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John Sanders, FACHE Administrator Children's Hospital Perinatal Service Line

Children’s Hospital Perinatal Services Service Lines Review Session #1 Dean’s Meeting – January 6, 2011. Jill Mauldin, MD Service Line Medical Director Perinatal Services. Philip Saul, MD Service Line Medical Director Children's Hospital. John Sanders, FACHE Administrator

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John Sanders, FACHE Administrator Children's Hospital Perinatal Service Line

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  1. Children’s HospitalPerinatal ServicesService Lines Review Session #1Dean’s Meeting – January 6, 2011 Jill Mauldin, MDService Line Medical Director Perinatal Services Philip Saul, MDService Line Medical Director Children's Hospital John Sanders, FACHE Administrator Children's Hospital Perinatal Service Line

  2. Tab 1 • COM Departments involved in SL • SL Strategic Goals (3-5 year big bets) • 2010-2011 Progress towards Strategic Goals • What is going well in SL? • Opportunities for improvement in SL • SL Leaders input on SL as a structure Tab 2 – SL Dashboard Tab 3 – SL Monthly Report Card (LEM goals) YTD Tab 4 – Perinatal SL 5/10 Plans • Performance YTD towards goal • Plan Tab 5 – Children’s Hospital SL 5/10 Plans • Performance YTD towards goal • Plan

  3. COM Departments involved in SL PerinatalChildren’s • Significant Anesthesiology Anesthesiology Pediatrics Neurology Orthopedics Otolaryngololy Radiology Surgery Urology • Others Family Medicine Dermatology Path/Lab Medicine Family Medicine Medicine OB/GYN Psych Opthamology Radiology Path/Lab Medicine Psych Radiation Oncology

  4. SL Big Bets (3-5 year strategic goals) Common Big Bet – New facility, feasibility and construction Perinatal Services - Improve inpatient facilities - Increase inpatient & outpatient volume - Increase Service Line charges - Develop MUSC Women’s product Line Children’s Hospital - Open After Hours Care Program, North Charleston - Enhance outreach - Blufton, Pawley’s/Mt. Pleasant - Complete Cath Lab updates (Hybrid lab) - Targeted recruitment - GI, Neuro/NSG, Ortho - Develop separate charge master

  5. 2010-2011 Progress towards Big Bets Common Big Bet – Feasibility Study is complete Perinatal - Renovations: Labor and Delivery complete,5 East designed, 5 West to be completed in FY 12 - West Ashley practice is open - NICU Charges have been increased 60% to NACHRI averages - Women’s Product line is stalled Children's - After hours program to open March/April 2011 - Outreach - planning, cardiology to open North Charleston - Cath Labs approved – equipment choice underway -Targeted recruitment - underway - Charge Master being evaluated

  6. What is going well in SL? Perinatal - Nursing and OB communication is improved - Family Centered Care implemented with consistent patient satisfaction scores - Improved quality outcomes ∙ Vermont Oxford – top quartile Children’s - Family Centered Care in place with high patient satisfaction scores - BSI and VAP rates down dramatically ∙ Jan 6th – 1 yr without PICU BSI - Outcomes and costs good against NACHRI benchmarks - Recruitment of new pediatric anesthesiology chief

  7. Opportunities for improvement in SL Perinatal - Improved communication from neonatology - NICU facility - Improved aesthetics and amenities - Improved Anesthesiology support - EMR for Perinatal Services Children’s - Better communication with non-pediatric chairs -Improved Anesthesiology support -Complete recruitments in Pediatric GI

  8. Input on SL as a structure • Alignment of the Medical Director and Chairpersons is critical, less of an issue in Perinatal and Children’s service lines. - Children’s is really a “Hospital” that includes all Service Lines.

  9. Tab 2SL Dashboard • November 2010 dashboard from Enterprise Analytics

  10. Click on image to open PDF

  11. Click on image to open PDF

  12. Tab 3Goal Performance • Executive Summary – Annual LEM performance • Executive Summary – 2011 Pillar performance YTD • 2011 LEM Monthly Report Card

  13. SLL Goal (LEM) PerformanceExecutive Summary - Annual Green – 4; Yellow – 3; Red - <2.5 Scale 1-5; 4 is goal attainment

  14. SLL Goal (LEM) PerformanceExecutive Summary – YTD Green – 4; Yellow – 3; Red - <2.5 Scale 1-5; 4 is goal attainment

  15. Goal Performance YTD GoalActualScore Inpatient Patient Satisfaction Children’s – 99 5 Goal 80th Percentile Perinatal – 78 3 Outpatient Patient Satisfaction Children’s – 77 3 Perinatal – 86 5 97.64% of all CMS/JC measures met Combined – 98 4 Action O/I percentile rank at or below Combined – 39.52 4 the 40th percentile for labor Action O/I percentile rank at or below Combined – 54.14 1 the 40th percentile for supply costs Increase Children’s discharge discharge by 2.2% Children’s – 2.1% 3 Increase Children’s Ambulatory visits by 5% Children’s - -5.6% 1 Increase Cannon Street Ambulatory visits by 5% Perinatal - 0.4% 1

  16. Click on image to open PDF

  17. Tab 4Perinatal SL 5/10 Performance YTD • 5/10 Performance YTD • 5/10 Plan Executive Summary

  18. Tab 5Children’s SL 5/10 Performance YTD • 5/10 Performance YTD • 5/10 Plan Executive Summary

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