Recommended
More Related Content
Viewers also liked
Viewers also liked (12)
Similar to 10_Holland_Southern_final
Similar to 10_Holland_Southern_final (20)
More from finance42
More from finance42 (20)
Recently uploaded
Recently uploaded (20)
10_Holland_Southern_final
- 1. Regional Review Southern States Region John Holland Senior Vice President
- 2. Southern States Region Attractive • Population growth/aging • High commercial percentage Diverse • Markets/Assets • Tactics Trends Adopted Later • CON in 4 of 5 States • Managed Medicare/Medicaid 1
- 3. SSR’s Prescription for Success Grow both inpatient & outpatient Alignment volumes consistent with TGI Improve cost metrics, especially Value labor productivity Energy Retain and recruit great people Deliver “world class” service Empathy Trust Improve clinical outcomes 2
- 4. Southern States Region Quality Convenience Nurses Physicians Equipment 3
- 5. Quality Performance Chief Medical Officers CMS Hospital Compare Data Directors of Clinical Quality Clinical Close Calls #1 in Georgia Balanced Score Card 93.2 93.0 92.5 92.4 92.3 91.7 91.5 91.3 91.2 National Average – 88 85.6 83.4 SSR Average – 90.7 Piedmont North Fulton Brookwood HH East Cooper NorthShore Frye CCH Spalding South Fulton AMC Tenet Hospital National Average Source: Aggregated data for heart attack, heart failure, pneumonia and, starting Q106-Q406, surgical care improvement 4 process rate from publicly reported core measure data on the CMS Hospital Compare web site
- 6. Centers of Excellence Designations AARC AHA ASBS BCBS Cigna Health HHS JCAHO JD NRC SCPC United URN Resp Bariatric Grades Stroke Powers Chest Bariatric Pain AMC BMC CCH CCMC ECRMC Frye HHH NFRH NRMC PMC SFH SRMC Note: 45 Designations in the SSR 5
- 7. Service Results* Hardwired Patient Satisfaction Physician Follow-up Patient Satisfaction Physician Satisfaction 105 105 104 104 103 103 102 102 101 101 Target 100 100 99 99 98 98 97 97 96 96 95 95 2006 2007 Q1 2008 2006 2007 Q1 2008 *Led Tenet in 2007 6
- 8. Service Results ER Physician Alignment EMRs ER Satisfaction 103 102 101 100 Target 99 98 97 2006 2007 Q1 2008 7
- 9. People Results Annualized Turnover* Long-term Retention Solutions 30 Front Line Supervisor Skills: Training to build people skills for managing and leading people New Grad Programs: Orientation programs that systematically 25 onboard new employees Employee Selection Pilots: Screens new hires for motivation, skills and “fit” Hospital Leadership Stability: 20 Competency assessments; targeted executive development 15 2006 2007 Q1 2008 *Excludes PTII, source: R&R reporting 8
- 10. Attracting Physicians Redirection PRP Recruitment ER Call Arrangements Physician Recruiters Deferred comp pilots Employment Joint Ventures Practice Managers Jointly own 5 ASCs Hospitalists/Intensivists 10 programs in the SSR Clinical Quality Outstanding Service Equipment & Facilities 9
- 11. Monthly SWB Savings $12.3 Million Savings $3,860 Visionware Monitoring: $3,776 common system for $3,442 4,000 monitoring performance by department 3,500 Monthly Labor Reviews: 3,000 by department and hospital 2,500 Operations Reviews: “Deep Dive” reviews that 2,000 focus on operating $1,223 improvements 1,500 PMI Engagements: 1,000 intense focus on efficiency and workflow 500 reengineering 0 Jan Feb Mar Apr Savings in 000’s * Based on improvements in SWB/APD from Q4 07 10
- 12. Our Hospitals Central NC Central Carolina (137 beds) Greater Charlotte Frye Regional (355 beds) Greater Atlanta Piedmont (288 beds) AMC (460 beds) North Fulton (202 beds) South Fulton (338 beds) Atlanta, GA Spalding (160 beds) Sylvan Grove (25 beds) Birmingham Brookwood (586 beds) Hilton Head, SC Coastal SC East Cooper (100 beds) Hilton Head (93 beds) New Orleans Coastal Carolina (41 beds) NorthShore (165 beds) Well-Known Retirement Communities Tenet Hospitals 11
- 13. Our Markets South Charlotte 2.0% North Atlanta Attractive 2.5% • Population growth/aging • High commercial Southeast Birmingham percentage 1.7% Diverse • Markets/Assets • Tactics Trends Adopted Later • CON in 4 of 5 States Coastal SC • Managed 2.1% Medicare/Medicaid Slidell, LA 1.8% National Average Population CAGR = 0.7% SSR Average Population CAGR = 1.8% 12
- 14. Our Markets Frye 26.4% Piedmont 25.6% North Fulton Attractive 34.8% • Population growth/aging • High commercial Brookwood percentage 50.5% Diverse • Markets/Assets • Tactics Trends Adopted Later East Cooper • CON in 4 of 5 States 52.8% • Managed Medicare/Medicaid Tenet Average Commercial Managed Care = 26.1% SSR Average Commercial Managed Care = 30.1% 13
- 15. Our Assets • 12 Hospitals • 9 Ambulatory Surgery Centers – 5 Joint Ventured • 8 Freestanding Diagnostic Imaging Centers • 8 Urgent Care Centers 14
- 16. Targeted Growth 15
- 17. Challenge Result Softening Demand • Complete and implement TGI TGI complete by July 1 • Invest selectively in OP services 9 ASCs/8 DICs/8 UCCs Pricing Pressure • Selective capital investment Upgraded facilities Strong NFP • Improve clinical outcomes Competitive results Competition • Recruit key physicians Recruited physicians • SWB management SWB savings Rising Costs • Deferred comp model Deferred comp pilots 16
- 18. SSR Prescriptions for Success Grow both inpatient & outpatient Alignment volumes consistent with TGI Improve cost metrics, especially Value labor productivity Energy Retain and recruit great people Deliver “world class” service Deliver “world class” service Empathy Trust Improve clinical outcomes 17