Enhancing Health Care Delivery to the Medically Underserved and Indigent in Nashville and Davidson County

Dates: 2009-2010

State: Tennessee

Client(s): Metro Government of Nashville & Davidson Co, TN

Service: Health Care & Public Health Planning

Technical Expertise: Health Care Reform, Population Health, Safety Net, State and Local Public Health

Providing quality care to the medically-underserved in a cost-effective manner is essential for safety net sustainability. The Metropolitan Government of Nashville and Davidson County (Metro) is responsible for funding and providing for hospital care, long term care and public health services for the medically-underserved and indigent residents of the County. Metro determined that the model it was operating under was no longer financially viable and wanted to investigate options for enhancing its service model while reducing the total annual cost to Metro.

Metro contracted with JSI to assess the delivery of health care to the medically-underserved and indigent population in the County and identify opportunities to enhance services while reducing the total annual cost to Metro. JSI utilized a comprehensive approach to assess alternative models. JSI's activities included local market research involving key stakeholder interviews and focus groups, as well as extensive research and analyses regarding high quality service delivery models in comparable communities and populations across the nation. JSI worked with a local Advisory Committee whose members had been appointed by the mayor. The Advisory Committee assisted JSI in distilling the results of the research and formulating recommendations.


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