1. CEO Report UWHC Authority Board
Donna M. Katen-Bahensky
President and CEO
February 3, 2010

2. Leadership Updates
Jane Barnett, President and CEO University Health Care, Inc.
Resignation effective 1/1/2010
Jim Dechene named Interim President and Acting Chief Executive Officer of UHC
Jon Ketzler, MD, Interim Director of TLC and Critical Care

3. Survey Activity The Joint Commission Point of Service Lab Survey
December 7-11
25 laboratories and services at 5 locations
College of American Pathologists (CAP) Lab Survey
Two-day comprehensive inspection of laboratory services at CSC, East and West Clinics
CAP is accrediting body for main UWHC Clinical Laboratories
The week of December 7-11 brought not only 18 inches of snow to our region, but also an unannounced Joint Commission Laboratory survey.
The surveyor reviewed approximately 25 labs and lab services at 5 locations.
Surveyor noted only a few isolated findings on his preliminary report involving
Procedure for testing with insufficient specimen volumes.
Proficiency testing
Process for manual log entries
Specimen retention
UWHC may appeal one of the findings.
Compliments far exceeded opportunities for improvement and we were praised for teamwork and dedication to service and patient care excellence.
Wonderful success demonstrating our level of service even in the midst of a weather emergency.
January 13 we welcomed surveyors from the College of American Pathologists or (CAP) for a Lab Survey
They will be inspecting the CSC, East and West.

4. Survey Activity - continued
AABB Transfusion Services Survey
Formerly known as the American Association of Blood Banks
Transfusion Services including the Blood Bank, Perioperative Cell Salvage and Apheresis
An AABB (formerly known as the American Association of Blood Banks) team of three surveyors completed a 1-1/2 day comprehensive inspection of our Transfusion Services including the Blood Bank, Perioperative Cell Salvage and Apheresis. AABB is an international association representing individuals and institutions involved in activities related to transfusion and cellular therapies. The inspectors were colleagues from other AABB-accredited laboratories trained to perform a peer-based evaluation.
The exit report addressed areas for improvement, along with commendable practices and observations. The overwhelming theme of this exit was our excellent staff! After each inspector thanked the staff they worked with, they emphasized the impact this team has on the quality of our Transfusion services -- some of the best they've seen. They described the staff as smart, knowledgable, and engaged. The inspectors cited only two items requiring correction, along with acknowleging several commendable practices and a request to submit two best practices to their peer website.

5. Accreditation
Commission on Accreditation of Rehabilitation Facilities (CARF) three year accreditation of UWHC Inpatient Rehabilitation programs

6. Updates Mid-December Storm H1N1 Response Haiti Response
~ 16 inches of snow
Highest # of weather related absences
117 Rides, 58 staff members housed overnight
430 Inpatients, 52 Surgical procedures
Rides are provided within Dane county, but due to the intensity of the storm and poor road conditions, at approximately 11 am on Wed., 12/9, rides were decreased to within the City of Madison and City of Middleton until approximately midnight 12/9/09.
In the midst of this 430 Inpatients, 52 Surgical procedures were completed.
With each event, in this case the snow emergency, there are learnings. For example we identified challenges in working with the phone systems in the Nursing Resource Center and arranging rides, and we’re coordinating now to find solutions. It may also result in some updates to the Severe Weather Policy and some enhancements to some of our processes related to documentation in severe weather emergencies
As a whole it was another example of how we as an organization pull together and work though challenging situations.

7. National Recognition
UWHC named a Stage 7 Award winner for highest level of electronic health record adoption
HIMSS Analytics a subsidiary of the Healthcare Information and Management System Society reviews and analyzes healthcare organization data relating to IT processes and environments. One analysis, the EMR Adoption Model identifies and scores hospitals using a 8 step scale that charts the path to a fully paperless environment.
This image demonstrates the country's aggregate EMR percentages for each level. I am pleased to report that UW Hospital and Clinics just received Stage 7 designation. AS you can see this represents and extremely small quantity of hospital s across the country
Stage 7 hospitals:
Deliver patient care without the use of paper charts
Are able to share patient information by sending secure standardized summary record transactions to other care providers
se their vast database of clinical information to drive improved care delivery performance, patient safety clinical decision support, and outcomes using business intelligence solutions
Are best practice examples of how to implement sophisticated EMR environments that fully engage their clinicians

8. National Recognitions
2009 Best-In-Class Awards - eHealth
2009 eHealthcare Leadership Awards
HealthGrades Transplant Excellence Awards
Evaluation of 266 transplant hospitals
UWHC received a Lung Transplant and Liver Transplant Excellence award
Unity Health Insurance – Ranked as a Top 50 Health Plan by US News & World Report
Ranked 44th
Rankings based on clinical quality, member satisfaction and National Committee for Quality Assurance (NCQA) Accreditation
Today I am pleased to share a series of national recognitions for the work of our ehealth team on our internet, the new school of medicine Web site and uwhealth.org. These awards speak to the high caliber of staff we have in eHealth, who support the technology, write and edit the content, and taking our Web sites to the next level, now called by many in the industry as best in class.
Greystone.net and Staywell recognized both UWHealth.org and UConnect with Gold awards. UW Health was selected as the best overall Web sitebased on the depth of excellence of each of its major Web sites: the general public/consumer Web site ( the School of Medicine Web site (www.
med.wisc.edu), and the UW Health Intranet, U-Connect.
Greystone said in their awards brochure:
Across the board, UW Health has displayed significant excellence and represents “Best-In-Class” work in all areas of Web strategy, design, presence, and execution.
In addition, the work of eHealth was recognized at the eHealthCare Leadership awards with a variety of awards for site design and the internet.
Best Site Design: Silver
Best Web 2.0: Gold
Best Overall Internet Site: Silver
Best Intranet: Platinum
eHealth Organizational Commitment: Finalist
The last "finalist" award acknowledges the most of the eHealthcare awards and it is extremely hard to win. Becky Broering shared that this is a hard one to win and being a finalist is very exciting.
_________________________
HealthGrades rate Hospital Organ Transplant Centers for first time
Based on patient outcomes, quality data for 266 hospitals that perform transplants
Only two hospitals were named in more than one specialty, New York Presbyterian AND UW Hospital and Clinics for both lung and liver.
NOT PUBLICIZING PAST WORD OF MOUTH.
_______________________
Fifth year Unity was ranked in top 50
Unity was ranked 24th last year.
Unity and the other local health plans (GHC and DEAN) Experienced a decrease in their rankings for this year.

9. National Recognition
2009 Thomson Reuters Top Hospitals: Cardiovascular Benchmarks Award
Results show these top performers not only provided exceptional inpatient care, but also had significantly better post-discharge outcomes, including lower readmission rates for heart failure and heart attack patients as well as lower 30-day mortality rates for heart attack patients.

10. National Recognition
2009 Top 10 Research Advances from American Heart Association
Cellular and Molecular Arrhythmia Research Program, Stem Cell & Regenerative Medicine Center, University of Wisconsin School of Medicine and Public Health
Cellular and Molecular Arrhythmia Research Program, Stem Cell & Regenerative Medicine Center, University of Wisconsin School of Medicine and Public Health
This paper shows that functional heart muscle cells can be produced from induced pluripotent stem (iPS) cells in humans. These findings support the concept that cardiac regeneration can be approached using iPS cells from the individual as a source of new tissue. 

11. Staff Recognition UW Health Physician Excellence Awards
Clinical Practice Excellence Award Winner
Carol Diamond, MD, Associate Professor, Department of Pediatrics, Division of Hematology/Oncology, Medical Director, Pediatric Specialties
Ellen Hartenbach, MD, Vice Chair of Education and Faculty Development, Department of Obstetrics and Gynecology
UW Health Physician Excellence Awards for their exceptional skill in clinical practice and education, and their commitment to the mission, vision and values of UW Health.

12. Staff Recognition UW Health Physician Excellence Awards
Clinical Educator Excellence Award Winner
Beth Potter, MD, Associate Professor, Department of Family Medicine
Rising Star Clinical Excellence Award
Nasia Safdar, MD, Assistant Professor, Department of Medicine, Medical Director, UWHC Infection Control
UW Health Physician Excellence Awards for their exceptional skill in clinical practice and education, and their commitment to the mission, vision and values of UW Health.

13. Staff Recognition
Mark A. Hamilton, Council of Regents, American College of Healthcare Executives (ACHE)
Shiva Bidar-Sielaff, 2010 City-County Rev. Dr. Martin Luther King Humanitarian Award winner
Mark A. Hamilton, has been appointed to the Council of Regents, the legislative body of the American College of Healthcare Executives (ACHE). He will take office at the Council of Regents meeting March 20, 2010, during ACHE’s 52nd Congress on Healthcare Leadership

14. our.uwhealth.org Donations December 2009 summary
Total $41700
Comparison to 12/2008 $28322
Key communication tool for “external event” benefiting UW Health
Funk out Cancer
Tour De Touchdown
Dare to Dream: Friends of UW Hospital and Clinics Gala
Internet-based outreach tool
Uses outbound , social networking and special web sites
Targets members of the “community” with health breakthroughs, opportunities to share personal experiences, learn about events, volunteer, raise funds
Partners with Blue State Digital Our.UWHealth.org statistics
Response rate to invite to share notes of thankfulness
Thanksgiving response (as of 11/30/09)
Open rate Recipients
UWCCC % 3,929
AFCH % ,835
UWHC % ,641
Bottom line--people seem truly engaged in the institution/messages we are sending.
Donations December 2009 summary
uwhealth.org donations 12/
our.uwhealth.org donations 12/
total $41700
Comparison uwhealth.org donations 12/2008 $28322
KRISTI WILL LINK TO THE WEBSITE WHEN YOU ARE READY

15. UWHC Holiday Gift Family Service www.fammad.org Resources include:
Counseling & Psychotherapy
Anti-Violence Programs
Older Adult Services
FACE and FACE-Kids: Psycho-educational or mental health group services
Families in Transition
Safe at Home
Alcohol & Other Drug Services
Employee Assistance Program
Consumer Credit Counseling Services
Founded in 1910.
Reaches out to individuals and families during critical stressful life events and also provides prevention services. Their mission is to provide human services to instill hope and promote wellness in our community
Staffed by experienced mental health and social service professionals, Family Service is certified by the council on accreditation as a child and family counseling and mental health agency.
Family Service is committed to continuing and expanding upon its accomplishments through program initiatives that address contemporary issues such as children at-risk for school failure, personal and family finance, substance abuse, children and adolescents at-risk for out-of-home placements and family violence
Assisted more than 5000 families in the last calendar year.
Thank you for your leadership and guidance through events like this and throughout the year. Thank you for your work in 2009.