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Saving Lives through Performance Excellence. Rulon F. Stacey, PhD, FACHE President/CEO, Poudre Valley Health System. Private, integrated health system locally owned, not-for-profit Full spectrum of healthcare services

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Saving Lives through Performance Excellence

Rulon F. Stacey,PhD, FACHE

President/CEO, Poudre Valley Health System


Poudre valley health system

Private, integrated health system locally owned, not-for-profit

Full spectrum of healthcare services

2 tertiary hospitals, outpatient campus, numerous satellite clinics

Regional medical hub for cardiac & trauma services, orthopedics, oncology, neonatal intensive care & bariatric surgery

Poudre Valley Health System


Poudre valley health system1

Service area: Northern Colorado, Wyoming & Nebraska not-for-profit

5,300 employees, 600 physicians & 1,000 volunteers

$1.4 billion in annual revenue

Poudre Valley Health System


Community hospital serving Fort Collins, Colorado not-for-profit

1,500 employees, 300 independent physicians & 575 volunteers

24% annual employee turnover

5 CEOs in 4 years

$250 million in annual revenue

Changing healthcare market

Demand for physician integration

Where Our Journey Started - 1997


Performance Excellence Journey not-for-profit

  • Leadership: Find an improvement model

  • The Work Horse Philosophy


To provide not-for-profit

world-class

health care

Our Vision

Wendy

Oncology patient


Striving for results in the 90 not-for-profit th percentile

or top 10% of available national

comparative databases

Definition of World-Class

Craig

Trauma patient


Communicate Direction not-for-profit

Set Direction

Our Beliefs


New Employee Orientation not-for-profit

Forums for Employees & Volunteers

Quarterly updates on performance & action plans that support each Strategic Objective

Name Badges

Meeting Templates

Learn & Lead Program

Vision/Mission/Values Team

Leadership Meetings

Medical Executive Committees

Communicate Direction


Plan & Align not-for-profit


Core Competencies not-for-profit


Identify strategic opportunities not-for-profit

How can we provide a lifetime of care?

Align economic incentives & build relationships

Outpatient services, home health, sub-acute care, third-party administrator, strategic vendor relationships

Win-win for PVHS, other healthcare providers, patients & community

Improve clinical quality

Partnering: An Innovative Strategy


Rural dilemma not-for-profit

Insufficient volumes to ensure quality

Choice: Revenue or optimal outcomes?

New alternative

PVHS + Regional West Medical Center = Medical Center of the Rockies

Improved outcomes & revenues for all

The Ultimate PartnershipPVHS & Regional West Medical Center


Partnering next generation

Poudre Valley Medical Group (PVMG) not-for-profit

27 Clinics, 180 clinicians, 600 support staff

Physician Changing Model

2008: nearly 100% independent practice

2011: 25% in PVMG, 75% independent

University of Colorado Hospital

Share overall management structure

Pool revenue and expenses

Partnering: Next Generation



Execute the Plan & Drive Performance not-for-profit Balanced Scorecard Process


Develop People not-for-profit


Performance Review Process not-for-profit

Reward & Recognition, including Peer-to-Peer Coupons

Optional Performance Plan

Learn & Lead, Building Blocks of Leadership

Learn & Grow

Grand Rounds, Tuesday Afternoon Conferences

Mentoring Program

Tuition Reimbursement

Professional Associations, Conferences

Develop People


Performance Review Process not-for-profit

Best Practice: Integration of Values, Behavior Standards, Core Competencies, Key Customer Requirements & Personal Goal Cards

Develop People


Execute the Plan & Drive Performance not-for-profit Personal Goal Cards


Learn, Share & Innovate not-for-profit


Performance Excellence Teams not-for-profit

Baldrige-driven improvements

PDCA Model for Process Improvement

LEAN Transformation

Process Design

Best practices: Stakeholder involvement & Voice of the Customer

Learn, Share & Innovate


20 interdisciplinary teams with staff, physicians, partners, vendors & community members

Community focus groups

Wayfinding, spirituality, furniture, menus, naming

National site visits with physicians, staff & vendors

Mock-ups for OR, trauma suite, patient room & elevator

Day-in-a-Life Scenarios

An Example: Medical Center of the Rockies


Results vendors & community members

Gabriel, NICU “Graduate”


Healthcare Outcomes vendors & community members

Risk-Adjusted Mortality Rate


Customer-Focused Outcomes vendors & community members

Top Box Scores for Patient Satisfaction

9 years of consistent improvement


Customer-Focused Outcomes vendors & community members

HCAHPS*

*Hospital Consumer Assessment of Healthcare Providers & Systems


Financial & Market Outcomes vendors & community members

Patient Discharges

59% increase in PVHS discharges

from 2000 to 2010

19% population growth in Larimer

County from 2000 to 2010

15% increase in Competitor

discharges from 2000 to 2010

40% population growth in Competitor’s

home county from 2000 to 2010


Workforce-Focused Outcomes vendors & community members

Staff Voluntary Turnover


Workforce-Focused Outcomes vendors & community members

  • Staff: 93rd percentile for employee satisfaction (MSA)

  • Volunteers: 99% satisfaction on internal survey

  • Physicians: 96th percentile for physician loyalty (Gallup)

    • Top 100 Best Places to Work, 2008, 2009, 2010

    • Modern Healthcare


Workforce-Focused Outcomes vendors & community members

Physician Engagement Scorecard


Remaining Competitive vendors & community membersHospital Charges


Community Benefit vendors & community members

  • Charity Care

  • Family Medicine Center

  • Community Case Management

  • Patient Navigators

  • Poudre Valley Nurse Line

  • Mental Health & Substance Abuse Partnership

  • Lifestyle Challenge

  • Healthy Kids Club

  • Well City Initiative

  • Poudre Valley Prenatal

  • Aspen Club

  • Safe Kids Coalition

  • Teen Motor Vehicle Safety Coalition


Increased hospital discharges almost 50% with only 11% population growth

Doubled the workforce

Added 2nd hospital, outpatient campus & numerous offsite clinics

Expanded service area from Fort Collins community to 50,000 square miles in Colorado, Wyoming, Nebraska

Challenging Times…


Challenging times continue
Challenging Times Continue population growth

U.S. Healthcare

Patient Protection & Affordable Care Act

Future Trends

Integration: Coordinate care, patient is the customer

Value: Deliver quality outcomes and high levels of service at a reasonable cost

Transparency: Learn, grow and respond


Top 10% for Inpatient Mortality, Patient Satisfaction, Employee Satisfaction & Physician Engagement (PVHS) 2008, 2009, 2010

Top 100 Best Places to Work, Modern Healthcare (PVHS) 2008, 2009, 2010

Magnet designation PVH since 2000, MCR 2010

NDNQI Outstanding Nursing Quality Award for last 3 years

World-Class Results


To provide Employee Satisfaction & Physician Engagement (PVHS) 2008, 2009, 2010

world-class

health care

Our Vision

Molly

4th generation treated at PVH


Additional Information: Employee Satisfaction & Physician Engagement (PVHS) 2008, 2009, 2010

PVHS Center for Performance Excellence

Priscilla Nuwash: [email protected]

Sonja Wulff: [email protected]

www.pvhs.org


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