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 2014Met – must

acheive

Improve days cash on hand

to CAH median of 17

Start = 2Feb = 25

Identify $500,000 of new

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

$200K Premier savings

GrowthIncrease

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 dlusin@prestonmemorial.org

• 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: prestonemployees@gmail.com– 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.