Transcript May 2016 Town Hall Meeting 1

Town Hall Meetings | May 2016
Greg Sims, CEO
HMH Financials
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□ As of 03/31/2016, we again, far exceeded all financial measures required by our
lender and debt covenants
□ As of 4/30/2016, inpatients revenue trails budget by about 2%
□ As of 4/30/2016, outpatient revenue exceeds budget by about 8%, O/P revenue
now accounts for 82% of hospital revenue
□ As of 4/30/2016, total clinic revenue exceeds budget by 19% and 88% over last
year
□ Cash on hand remains just over $5 million with nearly 130 days cash on hand
□ Since July 15 District has spent approx. $260,000 on IT network upgrades
□ 3/14/2016 HM Foundation Invested $425,000 on new GE CT scanner, replacing
one in service since Nov. 2006.
Strategic Plan
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Strategic Plan
Operational
Plan
Department
Goal Setting &
Implementation
Strategic Plan
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Key performance indicators are complete
Directors department goals will be in these areas:
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Department goal setting will take place last week of May
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Financial
Patient satisfaction
Quality
Safety
Employee / Physician Satisfaction
Improving Community Health
Directors will develop goals and action items that will impact key
performance goals for their departments which supports the
organizational goals
Department Goals will be reported monthly on posters
Eventually will be part of the performance reviews
Deployed beginning of our fiscal year, July 1
Financial KPI
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(YTD through April 2016)
Improve McLeansboro Family Clinic revenue 10% over previous year from $829,532 in YTD FY '15-'16 to $912,485
in YTD FY '16-'17.
Improve Carmi Family Clinic revenue 10% over previous year from $489,652 in YTD FY '15-'16 to $538,617 in YTD
FY '16-'17.
Improve Downtown Family Clinic diagnostic revenue 10% over previous year from $228,310 in FY '14-'15 to
$271,410 in YTD FY '16-'17.
Increase overall hospital net revenue 4% from $14,094,414 in YTD FY '15-'16 to $14,658,190 in YTD FY ’16-’17.
Improve hospital outpatient financial growth revenue 2% over previous year from $19,381,868 in YTD FY '15-'16 to
$19,769,505 in YTD FY '16-'17.
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Maintain overall hospital and clinic salary projected cost of $5,687,315 in FY '16-‘17.
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Reduce overall hospital and clinic supply costs by 3% from $1,071,982 in previous YTD FY '15-'16.
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Maintain overall hospital expenses excluding salaries with a 3% +/- variance from $8,304,035 from previous YTD FY
'15-'16.
Maintain ER transfers to less than 14% of visits from same month of previous FY ’15-’16.
Improve and maintain monthly ER admission to inpatient units to greater than 8% of ER patient visits from same month
of previous FY ’15-’16.
Improve surgery revenue by 3% over previous year from $1,174,942 in FY ’15-’16 to $1,210,190 in FY ’16-17.
Improve transitional care rehab / swing bed admissions by 2% of admission from same month of the previous FY ’15’16.
Satisfaction KPI
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Improve CG CAHPS question indicating helpful, courteous, and respectfulness of office staff
rating from 77% (4Q 2015) to 90%.
Improve Communication with Nurses on HCAHPS from yellow box rating 78% (4Q 2015) to
green box state average 79%.
Improve Responsiveness of Hospital Staff on HCAHPS from red box 53% (4Q 2015) to green
box state average 72%.
Improve Rate the Hospital on HCAHPS from red box 69% (4th Q 2015) to green box state
average 71%.
Improve likelihood to recommend ED on ED patient surveys from 41% (3Q 2015) to
benchmark of 66%.
Improve Communication about Medications on HCAHPS from red box 53% to green box state
average 63% (4Q 2015).
Maintain Hospital Environment on HCAHPS green box 74% (4Q 2015).
Improve expectations of wait times on Outpatient Satisfaction Survey to 80% in FY’ 16-’17
from 25% (3Q 2015).
Improve staff introduction of self, department and care to be provided on Outpatient
Satisfaction Survey to 100% in FY ’16-’17 from 89% (3Q 2015) .
Quality
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□ Improve patient follow-up in Family Clinics ensuring 80% of patients are scheduled for initial
routine mammograms, pap smears, and colonoscopies.
□ Improve ED response of patients presenting with chest pain for door to EKG from 21 minutes in
2015 to 15 minutes in FY ’16-’17.
□ Improve ED response of patients with myocardial infarction to EKG from 8 minutes in FY ’15-’16 to
6 minutes in FY ’16-’17.
□ Maintain average length of stay at less than 4 days to an average of 3.4 days in FY ’16-‘17
□ Maintain average unassisted patient falls per 100 in patient days at .98 falls in FY ’16.-’17.
□ Maintain average readmissions of patients within 30 days of discharge at 5 readmission in FY
’16-’17.
□ Improve patients returning within 72 hours to ED after discharge to 1.8% in FY’16-’17 from 2.5%
in FY ’15-’16.
Safety
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□ Maintain central line infections at 0% for FY ’16-’17.
□ Improve hospital acquired urinary tract infections from .22% in FY’15-’16 to 0 in FY ’16’17.
□ Improve MRSA rates from .44% in FY’15-’16 to 0 in FY ’16-’17.
□ Improve hand washing by staff and physicians from 85.3% FY’15-’16 to 100% in FY ’16’17.
□ Decrease incidents of C-diff in Med/Surg from 0.17 FY’15-’16 to 0 in FY ’16-’17.
□ Improve the # of lost time accidents from 1 currently in 2015 by 100%, to no lost time
accidents in 2016 according to the OHSA log.
□ Improve the # of reported incidents 3 currently in 2015 by an increase of 3% in 2016
according to the OSHA log.
Employee/Physician Satisfaction
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□ Improve 2015 employee participation in town hall by mandating staff
participation 2 times per year by excel tracking sheet.
□ Improve monthly employee appreciation events averaging less than one time per
month in 2015 to one time per month in 2016.
□ Improve employee participation in employee survey from 0% in 2015 to 50% in
2016 by # of received surveys.
Improving Community Health
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□ Improve clinic provider participation to at least 1 community event per year.
□ Reduce infant mortality rate in Hamilton County to state average of 6.9 per 1,000
births from 14.7 per 1,000 births.
□ Recruit 1 new family practice physicians in 16’-17’ fiscal year from 0 in the previous
year.
□ Improve community education from 0 in 2015 by providing education opportunities to
6 per year in FY ’16-’17 both Carmi and McLeansboro.
Service Line Re-branding
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Transitional Care Rehab
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New name reflects service provided
Steering team reviewing
 Data
 Review Opportunities for Improvement
 Education opportunities
 ED
physicians
 Staff
 Acute Care facilities
Secured meeting with all of case management and social services at
SSM Health Good Samaritan
 SSM developed dashboard to show where patients are going and why
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Marketing needs
 Update
materials
 Testimonial
 Marketing like a service line; too important not to
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Media
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Hamilton County has very little access to media that
markets directly to residents
Radio is spill-over from Carmi and Benton
Billboards are non-existent
Remedy
 Billboard
installment on Irvin’s Jewelry
 Hospital specific magazine
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12’x24’
 Lease agreement
 HMH owns hardware
 Monthly rental fee
Magazine
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 8 page, custom magazine; specific
to HMH
 Mailed to 7,500 households in
Hamilton, White, and Macedonia,
Wayne City zips; woman over age of
30+ living in household
 Improve public perception
 Educate customers on services
 Remarkably successful; ROI
$4 and $7 in net revenue for every
$1 spent
Logo | Refresh
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Community Outreach
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CHNA indicated need for enhanced community
outreach
Many opportunities to reach out to the communities
we serve by participating in:
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Family Literacy Night – over 100 families & children
HCJH Wellness Fair – all of junior high students
White County Extension Presentations – 30 seniors
Community Safety Day
Continuation of Business facilitation
Chamber of Commerce
Groundbreaking of Carmi Clinic expansion
Wellness classes / Spring wellness lab draws
Shriners Free Screening Clinic Carmi & McLeansboro
Carmi Clinic |Expansion
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 April 12th
Groundbreaking
 Completion
expected Fall 2016
Spring Wellness
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 Very
successful
fasting lab work
offering
670 total draws
112 on
Saturdays
 Carmi one-day
only offer
22 draws
Foundation Update
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
Foundation Board of Directors
Chairperson, Bobbin Lasater
 Vice-Chairperson, Ginger Launius
 Secretary/Treasurer, Sandra Bryant
 Hunt Bonan
 Marie Pyle
 Nolene Rubenacker
 Ann Johnson
 Leesa White
 Mike Lewis, ex-officio
 Greg Sims, ex-officio
 Kent Mitchell, financial advisor
 Victoria Woodrow, executive director
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Scholarships
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 Awarded:
CWCHS
Camryn Howard
Carlie Gee
HCSH
 Katelynn Troops
 Sarah Davis
NCOE
 Sydney Tucker
 Melanie Ellison
Announced at
awards
ceremonies at
each school
Things are Changing at HMH
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Pamela Harbison
HIM Director
Dr. Ramirez
Colorectal Surgeon
Starts June 30
Mark McDaniel
Interim Lab Director
• We will say goodbye to Dr. Palepu at the end of August
• Actively recruiting new family practice physicians
• ER group changed from ECI to Integritas – Dr. Doolittle
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QUESTIONS?