Business Plan Presentation to Palm Drive Health Care District Board of Directors January 26, 2015 - PowerPoint PPT Presentation


PPT – Business Plan Presentation to Palm Drive Health Care District Board of Directors January 26, 2015 PowerPoint presentation | free to view - id: 6dc760-Y2ExN


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation

Business Plan Presentation to Palm Drive Health Care District Board of Directors January 26, 2015


Business Plan Presentation to Palm Drive Health Care District Board of Directors January 26, 2015 Building on the nationally acclaimed clinical care Palm ... – PowerPoint PPT presentation

Number of Views:394
Avg rating:3.0/5.0
Slides: 34
Provided by: sonom5


Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Business Plan Presentation to Palm Drive Health Care District Board of Directors January 26, 2015

Business PlanPresentation to Palm Drive Health
Care DistrictBoard of DirectorsJanuary 26, 2015
Agenda for Todays Meeting
  • Overview/ Executive Summary of Business Plan R.
  • Introduction of Sonoma West Medical Center Team
  • Details of the Business Plan R. Hino
  • Governance
  • Services
  • Specialty Institutes
  • Financial Strategy
  • Marketing
  • Start Up Capital
  • Financial Projections G.
    Minervini-Zick/D. Yarbrough
  • Questions

Contributors To the Plan
  • Jim Maresca
  • Sandra DeBella Bodley
  • Raymond Hino
  • Jim Gude, MD
  • Dan Smith
  • Glenn Minervini-Zick
  • David Yarbrough
  • John Rinset
  • Alan Bernstein, MD
  • Kathy Norris
  • Gail Thomas
  • Tom Boag
  • Kurt Hoffman
  • Beth Deutsch
  • Terry Newmyer
  • Gerald Sullivan

Plan Overview/ Executive Summary
Whats Going to Be Different About Sonoma West
Medical Center
  • New Outpatient Service Lines for Urology,
    Endocrinology, Rheumatology, and Integrative
  • No Wait Emergency Department
  • Cloud based Electronic Medical Record System
  • Marketing Plan
  • Patient Education Center

Introduction of SWMC Team
  • Raymond T. Hino, MPA, FACHE CEO
  • Glenn Minervini-Zick Interim CFO
  • James Gude, MD CMO
  • To Be Determined Chief of Staff
  • David Yarbrough, RN, BS, MS, JD Interim COO/CNO
  • John Rinset Interim Med Staff/Support
  • Kathy Norris Dir, Human Resources
  • Jerry Sullivan Project Manager
  • Bruce Espinoza Information Technology
  • Tom Boag Interim Facilities Support

Plan Overview/Executive Summary
  • Obligations of Sonoma West Medical Center
  • Re-Open Palm Drive Hospital under new name of
    Sonoma West Medical Center
  • Comply with Federal, State and Accreditation
    Requirements for General Acute Care Hospital
  • Comply with Federal, State and Accreditation
    Requirements for Additional Services to include
    Emergency Department, Specialty Medical
    Surgical Institutes

Plan Overview/Executive Summary
  • Obligations of Sonoma West Medical Center
  • Staff Sonoma West Medical Center, according to
    State and Federal requirements with a competitive
    wage and benefits structure
  • Bill, collect and retain all patient accounts
    receivable, Federal, State revenues (e.g.
    Intergovernmental Transfers, AB 915 Supplemental
    Funds, HITECH)
  • Implement an Electronic Medical Record System

Plan Overview/Executive Summary
  • Obligations of Palm Drive Health Care District
  • Cooperate with SWMC to bring Palm Drive Hospital
    up to SB 1953 (Hospital Seismic Safety Law)
    Compliance for NPC2 requirements
  • Maintain Hospital License
  • Approve Physician Appointments and
    Reappointments, following a thorough vetting of
    physician applications by SWMC
  • Contribute a Minimum of 1.5 Million per year
    beginning in Year 2 for Operations
  • Cooperate with SWMC to transition from Management
    Agreement to Lease Agreement in the future

Plan Overview/Executive Summary
  • SWMC PDHCD Agree to
  • Enter into a Management Agreement between Sonoma
    West Medical Center, Inc Palm Drive Health Care
    District (5 year term Two additional 5 year
  • Work together on a Chapter 9 Bankruptcy Exit Plan

Details of the Business Plan
Details of the Business Plan
  • Governance
  • SWMC Directors are selected for business and/or
    health care knowledge, community involvement,
    governance skills and related experience.
  • Initial SWMC Board Officers for Year 1 are as
  • Dan Smith, Chair
  • Raymond Hino, President CEO
  • Paul Caracciolo, Secretary
  • Mary Ely, CPA, Treasurer

Details of the Business Plan
  • Governance
  • PDHCD Invited to Add Up to 2 District Board
    Directors, if desired and approved by District
  • SWMC Board to Meet Monthly in Open Session
  • SWMC Board to Appoint Initial SWMC Finance
  • Mary Ely, Treasurer/ Finance Committee Chair
  • John Balletto
  • Andy Pforsich
  • Paul Caracciolo

Details of the Business Plan
  • Services
  • General Acute Care Hospital Required License
  • Outpatient Institutes
  • No Wait Emergency Service
  • Intensive Care Unit
  • Hospitalist Service
  • Telemedicine
  • Patient Education Center

Upgraded Inpatient Services
  • Specialists on Site and Through Telemedicine
  • Accredited Continuing Medical Education
  • Inviting Private Rooms for All Patients
  • Organic Food on Menu
  • Integrative Medicine
  • Room for Relatives
  • The Hospital of Choice

Outpatient Medical and Surgical Services
  • Orthopedic Surgery
  • Urology
  • Minimally Invasive Spine Surgery
  • Neurology
  • Endocrinology
  • Rheumatology

No Wait Emergency Room
  • The No Wait ER is 1 example of the emphasis that
    SWMC intends to implement to improve medical
    services and increase patient satisfaction.
  • A June 30, 2014 Impact Assessment by Coastal
    Valleys EMS agency concluded that 20-22 patients
    per day will travel to Santa Rosa.
  • CVEMS supports efforts to re-establish a licensed
    ED and hospital services.
  • Both Memorial and Sutter are seeing volume above
    their licensed capacity.

Intensive Care Unit
  • 5 bed Unit
  • Staffed According to Title 22 Regulations
  • The ICU Medical Director is Dr. Jim Gude, a Board
    Certified Intensivist
  • Covered by On sight Day Hospitalist Coverage and
    Telemedicine Coverage at Night
  • The ICU is critically important to support
    Inpatient Surgery

Hospitalist Service
  • Led by Shelleen Denno, MD, an experienced and
    well known internist and hospitalist in Santa
  • Hospitalists enhance the performance of hospitals
    by providing prompt and complete attention to all
    patient care needs
  • Enhance care by employing quality and process
    improvement techniques

New Telemedicine Programs
  • Array of Specialty Services Capable of Handling
    Complex Cases
  • Stroke Intervention
  • Research Support
  • High Acuity Medicine
  • ER Specialties

Patient Education Center
  • Single Point of Contact with Patients for phone
    communication, e-mails and visits
  • Critical for Coverage Verification
  • Interfaces with Case Managers
  • Important Physician Liaison Service
  • Critical for New Patient Acquisition
  • Also important for Customer Relations and Patient

Specialty Institutes
  • The term Institute is a popular label that
    Hospitals and Doctors currently use to describe
    an integrated medical delivery system (doctors
    and hospitals working together).
  • SWMC is using the label to describe new
    outpatient and inpatient Service Lines (Urology,
    Neurology, Endocrinology, Rheumatology)
  • Legal forms of an integrated system include
    coverage agreements, co-management, medical
    service organizations (MSOs), 1206(d) clinics, or
    physician recruitment agreements.
  • Doctors pay fair market value for services
    received from SWMC Medical Service Organization
    (typically based upon a of collections).

Specialty Institutes
  • Services to be Provided by SWMC to Institute
  • Practice Site
  • Non-professional staff
  • Practice Management
  • Billing and Collections
  • Group Purchasing Discounts
  • Managed Care Contract Negotiations

Specialty Institutes
  • SWMC Institutes
  • Bollinger Orthopedic and Sports Medicine
  • Pereira Brain and Spine Institute
  • Bretan Urology Institute
  • Integrative Medicine Institute
  • North Bay Endocrinology Institute
  • North Bay Rheumatology Institute
  • North Bay Rheumatology Institute
  • North Bay Wound Care Institute

Financial Strategy
  • Recruit Specialists in Clinical Care Specialties
    where demand exceeds supply (Neurology,
    Endocrinology, Rheumatology, Integrative
  • Manage Cost Structure (FTE management, supply
    expenses, outsource when services can be provided
    more efficiently by outside resources)
  • Revenue Cycle Management (Increase collections
    from Palm Drive Historical performance)
  • Market SWMC Clinical Services Aggressively

  • The goal of Sonoma West Medical Center is to
    maximize revenue through the following Four
    Strategy Initiatives, using data driven metrics
    and constantly evaluating effects on
  • Branding Identification
  • Acquisition of New Patients
  • Retention of Former Palm Drive Hospital Patients
  • Physician Alignment (through Institutes)

(No Transcript)
Marketing New Health Plans
Start Up Capital Requirements
  • Total Capital Required to Open Hospital 11.4
  • Sources of Capital
  • Philanthropy (5.0 Million Pledged,
    Committed) 9.0 Million
  • Palm Drive Health Care District
  • Parcel Tax Revenue in Year 1 2.0 Million
  • Transfer from Bond Reserve Fund 2.0
  • Lending 2.4 Million
  • Includes 2.0 Cash Reserve Fund
  • Includes Capital Campaign Goal of 5.0
    Required for Start Up 4.0 for Capital

Financial ProjectionsGlenn Minervini-Zick,
Interim CFODavid Yarbrough, RN, BS, MS, JD,
Interim COO/CNO