Date post: | 13-Apr-2017 |
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Healthcare |
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BillFla'eryCEOCarilionNewRiverValleyMedicalCenterVicePresident,WesternRegionOpera?ons
• Nationally ranked integrated
healthcare delivery system • 501 c 3 not-for-profit • $1.5 billion in annual revenue • Headquartered in Roanoke • 12,800 employees • 1,000 employed providers • 7 hospitals • Urgent care, home health
agencies, retail pharmacies, wellness, patient transportation
• Children’s Hospital • Jefferson College of Health
Sciences • VTC School of Medicine &
Research Institute
Specialty Care
• Heart and Vascular Institute • Institute for Orthopaedics and Neurosciences • Children’s Hospital • Gastrointestinal care • Level 1 Trauma Center • Critical Care
Leading the way with high-level expertise in 70+ disciplines
Education and Research • VirginiaTechCarilionSchoolofMedicineandResearchIns?tute
• CarilionClinicGraduateMedicalEduca?on• JeffersonCollegeofHealthSciences
Patient-centered Medical Home
• Primary care practices are now “medical homes” – Pro-ac?ve,team-based
approachtocare– Fundamentallydifferentthan
tradi?onalprimarycaredeliverymodel
– Usesteam-basedapproachthatfocusesonmanaginghighestriskpa?ents
Carilion Clinic
6
Integrated delivery system with multiple access points
Carilion Western Region 2016 Stats NewRiverValley Giles Tazewell
Admissions 8,300 1,100 595
AverageDailyCensus 95 16 6
EDVisits 31,000 12,000 10,000
ImagingStudies 84,250 23,300 13,400
Deliveries 1,200 0 0
OR&Endo 10,100 1,050 0
Opera?ngMargin $30,000,00015.5%
$1,700,0005.8%
($1,850,000)(15.4%)
Bo'omLineGrowthSince2009
Different But the Same
• Each hospital is different, but the platform is the same – Healthcareisdeliveredlocally,andweareservingourcommunity
– Itisnotaboutthemoney– OurfocusisonQuality,Pa?entSafety,Pa?entExperience
• Connecteveryonetothispurpose• Realizewehaveopportunitythatthebiggesthospitalsdon’t
– Weneedtotellourstorytothesystem• Accesstopa?ents
New River Valley
• High employee engagement • Leapfrog “Straight A” hospital
• AHRQ• CMS 4 Star • VBP clinical outcomes in 94th percentile; 88th
percentile overall • HAC top decile • Consumer Choice Award • Challenge – digesting growth
Giles
• High employee engagement • CMS 4 star • Very low HAC • Challenge – retaining specialty physicians
Tazewell
• Rebuilt primary care • Removed expensive specialists • Challenges
– LocalBoard– Avoidableadmissions– Opioidaddic?on