Regional Roll-Out (RRO) Leader/Lead Organization Information

Name:  HealthCare 21 Business Coalition
Link: www.hc21.org
Description: HealthCare 21 Business Coalition is a non-profit, member driven organization committed to improving the quality and cost of healthcare in Tennessee and the surrounding region.  HealthCare 21 believes only cooperative relationships between employers, health plans, hospitals and providers can produce positive and progressive changes in the healthcare of our community and our society.

Contact:  Gaye Fortner
Title: Vice President of Operations
Address: 625 Market Street, Suite 900
Phone: 865-292-2123
Fax: 865-637-2110                                                                                                        Email: gfortner@hc21.org

Why did your organization decide to apply to become a Leapfrog Regional Roll-Out leader?
The core strategies of HealthCare 21 are to improve the healthcare purchasing process, improve the health system and improve the health of the community.  The Leapfrog Group’s status as a national organization focused on quality and safety goes hand in hand  with HealthCare 21’s philosophies.  Our partnership enables us to work towards achieving our goals to improve healthcare by working with hospitals in Tennessee and Georgia to encourage transparency and public reporting.  In publishing the hospital’s  voluntary results from Leapfrog, HealthCare 21 is able to provide consumers with current  and accurate data to help them make more informed healthcare decisions.

Regional Roll-Out Market Information

Geographic coverage: East and Middle Tennessee, North Georgia

Employer characteristics:

Number of employer/coalition lives in RRO area: 200,000  

List of area’s largest employers (by employee size):

Nissan North America Inc:                     8,315
McKee Foods Corporation:                    2,861
Knox County:                                        2,229
Life Care Centers of America:               1,878
Hamilton County Government:             1,622
City of Knoxville:                                   1,538
Pilot Corporation, LLC:                           862
Oak Ridge Associated Universities:        655
Summit Medical Group:                         577
Bush Brothers:                                       489
ImagePoint Inc:                                     267
Siskin Steel and Supply Company:       246
Brookdale Senior Living:                        236
CPQ:                                                      125

Local industry breakdown:
35% manufacturing, 35% services, 30% government

Hospital characteristics:
Total Number of Targeted Hospitals – 86
Total Number of Beds – 12,659 beds in TN

Insurer characteristics:

Largest plans and % of the market share for HMO/PPO products
CIGNA Healthcare of Tennessee - 44.7% of HMO Market and 122,358 total TN PPO enrollment
John Deere Health – 24.6% of HMO Market
Aetna Health Inc. – 10.9% of HMO Market and 98,647 total TN PPO enrollment
UnitedHealthcare of Tennessee – 9.2% of HMO Market
Cariten Health Plan / Cariten Select (PHP) – 5.0% and 78,330 total TN PPO enrollment
Blue Cross Blue Shield PPO Network – 1,426,733 total TN PPO enrollment

Local Quality Improvement Organization (QIO) contact information:
Dawn FitzGerald
Chief Executive Officer
3175 Lenox Park Blvd., Suite 309
Memphis, TN 38115
1.800.528.2655, ext. 2650
dfitzgerald@tnqio.sdps.org