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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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