Health & Medicine Policy Research Group hosted a forum, “Health Reform and the Health Care Safety Net: Challenges and Opportunities,” on July 9 to explore the potential impact of health reform on the health care safety net nationally and in Illinois specifically. The forum explored challenges and opportunities presented by health reform in Illinois, and examined the impact on community health centers, safety net hospitals, the health workforce, and vulnerable populations. Speakers included *Michael McRaith, Director, Illinois Department of Insurance *Julie Hamos, Director, Illinois Department of Healthcare and Family Services *Claudine Swartz, Assistant Vice President for Policy, National Association of Public Hospitals and Health Systems (NAPH) *Bill Foley, CEO, Cook County Health & Hospitals System *Philippe Largent, VP for Government Affairs, IL Primary Healthcare Association *Linda Murray, Chief Medical Officer, Cook County Department of Public Health, President-Elect, APHA *Roberta Rakove, Senior Vice President, Government Affairs, Sinai Health System

1. July 2010 MAJOR EFFECTS OF HEALTHCARE REFORM ON CCHHS Presented by: William T. Foley Chief Executive Officer

2. Cook County Health & Hospital System The Safety Net Healthcare System for Cook County Cook County Department of Public Health Ambulatory and Community Health Network Provident Hospital Oak Forest Hospital John H. Stroger, Jr. Hospital Ruth M. Rothstein CORE Center Cermak Health Services

4. The Impact of Healthcare Reform Pre-Reform: 850,000+ Uninsured Post-Reform: 225,000+ Uninsured Cook County

5. CCHHS Uninsured vs. Other Hospitals Source: Illinois Department of Health and Family Services Rank Hospital Provider Est. Cost of Care to Uninsured 1 CCHHS Hospitals $ 496,500,000 2 OSF Saint Francis Medical Center $ 32,474,000 3 Mount Sinai Hospital $ 30,266,000 4 Advocate Christ Medical Center $ 28,085,000 5 Advocate Illinois Masonic Med. Ctr. $ 20,833,000 6 Ingalls Memorial Hospital $ 19,239,000 7 University of Chicago Hospitals $ 17,593,000 8 Mercy Hospital & Medical Center $ 11,862,000 9 Norwegian-American Hospital $ 11,748,000 10 St. Francis Hospital & Hlth. Ctr. $ 11,625,000 11 Holy Cross Hospital $ 11,504,000 12 Saint Mary of Nazareth Hosp. Ctr. $ 10,037,000

6. Process Change System Alignment Training and Culture Change Adoption Expansion Journey to Patient Centered System Vision 2015 The Road Ahead

11. Expanded Outpatient Locations CCHC ROC ACHN Sites Ambulatory Community Health Network Northwest CCHC (new site) West CCHC – Cicero Oak Forest ROC South CCHC- Cottage Grove Provident ROC Central ROC – Rebuilt Fantus Comprehensive Community Health Center Regional Outpatient Center

12. Source: CCHHS, ICS Analysis Forecast for Primary Care and Specialty Visits 2006 – 2015 50% Increase from 2009 to 2015 Actual Visits Projected Visits