Clinical Affairs and The Emory Clinic 2006/2007 S. Wright Caughman, M.D. Director, The Emory Clinic, Inc. Executive Associate Dean for Clinical Affairs/The.

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Presentation transcript:

Clinical Affairs and The Emory Clinic 2006/2007 S. Wright Caughman, M.D. Director, The Emory Clinic, Inc. Executive Associate Dean for Clinical Affairs/The Emory Clinic Clinical Affairs and The Emory Clinic 2006/2007 S. Wright Caughman, M.D. Director, The Emory Clinic, Inc. Executive Associate Dean for Clinical Affairs/The Emory Clinic EMORY HEALTHCARE

Presentation Overview  Organizational Overview  Emory Healthcare and Affiliated Clinical Programs  The Emory Clinic

Overview – Woodruff Health Sciences Center

EMORY HEALTHCARE Page 3 Emory University Organizational Structure Emory University President James Wagner, PhD EMCF Executive VP & Chief Operating Officer Michael J. Mandl E MORY H EALTHCARE President and CEO John T. Fox Grady Memorial Hospital Veteran’s Affairs Medical Center EHCA, EJCH Dean, Emory College Dean, Graduate A & S Dean, Oxford Dean, Theology Dean, Law Dean, Business ECC Emory Hospitals Wesley Woods The Emory Clinic Emory University Board of Trustees CEO, Woodruff Health Sciences Center & Executive VP Health Affairs & Chairman of the Board, EMORY HEALTHCARE Michael M. E. Johns, MD Dean, Public Health Dean, Nursing Dean, SOM Thomas Lawley MD Director, Yerkes Robert W. Woodruff Health Sciences Center Board Executive VP Academic Affairs & Provost Earl Lewis, PhD Emory Adventist Hospital Emory Adventist Hospital Children’s Healthcare of Atlanta Senior VP for Campus Life John Ford, PhD Senior VP for Institutional Advancement Johnnie D. Ray VP for Research Administration EMORY HEALTHCARE Board

EMORY HEALTHCARE Page 4 Emory University President James Wagner, PhD EMCF Executive VP & Chief Operating Officer Michael J. Mandl E MORY H EALTHCARE President and CEO John T. Fox Grady Memorial Hospital Veteran’s Affairs Medical Center EHCA, EJCH Dean, Emory College Dean, Graduate A & S Dean, Oxford Dean, Theology Dean, Law Dean, Business ECC Emory Hospitals Wesley Woods The Emory Clinic Emory University Board of Trustees CEO, Woodruff Health Sciences Center & Executive VP Health Affairs & Chairman of the Board, EMORY HEALTHCARE Michael M. E. Johns, MD Dean, Public Health Dean, Nursing Dean, SOM Thomas Lawley MD Director, Yerkes Robert W. Woodruff Health Sciences Center Board Executive VP Academic Affairs & Provost Earl Lewis, PhD Emory Adventist Hospital Emory Adventist Hospital Children’s Healthcare of Atlanta Senior VP for Campus Life John Ford, PhD Senior VP for Institutional Advancement Johnnie D. Ray VP for Research Administration EMORY HEALTHCARE Board Emory University Organizational Structure You Are Here!

Overview – Woodruff Health Sciences Center

Overview – History Emory Healthcare  1993 – Emory University System of Healthcare Created  1997 – Renamed Emory Healthcare  1998 – Change in Bylaws and Structure  2003 – One Emory Healthcare Emory Healthcare  1993 – Emory University System of Healthcare Created  1997 – Renamed Emory Healthcare  1998 – Change in Bylaws and Structure  2003 – One Emory Healthcare

Clinical Affairs – WHSC/Emory Healthcare Emory University Hospital Emory Crawford Long Hospital Wesley Woods Center EHC & SOM Faculty Practice Plans EHC Hospitals EHC & SOM Affiliates EHC Joint Ventures Emory Adventist Hospital EHCA, LLC Children’s Healthcare of Atlanta Grady Health System Veteran’s Administration Medical Center The Emory Clinic Emory Children’s Center Emory Medical Care Foundation

Overview – Scope of the Enterprise  Over 2 million outpatient and inpatient visits a year at TEC and ECC. (~3 million patient visits a year including Grady and the VAMC)  750,000 adjusted admissions at Emory Hospitals  1,184 licensed hospital beds  Nearly 2 billion in clinical net patient service revenues within EHC  2,000 full-time faculty and more than 1,700 adjunct faculty  12,000 staff  3,200 students and residents across the Woodruff Health Sciences Center  Increase in research rankings – move from the 30’s to the 20’s in 5 years; $276 million in research expenditures for the Health Sciences Center (2003); SOM #19 in NIH funding in  $3.1 billion economic impact to the Atlanta area economy (2001)  Top 20 ranking for Emory University Hospital in key clinical programs including Eyes, Heart & Heart Surgery, and Psychiatry.  Over 2 million outpatient and inpatient visits a year at TEC and ECC. (~3 million patient visits a year including Grady and the VAMC)  750,000 adjusted admissions at Emory Hospitals  1,184 licensed hospital beds  Nearly 2 billion in clinical net patient service revenues within EHC  2,000 full-time faculty and more than 1,700 adjunct faculty  12,000 staff  3,200 students and residents across the Woodruff Health Sciences Center  Increase in research rankings – move from the 30’s to the 20’s in 5 years; $276 million in research expenditures for the Health Sciences Center (2003); SOM #19 in NIH funding in  $3.1 billion economic impact to the Atlanta area economy (2001)  Top 20 ranking for Emory University Hospital in key clinical programs including Eyes, Heart & Heart Surgery, and Psychiatry. Data reflects FY 2003 unless noted.

Overview – Clinical Affairs Emory University Hospital Emory Crawford Long Hospital Wesley Woods Center Emory Healthcare Hospitals Located on Emory’s Main Campus Center for Rehabilitation Medicine Closed Medical Staff 573 Licensed Beds ~$500M Net Patient Revenues 29,000 Adjusted Admissions 25,000 ER Visits 81,000 Outpatient Visits Located in Midtown Atlanta Open Medical Staff 511 Licensed Beds $360M Net Patient Revenues 26,000 Adjusted Admissions 44,000 ER Visits 129,000 Outpatient Visits Located on Emory Campus Geriatric Complex 100 Licensed Bed Acute Care Hospital and Nursing Home ~$50M Net Patient Revenues 3,000 Adjusted Admissions 34,000 Outpatient Visits* *Does not include Budd Terrace

Overview – Clinical Affairs EHC & SOM Faculty Practice Plans The Emory Clinic (2005) Emory Children’s Center (2005) 564,555 Annual Inpatient Visits 1,248,132 Annual Outpatient Visits 935 Physicians 80 Clinical Locations $366M Net Patient Revenue 82,000 Total Patient Visits 77 Physicians ~$15M Net Patient Revenue Emory Medical Care Foundation (2005) 740,000 Total Patient Visits ~$30M Net Patient Revenue

Overview – Clinical Affairs Emory Adventist Hospital EHCA, LLC Children’s Healthcare of Atlanta Grady Health System Veteran’s Administration Medical Center Affiliates Joint Ventures Hospital Located in Cobb County 88 Licensed and 41 Staffed Beds 2,400 Admissions $19M Net Patient Revenue 215 Physicians Includes Emory Dunwoody, Emory Eastside, and Emory Johns Creek Medical Centers Formed in 1999 Reorganized in 2002 Two Hospital System Egleston Location 225 Licensed Beds 8,200 Admissions 242,000 Outpatient Visits $205M Total Patient Revenue 594 Physicians 953 Licensed Beds 27,000 Admissions 695,000 Outpatient Visits $522M Total Revenue 1,000+ Physicians

EMORY HEALTHCARE Page 12 Overview Emory Healthcare CEO, Woodruff Health Sciences Center & Chairman of the Board, EHC Michael M.E. Johns, MD CEO, Woodruff Health Sciences Center & Chairman of the Board, EHC Michael M.E. Johns, MD President and CEO, EHC John T. Fox President and CEO, EHC John T. Fox Director & Chairman of the Board, The Emory Clinic Wright Caughman, MD Director & Chairman of the Board, The Emory Clinic Wright Caughman, MD CEO, Emory Children’s Center Barbara J. Stoll, MD CEO, Emory Children’s Center Barbara J. Stoll, MD Chief Counsel Jane E. Jordan, JD Chief Counsel Jane E. Jordan, JD Director, Managed Care S. Patrick Hammond Director, Managed Care S. Patrick Hammond Senior Director, Marketing Una H. Newman Senior Director, Marketing Una H. Newman Chief Compliance Officer Anne Adams, JD Chief Compliance Officer Anne Adams, JD Chief Information Officer Dedra Cantrell Chief Information Officer Dedra Cantrell Senior Director, Risk & Insurance Svcs. Shulamith Klein Senior Director, Risk & Insurance Svcs. Shulamith Klein EHC Chief Human Resources Officer Margaret A. Bloomquist EHC Chief Human Resources Officer Margaret A. Bloomquist Associate Vice President, Strategic Planning Shari M. Capers Associate Vice President, Strategic Planning Shari M. Capers Chief Quality Officer William A. Bornstein, MD, PhD Chief Quality Officer William A. Bornstein, MD, PhD Chief Operating Officer, Emory University Hospital Robert J. Bachman Chief Operating Officer, Emory University Hospital Robert J. Bachman Chief Operating Officer, Wesley Woods Center Pete A. Basler, Jr. Chief Operating Officer, Wesley Woods Center Pete A. Basler, Jr. Chief Operating Officer, Emory Crawford Long Hospital Albert K. Blackwelder Chief Operating Officer, Emory Crawford Long Hospital Albert K. Blackwelder Chief Nursing Officer, Emory Hospitals Alice F. Vautier, RN, EdD Chief Nursing Officer, Emory Hospitals Alice F. Vautier, RN, EdD Chief Operating Officer, The Emory Clinic Donald I. Brunn Chief Operating Officer, The Emory Clinic Donald I. Brunn Chief Financial Officer, Emory Healthcare James T. Hatcher, CPA Chief Financial Officer, Emory Healthcare James T. Hatcher, CPA Dean, School of Medicine Thomas J Lawley, MD Dean, School of Medicine Thomas J Lawley, MD   Associate Director   Ira Horowitz, MD   Associate Director   Ira Horowitz, MD

To Serve Humanity By Improving Human Health Emory Healthcare Core Purpose and Values  Excellence  Caring  Integrity

Emory Healthcare Strategic Priorities  Create a single health system employer and become the workplace of choice in the local health care market  Promote a high performance, patient and physician – focused service culture  Create the organizational infrastructure to establish a depth of physician and administrative leadership and management talent  Develop and promote key programs by providing high quality, compassionate care, differentiated by nationally recognized research and education - Winship Cancer Institute, Heart Center, Musculoskeletal, Pediatrics, and Neurosciences  Develop an Emory Clifton Corridor and Emory Midtown master facility plan to support long term growth

Emory Healthcare Strategic Priorities  Develop evidence based care models to improve quality of care, patient safety and professional practice  Provide all hospital and clinic records in one electronic enterprise- wide medical information system  Deliver films via digital images throughout the hospital and clinic setting  Improve the operating margin – use of system assets and revenue cycle management  Reduce medical malpractice expense  Strategically target growth opportunities  Fund strategic clinical programs through philanthropy

The Emory Clinic

Overview – History The Emory Clinic – 50 years old in 2003 The Emory Clinic – 50 years old in 2003  1953 – The Emory Clinic was created as a Partnership  1992 – Changed from a Partnership to a LLC  1998 – Governance structure changes—501c3 corporation under Emory Healthcare and the WHSC The Emory Clinic – 50 years old in 2003 The Emory Clinic – 50 years old in 2003  1953 – The Emory Clinic was created as a Partnership  1992 – Changed from a Partnership to a LLC  1998 – Governance structure changes—501c3 corporation under Emory Healthcare and the WHSC

Overview – The Emory Clinic Senior Director, EHC Human Resources Chief Operating Officer Donald Brunn Chief Operating Officer Donald Brunn TEC Section Business Managers Director and Chairman of the Board, The Emory Clinic Wright Caughman, MD Director and Chairman of the Board, The Emory Clinic Wright Caughman, MD CMO of Clinical Operations Penny Castellano, MD CMO of Clinical Operations Penny Castellano, MD Director, Patient Financial Services Jerry Davis Director, Patient Financial Services Jerry Davis Chief Financial Officer Jennie Hrastar Chief Financial Officer Jennie Hrastar Associate General Counsel Lisa D’Agostino, JD Associate General Counsel Lisa D’Agostino, JD Director, Professional Affairs Gil Grossman, MD Director, Professional Affairs Gil Grossman, MD Director, Human Resources Rick Springfield Director, Human Resources Rick Springfield President & Chief Executive Officer, EMORY HEALTHCARE John T. Fox President & Chief Executive Officer, EMORY HEALTHCARE John T. Fox Operations Adminstrator W. Michael Mason Operations Adminstrator W. Michael Mason Chief Health Counsel, Emory University Chief Health Counsel, Emory University Project Administrator Barbara Mapstone Project Administrator Barbara Mapstone Dean, Emory School of Medicine Thomas J. Lawley Dean, Emory School of Medicine Thomas J. Lawley Associate Director, TEC Ira Horowitz, MD Associate Director, TEC Ira Horowitz, MD Section Heads

Overview – The Emory Clinic Sections of The Emory Clinic Anesthesiology CardioThoracic Surgery Dermatology Emergency Medicine Family Medicine Internal Medicine Neurology Neurosurgery OB/GYN Ophthalmology Orthopaedics and Spine Otolaryngology Pathology Primary Care Psychiatry Radiation Oncology Radiology Rehab Medicine Surgery Urology Winship Cancer Institute

Emory Clinic Goals and Initiatives  Quality: Clinical Outcomes, Patient Safety, and Service; EeMR.  Innovation: Design of the “Ideal Patient Experience” as a roadmap for facilities and patient scheduling redesign.  Growth: Achieve an operating margin of at least 4.9% in order to internally generate capital for key future initiatives.  People: Retention and recruitment of our most valuable assets, our physician faculty and staff. Create an Outstanding Patient Experience Create an Outstanding Patient Experience Make TEC the best place to practice medicine & the best place to work Make TEC the best place to practice medicine & the best place to work Excellence in Financial Stewardship Excellence in Financial Stewardship 2007 Major Initiatives:

TEC Physician Orientation  Administrative Operations  Managed Care  Finance  Hospital Care Coordination/Expedited Care  Patient Financial Services and Scheduling  Information Services/Privacy  EeMR  Medical Records  Network Communications  Corporate Compliance  Marketing – Emory Healthcare Connection  Service Performance  Patient Relations  Risk and Insurance Services  Legal Services  Infection Control  Administrative Operations  Managed Care  Finance  Hospital Care Coordination/Expedited Care  Patient Financial Services and Scheduling  Information Services/Privacy  EeMR  Medical Records  Network Communications  Corporate Compliance  Marketing – Emory Healthcare Connection  Service Performance  Patient Relations  Risk and Insurance Services  Legal Services  Infection Control