the benefits of system affiliation for independent rural hospitals presented by: donna russell-cook,...
TRANSCRIPT
The Benefits of System
Affiliationfor
Independent Rural HospitalsPresented by:
Donna Russell-Cook, FACHEPresident
St. Elizabeth HospitalFranciscan Health System
Sue Reiter, RN, BSNBoard Member
Franciscan Health System
St. Elizabeth HospitalService Area
(Southeast King and Northeast Pierce Counties)
• Population of 36,000
• Medicare/Medicaid payer mix is 58.1%
• 40,000 annual outpatient visits
• 75% of primary care providers are FMG
• 13,300 ER visits
• 300 births
• 1,500 admissions
• 16 – average daily census
Number of Hospitals in Health Systems,(1) 2002 – 2012
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, for community hospitals. (1) Hospitals that are part of a corporate body that may own and/or manage health provider facilities or health-related subsidiaries
as well as non-health-related facilities including freestanding and/or subsidiary corporations.
Many are doing it…does it make
sense for YOUR organization?
What synergies exist with potential partners?
ACCESS TO CAPITAL
Prior to Affiliation
AfterAffiliation
Enumclaw Regional Hospital
St. Elizabeth Hospital
FACILITIESUpdates, expansion, and new construction
ACCESS TO CAPITALINFORMATION TECHNOLOGY
Implementation/advancement of EHR, new equipment
OUR EHR JOURNEY
MEANINGFUL USESTAGE 2
ECONOMIES OF SCALE
NEGOTIATING POWER
SYSTEM CHARGE MASTER
One contract was non-negotiable for the past 20 years, upon affiliation, it was
renegotiated, bringing Enumclaw into FHS payer agreements
Increased Charges = Increased RevenueIt’s critical to monitor not just the impact on the
organization, but also on the patient and communityKNOW YOUR COMMUNITY
Supplies as a % of revenues decreased from7.3% pre-affiliation to 2.8% post-affiliationdespite increase in total patient services revenue of over 200% during same period
Affiliation
FINANCIAL VIABILITY
ACCESS TO HUMAN RESOURCES AND SYSTEM
PROGRAMS
• End of Health Services Consortium (90’s)• Virginia Mason was providing advice/assistance during that time
• No connection to larger resource (early 2000’s)• Led to affiliation talks with Franciscan Health System
• Great platform for guidance and structure• Integration of system policies for admin, clinical, and HR
• Shift from “home grown” practices to best practices• Access to talent, expertise, structure, procedures, and practices
COMMUNITYRELEVANCE
ADMISSIONS
43%
BIRTHS
38%
ER VISITS
13%
• Immediate assurance of ongoing existence of hospital• Community• Employees
• Community Relations• Health Care Coalition• Shifting perception (positive) with increased involvement• System (FHS) and parent (CHI) financial support
• Marketing• Grants/Sponsorships• FHS Foundation• Volunteer Services/Community Integration FTE’s
PERMANENT HEALTHCARE FOR COMMUNITY
CONTINUUM OF CARE
POPULATIONHEALTH
The new facility is symbolic of the
greater benefit of the organization supporting the
increased resources for community and patients
EVOLUTION
GROWTH
PROFESSIONAL RESOURCES
“It can get a bit lonely out in the country.”
-Dennis Popp, Administrator, Enumclaw Regional Hospital
Now able to interact with…MANAGERS
DIRECTORS
SENIORLEADERS
Additional
STAFF
MEDICAL STAFF CONNECTION
“ Recruiting and retaining talented physicians, providers, nurses, ancillary professionals, and
other positions is the single biggest challenge in ensuring a competent and quality delivery
service in a rural community.”-James Diegel, president and CEO, St. Charles Health System Inc., Bend, OR
Pre-affiliation >50% of referrals were from FMG
VISIBILITY AND PRESTIGE
ST. ELIZABETHHOSPITAL
CATHOLIC HEALTHINITIATIVES
FRANCISCAN HEALTHSYSTEM
1- CAH Hospital
282* Employees
Local Community
8 – Hospital System
Franciscan Medical Group
Hospice/Palliative Care
12,440 Employees
Regional Network
18 – States
86 – Hospitals
2 – Academic Med. Ctrs.
3rd Largest Faith-BasedHealth System
85,500 Employees
$12B in Revenue
National Network