HomeMy WebLinkAbout03112013 City Council Laydowns • � � 111
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�^""` 1DENCE •A' "IDENCE
•
Table of Contents
Providence Seward Medical and Care Center
2012 Year End Report • Executive Summary
City of Seward - City Council • Community Health Needs Assessment Survey
• Quality Measures
March 11,2013 • Patient Experience
• Financial Performance/Census
• Employee Engagement
' • Community Benefit
• 2013-2015 Priorities
Executive 4' OVIDENCE i' +1DENCE
Community Health
°eoka;aca�ec,�,uer :�, .....
prongs ottonntontal core and tontion to ndtnnInt,..,,.°.nno Needs Assessment Survey
• Community Health Needs Assessment
re.me.ramiont Fa. completed
In"'�'"'""" M,�„• —Over 750 participants(300 in 2008)
Contotned In Inn report • • Prioritized top 4 priorities
snot,. onswe*to canyon Ott Kentage of the 5alors of II/wt.,.n and
—Preventative Care
Ctn. no °team Monk you tat yoga toppon
— —Overweight/lack of physical activity
s•°•• —Alcohol/substance abuse
—Lack of access to care
2 3
1
• --^"iDENCE " ,"IDENCE
Quality Measures ; LEC Center Quality Measures &Oft center
Seward Mountain Haven Hospital Acquired Infections
Falls/1000 elder days Jan—Dec 2012
Jan-Dec 2012
14.00
12.00
10.00
8.00
6.00
4.00 -_
2.00
0.00 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
4 5
• ^•�tDENCE +PROVIDENCE
Patient Experience icalMed &CarsCenter
Financial Performance /Census
2012 2012 2011
Overall Patient Experience 96% 94.2% 92.0% Actual Budget Actual
Likelihood to Recommend 91.1% 88.0% Total Revenue $18.11 $17.12 $17.2M
Total Expense $16.34 $15.36 $17.7M
• Positive comments: Net Income $2.38M $2.33M $0.15M
— "The clinic provides a vital service to our community. The kindness of
staff is a comfort when a person is ill."
— "Dr. was great-funny,friendly,put me at ease,listened to my
concerns. Thank your Charity Care/Bad Debt $0.92M $1.42M $1.34M
• Opportunities:
— it would nice if there was another option besides the ER on weekends
or after hours."
— "Less time waiting...more communication why running late."
6 7
2
A .
./•^',f"!IDENCE 4^^^`'IDENCE
Financial Performance /Census co a.&Care eruct Employee Engagement Y4z3<,ar,•,zun
2012 2012 2011 Employee Satisfaction Survey
Actual Budget Actual
Inpatient Days 247 245 239
Swing bed days 499 450 569
LTC days 12,444 13,176 11,723
(ADC=Average Daily Census) (34.0 ADC) (38.0 ADC) (32.1 ADC) ^- v,.
ER visits 2,457 2,664 2,614 ';
Clinic visits 4,580 5,819 5,986
Outpatient visits 23,163 23,126 23,348
Therapy visits 12,440 12,212 12,516
8 . . ._, 9
•14 IntC"IDENCE i rnCVIDENCE
Community Benefit ,: ,, :: <,:<.: Community Benefit xCafe Coot'
• Over 1800 community volunteer hours • Seward Wellness For All
• "Table of the King"event -Approx$62,000 in-kind services and labor
—Over 301bs of nortperishable food and over$90 • On Demand Labs
donated to He Will Provide Food Bank —Over$11,000
• Angel Tree • Over$300K in Charity Care
—Staff provided almost$800 in gifts for adopted —Includes Sliding Fee Schedule benefits
families
• Mount Marathon Race
—Approx 50 volunteer hours
10 11
3
• L
.R -`,1DENCE J ---"IDENCE
2013 - 2015 Priorities 2013 - 2015 Priorities ��K ��Me:•,..
• Improve Clinic performance • Distinguish Seward Mountain Haven as LTC
—Greater access(walkin appointments,extended and facility of choice for Alaskan Elders
weekend hours) —Perfect Green Home care model
—Optimize staffing and scheduling —Further develop referral network throughout Alaska
—Adopt best practice to achieveexcellent outcomes
and patient experience/satisfaction
12 13
♦PROVIDENCE •+•""-"IDENCE
2013 - 2015 PrioritiesMxai&Ca";(,0,t r 2013 - 2015 Priorities
• Further develop emergency preparedness • Continue partnerships and support of:
—Formalize partnershipsto ensure business continuity —Seward Wellness for All—promotion of community
in the event of a natural disaster health and wellness
—Further develop staff preparedness to respond to a —Seward Prevention Coalition—to decrease under
variety of situations aged alcohol and substance abuse
—Seward CHC Board—to further serve under and un
insured through a Federally Qualified Health Center
14 15
4
, 1_411,. ,
jike_S)
Litt4 ,
"'`"IDENCE
Seward
Medical&Care Center
Providence Seward Medical and Care Center
2012 Year End Report
City of Seward - City Council
March 11,2013
s'"". ase _S t syti _ ►yr
.'
TnC`"IDENCE
Table of Contents Seward
Medical&Care Centei
• Executive Summary
• Community Health Needs Assessment Survey
• Quality Measures
• Patient Experience
• Financial Performance / Census
• Employee Engagement
• Community Benefit
• 2013 - 2015 Priorities
1
Executive op PROVIDENCE
Dear Seward City Council Members,Mayor and City Manager: Seward
Medical&Care Center
SummaryI am proud to report that Providence Seward Medical and Care Center(PSMCC)
had a strong operating year in 2012.Dedicated PSMCC staff and providers
worked hard to provide exceptional care and service to individuals and families
in our community.There have been many successes this year around Quality,
Patient/Elder Experience and Financial Performance.
Within our successes,we have identified areas for continued improvement to
ensure we provide excellent care and experience every day,for every patient/
elder we serve.Furthermore,changes in regulatory standards and
reimbursement rates will challenge us to look for ways to strategize,and
collaborate with others to ensure long term sustainability of healthcare services
in the community.
As we move forward in 2013,improving our internal processes,ensuring staff
and physicians have the training and resources to provide the best service and
patient/elder experience and strengthening our partnerships within the
community will be key to our success.
Contained in this report is a summary of some of our successes,challenges and
strategies to ensure we carry on the heritage of the Sisters of Providence and
our continued partnership with the City of Seward to ensure we serve our
community to the best of our ability,always seeking clinical,service and
operational excellence.
On behalf of the PSMCC Team,thank you for your continued support and we
look forward to continuing our service to you and the community.
Sincerely,
g 'en
Joseph Fong
Administrator
2
PROVIDENCE
Community Health Seward
Medical&Care Center
Needs Assessment Survey
• Community Health Needs Assessment
completed
— Over 750 participants (300 in 2008)
• Prioritized top 4 priorities
— Preventative Care
— Overweight / lack of physical activity
— Alcohol / substance abuse
— Lack of access to care
3
2
PROVIDENCE
Quality Measures Seward
Medical&Care Center
Seward Mountain Haven
Falls/1000 elder days
Jan-Dec 2012
14.00
12.00 —
10.00 — •
8.00
6.00
4.00 W --
2.00
0.00
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
4
t PROVIDENCE
Quality Measures Seward
Medical&Care Center
Hospital Acquired Infections
Jan — Dec 2012
2
C
O
U
4)
C
O
W
E
Z
0 • • • • • • • • • •
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
5
3
tPROVIDENCE
Patient Experience Seward
Medical&Care Center
Overall Patient Experience 96% 94.2% 92.0%
Likelihood to Recommend 91.1% 88.0%
• Positive comments:
— "The clinic provides a vital service to our community. The kindness of
staff is a comfort when a person is ill."
— "Dr. was great-funny,friendly, put me at ease, listened to my
concerns. Thank you!"
• Opportunities:
- "It would nice if there was another option besides the ER on weekends
or after hours."
— "Less time waiting... more communication why running late."
6
4► -"IfIDENCE
Seward
Financial Performance / Census Medical&Care Center
2012 2012 2011
Actual Budget Actual
Total Revenue $18.11 $17.12 $17.2M
Total Expense $16.34 $15.36 $17.7M
Net Income $2.38M $2.33M $0.15M
Charity Care / Bad Debt $0.92M $1.42M $1 .34M
7
4
46 PROVIDENCE
Seward
Financial Performance / Census Medical BrCare Center
2012 2012 2011
Actual Budget Actual
Inpatient Days 247 245 239
Swing bed days 499 450 569
LTC days 12,444 13,176 11 ,723
(ADC=Average Daily Census) (34.0 ADC) (36.0 ADC) (32.1 ADC)
ER visits 2,457 2,664 2,614
Clinic visits 4,580 5,819 5,986
Outpatient visits 23,163 23,126 23,348
Therapy visits 12,440 12,212 12,516
8
EPP PROVIDENCE
Employee Engagement Seward
Medical Care Centel-
Employee
enterEmployee Satisfaction Survey
100%
90% - -
80%
70%
60%sou -
.2010
409r, __ 2011
■2012
30%
20'X.
0"b
Recommend Supervisor My Work I pet the training
Providencoaaa Responds to Supports the need to do my
Great Plateto Feedback from Mission work
Work Employees 9
5
4 PROVIDENCE
Community Benefit Seward
Medical&Care Center
• Over 1800 community volunteer hours
• "Table of the King" event
— Over 30lbs of non-perishable food and over $90
donated to He Will Provide Food Bank
• Angel Tree
— Staff provided almost $800 in gifts for adopted
families
• Mount Marathon Race
— Approx 50 volunteer hours
10
PROVIDENCE
Community BenefitMedicalSeward
&Care Centei
• Seward Wellness For All
— Approx $62,000 in-kind services and labor
• On Demand Labs
— Over $11 ,000
• Over $300K in Charity Care
— Includes Sliding Fee Schedule benefits
11
6
PRO"IDENCE
2013 - 2015 Priorities Seward
Medical&Care Center
• Improve Clinic performance
— Greater access (walk-in appointments, extended and
weekend hours)
— Optimize staffing and scheduling
— Adopt best practice to achieve excellent outcomes
and patient experience / satisfaction
12
"IDENCE
2013 - 2015 Priorities Seward
Medical&Care Center
• Distinguish Seward Mountain Haven as LTC
facility of choice for Alaskan Elders
— Perfect Green Home care model
— Further develop referral network throughout Alaska
13
7
""""IDENCE
2013 - 2015 Priorities Seward
Medical&Care Center
• Further develop emergency preparedness
— Formalize partnerships to ensure business continuity
in the event of a natural disaster
— Further develop staff preparedness to respond to a
variety of situations
14
"""�IDENCE
2013 - 2015 Priorities rd
M dical&Care Center
• Continue partnerships and support of:
— Seward Wellness for All — promotion of community
health and wellness
— Seward Prevention Coalition —to decrease under
aged alcohol and substance abuse
— Seward CHC Board —to further serve under and un
insured through a Federally Qualified Health Center
15
8
""IDENCE
Health&Services
Alaska
Thank you
9
3/111
� 3
2102-2103 MID-YEAR BUDGET POLICY WORK SESSIONs,
DRAFT SCHEDULE
Infrastructure replacement/Infrastructure replacement plan:Capital requirements and Funding
Strategies
• WORK SESSION 1
o Electrical /15
• Lines and poles
o ETeemis Rates
Cctprk ( FLA vt.d►n P l a (1)
U.-b0
()lir\
• WORK SESSION 2 �(/ �/
o Water and Sewer Infrastructure q
o-___Wate-rar _Sewer_rates-- capita I fu nd ihl Mali 0)
Admin will provide previous critical, high risk, and moderate capital project lists, rate studies or
projections, and depreciation schedules
• WORK SESSION 3 5/
o General Fund Long range financial planning
o SCLM bond repayment strategy
• WORK SESSION 4
o FEED (Front End Engineering and Development) strategies for extending utilities to
undeveloped lots/subdivisions 5/2,
• WORK SESSION 5 �/
o Animal Control Service Area 20
5nY)a . t 146vIotovItv ` 1Ctn- Ctib
Ye v i etA)
PVI
2102-2103 MID-YEAR BUDGET POLICY WORK SESSIONs,
DRAFT SCHEDULE
Infrastructure replacement/Infrastructure replacement plan: Capital requirements and Funding
Strategies
• WORK SESSION 1 •
o Electrical /15
■ Lines and poles
o Electric Rates
U1-0° TW .
• WORK SESSION 2 1/29//�
9
o Water and Sewer Infrastructure
o Water and Sewer rates !
Admin will provide previous critical, high risk, and moderate capital project lists, rate studies or
projections, and depreciation schedules
• WORK SESSION 3
5
o General Fund Long range financial planning
o SCLM bond repayment strategy
• WORK SESSION 4
o FEED (Front End Engineering and Development) strategies for extending utilities to
undeveloped lots/subdivisions20
f
• WORK SESSION 5
o Animal Control Service Area 0 20
Ilia..n: t I, Y' .Le,f — qt.tfr C6
YeVIIF_
4,se • /24
Office(907) 224-4050
��/,3
CITY OF SEWARD 4� • Police(907)224-3338rhlj ,
• Harbor(907)224-3138
P.O.Box 167 • Fire(907)224-3445
410 Adams Street • City Clerk (907)224-4046
Seward,Alaska 996640167 • Community Development(907) 224-4049
• Utilities (907)224-4050
• Fax(907)224-4038
March 11, 2013
Honorable Representatives Seaton,Kawasaki and Thompson,and Members of the Finance Committee,
2013 is shaping up to be a record year for the Pick-Click-Give program.Nearly 20,000 Alaskans have
contributed almost$2 million for food and shelter for fellow Alaskans,aided families affected by
domestic violence,rescued animals and many other causes.The program truly does make small gifts
large,yet some small organizations that can provide meaningful local services are at present ineligible.
Currently, organizations with a total budget of$250,000 or more are required to file an audited fmancial
statement to be eligible,which in many cases would cost more than the donations they might receive
through the Pick-Click-Give program.
Accountability can be maintained,and a broader choice of organizations to support can be presented to
Permanent Fund recipients by adopting HB-75. This bill would allow smaller organizations: those with
more than$250,000 total budget but receiving less than$500,000 in Federal finding,to substitute the
already required IRS Form-990 for the audit requirement.This is a form anyone can access to determine
if the organization meets not only the Federal requirements for non-profits,but their own personal
standards as well.
The City of Seward supports the goal of enabling the Pick-Click-Give program to allow smaller deserving
organizations providing important services at the local level to participate.We appreciate your bringing
this bill forward,believe it to be in the best interests of the State, and urge adoption by the Legislature.
Sincerely,
David Seward,
Mayor
/43
(9kes
(Avid i) N
•` "^%/IDENCE
Seward
Medical&Care Center
Providence Seward Medical and Care Center
2012 Year End Report
City of Seward - City Council
March 11,2013
ASL`' t 't � t a- y�AF • t
"^`"IDENCE
Table of Contents6rd
^`ical&Care Center
• Executive Summary
• Community Health Needs Assessment Survey
• Quality Measures
• Patient Experience
• Financial Performance / Census
• Employee Engagement
• Community Benefit
• 2013 - 2015 Priorities
1
Executive 'P' -7,`"IDENCE
Dear Seward City Council Members,Mayor and City Manager: Seward
Summary Medical&Care Center
I am proud to report that Providence Seward Medical and Care Center(PSMCC)
had a strong operating year in 2012.Dedicated PSMCC staff and providers
worked hard to provide exceptional care and service to individuals and families
in our community.There have been many successes this year around Quality,
Patient/Elder Experience and Financial Performance.
Within our successes,we have identified areas for continued improvement to
ensure we provide excellent care and experience every day,for every patient/
elder we serve.Furthermore,changes in regulatory standards and
reimbursement rates will challenge us to look for ways to strategize,and
collaborate with others to ensure long term sustainability of healthcare services
in the community.
As we move forward in 2013,improving our internal processes,ensuring staff
and physicians have the training and resources to provide the best service and
patient/elder experience and strengthening our partnerships within the
community will be key to our success.
Contained in this report is a summary of some of our successes,challenges and
strategies to ensure we carry on the heritage of the Sisters of Providence and
our continued partnership with the City of Seward to ensure we serve our
community to the best of our ability,always seeking dinical,service and
operational excellence.
On behalf of the PSMCC Team,thank you for your continued support and we
look forward to continuing our service to you and the community.
Sincerely,
Joseph Fong
Administrator
2
J' "'"""IDENCE
Community Health Seward
Medical&Care Center
Needs Assessment Survey
• Community Health Needs Assessment
completed
— Over 750 participants (300 in 2008)
• Prioritized top 4 priorities
— Preventative Care
— Overweight / lack of physical activity
— Alcohol / substance abuse
— Lack of access to care
3
2
ts WOVIDENCE
Quality Measures ard
Medical&Care Center
Seward Mountain Haven
Falls/1000 elder days
Jan-Dec 2012
14.00
12.00
10.00
8.00
6.00
4.00
2.00
0.00
Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
4
NOP ---`/IIDENCE
Quality Measures Seward
Medical&Care Center
Hospital Acquired Infections
Jan — Dec 2012
2
C
O
u
C
1
O
E
z
0 .-_ • • • - • . •
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
5
3
•` "--"`/IDENCE
Patient Experience rd
M dical&Care Center
Overall Patient Experience 96% 94.2% 92.0%
Likelihood to Recommend 91.1% 88.0%
• Positive comments:
— "The clinic provides a vital service to our community. The kindness of
staff is a comfort when a person is ill."
— "Dr. was great-funny,friendly, put me at ease, listened to my
concerns. Thank you!"
• Opportunities:
— "It would nice if there was another option besides the ER on weekends
or after hours."
— "Less time waiting... more communication why running late."
6
EPP ---"/IDENCE
Seward
Medical&Care Center
Financial Performance / Census
2012 2012 2011
Actual Budget Actual
Total Revenue $18.11 $17.12 $17.2M
Total Expense $16.34 $15.36 $17.7M
Net Income $2.38M $2.33M $0.15M
Charity Care / Bad Debt $0.92M $1.42M $1.34M
7
4
41. """IDENCE
Seward
Medical&Care Center
Financial Performance / Census
2012 2012 2011
Actual Budget Actual
Inpatient Days 247 245 239
Swing bed days 499 450 569
LTC days 12,444 13,176 11,723
(ADC=Average Daily Census) (34.0 ADC) (36.0 ADC) (32.1 ADC)
ER visits 2,457 2,664 2,614
Clinic visits 4,580 5,819 5,986
Outpatient visits 23,163 23,126 23,348
Therapy visits 12,440 12,212 12,516
8
J' ""IDENCE
Employee Engagement Seward
Medical&Care Center
Employee Satisfaction Survey
100%
40%
80%
70%
00.A,
5ax.
40%
2010
2011
.2012
20.A.
10%
OA.
Recommend Supervisor t.ly Wo,k I gel the training l
Providence as a Responds to Supports the need to do my
Great Place to Feedback horn Mission work
Work Employees n
5
IDENCE
Community Benefit rd
M dical&Care Center
• Over 1800 community volunteer hours
• "Table of the King" event
— Over 301bs of non-perishable food and over $90
donated to He Will Provide Food Bank
• Angel Tree
— Staff provided almost $800 in gifts for adopted
families
• Mount Marathon Race
— Approx 50 volunteer hours
io
""""IDENCE
Community Benefit rd
M dacal&Care Center
• Seward Wellness For All
— Approx $62,000 in-kind services and labor
• On Demand Labs
— Over $11 ,000
• Over $300K in Charity Care
— Includes Sliding Fee Schedule benefits
11
6
---/IDENCE
2013 - 2015 Priorities Sewrd
Med ical&Care Center
• Improve Clinic performance
— Greater access (walk-in appointments, extended and
weekend hours)
— Optimize staffing and scheduling
— Adopt best practice to achieve excellent outcomes
and patient experience / satisfaction
12
41, "",'"`!IDENCE
2013 - 2015 Priorities rd
M dical&Care Center
• Distinguish Seward Mountain Haven as LTC
facility of choice for Alaskan Elders
— Perfect Green Home care model
— Further develop referral network throughout Alaska
13
7
' `'IDENCE
2013 - 2015 Priorities Seward
Medical&Care Center
• Further develop emergency preparedness
— Formalize partnerships to ensure business continuity
in the event of a natural disaster
— Further develop staff preparedness to respond to a
variety of situations
14
011. "-"""$DENCE
2013 - 2015 Priorities Medical&Care Center
• Continue partnerships and support of:
— Seward Wellness for All — promotion of community
health and wellness
— Seward Prevention Coalition — to decrease under
aged alcohol and substance abuse
— Seward CHC Board — to further serve under and un
insured through a Federally Qualified Health Center
15
8
mg, -"IDENCE
AI ,F'.. .
Thank you
9