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67th PIHOA Virtual Executive Board Meeting - Day 2 Open Session - Shared screen with speaker view
Subroto Banerji - CNMI
01:20:35
government commitment to Medicaid cost share
esther.muna@dph.gov.mp
01:20:40
underfunded by government
esther.muna@dph.gov.mp
01:20:58
operational expenses exceed revenues
Subroto Banerji - CNMI
01:20:59
workforce and infrastructure improvement costs
Emi, PIHOA
01:21:05
Siloed financing mechanisms
John Moroney
01:21:11
I am with a Federal Agency: continuing resolutions and partial year funding are a pain for all involved
esther.muna@dph.gov.mp
01:21:38
aging facilities
Emi, PIHOA
01:21:53
Procurement mechanisms are not efficient
Emily Williams SAMHSA Region IX Administrator
01:22:03
I apologize for the delay in my joining, I had another call that went long. This is great information. Ditto on CR and delays in funding.
jesse.tudela
01:22:08
Reliance on Government funds
Subroto Banerji - CNMI
01:22:15
out year projections - revenue vs exp rather thanliving on annual grant awards
esther.muna@dph.gov.mp
01:22:24
emergency needs
Robert Greathouse | PIHOA GU
01:22:25
funding formulas for federal funding mismatched to need on ground
Emi, PIHOA
01:22:25
Donor driven
esther.muna@dph.gov.mp
01:23:44
medium to high
Bernie Provido Schumann
01:24:00
medium to high
jesse.tudela
01:24:05
Medium to High
Subroto Banerji - CNMI
01:24:05
medium to high
Theresa Arriola
01:24:10
medium - high
jesse.tudela
01:28:11
Japan
Theresa Arriola
01:28:15
amsterdam
Subroto Banerji - CNMI
01:28:18
Sweden
Bernie Provido Schumann
01:28:20
candaa
Emi, PIHOA
01:39:27
Off-island medical referrals tend to be pretty OOP-heavy for families who often feel the need to accompany and support their loved ones who need more advanced medical care elsewhere - Taiwan, Guam, Hawaii, Philippines, NZ, etc.
Theresa Arriola
01:48:20
would like to speak to this topic
Emi, PIHOA
01:48:50
The ADB, a couple of years ago, had done a feasibility study on this topic to explore the possibility of a Pacific regional risk pooling mechanism. Not sure where that went to.
Emi, PIHOA
01:57:02
https://www.adb.org/sites/default/files/project-document/68004/42103-reg-tar.pdf. Project Number: 42103, August 2008Natural Catastrophe Risk Insurance Mechanisms forthe Asia and Pacific Region
Theresa Arriola
02:20:22
information contact to pass along to our leaders is greatly appreciated
Theresa Arriola
02:22:19
Appreciate the UHC contact for Guam leadership as well
Emi, PIHOA
02:26:03
Slide deck will be sent to everyone after this call.
Alex Wheatley (ASTHO)
02:38:11
thank you Deb!!
Janet Camacho
02:38:20
Thank you Dr. McFarland!
Theresa Arriola
02:38:42
Thank you Dr. Deb
Emi, PIHOA
02:44:42
Taking a break. Reconvening at 15 minutes after the hour.
Theresa Arriola
02:49:47
Thanks, lunch break for Guam
Lee Buenconsejo-Lum
02:53:45
coggle.it
Christina Higa
03:41:19
Congratulations to CNMI for passing tele dentistry related regulations just this week - for dentists to remotely oversee dental therapists and hygienists
Lee Buenconsejo-Lum
03:42:35
https://jamboard.google.com/d/1w_eRYNIJiJ0YJ7CMrJw3POQmngzXUk_hxgKdiL2w25o/viewer?f=0
Theresa Arriola
03:45:32
repeat question again
Subroto Banerji - CNMI
03:46:33
residents access to internet esp where folks use pay as you go plans and feel that this use is eating into their plans
Bernie Provido Schumann
03:46:38
assess it capacity
Subroto Banerji - CNMI
03:47:36
link with EHR so that the encounter is documented; and available via a patient portal for the patient to have access to the visit to add value to the telehealth engagement
jesse.tudela
03:47:55
Trusted telehealth app with available technical support
Theresa Arriola
03:48:14
confidence from community that telehealth is real care
Emi, PIHOA
03:48:33
Need more comprehensive licensure/certification policies and protocols to underpin the legal framework for tele-services
Theresa Arriola
03:49:41
capacity in availability in hardware including wifi capacity
Emily Williams SAMHSA Region IX Administrator
03:51:09
Licensure reciprocity
Bernie Provido Schumann
03:51:56
continuum of care and referral services.
Theresa Arriola
03:52:22
Policy in ensuring confidential telework from home
Emi, PIHOA
03:53:38
Financing strategy for comprehensive tele-health
Bernie Provido Schumann
03:54:22
exchange of medical records
Emi, PIHOA
03:54:23
Regional provider list by speciality
esther.muna@dph.gov.mp
03:54:25
timezone availabiity
Subroto Banerji - CNMI
03:54:41
dedicated providers for islands to access, data sharing agreements for continuity of care
Theresa Arriola
03:54:41
over all across the pacific - reliable fast internet access
Subroto Banerji - CNMI
04:10:59
@Emi - Bonnie led the effort as part of the IAWG and did complete an environmental scan on telehealth
Subroto Banerji - CNMI
04:12:23
Ditto effort from Christina held in CNMI via the CNMI Office of Gov office of development and planning - also included DoCoMo and ITE
Emi, PIHOA
04:22:07
OK, will f/up with Bonnie on that IAWG tele-health report.
Emi, PIHOA
04:25:11
12 more minutes for this session
Emi, PIHOA
04:42:58
Excellent and thank you so much, Christina, Lee and Neal!
Theresa Arriola
04:43:14
Thank you for your time during this Holiday
Cerina
04:43:27
Just applauding eveyrone
Alex Wheatley (ASTHO)
04:43:32
I was just clapping too! no question!
Alex Wheatley (ASTHO)
04:43:37
thank you all!
Theresa Arriola
04:47:03
Thank you all, need to step out to another zoom meeting. See you tomorrow. Appreciate everyone's time on your holiday.