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Tulare Regional Medical Center. Agenda. Key data Why change is necessary Ideal solutions Conclusion. Key Data. 112 bed, acute-care hospital 3 Rural Health Clinics , 2 more clinics opening Medical tower expansion Significant growth potential. Service Area Demographics.

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Tulare Regional Medical Center

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Presentation Transcript
  • Key data
  • Why change is necessary
  • Ideal solutions
  • Conclusion
key data
Key Data
  • 112 bed, acute-care hospital
  • 3 Rural Health Clinics, 2 more clinics opening
  • Medical tower expansion
  • Significant growth potential
service area demographics
Service Area Demographics
  • Population estimate: 171, 438
  • Average age: 30.3
  • 57.9% Hispanic
  • High poverty rates
why change is necessary
Why Change is Necessary
  • Lack of physician alignment
  • Quality perception
  • Disproportionate market share
  • Current payer mix
physician alignment
Physician Alignment
  • To remain competitive, physicians must be fully integrated into TRMC
perceived lack of quality
Perceived Lack of Quality
  • HCAHPS lower than state and national averages
  • HCAHPS lower than Kaweah Delta Medical Center in almost every category
trmc s current market share
TRMC’s Current Market Share
  • 80% of patients participate in government insurance programs
    • 45% Medi-Cal
  • Poor quality perception is hurting patient retention
  • Potential patients directed elsewhere
ideal solutions
Ideal Solutions
  • Physician alignment
renegotiate physician contracts
Renegotiate Physician Contracts
  • Business development and physician communication
    • What do they want?
    • What do competitors offer?
  • Sizeable share of the newly insured
    • PPACA will increase commercial payers
  • Focus on community needs
optimize trmc s clinic network
Optimize TRMC’s Clinic Network
  • Maintain 3 Rural Health Clinics and 2 1206(d) clinics
  • RHCs
    • Higher Medi-Cal reimbursement rates
    • PPACA increasing Medi-Cal rates 2013-2014
    • Patient access to care
    • Specialized care for the population
optimize trmc s clinic network1
Optimize TRMC’s Clinic Network
  • 1206(d) Clinics
  • Hospitals
    • Higher Medicare reimbursement rates
      • 100-113%
    • Increased patient base
    • Reinforce physician-TRMC alignment efforts
      • Inpatient referrals
optimize trmc s clinic network2
Optimize TRMC’s Clinic Network
  • Physicians
    • No overhead, focus on patients
    • New technology
  • Community
    • Increase quality perception
    • Bring access to health care
    • Programs for elderly
establish medical foundation
Establish Medical Foundation
  • Key component of physician alignment
  • Will help facilitate recruiting and retention
  • PPACA influential in the move toward collaborative care
  • Physician alignment with TRMC
  • Care for population health needs
  • Funnel patients to TRMC main campus
    • Increase revenue generation
  • 1206(d) and rural clinics are a first effort toward long-term Foundation goals
mission statement
Mission Statement

“A patient-centered organization that sets the standard for patient experience and quality of care by pushing the boundaries of technology in service to our community.”


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