Intermountain Trustee AN EMAIL BRIEFING FOR INTERMOUNTAIN HEALTHCARE TRUSTEES March 2017 INTERMOUNTAIN ISSUES AND INITIATIVES Join Us April 4 at the New “Intermountain 2017” Event RSVP by Mar. 31 for this first-ever “report to the community” event Please plan to attend this “report to the community” event led by Marc Harrison, MD, Intermountain Healthcare President and CEO, on Tuesday, April 4, 2017. Reception and check-in will take place at 2:30 p.m. followed by a presentation from 3-4 p.m. The event will be held at the Intermountain Medical Center Doty Family Education Auditorium, 5121 South Cottonwood Street, Murray, Utah. This inaugural presentation will be a high-level overview of the role and focus of Intermountain, its economic impact in Utah, medical advancements, and Intermountain’s global vision for the future of healthcare. Please RSVP by March 31. To reserve your seat call 801-442-2895 or register at http:// intermountainhealthcare.org/2017. Intermountain Introduces Fundamentals of Extraordinary Care New model helps caregivers be even more focused on what patients expect, deserve Intermountain has launched five new Fundamentals of Extraordinary Care—safety, quality, patient experience, access, and stewardship—all delivered through engaged caregivers (remember, all Intermountain employees are considered caregivers because all directly or indirectly are involved in caring for those we serve). “As healthcare continues to evolve, we need to be more focused than ever before on the specific things every patient and customer expects and deserves from us,” said Marc Harrison, MD, Intermountain’s President and CEO. “These Fundamentals give us that sharpened focus. As highly engaged caregivers excel in these areas, we’ll deliver extraordinary care.” Trustees are encouraged to become familiar with these aspirations, which describe what Intermountain is committed to doing and working to achieve: • Safety: Patients and caregivers experience Zero Harm. • Quality: We always deliver evidence-based care that meets each individual’s healthcare goals and leads to top performance nationally. • Patient Experience: Patients and customers have an Intermountain experience that leads to lasting loyalty. • Access: All customers receive care and information where, when, and how they want it, with seamless coordination across the system. • Stewardship: We’re an indispensable community partner, achieving the healthiest communities with the lowest cost per person in the nation. We’re recognized globally as a financially sound, forever organization. • Engaged Caregivers: Our caregivers have an unparalleled work experience that supports them in delivering the Fundamentals of Extraordinary Care. Trustee Conference Builds Support, Collaboration Intermountain Trustees share ideas about what it means to be a trustee Intermountain’s annual Trustee Conference—held March 10 in Salt Lake City—included key messages from Intermountain leaders, as well as group discussions, an Open Forum Q&A session, and a health fair. Intermountain President and CEO Marc Harrison, MD, and other members of Intermountain’s Management Committee gave presentations focusing on the future of healthcare, supporting our Mission, and our new Fundamentals of Care. You can access all presentations and videos from the conference through the Trustee Resource Center Presentation Library UPDATES AND FEATURES Rob Allen Named Intermountain SVP and COO Rob Allen joins Management Committee, serves as Senior VP and COO starting April 1 “I’m very pleased to announce the appointment of Rob Allen, FACHE, as Senior Vice President and Chief Operating Officer of Intermountain Healthcare,” said Marc Harrison, MD, Intermountain’s President and CEO. “Rob will succeed Laura Kaiser, who is leaving Intermountain March 31 to take the position of President and CEO of SSM Health in St. Louis, Missouri. Rob will report to me directly and will join the other members of our Management Committee.” Rob will assume his new role April 1. He is currently Vice President, Clinical and Outreach Services, and until recently he has also been the CEO of our Park City-Heber Region. As COO, he will lead a team of regional vice presidents and key leaders focused on extraordinary healthcare delivery across Intermountain. He will also partner closely with Dr. Mark Briesacher to ensure Intermountain delivers safe, affordable, extraordinary care to our patients, families, and community. “Rob has vast experience in health system administration at Intermountain and other organizations,” Dr. Harrison said. After beginning his career in healthcare administration in Colorado, Rob joined Intermountain in 1988 as Assistant Administrator of our Evanston Regional Hospital in Wyoming, where he served as Administrator from 1991 until Intermountain sold the hospital in 1999, and as CEO at Evanston until 2002. After holding CEO positions at hospitals in New Jersey and Massachusetts, Rob returned to Intermountain in 2007 as Operations Officer for our South Region. He was named CEO of our Park City Hospital in 2008, and in 2009 he added the position of Vice President of our Rural Region to his responsibilities. In 2013 his duties were again expanded to include Outreach and TeleHealth, and in 2014 he was asked to oversee Life Flight, Homecare, and Clinical Support Services, which includes Dialysis, Imaging, Laboratory, Pain Management, Pharmacy, and Rehabilitative Services. In 2016, Environmental Care Services was added, which includes Clinical Engineering, Plant, Safety, Security, Sustainability, and Environmental Services. “As Rob assumes his new role, we’ll work with the leaders who have been reporting to him to transition his Outreach and Clinical Services responsibilities,” Dr. Harrison said. Rob received his bachelor’s degree in Operations Management from Brigham Young University and his MBA from Utah State University. He is a Fellow of the American College of Healthcare Executives. Rob has served on multiple state hospital association boards, including two terms as Chair of the Wyoming Hospital Association, and he has served on the boards of several chambers of commerce, foundations, and other organizations. He and his wife Becky have three children, Taylor, Teri, and Jami. “Please join me in welcoming Rob to his new role on Intermountain’s Management Committee,” Dr. Harrison said. “And, as always, thanks to all our trustees for your ongoing support as we continue to lead the way in helping people live the healthiest lives possible.” Utah Legislative Session Closes Medicaid and several other health programs received additional funding Utah’s 2017 legislative session ended March 9. Here are highlights of how some of the legislation affects healthcare. Medicaid The Legislature approved a 3.5 percent increase in per-member-per-month funding for Medicaid patients this year. This is the largest increase in funding since Utah moved to an ACO Medicaid model in 2013. The federal government has not approved most of Utah’s proposed Medicaid expansion, but CMS did approve—and the legislature funded—the expansion for adult parents of children on Medicaid. This will result in approximately $20 million of new funding to cover approximately 4,000 more adult parents in Utah. Other important funding for hospitals and health systems included: • $1.5 million will fund a number of new primary care residencies in the state. • The Utah Hospital Association-sponsored Rural Physician Loan Repayment program continues to be fully funded. In addition, another $300,000 was funded to help repay loans for doctors, nurses, and other mid-level professionals who work in rural or urban underserved areas. This new funding will allow rural hospitals to recruit and help get loan repayments for a variety of staff. • $5 million will help rebuild the University of Utah Medical School—and up to $190 million in bonding is approved for the medical school construction. For more information on these or on any other legislative issues, go to www.le.utah.gov. Dr. Marc Harrison Authors CNBC Editorial on National Healthcare CEO offers proposal for how to save insurance exchanges In an editorial recently published on CNBC.com, Marc Harrison, MD, Intermountain Healthcare’s President and CEO, shared Intermountain’s perspective on the role of insurance exchanges. As government leaders move to repeal and replace the Affordable Care Act, Harrison says one particular aspect of the healthcare law—the insurance exchanges—should be fixed rather than eliminated. The exchanges provide insurance to 14 million people nationwide, he said. They’re available to anyone, regardless of pre-existing conditions. But in the face of large rate increases and low payment levels, some insurance companies have decided to remove themselves from the exchange program, and other insurance companies have gone out of business entirely. Many point to rate increases and bankruptcies as signs the Affordable Care Act can’t be sustained. Others argue the exchanges give vital insurance options to people who couldn’t otherwise obtain coverage. “As a health system that sponsors the largest health insurer in our state, we see both sides of this issue clearly,” Harrison said in the editorial, later adding that Intermountain believes the exchanges should be protected, but major reforms are needed. He shares his ideas about how exchanges can exist and keep people insured—and how to create bipartisan support for healthcare coverage. Read his proposal and the full editorial here. Intermountain, Oxeon Launch Empiric Health