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HomeMy WebLinkAbout02272017 City Council Laydowns Report to Council 27 February 2017 Seward Chamber of Commerce, CVB Cindy Clock The Chamber Board of Directors has worked on defining their 2017 Strategic Goals: 1. Work in partnership with the City - Climate Change: Advocate for Renewable Energy (Solar works in Alaska!) - Housing: Support Residential Development - Education: Workforce Development & Education on importance of Bed Tax funds for marketing - Community Interaction: Board members attending Council meetings to improve City Relationship - Increase in-State Tourism: Promote Regional Awards received by Seward and investigate Tourism Investment District (TID) proposed by ATIA - Increase Shoulder Season Visitation: Participate in FAM opportunities, promote Seward to Anchorage conferences (pre & post) 2. Improve/Increase Organizational Effectiveness - Contract or work closely with an HR Firm - Build and Retain a Solid Chamber Team: Professional Development, Appreciation - Data Reporting to Track success: Post Event (financial)Analysis March is the month for our Spring Sports Shows to begin Denver Adventure Travel Show 18 &19 Mat-Su Show 24, 25 &26 Great AK Sportsman Show 30 -April 2 Fairbanks Outdoor Show April 20-22 Our SEGP group meetings (Energy& SMIC) have taken a bit of a winter vacation, SMIC group meets March io at 9:00 at the Breeze conf room and the Energy group is scheduled to meet March 16th at noon at the Library. Chamber Luncheon on Friday, March 10 will feature Kristen Lindsey with Thrively Digital. Chamber Luncheon on Friday, March 24 we'll hear from Steve Fink on Artificial Intelligence Noon at the Breeze Inn Mt. Alice Room. Buffet Style Lunch $12. Split the Pot & Door Prize. And finally, thanks to everyone that was able to attend the Community Awards Dinner earlier this month. To recap Dave Paperman - Person of the Year Kerry Romig- Business Person of the Year Samson Tug& Barge - Business of the Year Retreat Day Spa (Christa Tritz) Business Site Improvement American Legion Auxiliary, Seward Unit 5 - Outstanding Community Service t J� ofi Hai ` ^'/IDENCE ;""""IDENCE Seward of Contents - Seward Medical Table &Care CenterMedical&Care Center Providence Seward Medical & Care Center • Executive Summary 2016 Year End Report • 2016 Review City of Seward - City Council Presentation - Quality Indicators - Financial Performance Joseph Fong-Administrator,Providence Seward Medical&Care Center Monday,February 27.2017 - Additional Highlights • 2017 Priorities • 9i .111110117nr- , 2 4 PROVIDENCE 4"^"IDENCE E},,.°a y.., I t i Seward Seward l, I�Je SI.E)'?"s)'?'1 ry Medical&Care Center Quality Indicators Medical&Care Center Dear Seward City Council Members,Mayor and City Manager:? Contacted in this report is a summary of the successes and challenges from 2016 for Providence Seward Medical&Care Center and our phormes for 2017. Medical Center Mountain Haven In 2016,our inpatient,swing bed and outpatient volume were significantly higher than last year resulting in higher than budgeted Measure 2017 2017 revenue in these areas.Total expenses were below budget.These factors off-set some but not all of the impact from the below 2014 2015 2016 Goal 2014 2015 2016 Goal budget volume and revenue from Mountain Haven.Achieving and maintaining a higher census at Mountain Haven remains key to our financial success.Redesign of our referral and admission process contributed to a net increase in census in the last quarter of the year. The addition of Memory Care and other clinical services in early 2017 will broaden the conditions and needs that we can Falls/1000 patient days 0.00 3.19 4.10(3) 1.00 2.75 2.31 5.4147) 2.70 care for and positron us well to exceed this year's goals. Our community partnerships and community benefit remain strong.New in 2016 was theintroductian of a community benefrt gran[ Last Fall with injury 4/1/2012 12/12/16 program.Our Health Advisory Council MAC)designed a grant application program to award and distribute community benefit Healthcare Acquired monies donated by Providence Hearth&Services.Selection criteria was based on the appliont project's Impact on community Pressure Ulcer Rate 0.00 0.02 2.75(2) 0.00 1.00 0.25 0.3(1) 0.00 health and wellness,relevance to issues identified In the Commumly Hearth Needs Assessment survey and support of the Providence mission.A total of$300,000 was awarded to 6 recipients.The HAC will be evaluating whether a new grant program will Healthcare Acquired be offered in 2017. Infections/1000 patient Looking ahead,in adddian to continuing to improve and grow our services we wig also closely eroetor the legislative and regulatory days 0.00 •i 0.00 0.00 0.00 2.83 1.20 1.69 1.50 environment for potential changes that could impact healthcare operations,insurance and or mmbursementsystems. On behalf of the PSMCC Team,thank you for your ongoing support and we look forward tocontinufng our service to you and the 30 day Readmission Rate 10.00 0.00 0.00 NA _ community. Sincerely, I Joseph Fang Administrator v t^ROVIDENCEPROVIDENCE Quality Improvement Program Meedecal&Care Center Quality Improvement Programt_ti&Care Center • Implemented High Reliability program (aka • Through use of the Caring Reliably Caring Reliably) tools we have • Set of tools and methodology to maintain —Prevented medication errors focus on safety first and address issues —Addressed facility and equipment issues timely • Tools include: —Addressed caregiver safety issues — Daily Safety Huddles — Tones for —Avoided potential patient and caregiver — Department Huddles communication injuries — Peer Check — Speaking up for Safety — "SBAR" —Validate and Verify 6 t PROVIDENCE 4"^`"IDENCE Financial Performance kcal&Care Center Financial Performance Seward di ai&Care Center Revenue and Expense 2014 2015 2016 2017 . Actual Actual Actual Budget 2- Inpatient Days 134 152 163 163 z- Swing bed days 177 261 411 450 .11 w:. :0„ LTC days 11,972 10,830 9,351 11,894 —^^^•-„ —,a,,a-= ... (ADC=Average Daily (32.8) (29.7) (25.5) (32.6) Census) $in 2014 2015 2016 2017 ER visits 2,524 2,758 2,488 2,328 Million Actual Actual Actual Budget Net Outpatient visits 18,121 23,064 23,511 23,368 Revenue 17.85 18.33 17.73 19.22 Therapy visits 6,077 4,993 4,670 7,342 otal 15.68 16.41 16.78 19.18 xpense et 2.17 1.92 0.95 0.39 ncome 41."^",IDENCE "—"IDENCE Financial Performance SeFinancial Performance Seward Medic &Care Center Medical&Care Cent e. • 2016 Summary • 2017 Budget Notes — Positive margin of$952,000, but less than — 2017 budget is more conservative than prior budget by $2M years — Hospital (Emergency Department, Inpatient, —Volume for Mountain Haven based on 2016 Swing Bed) and Outpatient Services (Lab, actuals Radiology, Therapies) achieved better than • Successful implementation of initiatives will result in budget revenue higher than budgeted volume and revenue — Total expenses were less than budget —Additional expense initiatives could further — Less than budget volume at Mountain Haven reduce total expenses resulted in not meeting overall margin 9 10 4 ^•'IDENCE 4'-^"IDENCE Financial Performance Md?cal&Care Center Additional 2016 Highlights Seward Medical&Care Center • Celebrated 20th Anniversary of the Providence, City of • 2017 Budget Notes — continued Seward partnership — Budgeted for higher deductions to revenue • Started Outpatient Procedure Clinic • Deductions = reductions in revenue due to bad debt, charity care, and reimbursement rates that do • Podiatry Outreach Clinic not cover cost — Operated by Dr. H.Cotler from Soldotna • Budgeted this way due to unknown impact of • Kenai Peninsula Borough Healthcare Task Force potential changes to reimbursement rates or models — Recommendations made to the Mayor and Borough Assembly • Support efforts to align and partner healthcare facilities and providers across the Borough and re-evaluating Borough structure and powers that may inhibit these partnerships • Pursue EMS restructuring to address incomplete and inconsistent services across the Borough • Pursue construction of a detox facili 12 4.PROVIDENCE t PROVIDENCE Additional 2016 Highlights Medical&Care Center Additional 2016 Highlights Seward Medical&Care Cent, • Community Benefit Grant Program • Community Benefit Grant Program Awardees: - Designed and administered by our Health Advisory Council • SeaView Community Services — Domestic Violence/Sexual Assault and Crisis Response programs - Distributed $300,000 community benefit dollars donated by • Seward Prevention Coalition Providence Health&Services Alaska - Sources of Strength Program - Criteria based on improving the health and wellness in the • Seward Volunteer Ambulance Corps community. meeting the needs identified in the 2015 - Advanced training manikins Community Health Needs Assessment survey and furthering • Seward Senior Center the Providence mission - Aging Mastery Program • Boys&Girls Club — Triple Play Program • Wellness for All — Diabetes Prevention Program 14 4+^^'EVIDENCE t PROVIDENCE 2017 Priorities "a�i&Care Center 2017 Priorities Seward Medical&Care Center • Mountain Haven census • CT scanner - Memory Care-seeking certification through Alzheimer's' - Continue to experience safety issues with the trailer and Association(projected date-end of March) transporting patients to and from trailer - Adding additional clinical services - Revisiting options to bring the equipment inside the building or a - Continue to streamlined referral review and acceptance process possible expansion to house the CT equipment so it is quicker and easier for referring case managers as well as • Partner with outside providers to add 1 -2 new specialty for their elder and their families or guardian outreach clinics • Quality Improvement Programs • Monitor for legislative and regulatory changes to - Reduce patient and elder fall rates and pressure ulcers Medicare, Medicaid programs and other insurance and - Continue use of Caring Reliably tools improve safety in all reimbursement programs departments 15 16 ♦^"^`�IDENCE Thank you Seward Medical&Care Center .�t • The state of the City • • • btr than some; worse than others .,,, cf) 5(A -Qfr As 2/27/2017 In terms of: • Organization and Operation — Elected council sets policy and employs manager as executive/admin • Infrastructure • Public Safety • Policies — A principle or course of action established by the council • Programs — How policies are delivered and made real Org. & Ops. • General Fund,funded by taxes(and some fees) —Police,Fire,Roads and Sidewalks,Finance and Gen.Govt.,Library,Parks and Rec,City Clerk,Debt Service • Enterprise Funds,funded by fees and the sale of goods or services(and some taxes) —Electric,Water,Wastewater,Harbor,SMIC, Parking,Hospital,Mt.Haven General Fund, (over)simplified • "$10M year operations; $6M from taxes and remainder from programmatic fees and charges,State PERS on-behalf,transfers • • $6M is 76%sales tax, 17%property(75% real/25%personal),7%bed tax • Sales tax^ 1/3, 1/3, 1/3 1/4, 1/4,_1/2 %817 %Z£ %17S %OS %TV ssoJ9 jo%anexel STZZ 17S01 OT17 EU 606 5617 ZT9 SOE S8Z 811 lnol Z8Z SZT L9 17I 601 19 6L LE LZ £1 STOZ 0172 911 LE 171 S6 S5 ZL 17E 9E ET 17TOZ 1717Z SIT T17 17T £01 SS 89 EE EE £T EIOZ £17Z 80T 9E 17T ZIT 617 £9 TE ZE ET ZTOZ SIZ 1701 ZE 17T 86 817 LS OE LZ ZT TTOZ 161 L6 9E £1 LL 517 TS 8Z LZ TT OTOZ Z61 16 LE ZI ZL I17 17S 9Z 6Z TT 600Z SW SOT 6£ ET 68 OS 09 OE 9Z TT 800Z S61 ZO1 SE ET 8L 617 LS 0£ 9Z TT LOOZ 861 16 OS Z1 9L ?17 TS 9Z ZZ OT 900? ssoig lnol algexel ielol sso.ig 1717 algexel 170 ssoag £0 algexel EO ssoJg ZO algexel ZO sscus TO algexel to (suoliliw) xej soies pue saies SSOJD Gross a es and Tax 120 100 , U 2006 80 !?2007 7 2008 2009 60 - — um 2010 2011 2012 40 - - - 2013 ' r 2014 r 2015 20 - ' ' — .._ r r. • `, 0 III Q1 Taxable 01 Gross Q2 Taxable Q2 Gross Q3 Taxable Q3 Gross Q4 Taxable Q4 Gross J A '4 V Gross Sales and STax 120 100 1 g 80 T Q1 Gross 0 60 — 'Q2 Gross Q3 Gross 40 — IQ4 Gross 20 „t1 sr 0 — _ _ ---I 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 70 60 50 •01 Taxable 40 r"Q2 Taxable 30 •Q3 Taxable 20ji, Q4 Taxable 411 1111 IIII q1111 MI 10 - • ,.„ ji 1 0 ____ ___ _ __ .,_ , , = _ k 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 1 2/27/2017 • Infrastructure • Boat Harbor —D-Float,B,C&S-Floats,NE fish cleaning station, South launch ramp this spring,all systems gone through • SMIC —Breakwater,Wash Pad,330-ton lift,Electric upgrades and extensions,leases and construction • Water —Refurb Lowell Canyon tank,new Forest Acres tank Infrastructure, cont. • Wastewater —Lagoons dredged and upgraded • Electric —Warehouse/gens indoors,SCADA controls, subdivisions updated(3 to go),25%increase SMIC load capacity,Snow River flood emergency • Parking —Digital pay stations,almost cashless Infrastructure, cont. • These projects, and several smaller ones, represent$67M (2013, 14 and 15,still getting figures on 2016) in grant funds towards City projects and infrastructure that will serve us for a long time. • >$24k per citizen • (Effective lobbyists, homework, and consistent messaging!) 2/27/2017 I Public Safety • State Jail contract challenge • PD retention • Discussion of consolidated dispatch • New ladder truck—three-story limit? Policies • Smaller(3000 s.f.)lots approved by Council • Title 15 re-do(Land uses allowed) • Expanded commercial zones • Authorized variances at airport,elsewhere • Sr.Housing • Navigational Servitude opens SHU Programs • The Doctor is In. —Voter approved 1%(of 4%)sales tax supports PSMCC city-owned plant and equipment,SCHC building fund. —There is no reason for anyone in Seward to be without health care) • Support ASLC,AVTEC,Seward Seniors,SCF and other community partners • Parks,Sports and Rec,TYC,AVTEC facility use, schools,Boys and Girls Club • Chamber of Commerce marketing contract • And more 2/27/2017 Taxes, taxes, taxes • National average homeowner pays 11.9 mill rate ($2975 for$250,000 property),plus some education and special services • AK average 12.3 mills($3075 for same property) • Anchorage average 13.2,up to 15.2($3300) • Seward 3.12 mills($780) • Seward+KPB+SBCFSA 8.37 mills($2092) • Bear Creek+SA's 9.9 mills$2475) Taxes, taxes, taxes and more taxes • AK munis collect$1.66B in taxes yearly,80% property tax and 20%sales tax • Kenai Borough collects$88M, 66%real and 33%sales(sales taxes dedicated to schools) • Seward's$6M is 76%sales tax, 17%property (75%real/25%personal),7%bed tax • (....because....) Other • Road improvements project,and protection plan • Heat Loop • SCCC land swap and acreage • 37 new electric meters(net migration estimator) • Best news: 20-29 y.o. population @20%is highest in 20 years. `` 2/27/2017 7 Thank you ! Johanna Kinney From: Brenda Ballou Sent: Friday, February 24, 2017 8:13 AM To: Johanna Kinney Subject: FW: 50th Anniversary For Monday's meeting... From: Elaine Le [mailto:elaine.le808©gmail.com] Sent: Thursday, February 23, 2017 5:28 PM To: Brenda Ballou Subject: Re: 50th Anniversary Hi Brenda Thank you for the update! As for the scale of the event, it's still too early to say for sure, but we're thinking along the lines of 10-20 people (depending on the activity). For the gift exchange, considering the remaining time we have left, something as big as a mural would probably be out of the question. But we would like to present something for many citizens of each city to see. Probably something that could fit in a display case. A few things we would like to mention for everyone to keep in mind, • Japanese fiscal year runs from April until the next March. The budget for April 2017 — March 2018 has already been set. • We still have time to bid for funding for following fiscal year April 2018 — March 2019 • We would like to have 50th anniversary activities held during this period (April 2018 — March 2019) • We need at least an idea of what activities we would like to do by June 2017 in order to bid for funding With all of that said, we're hoping to have everyone on the same page and thinking ahead of time. We will contact the Obihiro Committee for International Friendship regarding the upcoming anniversary for their ideas and opinions as well. Let me give you a recent example using this year's 10th year anniversary we had with Madison, WI. • Last May, the mayor, his wife and the head of their sister-city organization came to Obihiro. • They mainly toured the city and participated in a welcome party, which included a gift exchange (framed photo of Madison, taken by famous photographer) • That summer, a group of local Obihiro artists traveled to Madison to hold a exhibition. • The following fall, Obihiro Mayor, City Council Chairman, and 11 others from the community visited Madison. • Obihiro presented Madison with a large scroll which had Japanese calligraphy written on it • The group also visited various points of interest in Madison including the UW-Madison campus and Research Park (much like a think tank). By no means do we have to copy Madison, but it's just an idea of what has been done recently. I know that most of this wasn't very straight-forward, but I don't want to say too much to only take back words when it's too late. Please keep us updated with talks in Seward and we'll, of course, do the same here! Also, we've been talking mostly about visiting Seward, but has there been much about visiting Obihiro? The 50th anniversary budget will also need to cover the costs for a visiting party as well, so we would like get talks started about that as well. I hope that this helps a bit! Please feel free to contact me anytime with anything else that comes up during these discussions. Best, Elaine PS. Any updates on the high schoolers? :) Elaine Le/ -( V- • IDESEAA Obihiro City Community Activities Department International and Domestic Relations Section Coordinator for International Relations Email: elaine.le808@gmail.com Tel: 0155-65-4133 Ce11/1*4: 080-8625-5889 On Wed, Feb 22, 2017 at 4:06 AM, Brenda Ballou<bballou@cityofseward.net> wrote: Hi Elaine, Our City Council was happy to hear that Obihiro wants to recognize the 50th anniversary of the Sister City relationship. They began discussion, and I shared with them the list in your email. They will be discussing it again next Monday, and one thing that would really help a lot would be if you could give me an idea what scale of an exchange are we talking about. Specifically, how many people might travel and what size of a gift? Are you thinking 3 people, 6 people, 10 people? Are you thinking plaque, sculpture, or live animal? I just want to get an idea so that our people are planning along the same lines as yours. Thanks! Brenda 2