EASTERN PLUMAS HEALTH CARE DISTRICT

Transcription

1 EASTERN PLUMAS HEALTH CARE DISTRICT SPECIAL MEETING OF THE Standing Planning Committee September 14, :00 P.M. EPHC Administration Conference Room AGENDA Presenter(s) I/D/A Page(s) 1. Call to Order Larry Fites A 2. Roll Call Larry Fites I 3. Approval of Agenda Larry Fites A 4. Board Comments Board Members I 5. Public Comment Members of the Public I 6. Strategic Plan Review I/D Dashboard 7. Facility Long Range Planning I/D /2012 Operating Plan I/D 9. Tahoe Forrest Affiliation I/D 10. Land I/D 11. Advisory/Leadership Council I/D 12. Remodel Updates I/D 13. Other 14. Adjournment Larry Fites A 1

2 Goals Objectives Quality and Customer Service EPHC Strategic Plan Scorecard Patient Satisfaction program Customer Service and training program Test results reporting to patients Quality Measurement Electronic Health record implementation Timing Teresa Whitfield 10/ /2011 7/2011 6/ /2012 Resp. Cathy Conant Teresa Whitfield Rick Boyd Status IP and ER satisfaction being measured. Clinic patient satisfaction surveys being printed and will begin June Program started with development of standards, reviewed with staff in clinic, SNF, and Nursing so far. Ongoing effort. Measuring provider compliance. Metrics developed and measured routinely. Ongoing. ER and Physician practice modules remaining Recruitment and Retention Plan Medical Staff Personnel/Human Resources Financial Performance Physician retention Committee Part time surgical coverage Expand specialist services in clinics Expand telemedicine services in clinics and hospital Employee satisfaction measurement Increase communication with staff Annual operating margin of 1% Formalized revenue cycle management program Increase days of cash on hand Debt Management EPHC Clinic recommendations 11/2011 3/2011 7/2011 3/2011 4/2011 7/2011 6/2011 6/2011 6/2012 1/2012 Mark Schweyer/ Cathy Conant / Cathy Conant Jeri Nelson Jeri Nelson Jeri Nelson Completed. Dr. Schwartz started March Ongoing. Dermatology to start 6/17. Neurology services began June, Awaiting approval of grant proposal before expanding program Completed. First survey completed by employees with action plan being developed to address issues. Employee forums twice per year, CEO attending department meetings periodically; Financial statistical info sent to staff regularly. Budgeting margin for 2011/2012 year with specific strategies. Ongoing program. We have explored options for debt restructuring and are working on land refinance. All others were unsuccessful. Recommendations being implemented. Support for potential tax levy Enhance Hospital Foundation fundraising 11/2013 9/2012 Board to meet with Foundation Board to discuss enhanced fundraising strategies Updates to be provided in March, June, October, and January

3 Goals Objectives Timing Resp. Status Survey community regarding expectations of services Survey community regarding why they are leaving the community Market Position Plan for minimizing outmigration of patients Enhanced strategy for communicating with community 1/2012 Linda Satchwell Ongoing. Website completed, community newsletter being explored. Formal program for EPHC marketing Website Consolidation of SVDH & EPHC Districts Plan for affiliation with Tahoe Forest 1/2012 3/2011 5/2012 7/2012 Linda Satchwell Linda Satchwell Several strategies have been implemented. Program continuing to be refined. Completed March 2011 Study group formed but on hold until Loyalton facility issues are resolved. Continuing to meet with THF to prepare a formal plan. Affiliations Enhance relationships with Reno Hospitals for return of patients Northern Sierra Collaborative Network Evaluate clinic staffing opportunities with UCD 3/2011 1/ /2012 Teresa Whitfield and Ongoing. Continuing to build relationships with Renown and St. Mary s staff to get patients returned Network established, meeting monthly. Community needs assessment being performed. Master Facility Plan 1/2013 Boiler replacement 12/2012 Researching grant availability Physical Plant Portola Clinic upgrades Loyalton Clinic upgrades 1/2014 Loyalton Hospital plan for meeting building codes Awaiting SB 90 criteria before creating plan.

4 OPERATIONS PLAN EASTERN PLUMAS HEALTH CARE Prepared by: Thomas P. Hayes Chief Executive Officer August 2011

5 TABLE OF CONTENTS INTRODUCTION. 3 FACILITIES...3 FINANCES...3 QUALITY...3 COMMUNITY RELATIONS/STRATEGIC PLANNING...4 OPERATIONS...4 CLINICS...5 LOYALTON CAMPUS EPHC Operations Plan 2

6 INTRODUCTION The following is the Operations Plan for the fiscal year. Responsible individuals are listed at the end of each item FACILITIES 1. Create a plan, budget, and timetable for NPC3 modifications to the Portola Facility. (TPH) 2. Prepare an analysis of the cost to demolish ambulance barn to meet OSHPD SPC3 compliance of boiler structure. Prepare a plan and timetable for demolition of facility and relocation of utilities. (TPH) 3. Prepare an analysis for Board review of the various options available for replacing EPHC campus boilers. (TPH) 4. Complete a review and provide recommended revisions to the long term facilities plan prepared in (TPH) 5. Prepare and analysis of EPHC Departmental space needs. (TPH) FINANCES 1. Achieve 2011/2012 budgeted profit margin. (All) 2. Complete budgeted volume goals as outlined in the 2011/2012 budget. (All) 3. Prepare a specific plan, including timetable, to raise cash reserves to a level of 30 days. (Jeri Nelson, TPH) 4. Implement Time and Attendance system from Healthland. (Cathy Conant, Jeri Nelson) 5. Reduce denials of payments from insurance companies by 50% from 2010/2011 levels. (Jeri Nelson, Teresa Whitfield) 6. Provide education on documentation and coding to all physicians in order to reduce denials. (Teresa Whitfield, Jeri Nelson) QUALITY 1. Continue to enhance QA program measurements by adding new metrics, e.g. medication errors, patient falls, etc. (Teresa Whitfield) EPHC Operations Plan 3

7 2. Continue to measure patient satisfaction scores in the clinics, hospital, and SNFs and routinely report results to Board QA Committee. Implement necessary actions to improve scores as required. (Teresa Whitfield, ) 3. Continue measurement of employee satisfaction annually. Create a plan of necessary actions to improve upon the results. (Cathy Conant) COMMUNITY RELATIONS/STRATEGIC PLANNING 1. Complete updates on EPHC Strategic Plan. Review annually with Leadership/Advisory Committee and Board for necessary changes. Consider setting up specific sub-committees of the group to create new ideas for specific areas, e.g. physician recruitment, marketing, customer service, and fundraising. (TPH) 2. Continue expansion of public relations program to include a routine insert in the newspaper, a community newsletter, community health education series, and additional outreach strategies to market our services. (Linda Satchwell) 3. In cooperation with the EPHC Foundation, create a more comprehensive program increasing donations to EPHC. (TPH, Linda Satchwell) 4. Identify and pursue available grant opportunities that will augment EPHC s services, educational outreach, and assistance with physical plant improvements. (Linda Satchwell) OPERATIONS 1. Continue efforts with Tahoe Forest to further define affiliation opportunities. (TPH) 2. Revamp our annual employee pay system to base annual raises on specific accomplishments and goals vs. seniority. (Cathy Conant) 3. Implement EMR modules according to IT Strategic Plan. Implement the ER module. (Rick Boyd) 4. Implement refinancing of 34 acre parcel with City of Portola. (TPH, Jeri Nelson) 5. Create a comprehensive telemedicine program for the hospital and clinics utilizing the equipment obtained from grant funds. (Mark Schweyer) 6. Implement 2011/2012 objectives outlined in the Strategic Plan. (All) EPHC Operations Plan 4

8 CLINICS 1. Implement patient satisfaction survey for clinics and report results to CEO and Board QA sub-committee. () 2. Implement expanded hours of coverage at the Portola Clinic. () 3. Recruit additional specialties for clinic services, e.g. urology, ENT, Psychologist. (TPH, ) 4. Create routine measurements for patient wait times, test results reporting, and patient satisfaction and report results to CEO and Board QA Committee. Implement necessary changes to improve upon results reported. () LOYALTON CAMPUS 1. Identify OSHPD/CHDF Facility code requirements and options for compliance. Analyze options for potential exemption under SB 90. (TPH) 2. Identify specific requirements and cost for relocating the clinic into the main building. (TPH) EPHC Operations Plan 5

9 EASTERN PLUMAS HEALTH CARE DISTRICT Advisory/Leadership Council Education Center 1) Welcome (5:30pm) 2) Introductions 5:30pm AGENDA 3) Update on Strategic Plan and hospital operations 4) Ad Hoc Committee Discussion Linda Peterson/ Marketing and Public relations Customer Service Physician Retention Fundraising opportunities 5) Update on Health Care Reform, other issues impacting hospital 6) Adjournment (7:30pm)