EmployeeEmployeeTown Town MeetingsMeetings

August 2013August 2013

System Strength – System Strength – Memorial Hospital of RIMemorial Hospital of RI

All approvals are now complete, final closing expected early September

CNE will benefit from having MHRI in our system - they are a resource with strong programming that will help us be successful

MHRI will lead our system primary care efforts through the Center for Primary Care and Prevention

MRHI will benefit from our process improvement systems, especially in high cost areas

System Strength – System Strength – Memorial Hospital of RIMemorial Hospital of RI

Quality of the staff and the physicians is excellent

There is bed capacity that we can put to good use

They will become part of our Councils and will be integral in enabling us to move forward to transform the future of health care

Clinical Excellence – Clinical Excellence – Patient Experience of CarePatient Experience of Care

The GOOD News … Med/Surg inpatient mean score 90.3, 98th percentileNICU mean score 92.7, 95th percentileThe BAD News …All inpatient mean score 85.8, 34th percentileOB inpatient mean score 83.1, 5th percentile

Clinical Excellence – Clinical Excellence – Patient Experience of CarePatient Experience of Care

Clinical Excellence – Clinical Excellence – Patient Experience of CarePatient Experience of Care

HCAHPS ScoresThose who rate the hospital a 9 or a 10 – 68.9% (down from 77.7% last quarter)Those who would recommend our hospital – 85.8% (up from 83.8% last quarter)

Clinical Excellence – Clinical Excellence – Patient Experience of CarePatient Experience of Care

This is our lowest inpatient and OB patient experience percentiles in a decade

There were fewer med/surg inpatients and a higher percentage of OB patients going into our overall inpatient score

Patient satisfaction scores will significantly impact our reimbursements in the future

Clinical Excellence – Clinical Excellence – Patient Experience of CarePatient Experience of Care

What are we doing about it?Patient Complaints/Patient Feedback CommitteeAnalyzing patient comments and looking for trends and patterns (i.e. noise in the halls at night)Patient, Family and Community Centered Care ManagerRounding – Executive, Leadership and ComfortFeedback from Advisory Councils

Competitive DevelopmentsCompetitive DevelopmentsCost Estimator:Screening colonoscopy – facility fee only Low price             $920Average               $2,568Highest                 $2,791 (W&I) Bacterial culture – urineLow Price             $5Average               $8High price            $25 (W&I) CT scan with dye, abdomen and pelvisLow price             $302Average Price    $923High price            $3,972 (W&I)