OUMS Pillar Goal Update February 15, 2013 OUMS – Voluntary Turnover Rate (FT/PT) 2009 2010 2011 2012 The Children’s Hospital Based 15.7% 13.6% 19.1% 20.0% Women’s & Newborn Based 10.1% 11.1% 14.3% 14.9% OU Medical Center Based 21.8% 22.0% 22.0% 22.6% Outpatient & Campus-Wide Ancillary/Support Departments 10.3% 12.4% 11.9% 12.3% OUMC OKC Overall 15.2% 15.7% 16.9% 17.5% OUMC Edmond Overall 19.2% 20.0% OU Medical System 17.1% 17.8% GOAL = Decrease OUMC-wide Voluntary FT/PT Turnover to 15% or less OUMS – Employee Engagement 85% 80% 79% 75% 75% 74% 75% 76% 70% 65% 60% 55% 50% 2009 2010 2011 Dec. 2011 2012 GOAL = Achieve employee engagement of 75% or greater OUMS – Employee Engagement 100% 90% 80% 70% 60% 50% 40% Children's Women's OUMC OKC Support & Ancillary 2009 81% 84% 77% 79% 78% 2010 80% 73% 70% 76% 78% 2011 75% 76% 69% 74% 78% 74% 2012 75% 78% 72% 77% 79% 76% Edmond System GOAL = Achieve employee engagement of 75% or greater OU MEDICAL SYSTEM HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 75TH 90TH Nursing Communication 75% 77% 78% 77% 76% 74% 81% 84% Physician Communication 82% 82% 84% 82% 82% 81% 84% 88% Responsiveness 60% 62% 61% 60% 60% 57% 71% 77% Pain Management 70% 72% 71% 70% 73% 68% 73% 76% Medication Communication 64% 68% 66% 67% 67% 65% 65% 70% Cleanliness 67% 66% 68% 65% 66% 64% 77% 82% Quietness 67% 65% 65% 65% 64% 64% 66% 73% Discharge Information 86% 88% 90% 88% 87% 87% 86% 89% Overall Rating (% top 2 box) 68% 70% 69% 70% 70% 66% 74% 80% Willingness to Recommend 73% 73% 72% 72% 75% 71% 77% 82% 52% 55% HCA % Top Box: Care Transition HCAHPS 50% GOAL = Achieve 75th percentile or greater in “Overall Rating of this Hospital” OU MEDICAL CENTER HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 75TH 90TH Nursing Communication 71% 76% 77% 73% 74% 71% 81% 84% Physician Communication 77% 77% 82% 79% 79% 76% 84% 88% Responsiveness 53% 55% 56% 53% 54% 46% 71% 77% Pain Management 61% 65% 70% 66% 70% 62% 73% 76% Medication Communication 58% 68% 65% 58% 64% 62% 65% 70% Cleanliness 64% 63% 63% 58% 62% 62% 77% 82% Quietness 60% 52% 53% 49% 57% 54% 66% 73% Discharge Information 85% 88% 91% 86% 86% 84% 86% 89% Overall Rating (% top 2 box) 62% 65% 65% 63% 66% 59% 74% 80% Willingness to Recommend 68% 71% 65% 63% 69% 66% 77% 82% 51% 51% HCA % Top Box: 51% Care Transition HCAHPS CHILDREN’S HOSPITAL HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted HCAHPS 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 75TH 90TH Nursing Communication 77% 81% 81% 82% 80% 81% 81% 84% Physician Communication 82% 89% 87% 86% 85% 89% 84% 88% Responsiveness 55% 63% 66% 63% 66% 60% 71% 77% Pain Management 72% 71% 74% 72% 75% 75% 73% 76% Medication Communication 66% 68% 69% 75% 70% 73% 65% 70% Cleanliness 67% 71% 73% 71% 72% 68% 77% 82% Quietness 65% 72% 72% 68% 65% 63% 66% 73% Discharge Information 91% 92% 93% 91% 91% 92% 86% 89% Overall Rating (% top 2 box) 72% 75% 72% 69% 76% 71% 74% 80% Willingness to Recommend 79% 81% 77% 80% 83% 82% 77% 82% 57% 59% Care Transition HCA % Top Box: 51% WOMEN’S HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 75TH 90TH Nursing Communication 78% 77% 77% 79% 77% 76% 81% 84% Physician Communication 85% 84% 84% 85% 82% 80% 84% 88% Responsiveness 67% 74% 66% 72% 66% 69% 71% 77% Pain Management 74% 78% 70% 73% 77% 72% 73% 76% Medication Communication 71% 74% 72% 76% 68% 63% 65% 70% Cleanliness 68% 63% 69% 68% 68% 63% 77% 82% Quietness 75% 75% 73% 77% 73% 74% 66% 73% Discharge Information 84% 85% 89% 90% 87% 87% 86% 89% Overall Rating (% top 2 box) 72% 72% 71% 76% 73% 71% 74% 80% Willingness to Recommend 74% 73% 75% 78% 77% 71% 77% 82% 51% 57% HCA % Top Box: 51% Care Transition HCAHPS OUMC EDMOND HCAHPS Overall Rating (% Top 2 Box) – HCAHPS Mode Adjusted 3Q 2011 4Q 2011 1Q 2012 2Q 2012 3Q 2012 4Q 2012 75TH 90TH Nursing Communication 77% 70% 77% 72% 76% 65% 81% 84% Physician Communication 84% 82% 81% 80% 81% 83% 84% 88% Responsiveness 70% 58% 59% 52% 57% 51% 71% 77% Pain Management 78% 69% 74% 70% 69% 67% 73% 76% Medication Communication 59% 58% 55% 60% 64% 59% 65% 70% Cleanliness 74% 69% 66% 68% 65% 64% 77% 82% Quietness 64% 60% 66% 70% 60% 61% 66% 73% Discharge Information 85% 84% 84% 86% 86% 85% 86% 89% Overall Rating (% top 2 box) 70% 69% 66% 72% 67% 65% 74% 80% Willingness to Recommend 74% 67% 74% 67% 70% 61% 77% 82% 52% 51% HCA % Top Box: 50% Care Transition HCAHPS OUMS – Risk Adjusted Mortality Index Risk Adjusted Mortality Index OUMS 4Q11 - 3Q12 1.3 1.18 1.2 1.11 1.09 1.1 1.06 1.03 1.01 1 1.01 0.9 0.82 0.8 Risk adjustment methodology changed in 1Q12 to incorporate POA flag and Increase number of 0.7 0.6 4Q11 1Q12 Quarterly Index 12 Month Index 2Q12 System Benchmark 3Q12 GOAL = Decrease mortality rate to CHOIS benchmark or less DOWNTOWN - Core Measures CORE MEASURES OUMC Acute Myocardial Infarction (AMI) Heart Failure Pneumonia Surgical Care Improvement (SCIP) Immunizations Outpatient SCIP TCH /Womens Asthma Care: Composite Score Immunizations TCH Perinatal Core Measure No Elective Delivery: 37-39 Wks Antenatal Steroids Exclusive Breast Milk Feedings Ceasarean Section Rate (HCA Avg) Immunizations: Women's 90th Percentile 1Q12 2Q12 3Q12 4Q12 100% 100% 99.10% 99.47% 97.5% 100% 99.38% 99.30% 97.82% 95% 100% 99.23% 97.47% 99.20% 100% 100% 99% 100.0% 98.54% 96.7% 100% 100% 97.1% 98.58% 99.2% 99.5% 97.97% 99.4% 100% 99.3% 90th Percentile 1Q12 2Q12 3Q12 4Q12 NA 97.5% 98.3% 51.2% 98.6% NA 92.7% 33.0% 97.7% 98.0% 100% 100% 80% 50.62% 97.5% 100% 100% 32.4% 29.5% 0% 94% 100% 45.5% 9.4% 59% 92% 100% 32.4% 15.1% 0% 100% 100% 38.7% 17.8% 98% GOAL = Maintain performance at top 10th percentile on publicly reported Core Measures EDMOND - Core Measures CORE MEASURES OUMC-Edmond Acute Myocardial Infarction (AMI) Heart Failure Pneumonia Surgical Care Improvement (SCIP) Hospital Based Inpatient Psych Immunizations Outpatient AMI Outpatient SCIP 90th Percentile 1Q12 2Q12 3Q12 4Q12 100% 100% 99.10% 99.47% 100% 96.77% 100% 98.33% 97.35% 95% 100% 94.74% 100% 100% 100% 98.81% 98.05% 100% 85.71% 100.0% 100% 93% 100% 99.55% 98.48% 92% 100% 100.0% 100% 100% 100% 99.35% 100% 94.44 100% 98.8% 97.5% 100.0% 99.5% GOAL = Maintain performance at top 10th percentile on publicly reported Core Measures DOWNTOWN – Hospital Acquired Conditions Hospital Acquired Conditions OUMC Retained Foreign Body Air Embolism Blood Incompatibility Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection TCH Retained Foreign Body Air Embolism Blood Incompatibility Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection Goal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1Q12 0 0 0 2 3 1 0 1 1Q12 0 0 0 0 0 0 1 0 2Q12 0 0 0 1 1 1 2 0 2Q12 0 0 0 0 0 0 2 0 3Q12 1 0 0 2 2 2 8 0 3Q12 0 0 0 0 0 0 6 0 4Q12 0 0 0 5 1 0 15 1 4Q12 0 0 0 0 1 0 2 0 GOAL = Maintain Composite HAC rates to the target level or lower EDMOND – Hospital Acquired Conditions Hospital Acquired Conditions OUMC-Edmond Retained Foreign Body Air Embolism Blood Incompatibility Pressure Ulcers - Stage III & IV Falls and Trauma Glycemic Control Vascular Catheter Associated Infections Catheter Associated Urinary Tract Infection 0 0 0 0 0 0 0 0 1Q12 0 0 0 0 1 0 0 0 2Q12 0 0 0 0 1 0 0 1 3Q12 0 0 0 0 0 0 0 0 4Q12 0 0 0 0 3 0 0 1 GOAL = Maintain Composite HAC rates to the target level or lower OUMS – Hospital Adjusted Admissions Admissions Budget 50,000 49,130 49,000 48,000 47,000 46,475 46,000 45,000 44,333 44,000 43,000 42,000 2010 2011 2012 Goal = Increase Adjusted Hospital Admissions to 100% of budget or greater Result = 101.6% OUMS – Hospital Adjusted Admissions 60,000 50,000 40,000 6,585 5,979 30,000 11,708 6,840 6,144 13,330 Women's Children Adult 20,000 10,000 Edmond 22,203 22,816 2011 2012 0 Goal = Increase Adjusted Hospital Admissions to 100% of budget or greater Result = 101.6% *Adult Includes Women’s Admissions OUMS – Budgeted EBITDA OKC Edmond 2010 2011 2012 2012 Budget 114,546 118,546 101,340 110,438 7,168 7,171 7,502 8,781 Goal = To Achieve 100% of Budgeted EBITDA Result = 86.9% Earnings Before Interest, Taxes, Depreciation and Amortization 2012 YTD OUMS - Key 2013 Response • Better Aligned Organizational Structure • Retooled Process for Leadership Engagement • Redeployed & Restructured Excel Program • Enhanced, Structured, and Transparent Focus on Culture of Quality & Safety • System-Coordinated, but Hospital-Driven Strategic Growth Plans