Transcript Charting A New Course In Healthcare

Charting A New Course
In Healthcare Management
Presentation Introduction
Key Management
The Prime Healthcare Story
About the Prime Healthcare Services Foundation
Plan and Proposal for San Leandro Hospital
Management Expertise
• Prime has substantial experience in the acquisition,
turnaround and management of community based
hospitals.
• Prime’s Management Team is dedicated to the
implementation of the highest standards in providing
patient care.
• Brief Introduction to the Management Team and History of
Prime’s Growth will illustrate our commitment to what San
Leandro Hospital can expect.
Key Management
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Prem Reddy, M.D., FACC, FCCP – Chairman of the Board
Lex Reddy, MBA, MHA, CEO
Roger Krissman MBA, CFO
Suzanne Richards, RN, VP Nursing and Clinical Affairs
Allen Stefanek, MBA, VP - Operations
Michael Sarrao, Esq, VP - General Counsel
Radha Savitala – Asst. General Counsel
Lloyd Wilensky, VP Health Plan Operations
Pat Silvestri, Chief Facilities and Development Officer
Gigi Douglass, Director, Clinical Laboratory
Seetha Reddy, Director, Imaging Services
Marie Falcis, Director, Performance Improvement
Sreekant Gotti, Director, IT Services
Lea Ann Rohdes, Director, Medical Staff
Ann Abe, Director, Nutritional Services
Ajith Kumar, Director, Reimbursement Mgmt.
Ken Wheeler, Director, Patient Financial Services
Mission Statement
Our mission is to provide comprehensive, quality healthcare
in a compassionate, convenient, and cost-effective manner.
The Prime Healthcare Story
Prime at a Glance
A diversified healthcare management company
headquartered in Victorville, CA
Charting a new course in hospital management
that is Physician-driven and patient-focused
Founded by Prem Reddy, MD, FACC, FCCP,
a practicing cardiologist and healthcare entrepreneur
Putting New Life into
California Hospitals
Prime has a proven track record of acquiring financially
distressed hospitals in California which serve a critical role
in the communities in which they are based and turning
them around.
The hospitals include:
Desert Valley Hospital
• 83 bed acute care facility, built de novo in 1994
• Awarded coveted “Accreditation with Commendation” from the
Joint Commission, in its first year of operation
• AOA Accreditation with 99.5% (2004) and 99.8% (2005) of
achievable scores
Setting the Standard for Success
Desert Valley Hospital, Prime’s first hospital has received the
following accolades:
Top 100 Hospital™ in the Nation four times 2003,
2004, 2006 & 2008
Top 1% in the Nation, Premier/ CareScience
Select Practice National Quality Leader, 2007
Highest scores from Joint Commission and AOA surveys
Chino Valley Medical Center
• 126-bed Acute Care Facility in Chino, CA
• Open staff community hospital
• ED with over 100 patient visits per day – paramedic base station
• Accredited teaching facility for Family Practice Residency training
program affiliated with all Osteopathic medical schools
Sherman Oaks Hospital &
The Grossman Burn Center
• 153-bed acute care facility located in Sherman Oaks, CA
• Tertiary burn center and home to the world renowned Grossman
Burn Center
• A top performing Hospital in the Nation in a survey by The
Commonwealth Fund for CMS/Medicare in Hospital Quality
Index (Core Measures)
• Open staff community hospital with prestigious medical staff that
are on the faculty of UCLA/ USC Medical Centers
Montclair Hospital Medical Center
• 102-bed Acute Care Facility in Montclair, CA
• Open staff community hospital with basic emergency care
• Centers of excellence in women and maternity care
Huntington Beach Hospital
• 144-bed Acute Care Facility in Huntington Beach, CA
• Open staff community hospital with advanced surgery facilities
• Emergency Department serves as paramedic base station
• Newly added Cardiac Cath Lab facility
West Anaheim Medical Center
• 219-bed Acute Care Facility in Anaheim, CA
• Open staff community hospital with newly expanded ER
• Multi-specialty hospital with open heart surgery, psychiatry care, etc.
• Top 100 Hospital™ in the Nation in 2008
La Palma Intercommunity Hospital
• 131-bed Acute Care Facility in La Palma, CA
• Open staff community hospital with basic emergency care
• Centers of excellence in women and maternity care
• Cardiac Cath Lab, psychiatry care, etc.
Paradise Valley Hospital
• 104 year old, 301-bed Acute Care Facility in National City, CA
• Open staff community hospital with basic emergency department
• Centers of excellence in rehabilitation medicine
• Largest behavioral health care provider in South Bay area of San
Diego County
• Cardiac Cath Lab, 64 Slice CT, psychiatry care, etc.
Centinela Hospital Medical Center
• 370-bed Acute Care Facility in Inglewood, Los Angeles
• Open staff community hospital with busy emergency department
serving underprivileged communities in Los Angeles
• Centers of excellence in orthopedic care, neurosurgery, high risk
obstetrics and neonatal intensive care unit, etc.
• Tommy Lasorda Heart Institute – a comprehensive cardiac program
Encino Hospital Medical Center
• 151-bed Acute Care Facility in Encino, Los Angeles
• Open staff community hospital
• Centers of excellence in orthopedic care, geropsych, etc.
San Dimas Community Hospital
• 93-bed Acute Care Facility in San Dimas, CA
• Open staff community hospital
• Acquired in July 2008 from Tenet Healthcare
Garden Grove Hospital and
Medical Center
• 167-bed Acute Care Facility in Garden Grove, CA
• Open staff community hospital
• Full-service state-of-the-art obstetrics program and neonatal
intensive care unit
• Acquired in June 2008 from Tenet Healthcare
Shasta Regional Medical Center
• 246-bed Acute Care Facility in Redding, CA with Open staff
community hospital
• Saved by Prime Healthcare from closure in Nov 2008 and obtained
licensure in less than eight days and accreditation in less than 45 days
of acquisition
• State-of-the-art cardiac program and centers of excellence in
orthopedic care, wound care, etc.
• Recently accredited by Joint Commission for Stroke Care
The Prime Model
for Effective Healthcare Delivery
Physician-Driven Management
Patient-Focused Pathways
Outcome Oriented Protocols
Basic Ingredients
• Patient/Physician Driven Health Care
• Focus on quality patient care and achieving 100%
compliance with Medicare’s Core Measure Initiatives
• Capital Infusion
• Reduce unnecessary lengths of stay (LOS)
• Improve ER efficiencies (goal – average time is 2 hours)
– Decrease in saturation/diversion time and LWOBS
• Operational efficiencies
• Improve Plant Aesthetics
Core Measures
Medicare Hospital Quality Index
(CORE Measures)
• Acute Myocardial Infarction
• Pneumonia
• Congestive Heart Failure
Core Measures
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Acute Myocardial Infarction (Heart Attack) Care
Composite Score
100%
84%
86%
USA
CA
ARMC
100%
CVMC
100%
DVH
100%
HBH
100%
94%
LPH
100%
90%
MHMC
Source: CMS www.hospitalcompare.hhs.gov 2007
PVH
SOH
Core Measures
Heart Failure Care Composite Score
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
83%
85%
USA
CA
100%
100%
99%
100%
100%
99%
ARMC
CVMC
DVH
HBH
LPH
MHMC
Source: CMS www.hospitalcompare.hhs.gov 2007
95%
PVH
100%
SOH
Core Measures
Pneumonia Care Composite Score
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
99%
87%
86%
USA
CA
98%
97%
97%
99%
98%
95%
90%
ARMC
CVMC
DVH
HBH
LPH
MHMC
Source: CMS www.hospitalcompare.hhs.gov 2007
PVH
SOH
Improvement Highlights
- Expansion or construction of new service areas (Emergency
Services, Cath Lab & Surgery, POC Labs, etc.)
- State-of-the-art digital (filmless) radiology (PACS)
- New supply and pharmacy automation system (Pyxis)
- Patient monitoring systems and patient care equipment (beds, IV
pumps, Telemetry, etc.)
- New or upgraded equipment (radiology, lab, etc.)
- Employee and patient safety equipment (security systems, lifting
equip., etc.)
- Enhancement or new health information systems – Medi-Tech
Client Server, HPF, Hospital Portal System
About Prime Healthcare Services
Foundation
• The Prime Healthcare Services Foundation is a 501(c)(3)
non-profit corporation formed in 2006 by Dr. Prem Reddy
• The Prime Healthcare Services Foundation operates free
health clinics which serve indigent and uninsured patients
• The Prime Healthcare Services Foundation has assets of
more than $60 Million with no liabilities and expectations
of substantial growth in its assets over the next ten (10)
years
• The Prime Healthcare Services Foundation will form a
subsidiary to lease and operate San Leandro Hospital as a
non-profit hospital
Prime’s Plan for San Leandro
• Prime will continue to maintain the Emergency Department
• Prime will continue to operate San Leandro Hospital as an acute
care facility
• Prime will work with HMOs and insurance companies to
negotiate contracts
• Capital investments in infrastructure
• New Health Information System (Medi-Tech)
• Operate San Leandro As Non-Profit Hospital
Prime’s Proposal for San Leandro
Facility Lease
• Prime will lease the facility for an initial term of Ten (10)
Years – with options to extend the lease.
• Prime will make an annual lease payment to the District.
• Prime will have an option to buy the facility at the end of
five (5) Years.
• Prime will spend no less than $20 Million for working
capital, equipment and other capital improvements at San
Leandro Hospital during first year of lease.
• Prime will provide a Security Deposit equal to two (2)
years of lease payments.
Prime’s Proposal for San Leandro
Employees, Licensure &
Accreditation
• Prime will hire substantially all of the employees.
• Prime will assume the existing Collective Bargaining
Agreements with the Unions.
• Prime will keep San Leandro open as an acute care
hospital with 24 hour access to Emergency Department
Services under an independent and separate license.
• Prime will maintain accreditation for the hospital with The
Joint Commission.
Access to care for the community
• Prime will participate in Medicare and Medi-Cal
Programs.
• Prime will negotiate contracts with HMOs, PPOs and
Third Party Payors, as long as San Leandro Hospital is
offered the same or better rates as Sutter, for the same level
of services.
• Prime will maintain the independent medical staff
currently in place and work with the medical staff to
improve the quality of care and establish a goal of 100%
compliance with Medicare’s Core Measures.
Governance
• Prime will form a local Governing Board consisting of
Community Members, Local Physicians, and a
representative from the Healthcare District, if so desired.
Commitment to Community
• Prime will keep the Emergency Room open at San Leandro
Hospital and improve efficiencies in order to reduce wait
times, lengths of stay, Saturation/Diversion Hours in ER
and Wall Time for Paramedic Transports.
• Prime will not delay or deny emergency care based on a
patient’s condition or ability to pay.
• Prime will provide charity care at levels consistent with
San Leandro Hospital’s historical levels on per bed
occupied basis.
Questions and Answers