09_Smith_Central_Final
-
Upload
finance42 -
Category
Economy & Finance
-
view
138 -
download
0
Transcript of 09_Smith_Central_Final
Regional ReviewCentral Region
Robert L. SmithSenior Vice President
Key Messages
• Attractive markets
• Physician employment
• Expanding the outpatient footprint
• Increasing case mix intensity or patient severity
Hospitals
St. Louis
Des Peres,
St. Louis University
2
Total Beds 523
Hospitals
Memphis
St. Francis,
St. Francis-Bartlett2
Total Beds 619
Missouri and Tennessee
• Certificate of Need Regulations
Hospitals
El PasoProvidence, Sierra, Eastside 3
Dallas
Centennial, Doctors at White Rock, Lake Pointe
3
Houston
Cypress Fairbanks,
Houston Northwest,
Park Plaza
3
East Texas
Nacogdoches1
Total Beds 2,644
Texas
• Dallas-Fort Worth currently adding more residents than any other metro area nationwide and projected to be 3rd largest in the country by 2030
• Houston 4th largest city in the nation
• El Paso’s Ft. Bliss BRAC (base realignment and closure) is in the process of adding
65,000 soldiers and their families through 2013
High Population Growth Service Areas
2000 - 2007 2007 - 2012
Dallas MSA 16.4% 9.7%
Centennial 85.9% 30.6%
Lake Pointe 37.2% 17.9%
Houston MSA 16.4% 8.7%
Cypress Fairbanks 39.9% 17.0%
Houston Northwest 17.8% 9.0%
El Paso MSA 8.2% 5.3%
Sierra Providence East 17.8% 9.0%
Source: Thomson Medstat – 2007 Claritas Data
Central Region TGI Actions
• Physician employment in primary care specialties
• Expansion of the outpatient footprint
• Growth of service intensity
Central Region MarketsHealthGrades 2007 statistics
• 3.7 million searches for a physician
• 780,000 physician reports opened
• Consumers clicked on “appointment request”
button over 208,000 times
• HealthGrades results show consumers are 33%
more likely to contact the physician when they have
more information about the practice
Cypress Fairbanks Regional Health NetworkHouston, Texas
Physician Employment
2006 2007
PROJ
2008
PROJ
2009
Markets 1 6 9 9
Clinics 3 12 19 23
Physicians 5 19 27 40
Primary Care Physician Productivity
Source: Tenet – McKinsey analysis
Annual admissions per productive physician average
65
185
120
70• Family Practice
• Internal Medicine
• OB/GYN
• Pediatrics
Lake Pointe Regional NetworkOutpatient Footprint
Lake Pointe Regional NetworkOutpatient Footprint
Outpatient Footprint
• New Offsite Clinics Include
– 5 Imaging Centers
– 2 Sleep Labs
– 2 Urgent Care Centers
– Wound Care Center
– Physical Therapy Clinic
• 6 - 7 mile average distance from hospital campus
Lake Pointe Regional NetworkOutpatient Footprint
Lake Pointe Regional NetworkOutpatient Footprint
Ease of Access a Priority
• Ease of access to results for physician
– PACS
– Physician Portal
• Ease of access in scheduling for physicians and patients
– Evening and Saturday appointments
– Centralized scheduling
– Online scheduling and precertification
• Ease of access in registration for patients
– Online
– Kiosk
– SmartCard
Patient Kiosk
Growing IntensityAcute Case Mix Index
• 8 of 13 hospitals increased both Medicare and total CMI from
2006 to 2007
• 12 hospitals have increased in total CMI and 5 have increased in
Medicare CMI from 2007 into 2008
Total Medicare
2006 1.326 1.519
2007 1.330 1.520
2008 YTD 1.369 1.539
Service Lines Growing Intensity
• Neonatal ICUs
• Vascular Programs
• Neurosciences/Stroke
• Spine & Orthopedic Surgery
• Oncology Programs
• Cardiac Programs
• ER Trauma Designations
Growing Intensity
2006 2007
Medicare LOS 6.13 6.02
Medicare CMI 1.519 1.520
• Every .01 increase in CMI change across the Region
creates an estimated $5.6 million in net revenue
Central Region Summary
• Attractive growing markets
• Continued TGI focus from 2005
• Physician employment
• Expanding outpatient access points
• Growing intensity