1. The Nebraska Heart Institute Heart Hospital Influencing and Shaping the Future of Health Care

2. Mission The Heart Hospital ensures patient access to quality healthcare, superior outcomes and a place where patients do come first.

3. Values At the Nebraska Heart Institute Heart Hospital, we are committed to caring for the patient with; Integrity, holding high moral and ethical standards; through Excellence of service and care; with Respect for different ideals and beliefs; through a Teamwork of physicians and staff to assure the best outcome; and finally with Leadership, achieved through influence and trust to place the patient first.

4. Charitable Care Care is provided regardless of patient’s ability to pay or lack of health insurance Financial counseling available Screening for Medicaid eligibility Multiple personal financing options Charity care write off policy up to 100% based on patient’s ability to pay

5. Medical Staff 31 physicians –25 cardiologists –6 surgeons 2 cardiothoracic 2 cardiovascular 2 vascular

6. Regional Firsts Heart transplant surgery Balloon angioplasty Off-pump bypass Biventricular implantation Brachytherapy Drug-eluting stent Open-heart surgery without general anesthesia Minimal invasive surgery for irregular heartbeat

7. Heart Hospital Governance 18 physician investors –In addition, physicians are partners with the Nebraska Heart Institute medical practice Seven-member board of directors

8. Campus 20-acre Lincoln, NE campus $44 million project 92,000 s.f., 2 stories 59 Private Patient Rooms –63 licensed beds 68,000 s.f. MOB –To be completed October 2005

9. Facility 3 operating suites 3 catheterization labs –Cardiac –Vascular –Electrophysiology Comprehensive imaging services 24hour laboratory All digital Physician on site 24 hours/day

11. Strategies Physician Expertise Unique Hospital Attributes Transformative Operating Processes Excellence and Continuous Improvement Use of Technology Standardization

12. Strategies Patient focused care All private rooms – universal bed No set visiting hours Accommodating families 24 hours/day Hotel-styled service

13. Strategies Transformative operating processes –Develop processes de novo –No historical barriers –Active involvement of physicians, staff and administration –Staff ownership through involvement and profit sharing –Continuous quality improvement – defined metrics and indicators

14. Strategies Use of Technology –Understand the role of technology –Use technology when it makes a process better –Avoid the trap of “technology for the sake of technology” –Strategic technology partner - Siemens

15. From Planning to Opening January 2002 –Design development documents approved –1st stage building permits –Construction begins May 2003 first patient admission

16. Outcomes - Return on Investment * As of May 2004, one year of operation PlannedActual Patient Activity Patient Discharges Patient Satisfaction 1,6362,551 N/A94.40% Procedures Open Hearts Vascular Surgeries 528605 361353 Thoracic Surgeries Cardiac Interventions 039 489700 Staffing Full-Time Equivalents238217

17. Outcomes Return on Investment Case Mix Index – 3.24 PlannedActual Length of Stay Surgical Patients Medical Patients 5.63.6 2.5 Cath Patients2.91.5 Aggregate Average4.32.5 * As of May 2004, one year of operation

18. Coronary Artery Bypass

19. Interventional Cath (PCI)

20. Patient Satisfaction

21. Influencing and Shaping the Future of Health Care Sheryl Dodds, RN, MS Chief Executive Officer Nebraska Heart Institute Heart Hospital