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Ana Raley, Chief Executive Officer
Greater Southeast Community Hospital
Testimony to the Committee on Human Services on DC General Hospital
April 27, 2001




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1310 Southern Avenue, S.E. Washington, D.C. 20032 (202) 574-6000

Remarks by Ana Raley
Chief Executive Officer
Greater Southeast Community Hospital
Hadley Memorial Hospital & Skilled Nursing Facility

April 27, 2001

Council of the District of Columbia
Human Services Committee Public Roundtable

Good morning, Chairman Allen and members of the Human Services Committee. I am Ana Raley, chief executive officer of Greater Southeast Community Hospital and Hadley Memorial Hospital. Thank you for this opportunity to participate in the public roundtable. Greater Southeast, in collaboration with city officials and our provider partners, has accepted a number of requests to present the DC Healthcare Alliance proposal. In the past two weeks, the Alliance has had audiences with the Control Board, the Council of the District of Columbia, the PBC Board, and the news media. Today, I would like to outline the details of our proposed effort to expand access to quality healthcare for uninsured District residents.

In response to the Control Board's request for proposal for an integrated healthcare delivery system that serves the District's uninsured population, Greater Southeast Community Hospital developed a comprehensive plan that brings together resources across the healthcare continuum. We have formed an unprecedented public-private partnership that is solely committed to improving healthcare access and health outcomes for the District's most vulnerable citizenry.

The Alliance is composed of many of the District's preeminent providers of care, including D.C. Chartered Health Plan, Children's National Medical Center, George Washington University Hospital, Greater Southeast Community Hospital, and Unity Health Care.

Chartered will be responsible for administrative services, including patient information, care management, program enrollment, and data management. In addition, Chartered will provide primary care services.

Children's Hospital will provide pediatric health services and manage the school health program currently run by the PBC.

GW will provide trauma care and other specialty services.

Greater Southeast will provide inpatient care and correctional care as well as operate DC General's emergency room.

Unity Health Care will provide primary care services and manage the existing public community health centers.

District residents without health insurance coverage whose family income is at or below 200 percent of the federal poverty level will be eligible for enrollment in the DC Healthcare Alliance plan. At the same time, members of the Alliance will be required to maintain their current level of service to uninsured District residents.

The Alliance will also be obligated to maintain a performance bond as a financial protection. In terms of accountability, we will submit to the city monthly, quarterly and annual reports regarding volume, costs, quality and access to services.

The Alliance is currently working with the city to help plan the transition to the new integrated healthcare delivery system. Although a contract has not been signed, the Alliance believes that joint planning on the front end is necessary for successful system implementation.

Greater Southeast Community Hospital and its provider partners would be honored to play a major role in the District's effort to reform healthcare delivery to meet the needs of the uninsured. As healthcare providers based in the District of Columbia, we appreciate, respect and embrace the mission to expand access to quality care.

Again, thank you for this opportunity to speak.

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