Emory University Hospital- Overview

Emory Hospitals Emory Hospitals An OverviewAn Overview

Emory University HospitalEmory University Hospital Emory Crawford Long HospitalEmory Crawford Long Hospital Wesley Woods Hospital/CenterWesley Woods Hospital/Center “ “more than a hospital”more than a hospital”

Robert J. Bachman , Chief Operating Officer, Robert J. Bachman , Chief Operating Officer, EUHEUH

Mark Aycock, Chief Financial Officer, Emory Mark Aycock, Chief Financial Officer, Emory HospitalsHospitals

Emory Hospitals - An Emory Hospitals - An OverviewOverview

BeginningsBeginnings Current ConfigurationCurrent Configuration Leadership (Management)Leadership (Management) ServicesServices Operational StatisticsOperational Statistics

Emory University Emory University Hospital Hospital

Beginnings/Current ConfigurationBeginnings/Current Configuration Chartered in 1904/Opened as Wesley Chartered in 1904/Opened as Wesley

Memorial Hospital in 1905Memorial Hospital in 1905 Moved to Emory campus in 1920sMoved to Emory campus in 1920s CurrentlyCurrently

Licensed to operate 579 bedsLicensed to operate 579 beds Actual:Actual: 360 Med/Surg Beds360 Med/Surg Beds

82 ICU Beds (new 20 bed NICU open in 1/07)82 ICU Beds (new 20 bed NICU open in 1/07)52 Rehab Beds (38 in use)52 Rehab Beds (38 in use)20 Psych Beds (18 in use)20 Psych Beds (18 in use)

Emory Hospitals – Emory Hospitals – LeaderhsipLeaderhsip

EUH: Robert J. Bachman, COOEUH: Robert J. Bachman, COO Mark Aycock, CFOMark Aycock, CFO Susan Grant, R.N., CNO, EHCSusan Grant, R.N., CNO, EHC Ira Horowitz, M.D., CMO Ira Horowitz, M.D., CMO Nathan Spell, M.D., CQONathan Spell, M.D., CQO

ECLH: Albert Blackwelder, COOECLH: Albert Blackwelder, COO James Steinberg, CMOJames Steinberg, CMO Richard Gitomer, M.D., CQORichard Gitomer, M.D., CQO

WW: WW: Peter Basler, COO Peter Basler, COO Joseph Ouslander, M.D., CMOJoseph Ouslander, M.D., CMO

Emory Healthcare - Emory Healthcare - System Leadership For EHsSystem Leadership For EHs

John T. Fox, President/CEOJohn T. Fox, President/CEO James Hatcher, CFOJames Hatcher, CFO Susan Grant, R.N., CNOSusan Grant, R.N., CNO William Bornstein, M.D., Ph.D., CQOWilliam Bornstein, M.D., Ph.D., CQO

Emory University Emory University HospitalHospital

12,000 surgeries (300 transplants)12,000 surgeries (300 transplants)700 Heart surgeries/700 Heart surgeries/28,000 ED visits (>28% of pts 28,000 ED visits (>28% of pts

admitted)admitted)494 - Adjusted Average Daily Census494 - Adjusted Average Daily Census27,500 – Adjusted Admissions27,500 – Adjusted Admissions2,700 FTEs (3,300 employees)2,700 FTEs (3,300 employees)ALOS – ALOS – 6.46.4 days daysCMI – CMI – 2.152.15

Emory University Emory University HospitalHospital

ServicesServices Cardiology/Cardiovascular SurgeryCardiology/Cardiovascular Surgery Oncology – WCIOncology – WCI Neurology/NeuroSurgeryNeurology/NeuroSurgery TransplantationTransplantation OrthopaedicsOrthopaedics The Rollins PavilionThe Rollins Pavilion No OB/No Pediatrics - CHOANo OB/No Pediatrics - CHOA

Emory University HospitalOrganizational Chart

Source: Administration, Emory Hospitals

DevelopmentPathology & Laboratory ServicesPharmacyImaging ServicesTransplant Services

Assistant AdministratorEmory Hospitals

Larry F. Hodges, CHE

Chief Financial OfficerEmory HospitalsMark A. Aycock

Center for Rehabilitation MedicineHospital Rehabilitation ServicesMental Health Services

Chief Operating Officer — EUHSenior Associate Administrator

Emory HospitalsRobert J. Bachman

Medical Staff

Chief Medical Officer

Ira Horowitz, MD

Associate Medical Director

Donald C. Davis, MD, PhD

Hospital Auxiliary

Education & Learning Services Employee Health Services• Workers’ Compensation

Educational Information & Media Services• Medical Library

EHC Service Performance

Infection ControlEHC Information Systems’ Medical Director

Medical Staff OfficeRisk Management Office

Materials Management• Purchasing

Social Services• Clinical Resource

ManagementValue Analysis

Human Resources

Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll

Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office

Clinical Performance Improvement

Regulatory/Accreditation

Chief Human Resources Officer

Emory HealthcareMargaret A.

Bloomquist, SPHR

Anesthesiology Services Facility Planning & Development Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety

Medical EngineeringTelecommunications

Associate Administrator

Emory HospitalsDavid E. Pugh

Chief Financial OfficerEmory Healthcare

James T. Hatcher, CPA

Associate AdministratorChief Operating Officer

Emory Hospitals CRM, Mental Health

Services, & Wesley Woods

Peter A. Basler, Jr.GambroMedical Services & Patient Services Information Systems

Nursing Systems Integration & Maternity Services

Oncology Services Perioperative & Endoscopic Services Support Systems

General Surgery & Transplant ServicesSurgical Specialties/Community ServicesGeriatric Nursing Services

Emergency Services


M. June Connor, RN

Cardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services


Jane Vosloh, RN

GIDOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing

President & Chief Executive Officer

EMORY HEALTHCAREJohn T. Fox


Emory HospitalsToni F. Wimby,

CHE

Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy

Chief Quality Officer, Emory Healthcare/Chief Medical Officer,

Emory HospitalsWilliam A. Bornstein, MD,

PhD

Chief Quality Officer

Nathan Spell, MD

Associate AdministratorEmory Hospitals

Barbara E. Hargett, RN

Chief Nursing OfficerEmory Healthcare

Susan M. Grant, MS, RN, CNAA

Updated September 2006

Licensed for 511 beds – 420 beds in Licensed for 511 beds – 420 beds in serviceservice

Emergency Room - 50,000 visits/yearEmergency Room - 50,000 visits/year14,000 surgeries (IP & OP) – 1,100 cardiac14,000 surgeries (IP & OP) – 1,100 cardiacOB - 4,200 births/yearOB - 4,200 births/year““Open Medical Staff”Open Medical Staff”Long Term Acute Care HospitalLong Term Acute Care HospitalCMI – 1.6CMI – 1.6FTEs – 2300 FTEs – 2300 Adjusted FTEs per AOB – 4.8Adjusted FTEs per AOB – 4.8Adjusted Admissions – 33,000/yearAdjusted Admissions – 33,000/yearALOS – 5 daysALOS – 5 days

Emory Crawford Long Emory Crawford Long HospitalHospital

Emory Crawford Long HospitalOrganizational Chart




Associate AdministratorEmory Hospitals


Chief Financial OfficerEmory HospitalsMark A. Aycock

Hospital Rehabilitation ServicesLTAC

GambroMedical Services & Patient Services Information Systems

Nursing Systems Integration & Maternity Services

Oncology Services Perioperative & Endoscopic Services Support Systems

General Surgery & Transplant Services

Surgical Specialties/Community Services

Geriatric Nursing ServicesEmergency Services

Medical Staff

Chief Medical Officer

James P. Steinberg, MD


James K. Bennett, MD


William M. McKinnon, MD

Chief Operating Officer — ECLHSenior Associate Administrator

Emory HospitalsAlbert K. Blackwelder, FACHE

Hospital Auxiliary

Chief Quality Officer, Emory Healthcare/Chief Medical Officer, Emory Hospitals

William A. Bornstein, MD, PhD










Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy

Human Resources





Emory HealthcareMargaret A.

Bloomquist, SPHR



Chief Financial OfficerEmory Healthcare



M. June Connor, RNCardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services



Cardiothoracic Research LabDevelopment


Jane Vosloh, RN

GIDBronchoscopyOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing

Associate AdministratorChief Operating Officer

Emory Hospitals CRM, Mental Health

Services, & Wesley Woods

Peter A. Basler, Jr.


Emory HospitalsToni F. Wimby,

CHE


Emory HospitalsDavid E. Pugh

Anesthesiology Services Facility Planning & Development

Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety

Medical EngineeringTelecommunications

Chief Quality OfficerRichard Gitomer, MD


Wesley Woods HospitalWesley Woods Hospital

100 Geriatric Hospital100 Geriatric HospitalLong Term Acute Care HospitalLong Term Acute Care HospitalNo ED/OR/ICUNo ED/OR/ICU““Continuum of Care”Continuum of Care”Budd Terace Budd Terace

Wesley Woods CenterOrganizational Chart





Assistant AdministratorEmory HospitalsMark A. Aycock

Medical Services & Patient Services Information Systems

Geriatric Nursing Services

Chief Medical OfficerWesley Woods Center

Joseph G. Ouslander, MD

Medical Director

Wesley Woods Hospital

Frank W. Brown, MD









Human Resources





Associate AdministratorChief Human Resources

OfficerEmory HospitalsMargaret A.

Bloomquist, SPHR


Chief Financial OfficerEmory Hospitals



DevelopmentRehabilitation ServicesMental Health Services

Medical Director

Long Term CareJeff Lesesne,

MD

Pastoral Services Director

Elwood H. Spackman

Budd Terrace Administrator

Janice Langford

Health Center Administrator & WWC

Assoc. AdministratorWilliam J. Such

Chief Operating Officer Wesley Woods Center Peter A. Basler, Jr.



CEO, Woodruff Health Sciences Center &

Chairman of the Board, EHCChairman of the Board, WWC Michael M.E. Johns, MD

Medical Director Long Term Acute Care

HospitalGerry Staton, MD

Wesley Woods, Inc. CEO

Ken Weber

SOURCEDirector

Jennifer Schuck

Wesley Woods Clinic Administrator

JoAnn Croley

Director of Quality,Wesley Woods Center

Vicki Davis

Director of NursingWesley Woods CenterBecky Provine, RN

Wesley Woods LTAC*Administrator

William J. Such

*Wesley Woods Long Term Acute Hospital (LTAC) is a separate corporate entity with a management agreement with Wesley Woods Center

Chief Quality Officer, Emory Healthcare/Chief Medical Officer, Emory Hospitals

William A. Bornstein, MD, PhD




Emory Hospitals FY07 Emory Hospitals FY07 BudgetBudget

Total Operating Revenues of $1.025 Total Operating Revenues of $1.025 billion from $2.1 billion in billingsbillion from $2.1 billion in billingso Emory University Hospital $586 million (57%)Emory University Hospital $586 million (57%)o Emory Crawford Long Hospital $384 million Emory Crawford Long Hospital $384 million

(38%)(38%)o Wesley Woods Center $55 million (5%)Wesley Woods Center $55 million (5%)

Total Operating Expenses of $957 Total Operating Expenses of $957 millionmillion

Operating Income of $68 million or 6.6%Operating Income of $68 million or 6.6%

Cardiology ServicesCardiology ServicesMarket Share – 2004Market Share – 2004

Emory Hospitals combined = 15%Emory Hospitals combined = 15%13%

9%

7%

5%

4%5%

10%

0%

2%

4%

6%

8%

10%

12%

14%

St. Joe's Piedmont Kennestone Grady Cobb EUH ECLH

Orthopaedics and Spine Orthopaedics and Spine ServicesServices

Market Share – 2004Market Share – 2004Emory Hospitals combined = 8%Emory Hospitals combined = 8%

7%

10%9%

6%

5%

4% 4%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

St. Joe's Piedmont Kennestone Grady Northside EUH ECLH

Oncology ServicesOncology ServicesMarket Share – 2004Market Share – 2004

Emory Hospitals combined = 16%Emory Hospitals combined = 16%

7%

9%

8% 8%

10% 10%

6%

0%

1%

2%

3%

4%

5%

6%

7%

8%

9%

10%

Dekalb Piedmont Kennestone Grady Northside EUH ECLH

Neuroscience ServicesNeuroscience ServicesMarket Share – 2004Market Share – 2004

Emory Hospitals combined = 14%Emory Hospitals combined = 14%

5%

7%

8%

7%

6%

8%

4%

2%

0%

1%

2%

3%

4%

5%

6%

7%

8%

St. Joe's Piedmont Kennestone Grady Dekalb EUH ECLH WW

Emory University HospitalEmory University HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid6%

Medicare43%

Blue Cross12%

HMO21%

PPO8%

Self Pay & Other10%


FY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid19%

Medicare37%

Blue Cross9%

HMO22%

PPO6%

Self Pay & Other7%

Wesley Woods HospitalWesley Woods HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information

Medicaid2%

Medicare86%

Blue Cross2%HMO

7%

PPO2%

Self Pay & Other1%


FY2007 Expense Information ($957M)FY2007 Expense Information ($957M)

Benefits9%

Salaries36%

Supplies27%

Interest & Depreciation

6%

Utilites & Maintenance5%

EU & EHC Overhead6%

All Other11%

Emory Hospitals Cash Flow Emory Hospitals Cash Flow FY2007FY2007

Cash Generated from Operations: $105 Cash Generated from Operations: $105 millionmillion

LESS:LESS:Debt Principal PaymentsDebt Principal Payments $30 million$30 millionCapital ExpendituresCapital Expenditures $37 million$37 millionClifton Road DevelopmentClifton Road Development $12 million$12 millionWHSCAB & SOM FundingWHSCAB & SOM Funding $34 million$34 million

Funding TotalFunding Total $113 million$113 millionThis is our biggest financial challenge as a This is our biggest financial challenge as a

health science center.health science center.

Medical EducationMedical Education Hospital, via billing from GME office, Hospital, via billing from GME office,

reimburses SOM for residents in reimburses SOM for residents in accredited programsaccredited programs

Hospital is then partially reimbursed for Hospital is then partially reimbursed for this expense from the Medicare program this expense from the Medicare program through the filing of an annual cost reportthrough the filing of an annual cost report

Medicare has capped Emory Hospitals Medicare has capped Emory Hospitals resident FTEs at 356resident FTEs at 356

Tightly regulated area, particularly on Tightly regulated area, particularly on accounting for residents time and the accounting for residents time and the location where they are workinglocation where they are working

ResearchResearch The hospitals have a standard rate of 35% of The hospitals have a standard rate of 35% of

charges for research (was 40% in FY2006)charges for research (was 40% in FY2006) Hospital rates change each September and a Hospital rates change each September and a

new listing of charges is provided to the new listing of charges is provided to the Clinical Trials Office for download into the Clinical Trials Office for download into the Siteminder SystemSiteminder System

Upfront identification of research patients is Upfront identification of research patients is a must if proper hospital billing is to occura must if proper hospital billing is to occur

Research revenues are budgeted at $1.5 Research revenues are budgeted at $1.5 million for FY07 (0.1% of hospital revenues)million for FY07 (0.1% of hospital revenues)

Emory Hospitals: An OverviewEmory Hospitals: An Overview

Q U E S T I O N S Q U E S T I O N S

Emory Healthcare Organizational Chart

Source: Emory Healthcare, Office of the President and Chief Executive Officer

CEO, Woodruff Health Sciences Center & Chairman of the Board, EHCMichael M.E. Johns, MD

President and Chief Executive OfficerJohn T. Fox

Director,The Emory Clinic

Wright Caughman, MD

President & CEO, Emory Children’s Center

Barbara J. Stoll, MD

Senior Director, Managed Care

S. Patrick Hammond

Senior Director,Marketing

Una H. Newman

Chief Compliance OfficerAnne Adams, JD

Chief Information OfficerDedra Cantrell

Senior Director, Risk & Insurance Svcs.

Shulamith Klein


Margaret A. Bloomquist

Chief Quality OfficerWilliam A. Bornstein,

MD, PhD

Chief Operating Officer,Emory University Hospital

Robert J. Bachman

Chief Operating Officer,Wesley Woods Center

Pete A. Basler, Jr.

Chief Operating Officer,Emory Crawford Long Hospital

Albert K. Blackwelder

Chief Nursing Officer,Emory Healthcare

Susan M. Grant, RN, MS, CNAA-BC

Chief Operating Officer,The Emory ClinicDonald I. Brunn

Chief Financial Officer, Emory Healthcare


Executive Director,Emory Center for Pastoral Services

Elwood H. Spackman, M.Div.

Chief of StaffGary L. Teal, MBA

Updated October 2006

Associate AdministratorDebra Bloom, APR

Emory University Hospital- Overview

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