Hospital Medicine Performance Presentation to YOUR LEADERSHIP YOUR ORGANIZATION’S EMBLEM HERE

Performance in Four Dimensions People People Health Health Experience Experience Stewardship Stewardship

People Our Goal: Our Result: Recruit and retain high quality providers Recruit and retain high quality providers 35 providers as of 11/ providers as of 11/ MDs 30 MDs 5 APPs 5 APPs Expect 3 MD hires and 1 APP hire to get to sustainable staffing level for 2013 Expect 3 MD hires and 1 APP hire to get to sustainable staffing level for 2013 AMGA Physician Satisfaction AMGA Physician Satisfaction Improve “very satisfied” ranking Improve “very satisfied” ranking 10 point decrease from point decrease from 2011 Sustainability as driver Sustainability as driver All Employee Survey results as marker for improvement All Employee Survey results as marker for improvement

AMGA Survey Results FILL IN YOUR INTERPRETATION HERE

All Employee Survey Results Question Hospital Medicine Medical Group Norm I feel informed about where my company is going 81%65%n/a I am involved in making changes that improve care, service and efficiency 70%61%n/a Overall I am satisfied with my company as an employer 88%71%70% Engagement Index 82%76%74% FILL IN YOUR INTERPRETATION HERE

Health Our Goal: Our Result: Top performance on key quality measures Top performance on key quality measures Core Measures Core Measures HealthGrades HealthGrades Collaboration with other hospitalist groups to align goals Collaboration with other hospitalist groups to align goals See following slides See following slides Reduce re-admissions Reduce re-admissions All cause readmission rate All cause readmission rate Heart Failure Heart Failure See following slides See following slides

Core Measures FILL IN YOUR INTERPRETATION HERE COMPARE HOSPITALS HERE

All Cause Readmissions Hospitalist collaboration to reduce readmission rates: Hospitalist collaboration to reduce readmission rates: LIST YOUR STRATEGIES LIST YOUR STRATEGIES High risk patient identification High risk patient identification Care plan development Care plan development Medication reconciliation Medication reconciliation Scheduled clinic follow-up Scheduled clinic follow-up Speaking to patients and families using understandable terms Speaking to patients and families using understandable terms Teach back Teach back YOUR HOSPITAL DATA HERE

Heart Failure Readmissions COMPARE DATA FROM LOCAL HOSPITALS HERE

Health Our Goal: Our Result: Improve access to end-of-life care Improve access to end-of-life care Increased use of Palliative Care Increased use of Palliative Care Consult volumes Consult volumes Further measures under development Further measures under development

Palliative Care Consults YOUR HOSPITAL DATA HERE

Health Our Goal: Our Result: Improved transitions of care Improved transitions of care Enterprise work on hand-offs Enterprise work on hand-offs Discharge summary on the date of discharge Discharge summary on the date of discharge Regular performance feedback Regular performance feedback YTD 92% YTD 92% Working with other sites for Working with other sites for measurement status

Experience Our Goal: Our Result: Top decile performance on key HCAHPS questions Top decile performance on key HCAHPS questions Timely discharge order entry and improved discharge by noon Timely discharge order entry and improved discharge by noon See next slides See next slides

Physician Communication COMPARE HOSPITAL DATA HERE

Would You Recommend? COMPARE HOSPITAL DATA HERE

Discharge Orders and Time YOUR HOSPITAL DATA HERE

Stewardship Our Goal: Our Result: Provide the most affordable care to our patients by: Provide the most affordable care to our patients by: Executing our quality and experience plans Executing our quality and experience plans Delivery of evidence based medicine through use of order sets Delivery of evidence based medicine through use of order sets Prevention of unnecessary admission and prevention of readmission Prevention of unnecessary admission and prevention of readmission Managing our costs and remaining competitive in our compensation package Managing our costs and remaining competitive in our compensation package Fair, market based funding from our hospital partners Fair, market based funding from our hospital partners See next slides See next slides

Service Changes New Collaboration with Children’s Hospital New Collaboration with Children’s Hospital Contract signed October 1, 2012 Contract signed October 1, 2012 Start collaborative services January 1, 2013 Start collaborative services January 1, 2013 Program support provided with PFP Program support provided with PFP Elimination of one service at Hospital X Elimination of one service at Hospital X Drivers of reduced volumes include work on low risk chest pain and observation unit Drivers of reduced volumes include work on low risk chest pain and observation unit

Volume and FTE trends

Stewardship Newer measures of stewardship should be included here Cost of care, utilization markers Medicare (RAC) denials and Readmissions Penalties You may insert your hospital’s latest performance compared to market. Aggregate health and experience measures that relate to stewardship Hospital Value Based Purchasing

Finances by Site (YEAR) INSERT YOUR BALANCE SHEET HERE INSERT YOUR BALANCE SHEET HERE

Historical Financial Performance (in $000’s) INSERT COMPARATIVE BALANCE SHEET HERE INSERT COMPARATIVE BALANCE SHEET HERE

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