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2011 State of the Medical Center,[object Object],Steven G. Gabbe, MD,[object Object],CEO, OSU Medical Center,[object Object],January 27, 2011,[object Object],Music don’t delete,[object Object]
2,[object Object],VisionMission & Values,[object Object],MissionTo improve people’s lives through innovation in research, educationand patient care,[object Object],VisionWorking as a team, we will shapethe future of medicine by creating, disseminating and applying new knowledge, and by personalizing health care to meet the needs of each individual,[object Object],ValuesExcellence, Collaborating as ONE University, Acting with Integrity & Personal Accountability, Openness & Trust, Diversity in People & Ideas, Change & Innovation, Simplicity in our Work, Leadership, Empathy & Compassion,[object Object],PromiseImproving people’s lives… through personalized health care,[object Object]
Become a top-20 academic medical center and a top-10 NCI-funded cancer program through advancements in research, education and patient care,[object Object],Become a high-performanceorganization & workplace of choice,[object Object],Generate an investment fund for mission development,[object Object],The Ohio StateUniversityMedical Center,[object Object],Strategicgoals,[object Object],Note: Top 20 across research, education and patient care as measured by NIH, Best Medical Schools, Best Hospitals, number of publications/citations and endowment,[object Object],3,[object Object],3,[object Object]
Today’s,[object Object],Goals,[object Object],Summary ofPast Year,[object Object],Share Good News,[object Object],4,[object Object],Look to theYear Ahead:,[object Object],Discuss CareCoordination & Accountable Care,[object Object]
2010,[object Object],Focus,[object Object],Focus on patient satisfaction, safety and quality,[object Object],Maintain financial strengthand stability,[object Object],Grow research – especially in personalized health care,[object Object],Protect and grow jobs including key recruits,[object Object],5,[object Object]
Focus on Patient Satisfaction, Safety and Quality,[object Object],Observed mortality rate for first months of FY11 lowerthan expected,[object Object],HighestHCAHPS ever,[object Object],UH East ICU: No central line infections for400 days,[object Object],6,[object Object]
Safety and Quality Scorecard,[object Object],OSUMC Total # of All Events,[object Object],7,[object Object],Lowest  # since inception,[object Object],2009,[object Object],2009,[object Object]
Improved HCAHPS but Consistency Required,[object Object],Hospital Consumer Assessment of Healthcare Providers & Systems Data for UH, Ross, East and James (% 9,10),[object Object],90th percentile,[object Object],F11 Goal 74.2,[object Object],Nat’l Avg,[object Object],2009,[object Object],2010,[object Object],Source:  OSUMC Patient Satisfaction Measurement Program Data is collected using a Press Ganeymailed survey,[object Object],8,[object Object]
Crew Resource Management Training,[object Object],Goal: ,[object Object],To create a culture of teamwork and become an even safer organization,[object Object],Signed contract with LifeWings,[object Object],Targeted areas,[object Object],OR – University Hospital,[object Object],L&D,[object Object],ED,[object Object],Procedural Areas,[object Object]
Operating and Financial Highlights(for the six months ended DECEMBER 31, 2010),[object Object],Patient Admissions,[object Object],Total Expenses,[object Object],Maintain Financial Strength and Stability,[object Object],Admits & Obs Patients,[object Object],Gain from Operations,[object Object],Total Surgeries,[object Object],Excess Rev. over Exp.,[object Object],Outpatient Visits,[object Object],Operating EBIDA Margin,[object Object],ED Visits,[object Object],Days Cash on Hand,[object Object],Operating Revenues,[object Object],Debt Service Coverage,[object Object]
Growth in Research,[object Object],OSUMC Total Research Awards,[object Object],(in millions),[object Object],11,[object Object]
Growth in Research Related to P4 Grants ,[object Object],SPORE – Experimentaltherapeutics for leukemia,[object Object],John Byrd, NIH$9.2 million,[object Object],Expression Genetics In Drug Therapy,[object Object],Wolfgang Sadee, NIH$9 million,[object Object],Development of novel therapeutics for a neglected tropical disease leishmaniasis,[object Object],AbhaySatoskar, NIH $2.6 million,[object Object],MicroRNAs/UCRs: biomarkers for cancer risk, tumor detection,progression and treatment,[object Object],Carlo Croce, NIH$1.9 million,[object Object],12,[object Object],Elucidating the role of NF-kB signaling in rhabdomyosarcoma,[object Object],Denis Guttridge, NIH $1.6 million,[object Object]
Protect and Grow Jobs Including Key Recruits,[object Object],13,[object Object],OSUMC Number of Employees,[object Object]
New Faces - attracting top physicians & researchers from across the country ,[object Object],JohnCampo,[object Object],RicardoCarrau,[object Object],PeterEmbi,[object Object],TimHewitt,[object Object],RobertHiggins,[object Object],PeteMohler,[object Object],MikeRutherford,[object Object],RichardWhite,[object Object],14,[object Object]
$100 Million Grant,[object Object],Largest grant theUniversity hasever received,[object Object],558 local doctors madelist,[object Object],483 (87%)are members ofOhio State’s faculty,[object Object],15,[object Object]
Type 1 diabetic patient,[object Object],One of few medical centers to have successful whole pancreas and islet cell transplantation.,[object Object],16,[object Object],First Islet Cell Transplant,[object Object]
“This is a great organization”,[object Object],“This organization has cornered the market onthe best talent”,[object Object],Areas of Distinction,[object Object],Environmental risk assessment process for behavioral health patients ,[object Object],Infection Control Legionella policy ,[object Object],Moderate sedation training and credentialing process,[object Object],17,[object Object]
National Recognition,[object Object]
19,[object Object],2011,[object Object],In the coming year we will:,[object Object],Focus on our BIG 5,[object Object],Continue to improve quality, safety and service,[object Object],Accountable Care:,[object Object],Proactive approach to changes based on the Affordable Care Act (ACA),[object Object]
20,[object Object],Close Research Gap,[object Object],Growth/Access,[object Object],   5 Programsfor ,[object Object],5,[object Object],Curriculum Revision,[object Object],IHIS Installation,[object Object],Years,[object Object],OSUP Integration,[object Object]
Each priority linked to several KRAs,[object Object],5 Programs     for ,[object Object],5,[object Object],Years,[object Object],Innovation & Strategic Growth,[object Object],Service & Reputation,[object Object],Productivity &Efficiency,[object Object],Financial Performance,[object Object],Workplaceof Choice,[object Object],Quality,[object Object]
Research Strategic Plan,[object Object],5,[object Object],Close Research Gap,[object Object],[object Object]
Strengthenbasic science
Enhance infrastructure
Improve management of resources
Recruit & retainthe best
Improve educationof future scientists,[object Object]
Strength in research and education reflected by highly competitive awards,[object Object],24,[object Object],5,[object Object],Close Research Gap,[object Object],OSU is one of ,[object Object],27,[object Object],institutions to have both a CTSA and CCC,[object Object],12,[object Object],have been awarded an HHMI Med into Grad grant for training graduate students in medicine,[object Object],6,[object Object],part of the Pharmacogenomics Network (Wolfgang Sadee, PI),[object Object]
5,[object Object],Growth / Access,[object Object],James CancerHospital & CriticalCare Expansion,[object Object],New home forJames Cancer Hospital,[object Object],New critical care center,[object Object],Integration of patient care, research & teaching spaces,[object Object],Supports thehighest-quality personalizedmedicine, makinghealth caremore effective& affordable,[object Object],25,[object Object]
26,[object Object],5,[object Object],Growth / Access,[object Object],Phyllis A. Jones Legacy Garden Gift 	,[object Object]
5,[object Object],Growth / Access,[object Object],Milestones,[object Object],February,[object Object],Begin building façadeon side of Cramblett,[object Object],Excavation Complete,[object Object],April,[object Object],[object Object],May,[object Object],[object Object]
Foundation work completeJune,[object Object],[object Object],27,[object Object]
28,[object Object],5,[object Object],Growth / Access,[object Object],JamesCare Comprehensive Breast Center,[object Object],Lewis Center,[object Object],East – Opening Summer,[object Object],Ambulatory Strategy,[object Object],CarePoint:  Expert outpatientcare in neighborhood settings,[object Object]
29,[object Object],5,[object Object],Growth / Access,[object Object],Ambulatory Strategy,[object Object],Convenient care for common illnessess,[object Object],Giant Eagle locations in Gahanna and Upper Arlington,[object Object]
5,[object Object],Growth / Access,[object Object],Commitment to our Community ,[object Object],Partnering to improve community health,[object Object],Neighborhood revitalization: UH East,[object Object],$35 million job creation city tax incentive,[object Object],30,[object Object]
31,[object Object],5,[object Object],Curriculum Revision,[object Object],The Blueprint,[object Object],Curricular Domains based on the Core EducationalObjectives,[object Object]
Integrated Health Information System,[object Object],Ambulatory services installed,[object Object],Big Bang October 15, 2011,[object Object],Ability to provide patient information at every care site,[object Object],Enhances quality and safety,[object Object],5,[object Object],IHIS Installation,[object Object],32,[object Object]
33,[object Object],5,[object Object],33,[object Object],IHIS Installation,[object Object],October 15, 2011	,[object Object],Building,[object Object],Training,[object Object],Testing,[object Object]
OSU Physicians: Collaborating to Improve People’s Lives,[object Object],34,[object Object],5,[object Object],34,[object Object],OSUP Integration,[object Object],Sr VP & CEO Medical Center,[object Object],CEO OSU Health System,[object Object],DeanOSU Collegeof Medicine,[object Object],CEO OSU FacultyPractice Plan,[object Object],Executive Director,[object Object],Practice Managers,[object Object],Finance and IT,[object Object],Human Resources,[object Object],Operations,[object Object]
Faculty Group PracticeGeneral Operating Principles,[object Object],35,[object Object],5,[object Object],35,[object Object],OSUP Integration,[object Object],Physician Faculty will be employed solely by OSU in the Office of Health Sciences and COM,[object Object],OSUP support staff (billing, collection, compliance, etc) remains outside the University as an affiliated entity,[object Object],OSUP will continue to provide medical service organization (MSO) services to the faculty group practice ,[object Object]
5,[object Object],36,[object Object],OSUP Integration,[object Object],Faculty Group Practice Physician Employment,[object Object],Compensation plans updated,[object Object],Pension transition agreement with STRS confirmed,[object Object],Benefit rates within the University established,[object Object],University physicians employment contracts completed and hiring process established,[object Object]
Accountable Care,[object Object],A Time of Great  Change at OSUMC,[object Object],External:,[object Object],State and Federal Leadership,[object Object],Health Care Reform,[object Object],New Models of Care,[object Object],Economic Downturn,[object Object],Technology,[object Object],Internal:,[object Object],Our Big 5,[object Object],37,[object Object]
38,[object Object],Accountable Care,[object Object],Goal: Achieve“Triple Aim”,[object Object],Objective,[object Object],Integrated Care Delivery and Financing,[object Object],Mechanisms,[object Object],Accountable Care Organizations,[object Object],Health Innovation Zones,[object Object],Patient Centered Medical Homes,[object Object]
Accountable Care,[object Object],What is Value in Health Care?,[object Object],Outcomes measurement is the single most important tool to drive innovation in health care delivery.,[object Object],Porter, M.E. N Engl J Med 2010; 363:22477-81 Appendix 2,[object Object]
Value in Health Care:Outcome measurementdrives innovation,[object Object],40,[object Object],Accountable Care,[object Object],Risk Adjusted,[object Object],Quality,[object Object],Safety,[object Object],OVER TIME,[object Object],Outcomes,[object Object],Value =,[object Object],Cost,[object Object],Full cycleof care,[object Object],Full setof outcomes,[object Object],Porter, M.E. N Engl J Med 2010; 363:2477-81 Appendices 1 and 2,[object Object]
An active purchaser of care based on quality of service,[object Object],FY 2013 to use outcome measures:,[object Object],17	Clinical process of care,[object Object],	8 	HCAHPS,[object Object],3 	Mortality,[object Object],8 	HAC (Hospital Acquired Conditions),[object Object],9	AHRQ (Agency for Healthcare		Research & 	Quality),[object Object],41,[object Object],Accountable Care,[object Object],Centers for ,[object Object],Medicare &Medicaid,[object Object],FY 2014,[object Object],Medicare Fact Sheet, January 7, 2011,[object Object]
42,[object Object],Accountable Care,[object Object],Outcomes,[object Object],Value =,[object Object],Cost,[object Object],audio,[object Object]
Accountable Care,[object Object],Top 10 Actions Planned by Hospital CEOS,[object Object],Reduce operating cost,[object Object],Study avoidable readmissions,[object Object],More closely align with physicians,[object Object],Obtain funding from American Recovery andReinvestment Act for electronic medical records,[object Object],Study avoidable infections,[object Object],Hire primary care physicians,[object Object],Develop information system integratedwith primary care providers,[object Object],Ramp up efforts to achieve shorter length of stay,[object Object],Obtain capital for building/equipment upgrades,[object Object],Partner with community organizationsaround wellness activities,[object Object],43,[object Object]
Accountable Care,[object Object],Accountable Care Organizations (ACO),[object Object],Goal: ,[object Object],Improve quality while reducing costs,[object Object],Network of physicians and other health care providers,[object Object],Willing to work together ,[object Object],Accept responsibility to:,[object Object],improve quality,[object Object],reduce costs of health care services for a defined population,[object Object],Accountable to ,[object Object],Patients,[object Object],Third-party payers,[object Object],44,[object Object]
Accountable Care,[object Object],HealthInnovationZones:,[object Object],Assure Sustainability and Diffusion of Resulting Innovations,[object Object],Redesign care delivery,[object Object],Develop implementation research teams to,[object Object],Design & test new clinical processes,[object Object],Implement changesin education continuum ,[object Object],Ensure physicians entering practice are prepared,[object Object],45,[object Object]
46,[object Object],Accountable Care,[object Object]

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State of the Ohio State University Medical Center 2011