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A Conversation With … Randy OostraContinuing the Conversation in the New Year

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Thank you!

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MEDICAID EXPANSION

- USA Today

- Huffington Post

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MEDICAID EXPANSION

• Expand coverage and reduce uncompensated care

• Allow states to benefit from a service they already pay for

• Don’t leave our Federal dollars on the table

• Let Medicaid coverage work to manage costs

• Act to help our hospitals manage deep federal cuts

• There are consequences for rejecting expansion

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SERVICE EXCELLENCE INCENTIVE - 2012

We exceeded the goal! CONGRATULATIONS!71.3% significantly greater than the previous year (63.3%)

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SERVICE EXCELLENCE INCENTIVE

Ask ourselves each day…•What did I do today to be the best at what I do?

•What did I do today to find a better way forward in delivering high-quality, compassionate care?

•What did I do today to treat our patients/members and each other with respect and dignity?

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SERVICE EXCELLENCE INCENTIVE - 2013

• Single system-wide goal: 76.8% (last year achieved 71.3%)

• Based on employee feedback, we are evaluating eligibility for incentive

• System-wide score will be equally weighted• Acute care: 81%

• PPCS: 88.5%

• Health Plans: 61%

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SERVICE EXCELLENCE INCENTIVE - 2013

• What you can do:• Understand the top three improvement priorities for your department

• Treat people the way you would want your family to be treated

• Commit yourself to active listening. Take a moment to be silent between what someone else says and your response

• System-wide improvement priority: Intentional rounding

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PROMEDICA UPDATES

• Daniel Farrell, Jr., board member of ProMedica Board of Trustees and ProMedica Defiance Regional Hospital, named Modern Healthcare’s 2013 Trustee of the Year (small hospital)

• ProMedica Toledo Hospital recognized by Healthgrades as its 2013 Distinguished Hospital for Clinical Excellence Award

• Construction beginning on a new 55,000-square-foot building on ProMedica Toledo Hospital north campus

• Construction of new eight-room intensive care unit and endoscopy suite underway at ProMedica Bay Park Hospital

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PROMEDICA UPDATES

• Quality Leadership Award and Process Improvement Team Awards announced:• ProMedica Defiance Regional Hospital (6th consecutive year)

• ProMedica Fostoria Community Hospital

• ProMedica St. Luke’s Hospital received Chest Pain Center accreditation

• Sugar-sweetened beverage policy

• New online job application process

• New Healthcare Conversation blog

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EXPENSE

REVENUE

2012 2013 2014 2015 2016 2017 2018

THE STATUS QUO IS UNSUSTAINABLE

• Reimbursement expected to decline to Medicare levels• Average Medicaid inflation expected to range from 2% to 5%• Without cost/revenue transformation, long-term financial

viability is at risk

REVENUE

EXPENSE

Break Even

Break Even

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2013 AREAS OF FOCUS

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2013 AREAS OF FOCUS

• Employee and physician engagement and satisfaction• Employee opinion survey action plans in process

• Continue care transformation to a patient-centered organization, delivering safe, reliable, high quality, coordinated care• A focus on personal safety as well as patient safety

• Technology to enable clinical coordination and integration of care• iCare, patient portal

• Accountable care, population health management

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2013 AREAS OF FOCUS

• System growth

• Ohio Medicaid managed care plan implementation

• Collaborating with community partners• Obesity, smoking, behavioral health

• Service line development and implementation

• Catalytic philanthropic strategy

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OUR PROMEDICA

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OUR PROMEDICA

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OUR PROMEDICA