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Business Session

Business Session. Brian Paradis Des Cummings Eddie Soler. Agenda. 2009 Strategic Overview Market & Competitive Assessment Stewardship & Resource Management Operational Performance. Where we are going. If you don’t know where you’re going, any road will do. country song-paraphrased.

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Business Session

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  1. Business Session Brian Paradis Des Cummings Eddie Soler

  2. Agenda • 2009 Strategic Overview • Market & Competitive Assessment • Stewardship & Resource Management • Operational Performance

  3. Where we are going If you don’t know where you’re going, any road will do. country song-paraphrased

  4. PPM’s Draft Excellence Element Goal Statement Key Performance Metric ’09 ‘10 ’11 ’12 Responsibility GOAL 80th% 75% 70% 1.14% 60 8.00% 55% 150% 1,415 TEAM Engage employees and physicians around mission, vision and values Engage and retain employees and physicians RN Retention(TBD) Employee Engagement 70th% 72th% 74th% 75th% Safety Survey (TBD) Creation Health/Employee Health Status (TBD)* Medical Staff (TBD) Mission To extend the Healing Ministry of Christ Vision To become a global pacesetter delivering preeminent, faith-based health care Values Integrity Compassion Balance Excellence Stewardship Team SERVICE Enrich our patient’s experience Monitor and respond to customerneeds and concerns HCAHPS – Inpatient 61% 66% 69% 72% ED Satisfaction Outpatient (TBD) Patient Experience/Mission Extension (TBD) CLINICAL Elevate our patient safety and clinical excellence Be one of the safest hospitals in the country Mortality 1.27 1.23% 1.20% 1.17% Events with Harm 95 85 80 70 Infections (TBD) Readmissions 9.90% 9.95% 9.00% 8.50% MARKET Expand the market and extend our patient’s continuum ofcare Increase market share Surgical Market Share 50.0% 51.0% 53.0% 54.5% Brand Preference (TBD) OP Revenue (TBD) Health Status of Community (TBD) FINANCE Increase efficiency and be faithful stewards of resources Support our mission, vision and values Cash to Long Term Debt 115% 125% 140% 150% Operating Cost per Admit 1,415 1,415 1,415 1,415 *TBD = To be determined

  5. Critical Concept #1 Caring for the whole person requires balanced performance • Two greater among equals • Safety (Accreditation) • Cash (Security, Do Stuff)

  6. Critical Concept #2 • Mission Driven • Market Responsive (Quality & Experience) • Money Disciplined

  7. SIA to 09 Priorities

  8. Strategic Innovation Agenda • ELEVATE PATIENT SAFETY and CLINICAL EXCELLENCE • “EXCELERATE” CORE PROCESS IMPROVEMENT • ENRICH our PATIENTS’ EXPERIENCE • Extend our Care Continuum • Engage our Community

  9. 2009 System Priorities • Grow the Market • Develop New and Strengthen Existing Markets • REPOSITION SURGICAL CAPABILITY for GROWTH • Develop and Implement an Aligned Ambulatory Model • Grow Philanthropy • Improve Revenue Share • Manage Florida as a Market

  10. 2009 System Priorities • Improve the Product • Patient Safety / Clinical Excellence • Performance Improvement Functions • Critical Process and Performance Focus • Deploy and Leverage Cerner • PATIENT EXPERIENCE • Disney Children’s Hospital Launch • Strengthen and Support Medical Education and Research • Stewardship and Resource Management

  11. Market & Competitive Assessment Des Cummings

  12. Macro-Environment • Economic Trauma • Uninsured/Government pressure • Market Growth/Utilization • Competitive Challenges • National Health Care Reform

  13. Labor Market Source: Florida Research and Economic Database

  14. Economic Trauma Facing Families • Postponed getting needed health care -- 29% • Skipped a recommended test – 24% • Did not filled a prescription – 23% • Cut pills in half or skipped doses – 19% • Kaiser Public Opinion Survey, Survey Brief #7773, April 2008 • N = 2,003

  15. Florida 2006 2007 18.8% 19.4% 2005 17.9% 2003 15.4% Orlando Area Uninsured Population

  16. Inpatient Market Discharge Growth +3.9% Utilization-Driven Growth +3.5% } +3.3% +1.6% Population-Driven Growth +3.6% +2.9% • Population growth is expected to grow IP discharges by 2.5% annually • Utilization growth is expected to grow IP discharges an additional 1.0% in 2008E and 1.4% in 2009 Source: AHCA, Tri County Patients, All DRGs excluding 390, 391 and 462, 2007 annualized using Q1– Q3 2008E & 2009E projections based on Solucient population and growth rates

  17. Competitive Challenges • Arnold Palmer Hospital for Children -- $56 million renovation, increasing pediatric bed size from 96 to 158, in June 2009. • Dr. P. Phillips Hospital -- $175 million renovation project, increasing bed size from 135 to 240 beds, in 2010. • South Lake Hospital -- 54 of the 196 new beds in 2010. By 2016, will have a total of 300 beds and 350,000 square-feet.

  18. GAP 9.8 12.4 8.7 12.6 6.2 BASE SIZE 719 1,148 1,264 1,095 1,110 Consumer Preference Combined Attributes 60% 50.2% 48.6% 47.9% 47.9% 45.1% 50% 39.2% 37.8% 38.9% 38.1% FH 36.0% 40% OH 30% 20% 10% 0% 2004 2005 2006 2007 2008 Combined Attributes are: Best Doctors, Best Nurses, Best Overall Quality, and Best Image / Reputation Source: National Research Corporation, Tri-County Respondents

  19. If you had to go to a hospital for a planned overnight stay, how important would the following factors be to you when selecting a hospital? (% rating “Very Important”) (n=1,403) Source: Orlando MSA; NRC 2007-2008

  20. IP Market Share Tri-County Hospitals (regardless of patient origin) MarketFHOH ‘04 – ’05 2.9% 1.9% 4.0% ’05 – ’06 1.7% 1.8% 2.7% ’06 – ’07 3.3% 0.8% 6.5% ’07 – ’08A 3.1% 1.9% 4.2% GAP +15.0 +14.1 +13.9 +11.6 +10.7 Source: Local Health Council – All Admissions, regardless of patient origin; Gap is based on difference between FH and OH, 2008 annualized using Q1 & Q2 * Including Lakeside, the IP market grew +3.3% from 2007 to 2008A

  21. ED Visit Market Share Tri-County Hospitals (regardless of patient origin) MarketFHOH ‘04 – ’05 8.2% 9.2% 7.6% ’05 – ’06 0.8% 1.8% -0.3% ’06 – ’07 3.5% 0.4% 13.6% ’07 – ’08A 5.7% 4.2% 10.6% GAP +18.2 +18.8 +19.3 +15.5 +13.3 Source: Local Health Council – All ED Visits, regardless of patient origin; Gap is based on difference between FH and OH

  22. Strategies • Planning projections have higher degree of uncertainty • Contingency Plans & Focused Tracking • Grow Market Share – Centennial Vision • Patient Experience • Ginsburg Tower – Managing Florida as a market • Cardio Vascular • Attack Centers • Transplant • Surgery • ED – Service Promise & Attack Centers • Radiology • Cancer

  23. Stewardship and Resource Management Eddie Soler

  24. Admissions by Service Type

  25. Admissions by Campus

  26. Net ED Visits by Campus

  27. Total Surgeries by Campus

  28. EBDIT GAP

  29. Initiatives

  30. Operational Performance Brian Paradis

  31. Team Trends

  32. Clinical - Core Process

  33. Service Performance YTD

  34. Closing

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