Lead Sponsor

Refreshment SponsorLuncheon Sponsor Reception Sponsor

K E Y N O T E A D D R E S S

Teri FontenotPresident and CEOWoman’s Hospital

Building a Strong Women’s Care Program

Women Leaders in Healthcare ConferenceAugust 7, 2012

• Journey from ‘baby hospital’ to regional referral center for women’s health

• The opportunity assessment process

• The next era of women’s health

Woman’s Path

• Nonprofit, community owned• Largest obstetric service in Louisiana; 18th in U.S.• $350 million annual revenue• Annually:

67,000 patient days 8,000 births

127,000 outpatient visits 85,000 pap smears

47,000 mammograms 16,000 specialized home health visits

• Level III regional referral center for obstetric and neonatal care• LSU and Tulane obstetric and pediatric residency and fellowship programs• Designated OB and NICU responder in Louisiana’s Disaster Plan• Magnet® hospital• 2007 and 2012 Louisiana Hospital of the Year• Top 100 Best Places to Work in Healthcare every year award has been given

(Modern Healthcare)

About Us

• Obstetrics• Maternal fetal medicine• Reproductive endocrinology• Gynecology• NICU• GYN oncology• Urogynecology/urology

• Breast care• General surgery• Plastic/reconstructive surgery• Gastroenterology• Bariatric surgery• Robotic surgery• Orthopedics

• Physician offices• Pediatric subspecialty

clinics• Digital mammography• Metabolic center• Research• Retail shops

An Accessible Healthcare SystemMain Campus

Outpatient services• Physical therapy• Occupational therapy• Audiology• Speech therapy• Warm water therapy pool• Screening mammography• Bone density• Comprehensive weight loss

program• Fitness and rehab retail

Fitness club• Exercise/aerobics classes• Cardio & strength

training• Indoor jogging track• Swimming pool• Comprehensive weight

loss program• Yoga• Free weights• Spa

• 5,500 mammograms annually• 80 mile radius • Service provided at:

Public health centers Employer locations Shopping centers Churches

• 42 cancers detected in 2011; many in advanced stages

Woman’s Center for Wellness Mobile Mammography CoachAn Accessible Healthcare System

Assessing the Opportunities:What Women Want

Age20 – 36 37 – 50 51-65 Access to social media,

internet Amenities Adequate space for

baby, guests Custom birth plans Collaborators in their

medical care Continuity of care Told what to expect

Privacy Involvement in care decisions Personalized attention Large room, spa-like

experience Compassion, listening

Convenient location and parking

Focus on women Information on

non ob/gyn services

In Other Words…

• Consider the comprehensive and unique healthcare needs of female patients

• Understand factors about providers that drive women’s healthcare

• Increase the level of trust and satisfaction of the female community

• Abandon a “one-size-fits-all” marketing approach

Lake Charles

Monroe

Thibodaux

HammondBogalusa

Covington

Strategy: Focused Differentiation• Demonstrated capacity in the past for growth and diversification

ObstetricsGynNICUBreast care

• Growth fueled and sustained through excellent medical staff relationships and referral powero Maternal fetal medicineo Gastroenterologyo Urologyo Cancer serviceso Bariatrics

• Key partnerships for specializedserviceso Perinatal HIV ‘One Test-Two Lives’o CDC/YWCA – breast cancer screeningo Mary Bird Perkins – comprehensive breast centero DHH/March of Dimes ‘Healthy Babies Are Worth the Wait’

Surgical subspecialtieso General surgeryo Plastic and cosmetic surgeryo Pediatric/neonatal surgeryo Orthopedics

LEVEL 2

Level 1• Built on dominant market share position

Obstetrics 79% NICU 79% Gyn 68% Breast 72%

• Major inpatient and ambulatory impact

Level 2• A subset of core and Level 1• Built around 1 to 2 physicians• Highly procedural/inpatient business • Significant technology-intensive

ambulatory business

Level 3• Focus on population health• Minimal market penetration• Oriented around screening and diagnostic services• Significant ambulatory business

GYNONCOLOGY

SUBSPECIALTYGASTROENTEROLOGY

SUBSPECIALTY ORTHOPEDICS

UROLOGY/URO-GYNECOLOGY

SPECIALTY SURGERY(bariatric, cosmetic)

SELECTED CANCERS

NICHE CARDIOLOGY

BREAST SURGERY

LEVEL 1

LEVEL 3

• Obstetrics• Gynecology• Newborn

Medicine• Breast

WELLNESS/PREVENTION

Program Development:Building from a Position of Strength

Form Follows Function:New Campus Design Elements

• Allow for growth of core business and strategic expansion into new services

• Support space flexibility

• Support clinical and physical safety of patients, visitors and staff

• Facilitate exceptional patient and family experiences from arrival through departure

• Support current and future technology

• Be convenient and attractive for physicians

• Provide surgical suites with leading edge technology

• Meet or exceed planning standards for spaces, adjacencies and connectivity

• Be aesthetically beautiful and peaceful

• Minimize traffic overlap of staff, patients, and visitors

• Provide flexibility for strategic alliance development

Announcing our New ArrivalAugust 5, 2012

The Next Era of Women’s Health• Strategic and financial success will be achieved through

positive patient outcomes, not volume growth

• Strong physician tradition and culture with viable and effective leadership is critical

• Early adopters of care management using evidence-based protocols will have an advantage

• Economic alignment with physicians that incentivizes quality and reduces waste will add greatest value

• Advanced IT systems that provide for data collection and analysis connected with all care givers to reduce errors and improve efficiency is a ‘must have’

Benefits of ACO Contractingfor Women’s Services

• High volume drives efficiency, better outcomes, and lower cost

• Niche organizations add value to the continuum and wrap around core services

• A mini-ACO with aligned incentiveso Patients receive episodic careo Easy to bundle paymentso Navigators are highly effective