CHP Priorities for Transforming Healthcare Quality • Reduce rehospitalization to ≤ 10% • Reduce length of stay • Eliminate preventable harm • Install CarePATH, our state-of-the-art, standardized Clinical Information System Human Potential • Develop and attract physician leaders • Practice team-based care Growth • Grow and support ambulatory and postacute care Great Care, Great Value Physician Engagement • Increase the number of primary care providers in communities we serve • Align physicians with our health system through redesigned practice infrastructure and innovative partnerships at Catholic Health Partners See how Catholic Health Partners’ quest for excellence is transforming our healthcare system to one of seamless, team-based care to meet the needs of those we serve — and demonstrating our readiness for the challenges and changes resulting from healthcare reform. Stewardship • Selectively and proactively invest in transformation of healthcare while maintaining key financial ratios • Absorb rate cuts by reducing cost of care • Develop capabilities to serve as an integrated system of care IHI and CHP Partnering on new Practices to Reduce Harm Early in 2011, the Institute for Healthcare Improvement (IHI) announced it is partnering with CHP to establish new approaches to enhancing patient safety. This is the first such large-scale patient safety initiative that IHI has committed to with a health system in the United States. The program, called Safety Across the System, is a yearlong effort in which doctors, nurses, support workers and suppliers at seven CHP hospitals will implement and evaluate new practices, which will then be extended to all CHP hospitals. CHP Named a Top Health System For the third consecutive year, CHP has been named one of the nation’s top health systems by Thomson Reuters. Systems are ranked on eight measures of clinical quality, efficiency and patient satisfaction. This rating continues to be a high honor for CHP and all those involved in providing compassionate, quality patient care. Who is CHP? Catholic Health Partners is the largest health system in Ohio, the fourth largest employer in the state, and one of the largest nonprofit health systems in the U.S. With $5.59 billion in assets, CHP employs more than 37,000 associates and is affiliated with 7,100 physicians in more than 100 organizations, including 31 hospitals which serve the healthcare needs of people in Ohio, Tennessee, Kentucky and contiguous states. True to our mission, in 2010 CHP provided $365.1 in targeted community benefit. At CHP, we actively live our values by committing to comprehensive benefits and by paying competitive wages, including a just wage that exceeds state and federal minimums. Catholic Health Partners 615 Elsinore Place, Cincinnati, Ohio 45202 • (513) 639-2800 • www.health-partners.org Our Quality Goal CHP services will reduce variation and achieve at least Top Quartile performance as measured across all the STEEEP aims, established by the Institute of Medicine. These universal best practices strive for care that is: • Safe • Timely • Effective • Efficient • Equitable • Patient-centered Our Quality Strategies 1. Effectively implement performance improvement strategies that will reduce variation and increase system reliability. 2. Adopt a standard Clinical Information System (CarePATH) to facilitate access to and the flow of electronic patient information across the continuum, including ambulatory settings and physician offices. 3. Improve the delivery of team care in important clinical services (e.g., end-of-life, obstetrics, perioperative, intensive care and emergency services). 4. Foster transformational improvement through learning collaboratives that bring together people from various healthcare settings to seek improvement in focused areas (e.g., mortality, harm reduction, perinatal, care coordination, perioperative and emergency care). Learn More Visit www.health-partners.org for more information about how our care measures up. We welcome the opportunity to share our story. Evidence CHP Provides Great Care, Delivers Great Value System Objectives for Quality and Patient Safety: Ratio of Performance against Benchmark, 2010 (higher is better) 30-Day Rehospitalization[1] 1.40 Patient Harm (Part 3) ACM Opportunities 1.20 1.00 Patient Harm (Part 1) ACM Perf ect Care 0.80 0.60 0.40 Associate Engagement[1] AMI Perf ect Care 0.20 0.00 Patient Experience HF Perf ect Care Mortality PN Perf ect Care Net/Net Operating Margin[2] Surgical Care Perf ect Care LOS Prior Year Current Target Catholic Health Partners: Acute Inpatient Mortality Rate Benchmark Part 1 Objective Patient Harm: Composite Score of Harm Indicators, CHP, 20082011 3.5% 0.45% 3.0% 0.40% 0.35% Percent Harmed Mortality Rate 2.5% 2.0% 1.5% 1.0% 2004: 2.11% 2005: 2.04% 2006: 1.87% 2007: 1.83% 2008: 1.82% 2009: 1.70% 2010: 1.57% 2011: 1.75% 0.30% 0.25% 0.20% 0.15% 0.10% 0.5% 0.05% 0.00% 0.0% Mortality Rate 2004 2005 2006 2007 2008 2009 2010 2011 Percent Harmed 2008 Avg 2009 Avg 2010 Avg 2011 Avg Target Percent of Patients who Received Perfect Care: Acute Myocardial Infarction, Heart Failure, Pneumonia, and Surgical Care* Appropriate Care Measures *Sugical Care added in 2006 100% 91% 90% 85% 87% 2007 2008 93% 80% 80% 76% 71% 70% 60% 50% 40% 30% 20% 10% 0% 2004 2005 2006 2009 2010 Cost of Hospital Care (Total Expense per WEIPA, excluding Bad Debt) (lower is better) $7,000 $6,458 $6,500 $6,144 $6,098 $6,000 $5,863 $5,864 2008 2009 $5,500 $5,000 $4,500 2006 2007 2010 Rev. 6-11