TBEP 2012

TBEP 2012: 

TBEP 2012 State of the Union

TBEP 2012: 

TBEP 2012 What is our current state of affairs? Where are we headed? What are our expectations?

Florida Hospital Wesley Chapel: 

Florida Hospital Wesley Chapel Congratulations to all! Our people are our greatest asset Foundation: excellent patient care and service Able to overcome a larger, successful, well-entrenched competitor David vs Goliath Game-changing victory with profound, long term consequences Positions us to become the sole EM provider in the FH TB Division

Big Picture: 

Big Picture

Economy: 

Economy Recovery will be slow 2012 small increase in GDP growth expected Consumer confidence improving European debt remains a threat Locally, 2% drop in unemployment to 10%, trend expected to continue Home sales improved Record retail sales in 2011 Increased tourism TBEP has weathered the storm

Political & Regulatory Environment: 

Political & Regulatory Environment 2012 Election: impact on health care uncertain SCOTUS: individual mandate PPACA ruling SGR: 30% Medicare cut looming, permanent fix remains elusive FL Medicaid reform to HMO model Continued downward pressure on reimbursements Transition from traditional Fee-for-Service reimbursement to Value-Based Purchasing Pay will be based on performance

Florida Hospital/AHS: 

Florida Hospital/AHS Excellent relationship established Fair, honest, know how to manage hospitals Financially strong Performance driven Accountability View the ED as the front door to the hospital Long term growth plan for each facility Goal: # 1 health system in Tampa Bay

Competitive Environment: 

Competitive Environment TBEP performance compared to all AHS EDs FEP: our most significant competitor Large, reputable, well-managed, well-entrenched Maintain a friendly, respectful relationship TBEP critical success factor: ability to meet & exceed expectations Performance = Job Security

2012 Priority # 1: 

2012 Priority # 1 Improve Performance Four Key Areas: Patient Throughput Patient Satisfaction Core Measure Compliance Risk Management

Patient Throughput Goals: 

Patient Throughput Goals Door-to-Provider < 30 minutes Door-to-Discharge Decision < 120 minutes Door-to-Admission decision < 260 minutes for FHT, < 200 minutes for FHCW & HEMH LWBS < 2%

TBEP Expectations: 

TBEP Expectations Embrace throughput initiatives PA in Triage Lean Track Dedicated Fast Track No wait policy at FHCW & HEMH

TBEP Work Ethic: 

TBEP Work Ethic See it, Own it, Solve it, Do it Self motivated, resourceful Be a part of the solution: overcome obstacles, create results Let go of what you can’t control Not a perfect world: make the most of what you have each shift Refuse to go negative You didn’t get here by not being a high achiever Team: support each other Lead

Throughput Performance Measurement: 

Throughput Performance Measurement RVU Reports: PPH, RVU/HR Time Metrics Reports Resource Utilization Reports

Patient Satisfaction : 

Patient Satisfaction Goal: > 75 th Percentile Provider caring about the patient as a person Amount of time provider spends with patient Provider’s overall rating Patient’s Perception = Reality

TBEP Expectations: 

TBEP Expectations AIDET Sit Communicate Connect Hourly rounding Explain, explain, explain…..

Patient Satisfaction Performance Measurement: 

Patient Satisfaction Performance Measurement Press Ganey: group & individual scores

Core Measure Compliance: 

Core Measure Compliance Goal: > 95% Compliance Pneumonia: appropriate antibiotic(s) given Pneumonia: blood cultures drawn prior to administration of antibiotics PCI: door-to-balloon time < 90 minutes TBEP Expectation: Use the Cerner Core Measure Checklist

Core Measure Compliance Performance Measurement: 

Core Measure Compliance Performance Measurement FH performance measurement report

Risk Management: 

Risk Management Goals: Overall Risk Score > 90% Risk Factor Score > 75% Repeated Very Abnormal VS Score 100% Re-Evaluation Score > 90% History Documentation Score > 90%

TBEP Expectations: 

TBEP Expectations Always repeat abnormal VS Always document a re-evaluation Fundamental Five: Chest pain Abdominal pain Abdominal pain > 60 years old Headache Febrile child Quarterly RM Meetings Quarterly Sullivan Group CME

Risk Management Performance Measurement: 

Risk Management Performance Measurement The Sullivan Group Risk Assessment Report 72 Hour Return/Admit Report

“I didn’t sign up for this!”: 

“I didn’t sign up for this!” New Health Care Reality: Pay for Performance Medicine emerging from the dark ages What successful business doesn’t measure, monitor, and incentivize the quality of its product or service? Competition based on results TBEP well positioned to succeed When do we start? Now

Accountability: 

Accountability Goal: Raise the level of accountability Feedback: More timely quarterly reports Financial incentives: Patient throughput Patient satisfaction Core measure compliance Risk management Performance Evaluations Peer Review

Other Expectations: 

Other Expectations Compliance with company policies Documentation: down-code & incomplete chart reports Communication Give us your feedback TBEP web site: Online message board FAQs Forum for feedback & exchange of ideas Cerner training

What does the future hold?: 

What does the future hold?

Next 12-24 Months: 

Next 12-24 Months FHWC opens October 1, 2012 New ED at FH Tampa FHZH? Expansion/renovation of FHCW & HEMH Increased patient volume Continued improvements of existing facilities AHS Expansion: acquisitions & new development Economic Recovery

Where Are We?: 

Where Are We? Strategically positioned to compete and succeed in an ever-changing, challenging health care, regulatory, and economic environment Well-positioned to succeed within FH/AHS

Where Are We Going?: 

Where Are We Going? On the road to become the sole EM provider in the FH Tampa Bay Division On course to become a cutting edge, state-of-the-art EM practice

What Are Our Expectations?: 

What Are Our Expectations? Bring your A game: best effort shift by shift, patient by patient Support one another, be a team player, cooperate Positive Attitude: the glass is always half full

Our Goal for You: 

Our Goal for You Sustained, long term professional excellence & satisfaction Proper life/work balance At the end of each shift…. Feel satisfied with your effort Feel that you performed meaningful work Feel that you made a positive difference in people’s lives Feel that you are a valuable member of a successful team, company, hospital, & health system

We are…: 

We are… One team, united behind one purpose… …to consistently provide the highest quality, most efficient, most compassionate emergency care to each and every patient that arrives at our door

Thank You!: 

Thank You!