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UNIVERSITY OF CALIFORNIA, IRVINE A LANDMARK CENTER FOR MEDICINE UCI Medical Center UCI Medical Center Performance Update Regents’ Health Services Committee September, 2004
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UCI Medical CenterUCI Medical CenterPerformance Update
Regents’ Health Services Committee
September, 2004
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UCI Medical Center:A remarkable transformation1995
• 11 “type ones”
• Low census
• Poor patient satisfaction
• Persistent county image
• Low morale
• Anemic fiscal performance
• Weakened public trust
2004
• Quality & safety leader
• Expanding referral base
• Improved patient satisfaction
• Favorable community image
• Energized faculty/staff
• Outstanding fiscal performance
• National respect and endorsement
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UCI Medical Center:Chronology of a turn-around
• ’95 to ’96 - new management team recruited
• ’96 - institutional and individual staff incentive goals implemented– Quality– Patient satisfaction – Financial performance
• ’96 - mission, vision, values developed and embraced
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
• ’98 to’99 - joint HS strategic plan– COM & Medical Center reaffirm partnership – Comprehensive set of goals developed
• educational excellence• expansion of research faculty & facilities • strategy for clinical enterprise growth
UCI Medical Center:Chronology of a turn-around
• ’96 to ’98 - management/lease arrangement with not-for-profit and for-profit systems evaluated
• ’98 - management/lease option rejected
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UCI Medical Center:Chronology of a turn-around
• ’00 new CEO recruited
• ’01 - Medical Center clinical business plan developed
– quality and safety leader
– “specialty referral hospital of choice”
– designated centers of excellence• faculty recruitment
• investment priorities (facilities & equipment)
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UCI Medical Center: Clinical development priorities
• Centers of Excellence:
– Oncology– Neurosciences– Cardiovascular disease– Diabetes– Digestive diseases/hepatobiliary– Senior health– Women’s health– Urology/minimally invasive surgery– Trauma/Burn
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
$-
$20,000,000
$40,000,000
$60,000,000
$80,000,000
$100,000,000
$120,000,000
$140,000,000
94-95 95-96 96-97 97-98 98-99 99-00 00-01 01-02 02-03 03-04*
TOTAL COM FUNDING TOTAL COM NIH FUNDING
Research Funding
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
Faculty Recruitment (Cumulative)
05
1015202530354045
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
actual plan
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
Quality Results• JCAHO - “benchmark” performer (1998, 2001)
• Leapfrog “safest hospital” (2001, 2004)
• OC Register “4-star” hospital for quality (2003)
• “Nursing Magnate” designation (2003)
• Solucient’s “Top 100” best performers (2004)
• US News “Best Hospital” (2001, 2002, 2003)
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
Patient Satisfaction (Outpatient)
78.0
80.0
82.0
84.0
86.0
88.0
90.0
FY99Q1FY99Q2FY99Q3FY99Q4FY00Q1FY00Q2FY00Q3FY00Q4FY01Q1FY01Q2FY01Q3FY01Q4FY02Q1FY02Q2FY02Q3FY02Q4FY03Q1FY03Q2FY03Q3FY03Q4FY99 FY00 FY01 FY02 FY03
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
10,000
12,500
15,000
17,500
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
Discharges
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
210.0
220.0
230.0
240.0
250.0
260.0
270.0
280.0
290.0
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
Average Daily Census
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
55.0%
60.0%
65.0%
70.0%
75.0%
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
% o
f Ava
ilabl
e B
eds
Inpatient Bed Occupancy
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
Ambulatory Encounters
300,000
400,000
500,000
600,000
,
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
(10,000)
-
10,000
20,000
30,000
40,000
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
Dolla
rs in
Tho
usan
ds
actual Plan
Income
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
-6.0%
-4.0%
-2.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
% o
f Net
Rev
enue
Margin
A-RatedHospitals
(3.5%)
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
MarginDays of Cash
-
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04 FY05 FY06
actual Plan w/o NUH
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
-
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04 FY05 FY06
Dolla
rs in
Tho
usan
ds
actual Plan w/o NUH
Reserves/Short Term Investments
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
Challenges• Research and faculty support space
• Capacity constraints
• Under-funded patients and Medi-Cal reform
• Unfunded mandates– Nurse staffing ratios– Electronic medical records– Bioterrorism and disaster preparedness
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
-
5,000
10,000
15,000
20,000
FY96 FY97 FY98 FY99 FY00 FY01 FY02 FY03 FY04
Dolla
rs in
Tho
usan
dsCharity Care Costs
UNIVERSITY OF CALIFORNIA, IRVINEA LANDMARK CENTER FOR MEDICINE
UNIVERSITY OF CALIFORNIA, IRVINENEW UNIVERSITY HOSPITAL
