Employee Town Meetings August 2013

1. Employee Town Meetings August 2013

2. System Strength – Memorial Hospital of RI • All approvals are now complete, final closing expected early September • CNE will benefit from having MHRI in our system - they are a resource with strong programming that will help us be successful • MHRI will lead our system primary care efforts through the Center for Primary Care and Prevention • MRHI will benefit from our process improvement systems, especially in high cost areas

3. System Strength – Memorial Hospital of RI • Quality of the staff and the physicians is excellent • There is bed capacity that we can put to good use • They will become part of our Councils and will be integral in enabling us to move forward to transform the future of health care

4. Clinical Excellence – Patient Experience of Care • The GOOD News … • Med/Surg inpatient mean score 90.3, 98th percentile • NICU mean score 92.7, 95th percentile • The BAD News … • All inpatient mean score 85.8, 34th percentile • OB inpatient mean score 83.1, 5th percentile

5. Clinical Excellence – Patient Experience of Care

6. Clinical Excellence – Patient Experience of Care • HCAHPS Scores • Those who rate the hospital a 9 or a 10 – 68.9% (down from 77.7% last quarter) • Those who would recommend our hospital – 85.8% (up from 83.8% last quarter)

7. Clinical Excellence – Patient Experience of Care • This is our lowest inpatient and OB patient experience percentiles in a decade • There were fewer med/surg inpatients and a higher percentage of OB patients going into our overall inpatient score • Patient satisfaction scores will significantly impact our reimbursements in the future

8. Clinical Excellence – Patient Experience of Care • What are we doing about it? • Patient Complaints/Patient Feedback Committee • Analyzing patient comments and looking for trends and patterns (i.e. noise in the halls at night) • Patient, Family and Community Centered Care Manager • Rounding – Executive, Leadership and Comfort • Feedback from Advisory Councils

9. Competitive Developments Cost Estimator: Screening colonoscopy – facility fee only Low price             $920 Average               $2,568 Highest                 $2,791 (W&I) Bacterial culture – urine Low Price             $5 Average               $8 High price            $25 (W&I) CT scan with dye, abdomen and pelvis Low price             $302 Average Price    $923 High price            $3,972 (W&I)