1. SUPPLY CHAIN’S ROLE IN FACILITY ACQUISITIONS – NEW & PRE-OWNED PEER ROUNDTABLE/FORUM

2. NOW

3. MORE DETAIL AHA (2012) 2008 TO 2012, TOTAL INPATIENT ADMISSIONS FELL FROM 35.75 MILLION TO 34.40 MILLION, WHILE OUTPATIENT VISITS ROSE FROM 624 MILLION TO 675 MILLION. AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING (2014) 50% OF HOSPITALS ARE TAKING THE AFFORDABLE CARE ACT INTO CONSIDERATION IN CONSTRUCTION AND DESIGN PLANS, AND 22% SAY MEDICAL OFFICE BUILDING CONSTRUCTION IS A FUTURE FACILITY DEVELOPMENT PLAN IN RESPONSE TO THE ACA, ACCORDING TO THE 2014 HOSPITAL CONSTRUCTION SURVEY. DELOITTE (2014) FOR YEARS, THE TREND WAS HOSPITAL-TO-HOSPITAL MERGERS AND ACQUISITIONS. TODAY, IT’S VERTICAL INTEGRATION. IT’S ‘THE WHOLE VALUE CHAIN’ – FROM HOME CARE TO HOSPICE TO SKILLED NURSING – AND MANAGE THE ENTIRE ECOSYSTEM. THIS TYPE OF INTEGRATION – EITHER THROUGH ACQUISITIONS OR PARTNERSHIPS – ALLOWS HOSPITALS TO PARTICIPATE IN RISK-BASED PAYMENT REFORM MODELS, INCLUDING ACOS.

4. STRATEGIC FOCUS Primary Care growth (non-acute) is our future. Medical Groups are the “go to” place for population care. Linking care across the continuum is becoming increasingly important for referrals, quality of care, patient satisfaction, and business growth (regardless of class of trade).

5. PHYSICIAN IMPERATIVE FINANCIAL STABILITY REVENUE GUARANTEE ELECTRONIC MEDICAL RECORD TECHNOLOGY LIFESTYLE

6. FACILITY & HEALTH SYSTEM IMPERATIVE FINANCIAL STABILITY REVENUE GROWTH POPULATION HEALTH COVERAGE COMMUNITY HEALTH HOSPITALISTS CLINICS

7. SUPPLY MANDATE DYNAMIC MULTIDIRECTIONAL FLOWS OF INFORMATION STANDARDIZATION VS PHYSICIAN PREFERENCE CHANGING REGULATORY REQUIREMENTS COMMUNICATIONS & RELATIONSHIPS SUPPLIES FURNITURE, EQUIPMENT & INSTRUMENTATION LOGISTICS Access to Information & Personnel Product Evaluation Standardization & Data Order Templates Listening

8. COMMUNICATIONS & RELATIONSHIPS “HOSPITALS HAVEN’T A CLUE HOW TO RUN A CLINIC PROFITABLY” - CONUNDRUM COMMON GROUND OF PATIENT CARE EARLY ORIENTATION TO FACILITY DYNAMIC & RESPONSIVE PATIENTS

9. SUPPLIES DELIVERIES: CENTRALIZED/DECENTRALIZED/HYBRID CLINIC INVENTORY METHODS: KANBAN, PAR FORMULARY/TEMPLATE VALUE ANALYSES STANDARDIZED VS LESS EXPENSIVE DECISION OUTDATES, RECALLS

10. FURNITURE, EQUIPMENT & INSTRUMENTATON STANDARDIZED/CUSTOMIZED TEMPLATE BASED DELIVERY BRANDING

11. LOGISTICS ORDERING: TEMPLATES, PAPER TRANSPORTING/CONSOLIDATING: LAUNDRY, MAIL, PHARMACY, REVENUE/PAYMENTS WASTE MANAGEMENT : PHARMACEUTICAL WASTE, SHARPS, LINEN, RECYCLING

12. PEACEHEALTH PERSPECTIVE - CONTRACTING WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)?

13. PEACEHEALTH PERSPECTIVE - CONTRACTING WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)? MED/SURG, PHARMACY, FOOD, FACILITIES, CLINICAL ENGINEERING, PURCHASED SERVICES

14. PEACEHEALTH PERSPECTIVE - CONTRACTING WHAT CONTRACTS ARE CURRENTLY IN PLACE AT THE CLINIC(S)? MED/SURG, PHARMACY, FOOD, FACILITIES, CLINICAL ENGINEERING, PURCHASED SERVICES ASSIGNABILITY? IF NO, WHAT GAPS WILL BE CREATED? EXPIRATION DATES? TERMINATION WITH OR W/O CAUSE? PENALTIES? MARKET BASKET ANALYSIS IDENTIFY CONVERSION & CONTRACTING GAPS GPO & VENDOR ASSISTANCE FOR SMOOTH TRANSITION

15. OLYMPIC MEDICAL CENTER FROM 1 TO MANY: MARKET DRIVEN, COMPETITION STRATEGY: DUPLICATION OVER DISTANCE COMMUNICATION SUPPLIES: STANDARDIZED TEMPLATES FURNTURE, EQUIPMENT & INSTRUMENTATION: NEW CLINIC TEMPLATES FOR PREPLANNING LOGISTICS: COURIER AMBASSADORS

16. SKAGIT MEDICAL CENTER

18. EVERETT CLINIC – SMOKEY POINT LEAN DESIGN PRINCIPLES RIGOROUS COMMUNICATIONS, MULTIDISCIPLINARY – MEETINGS & RETREATS (CONSTRUCTION, DESIGN, ARCHITECTS, PROVIDERS, SUPPORT) DATA DRIVEN: WORKFLOWS AND ADJACENCIES REDUCTION OF WASTE – STEPS, SUPPLIES, FRUSTRATION RESULT : CLINIC BASED ON WORKFLOWS TOTALLY CENTERED ON THE PATIENT RATHER THAN THE BUILDING DESIGN

19. IT’S YOUR TURN – WHAT’S HAPPENING AT YOUR FACILITY/HEALTHCARE SYSTEM?

20. IDENTIFY TOP THREE CHALLENGES FOR SUPPORTING OFFSITE LOCATIONS? HOW CAN VENDOR PARTNERS & GPOS ASSIST WITH THESE TRANSITIONS? WHAT TOOLS HAVE YOU DEVELOPED? WHERE DO YOU SEE YOUR DEPARTMENT IN 5 YEARS?

21. THANK YOU……….. FOR BEING OPEN AND SHARING!