to
ensure access to affordable health care, maintain a rational system
of health care and promote the development of the health care workforce.
The plan must:
A. Assess health care cost, quality and access in the State;
B. Develop benchmarks to measure cost, quality and access goals and
report on progress toward meeting those goals;
C. Establish and set annual priorities among health care cost, quality
and access goals;
D. Prioritize the capital investment needs of the health care system
in the State within the capital investment fund, established under section
102;
E. Outline strategies to:
- Promote health systems change;
- Address the factors influencing health care cost increases; and
- Address the major threats to public health and safety in the State,
including, but not limited to, lung disease, diabetes, cancer and
heart disease; and
F. Provide recommendations to help purchasers and providers make decisions
that improve public health and build an affordable, high-quality health
care system.
Capital Investment Fund/CON/MEHEFA
The plan must be used in determining the capital investment fund amount
pursuant to section 102 and must guide the issuance of certificates
of need by the State and the health care lending decisions of the Maine
Health and Higher Education Facilities Authority. A certificate of need
or public financing that affects health care costs may not be provided
unless it meets goals and budgets explicitly outlined in the plan.
Public Purchasers
Public purchasers using state or municipal funds to purchase health
care services or health insurance shall, beginning January 1, 2004,
submit to the council a consolidated public purchasers expenditure report
outlining all funds expended in the most recently completed state fiscal
year for hospital inpatient and outpatient care, physician services,
prescription drugs, long-term care, mental health and other services
and administration, organized by agency.
