Staff Forum Laying the Foundation for the next 100 years

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1 Staff Forum Laying the Foundation for the next 100 years Spring 2018 Health Healing

2 Questions Submit questions at anytime to

3 Health Care Costs Average cost per inpatient day 1920: $3.50 per day 2015: $2,130 per day

4 Health Care Costs The ballooning costs of healthcare acts as a hungry tapeworm on the American economy. Warren Buffett CEO, Berkshire Hathaway

5 Health Care Disruptors

6

7 Value of a Strong Brand Pistons, Henry Ford breaks ground on $65M+ facility for State of the Art Training, Rehabilitation and Sports Medicine Henry Ford begins $155M cancer pavilion expansion Philanthropist donates $20M to Henry Ford Cancer Institute Henry Ford receives $20M for pancreatic cancer research

8 Change on Steroids New Practices: ü Dermatology ü Infectious Disease ü Plastic Surgery ü OB-GYN ü Neurosurgery ü Vascular Surgery Facilities: ü Cascades Ridge ü Center for Health Innovation and Education Center ü Leslie ü Townsend ü New Tower Trauma Level II Designation ü Self Service ü Sunquest Lab ü Epic! ü HF Cancer Institute ü Radiation Oncology/CV Surgeons joined HFAH Medical Group ü HAP Health Plan ü Retirement Plan ü Joint Commission Survey ü $27M annual savings in Financial Improvement Plan

9 Haves and Have Nots (Hospital Profits) Case Mix (tertiary care, surgical) Graduate Medical Education (reimbursement and physician recruitment) Healthy Community Affluent Community/State Time $0 Operating Margin (Breakeven) Primary/Secondary Care Focus Socioeconomic Disadvantaged Community Unhealthy Communities High Uninsured/Underinsured Population Economically Challenged State

10 Scope/Quality of Care Our History of Innovation Rebranded to Allegiance Health Open-Heart Surgery Orthopedics and Neuroscience Center Hospice Residence Interventional Cardiology and Angioplasty Doctors Hospital/Specialty Hospital Building on a Vision Health Improvement Organization Medical Group/Regional Practices One Jackson Square Radiation Oncology (UMHS) Home Health/Hospice Care Center for Family Health Cardiac Cath Lab Electronic Health Record Structural Heart/TAVR Private Room Patient Tower Center for Health Innovation and Ed. HFHS Partnership Epic and more HF Cancer Institute/Rad-Onc Trauma Designation Gayle M. Jacob Cancer Center Clinically Integrated Network /JHN Graduate Medical Education

11 Successful Launches Private Room Patient Tower Center for Health Innovation and Education Henry Ford Cancer Institute

12 Front Entrance Renovation

13 Dashboard 2018 YTD 2018 Target Safest Care and Best Outcomes Readmissions 13.9% 12.0% Hospital Acquired Infections 5 9 Exceptional Experience Willingness to Recommend HCAHPS (inpatient) 58.7% 62.4% At or better than target <=5% below target >5% variance to target CGCAHPS (outpatient) 88.4% 91.6% Affordable, Efficient Care Net Operating Income (thousands) $2,796 $(1,683) Cost Per Unit $8,037 $8,212

14 $5M $4M Operating Margin $3M $2M $1M $2.9M YTD $0 $0 Operating Margin (Breakeven) ($1M) ($2M) ($3M) ($4M) ($5M) ($3.4M) 2016 (9 months) ($5.0M)

15 Patient Experience I would definitely recommend this hospital 50 th Percentile (Average) 2018 Target: 62.4%

16 Patient Access Make it easy to become a customer

17 Healthcare HFAH Flywheel Health Care Flywheel Attract Believers Build the Brand Build Strength Demonstrate Results

18 Important Dates Center for Health Innovation and Education Open House May 1, 11:30 a.m. 1:00 p.m. Centennial Picnic June 16, 11:00 a.m. 3:00 p.m. Cascades Park Pavilion Patient Tower Opening July 2018

19 When nothing is certain, anything is possible.

20 Request for your help What is one thing you do to help us differentiate ourselves from our competitors?

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