Jackson Health System

Capital Bond Proposal

Board of County Commissioners

Committee of the Whole

October 3, 2013

Mission Statement

To build the health of the community by providing a single, high standard

of quality care for the residents of Miami-Dade County

Presentation AgendaOverview

New Projects

Modernization

Technology

Finance

Oversight

Overview

• Need• Strategy

Overview

New Projects

Modernization

Technology

Finance

Oversight

Overview: NeedAging Facilities

Strategic Misalignment

Lim

ited

Fo

otp

rin

t Te

ch

no

log

y N

ee

ds

Overview: Strategy

Modernized ERs & ORs

New Facilities

Updated Accommodations

Expanded Footprint

Technology for Efficiency

New ProjectsOverview

• Children’s Ambulatory Center• Rehabilitation Hospital• Urgent Care Centers

New Projects

Modernization

Technology

Finance

Oversight

Children’s Ambulatory Center

Pediatric Market Share

10%

15%

20%

25%

2008 2009 2010 2011 2012

Jackson Pediatric Payer Mix

16.7%

Self-Pay Medicaid Medicare Managed Care/Other

Children’s Ambulatory Center

Checkups

Urgent Care

Specialty Clinics

Imaging

Off Campus

Dedicated Entrance

Same-Day Surgery

Child-Friendly Spaces

One-Stop Clinics

On Campus

Off-Campus Components

Family-friendly lobby and waiting areas

Pediatric exam rooms

Child-centric imaging areas

Physician offices

Child-life activity center

Conference spaces

Construction Timeline

Permitting and Design

Planning and Zoning

Groundbreaking

CAP Grand Opening

(estimate 30-36 months after permitting &

design)

Rehabilitation Hospital

Rehabilitation Hospital

Attracting Patients

88.9%

All Miami-DadeRehab Centers

Miami-Dade

Broward

Other Florida

Out Of State 74.9%

Jackson RehabHospital

Jackson Rehab Payer Mix

10.4%

Self-Pay Medicaid Medicare Managed Care/Other

Cost of Inaction

608 564518

471424

378333 291 256

4490

137184

230 275 317 352

0

100

200

300

400

500

600

700

2010 2011 2012 Projected2013

Projected2014

Projected2015

Projected2016

Projected2017

Projected2018

Cases Lost Cases

Projected New Volume

608 564518

471424

378 378 378 378

4490

137184

230 250 275 300

0

100

200

300

400

500

600

700

2010 2011 2012 Projected2013

Projected2014

Projected2015

Projected2016

Projected2017

Projected2018

Cases Lost Cases Growth

Construction Timeline

Permitting and Design

Planning and Zoning

Groundbreaking

New Rehab Hospital Grand

Opening

(estimate 30-36 months after permitting &

design)

Urgent Care Network

Current Footprint

Service Offerings

All Centers

• Illness• School Physicals• Occupational Health• Broken Limbs• Diabetes Monitoring• Employment

Physicals• Simple Wounds

Some Locations

• Travel Health• Geriatrics• Physical Therapy• Immigration Physicals• Weight Loss Programs• Advanced Diagnostics• Routine Prenatal Care

ModernizationOverview

New Projects

• ERs & ORs• Patient Rooms• Deferred Maintenance

Modernization

Technology

Finance

Oversight

Operating Rooms

Emergency Rooms

Build Out

Intensive Care Unit

Fourth Floor Patient Unit

Inpatient Rooms & Units

Deferred Maintenance

• Structure• HVAC• Electrical

FORTY-YEAR CERTIFICATION

ELEVATOR REPLACEMENT

PARKING

TechnologyOverview

New Projects

Modernization

• Medical Equipment• Information Technology

Technology

Finance

Oversight

Medical Equipment

Cardiac Cath Labs

Brain Scanners

Oncology Equipment

Information Technology

Electronic Health Record

Network Infrastructure

Bedside Computer Systems

FinanceOverview

New Projects

Modernization

Technology

Finance

Oversight

Project Budgets

OversightOverview

New Projects

Modernization

Technology

Finance

• Ballot Language• Oversight Structures

Oversight

Ballot Language

Shall Miami-Dade County fund modernization, improvement and equipping of Jackson Health System’s facilities located throughout the county, including, but not limited to, emergency rooms, children’s ambulatory pavilion and urgent care centers, by issuing, from time

to time, general obligation bonds payable from the ad valorem taxes collected in Miami-Dade County in principal amount not exceeding

$830,000,000, bearing interest not exceeding maximum legal rate and maturing within 30 years from issuance date?

Oversight Structure

BCC &Mayor

PHT Board

Citizen Oversight Board

Jackson Staff

Financial Auditors

Inspector General

Ethics Commission

Law Enforcement

External Oversight