Memorial Hermann
Southwest Hospital
Where we came from
• 1907- Opening of Memorial Baptist Sanitarium
• 1925- Opening of Hermann Hospital
• 1962- June 4th, Memorial Southwest Hospital opens as a
100-bed facility near Hillcroft/Gulfton area
• 1977- Memorial downtown closed and merged with new
Memorial SW Hospital located at 7600 Beechnut
Where we came from
1995- Pavilion built to house the
expanded surgical, OP, and women’s
services
1996- University Place opens
– Independent living
– Skilled nursing facility
– Long-term nursing home
1997- Memorial merged with Hermann
– Name changed from Memorial SW
Hospital to Memorial Hermann
Southwest
1999- The Wellness Center opens
– Gym, spa, nutritional counseling
2006- SW Heart & Vascular Institute
opens
Our Role in SW Houston
Economic engine
• Largest employer in SW Houston
– $160 million paid annually in salaries and benefits
to 2,200 employees
– 600+ independent physicians and their office staff
Safety net for this community
• Level 3 trauma center with about 65,000 visits in the
past 12-month period
• $33 million charity care in FY 2011
Our Role in SW Houston
Provide full continuum of healthcare
•
•
•
•
Preventative wellness and exercise programs
Clinical services from NICU to hospice
Physical, mental, emotional, spiritual needs
Community support groups, seminars & screenings
Provide training and education
• Nursing and Ancillary students-Over 330 for FY 2011
• Chaplaincy interns- 10 interns for FY 2011
• Physicians -42 Family Practice Residents FY2011
MH Southwest
Satisfaction Scores
FY
2009
FY
2010
FY
2011
Physician
Satisfaction
56%
29%
92%
Employee
Satisfaction
4.27
4.28
4.34
Patient
Satisfaction
N/A
55%
70%
If all patients received the level of care provided by the top 100 hospitals:
•
•
•
•
Nearly 116,000 additional patients would survive each year.
More than 197,000 patient complications would be avoided annually.
Expense per adjusted discharge would drop by $462.
The average patient stay would decrease by half a day.
Service Line Highlights
Heart and Vascular- Top 50 Nationally, Most Open Heart
Surgeries in the MH System
Orthopedics- Joint Camp- 99% Patient Satisfaction
Emergency/Critical Care- 65K annual visits with “door-to-doc”=
27 min, in house ICU Physicians 24/7
Asian Care Unit- Dedicated wing with 24/7 translators
Neurosciences- AHA Gold Award Level 2 Stroke, Spine Camp
Comprehensive Cancer Center- Trilogy linear accelerator
Comprehensive Breast Care Center- Board certified breast
radiologists, now offering Tomosynthesis 3D
Senior Services- ER (55+), Senior IP Medicine Unit, Senior
Treatment and Recovery Unit for Behavioral Care (S.T.A.R)
Surgery- Da Vinci Si Robotic Surgery System
University Place is a senior living community with more – spacious living with greater opportunities for
fun, fitness, new friends, gourmet meals, time in the library and cultural events to fill your days and
nights.
• Located on the Memorial Hermann Southwest Hospital Campus with immediate access to their
dedicated Senior Emergency Center • Two meals, seven days a week, including continental breakfast
and choice of lunch or dinner • Flat linen service • Transportation to all campus locations, shopping,
scheduled outings and weekly trips to the Texas Medical Center • Complimentary cultural events
• Washer/dryer in every apartment • Complimentary valet service and covered parking • Game room
with Wii ™ • Complimentary fitness membership • Water, gas, electric, cable TV, local and long
distance phone services included • Wireless Internet • Arts and crafts • Salon and day spa
• Library • Privileges at Houston Baptist University
What we need from you
• Get connected with your local primary care
physician/medical home (713-222-CARE)
• Give us feedback
– Patient Relations - 713-456-6634
• How do we communicate with your group?
– Amy Hobbs 713-456-5111
• Volunteer- 503 current adult volunteers
– Benefits- meal vouchers, new friends, great way to help
– Becki Baird 713-456-5180
• MHealth Insurance
– Paula Turnquist 713-338-4802
• Attend upcoming, free events
– Following slide
Event Registration 713-222-CARE
Colorectal Cancer Seminar
•
Wednesday, March 28
•
6 – 7:30 p.m.
•
HBU Bradshaw Fitness Center, Classrooms
Prime Living Women’s Health Symposium
•
Saturday, April 21
•
9 – 2 p.m.
•
UH Sugar Land
Allergy & Sinus Seminar
•
Tuesday, April 24
•
6 – 7:30 p.m.
•
HBU Bradshaw Fitness Center, Classrooms
University Place Open House Events
•
April 24 and 27
•
9:30 – 11:30 a.m.
Spring Health Fair
•
Saturday, May 19
9 – Noon (Tentative)
•
Heartburn and Acid Reflux Seminar
•
Wednesday, May 23
•
6 – 7:30 p.m.
HBU Bradshaw Fitness Center, Classrooms
•
Fiscal Year 2011 Systemwide
Contribution, Bad Debt, and Charity Care
Total Contribution = $664,671,028
Note: Based on cost.
Record Level of Charity Care
Systemwide (000’S Omitted)
65% increase since 2005
116,832
120,000
100,000
88,186
99,766
104,396
81,492
80,000
70,694
73,792
2005
2006
60,000
40,000
20,000
0
Note: Based on cost.
2007
2008
2009
2010
2011
Demanding Value
Houston market showing signs of change
recently experienced in other major markets
– 7,000 empty beds in Houston today (88 admits/1,000)
– 8,000 empty beds in Houston by 2016 (70 admits/1,000)
120
Admits/1,000
110
100
90
112
80
109
100
96
90
90
88
2009
2010
2011
70
60
2005
2006
2007
2008
Cost Comparisons
Average spending on health
per capita ($US PPP*)
8,000
Expenditures on healthcare administration
and insurance, 2009 (or nearest year)
United States
Canada
Germany
France
Australia
United Kingdom
7,000
6,000
5,000
4,000
3,000
2,000
1,000
Source: Commonwealth Fund National Scorecard
on U.S. Health System Performance, 2011.
2008
2006
2004
2002
2000
1998
1996
1994
1992
1990
1988
1986
1984
1982
1980
0
Source: OECD (2011), Health at a Glance 2011: OECD
Indicators, OECD Publishing.
The Value “Reality”
Quality
Value = _____________
Cost
OECD (2011), Health at a Glance 2011: OECD Indicators, OECD Publishing.
Public Model Sustainability
Medicare spending is estimated to be $555 billion in 2011
and is expected to nearly double over the next decade
Source: Congressional Budget Office
Memorial Hermann
Must Change
New Vision
Memorial Hermann will be the
preeminent health system in the
U.S. by advancing the health of
those we serve through trusted
partnerships with physicians,
employees and others to deliver
the best possible health solutions
while relentlessly pursuing quality
and value.
“We advance health”
Moving To Sustainability
Old Model
New Model
Fee-for-Service
Disparate Payments
Illness & Cure
Volume Incentive
Fragmentation
Fixed Payment
Bundled Payment
Population Health
Value Incentive
Integration
Future
PROBLEMS
Future
SOLUTIONS
Memorial Hermann
Must Change
The Healthcare Business Model is Changing
Old Model
New Model
Care Delivery
Care Delivery
Physicians
Physicians
Health Solutions
Health Solutions
Are We Getting Value?
U.S. rank of
countries
U.S.
OECD
Average
% of population who perceived health status as
good, adults ages 15 and older
1 out of 34
90%
69.1%
% of U.S. obese adults (measured data)
40 out of 40
33.8%
16.9%
Infant mortality rate
31 out of 40
6.5/1,000
4.4/1,000
Life expectancy at birth
27 out of 34
78.2
79.5
Practicing medical doctors
28 out of 40
2.4/1,000
3.1/1,000
Average length of stay in hospitals for all causes
32 out of 38
4.9
7.2
Measures
Asthma hospital admission rates (aged 15 and over)
27 out 28
120.6/100,000 51.8/100,000
In-hospital mortality following stroke within 30 days
after admission for ischemic stroke (age-sex
standardized rate)
20 out of 27
3.0/100
5.2/100
Per-capita pharmaceutical spending
32 out of 32
$947
$487
% GDP spent on health care as share of GDP
40 out of 40
17.2%
9.6%
Source: OECD, “Health at a Glance”, November 23, 2011
Quality Comparisons
Postoperative pulmonary embolism
or deep vein thrombosis, 2009 (or
nearest year)
International comparison of
infant deaths per 1,000 live
births in 2007
6.8
5.1
4.0
2.0
2.5
d
en
la n
ed
e
w
c
I
S
OECD (2011), Health at a Glance 2011: OECD Indicators, OECD Publishing.
2.6
2.7
3.1
n
d
rk
ay
es
da
pa
lan
rw
na
ma
tat
n
Ja
o
a
n
i
S
F
N
C
d
De
ite
Un
Source: Commonwealth Fund National Scorecard
on U.S. Health System Performance, 2011.
Private Model Sustainability
Cumulative increases in health insurance premiums, workers’
contributions to premiums, inflation and workers’ earnings
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 19992011. Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of
Annual Inflation (April to April), 1999-2011; Bureau of Labor Statistics,
Seasonally Adjusted Data from the Current Employment Statistics Survey,
1999-2011 (April to April).