Friday, February 7, 2014

UCH makes annual report on Memorial Hospital

Posted by on Fri, Feb 7, 2014 at 4:22 PM

click to enlarge Memorial North: Part of the UCH system now.
  • Memorial North: Part of the UCH system now.


So how did Memorial Hospital do in its first year under the wing of University of Colorado Health? The city leased Memorial to UCH under a 40-year deal that began Oct. 1, 2012. UCH's fiscal year is July through June.

Pretty well in patient care, it would seem from a 19-page report due to be presented to City Council on Monday. The report, however, is silent on financial performance.

UCH had promised not to lay anyone off in the first six months of the lease, but that's long gone, so who knows at this point? It's worth noting that former CEO Mike Scialdone resigned suddenly in mid-January, with UCH sending one of its own executives, George Hayes, to take his place.

In any event, we asked UCH what Memorial's average daily patient count is, and whether revenues matched, exceeded or fell below expenses for the first half of UCH's fiscal year, which ended Dec. 31. We'll let you know if we get a response.

Meantime, we've chosen some highlights from the annual report. The entire report can be found with the agenda for Monday's City Council meeting at springsgov.com.
Designing the health system of the future and creating an engaged workforce

Since becoming part of University of Colorado Health, Memorial has integrated/collaborated across
multiple disciplines, including Finance, Information Technology, Human Resources, Clinical Services
& Administration:
• Epic and Lawson implementation, restoring volume and physician recruitment, integrated benefits structure and sharing of clinical best practices across the system.

Cultivating collaborative physician partnerships Memorial Hospital has doubled the number of physicians in its medical group.

Ensuring a quality, patient-centered experience Memorial achieved Primary Stroke Center Accreditation and Chest Pain Center Accreditation with PCI, two distinguished designations of quality.

Strengthening financial sustainability and investing in patient safety

In addition to the $41.1 million Epic/Lawson EMR investment, $37 million has been spent on new
technology, repairs and other improvements at Memorial:

• State-of-the-art technology including an O-Arm multi-dimensional surgical imaging system and a Discovery 619
PET/CT, air handler and boiler replacements, patient quality and safety improvements including infusion
pumps, anesthesia machines, beds, monitors, surgical equipment trays.
The report talks about patient care and shows some improvement demonstrated by data points as reported below.

Exceptional Quality, Safety & Efficiency

Initiatives, Assurances and Methods
• Implemented National Surgical Quality Improvement Program (NSQIP)
• Began participating in system-wide trauma consortium, stroke quality consortium and the
Quality Oncology Program Initiative (QOPI)
• Our journey to become a Magnet nursing hospital, a designation that only 5% of hospitals
nationally hold, is underway.
• New Joint Commission requirements related to National Patient Safety Goals require our
employees to continually focus on improving patient safety and concentrate on continual
patient well-being.
Quality Metric Improvements
• Improved aggregate CMS core measures, a key indicator, from 88% to 96%
• Our fall rate, an important safety indicator, is a third of what it was before the transition.
• Readmission rates for heart failure, acute myocardial infarction and pneumonia are among
the lowest in the country.
• Improved serious safety event ratio from 1.79 to 1.26
• Reduced pressure ulcers by 49%
• Reduced Central Line Associated Blood Stream Infections (CLASBI) by 36%
• Reduced catheter-associated urinary tract infection (CAUTI) by 38%
Memorial continues to offer a lot of health care free through charity care and uncollected bills.
click to enlarge Screen_shot_2014-02-07_at_2.13.49_PM.png

Community Partnerships

Reaching out to the Community
• Memorial Hospital is the official hospital of:
– The U.S. Olympic Training Center in Colorado Springs
– Sky Sox baseball
– Colorado College Athletics
• Other significant partnerships:
– University of Colorado at Colorado Springs
– Air Force Academy athletics
– Colorado Springs Conservatory
– KOAA
– World Arena
• Memorial spent more than $194,000 on charitable contributions and sponsorships to a host of
nonprofit organizations. These include Newborn Hope, Peak Vista, the Regional Business Alliance
and many others.
• Memorial has partnered with physician groups through the electronic medical record, employment,
joint ventures, IPA, etc., and we have a transfer agreement with First Choice ER.
• UCHealth launched a TPA which will benefit businesses in providing health coverage for employees
As we've reported before, Children's Hospital Denver wants to build a facility here next to Memorial North. Here's highlights from Children's portion of the report:
Enhancing Care for Children
• Extensive Pediatric Services for the Community
• 3 Children’s Hospital Colorado locations:
• Children’s Hospital Colorado with Outpatient Specialty Care at Briargate
• Children’s Hospital Colorado at Memorial Hospital Central
• Children’s Hospital Colorado Therapy Care at Printers Park
• 22 pediatric specialties are offered in Colorado Springs, 8 of which were added in the
past year, including: Adolescent Health, Audiology, Center for Cancer and Blood
Disorders, Cardiology, Diabetes Education, EEG, Endocrinology, ENT-Otolaryngology,
Gastroenterology, Genetics, Metabolics, Neurology, Orthopedics, Laboratory, Pharmacy,
Physical and Occupational Therapy, Pulmonology and Cystic Fibrosis Clinic, Radiology:
Radiology, Fluoroscopy, X-ray, Ultrasound, Rehabilitation, Rheumatology, Speech
Therapy, Urology
• Improving Access and Increasing Specialty Services in Colorado Springs
• 17 Pediatric Specialists have been recruited to practice in Colorado Springs including in
Hematology/Oncology, Cardiology, ENT-Otolaryngology, Pediatric Surgery,
Pulmonology, Neurology, Developmental Pediatrics, Diabetes, Gastroenterology
• Increased resources to ensure 24/7 pediatric pharmacy and respiratory therapy
Pediatric care

We’re Continuing to Grow

• Since October 2012, we have added more than 45 more jobs at Children’s Hospital Colorado in Colorado Springs
• Through HealthTeacher, we provide teachers in El Paso, Park and Teller counties with access to K-12 online health education curriculum
• The Teddy Bear Clinic celebrated it’s 25th year and with more than 60 employee volunteers impacting over 9,000 people
• Since October 2012, community volunteers to Children’s Hospital Colorado have increased from 40 to over 90
Lastly, what does the future hold for the partnership between the city and UCH?

On The Horizon

Community Investments
• Investing in Memorial’s potential Level 1 Trauma Center designation to care for the most
critically injured patients
• Pursuing Magnet designation for nursing, a distinction held by only five percent of hospitals
nationally
• Developing partnership between UCHealth and Children’s Hospital Colorado to advance
both pediatric and adult care in Colorado Springs and Southern Colorado through:
• The potential construction of a stand-alone dedicated pediatric hospital adjacent to
Memorial Hospital North
• Analysis and master planning of pediatric and adult services at Memorial Hospital
Central, Memorial Hospital North and ambulatory/urgent care facilities throughout El
Paso County
• Expand access capacity through addition of ambulatory and urgent care and elevate
patient care for children, teens and adults in the community
• Develop state-of-the-art pediatric facilities, re-purpose Memorial Central to enhance
adult services, create additional jobs for healthcare and ancillary professionals
• Drive economic development through construction and related investments
• Planning is in progress for the University of Colorado School of Medicine Branch Medical
Campus
• June 2013: The School of Medicine accrediting body agreed there were adequate resources
to extend a branch campus in Colorado Springs.
• January 21, 2014: Erik Wallace, MD officially started his duties as Associate Dean for
Colorado Springs Branch. His initial efforts will be to recruit medical students and teaching
faculty for the educational programs that will be developed at Colorado Springs.
• February 19, 2014: The Lane Center for Academic Health Sciences on the University of
Colorado, Colorado Springs campus, which will house the branch campus medical
education administrative offices, will open.
• August 6, 2014: Twenty-four University of Colorado medical students who are committed
to the Colorado Springs Branch begin their first year at the Anschutz Medical Campus.
These students will be taking their core third year clinical clerkships in Colorado Springs,
effective April 2016.

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