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Tulare Regional Medical Center

Tulare Regional Medical Center. Reva Evero Jasmine Junnarkar Meyda Lengkong. April 20, 2012. Outline. Background on Organization Summary of Recommendations Overview of Current TRMC Strategy Action Plans For Recommendations Impact of Healthcare Reform Conclusion. Background on TRMC.

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Tulare Regional Medical Center

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  1. Tulare Regional Medical Center Reva Evero Jasmine Junnarkar Meyda Lengkong April 20, 2012

  2. Outline • Background on Organization • Summary of Recommendations • Overview of Current TRMC Strategy • Action Plans For Recommendations • Impact of Healthcare Reform • Conclusion

  3. Background on TRMC • Tulare Regional Medical Center (TRMC)is facing challenges that include: • Competitive Pressure • Physician Staffing • Financial Strains

  4. Summary of Recommendations • Expansion of current partnerships with academic medical centers • A pilot project to convert a clinic into Federally Qualified Health Center (FQHC) through an alliance with the public health department • Value based Quality Improvement (QI) Program

  5. Overview of CURRENT TMRC STRATEGY: Image renovation • Investing in state-of-the-art buildings and equipment to attract new physicians and patients • Partnering with other health care organizations • Expanding presence in rural areas • Focusing on community wellness

  6. Recommendation 1: Physician staffing • Action Plan: • Expanding linkage between University of Southern California (USC) and TRMC • Regain market share in select specialties through partnerships with USC • Establish rural focused residency programs • Revitalize image of TMRC as a leader in health care throughout the Central Valley

  7. Recommendation 1: Physician staffing • Specialists • Draw: New Facility, Latest in Medical Technology • Investing in Relationships with colleagues, leading physicians • Demand for Services • Primary Care Physician (PCP) • Loan forgiveness • Conversion to FQHC • Demand for Services • Patients • Better Quality of Care • More Access to Care

  8. Recommendation 2: FQHC conversion

  9. Recommendation 2: FQHC conversion • Conversion of Rural Health Clinic (RHC) to Federally Qualified Health Center (FQHC) • Promotion of Evolution Fitness and Wellness Center Tulare County Public Health Department TRMC

  10. Recommendation 2: FQHC conversion • Adapted from Medicare Payment Advisory Commission (MedPAC), Report to Congress: Medicare and the Health Care Delivery System (2011) www.medpac.gov/chapters/Jun11_Ch06.pdf • *Cited from Centers for Medicare & Medicaid Services (CMS), Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases (2012) www.ngsmedicare.com/

  11. Recommendation 2: FQHC conversion • Adapted from Medicare Payment Advisory Commission (MedPAC), Report to Congress: Medicare and the Health Care Delivery System (2011) www.medpac.gov/chapters/Jun11_Ch06.pdf

  12. Recommendation 2: FQHC conversion May 2012 August 2012 November 2012 November 2013

  13. Recommendation 2: FQHC conversion • Adapted from Office of Statewide Health Planning and Development (OSHPD), 2010 Tulare Regional Medical Center Annual Financial Disclosure Report http://siera.oshpd.ca.gov/annualfinancial.aspx

  14. Recommendation 3: QI Program • Action Plan: • Develop an organization wide Quality Improvement (QI) program in anticipation of Medicare Hospital Value-based Purchasing

  15. Recommendation 3: QI Program • Adapted from Office of Statewide Health Planning and Development (OSHPD), 2011 Tulare Regional Medical Center Annual Financial Disclosure Report http://siera.oshpd.ca.gov/annualfinancial.aspx

  16. Recommendation 3: QI Program • System wide change thru: • Defining quality metrics based on Center for Medicare and Medicaid Service (CMS) measures • Facilitate physician and staff involvement • Utilization of new health information system • Holding departments accountable • Monthly review of quality performance • Quarterly review of financial metrics • Incentivize meeting performance targets

  17. Recommendation 3: QI Program

  18. Recommendation 3: QI Program • Establishes TRMC as a leader in quality within the community • Increases physician and staff alignment • Improves coordination of patient care • Improves hospital efficiency • Reduces waste and associated costs

  19. Impact of Healthcare Reform Increased quality 1) Expansion of partnership with Academic Medical Center 2) Alliance with Tulare County Public Health for FQHC conversion 3) Quality Improvement program using HIS • Quality • Value • Vertical Integration Increased value Healthcare Reform Increased vertical integration

  20. CONCLUSION Quality Customer Service Compliance/Ethics Finance/Efficiency People Growth Community TRMC

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