Business Plan
Presentation to
Palm Drive Health Care District
Board of Directors
January 26, 2015
Agenda for Today’s Meeting
•
Overview/ Executive Summary of Business Plan
Hino
–
•
Introduction of Sonoma West Medical Center Team
Details of the Business Plan
Hino
–
R.
Governance
R.
Contributors To the Plan
•
Jim Maresca
•
Alan Bernstein, MD
•
Sandra DeBella Bodley
•
Kathy Norris
•
Raymond Hino
•
Gail Thomas
•
Jim Gude, MD
•
Tom Boag
•
Dan Smith
•
Kurt Hoffman
•
Glenn Minervini-Zick
•
Beth Deutsch
Plan Overview/ Executive Summary
What’s Going to Be Different About
Sonoma West Medical Center
•
•
•
New Outpatient Service Lines for Urology,
Endocrinology, Rheumatology, and
Integrative Medicine
No Wait Emergency Department
Cloud based Electronic Medical Record
System
Introduction of SWMC Team
•
Raymond T. Hino, MPA, FACHE
•
Glenn Minervini-Zick
Interim CFO
•
James Gude, MD
CMO
•
To Be Determined
Chief of Staff
•
David Yarbrough, RN, BS, MS, JD
•
John Rinset
Staff/Support Svcs
CEO
Interim COO/CNO
Interim Med
Plan Overview/Executive Summary
Obligations of Sonoma West Medical Center
•
•
•
Re-Open Palm Drive Hospital under new name of Sonoma West
Medical Center
Comply with Federal, State and Accreditation Requirements for
General Acute Care Hospital
Comply with Federal, State and Accreditation Requirements for
Additional Services to include: Emergency Department,
Plan Overview/Executive Summary
Obligations of Sonoma West Medical Center
•
•
Staff Sonoma West Medical Center, according to State and
Federal requirements with a competitive wage and benefits
structure
Bill, collect and retain all patient accounts receivable, Federal,
State revenues (e.g. Intergovernmental Transfers, AB 915
Supplemental Funds, HITECH)
Plan Overview/Executive Summary
Obligations of Palm Drive Health Care District
•
•
•
Cooperate with SWMC to bring Palm Drive Hospital up to SB
1953 (Hospital Seismic Safety Law) Compliance for NPC2
requirements
Maintain Hospital License
Approve Physician Appointments and Reappointments,
following a thorough vetting of physician applications by
Plan Overview/Executive Summary
SWMC & PDHCD Agree to:
•
•
Enter into a Management Agreement between Sonoma
West Medical Center, Inc & Palm Drive Health Care District
(5 year term + Two additional 5 year terms)
Work together on a Chapter 9 Bankruptcy Exit Plan
Details of the Business Plan
Details of the Business Plan
Governance
•
SWMC Directors are selected for business and/or health care
knowledge, community involvement, governance skills and related
experience.
•
Initial SWMC Board Officers for Year 1 are as follows:
•
Dan Smith, Chair
•
Raymond Hino, President & CEO
Details of the Business Plan
Governance
•
PDHCD Invited to Add Up to 2 District Board Directors, if desired
and approved by District Counsel
•
SWMC Board to Meet Monthly in Open Session Meetings
•
SWMC Board to Appoint Initial SWMC Finance Committee
•
Mary Ely, Treasurer/ Finance Committee Chair
Details of the Business Plan
Services
•
General Acute Care Hospital Required License Services
•
Outpatient Institutes
•
No Wait Emergency Service
•
Intensive Care Unit
•
Hospitalist Service
Upgraded Inpatient Services
•
Specialists on Site and Through Telemedicine
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Accredited Continuing Medical Education
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Inviting Private Rooms for All Patients
•
Organic Food on Menu
•
Integrative Medicine
•
Room for Relatives
15
Outpatient Medical and Surgical Services
•
•
•
•
•
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Orthopedic Surgery
Urology
Minimally Invasive Spine
Surgery
Neurology
Endocrinology
Rheumatology
16
No Wait Emergency Room
•
•
•
The No Wait ER is 1 example of the
emphasis that SWMC intends to
implement to improve medical
services and increase patient
satisfaction.
A June 30, 2014 Impact Assessment
by Coastal Valleys EMS agency
concluded that 20-22 patients per
day will travel to Santa Rosa.
CVEMS supports efforts to re-
Intensive Care Unit
•
•
•
•
5 bed Unit
Staffed According to Title 22
Regulations
The ICU Medical Director is Dr. Jim
Gude, a Board Certified Intensivist
Covered by On sight Day Hospitalist
Coverage and Telemedicine
Coverage at Night
Hospitalist Service
•
•
Led by Shelleen Denno, MD, an
experienced and well known
internist and hospitalist in
Santa Rosa
Hospitalists enhance the
performance of hospitals by
providing prompt and
complete attention to all
patient care needs
New Telemedicine Programs
– Array of
Specialty Services
Capable of Handling
Complex Cases
– Stroke
Intervention
– Research Support
– High
Acuity Medicine
20
Patient Education Center
•
Single Point of Contact with
Patients for phone
communication, e-mails and
visits
•
Critical for Coverage Verification
•
Interfaces with Case Managers
•
Important Physician Liaison
Service
Specialty Institutes
•
•
The term “Institute” is a popular label that Hospitals and
Doctors currently use to describe an integrated medical
delivery system (doctors and hospitals working together).
SWMC is using the label to describe new outpatient and
inpatient Service Lines (Urology, Neurology, Endocrinology,
Rheumatology)
Specialty Institutes
Services to be Provided by SWMC
to Institute Doctors
•
Practice Site
•
Non-professional staff
•
Practice Management
•
Billing and Collections
Specialty Institutes
SWMC Institutes
•
Bollinger Orthopedic and Sports
Medicine Institute
•
Pereira Brain and Spine Institute
•
Bretan Urology Institute
•
Integrative Medicine Institute
Financial Strategy
•
•
•
Recruit Specialists in Clinical Care Specialties where demand
exceeds supply (Neurology, Endocrinology, Rheumatology,
Integrative Medicine)
Manage Cost Structure (FTE management, supply expenses,
outsource when services can be provided more efficiently
by outside resources)
Revenue Cycle Management (Increase collections from Palm
Drive Historical performance)
Marketing
Marketing
The goal of Sonoma West Medical Center is to maximize revenue
through the following Four Strategy Initiatives, using data driven
metrics and constantly evaluating effects on profitability:
– Branding
Identification
– Acquisition
– Retention
– Physician
of New Patients
of Former Palm Drive Hospital Patients
Alignment (through Institutes)
www.sonomawesthealth.org
www.sonomawesthealth.org
Marketing New Health Plans
Start Up Capital Requirements
Total Capital Required to Open Hospital
Million*
$11.4
Sources of Capital
Philanthropy ($5.0 Million Pledged, Committed)
Million**
Palm Drive Health Care District
$9.0
Financial Projections
Glenn Minervini-Zick, Interim CFO
David Yarbrough, RN, BS, MS, JD, Interim
COO/CNO