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Alameda County Medical Center 5th Annual Meeting January 25, 2011

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Alameda County Medical Center 5th Annual Meeting January 25, 2011

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    1. Alameda County Medical Center 5th Annual Meeting January 25, 2011

    3. Alameda County Medical Center

    5. This year’s theme, A Legacy of Care, showcases the amazing history of the Alameda County Medical Center and its enduring place in this region for the past 146 years, since Fairmont Hospital’s start in 1864 and Highland Hospital’s opening in 1927. Throughout its history, ACMC has always been mission driven, dedicated to improving the health of all county residents without regard for ability to pay. In 2011, we are building for a new era of health care delivery, both in terms of new structures (Highland Satellite Building) and equipment, (angio/cardiac cath lab) as well as electronic medical record and patient care innovations. All these initiatives build on a very long tradition of caring for the entire community and training the community’s future providers to carry the legacy forward. This year’s theme, A Legacy of Care, showcases the amazing history of the Alameda County Medical Center and its enduring place in this region for the past 146 years, since Fairmont Hospital’s start in 1864 and Highland Hospital’s opening in 1927. Throughout its history, ACMC has always been mission driven, dedicated to improving the health of all county residents without regard for ability to pay. In 2011, we are building for a new era of health care delivery, both in terms of new structures (Highland Satellite Building) and equipment, (angio/cardiac cath lab) as well as electronic medical record and patient care innovations. All these initiatives build on a very long tradition of caring for the entire community and training the community’s future providers to carry the legacy forward.

    6. Our central role as a medical provider speaks to….Our central role as a medical provider speaks to….

    7. Alameda County Medical Center is committed to maintaining and improving the health of all County residents, regardless of ability to pay. The Medical Center will provide comprehensive, high quality medical treatment, health promotion, and health maintenance through an integrated system of hospitals, clinics and health services staffed by individuals who are responsive to the diverse cultural needs of our community. The Medical Center, as a training institution, is committed to maintaining an environment that is supportive of a wide range of educational programs and activities. Alameda County Medical Center will be recognized as a leading integrated health care system available to all residents of Alameda County. We will champion expansion of health care coverage and access to help reduce health disparities with the County’s diverse communities. Our mission and vision speaks to ACMC’s unique contribution to the well being of the entire county. Our mission and vision speaks to ACMC’s unique contribution to the well being of the entire county.

    8. ACMC is a health system of hospitals and ambulatory clinics. What some would describe as the medical home model of the future.ACMC is a health system of hospitals and ambulatory clinics. What some would describe as the medical home model of the future.

    9. 2010 was a year of ………..2010 was a year of ………..

    10. All who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMCAll who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMC

    11. Throughout 2010 our Service Volumes and Average Daily Census have remained virtually the same as the previous year….Throughout 2010 our Service Volumes and Average Daily Census have remained virtually the same as the previous year….

    12. Increases in outpatient volumes at freestanding health centers. Increase in emergency department visits at Highland and John George Psychiatric PavilionIncreases in outpatient volumes at freestanding health centers. Increase in emergency department visits at Highland and John George Psychiatric Pavilion

    13. While our unduplicated indigent patients has dropped slightly, Measure A funds dropped by ________ in fiscal 2010 While our unduplicated indigent patients has dropped slightly, Measure A funds dropped by ________ in fiscal 2010

    14. All who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMCAll who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMC

    15. A look back to 2007 shows ……….. A look back to 2007 shows ………..

    16. All who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMCAll who work and support our medical center understand the great responsibility that comes as the fiscal steward of ACMC

    17. Completion of $2.66 Million Capital Campaign Cardiac Catheterization & Angiography Suite

    18. Quality Enhancements: Surgical Care Heart Care Psychiatric Care Readmission Rates Service Enhancements Inpatient Satisfaction Clinical Efficiency Efficiency Improvements Staffing Pharmacy Workforce Improvements: Reduced Turnover Higher Staff Satisfaction Enhanced Physician Satisfaction Access Enhancements: Increased Outpatient Volume Reduced Wait Times We are also proud of the demonstrated successes we have achieved. We know that we are continuing to build on a foundation established a few years ago. We are also proud of the demonstrated successes we have achieved. We know that we are continuing to build on a foundation established a few years ago.

    19. ACMC Highlighted Among CA Hospitals

    20. Highland Campus Rebuild

    21. Highland Hospital Campus 2017

    22. There is no better way to tell the story of Alameda County Medical Center than through the words and experiences of our patients.There is no better way to tell the story of Alameda County Medical Center than through the words and experiences of our patients.

    23. This year’s theme, A Legacy of Care, showcases the amazing history of the Alameda County Medical Center and its enduring place in this region for the past 146 years, since Fairmont Hospital’s start in 1864 and Highland Hospital’s opening in 1927. Throughout its history, ACMC has always been mission driven, dedicated to improving the health of all county residents without regard for ability to pay. In 2011, we are building for a new era of health care delivery, both in terms of new structures (Highland Satellite Building) and equipment, (angio/cardiac cath lab) as well as electronic medical record and patient care innovations. All these initiatives build on a very long tradition of caring for the entire community and training the community’s future providers to carry the legacy forward. This year’s theme, A Legacy of Care, showcases the amazing history of the Alameda County Medical Center and its enduring place in this region for the past 146 years, since Fairmont Hospital’s start in 1864 and Highland Hospital’s opening in 1927. Throughout its history, ACMC has always been mission driven, dedicated to improving the health of all county residents without regard for ability to pay. In 2011, we are building for a new era of health care delivery, both in terms of new structures (Highland Satellite Building) and equipment, (angio/cardiac cath lab) as well as electronic medical record and patient care innovations. All these initiatives build on a very long tradition of caring for the entire community and training the community’s future providers to carry the legacy forward.

    24. CA Budget Crisis Congressional Rancor Sluggish Economy Growing Underserved Pop The approved state ballot propositions have forced the State to make additional budget cuts in the current fiscal year. Prop22 – handcuffs the state’s ability to adjust funding for local government redevelopment & transportation project services – thus forcing greater cuts to health & education in bad budget times. Budget impact :: $1Billion => resulting in additional cuts to health & education Prop26 – makes it harder to get corporations to pay for environmental & health harm they cause, leaving these costs to be paid by taxpayers. Budget impact :: $1Billion => cuts to health, education and other key services Medi-Cal new patient co-pays $100/day for hospital stays, up to a maximum $200 • $50 co-payment for emergency room visits • $5 co-payment for doctor visits and prescriptions The approved state ballot propositions have forced the State to make additional budget cuts in the current fiscal year. Prop22 – handcuffs the state’s ability to adjust funding for local government redevelopment & transportation project services – thus forcing greater cuts to health & education in bad budget times. Budget impact :: $1Billion => resulting in additional cuts to health & education Prop26 – makes it harder to get corporations to pay for environmental & health harm they cause, leaving these costs to be paid by taxpayers. Budget impact :: $1Billion => cuts to health, education and other key services Medi-Cal new patient co-pays $100/day for hospital stays, up to a maximum $200 • $50 co-payment for emergency room visits • $5 co-payment for doctor visits and prescriptions

    25. Expanded Clinic Access CA Medi-Cal Waiver Cardiac Catheterization- Angiography Suite Electronic Health Record Project Patient Safety Initiatives Lean-Six Sigma Initiative The approved state ballot propositions have forced the State to make additional budget cuts in the current fiscal year. Prop22 – handcuffs the state’s ability to adjust funding for local government redevelopment & transportation project services – thus forcing greater cuts to health & education in bad budget times. Budget impact :: $1Billion => resulting in additional cuts to health & education Prop26 – makes it harder to get corporations to pay for environmental & health harm they cause, leaving these costs to be paid by taxpayers. Budget impact :: $1Billion => cuts to health, education and other key services Medi-Cal new patient co-pays $100/day for hospital stays, up to a maximum $200 • $50 co-payment for emergency room visits • $5 co-payment for doctor visits and prescriptions The approved state ballot propositions have forced the State to make additional budget cuts in the current fiscal year. Prop22 – handcuffs the state’s ability to adjust funding for local government redevelopment & transportation project services – thus forcing greater cuts to health & education in bad budget times. Budget impact :: $1Billion => resulting in additional cuts to health & education Prop26 – makes it harder to get corporations to pay for environmental & health harm they cause, leaving these costs to be paid by taxpayers. Budget impact :: $1Billion => cuts to health, education and other key services Medi-Cal new patient co-pays $100/day for hospital stays, up to a maximum $200 • $50 co-payment for emergency room visits • $5 co-payment for doctor visits and prescriptions

    26. Develop Clinical Integration Strategy Successfully Implement Electronic Health Record Systems Raise Community Perception Enhance Quality Services Across all Services Increase Employee Engagement Increase Patient Satisfaction Create Long-term Financial Viability Plan Successfully Execute Highland Rebuild Project and Fairmont Rehab Replacement As previously mentioned, ACMC utilizes the Pillars of Success to organize strategic priorities each year. Quality Enhancement - Clinical Integration and implementation of our Electronic Health Record Systems Community/Image Enhancement is an effort we have undertaken in order to raise Community Perception of the quality of care delivered at ACMC Enhancing Quality Service across all service lines is an enduring effort to continuously improve the patient experience. We believe that an educated work force creates a healthy culture for the employee and the patient. We believe that a long term financially viable plan is key to keeping the doors our medical center open to all who need us. We are proud of the fact that we are building a new hospital in partnership with the Alameda County Board of Supervisors. We thank all of you who are here tonight that participated in the successful raising of the first $330 million of the building fund. As previously mentioned, ACMC utilizes the Pillars of Success to organize strategic priorities each year. Quality Enhancement - Clinical Integration and implementation of our Electronic Health Record Systems Community/Image Enhancement is an effort we have undertaken in order to raise Community Perception of the quality of care delivered at ACMC Enhancing Quality Service across all service lines is an enduring effort to continuously improve the patient experience. We believe that an educated work force creates a healthy culture for the employee and the patient. We believe that a long term financially viable plan is key to keeping the doors our medical center open to all who need us. We are proud of the fact that we are building a new hospital in partnership with the Alameda County Board of Supervisors. We thank all of you who are here tonight that participated in the successful raising of the first $330 million of the building fund.

    27. Health Care Reform Provides an unprecedented opportunity for Public Hospitals Health care reform expands access to care for 32 million Americans. It gives those of us in the public hospital industry the opportunity to continue to reinvent ourselves and leverage our key attributes. For example, many of our systems have well developed Medical Home models, which many believe will be the center piece for a better health care system for our country. Utilizing a medical home model, public hospitals will be able to rely upon the great integration we have between our doctors, hospitals and clinics – a benefit to all. Health care reform expands access to care for 32 million Americans. It gives those of us in the public hospital industry the opportunity to continue to reinvent ourselves and leverage our key attributes. For example, many of our systems have well developed Medical Home models, which many believe will be the center piece for a better health care system for our country. Utilizing a medical home model, public hospitals will be able to rely upon the great integration we have between our doctors, hospitals and clinics – a benefit to all.

    28. Impact of Reform on ACMC Evolving Role for Safety Net Health Systems Declining Subsidies Increased Focus on Patient’s Choice More Transparency Demonstrated Outcomes There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….

    29. The Focus of the Future There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….

    30. Long Term Vision: ACMC 2020 & Beyond Strategic & Financial Planning Perception & Branding System & Clinical Integration Physician Alignment There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….There are many organizations reporting health care statistics, what we know for sure is that demand for medical care will continue to go up. The National Association of Public Hospitals reported a 9% increase in patient volumes in 2009………….

    31. 2006 – 2010 Annual Themes

    33. “It is not the strongest of the species that survives, nor the most intelligent. It is the one that is the most adaptable to change.” As we look forward, our primary goal is to establish a solid future for ACMC in this ever evolving health care reform environment. As we look forward, our primary goal is to establish a solid future for ACMC in this ever evolving health care reform environment.

    35. Alameda County Medical Center

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