1. Nationally ranked integrated healthcare delivery system
501 c 3 not-for-profit
$1.5 billion in annual revenue
Headquartered in Roanoke
12,800 employees
1,000 employed providers
7 hospitals
Urgent care, home health agencies, retail pharmacies, wellness, patient transportation
Children’s Hospital
Jefferson College of Health Sciences
VTC School of Medicine & Research Institute

4. Carilion Stonewall Jackson Hospital
80% Carilion Ownership
20% Community Ownership
Stonewall Jackson Hospital Community Health Foundation
12 Member Board
Asset Oversight
2005

5. Critical Access Hospital
Federal Designation – Received 2004
25 Inpatient Beds
24/7 Emergency Room Services
Average Length of Stay < 4 days
35 miles from closest Health Care facility
Cost reimbursement

6. CSJH Services Med Surg ICU
OR – General surgery, Orthopaedics, Ophthalmology, Infusion ED
Full Line Imaging Services
Sleep Center
Wound Center
Respiratory Services
Lab
Cardiac Rehab
Therapy Services – Physical, Occupational, Speech
Cardiovascular Lab

7. Local Board Members Larry Boetsch Chuck Carr Greg Cavallaro Dr. Crews
Buddy Derrick
Sidney Evans
Dr. Gallagher
Juliet Gibson
Joseph Hess
Farris Hotchkiss
Lisa Sprinkle
Richard Teaff
Kerri Thornton
Jay Williams

8. Swing Beds Number of Admissions FY13 48 FY14 81 FY15 89 FY16 109
Patient / Family satisfier
Non-Acute / Lower Level of Care

9. Statistics Admissions …………………. 1,250 Inpatient Days ……………… 5,209
ED Visits ……………………. 14,501
OR Procedures …………….. 1,738
Imaging Procedures ………. 22,458

10. American Healthcare Finance 101
2.0
Results in:
Unaffordable Insurance for Business and Individuals, rationing, and increased taxes to keep up with it all.
Charge
Profit
Commercial Insurers
Profit
Cost
1.0
Medicare
Loss
Medicaid
0.0
Self or No Pay 0%
100%

11. Closed Rural Hospitals – As of 12/28/16
Source: The Cecil B. Sheps Center for Health Services Research

12. CIT Assessment Center

13. Velocity Care Opened June 2016 37 Patients per Day Hours
Monday through Saturday 8am – 8pm
Sunday 10am – 6pm
Test results can be viewed by Carilion PCP or ED physician.

14. Community Health Needs Assessment
Identified 4 top priorities for the community
Urgent Care
Mental Health Services
General Wellness (including nutrition, physical activity, and chronic disease management)
Care Coordination
How are we helping to address these needs?

15. Physician Update Dr. Lu – Anesthesiology (on-site)
Dr. Pickard – Dermatology (tbd)
Dr. Casey – Gynecology (tbd)
Dr. Jonas – Gynecology (tbd)
Dr. Clemmons (on site)
Velocity Care
Dr. Childress - Velocity Care

16. Whites Travel Center

17. What the patient should see...
An Accountable Care Organization (ACO)

19. Questions