PMH Employee Forums
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Transcript of PMH Employee Forums
PMH Employee Forums
April 2, 2014
Patient Story
QUALITY
• CORE MEASURES – “Perfect Scores”–Quarter 1 and 2, 2013 - 100%–Quarter 3, 2013 - 91.5% –Quarter 4, 2013 – 84%• Immunizations = 94%• VTE = 90%• Evaluation of Ejection Fraction for HF – 88%
2014 Pillar GoalsPeople
Move planning for
new hospital - by year end
each dept will submit a plan
Reduce FT/PT
employee turnover:
Goal <=10% Started=11%YTD = 4.3%
Reduce FT/PT terms <1 yr : Goal <=17% Started=18%.
YTD = 6.1%
Service
ED: Coordination of care dimension
Goal =82% (90th %tile)2/14 = 71.6%Patient satisfaction:
In Patient: Coord of Care Goal =73% 2/14 57.7
Operating Room: Continuity of Care: Goal = 91%
2/14 =83.3%Physical Comfort: Continuity of
Care: Goal =93%2/14 = 100%
Lab: Respect for patient preferences: Goal =94%
2/14 = 93.8%Coord.of Care: goal = 89%
2/14 = 100%Diagnostic Imaging: Coord.of
Care Goal = 89%Started =62.5%
Clinics: Info and Educ: Goal=97%
2/14 = 92.3%Access to Care: Goal = 84%
2/14 = 70.8%Coord. of Care = Goal =97%
2/14 = 76.9%
Quality
Achieve 100% on core
measures
Reduce patient falls
from .48/100 to .32/100
patient days
Improve hand hygiene to
95% Started 92%
2/14 92%
Introduce LEAN concept and training: Complete 4 projects in
2014
Finance
Improve current ratio from 1.5 to
2.25 excluding LOC
Feb = 2.55
Achieve operating
margin of 3%Feb = -0.59%
Achieve a positive cash flow budget
for 2014Met – must
acheive
Improve days cash on hand
to CAH median of 17
Start = 2Feb = 25
Identify $500,000 of new
cash opportunitiesFeb = $100K in 340B, $200K BCBS terms,
$200K Premier savings
GrowthIncrease
acute care census to 8 patients per day on acute
and ICUAs of
2/14=6.12
Increase swing bed ADC from
TBD to 1.85 (avg. for yr.)2/14 = 0.78
Increase outpatient clinic visits (PMFC and
Urgent Care)10%
Add specialty line of derm,
ortho, cardiology
Recruit addt'l family practice,
internal medicine
Increase surgical volume by 1.5%2/14 up 0.329%
Community
Continue to maintain
tracking of community
benefits.Implement Community
Health Needs
Assessment
Utilize speakers bureau at
least 12 times in 2014.
FinanceFINANCE Actual
PMH PMMG Foundation TotalGross Charges 44,359,434 449,988 - 44,809,422
Deductions (18,897,461) (182,255) - (19,079,716)Net Patient Revenues 25,461,973 267,733 - 25,729,706
Other Operating Revenues 296,348 33,145 260,860 590,353 Total Net Operating Revenue 25,758,321 300,878 260,860 26,320,059
Operating ExpensesSalaries and Wages 11,631,579 345,758 - 11,977,337 Employee Benefits 3,037,263 69,934 - 3,107,197 Purchased Services and Professional Fees 2,957,820 41,057 45,448 3,044,325 Medical Supplies 2,472,423 12,805 - 2,485,228
Depreciation 806,771 36,125 - 842,896 All Other 4,107,800 60,823 59,065 4,227,688 Total Operating Expenses 25,013,656 566,502 104,513 25,684,671
Net Income (loss) from Operations 744,665 (265,624) 156,347 635,388
Non operating revenue (expense) 80,506 - 26,578 107,084
Medicare EH R Incentive 155,585 - - 155,585
Medicaid EH R Incentive 84,228 - 84,228
Excess revenue over (under) Expenses 1,064,984 (265,624) 182,925 982,285
Affiliation Update
• Affiliation complete and effective February 28• This includes the construction loan financing of
$38.5mm w/ WesBanco• Business planning with MHS will begin this
month• We will be planning joint branding strategies too • Of note, we will have 2 people representing
PMH on Mon Health System Board
New Hospital UpdateMilestone Description Start/Original Date Start Act/Proj Date • Mobilization 9/23/2013 9/23/2013 • Site Clearing 10/7/2013 10/7/2013 • Subgrade Main Drive 10/28/2013 10/21/2013 • Foundations 11/6/2013 11/11/2013 • Site Utilities 12/2/2013 11/11/2013 • Structure 12/19/2013 1/2/2014 • Roof Concrete 2/17/2014 3/17/2014 • Slab on Grade 1/17/2014 3/18/2014• Building Exterior 1/17/2014 1/30/2014 • Building Dry 6/2/2014 6/13/2014 • Partitions 5/15/2014 5/16/2014 • Owner Furnished Equipment 10/3/2014 10/6/2014 • Site Paving 9/1/2014 9/1/2014 • Testing and Balancing 10/31/2014 10/31/2014 • Punch-list 11/28/2014 12/26/2015 • Substantial Completion 1/26/2015 1/26/2015
New Hospital Update• Department furniture planning meetings will start on April 17th with
vendor• Contract awards for construction work 98% complete• Lost about 32 days work due to weather conditions
Major items and % completion at the end of February:– Site work about 65% – Steel 80%– Structural concrete 40%– HVAC plumbing 5%– Electrical 9%– Exterior veneer 13%
No Smoking Campus
• Our current policy applies to new location
• Campus is much larger, so it will not allow for breaks to leave campus
• Encourage employees to take advantage of Smoking Cessation opportunities being offered
Smoking Cessation
• Newsletter based program being offered every quarter (8 weeks long). Next class to begin next week. Sign up sheet being circulated or contact Dennis Lusin [email protected]
• Dr. Conley has agreed to order nicotine replacement for those enrolled in the program through Employee Health.
Thank You
• To Marsha Engman, Patient Access Specialist, who spent hours on her day off, on a Saturday to clean up cigarette butts on the adjacent city playground.
• Remember
Cigarette Butts are Litter
This slide contained a short video. For space, this video was eliminated from this slide show.
Stellar Ideas - What is it?
• Harvest staff ideas• Tap into creativity• Serve patients & each other better• Idea generation & implementation• Move PMH from Good to STELLAR!
Why?
• Stellar Ideas result in:– Improved clinical outcomes– Increased efficiency– Greater employee involvement– Increased satisfaction scores– Increased employee retention– Increased profitability
Examples
• Let’s use grit for more traction in the parking lot in the winter
• Save steps in Clinic A – placed a centrifuge there rather than running to lab
• Asking a Dental Clinic if they would send biopsies to the hospital’s lab
Who is eligible?
• All employees, including Directors• Administrative staff are excluded from the
program
Where to submit ideas:
• On the PMH Website• On paper – Stellar idea boxes by
Communicator Boards on each floor
How to submit ideas:
• On the PMH Website– Go to the Careers tab– Select Employees Only– User Name: [email protected]– Password: Preston
Information To Be Included:– Idea description– Pillar of Excellence affected– Cost savings (if any)– Date– Contributor(s) & department(s)
• Ideas may cover any area or department of the hospital, not just the person’s own department.
What happens to ideas?
• Submissions are received by the Ideas Evaluation Team (Kim Colebank, Melissa Conaway, Linda Flemmer)
• Categorized:– Possible implementation– Not possible– Not appropriate for this forum
What happens to ideas?
• Submissions are forwarded to a department manager for feedback on implementation – 1 week turn around
• Evaluation Team notifies the employee of the status of their idea within 30 days.
What happens to ideas?
• An idea may be:– Accepted & implemented– Accepted with a time frame for implementation– Closed – the idea cannot be implemented & the
reason why– Submitter may be contacted for more information
as the idea is evaluated– Referred to another leader for review
Recognition
• Award winners are recognized at department meetings
• Winners may receive different levels of awards– $3 cafeteria card– Choice of PMH Gear– Cash award at year end if there is significant
savings as a result of the idea
Recognition
• Quarterly, PIC selects the top idea submission for a “one time” extra vacation day
• Implemented ideas recognized on the Constellations Bulletin Board on the first floor
• Top Quarterly winners are recognized at the annual Employee Appreciation Banquet
Breakout Groups
• Form groups of 4-6 people.• Identify at least one Stellar Idea per person.• What are barriers to implementation?• How would you overcome these?• Prepare to discuss these in 15 minutes.