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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 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
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
Critical Concept #1 Caring for the whole person requires balanced performance • Two greater among equals • Safety (Accreditation) • Cash (Security, Do Stuff)
Critical Concept #2 • Mission Driven • Market Responsive (Quality & Experience) • Money Disciplined
Strategic Innovation Agenda • ELEVATE PATIENT SAFETY and CLINICAL EXCELLENCE • “EXCELERATE” CORE PROCESS IMPROVEMENT • ENRICH our PATIENTS’ EXPERIENCE • Extend our Care Continuum • Engage our Community
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
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
Market & Competitive Assessment Des Cummings
Macro-Environment • Economic Trauma • Uninsured/Government pressure • Market Growth/Utilization • Competitive Challenges • National Health Care Reform
Labor Market Source: Florida Research and Economic Database
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
Florida 2006 2007 18.8% 19.4% 2005 17.9% 2003 15.4% Orlando Area Uninsured Population
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
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.
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
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
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
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
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
Stewardship and Resource Management Eddie Soler
Operational Performance Brian Paradis
Team Trends