Physician Satisfaction Survey Press Ganey - October 2010

1. Physician Satisfaction SurveyPress Ganey - October 2010 Quarterly Medical Staff Meeting September 14, 2010 Larry Schecter, MD

2. Background 2008 Press Ganey Physician Satisfaction Survey Oct. 18 - November 19, 2010 2008 Refresher (No survey in 2009) Three comparison groups All Hospitals 300-449 beds PH&S

4. Likelihood of Recommending Facility to Family/Friends

5. Overall Assessment Areas focused on for improvement Scheduling (outpatient tests/treatments, in/ outpatient surgery, other medical procedures) Facility enhanced your practice Recommend facility to physicians Recommend facility to family/friends Satisfaction with facility

6. What you told us in 2008 Scheduling tests was difficult Scheduling surgery was difficult Access to surgery slots was difficult OR Turnaround times were too long A Pre-operative evaluation clinic was needed Obstetricians were overwhelmed by �no-doc� patients

7. 2008-2010 Challenging Years Economic Downturn Pressure on hospital finances Decreasing physician reimbursement Demand for increased physician productivity Increased regulatory requirements Documentation RAC/MAC/MIC audits Increasing consolidation in healthcare industry Anesthesia Group turn-over

8. What has been done Open/remote viewing of surgery schedule Increased OR availability Improved surgeon Turn-around Time Total Joint Replacement �5 by 6� Improved anesthesia coverage for non-OR cases Pre-op clinic to open in October

9. And what else Centralized Remote Monitoring Placed Critical Care Nurse at Pacific Campus Decreased ED call burden in many specialties General Surgery Team Pediatric Hospitalist Team Laborist Team New Programs Robotics Gyn/Onc Service

10. Future Challenges Further reductions in reimbursement Hospitals and Physicians Further consolidation of delivery systems Transition to New Bed Tower Evolution of PRMCE into Tertiary Referral Center Transition to new EMR (Epic) Support of Pacific Campus

11. Thank you for all you have done!