Fund Balance Reporting and Governmental Fund Type Definitions
UNIVERSITY OF VIRGINIA BOARD OF VISITORS MEETING OF THE …16... · Fund Balance $1,433.7 $1,585.8...
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS
MEETING OF THE
MEDICAL CENTER
OPERATING BOARD
FOR THE UNIVERSITY OF
VIRGINIA MEDICAL CENTER
SEPTEMBER 15, 2016
UNIVERSITY OF VIRGINIA
MEDICAL CENTER OPERATING BOARD
September 15, 2016
9:00 a.m. – 1:00 p.m.
Auditorium of the Albert & Shirley Small
Special Collections Library, Harrison Institute
Committee Members:
L.D. Britt, M.D., Chair James V. Reyes
Frank M. Conner III Frank E. Genovese, Advisor
William H. Goodwin Jr. Nina J. Solenski, M.D.,
Tammy S. Murphy Advisor
James B. Murray, Jr. A. Bobby Chhabra, M.D.,
Faculty Consulting Member
Public Members:
Hunter E. Craig Constance R. Kincheloe
Victoria D. Harker Babur B. Lateef, M.D.
Michael M.E. Johns, M.D.
Ex Officio Members:
Teresa A. Sullivan Richard P. Shannon, M.D.
Dorrie K. Fontaine Pamela M. Sutton-Wallace
Patrick D. Hogan Scott A. Syverud, M.D.
Thomas C. Katsouleas David S. Wilkes, M.D.
AGENDA
PAGE
I. OPENING COMMENTS FROM THE CHAIR (Dr. Britt)
Welcome to New Members
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II. REMARKS FROM THE EXECUTIVE VICE PRESIDENT FOR HEALTH
AFFAIRS (Dr. Shannon)
A. Health System Dashboard
B. U.S. News and World Report Ratings
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III.
HEALTH SYSTEM FINANCE REPORT (Dr. Shannon to
introduce Mr. James B. Murray Jr. and Mr. Larry L.
Fitzgerald; Messrs. Murray and Fitzgerald to report)
Fiscal Year 2016 Year-End Report and Fiscal
Year 2017 Year To Date Report
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IV. SCHOOL OF MEDICINE RESEARCH: RECENT SUCCESSES (Dr.
Shannon to introduce Dr. David S. Wilkes, Dr.
William Jeffrey Elias, and Dr. Sean R. Moore. Dr.
Wilkes, Dr. Elias, and Dr. Moore to report)
A. Staying Focused: Focused Ultrasound at U.Va.
B. Understanding and Reversing the Vicious
Infection- Undernutrition Cycle
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V. MEDICAL CENTER CHIEF EXECUTIVE OFFICER REPORT
(Written Report)
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VI. HEALTH SYSTEM DEVELOPMENT REPORT (Written Report) 18
VII. CLOSED SESSION
– Discussion of proprietary, business-related
information pertaining to the operations of the
Medical Center, where disclosure at this time would
adversely affect the competitive position of the
Medical Center, specifically:
– Strategic personnel, financial, investment, market,
service line, and resource considerations and
specifically long range financial plan and funds
flow; potential joint ventures or affiliations;
update on partnership strategy; innovative efforts
and improvement initiatives for patient care; other
marketing, clinical and research growth efforts
that impact the competitive position and support
the strategic initiatives of the Medical Center and
the Health System, including employee performance
and other proprietary metrics;
– Confidential and privileged information and data
related to the adequacy and quality of professional
services, competency, and qualifications for
professional staff privileges, and patient safety in
clinical care, for the purpose of improving patient
care;
– Consultation with legal counsel regarding
compliance with relevant federal and state legal
requirements, licensure, legislative, and
accreditation standards and contractual disputes;
all of which will involve proprietary business
information and evaluation of the performance of
specific personnel.
The relevant exemptions to the Virginia Freedom of
Information Act authorizing the discussion and
consultation described above are provided for in
Section 2.2-3704 and Section 2.2-3711(A)(1), (6),
(7), (8) and (22) of the Code of Virginia. The
meeting of the Medical Center Operating Board is
further privileged under Section 8.01-581.17 of the
Code of Virginia.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: I. Opening Comments from the Chair
ACTION REQUIRED: None
BACKGROUND: L.D. Britt, M.D., is the Chair of the Medical
Center Operating Board (MCOB).
DISCUSSION: The Chair will inform the MCOB of recent events
that do not require formal action.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: II. Remarks from the Executive Vice
President for Health Affairs
ACTION REQUIRED: None
BACKGROUND: Richard P. Shannon, M.D., is the Executive Vice
President for Health Affairs for the University of Virginia.
Before joining the University, he served as the Frank Wister
Thomas Professor of Medicine at the University of Pennsylvania
Perelman School of Medicine, and as chairman of the Department
of Medicine of the University of Pennsylvania Health System. An
internist and cardiologist, Dr. Shannon is widely recognized for
his work on patient safety.
DISCUSSION: The Executive Vice President will inform the MCOB
of recent events that do not require formal action.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: III. Health System Finance Report
ACTION REQUIRED: None
BACKGROUND: The Medical Center prepares a periodic financial
report and reviews it with the Executive Vice President for
Health Affairs before submitting the report to the MCOB.
Larry L. Fitzgerald is the Health System’s Chief Financial
and Business Development Officer. He has held similar positions
with the University of Pittsburgh Medical Center and American
Medical International. He has extensive experience with health
care mergers and acquisitions, the Medicare and Medicaid
programs, and strategic planning.
FINANCIAL REPORT
School of Medicine – Academic, Clinical, Health Sciences Library
The School of Medicine generated operating income of
$14.5M, compared to a budgeted loss of $7.6M. This positive
variance is primarily attributable to a lag in strategic
spending of $13.9M, unbudgeted gift revenue of $8.8M, strong
patient care volumes, and higher funding for the increasing cost
of providing care to indigent and Medicaid patients. Higher
revenues were partially offset by significant increases in
faculty compensation, including an increase in the faculty
pension expense due to the implementation of the updated
mortality tables at the end of Fiscal Year 2015.
Results reflected year over year growth in patient care
volumes of 4.8%. Volumes were close to budget, despite several
unfilled clinical faculty positions, particularly in the medical
departments. Profits generated by strong clinical growth
allowed for an investment in both the academic and research
missions.
Operating income for Fiscal Year 2016 was $10.8M greater
than the prior year. This is primarily due to an increase in
Medical Center support, endowment distributions of $5.7M, and
gifts of $5M, offset by increases in labor and depreciation
expense.
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Medical Center, All Business Units
The preliminary Fiscal Year 2016 operating results for
Medical Center business units was $77.0M, resulting in a 5.1%
operating margin. Operating income was 47.8% higher than budget
due to a steadily increasing case mix index finishing the year
at 2.10 (all payor), transplants exceeding budget by 42 (27.8%),
and increased outpatient pharmacy utilization. Volumes were
slightly below budget; however, this was offset by a much higher
Case Mix Index (CMI). Continued strong results from the
dialysis, imaging, and infusion centers also contributed to the
overall Medical Center operating margin. At the end of June,
cash reserves totaled 160 days.
Total paid employees for all business units, including
contracted employees, were 198 above budget. Contract labor is
primarily individuals employed by the School of Medicine and
contracted to the Medical Center. The Medical Center had 14
travelers.
FY 2015 FY 2016 2016 Budget
Employee FTEs 7,351 7,758 7,570 Salary, Wage and Benefit Cost/FTE $80,591 $82,852 $84,127 Contract Labor FTEs 211 198 187
Total FTEs 7,562 7,955 7,757
KEY FINANCIAL PROJECTS
The joint operating company (JOC) Novant Health UVA Health
System was formed effective January 1, 2016. We are focused on
the integration of JOC operations with U.Va. and Culpeper
Hospital. The initial efforts center on cancer and pediatric
services. We are also adding - through the appropriate U.Va.
Department Chairs - orthopedic, obstetrics, and cardiology
services at Culpeper. The JOC includes three hospitals as the
major operating units. The hospital contributed by U.Va.,
Culpeper Regional Hospital, is exceeding expectations and
budget, while the two hospitals contributed by Novant are
underperforming due to low volumes.
The consolidation occurring in the health insurance
business will impact U.Va. When Anthem completes the purchase
of CIGNA and Aetna completes the purchase of Humana, there will
be only two commercial health insurance carriers of any
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significance in Central Virginia. We have provided input to the
Virginia Hospital and Healthcare Association (VHHA) in preparing
a response to the Department of Justice opposing the Anthem and
CIGNA merger on the basis that if it is allowed to proceed, it
will substantially reduce competition, increase premium costs,
and diminish the insurers’ willingness to be innovative partners
with providers and consumers in transforming care. It was
recently announced that the Department of Justice is challenging
both mergers.
The finance department is engaged in a number of activities
aimed at maintaining our payment level at slightly below cost
for Medicaid and indigent patients. We served on the VHHA
Assessment Policy Advisory Group. We are also working with the
Secretary of Health and Human Resources and the Department of
Medical Assistance Services on the 1115 waiver and Delivery
System Reform Initiative Payment (DSRIP), which is the
supplemental funding associated with the waiver.
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Budget/Target
Description Jun-14 Jun-15 Jun-16 Jun-16
Net patient revenue $1,237.1 $1,373.4 $1,456.7 $1,430.7
Other revenue 49.2 44.8 52.4 44.3
Total operating revenue $1,286.3 $1,418.2 $1,509.1 $1,475.0
Operating expenses 1,115.4 1,231.9 1,317.2 1,300.9
Depreciation 83.3 91.0 94.4 100.0
Interest expense 14.7 20.4 20.5 22.0
Total operating expenses $1,213.4 $1,343.3 $1,432.1 $1,422.9
Operating income (loss) $72.9 $74.9 $77.0 $52.1
Principal payment $15.2 $16.5 $18.0 $18.0
University of Virginia Medical Center
Income Statement
(Dollars in Millions)
Excluding Culpeper Regional Hospital
Most Recent Three Fiscal Years
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Description Jun-14 Jun-15 Jun-16
Assets
Operating cash and investments $278.8 $309.7 $134.7
Patient accounts receivables 151.8 159.1 170.6
Property, plant and equipment 820.5 853.3 916.2
Depreciation reserve and other investments 209.9 193.8 606.4
Endowment Funds 539.9 570.2 548.4
Other assets 228.7 312.1 269.4
Total Assets $2,229.6 $2,398.2 $2,645.7
Liabilities
Current portion long-term debt $19.2 $19.1 $18.7
Accounts payable & other liab 147.7 131.2 155.9
Long-term debt 466.8 447.5 777.5
Accrued leave and other LT liab 162.2 214.6 227.1
Total Liabilities $795.9 $812.4 $1,179.2
Fund Balance $1,433.7 $1,585.8 $1,466.5
Total Liabilities & Fund Balance $2,229.6 $2,398.2 $2,645.7
Balance Sheet
(Dollars in Millions)
Most Recent Three Fiscal Years
University of Virginia Medical Center
Excluding Culpeper Regional Hospital
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Budget/Target
Description Jun-14 Jun-15 Jun-16 Jun-16
Operating margin (%) 5.7% 5.3% 5.1% 3.5%
Current ratio (x) 2.6 3.1 1.7 2.4
Days cash on hand (days) 229.0 224.4 159.5 190.0
Gross accounts receivable (days) 46.5 45.4 43.0 45.0
Annual debt service coverage (x) 6.7 5.4 4.0 5.2
Debt-to-capitalization (%) 34.3% 30.6% 45.9% 31.8%
Capital expense (%) 8.1% 8.3% 8.0% 8.6%
Budget/Target
Description Jun-14 Jun-15 Jun-16 Jun-16
Acute Admissions 28,470 28,305 28,189 28,750
Patient days 172,255 177,765 180,692 177,640
Observation Patients - MC only 3,832 4,278 4,359 4,515
Post Procedure Patient - MC only 5,419 5,005 5,604 4,555
Average length of stay - MC 5.75 5.99 6.03 5.80
Clinic visits 803,161 842,861 887,490 857,542
ER visits - MC only 58,544 60,646 62,998 60,962
Medicare case mix index - MC 2.10 2.14 2.28 2.10
FTE's (including contract labor) 7,030 7,562 7,955 7,757
Most Recent Three Fiscal Years
University of Virginia Medical Center
Financial Ratios
Most Recent Three Fiscal Years
Excluding Culpeper Regional Hospital
Excluding Culpeper Regional Hospital
University of Virginia Medical Center
Operating Statistics
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Actual Budget % Variance Prior Year Actual Budget % Variance Prior Year
ADMISSIONS: ACUTE INPATIENTS:
Adult 23,836 24,176 (1.4%) 23,827 Inpatient Days 180,692 177,640 1.7% 177,765
Pediatrics 2,775 2,890 (4.0%) 2,882 All Payor CMI Adjusted ALOS - MC 2.87 2.84 1.1% 2.94
Psychiatric 1,189 1,234 (3.6%) 1,209 Average Daily Census 493 485 1.6% 487
Transitional Care 389 450 (13.6%) 387 Births 1,671 1,743 (4.1%) 1,674
Subtotal Acute 28,189 28,750 (2.0%) 28,305
Observation 4,359 4,515 (3.5%) 4,278 OUTPATIENTS:
Clinic Visits 887,490 857,542 3.5% 842,861
Total Admissions 32,548 33,265 (2.2%) 32,583 Average Daily Visits 3,735 3,609 3.5% 3,564
Emergency Room Visits - MC 62,998 60,962 3.3% 60,646
Adjusted Admissions 59,278 60,299 (1.7%) 58,221
Post Procedure 5,604 4,555 23.0% 5,005
. SURGICAL CASES
CASE MIX INDEX: UVA Main Hospital Operating Room (IP and OP) 17,328 17,596 (1.5%) 17,353
UVA Outpatient Surgery Center 12,114 12,100 0.1% 11,487
All Acute Inpatients - MC 2.10 2.04 2.9% 2.04
Medicare Inpatients - MC 2.28 2.10 8.6% 2.14
Total 29,442 29,696 (0.9%) 28,840
($s in thousands) Actual Budget % Variance Prior Year ($s in thousands) Actual Budget % Variance Prior Year
NET REVENUES: NET REVENUE BY PAYOR:
Net Patient Service Revenue 1,456,746 1,430,677 1.8% 1,373,355 Medicare 424,769$ 403,438$ 5.3% 399,292$
Other Operating Revenue 52,354 44,328 18.1% 44,850 Medicaid 279,599 283,090 (1.2%) 274,120
Total 1,509,099$ 1,475,005$ 2.3% 1,418,204$ Commercial Insurance 213,468 222,313 (4.0%) 224,478
Anthem 302,759 291,979 3.7% 261,828
Aetna 99,551 101,132 (1.6%) 99,155
EXPENSES: Other 136,600 128,724 6.1% 114,482
Salaries, Wages & Contract Labor 659,612$ 653,142$ (1.0%) 609,080$ Total Paying Patient Revenue 1,456,746$ 1,430,677$ 1.8% 1,373,355$
Supplies 347,611 329,127 (5.6%) 322,921
Contracts & Purchased Services 310,002 318,657 2.7% 299,871 OTHER:
Depreciation 94,351 99,957 5.6% 91,005 Collection % of Gross Billings 30.20% 29.66% 1.8% 30.92%
Interest Expense 20,535 21,987 6.6% 20,393 Days of Revenue in Receivables (Gross) 43.0 45.0 4.4% 45.4
Total 1,432,112$ 1,422,869$ (0.6%) 1,343,269$ Cost per CMI Adjusted Admission 11,573$ 11,637$ 0.5% 11,658$
Operating Income 76,988$ 52,136$ 47.7% 74,935$ Total F.T.E.'s (including Contract Labor) 7,955 7,757 (2.6%) 7,562
Operating Margin % 5.1% 3.5% 5.3% F.T.E.'s Per CMI Adjusted Admission 23.53 23.22 (1.3%) 23.37
OPERATING STATISTICAL MEASURES - June
OPERATING FINANCIAL MEASURES - June
OTHER INSTITUTIONAL MEASURES - Year to Date
University of Virginia Medical Center
SUMMARY OF OPERATING STATISTICS AND FINANCIAL PERFORMANCE MEASURES
Fiscal Year to Date with Comparative Figures for Prior Year to Date -June FY2016
Excludes Culpeper Regional Hospital
OTHER INSTITUTIONAL MEASURES - Year to DateADMISSIONS and CASE MIX - Year to Date
REVENUES and EXPENSES - Year to Date
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University of Virginia Medical Center
SUMMARY OF OPERATING STATISTICS AND FINANCIAL PERFORMANCE MEASURES
Fiscal Year to Date with Comparative Figures for Prior Year to Date - March 31, 2015
Assumptions - Operating Statistical Measures
Admissions and Case Mix Assumptions
Admissions include all admissions except normal newborns
Pediatric cases are those discharged from 7 West, 7 Central, 7 North, NICU and PICU
Psychiatric cases are those discharged from 5 East
TCH cases are those discharged from the TCH, excluding any Medicare interrupted stays
All other cases are reported as Adult
Short Stay Admissions include both short stay and post procedure patients Case Mix Index for All Acute Inpatients is All Payor Case Mix Index from Stat Report
Other Institutional Measures Assumptions
Patient Days, ALOS and ADC figures include all patients except normal newborns Surgical Cases are the number of patients/cases, regardless of the number of procedures performed on that patient
Assumptions - Operating Financial Measures
Revenues and Expenses Assumptions:
Medicaid out of state is included in Medicaid Medicaid HMOs are included in Medicaid
Physician portion of DSH is included in Other
Non-recurring revenue is included
Other Institutional Measures Assumptions
Collection % of Gross Billings includes appropriations
Days of Revenue in Receivables (Gross) is the BOV definition
Cost per CMI Adjusted Discharge uses All Payor CMI to adjust
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: IV. School of Medicine Research: Recent
Successes
ACTION REQUIRED: None
BACKGROUND: David S. Wilkes, M.D., is the Dean of the
University of Virginia School of Medicine. Dr. Wilkes is a
nationally recognized specialist in pulmonary disease and
critical care medicine. Before coming to U.Va., Dr. Wilkes
served as executive associate dean for research affairs at the
Indiana University School of Medicine.
William Jeffrey Elias, M.D. attended the University of
Virginia for medical school and neurosurgical training.
Following residency, he pursued additional training in
stereotactic and functional neurosurgery at the Oregon Health
Sciences University. In 2002, Dr. Elias returned to the
University of Virginia where he is currently the director of
stereotactic and functional neurosurgery with a large
multidisciplinary program in the surgical treatment of movement
disorders, epilepsy, and spasticity.
Sean R. Moore, M.D., M.S., is an Associate Professor of
Pediatrics at the University Virginia School of Medicine and
Director of Research for the Division of Pediatric
Gastroenterology, Hepatology, and Nutrition. Introduced to the
grand challenges of childhood diarrhea and malnutrition two
decades ago as a U.Va. graduate student, his laboratory
focuses on understanding and reversing the vicious cycle
of diarrhea and malnutrition in vulnerable children.
DISCUSSION:
Staying Focused: Focused Ultrasound at U.Va.
Advances in ultrasound technology and MRI have now enabled
the delivery of acoustic energy through the intact human skull
with extreme precision. In 2011, a team at U.Va. performed the
first focused ultrasound treatment for essential tremor - an
event representing a major paradigm shift in the treatment of
movement disorders and neurologic disease. An international
randomized clinical trial, led by researchers at U.Va., recently
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proved the effectiveness and safety of focused ultrasound for
treating essential tremor and resulted in the first FDA approval
for use in the brain. Additional clinical trials are underway
to treat Parkinson’s disease, epilepsy, and pain syndromes.
Understanding and Reversing the Vicious Infection-
Undernutrition Cycle
Dr. Moore's research program encompasses basic,
translational, clinical investigation, and systems biology;
using approaches that span human gastrointestinal stem cell
models of infection, mouse models of undernutrition and
diarrhea, and pediatric studies of gut injury and repair in low-
resource settings. His work is externally supported by the
National Institutes of Health (NIH), The Gates Foundation, and
the Defense Advanced Research Projects Agency (DARPA), with the promise of innovation for precision care of children and adults
with gastrointestinal diseases.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: V. Medical Center Chief Executive Officer
Report
ACTION REQUIRED: None
BACKGROUND: Pamela M. Sutton-Wallace is the Chief Executive
Officer of the University of Virginia Medical Center. Before
assuming this position on July 1, 2014, she served as Senior
Vice President for Hospital Operations of Duke University
Hospital where she was responsible for several key operational
areas, including Perioperative, Emergency/Trauma, Diagnostic,
Medical-Surgical Critical Care, and Facility and Support
Services. Ms. Sutton-Wallace joined Duke in 1997 as an
administrative fellow and held several management positions
during her 17-year tenure at the Duke University Health System.
DISCUSSION: The Chief Executive Officer of the Medical Center
will inform the MCOB of recent events that do not require formal
action. In addition, the following describes significant
operations of the Medical Center, focused on our Fiscal Year
2016 priorities of healing, serving, engaging, and building,
occurring since the last MCOB meeting.
OPERATIONS REPORT
On August 1, William “Bill” Fulkerson joined the Medical
Center as Chief Operating Officer. Mr. Fulkerson came to U.Va.
from Vanderbilt University Medical Center where he served as
Associate Operating Officer. He previously worked at Duke
University Hospital, where he served as Administrator for
Oncology Services and Cellular Therapies. At U.Va., Mr.
Fulkerson will oversee the day-to-day operations of the Medical
Center, including oversight of the 11 clinical services lines.
In addition, Mr. Fulkerson will be a key leader in the Be Safe
initiative and the University Hospital bed tower expansion
project.
HEALING: Clinical Quality and Safety
U.S. News and World Report’s 2016-2017 “Best Hospitals”
guide has recognized eight University of Virginia Health System
specialties and ranked U.Va. as the No. 1 hospital in Virginia
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for the first time. In addition, U.S. News and World Report’s
2016-2017 “Best Children’s Hospital” recognized four specialties
in the UVA Children’s Hospital.
Be Safe performance improvement coalitions supporting
readmission reduction, improvement in the patient experience (in
both the inpatient areas and the Emergency Department (ED)),
reducing mortality, reducing hospital-acquired pressure ulcers
(HAPU), and development of the Model Cell (on 3 West) are in
varying stages of 90-day improvement “sprints.” The Be Safe
Steering Committee has also approved a revised set of “Big 6”
metrics for Fiscal Year 2017 on which ongoing improvement
efforts will be focused. These metrics are aligned with the
Fiscal Year 2017 Balanced Scorecard, which in turn aligns with
our six U.Va. Health System goals.
At the end of Fiscal Year 2016, Be Safe “Big 6” performance
metrics for central line-associated blood stream infections
(CLABSI), catheter-associated urinary tract infections (CAUTI),
and patient falls with injury all saw improvement. As a result,
these outcome measures have been transitioned to clinical
operations owners for ongoing oversight. A new Be Safe
dashboard for Fiscal Year 2017 has been developed with the
following new measures: Team Member Injuries, Positive C. Diff,
and Hand Hygiene Compliance.
Be Safe and various corporate services departments (Quality
and Performance Improvement, Finance, Project Management,
Analytics, Health Information and Technology, Facilities, and
Marketing) continue to adjust our support services to align with
the new Service Line structure. This involves the completion of
Service Line-based work plans and scorecards (reflecting the
Fiscal Year 2017 Balanced Scorecard), as well as providing
Performance Improvement Coaching support at the Service Line
leadership level.
SERVING: Patient Experience
In June, the Patient Care Services team implemented the
four components of the Inpatient Patient Experience Bundle.
This collection of evidence-based best practices includes Leader
Rounding, Comfort Rounds, Bedside Handover of Care, and Quiet at
Night. They were developed from established Best Practices and
customized by unit champions and supported by the Patient
Experience Office. The Bundle had an impact on the patient
experience outcomes even during the development phase due to the
engagement of front line staff as champions.
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The ED process improvement team continues to focus on
monitoring the communication standards and scripting that was
implemented in January 2016. The focus on better informing
patients about delays during their care has been proven to
impact the patient’s overall experience and has been supported
by outcomes. Ongoing observation and feedback have been used to
extend the strong performance of the first quarter into the
second quarter. Their satisfaction score in the first and
second calendar quarter of 2016 (84.5) is above goal (83.5).
ENGAGING: Team Member Engagement
The annual U.Va. Health System Team Member Engagement
Survey results were released on June 29. Engagement at the
Medical Center has increased slightly from 3.97 to 3.99. This
is positive news given the amount and pace of change occurring
in the Medical Center.
A recognition breakfast occurred on September 7th to
celebrate the top performing Medical Center leaders on last
year’s survey: those with engagement scores in the top 10%, and
the five most improved departments. In an effort to allow
leaders to focus on competing priorities, the action planning
process has been suspended this year. Support will be provided
by Organizational Development and Patient Experience to select
teams with three year trends of low engagement, low patient
satisfaction, and high turnover.
This is the fourth survey administration with Gallup, whose
contract expires on December 31, 2016. To determine the best
vendor to meet engagement survey needs in the future, a Request
for Proposal (RFP) was posted on Monday, July 25, 2016. An
advisory group of team members and senior leaders will attend
vendor demonstrations and make a recommendation as to which
vendor best fits the Medical Center’s needs. The goal is to the
complete process and have a vendor contract awarded by December
31, 2016.
BUILDING: Growth and Stewardship
The Medical Center officially broke ground on the hospital
expansion project in June, and the project remains on schedule.
As facility planning concludes and construction ensues, clinical
and operational planning will continue throughout Fiscal Years
2017 and 2018 to ensure a successful transition and optimization
of the new space.
EPIC implementation is entering year three, which includes
implementation of several clinical EPIC modules: revenue cycle
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(including scheduling), perioperative and anesthesia services,
clinical lab services and home health. The Patient and Family
Friendly Access (“PFA”) project, which focuses on scheduling
operations, is integral to the EPIC project and this operational
redesign is being executed in parallel with EPIC technical
implementation. Because scheduling functions occur in both the
School of Medicine and Medical Center by staff from both
entities, scheduling redesign is taking place with close
collaboration between the Medical Center and the School of
Medicine. Three semi-centralized scheduling pods (Oncology,
Women’s and Children’s and Transplant) are being activated in
Fiscal Year 2017. The remaining scheduling pods will be
activated over the next two years.
Since March, the Medical Center has worked with Latimer
Health Strategies and other consulting partners to conduct a
Health System integrated space planning assessment of our
physical space across the clinical, research, and
teaching/administrative domains. Final recommendations will
include requests to expand and modernize Health System
facilities, particularly ambulatory and research operations,
over the course of many years to effectively meet current and
future patient and faculty needs.
Recent Designations & Re-Certifications
The following certification and accreditation activities
occurred during the past 90 days:
The Pharmacy Residency programs were re-accredited by
the American Society of Health System Pharmacists.
Inpatient Psychiatry successfully completed a
triennial licensure re-inspection.
The Histocompatibility Laboratory was re-accredited by
the American Society of Histocompatibility and
Immunogenetics.
The Medical Transport programs were re-accredited by
the Commission on the Accreditation of Medical
Transport Systems.
The Lynchburg Dialysis Center was re-certified for the
End Stage Renal Disease Program by the Centers for
Medicaid and Medicare Services.
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Radiology services in the Battle Building were re-
accredited by the American College of Radiology.
The Ventricular Assist Device program was re-certified by
the Joint Commission.
The new dialysis centers at Appomattox and Staunton
achieved initial certification for the End Stage Renal
Disease Program.
The State Fire Marshal completed a re-inspection of the
main hospital building.
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UNIVERSITY OF VIRGINIA
BOARD OF VISITORS AGENDA ITEM SUMMARY
BOARD MEETING: September 15, 2016
COMMITTEE: Medical Center Operating Board
AGENDA ITEM: VI. Health System Development Report
ACTION REQUIRED: None
BACKGROUND: Health System Development provides reports of
recent activity to the MCOB from time to time.
DISCUSSION:
SIGNIFICANT GIFTS
April 1 – June 30, 2016
An anonymous alumna is establishing a $1 million bequest to
create an undergraduate scholarship for the School of Nursing.
A grateful patient committed $500,000 in support of Dr.
Loughran’s research in LGL Leukemia.
An anonymous donor committed $250,000 in support of the
Gynecologic Oncology Research Program.
Following a visit to the Medical Center Situation Room for
a ceremony honoring her late husband, a friend of the Health
System announced her decision to permanently endow the Charles
L. Brown Patient Care Quality Award with a $250,000 estate gift.
A friend of the Health System, through his family
foundation, has committed an additional $125,000 to support a
collaborative Alzheimer’s research project between John Lukens
(School of Medicine – Neuroscience) and Chris Deppmann (College
of Arts & Sciences – Biology), augmenting his existing 2016 gift
of $750,000.
A medical alumnus committed $100,000 to create a named
educational and research fund in honor of his parents. The
Department of Orthopaedics also agreed to match his contribution
with departmental funds.
An anonymous donor committed $125,000 through the
Charlottesville Area Community Foundation to support epilepsy
research in the Division of Pediatric Neurology.
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The Department of Neurosurgery pledged $100,000 to raise
funds for the John Jane Fund for Excellence in Neurosurgery.
The Jane family has made a similar commitment, and fundraising
is ongoing among former residents and friends of Dr. Jane.
A medical alumnus committed $100,000 to the John Jane Fund
for Excellence.
Friends of the Health System made an additional gift of
$100,000 to support the Christiana M. Brenin Hematological
Oncology Fellowship Program, bringing their total giving to the
charitable remainder trust to $1 million. They are considering
a gift of their estate to the Cancer Center.
FUNDRAISING PROGRESS THROUGH JUNE 30, 2016*
FY16 to date progress
(7/1/15 through 6/30/16)
FY 16
Annual Goal
FY 16
Progress to
Date
FY 15
(through
6/30/15)
New gifts $40,000,000 $42,421,946 $40,700,643
New pledges $6,000,000 $6,286,785 $3,703,518
Total new commitments
(excludes pledge payments
on previously booked
pledges)
$46,000,000 $48,708,731 $44,404,161
New expectancies $9,000,000 $9,219,876 $20,290,000
Total new gifts, pledges,
and expectancies
$55,000,000 $57,929,607 $64,694,161
*unofficial numbers for FY 16 (official numbers have not yet
been released by University Advancement)