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HomeMy WebLinkAbout03112013 City Council Laydowns • � � 111 � . (RA),64.1) �^""` 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