Transforming Healthcare 2013 - PPT

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Harnett Health's community presentation about Transforming Healthcare in our region.

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PowerPoint Presentation:

Transforming Healthcare In Harnett County www.harnetthealth.org

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2 Hospitals 6 Physician Practices 7 Outpatient Centers 1 Foundation

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BETSY JOHNSON HOSPITAL our flagship hospital in Dunn, established in 1937 101 beds Emergency Medicine Surgery Medical Imaging Labor & Delivery Medical Nursing Unit Pediatric Nursing Unit Critical Care Unit Rehab Services

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CENTRAL HARNETT HOSPITAL our new hospital in Lillington, opened January 18, 2013 50 Private Rooms Emergency Medicine Same Day Surgery Outpatient Diagnostics Medical Imaging Medical Nursing Unit Telemetry Rooms Inpatient Rehab Services

$120 Million Investment in Facility Improvements:

$120 Million Investment in Facility Improvements New Hospital in Lillington Inpatient Tower in Dunn Women’s Center Pediatrics Emergency Surgical Suite Rehab Center MRI CT Scanner (64 slice) Nuclear Medicine Digital Mammography Wireless Cardiac Monitoring Electronic Medical Record Hematology/Chemistry Analyzers Medication Administration Systems Telepsychiatry

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Harnett Health Primary Care Services 6 Primary Care Practices: Angier Medical Services Coats Medical Services Dunn Medical Services Lillington Medical Services Harnett OB/GYN Premiere Pediatrics 1 Primary Care Partnership with Campbell University: Campbell University Health Center

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Harnett Health Outpatient Centers Benson Rehab & Wellness Breast Care Center Cardiac Diagnostic Center Cardiac Rehab Lillington Rehab Outpatient Rehab Wound Care Center

Harnett Health Foundation:

Harnett Health Foundation County-wide philanthropic entity for Harnett Health Vehicle for channeling community support into needed new facilities and services Healthcare foundations comparable to College and University foundations Means of promoting value proposition of Harnett Health; telling the story Council of Advisors

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Our goal is to build a Top Tier Local healthcare system that is affordable for our patients

PHASE 1:

Investing in current facilities Invested $53 Million in Betsy Johnson Hospital: New physicians New inpatient tower ER, OR, facility renovations Technologies: CT, MRI, Nuclear Medicine Results Highest to date: Patient experience scores Quality scores Volume of admissions ER volume Number of physicians on staff Financial outcomes Number of employees PHASE 1

PHASE 2:

Expanding facilities and services Construct and open Central Harnett Hospital ($56 million investment) Establish Electronic Medical Records (EMR) Open new Business Center, downtown Dunn Results FY2013 Budget Initiatives: Hire 220 new employees to staff hospitals/services Recruit 12 physician providers Second Meditech upgrade Computerized Physician Order Entry (CPOE) Open new Wound Care Center, Dunn Open 20,000 square foot Medical Office Building in new medical office park, Dunn PHASE 2

PHASE 3:

Growth Strengthen educational partnerships to ensure quality care providers are available in the future Continue building relationships with physician groups in key specialty areas that will be available in Harnett County Recruit 48 new physicians within the next 10 years Continue to evaluate additional primary care physician hubs throughout Harnett County Volumes in FY2013 are ahead of projections PHASE 3

Population Growth:

Population Growth Total population in the service area is approximately 193,000 and is expected to grow to 217,000 by 2015, representing a healthy 2.4% CAGR. The fastest growing areas are those in/bordering Wake County. Harnett County is one of the fasting growing counties in the state.

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Key Service Areas

Harnett Health Stats:

Harnett Health Stats Harnett Health Number of people getting a pay check: approximately 1,000 Average annual salary and benefits: $62,000 Cleverly & Associates: Community Value Five-Star Hospital Press Ganey Award: Most Improved Patient Satisfaction Scores Joint Commission Accreditation 2013

Current Medical Staff:

Current Medical Staff Total Medical Staff: 265+ Primary Care Providers: Family Practice Internal Medicine OB/GYN Pediatrics Hospital Based Providers: Anesthesiology Emergency Medicine Hospitalist Medicine Pathology Radiology

Current Medical Staff:

Current Medical Staff Specialty Care Providers: Cardiology Dentistry Gastroenterology (GI) General Surgery Infectious Disease Nephrology Neurology Oncology Ophthalmology Orthopedics Podiatry Urology

Building a Strong Community:

Access to Care Economic Development Community Partnerships Building a Strong Community

Access to Care: Building a Premier Medical Staff:

Partnerships with excellent physicians to provide care LOCALLY in Harnett County: Harnett Health Primary Care Network Triangle Orthopaedic Associates Cary Cardiology (WakeMed) Cary Urology ( dba Harnett Urology) US Oncology WakeMed Faculty and Specialty Physicians Carolina Regional Radiology Campbell University Faculty Physicians Specialty Physicians for Telemedicine: Psychiatry CommWell , First Choice FQHC’s Access to Care: Building a Premier Medical Staff

Economic Development: Job Creation, Impact:

Harnett Health has become a cornerstone in our communities: $200 million economic impact ANNUALLY Additional $700 million economic impact through 2022 with the opening of Central Harnett Hospital County’s second largest employer – 1,000+ employees New jobs now and in the future 265+ Medical Staff Providers $17 million annually in charity care, 17% of budget Economic Development: Job Creation, Impact

Community Partnerships: Strengthen Relations:

Work with key organizations for stronger community and economic infrastructure: Strategic Partnerships (WakeMed) Campbell University School of Osteopathic Medicine Campbell University PA Program and Pharmacy School Central Carolina Community College Partnering with Financial Institutions Partnering with Governmental Institutions Partnering with Community Leaders Philanthropic Partnerships We Must All Work Together! Community Partnerships: Strengthen Relations

Harnett Health: Our Story:

Harnett Health: Our Story Harnett Health is Harnett County; we are your friends and neighbors Strategic expansion; new footprints Significant charity care commitment; our heritage Increasing visibility wherever we can be Huge local asset for a rural county Building healthier communities Local primary and secondary care access Everyone needs a family doctor

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Harnett Health: Our Challenges Need for greater transparency Increasing cost of operation while maintaining affordable cost of care and value Greater access means greater capital investment Understanding community needs Unique and complex business model competition drives cost up, not down normal consumer psychology doesn’t apply consumer prices not set by the hospital or the market payment made by third parties, insurance or government no one turned away; community “safety net”

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Preventive care vs. illness care Preserving not-for-profit status margin reinvested, not directed to shareholders no huge reserves, only what’s needed Political realities continuing reimbursement cuts, federal and state threatened loss of tax exemption lack of Medicaid expansion vulnerability of Certificate of Need inadequate support for mental health care perception of large, untapped cash reserves Harnett Health: Our Challenges

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Focus on population health, healthier communities means assuming financial risk, risk for health status Much greater transparency, community engagement if Harnett Health assumes risk for diseases caused by social issues, then we have to engage with the community on those issues Success is prevention/chronic care support Achieving lower costs, higher quality, greater access, better efficiency New partnerships/collaboration will be necessary Strengthen Campbell partnership Harnett Health: Our Future

PowerPoint Presentation:

Harnett Health: Our Future Succeeding under reimbursement changes from the old fee-for-service model to pay-for-performance Adapting more of the traditional “public health practices” to health system design large scale health intervention strategies social psychology of health and health behaviors predictive health analytics, large data sets population health surveillance, assessment, evaluation Population Health Officer as senior-level executive? “We want a health system that keeps people out of the hospital” (D. Berwick, 2013).

We need You as our Community Partner:

Healthcare Faster emergency response for critical care New f ull service hospital with expansion capacity to 150 beds Expand /Attract physicians with local offices Training site for future medical students , PAs and other clinicians Locally led and controlled: C ounty-wide board leadership Employment More than 100 new jobs in Central Harnett Hospital first year of service Approximately 300 new jobs by end of the third year Economy Harnett Health jobs enable county to secure $2.2 million in grants Harnett Health project is the cornerstone to Brightwater Park growth Cost savings for families by being closer to home Harnett Health is a less expensive alternative to Raleigh Revenues to local businesses estimated to be $28 million Largest single building investment in Harnett County history Funded 100% by Harnett Health, $67 million project We need You as our Community Partner

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