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Reg 2019-10-07 Item 2B - Presentation - Highline Medical Center
CHI Franciscan Russell J. Woolley Chief Operating Officer Year Opened Locally: 1958 Total Beds: 133 Inpatient Days: 27,923** Hospital Outpatient and Physician Clinic Visits: 73,210** ER Visits: 50,271** Total Employees: 840* • Registered Nurses: 356* Total Providers: 406* • Community/Independent Physicians: 314* • Employed Physicians: 93* **Fiscal Year 2019 Community benefit: $22.1 Million* (charity care, uncompensated care, and community programs) CHI Franciscan overall: $196 Million* Partial List of Service Specialties: • Birth center • 24/7 emergency services • Stroke center • Intensive care • Cancer care • Orthopedic • Cardiology • Women's and Children's services • Behavioral Health *Fiscal Year 2018 • Population boom: For the first time, more than half of King County children are children of color. — Rapid rises in the cost of housing and homelessness. Aging population: By 2040 1 in 4 King County residents will be age 60 or older, up from 1 in 7 in 2000. >What's getting better? • Improved health insurance coverage, fewer high school students drinking sugar -sweetened beverages daily. What's getting worse? • Homelessness, insufficient physical activity, obesity, mental health, drug -related deaths. Our Community CHI Franciscan Median household income by King County neighborhood, 1990-2015 111111 <$50,00 0,000 - $64,999 $65,000 _ $74,9 15,000 - $89,999 $90,000 and over Data sources: US Census Bureau, 19910 & 2000 censes American Corn u ity Survey (2005-2010, 2011-2015) Involuntary Detained People with SBC's in Community Hospitals in King County From 5/1/2019 To 5/31/2019 Mod qtqGAveRFR44fi-T Needed At Length T-4Ekgof*##ct,: EVERGREEN HOSPITAL MED CTR GROUP HEALTH CENTRAL HARBORVIEW MEDICAL CENTER HARBORVIEVV MEDICAL CENTER - EMER EVR GHC HMC PES 17 1 28 89 I HIGHLINF COMMUNITY HOSPITAL HH 49 I MULTICARE AUBURN MULTICARE COVINGTON NORTHWEST OVERLAKE HOSPITAL SEATTLE CHILDREN'S HOSP SEATTLE VETERANS ADMINISTRATION HOSPITAL ST. ELIZABETH COMMUNITY HOSPITAL ST. FRANCIS HOSPITAL ( KING CO.) SWEDISH - BALLARD SWEDISH - FIRST HILL SWEDISH - ISSAQUAH SWEDISH CHERRY HILL UNIVERSITY HOSPITAL VALLEY MEDICAL CENTER VIRGINIA MASON HOSPITAL TOTAL 6/3/2019 12:53:38 PM MCA MCC NGP OL CHI SVA STE STF SBA SWE SIS SWC UH VMC VIM 22 2 20 30 3 4 1 11 12 20 23 12 12 26 14 396 O 2.24 O 1.00 O 3.25 O 0.97 O 1.33 O 2.09 O 1.00 O 0.95 O 0.83 O 7.67 O 5.25 O 0.00 O 0.09 O 1.08 O 2.90 O 2.39 O 0.33 O 2.08 O 2.23 O 5.86 O 1.80 17 1 28 89 49 22 2 20 30 3 4 1 11 12 20 23 12 12 26 14 396 1 of 1 01 Our Strategic Priorities are the road map for our vision to be the premier health system in the Pacific Northwest, 6 THE 13733 ,»< HOSPITAL � SAFETY GR !ƒ- DE C H PFH S Hiehline Medical CeerLeapfrog Scores Spring 2016- Fall2019 2.333 1a, 135,37 2 7713 _ eras « =a .vim, Capture the hearts, minds and spirit of our healthcare team. Embrace our diverse communities CHI Franciscan CHI Franciscan Staff Engagement at Highline Overall Engagement Indicator "1 would RECOMMEND this organization to family and friends who need care" "Overall, l am a SATISFIED employee" "I would recommend this organization as a GOOD PLACE TO WORK." "I would like to be working at this organization THREE YEARS FROM NOW." "I would STAY with this organization if offered a similar position elsewhere" "I am PROUD to tell people I work for this organization:' 2019 Results •2©18 Results 2.8 3 3.2 3.4 3.6 3.8 imagine y©urBesM Self 4 3% 12% 13 81 1 096 12 8 REPLACEMENT TOWER OPTION PREFERRED OPTION „0377,01,7-,7177, „ „-__- VERTICAL EXPANSION OPTION Modernize facility to improve competitive position New intensive care, intermediate care, and telemetry units Dedicated surgical nursing & observation units Renovation of existing units 1.3 , riLZ12,2, Offer 100% private acute care beds, providing optimal patient experience and quality Current CHi Franciscan Highline Health Connections Program Our shared interests 51,1:Stivio*,„ ptaI View Seeks help in the ER Experiences another medical problem „zatliMISSz Health Connections identifies a program participant Future Assisswisi ✓ Focused care and case management for low-income people with frequent hospitalizations and ER visits, chronic medical conditions, low health literacy, mental health issues, etc. ✓ One-to-one coaching, health care advocacy, support and referrals for other needs (transportation, housing, nutrition, mental health services, etc.) ✓ Holistic and interdisciplinary approach with participants assigned a nurse, social worker, community health worker, dietician, etc. Highline Health Connections Program Our shared interests Adrnissions/Coax ERVisits and Ho Health Benefits and Cost Savings of Highline Health Connections FY 2015-16 Savings = ,$423,091 FY 2016-17 (11 mo.) Savings = 365,962 Six months before program id Six months after program **REQUEST** Elective PCI (Percu aneous Coronary Intervention PCI is a non -surgical procedure that uses a catheter to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup :Fr ij A Goba , MD, FACP Franciscan Medical Group Specialty(s): I nterventlonal Cardiology , Cardiology Prhar, location: Brien Phone: 206-8 3.5-740G Danie Gottlieb, MD CHi Franciscan Specialty(s): Interventional Cardiology Ca rdalogy Primary location: Brien Phone:. 12 King West elective PCI programs are concentrated in downtown and north Seattle 39% Highline Medical Center 23% Swedish Medical Center - Cherry Hill Campus Percent of total inpatient PCI from Highline market Top ten facilities = 98% of total volume Emergent and elective IP cases 9% 9% 8% 5% Valley Harborview University of St Francis Medical Medical Washington Hospital Center Center Medical Center Highline serves some of the lowest income areas in the west King PCI planning area. W Sources: Intellimed ESRI demographics, WA CHARS IP discharge data, WA DOH 2% 2% 1% 1% Virginia Overlake Northwest St Joseph Mason Hospital Hospital and Medical Medical Medical Medical Center Center Center Center . Emonds.. Median d d; household Woodvway.:^,0 Richmond >F income Beat 143,8000 to 160,000 127,500 to 143,799 11153t30 to 127,499 95,000 to 1.11,.299 78,8100 to 94,999 62,500 to 78,799 46,300 to 62,499 30,00y0 ratoa46,v299 'Lras#dcenter West `Make& tman *.South'` -6eanlis-` anchester Colby Facility 1 Virginia Mason 2 Swedish - Cherry Hill 3 Swedish - First Hill 4 UW Medicine - Harborview Medical Center 5 UW Medicine - UW Medical Center 6 Highline 7 UW Medicine - Northwest Hospital 8 Evergreen Medical Center 9 Overlake Medical Center 10 Valley Medical Center 11 St Francis Hospital 12 Multicare Auburn Regional 13 Swedish - Issaquah 14 Swedish - Edmonds IElective PCI No elective PCI Harpe ine Col .h Shore' 'od hurst Inglese Glen Acres seah cct tll'/F.Dilworth Normandy ' =rk llrsport Heath aunt WWoodmo Beat Redan� Lakota Dash Parer 09 `Fe�eralRustonl 5roerrrs Psrnt �ummerhutat lequa on al Inglesss amr 1 CHI Franciscan oadiriull Hall dine (3[ Roanoke Pik urien Fiue :Corn hrislapner er'tdian Fl qh Valley Ten year PCI volumes expected to grow 14% 279 251 2018 282 255 2019 284 260 2020 Sg2 Forecast -- Percutaneous Coronary Intervention Washington DOH West King PO Planning Area Des Moines/Burien and West Seattle Submarkets 287 264 2021 289 268 2022 291 271 2023 295 273 2024 Inpatient Outpatient 299 276 2025 305 277 2026 1 CHI Franciscan 313 279 2027 321 281 2028 Iic tst • ris uestions and discuss.