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Arizona Rural Hospital Flexibility Program

Arizona Rural Hospital Flexibility Program . Using Flex Monitoring Team (FMT). Financial Indicator Reports to Support Arizona CAHs. National Conference of State Flex Programs July 11, 2012. Kevin Driesen, PhD & Howard Eng, DrPH Arizona Rural Hospital Flexibility Program.

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Arizona Rural Hospital Flexibility Program

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  1. Arizona Rural Hospital Flexibility Program • Using Flex Monitoring Team (FMT) Financial Indicator Reports to Support Arizona CAHs National Conference of State Flex ProgramsJuly 11, 2012 Kevin Driesen, PhD & Howard Eng, DrPH Arizona Rural Hospital Flexibility Program

  2. Arizona-Flex

  3. FMT Financial & Operational Indicators

  4. What do the indicators mean?

  5. Proposed Outpatient Expansion

  6. Use in Arizona • Support hospital management • Reports sent to 11/14 AZ-CAH, CFOs & CEOs • Useful for Board members • Peer, state, and national comparisons • Data limits • Information is 2-years-old, limits utility for real-time management • Some missing and unlikely values • Support AZ-Flex program development • Reports printed & sent • Webinar with Sheps Center Faculty • Contact distressed hospitals (2012) • Guidance for site visits • Identify distressed hospitals (3), target resources • Identify Arizona best practice hospitals • Track by year, distribute compendium at annual PI Summit • Support state advocacy

  7. Distress Model Predictions • Three AZ-CAHs distressed • Within 6 months • One hospital laid off 21 employees • One hospital CEO fired • One CAH-based LTC closed

  8. Distress Model – Predictive Value

  9. Distressed Hospital: Days in Accounts Receivable

  10. Distressed Hospital: Days Cash-on-Hand

  11. Benchmark to AZ-CAH Best Practice:Days in Accounts Receivable 63

  12. AZ-US Comparison: Total Margin, 2004-2009 Source: Cecil G. Sheps Center CAH Financial Indicators Reports

  13. AZ-US Comparison: Days Cash on Hand Source: Cecil G. Sheps Center CAH Financial Indicators Reports

  14. AZ-Flex Program Evaluation:$ Margin & # Licensure Citations

  15. AZ-Flex Program Evaluation:CAH Negative Margin

  16. Arizona Rural Hospital Flexibility Program • Thank you! Kevin Driesen, PhD & Howard Eng, DrPH Arizona Rural Hospital Flexibility Program kdriesen@email.arizona.edu aeng@ahsc.arizona.edu (520) 626-5837 (520) 626-5840

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