09_Smith_Central_Final

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09_Smith_Central_Final

  1. 1. Regional Review Central Region Robert L. Smith Senior Vice President
  2. 2. Key Messages • Attractive markets • Physician employment • Expanding the outpatient footprint • Increasing case mix intensity or patient severity
  3. 3. Missouri and Tennessee Hospitals St. Louis Des Peres, 2 St. Louis University Total Beds 523 Hospitals Memphis St. Francis, 2 St. Francis-Bartlett Total Beds 619 • Certificate of Need Regulations
  4. 4. Texas Hospitals El Paso Providence, Sierra, Eastside 3 Dallas Centennial, Doctors 3 at White Rock, Lake Pointe Houston Cypress Fairbanks, 3 Houston Northwest, Park Plaza East Texas 1 Nacogdoches Total Beds 2,644 • Dallas-Fort Worth currently adding more residents than any other metro area nationwide and projected to be 3rd largest in the country by 2030 • Houston 4th largest city in the nation • El Paso’s Ft. Bliss BRAC (base realignment and closure) is in the process of adding 65,000 soldiers and their families through 2013
  5. 5. High Population Growth Service Areas 2000 - 2007 2007 - 2012 Dallas MSA 16.4% 9.7% Centennial 85.9% 30.6% Lake Pointe 37.2% 17.9% Houston MSA 16.4% 8.7% Cypress Fairbanks 39.9% 17.0% Houston Northwest 17.8% 9.0% El Paso MSA 8.2% 5.3% Sierra Providence East 17.8% 9.0% Source: Thomson Medstat – 2007 Claritas Data
  6. 6. Central Region TGI Actions • Physician employment in primary care specialties • Expansion of the outpatient footprint • Growth of service intensity
  7. 7. Central Region Markets HealthGrades 2007 statistics • 3.7 million searches for a physician • 780,000 physician reports opened • Consumers clicked on “appointment request” button over 208,000 times • HealthGrades results show consumers are 33% more likely to contact the physician when they have more information about the practice
  8. 8. Cypress Fairbanks Regional Health Network Houston, Texas
  9. 9. Physician Employment PROJ PROJ 2006 2007 2008 2009 Markets 1 6 9 9 Clinics 3 12 19 23 Physicians 5 19 27 40
  10. 10. Primary Care Physician Productivity Annual admissions per productive physician average • Family Practice 70 • Internal Medicine 120 • OB/GYN 185 • Pediatrics 65 Source: Tenet – McKinsey analysis
  11. 11. Lake Pointe Regional Network Outpatient Footprint
  12. 12. Lake Pointe Regional Network Outpatient Footprint
  13. 13. Outpatient Footprint • New Offsite Clinics Include – 5 Imaging Centers – 2 Sleep Labs – 2 Urgent Care Centers – Wound Care Center – Physical Therapy Clinic • 6 - 7 mile average distance from hospital campus
  14. 14. Lake Pointe Regional Network Outpatient Footprint
  15. 15. Lake Pointe Regional Network Outpatient Footprint
  16. 16. Ease of Access a Priority • Ease of access to results for physician – PACS – Physician Portal • Ease of access in scheduling for physicians and patients – Evening and Saturday appointments – Centralized scheduling – Online scheduling and precertification • Ease of access in registration for patients – Online – Kiosk – SmartCard
  17. 17. Patient Kiosk
  18. 18. Growing Intensity Acute Case Mix Index Total Medicare 2006 1.326 1.519 2007 1.330 1.520 2008 YTD 1.369 1.539 • 8 of 13 hospitals increased both Medicare and total CMI from 2006 to 2007 • 12 hospitals have increased in total CMI and 5 have increased in Medicare CMI from 2007 into 2008
  19. 19. Service Lines Growing Intensity • Neonatal ICUs • Vascular Programs • Neurosciences/Stroke • Spine & Orthopedic Surgery • Oncology Programs • Cardiac Programs • ER Trauma Designations
  20. 20. Growing Intensity 2006 2007 Medicare LOS 6.13 6.02 Medicare CMI 1.519 1.520 • Every .01 increase in CMI change across the Region creates an estimated $5.6 million in net revenue
  21. 21. Central Region Summary • Attractive growing markets • Continued TGI focus from 2005 • Physician employment • Expanding outpatient access points • Growing intensity

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