©2019 Cardiovascular Institute of the South, All Rights Reserved. Journey to an OIS David Konur, FACHE Chief Executive Officer OEIS Conference, St. Petersburg, FL April 6, 2019 Craig Walker, MD Founder, CMO
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Journey to an OISDavid Konur, FACHEChief Executive Officer
OEIS Conference, St. Petersburg, FLApril 6, 2019
Craig Walker, MDFounder, CMO
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Disclosures
Nothing to disclose
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Healthcare Reform in the News
Harper’s Magazine
October 1960• “The crisis of the uninsured”• “Soaring cost”• “Over-utilization of services”• “Find something to replace fee-for service
system”
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Over
700Staff
Employees*Over 800 Total
Over
40NPs
Over
60 Physicians
• Clinics: 242,053• Hospital: 80,002• Telecardiology: 814
Patient Visits = 322,055*
Hospital Procedures = 27,301*• Includes Cath Lab & EP
25 Locations
*Telecardiology & Clinics
2States
*LA & MS Visits & Procedures: February 1, 2018 – January 31, 2019
CIS Today
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CIS Markets
• 18 Clinic Locations • 7 Telecardiology Programs
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We Believe Size Matters
“To determine our destiny”
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We touch a patient every minute of every day
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Physicians rarely invest in innovation until there is a proven payer source
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© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Published - January 18, 2016
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Current Hospital Partners
1. Terrebonne General Medical Center – Houma, LA (1986)
2. Opelousas General Medical Center – Opelousas, LA (2003)3. Lane Regional Medical Center – Zachary, LA (2006)
4. Lady of the Sea General Hospital – Galliano, LA (2009)
5. Lafayette General Medical Center – Lafayette, LA (2011)
6. St. Martin General Hospital – Breaux Bridge, LA (2012)
7. Thibodaux Regional Medical Center – Thibodaux, LA (2013)8. University Hospital and Clinics/LSU – Lafayette, LA (2013)
9. Baton Rouge General Medical Center – Baton Rouge, LA (2015)
10.Abrom Kaplan Hospital – Kaplan, LA (2016)
11.Acadia General Hospital – Crowley, LA (2016)
12.Anderson Regional Medical Center – Meridian, MS (2017)13.Jennings American Legion Hospital – Jennings, LA (2017)
14.Allen Parish Hospital – Kinder, LA (2018)
Co-Management and/or Telecardiology Agreements
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Consumerismis Changing Healthcare
• High Deductible Plan• Forcing Consumers to Shop– Accessing Online Medical Services– Biometric Use Skyrocketing– Internet and Awareness
• “I want, What I want!”• I don’t want to go to hospital if I have a Choice!!
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Driving Forces
Physician Perspective• Frustration w/Hosp. Policy• Road blocks to Teaching• Patient Expense/Experience• Inventory Selection• Staffing/Processes
Management Perspective• Frustration w/Hosp.• Recruiting• Competitive Advantage• Financial Diversification• Capital Decision Making
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OBL Opened in May 2017- Treated 1,517 Patients- Performed 4,075 Procedures
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© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
OBL Procedure Mix 2018
47%
19%
9%
7%
6%
6%5%
2018 OBL Procedures
Peripheral Arterial Diagnostics
Arterial Atherectomy Only
Arterial Atherectomy & Stent
Arterial PTA
Peripheral Venous Diagnostics
Venous Stent
Arterial Stent Only
88% Peripheral Arterial – 12% Venous
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
All Procedures
3,291
3,046 3,131 2,939
3,775 3,7984,051 3,943
3,8154,023
3,508 3,586 3,651
0 0 0 0 0135
356487 553
686 626 681551
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
Qtr 1 2016
Qtr 2 2016
Qtr 3 2016
Qtr 4 2016
Qtr 1 2017
Qtr 2 2017
Qtr 3 2017
Qtr 4 2017
Qtr 1 2018
Qtr 2 2018
Qtr 3 2018
Qtr 4 2018
Qtr 1 2019
Hospital vs. OBL All Procedures
Hospital CIS OBL Linear (Hospital)
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Peripheral Procedures
406
294
403 396
330
398
487444 462
602
485
419
505
0 0 0 0 0
135
356
487
553
686
626
681
551
0
100
200
300
400
500
600
700
800
Qtr 1 2016
Qtr 2 2016
Qtr 3 2016
Qtr 4 2016
Qtr 1 2017
Qtr 2 2017
Qtr 3 2017
Qtr 4 2017
Qtr 1 2018
Qtr 2 2018
Qtr 3 2018
Qtr 4 2018
Qtr 1 2019
Hospital vs. OBL Peripheral Procedures
Hospital CIS OBL Linear (Hospital)
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Patient Satisfaction
OBL
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The Future of OIS
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Houma Market-Hybrid OIS
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Houma Market-2 Cathlabs
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Houma Market
Corindus
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Conclusions
• OIS’s Raise the standard of care– Provide greater access to care– Improved outcomes– Lower cost– More convenient– Do not cannibalize hospitals
• Coronary space is next
“Which is what our patients want and is in line with the Healthcare Debate since at least 1960!”
© 2 0 1 9 C a r d i o v a s c u l a r I n s t i t u t e o f t h e S o u t h , A l l R i g h t s R e s e r v e d .
Thank you!
David Konur, FACHEChief Executive Officer
Craig Walker, MDFounder, CMO