PMH Employee Forums April 2, 2014. Patient Story.

PMH Employee Forums

April 2, 2014

Patient Story

QUALITY

• CORE MEASURES – “Perfect Scores”–Quarter 1 and 2, 2013 - 100%–Quarter 3, 2013 - 91.5% –Quarter 4, 2013 – 84%

• Immunizations = 94%• VTE = 90%• Evaluation of Ejection Fraction for HF – 88%

2014 Pillar GoalsPeople

Move planning for new

hospital - by year end each

dept will submit a plan

Reduce FT/PT

employee turnover:

Goal <=10% Started=11%YTD = 4.3%

Reduce FT/PT terms <1 yr : Goal <=17% Started=18%.

YTD = 6.1%

Service

ED: Coordination of care dimension

Goal =82% (90th %tile)2/14 = 71.6%

Patient satisfaction:In Patient: Coord of Care

Goal =73% 2/14 57.7

Operating Room: Continuity of Care: Goal = 91%

2/14 =83.3%Physical Comfort: Continuity of

Care: Goal =93%2/14 = 100%

Lab: Respect for patient preferences: Goal =94%

2/14 = 93.8%Coord.of Care: goal = 89%

2/14 = 100%Diagnostic Imaging: Coord.of

Care Goal = 89%Started =62.5%

Clinics: Info and Educ: Goal=97%2/14 = 92.3%

Access to Care: Goal = 84%2/14 = 70.8%

Coord. of Care = Goal =97% 2/14 = 76.9%

Quality

Achieve 100% on core

measures

Reduce patient falls

from .48/100 to .32/100

patient days

Improve hand hygiene to

95% Started 92%

2/14 92%

Introduce LEAN concept and training: Complete 4 projects in

2014

Finance

Improve current ratio from 1.5 to

2.25 excluding LOC

Feb = 2.55

Achieve operating

margin of 3%Feb = -0.59%

Achieve a positive cash

flow budget for 2014

Met – must acheive

Improve days cash on hand to CAH median of

17Start = 2Feb = 25

Identify $500,000 of new cash

opportunitiesFeb = $100K in 340B, $200K BCBS terms,

$200K Premier savings

Growth

Increase acute care census to 8 patients per day on acute

and ICUAs of

2/14=6.12

Increase swing bed ADC from

TBD to 1.85 (avg. for yr.)2/14 = 0.78

Increase outpatient clinic visits (PMFC and

Urgent Care)10%

Add specialty line of derm,

ortho, cardiology

Recruit addt'l family practice,

internal medicine

Increase surgical volume by 1.5%2/14 up 0.329%

Community

Continue to maintain

tracking of community

benefits.

Implement Community

Health Needs Assessment

Utilize speakers bureau at

least 12 times in 2014.

FinanceFINANCE Actual

PMH PMMG Foundation TotalGross Charges 44,359,434 449,988 - 44,809,422

Deductions (18,897,461) (182,255) - (19,079,716)Net Patient Revenues 25,461,973 267,733 - 25,729,706

Other Operating Revenues 296,348 33,145 260,860 590,353 Total Net Operating Revenue 25,758,321 300,878 260,860 26,320,059

Operating ExpensesSalaries and Wages 11,631,579 345,758 - 11,977,337 Employee Benefits 3,037,263 69,934 - 3,107,197 Purchased Services and Professional Fees 2,957,820 41,057 45,448 3,044,325 Medical Supplies 2,472,423 12,805 - 2,485,228

Depreciation 806,771 36,125 - 842,896 All Other 4,107,800 60,823 59,065 4,227,688 Total Operating Expenses 25,013,656 566,502 104,513 25,684,671

Net Income (loss) from Operations 744,665 (265,624) 156,347 635,388

Non operating revenue (expense) 80,506 - 26,578 107,084

Medicare EH R Incentive 155,585 - - 155,585

Medicaid EH R Incentive 84,228 - 84,228

Excess revenue over (under) Expenses 1,064,984 (265,624) 182,925 982,285

Affiliation Update

• Affiliation complete and effective February 28• This includes the construction loan financing of

$38.5mm w/ WesBanco• Business planning with MHS will begin this

month• We will be planning joint branding strategies

too • Of note, we will have 2 people representing

PMH on Mon Health System Board

New Hospital UpdateMilestone Description Start/Original Date Start Act/Proj Date • Mobilization 9/23/2013 9/23/2013 • Site Clearing 10/7/2013 10/7/2013 • Subgrade Main Drive 10/28/2013 10/21/2013 • Foundations 11/6/2013 11/11/2013 • Site Utilities 12/2/2013 11/11/2013 • Structure 12/19/2013 1/2/2014 • Roof Concrete 2/17/2014 3/17/2014 • Slab on Grade 1/17/2014 3/18/2014• Building Exterior 1/17/2014 1/30/2014 • Building Dry 6/2/2014 6/13/2014 • Partitions 5/15/2014 5/16/2014 • Owner Furnished Equipment 10/3/2014 10/6/2014 • Site Paving 9/1/2014 9/1/2014 • Testing and Balancing 10/31/2014 10/31/2014 • Punch-list 11/28/2014 12/26/2015 • Substantial Completion 1/26/2015 1/26/2015

New Hospital Update• Department furniture planning meetings will start on April 17th with

vendor• Contract awards for construction work 98% complete• Lost about 32 days work due to weather conditions

Major items and % completion at the end of February:– Site work about 65% – Steel 80%– Structural concrete 40%– HVAC plumbing 5%– Electrical 9%– Exterior veneer 13%

No Smoking Campus

• Our current policy applies to new location

• Campus is much larger, so it will not allow for breaks to leave campus

• Encourage employees to take advantage of Smoking Cessation opportunities being offered

Smoking Cessation

• Newsletter based program being offered every quarter (8 weeks long). Next class to begin next week. Sign up sheet being circulated or contact Dennis Lusin [email protected]

• Dr. Conley has agreed to order nicotine replacement for those enrolled in the program through Employee Health.

Thank You

• To Marsha Engman, Patient Access Specialist, who spent hours on her day off, on a Saturday to clean up cigarette butts on the adjacent city playground.

• Remember

Cigarette Butts are Litter

This slide contained a short video. For space, this video was eliminated from this slide show.

Stellar Ideas - What is it?

• Harvest staff ideas• Tap into creativity• Serve patients & each other better• Idea generation & implementation• Move PMH from Good to STELLAR!

Why?

• Stellar Ideas result in:– Improved clinical outcomes– Increased efficiency– Greater employee involvement– Increased satisfaction scores– Increased employee retention– Increased profitability

Examples

• Let’s use grit for more traction in the parking lot in the winter

• Save steps in Clinic A – placed a centrifuge there rather than running to lab

• Asking a Dental Clinic if they would send biopsies to the hospital’s lab

Who is eligible?

• All employees, including Directors• Administrative staff are excluded from the

program

Where to submit ideas:

• On the PMH Website• On paper – Stellar idea boxes by

Communicator Boards on each floor

How to submit ideas:

• On the PMH Website– Go to the Careers tab– Select Employees Only– User Name: [email protected]– Password: Preston

Information To Be Included:– Idea description– Pillar of Excellence affected– Cost savings (if any)– Date– Contributor(s) & department(s)

• Ideas may cover any area or department of the hospital, not just the person’s own department.

What happens to ideas?

• Submissions are received by the Ideas Evaluation Team (Kim Colebank, Melissa Conaway, Linda Flemmer)

• Categorized:– Possible implementation– Not possible– Not appropriate for this forum

What happens to ideas?

• Submissions are forwarded to a department manager for feedback on implementation – 1 week turn around

• Evaluation Team notifies the employee of the status of their idea within 30 days.

What happens to ideas?

• An idea may be:– Accepted & implemented– Accepted with a time frame for implementation– Closed – the idea cannot be implemented & the

reason why– Submitter may be contacted for more information

as the idea is evaluated– Referred to another leader for review

Recognition

• Award winners are recognized at department meetings

• Winners may receive different levels of awards– $3 cafeteria card– Choice of PMH Gear– Cash award at year end if there is significant

savings as a result of the idea

Recognition

• Quarterly, PIC selects the top idea submission for a “one time” extra vacation day

• Implemented ideas recognized on the Constellations Bulletin Board on the first floor

• Top Quarterly winners are recognized at the annual Employee Appreciation Banquet

Breakout Groups

• Form groups of 4-6 people.• Identify at least one Stellar Idea per person.• What are barriers to implementation?• How would you overcome these?• Prepare to discuss these in 15 minutes.