Web Forum

Are We There Yet -- How Will We Know If Health Care Reform Is Working? Using OSHPD Data to Track the Impact of the Affordable Care Act (ACA) on the Hospital Safety Net
Tuesday, December 11, 2012 | 10:00 AM to 11:30 AM Pacific

Now that the election is over, the Affordable Care Act (ACA) is expected to near full implementation in 2014. The California hospital safety net will need to make extensive changes to prepare for expanded service demands. Accurate data and clear metrics will be necessary for measuring progress and the impact that the ACA will have on access to care, quality, and costs.

The California Office of Statewide Health Planning and Development (OSHPD) collects financial, utilization, and patient data from all licensed hospitals in the State. These data can be used as a baseline for measuring the impact of the ACA on access to services for the newly insured and those who will remain uninsured. This Web Forum will demonstrate how OSHPD data can be used by those planning and implementing health care reform.

Please join us for this interactive Web Forum that will provide information and insights on using OSHPD data to assess changes in the health care delivery system at this critical time.

The Web Forum will:

  • Provide a 2010 profile and summarize five-year trend data for all hospitals in the State and provide data highlighting safety net hospitals;
  • Describe strategies safety net hospitals are using to prepare for the full implementation of the ACA; and
  • Discuss the potential impact of these changes on access and utilization patterns.






    Robert David
    Office of Statewide Health Planning and Development
    Sacramento, CA

    Robert DavidRobert P. David was appointed by Governor Brown as director of the Office of Statewide Health Planning and Development (OSHPD) on April 13, 2012. Prior to his appointment to OSHPD, David was an executive for the American Hospital Association where he worked on state and federal issues impacting the industry. From 2005 to 2010, David served as the Chief Deputy Director for OSHPD, and before that, he was the Regional Vice President at the Hospital Council of Northern and Central California for six years. Other state government experience includes serving as Assistant Secretary at the Health and Welfare Agency and as Senior Negotiator at the California Medical Assistance Commission.

    From 1999 to 2003 David served as a member of the State Emergency Medical Services Commission and is a former member of the San Joaquin County Health Commission. He was selected as a Sierra Health Foundation Health Leadership Fellow in 2002, and completed the Program for Senior Executives in State and Local Government at Harvard University in 2006. (www.oshpd.ca.gov)

    Ty Christensen
    Accounting and Reporting Systems Section
    Office of Statewide Health Planning and Development
    Sacramento, CA

    Ty Christensen Ty Christensen is the Audit Manager of the Accounting and Reporting Systems Section in the Healthcare Information Division of the Office of Statewide Health Planning and Development (OSHPD). In this capacity, he oversees the three units of the Section; the Hospital Financial Data Unit, which collects and audits various hospital financial disclosure reports, the Long-Term Care Facility Financial Data Unit, which collects and audits annual LTC financial disclosure reports, and the Licensed Services Data Unit, which collects and reviews over 5,000 utilization reports from hospitals, long-term care facilities, clinics, hospices, and home health agencies. Ty began his career as an auditor in the Hospital Financial Data Unit in 1988. After a brief stint working for a non-profit, Ty returned to OSHPD as an auditor, and later supervisor in the Long-Term Care Facility Financial Data Unit. Ty has a bachelorís degree in Accountancy from the California State University, Sacramento, and enjoys hikes with his wife and two daughters. (www.oshpd.ca.gov)

    Melissa Stafford Jones
    President & CEO
    California Association of Public Hospitals and Health Systems
    Oakland, CA

    Melissa Stafford Jones As President & CEO of CAPH, Melissa most recently led the associationís work to develop and negotiate with the state and federal governments the 2010 California Medicaid Waiver. This $10 billion waiver provides a pathway toward reform for Californiaís public hospital systems that includes program and financing for coverage expansion and delivery system transformation. Prior to her appointment as President & CEO in December 2005, Melissa led CAPHís state and federal legislative program for six years as Vice President and Director of Policy. Before joining CAPH in 2000, Melissa was Regional Vice President with the Hospital Council of Northern and Central California. Melissa holds a Masters degree in Public Health from the University of California at Berkeley and a Bachelors of Science in Biology from Saint Maryís College of California. (www.caph.org/)

    Lucien Wulsin
    Executive Director and Founder
    Insure the Uninsured Project
    Santa Monica, CA

    Lucien Wulsin Lucien Wulsin is the Executive Director of Insure The Uninsured Project and is working on approaches to implement coverage for uninsured Californians throughout California. He is the author of California at the Crossroads: Choices for Health Care Reform, a study on Californiaís options to redesign its health care system. He has partnered with numerous health care organizations throughout California on efforts to increase funding, care and coverage for the uninsured. Mr. Wulsin served as chief consultant to the Special Committee on Medi-Cal Oversight of the California Assembly, where he worked closely with Assemblyman Burt Margolin on reforms in health coverage. Mr. Wulsin is a member of the bar in California and Massachusetts, a graduate of the University of Virginia Law School and of Trinity College. (www.itup.org)

    Mary A. Pittman, DrPH
    President and CEO
    Public Health Institute
    Oakland, CA

    Mary A. Pittman, DrPHMary A. Pittman is chief executive officer and president of the Public Health Institute (PHI) in Oakland, California. A nationally recognized leader in improving community health, addressing health inequities among vulnerable people and promoting quality of care, Pittman became in 2008 PHIís second CEO and president since its founding in 1964. She has guided the development of a strategic plan that builds on existing PHI program strengths to achieve greater impact on public policy and practice in public health both in the U.S. and globally. She received her doctorate from the University of California, Berkeley, and masterís degrees from UC Berkeley in public health and city and regional planning. (www.phi.org)


    Karen Shore
    President and CEO
    Center for Health Improvement
    Oakland, CA

     Karen Shore Karen Shore is president and CEO of the Center for Health Improvement (CHI) and has 20 years of experience in health policy and health services research. Among her projects at CHI, she leads the California Health Policy Forum, which provides an independent platform for education, idea sharing, and conversations among legislative and executive branch staff on health policy issues. She previously directed a project supporting 24 communities across the U.S. working to improve health care quality and manage costs.

    Prior to joining CHI, Dr. Shore was a principal research scientist with the American Institutes for Researchís Health Program, a consultant at Reden & Anders, a senior project manager at the Pacific Business Group on Health, and a health policy analyst for the Prospective Payment Assessment Commission in Washington, DC. Dr. Shore has a masterís degree in health services administration from the University of Michigan and a PhD in health services and policy analysis from UC Berkeley. (chipolicy.org/)


The following documents are PDF versions of the speakers’ presentations and are intended to be used for reference only.

David/Welcome and Introduction

Christensen/Profile of Hospital Financial and Utilization Trends, 2006-2010


Stafford Jones/Measuring the Impact of the ACA on Safety Net Hospitals

Wulsin/The Potential to Use OSHPD Data to Measure the Impacts of the ACA




The following documents provide important background information that can enhance the Web Forum experience.


The following websites provide important background information that can enhance the Web Forum experience.



The organizations listed below have come together to sponsor this important effort:

Public Health Institute Logo Office of Statewide Health Planning and Development Center for Health Improvement

Public Health Institute

Office of Statewide Health Planning and Development

Center for Health Improvement