Intermountain Report to the Community. Marc Harrison, MD President & CEO. April 4, 2017

Transcription

1 Intermountain 2017 Report to the Community Marc Harrison, MD President & CEO April 4, 2017

2 Three Takeaways Goal: Healthiest state with most affordable care Intense focus on the individual lives we touch Well-positioned to improve healthcare worldwide

3 Healthcare Costs Play a Role in Attracting Jobs Utah Economy Ranked #1 by in Utah Ranked #1 for Business by U.S. Chamber of Commerce

4 Total Medical Spending (among commercially insured 350 cities) $2,000 $4,000 $6,000 $8,000 UTAH is the only state with three communities in the top 10 for lowest spending OGDEN #1 Ogden, LowestUT Dubuque, IA Fayetteville, MO Fort Smith, OK Laredo, TX Amarillo, TX SALT Salt LAKE Lake #7 City, Lowest UT Fargo, ND Sioux City, IA PROVO #10 Provo, LowestUT National Average Anderson, IN $2,623 $2,719 $2,762 $2,916 $2,919 $2,942 $2,950 $2,979 $2,996 $3,029 $4,953 $7,231

5 Annual Medicare Spending Per Beneficiary $ $ $ $ $ $ Raymond J. Gibbons Circulation. 2007;115: Copyright American Heart Association, Inc. All rights reserved.

6 ABOUT INTERMOUNTAIN Strong Roots Current State Engaged Caregivers

7 A Charge to Be a Model Health System 15 HOSPITALS Worth $250-$300 million in 1975

8 Enduring Leadership Scott S. Parker William H. Nelson Charles W. Sorenson, MD

9 Trustees Focused on Communities Volunteer time and expertise Serve without pay Govern in best interests of the community 470+ Trustees

10 Helping people live the healthiest lives possible

11 Be a model healthcare system by providing extraordinary care and superior service at a sustainable cost

12 Integrated System 22 Hospitals 2,800 Licensed Beds 180 Medical Group Clinics 852,000 SelectHealth Members

13 We Are All Caregivers 39,000+ caregivers Physicians 1,560 Employed 3,500 Affiliated Advanced Practice Clinicians 680 Employed 1,100 Affiliated 9,300 Nurses 1/3 of Utah s nurses Other Caregivers 27,000+ Volunteers 1,600 Utah s largest private employer

14 Employer of Choice Gallup Great Workplace: 5x Gallup award winner Only 35 organizations awarded worldwide Top 100 Forbes 2016 America s Best Large Employers Top 100 Computerworld Best Places to Work in IT

15 Financial Stability and Excellence Highest rated Aa1 of any system in America AA+

16 LOOMING CHALLENGE IN HEALTHCARE Uncertainties in Healthcare Legislation

17 Providing high quality and the most affordable costs remains the right strategy

18 SelectHealth: Only Exchange Option in Utah for 20/29 Counties Utah Individual Exchange Membership State Totals SelectHealth Portion 200, , ,000 50,

19 CONTRIBUTING TO A VIBRANT COMMUNITY Economic Contribution Environment Education Local Needs

20 Nearly Half of Utahns Seek Care from Intermountain Annually

21 Economic Contribution to the Community (1) Economic Contribution Net Tax Revenue Charity Care 6.6% of Utah s economy $436.3M 4.8% of tax revenue $419.5M in 2016* Kem C. Gardner Policy Institute, University of Utah *Source: Intermountain Healthcare

22 Economic Contribution to the Community (2) Utah Jobs Job Earnings Utah GDP 143, % of jobs $7B 5.9% of Utah $9.8B 6.6% of GDP Kem C. Gardner Policy Institute, University of Utah

23 Caring for the Environment Facility Planning and Development LEED Certification: 14 facilities (8 Silver, 3 Gold) 8 new facilities in design Energy Star Certified: 5 facilities Community Sustainability 5 LiVe Well community gardens, 4 more planned 2 Adopt-a- Highway teams Water Reduced total usage by 8.8M gallons annually LED Lighting Savings: 2.2M kwh/year

24 Environmental Impact: Recycling 30% 25% 20% 15% 10% 1.5M lbs Goal 6.9M lbs. Reusable sharps containers eliminated 244,350 lbs. from landfill 300,000 lbs. of food waste to a bio-digester by end of 2017

25 Educating Future Caregivers $35.9 million 2,762 $700,000 $6.6 million Provided for education of health professionals in 2016 Nursing students trained in 2016 To fund Diversity in Nursing scholarships at 6 Utah schools, educating up to 200 students Provided tuition reimbursement in 2016

26 Meeting Local Health Challenges Conducted Health Needs Assessments for 22 hospitals The significant health priority is prevention in four key areas: Prediabetes High Depression Prescription Blood Opioid Diabetes Pressure Misuse

27 Tackling Prescription Opioid Misuse Opioid Community Collaborative Use Only As Directed Prescription Drop Boxes Physician and Patient Education Naloxone Opioid Reversal Med $3.5 million over 3 years Public awareness campaign 11,000 lbs. collected 2,450 physicians trained Available without a prescription (at a discounted price)

28 Opioid Collaborative Success Story A homeless couple successfully recovered. They went from living in a car to a home, but most importantly they got their son back.

29 Community Collaborations $13M $4.3M $646K Intermountain Community Contributions Intermountain Community Care Foundation Community Partner Fund

30 Association for Utah Community Health Support to 15 Large Independent Community Clinics Community health workers $1.2 Million (over 3 years) Health insurance premiums 1,673 people in 983 households $3.0 Million ( )

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32 Safety: Better Care, Safer Care About 250,000 preventable deaths from medical errors in U.S. hospitals each year 28,000+ caregivers trained (99% of leaders) SPEAKING UP FOR SAFETY Increased 26% Serious safety events significantly reduced after 2 years Reduced 30%

33 Quality: National Quality Measures Central Line Associated Bloodstream Infections Percentile Rankings (higher is better) 50% 30% Intermountain Medical Center Mayo Clinic Johns Hopkins Cleveland Clinic Mass General 2015 (most current available) Source: data.medicare.gov, 2015 is most recent data available

34 Quality: Hospital-Wide 30-Day Readmissions Percentile Rankings (higher is better) 80% 60% 40% 20% Intermountain Medical Center Mayo Clinic Ronald Reagan UCLA Cleveland Clinic Mass General 2015 (most current available) Source: data.medicare.gov, 2015 is most recent data available

35 Our 10 Clinical Programs Cardiovascular Women and Newborns Primary Care Oncology Intensive Medicine Behavioral Health Surgical Services Pediatric Specialties Musculoskeletal Neurosciences

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37 Cardiovascular Clinical Program 83% Patients With Door-to-Balloon Time <90 Minutes at Intermountain Medical Center 89% 98% 100% 100% 100% 100% 99% PCI < 90 Min. Rate First program 1997 In the last 5 years in the Salt Lake Valley, 99.8% of heart attack patients received lifesaving treatment to open a blocked artery in less than 90 minutes No other hospital system in U.S. has achieved this

38 Clinical Programs Neurosciences Improving Outcomes for Stroke Patients 60 minutes door-to-needle time is the national benchmark 70 Min 61 Min 35 Min 2014 Intermountain System (except Intermountain Medical Center) Nov Feb Intermountain System 2016 Intermountain Medical Center TeleHealth Stroke Services Launch: same care everywhere

39 Behavioral Health Clinical Program: Team-Based Care, Including Mental Health Integration ER Visits Reduced 23% Hospital Admissions Reduced 11% Primary Care Encounters Reduced Payments to Providers Reduced 7% 3% Saved $115 per $22 investment (per person per year) for Mental Health Integration

40 2017 Hearst Health Prize Recipient Annual national award recognizing outstanding achievement in improving health

41 Women and Newborns Clinical Program INNOVATION TeleHealth Newborn Critical Care Support 30,885 Births (58% of Utah births) 3,000 NICU Admissions 390 neonatal consults since 2014, 54 transports avoided with cost savings of $980,000

42 Patient Experience: Intermountain Outperforms Nation Overall Rating Intermountain Healthcare National Average

43 Stewardship: Bending the Cost Curve Costs the community nearly $1B less a year $576.6M $931.8M $187.3M $483.2M $515.1M PROJECTED ACTUAL PERFORMANCE

44 Efficiencies in Supply Costs $667 Million saved over 10 years $480M $667M #1 Ranked Supply Chain in the nation for 2016 Gartner Healthcare Top 25 $278M $177M $25M $96M : #3 2014: #3 2013: #4 2012: #4 2011: #7 2010: #7

45 Improvement Ideas from the Frontline Systematic method to improve value for patients/members Reduces waste, improves safety 892 Continuous Improvement projects in 2016 $7.8 million in validated savings for 2016

46 Expanding Access: Charity Care (Financial Assistance) $385M $353M $419.5M $250M $282M Dollars Total cases 239K 277K 268K 245K 249K

47 Expanding Access: 52 Community Clinics 325K 382K 402K 457K Mars Russell Lincoln School Clinic 261K Patient Visits

48 Improving Access: New Construction Projects 41 major construction projects in the last 5 years Previous 5 years $966 million investment Utah Valley Hospital Replacement Transformation Center Next 5 years $1.74 billion investment Dixie Campus Consolidation and Cancer Center Layton Hospital Major projects valued at $3M or greater

49 Reaching Patients Where They Live, Work, and Play Mobile Clinic $254,000 investment Serving Garfield and Piute Counties, starting May 2017 Serving 5,600 residents across 6,500 sq. miles Nearly 2 million tourists travel in these counties annually

50 Connect Care: Bringing Affordable Quality Directly to Patients Physician to Patient ER $561 Patient Savings Connect Care 4,450 Visits (end of 2016) Urgent Care $79 Average Savings/Visit $55.23 Primary Care $67 Connect Care = $49 or less Cost per visit Average savings per visit $212,597 Total saved

51 TeleHealth: Bringing Quality Care Closer to Home Connecting Specialists and Local Physicians Critical Care Stroke Crisis Care Newborn Care Oncology Pediatric Critical Care Infectious Diseases Pediatric Services

52 TeleHealth: Patients Served , , ,837 RESULTS ,089 >242,025 Consults since New services in the pipeline YTD

53 TeleHealth: Facility Outreach (Non-Intermountain Facilities)

54 Life Flight 7 helicopters, 2 turboprop fixed-wing, 1 jet Only jet certified to transfer organs Certified hoist rescue operations Over 10 million patient miles flown Patients Transported 4,000 27,000 56,000 44,000 65,000 Patients transported since

55 INVESTING IN THE FUTURE Moving Upstream Innovation Thought Leadership

56 Moving Upstream to Improve Health Ongoing investment in the health of the people we serve LiVe Well Creating a healthy eating environment at Intermountain Supporting community initiatives

57 Helping People Manage Their Own Health 300, , , , ,000 50, % of Utah adults use My Health Health Information Test Results Appointments Bill Pay Claims Benefits Coverage

58 New Businesses Manages supplies for more than 95,000 hospitals and clinics, helping them be more efficient Lowers cost to patients through integrated, point-of-care specialty pharmacies Members have increased access to specialty medications Personalizes options for stage-4 cancer Identifies the most gene mutations with proprietary ICG100 Uses outcomes data to reduce variation and improve healthcare Reduced supply costs at Intermountain by $90 million

59 Research Our research: is focused on achieving the best medical result at the lowest necessary cost aims to have a rapid impact on care delivery OPEN STUDIES ,583 1,589 1,515 1,471 1,

60 Intermountain Studies Published Annually Number of Publications *Using the search criteria for PubMed developed by the Institute for Healthcare Delivery Research

61 Generosity of Others Helps Meet Needs ($ in millions) $61 $36 $19 $23 $24 $ Helps keep care affordable and enhances services: Patient Programs Charity Care Research Capital Projects Technology

62 The image part with relationship ID rid4 was not found in the file. Intermountain Kem Gardner Transformation Center Advanced Training Program: Trained > 5,000 leaders 80% from outside Utah 30 countries, 50 states 24 site visits in 2016 Intermountain Institute for Healthcare Delivery Research Intermountain Healthcare Leadership Institute Intermountain Clinical Programs Leadership Institute: C-suite leaders, worldwide, learning to lead transformation From volume to value Population health strategy Principle-based leadership

63 Top 5 Healthcare Models for Innovation Kaiser Permanente 67% Mayo Clinic Cleveland Clinic 55% 58% Geisinger 49% Intermountain Intermountain Healthcare Johns Hopkins 14% 41% Virginia Mason 9%

64 Working to Improve Healthcare Worldwide One of 30 Healthcare Governors < 10 delivery systems globally 2,500 top leaders Leading contributor to global Value in Healthcare project

65 Expanding Thought Leadership JAMA

66 Three Takeaways Goal: Healthiest state with most affordable care Intense focus on the individual lives we touch Well-positioned to improve healthcare worldwide

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68 One Intermountain

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70 THANK YOU