1 / 36

Strategic Initiative with

Strategic Initiative with. and. Partnership Benefits for Bert Fish Medical Center and South East Volusia County. Health Management ’ s Mission of Enabling America’s Best Local Healthcare – Our focus is supporting South East Volusia communities

efuru
Download Presentation

Strategic Initiative with

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Strategic Initiative with and

  2. Partnership Benefits for Bert Fish Medical Center and South East Volusia County • Health Management’s Mission of Enabling America’s Best Local Healthcare – Our focus is supporting South East Volusia communities • Health Management’s state wide presence in Florida and locally on the East Coast connecting physicians and hospitals systems like Bayfront, Shands, and Orlando Health • Health Management’s results for being a leader in both quality driven health care and healthy operations

  3. Bert Fish Medical Center Proposal Highlights • Health Management leases assets and operations of Bert Fish Medical Center for $50,000,000 in cash, spends at least $40 million in capital spending and offers Joint Venture option which includes 50/50 Governance • Pay annual property taxes like all other businesses and end community health care tax after 7 years • All staff employees stay at same title and pay • Bert Fish Medical Center keeps its charity care policy and mission to serve the poor • Clinical Affiliation with Orlando Health

  4. Mission and Vision Gary Newsome President and Chief Executive Officer • About Health Management • Mission, Vision, and Values • Quality Enabling America’s Best Local Health Care

  5. Guiding Principles MISSION: ENABLING AMERICA’S BEST LOCAL HEALTH CARE. We are servant leaders. We do the right thing. We don’t settle. PEOPLE SERVICE QUALITY INNOVATION FINANCE GROWTH

  6. About Health Management • One of world’s most admired companies in Health Care • No. 1 company in Quality of Products / Services • No. 1 in Social Responsibility • 70 facilities in 15 states • +40,000 Associates • +10,000 Physicians • A focus on mid-sizedcommunities • Located primarily inthe Southeastern U.S. including 22 hospitals in Florida • Strong presence in markets with high retirement populations States with Health Management Presence Not-for-profit Joint Ventures / Affiliations

  7. Florida Network of Hospitals Shands: Lake Shore, Live Oak, Starke Bert Fish Medical Center Wuesthoff - Rockledge Bayfront Medical Center Wuesthoff - Melbourne Sebastian River St. Cloud RMC / Orlando Health

  8. Health Management AssociatesLocal Hospitals, National Recognition • 58 hospitals/health systems are Joint Commission accredited and have received The Gold Seal of ApprovalTM. • 41 hospitals/health systems were recognized as 2011 Top Performers on Key Quality MeasuresTMby The Joint Commission. • 7 hospitals/health systems are certified as Primary Stroke Centers by The Joint Commission. • 18 hospitals/health systems have received chest pain center accreditation by the Society of Cardiovascular Patient Care (formerly known as the Society of Chest Pain Centers).

  9. Vision for Nursing:Perspective from Six Pillars at Health Management • People • Clinical Leader Program • Development of ACNO Program • CNE Orientation and Development • CNE Annual Conference • National Nursing Leadership Group • Service and Quality • Alignment with disciplines throughout the company to enhance quality outcomes • Nursing leads Corporate Patient Safety Committee • Nursing Sensitive Scorecard • Patient Safety Scorecard • Disseminate best practices through various mechanisms • Development of local collaborative interdisciplinary team model

  10. Information Technology Integration • Information Technology Integration • Base system integrates with existing platformsincluding Meditech • Hospital • Base system integrates with other ancillary, billing,and financial systems with minimal disruption • Physician Clinics • Athena Health for EMR and practice management systems • Meaningful Use – Fully implemented in 2012

  11. Bert Fish Medical Center Strategy Kathy Burke Division CEO South Florida • HMA East Coast Network • Market Share Opportunity • Quality Outcomes • Managed Care and Accountable Care • Business Plan

  12. Health Management AssociatesLocal Hospitals, National Recognition Florida Recognition • Six hospitals/health systems (seven locations) are certified as Primary Stroke Centers by AHCA (Agency for Health Care Administration). • Five hospitalsare certified as Primary Stroke Centers by The Joint Commission. • Threehospitals/health systems (three locations) have received chest pain center accreditation by the Society of Cardiovascular Patient Care; one hospital with chest pain accreditation by AHCA • 13hospitalswere recognized as 2011 Top Performers on Key Quality MeasuresTMby The Joint Commission.

  13. Health Management AssociatesLocal Hospitals, National Recognition Florida Medical Quality Assurance Inc. - Patient Safety Award 2008-2011 First and only Certification Gynecological Surgical Center of Excellence in Florida; Only comprehensive stroke center in SW Florida HealthGrades: America’s Best 100 Hospitals, 2012 Distinguished Hospital Award for Clinical Excellence 2010, 2011, 2012 Blue Distinction for Hips and Knees by Florida Blue (2012); Breast Imaging Center of Excellence by the American College of Radiology (2012) Get With the Guidelines Stroke Gold Plus Award and Heart Failure Silver Award

  14. Health Management in Florida’s East Coast Rockledge Melbourne Sebastian

  15. Health Management East Coast Physician Network • A Different Business with Different Metricsrequiring Different Leadership • Provide physicians with viable bestpractice options • Over 1,500 medical staff physicians • 113physician & midlevel associates • More than 375 associates • 64 locations throughoutSpace Coast • 350,000 annual patientencounters • $59.2 Million Net Revenue

  16. Patient Egress from South East Volusia Nearly 70% of patients from South East Volusia county leave the area for patient care services Source: Florida inpatient data Jan 2011-Dec 2011 The Nielsen Company & Thomson Reuters

  17. Health Care Quality Data Opportunities for Improvement Risk-Adj Mortality Composite%* Core Measures Mean Percent* HCAHPS Score % Top Box** Sources: * Whynotthebest.org 2-21-13 ** Hospitalcompare.com 2/21/13

  18. Improving Quality and Customer Satisfaction at Bert Fish Medical Center • Bench mark quality and operations results for hospital and medical staff with 70 other hospitals and 10,000 physicians • Collaborate with Health Management’s Florida hospitals for best practices in quality and operations • Adopt advanced Clinical Protocols from Orlando Health and Shands Healthcare in Chest Pain and Stroke to expand facility services

  19. Strategic Responses to New Payment Methodologies Managed Care –Keeping Bert Fish Independent and Connected Value Based Purchasing Hospital-Physician Bundling Pay-for-Performance Shared-Savings Model • Partner with PCPs • Deliver preventive & chronic disease management • Reduce utilization • Implement evidence base guidelines • Disease Registries • Care Managers Degree of Management Challenge • Standardize devices • Implement care maps • Reduce orders and consults • Engage physicians • Standardize care processes • Engage patients • Track and analyze performance • Leverage physician incentives Actions needed under all payment reforms Provider Cost Accountability Source: Advisory Board

  20. Bert Fish Medical Center Business Strategy • Adding Bert Fish to Health Management’s Statewide and Local Insurance Plan Networks including future ACOs with Orlando Health and Shands Healthcare • Establish large network of Primary Care Physicians including private and employed physicians and free standing ERs North and South of Bert Fish Medical Center • Enhance Service Lines – Capital Spending and Physician Recruitment • Cardiology – Expand and Market Chest Pain Center • Stroke – Expand and Market Stroke Center • Surgery – Add robotics services for Orthopedics and daVinci

  21. Partnership Proposal • Business Terms • Joint Venture Option • Governance Pete Lawson Executive Vice President Enabling America’s Best Local Health Care

  22. Bert Fish Medical Center Proposal Highlights • Health Management leases assets and operations of Bert Fish Medical Center for $50,000,000 in cash, spends at least $40 million in capital spending and offers Joint Venture option which includes 50/50 Governance • Pay annual property taxes like all other businesses and end community health care tax after 7 years • All staff employees stay at same title and pay • Bert Fish Medical Center keeps its charity care policy and mission to serve the poor • Clinical Affiliation with Orlando Health

  23. Estimated Flow of Funds to SE Volusia Hospital District Cash From Lease Payment $50,000,000 Plus Inventory and Pre-Paids 2,600,000 Total Cash From HMA $52,600,000 +Plus Current Assets 23,200,000 +Plus Limited and Other Assets 8,500,000 Less Current Liabilities (12,600,000) Long Term Debt (21,500,000) Net Proceeds Following Transaction $50,200,000 Notes: August 31, 2012 unaudited balance sheet Pension obligation not required to be paid off at closing

  24. Bert Fish Medical Center Governance • Advisory Board permanent seats include designated: • One (1) Southeast Hospital District Member • One (1) Bert Fish Foundation Member

  25. Bert Fish Medical Center Advisory Board • Comprised of Local Community Leaders, Physician Representatives and Hospital CEO • Typically comprised of 9-13 members: 60% lay members and 40% physicians • One (1) permanent member of the District and one (1) from the Bert Fish Foundation • Establishes strategic direction • Oversight for regulatory compliance (JCAHO, State, CMS) and patient safety • Ensures quality of care and Medical Staff credentials • Collaborates on operational objectives • Serves as community liaisons and communication champions

  26. Health Management Not-for-Profit Partnerships • Clinical Component • Access to Teaching Center Physicians • Disease Management Protocols • Clinical Trials • Clinical Care Guidelines • Telemedicine • Business Component • Common Branding and Shared Logo • Physician Recruitment • Service Expansion • Capital Spending • Network Platform

  27. Joint Venture Option – 80/20 Ownership and Equal Governance SEVHD receives cash and leases BFMC assets and operations to HMA and New Not For Profit holds 20% Health Management Associates SEVHD – New Not For Profit BFMC, LLC • Creates BFMC, LLC which holds assets and operations of BFMC • Health Management contributes cash and receives 80% interest of BFMC, LLC • Health Management manages LLC • SEVHD receives accelerated lease payment and new NFP holds 20% interest of BFMC, LLC • SEVHD maintains equal governance with Health Management of BFMC, LLC Equal Governance

  28. Bert Fish Medical Center, LLC Board of Directors Governance • Comprised of 4 Health Management and 4 SE Volusia Hospital District Members governing jointly • Major, Majority, and Unanimous Decision Rights detailed in Operating Agreement including: • Annual Operating and Capital Budgets • Acquisition of other businesses • Capital calls • Debt defeasement or addition • Distribution amounts • New Member additions • Dissolution and Unwinds • Puts and Calls

  29. Estimated Partnership Flow of Funds to SE Volusia Hospital District Cash From Lease Payment $50,000,000 Plus Inventory and Pre-Paids 2,600,000 Total Cash From HMA $52,600,000 +Plus Current Assets 23,200,000 +Plus Limited and Other Assets 8,500,000 Less Current Liabilities (12,600,000) Long Term Debt (21,500,000) -Less 20% ownership of Joint Venture (10,500,000) Net Proceeds Following Transaction $39,7000,000 Notes: August 31, 2012 unaudited balance sheet Pension obligation not required to be paid off at closing

  30. Ending Health Care Tax (HMA) v. Keeping Tax (Halifax)

  31. Partnership Benefits for Bert Fish Medical Center and South East Volusia County • Health Management’s Mission of Enabling America’s Best Local Healthcare – Our focus is supporting South East Volusia communities • Health Management’s state wide presence in Florida and locally on the East Coast connecting physicians and hospitals systems like Bayfront, Shands and Orlando Health • Health Management’s results for being a leader in both quality driven health care and healthy operations

  32. Discussion and Feedback

  33. Partnership References • Sherrie Sitarik – CEO • Orlando HealthOrlando, FL • (407) 841-5203 • Tim Goldfarb – CEO • Shands HealthcareGainesville, FL • (352) 265-8000 • James Keaton, MD - Vice-Chancellor • University of MississippiMedical Center • (601) 984-1010 • David Knowiski – VP of Finance • Catholic Health PartnersCincinnati, OH • (513) 639-2722 • Bruce Lawrence – CEO • Integris HealthOklahoma City, OK • (405) 949-3177 • Steve Dupre – Vice Chairman • Bayfront Medical CenterSt. Petersburg • (727) 824-0017

  34. Case Study:University of Florida / Shands Healthcare Partnership • Health Management Invested Capital in Yr 1: $6M • Public Hospital Authority contributed additional $2M for renovations • Renovated ICU • Renovated first floor • da Vinci robotic surgery • Open MRI • New Services • Recruited 16 new physicians • Live Oak - Cardiology • Starke – General Surgery, Gyn • Lake Shore – Interventional Radiology, Neurology, Orthopedics Shands Lake Shore Regional Medical Center • Health Management acquired 60% ownership in 2010 • Shands Lake Shore, Live Oak, and Starke • Both organizations share governance equally • Health Management manages the partnership • State wide Chest Pain and Stroke programs

  35. Case Study:St. Cloud Regional Partnership • Capital Invested ($16M since ‘06) • Land Acquisition for MOB (4.56 acres) • GE 64-slice CT Scanner • OR Expansion: 4 MIS ORs • ER Renovation/New Fast Track • Digital Mammography • Da’Vinci Robotic Surgery • New Services • Recruited 24 new physicians (‘09-12) • Wound Care w/ HBOT • ENT, Ophthalmology & Uro-gynecology • Partnerships with Jewett Orthopaedic Clinic & Orlando Heart Institute • Developing Outpatient Center in Lake Nona including ASC, Urgent Care, Imaging Center and Physician Offices • 84 bed hospital formerly part of the Orlando Regional Health System • Health Management acquired 80% majority interest in 2006 • Current Projects under development: Build New 24 Bed ED and Cardiac Cath Lab

  36. Case Study:Wuesthoff Health System – Rockledge & Melbourne, FL • Vertical Integration • Assisted Living Centers • Nursing Homes • Skilled Nursing Facilities • Home Care • Hospice & Palliative Care • Acute Care • Surgery and Imaging Centers • Home Medical Equipment • Regional Reference Lab • Physician Relationships • Focus on “splitter” physicians • 83 employed physicians • Recruited Osler Medical Group • 47 multi-specialty physicians Wuesthoff Health System – Rockledge Fiscal Year 2011

More Related