Memorialcare Annual Report
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Annual Report Fiscal Year 2018 3 | MemorialCare Leaders in Value-Based Care A message from Barry Arbuckle, President & CEO Through our innovative Accountable Care Organizations (ACOs), including direct-to-employer options, we’re improving the health of Today’s savvy consumers and employers want healthcare plans that our patients, offering a great experience and reducing the overall cost provide quality, affordability and exceptional service. So MemorialCare of care. As employers puzzle over the economics of providing the best is expanding our network of care with convenient locations across quality, affordable plans to their employees, MemorialCare is proud to Southern California. offer high-value solutions. As the healthcare landscape transforms, we offer simply better care to a new generation of patients. • This year, MemorialCare continued our steadfast commitment to a value-based ambulatory strategy, including new physician locations, imaging, surgical and urgent care centers. • We tripled our ambulatory imaging sites from 10 to 35, with more coming. We offer convenient service at eight surgical centers and 13 Barry Arbuckle, Ph.D. community-based dialysis sites. • We launched a new Clinically Integrated Network with leading physicians to focus on improving quality and reducing costs. President & • MemorialCare Medical Group continues to take a collaborative Chief Executive Officer approach to treating and preventing chronic conditions and now MemorialCare offers rapid response care to patients with anxiety and depression. • Miller Children’s & Women’s Hospital Long Beach has opened pediatric locations across the region, with specialty centers in Irvine, Fountain Valley and Torrance. Plus, in strategic partnership with UCLA Mattel Children’s Hospital, we are enhancing children’s services across Southern California. 3 Steps to Being Simply Better California’s leaders in patient satisfaction Excellent physicians are at the heart of great care, so we’re especially proud that doctors with MemorialCare Medical Group and Greater Newport Physicians were ranked first and second in Orange County in the 2018 annual patient satisfaction survey. Statewide, patients rated doctors with both MemorialCare Medical Group and Greater Newport Physicians in the 98th percentile. That’s simply better care! We’re always improving In our hospital environments, clinical excellence is always top of mind, and so too is patient experience. Using HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) —the national standard for reporting — MemorialCare achieves high standards for how many patients rate their experience a 9 or 10. Tammie Brailsford, RN Executive Vice President and Chief Operating Officer MemorialCare “A patient’s experience is made up of hundreds of different moments, from scheduling your appointment, to being guided through treatment with skill and care, to understanding your bill. We’re passionate about making every single step in healthcare simply better.” 4 | MemorialCare Counting on Our Care What Our Patients Say 9,320 babies delivered “Thank you MemorialCare for “All the nurses were amazing – taking such great care of me and super kind, super professional. 1,353 licensed beds my family. And I really appreciate Thanks to them, we knew exactly how you taught me to take care what was going on during every 267,000 patients in value-based plans of myself.” minute of labor.” – Aidan, 18-year-old patient – Tori, new mom. 298,000 patient days (including newborns) transitioning from pediatric care at Miller Children’s & Women’s “It’s much easier to head off a Hospital to adult care. 570,000 medical group visits medical problem early. Don’t ignore symptoms, go see your 246,000 emergency department visits “I’m back to running and swimming doctor. Without the support of my and I’m so thankful to the doctors family, doctors and nurses, I might not be here.” 65,100 patient discharges and nurses who helped me so I can go the distance and achieve all my – Bill, cancer care. 59,000 ambulatory surgeries life goals.” – Javier, cardiac care. 42,000 hospital-based surgeries 767 average daily census 150,000 home health visits 5 Revolutionizing Value in Healthcare Helen Macfie, Pharm.D. Leading best practice healthcare Chief Transformation Officer Our dedicated care teams set and achieve bold goals for excellence. MemorialCare As a result, our patient outcomes are constantly improving. In addition to the everyday work of delivering great healthcare, we have positively touched more than 137,166 lives since 2007 with our efforts. “In 1997, a group of physicians with a passion for delivering integrated healthcare launched MemorialCare. This year, we took With bold goals for excellence in 2018, we have achieved: integration one step further by launching the MemorialCare Clinically Integrated Network and focusing on evidence-based care, improving • 27% reduction in C-section rates quality, efficiency and coordination.” • 60% improvement in sepsis survival • 20% higher childhood immunizations rates than the state average • 18% higher optimal diabetes care than the state average Collaborative care for behavioral health Our primary care providers and behavioral health specialists take a collaborative approach to caring for patients with depression and anxiety. This year MemorialCare Medical Group added integrated behavioral healthcare at three sites in Fountain Valley, Irvine and San Juan Capistrano, with more locations to follow. Next steps include the addition of tele-health options so physicians and patients at different offices can consult remotely and receive faster, integrated interventions. Investing in surgical precision Significant investments in surgical innovation allow us to offer patients the highest level of precision and a minimally invasive approach whenever possible. • The Mako® robotic-assisted arm for joint replacement surgery provides a new level of precision for optimal patient outcomes. • Our expert surgeons offer smaller incisions and faster healing with the groundbreaking da Vinci® Surgical System. 6 | MemorialCare Southern California’s Leader in Aetna Whole Health • Reduced avoidable emergency department visits by 15 percent Value-Based Care • Achieved 100 percent performance on all quality measures for MemorialCare offers more value-based products than any other health cancer and diabetes screenings system in Southern California. Our Accountable Care Organizations (ACO) include a customized, direct contract between MemorialCare • Beat the market in managed population costs by nearly three percent and Boeing called the MemorialCare Health Alliance, as well as other • Achieved 30 percent increase in wellness testing and screening innovative plans like Aetna Whole Health, and Vivity offered by Anthem Blue Cross. In addition, our Anthem and Vivity ACOs continue to deliver excellent and affordable healthcare. Between 2017 and 2018: MemorialCare Health Alliance • Grew enrollment by 28 percent • Reduced total cost of care by four percent for plan members who opted for the ACO and participated for the entire year • Exceeded patient satisfaction targets • Scored number one in quality for all Boeing ACOs Marcia Manker Chief Executive Officer Orange Coast Medical Center Saddleback Medical Center “In value-based health plans, MemorialCare takes responsibility for the total cost of care, we collaborate with plans to constantly lower costs, and we improve quality. We are transparent about our performance in quality, service and cost measures. We’re accountable because that’s the way we believe it should be.” 7 Caring for Families Across the Region New neighborhood health centers We’re making it easier for patients to find the best quality care wherever they live or work. This year MemorialCare Medical Group added more convenient locations: • Our new health center in downtown Anaheim offers primary care, pediatric care and a Coumadin® Clinic. • Our new 9,400 square foot health center in Laguna Hills includes an on-site laboratory, ultrasound and X-ray, and convenient access to family medicine, pediatric, gastroenterology and rheumatology services. • MemorialCare Medical Group’s new site in the Sendero Marketplace, Rancho Mission Viejo serves families in this high growth community while we build a brand-new location. Mark Schafer, M.D. Chief Executive Officer MemorialCare Medical Foundation “Our goal is to offer convenient access to quality healthcare, so we’re growing our primary care services, ambulatory surgical locations and outpatient imaging. Now, through MemorialCare’s joint venture with RadNet launched in January 2018, we have created the largest outpatient imaging network in Southern California.“ 8 | MemorialCare It takes a village Miller Children’s & Women’s Hospital Long Beach is one of only eight free-standing children’s hospitals in California. We treat more than 14,000 children each year, and we’re a regional pediatric destination for more than 84,000 children who need specialized care in our outpatient locations. Our new 80,000 square foot Children’s Village, when complete in 2021, will bring 36 pediatric specialties under one roof, allowing families to receive all the care they need in one easy-to-access location. Regional pediatric care Through strategic partnerships like Miller Children’s affiliation with UCLA Mattel Children’s Hospital, we’re improving access to complex care and extending leading edge research. Our newly launched joint operations and joint physician advisory committees are guiding our efforts.