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System Sustainability

System Sustainability. Leadership symposium – april 16, 2013. Storm Clouds For Health Care The System Sustainability Approach How Sustainability Works at UnityPoint Health. System Sustainability – Leadership Symposium . System Sustainability – Leadership Symposium .

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System Sustainability

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  1. System Sustainability Leadership symposium – april 16, 2013 Storm Clouds For Health Care The System Sustainability Approach How Sustainability Works at UnityPoint Health

  2. System Sustainability – Leadership Symposium

  3. System Sustainability – Leadership Symposium Storm Clouds for Health Care Transition to Bundled Payments Reimbursement Rates Decline Healthcare as % of GDP Aging Population Decreasing Inpatient Volumes Affordable Care Act Lower Financial Performance

  4. System Sustainability – Leadership Symposium How Can Health Systems React? Iowa Health System is choosing to “Build a New Way of Life”

  5. System Sustainability – Leadership Symposium System Sustainability = New Way of Life UnityPoint Health Strategic Pillars will work together to deliver the “Best Outcome for Every Patient Every Time” Build volume and revenue projections into annual planning process for next 3 years Determine gap between projected revenues and expenses to meet margin targets Identify ways to fill the “Gap” Coordinate efforts across the system and at local level

  6. System Sustainability – Leadership Symposium How are we organized for 2013?

  7. System Sustainability – Leadership Symposium How will this work? • Sustainability Sub-Committees • Utilization • Increased Revenue • Standard Operating Costs • Non-Clinical & Administrative • Employee Benefits • Clinical Labor Standardization

  8. System Sustainability – Leadership Symposium Leveraging “Best Practices” Speed of adoption will have the largest impact on patient outcomes and financial performance. • Local Initiatives: • Nash Group • Blood management • Resource Sharing • 340B • Yellow Book Costs • Clinical Documentation (JA Thomas) System Initiatives: GPO Top 5 MS-DRG Keeping Care within the System Service lines/JV’s IT Sustainability Health Plan Costs

  9. System Sustainability – Leadership Symposium Utilization $10M Goal 2013 (Dr. Frownfelter, Dan Carpenter) MS-DRG Base Approach (“Top 5” ) Gather data for current performance Identify UnityPoint Health Top Quartile performance Review data and Top Quartile with Affinity Group Update Care Plans, Care Pathways and Order Sets to support “Best Practices” Create go to market bundled pricing for high volume MS-DRG’s Service Line Management Expand efforts from Top 5 MS-DRG to service lines Care Process Approach (Utilization of Blood Products) Build Dashboard of current performance Implement evidence based “Best Practice” Monitor & Coach to the “Best Practice”

  10. System Sustainability – Leadership Symposium Increased Revenue $20M Goal in 2013 (Michelle Niermann, Keith Seashore) Keeping Care within the System Understand where patients are referred Identify why patients are referred out of UnityPoint Health Build provider directories for ease of UnityPoint Health referrals Execute Regional action plans to keep UnityPoint Health patients in the system Service Lines/JV’s Analyze ACO data on what services our patients are receiving outside of UnityPoint Health Identify additional Service Lines/JV opportunities

  11. System Sustainability – Leadership Symposium Standard Operating Costs $25M Goal 2013 (Mark Johnson, Troy Martens) Clinical Labor Standardization Match patient volumes to nursing skill sets Create Schedules based on seasonality Build predictive model for hiring Generate patient placement rules Reduce Supply Chain Costs Consolidate purchasing volume and contracts Streamline Pharmacy outlays Reduce costs for purchased services

  12. System Sustainability – Leadership Symposium Non-Clinical & Administrative $25M Goal 2013 (Laura Smith, John Sheehan, Rob Quin) IT Sustainability Lower service maintenance costs Device mix and useful life Leverage technology Maximize Benefits for New Affiliates Create roadmap for transitions Execute UnityPoint Health – Peoria transition

  13. System Sustainability – Leadership Symposium Non-Clinical & Administrative $25M Goal 2013 (cont.) (Laura Smith, John Sheehan, Rob Quin) Legal/Compliance/Risk Consolidate Legal Services for immigration Build and deploy Enterprise Risk Management Plan Revenue Cycle Reduce costs/exposure to RAC Identify and leverage “Best Practices” for billing

  14. System Sustainability – Leadership Symposium Employee Benefits $10M Goal 2013 (Joyce McDanel, Greg Pagliuzza) Population Management of Health Plan Leverage ACO practices for Health Plan of UnityPoint Health Understand where/why Associates go for services outside of UnityPoint Health Build Regional Plan to keep costs within UnityPoint Health Streamline Benefits Across UnityPoint Health Identify differences Build and leverage “Best Practices”

  15. System Sustainability – Leadership Symposium Are we on track?

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