annual report to the health commission...subtitle title 1 fy 2014-2015 annual report to the health...
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Subtitle
Title
1
FY 2014-2015Annual Report to the Health
Commission
The Laguna Honda Community
Laguna Honda Hospital and Rehabilitation Center
San Francisco Health Network
Department of Public Health
December 15, 2015
Vision Statement, 2000Laguna Honda Hospital Replacement Program
“To provide housing and community-style living, with thehighest level of independence for Laguna Honda’shundreds of residents by constructing the mosttechnologically advanced, efficient, flexible, humane andnatural facility in the world.”
In 2000
Service to San Franciscans
“To provide housingand community-style living, with the
highest level of independencefor Laguna Honda’s hundredsof residents by constructingthe most technologicallyadvanced, efficient, flexible,humane and natural facility inthe world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
1578
1410
11841105 1140
12571192 1218
1290
0
200
400
600
800
1000
1200
1400
1600
1800
#o
fR
esid
ents
Fiscal Year
Unique Individuals Served Per Fiscal Year
BedCapacity:915
BedCapacity:1125
BedCapacity:780
Service to SanFranciscans
Patient Flow
“To provide housing andcommunity-style living, with
the highest levelof independencefor Laguna Honda’s hundredsof residents by constructingthe most technologicallyadvanced, efficient, flexible,humane and natural facility inthe world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
285325
380428
452
549
141162 160 160
209247
0
100
200
300
400
500
600
CY2009 CY2010 CY2011 CY2012 CY2013 CY2014#
of
Res
iden
ts
Calendar Year
Admissions and Community Discharges
Admissions Community Discharges
IT Infrastructure
“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient, flexible,
humane and natural
facility in the world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
6
5
9
6
4 4
3
00
1
2
3
4
5
6
7
8
9
10
1st Qtr2014
2nd Qtr2014
3rd Qtr2014
4th Qtr2014
1st Qtr2015
2nd Qtr2015
3rd Qtr2015
4th Qtr2015(thru
Nov '15)
#o
fIn
cid
ents
Quarter
Unplanned IT Downtimes
Workforce Talent
“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologically
advanced, efficient,
flexible, humane andnatural facility in the world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
91
50
77
37
67
151128
117
228
0
50
100
150
200
250
FY12-13 FY13-14 FY14-15#
of
HR
Act
ivit
y
Fiscal Year
Hiring and Separations
Separations New Hires Total HR Activity
Hiring Increased by 66%Turnover Rate: 5.71%Avg. Vacancy Rate: 5.50%
Wellness Center
“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient,
flexible, humane and
natural facility in the world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
Workplace Safety
“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient, flexible,
humane and natural
facility in the world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
273
254
235
210
220
230
240
250
260
270
280
CY2012 CY2013 CY2014
#o
fre
cord
able
inju
ries
Calendar Year
Recordable Injuries
Quality of Life
“To provide housing andcommunity-style living,with the highest level ofindependence for LagunaHonda’s hundreds ofresidents by constructingthe most technologicallyadvanced, efficient, flexible,
humane and naturalfacility in the world.”
Vision Statement, 2000Laguna Honda Hospital Replacement Program
12.4% 11.9% 11.3% 11.0%
15.1% 14.7% 14.3% 14.1%
19.5% 19.3% 19.0% 18.6%
0%
5%
10%
15%
20%
25%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15
Perc
ent
of
Res
iden
ts
Three Quarter Periods
Received Antipsychotic Medication (Long Stay)
LH Avg CA Avg Nat'l Avg
“To be an innovative world-class center of excellence inlong-term care and rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
In 2009
Centers of ExcellenceService Lines
“To be an innovativeworld-class center ofexcellence in long-term careand rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
AcuteRehab
SNF Rehab General SNF
BehavioralHealth
Dementia/Memory
Care
PalliativeCare
PositiveCare
Respite Wellness
Workforce Transformation
“To be an innovative
world-classcenter ofexcellence in long-
term care and rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
4 Rating(Excellent)
29%
3 Rating(Good)
43%
2 Rating (Fair16%
1 Rating(Poor)
8%
No Response4%
Employee Overall Job Satisfaction (n=962)
4 Rating (Excellent) 3 Rating (Good)2 Rating (Fair 1 Rating (Poor)No Response
Care Experience
“To be an innovative
world-classcenter ofexcellence in long-
term care and rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
Excellent,65%
Good, 32%
Fair, 1% Poor, 2%
Likelihood to Recommend
Excellent Good Fair Poor
Resident Satisfaction
“To be an innovative
world-classcenter ofexcellence in long-
term care and rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
Excellent (4),67%
Good (3),29%
Fair (2), 2%Poor (1), 2%
Overall Resident Satisfaction
Excellent (4) Good (3) Fair (2) Poor (1)
CMS Quality Measures
“To be an innovative world-class center of excellence in
long-term careand rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
3.1% 3.2% 3.2% 3.3%
5.8% 5.7%6.0% 6.2%
7.1% 7.0% 7.2% 7.4%
0%
1%
2%
3%
4%
5%
6%
7%
8%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15
Perc
ent
of
Res
iden
ts
3 Quarter Period
Lose Too Much Weight(Long Stay)
LH Avg CA Avg Nat'l Avg
Quality of Care
“To be an innovative world-class center of excellence in
long-term careand rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center 2.6% 2.7% 2.7% 2.9%
6.1% 6.0% 6.1% 6.1%
6.0% 5.9% 5.9% 5.9%
0%
1%
2%
3%
4%
5%
6%
7%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15
Perc
ent
of
Res
iden
ts
3 Quarter Period
High-Risk Residents With Pressure Ulcers(Long Stay)
LH Avg CA Avg Nat'l Avg
Care Outcomes
“To be an innovative world-class center of excellence in
long-term careand rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
2.6% 2.8%2.3%
2.0%
4.6% 4.4% 4.2% 4.0%
5.7% 5.7% 5.5% 5.3%
0%
1%
2%
3%
4%
5%
6%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15
Perc
ent
of
Res
iden
ts
3 Quarter Period
Urinary Tract Infection(Long Stay)
LH Avg CA Avg Nat'l Avg
Post-Acute Care
“To be an innovative world-class center of excellence inlong-term care and
rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
0.0% 0.0% 0.0% 0.0%
0.7% 0.7%0.6%
0.7%
1.0%0.9% 0.9%
1.0%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15
Perc
ent
of
Res
iden
ts
3 Quarter Period
New/Worsened Pressure Ulcers(Short Stay)
LH Avg CA Avg Nat'l Avg
Post-Acute Care
“To be an innovative world-class center of excellence inlong-term care and
rehabilitation.”
Vision Statement, 2009Laguna Honda Hospital and Rehabilitation Center
2.0%
0.7%
0.4% 0.3%
1.7%
1.8% 1.8% 1.7%
2.4% 2.4% 2.3% 2.3%
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15Pe
rcen
to
fR
esid
ents
3 Quarter Period
Newly Received Antipsychotic Medication(Short Stay)
LH Avg CA Avg Nat'l Avg
FY14-15 Finance Review
Laguna Honda: 1.4M Surplus
Health at Home: .8M Surplus
Major Variances 14-15 GF Favorable / (Unfavorable)
Net Patient Revenues $3.0
Salary and Fringe Benefits $0.4
Major Variances 14-15 GF Favorable / (Unfavorable)
Salary and Fringe Benefits $0.8
From 1866 to 2016 –A Leader in Post-Acute Care
1866 – Gold RushPioneers
1868 - Smallpox
1870 – Almshouse1906 – Relief
Home
1910 - ClarendonHall Built
1926 – LagunaHonda Hospital
and RehabilitationCenter
1963 – HospitalAccreditation
2010 – The NewLaguna Honda
2016 – 150 yearsof Service
Thank you from the Laguna Honda Community!