Intermountain Trustee AN EMAIL BRIEFING FOR 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, .

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 —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 , 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 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 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 This independent company will help providers understand how variations in surgical procedure supplies and staffing affect outcomes, costs

Intermountain Healthcare and Oxeon—a healthcare growth services firm—have launchedEmpiric Health, an independent company that uses technology to address variations in healthcare costs and outcomes for clinicians and health system administrators.

The company’s services will be based on a program called ProComp, which was built by clinicians from Intermountain’s Surgical Services Clinical Program to increase awareness of how variations in the way surgical procedures are performed—from supply utilization to staffing—impact patient outcomes and overall cost of care.

“This tech-enabled service changed the way our surgical teams think about and deliver care,” said Mark Ott, MD, Chief Medical Director for the Intermountain Central Region. “By catalyzing a cultural shift from experience-based to evidence-based medicine, we can now deliver cost and quality improvements in a way both clinicians and health system administrators trust and use.”

To date, ProComp has created operational efficiencies resulting in more than $90 million in savings for Intermountain and its patients—including reducing supply costs and patient length of stay.

More information is available here or at www.empirichealth.com.

Medical Group Capital Projects Will Improve Patient Access New construction projects aimed at versatility, efficiency, and standardization

Intermountain Medical Group is growing with new clinics and clinic expansions to meet rising patient and community needs. In the coming months, a number of new clinics and clinic expansions will:

• Support population-focused, team-based care through more collaborative and centralized work areas • Promote and encourage standard work, more effective operations, and clinical integration • Increase clinical space and efficiency of open design • Implement lean design principles, leveraging learnings from other clinics • Encourage 100 percent participation prior to, during, and after design and construction • Create space with the versatility to accommodate future growth and needs, including Personalized Primary Care (PPC), iCentra, technologies, and future-state workflows Upcoming projects include:

• Park City InstaCare and WorkMed • Utah Valley Clinic • Alta View Specialty Clinic expansion • Layton Parkway Clinic • Heber Valley InstaCare • Bountiful Clinic expansion • Lehi Clinic • Saratoga Springs Clinic expansion • Dixie Precision Medicine and Dixie Women’s Clinic

Other projects in the works Future projects include expansion of the West Jordan Clinic, replacement of the Herefordshire Clinic, a new clinic in Little Valley/Washington Fields, an expansion of the Rose Canyon Clinic, and a new clinic in Spanish Fork.

New Ads Promote Advancements in Heart Care Ads highlight work at Intermountain Heart Institute

A new series of ads featuring Intermountain patients and caregivers highlights the extraordinary work being done by the Intermountain Heart Institute at Intermountain Medical Center. The campaign launched publicly in mid-March and will run for the next couple of months, with ads airing on TV, radio, billboards, online, social media sites, in newspapers, and at healingforlife.com.

Two extended videos are also available on healingforlife.com. One tells the story of Hans Olsen, who was brought to the Heart Institute following a STEMI heart attack; doctors had the blockage opened within 17 minutes. The second tells the story of Brent Haupt, who received an artificial heart, then a heart transplant.

Read more about the Intermountain Heart Institute and other advancements at Intermountain Healthcare.

Meet Fellow Trustee Tim Henrickson Henrickson serves as Vice Chair at Cassia Regional Hospital

Tim Henrickson was appointed to the Cassia Regional Hospital Board of Trustees in 2010. He currently serves as the Vice Chair of the Governing Board, on the Professional Standards Committee, as well as the Vice Chair of the Executive, Planning, and Finance Committees.

In his career, Tim has been a financial advisor for Edward Jones since 1985. He and his wife Lori manage the Burley, , Edward Jones branch. Tim also volunteers to train and mentor aspiring financial advisors. He has served in various leadership olesr and was named a partner in the Jones Financial Companies in 1989. TRUSTEES AS ADVOCATES AND AMBASSADORS

How Intermountain Determines Pay for Caregivers Helping trustees understand Intermountain’s pay philosophy

Intermountain caregivers receive annual pay increases each April. It is helpful for trustees to understand our long-term pay philosophy, which is to pay market-competitive wages within the labor market.

“Our caregivers dedicate themselves to taking great care of our patients and contributing their talents in all of the various roles that create a great healthcare organization,” said Joe Fournier, Intermountain’s Vice President and Chief People Officer. “We want to ensure we’re aligned with what’s currently being paid in our job market. We’re always gratified when the economy and our organization’s financial status support increases for our caregivers.”

This year, Intermountain made an additional overall investment in pay, and the percentage annual increase for many caregivers, especially for clinical jobs, will be higher than in previous years—to remain fair and competitive in a time when the demand for healthcare workers has been very high.

These market adjustments don’t affect everyone. “The job market often changes. And even if we’re in a job at Intermountain where the pay is already where it should be, we all benefit when we’re able to build strong teams throughout the system,” Fournier said. “We always need to be sensitive to keeping care affordable for people in our communities, so we can’t offer excessive pay, but we also want to attract skilled and committed people in every job. When we’ve invested in hiring and training caregivers, we want to keep them at Intermountain where they can grow. This was a year when the market changed for many of our jobs, and we’re glad we were able to invest in them.”

Community Health Needs Assessment Identifies Challenges, Sets Priorities Assessment pinpoints priorities of preventing prediabetes, high blood pressure, depression, and prescription opioid misuse

Intermountain conducted a Community Health Needs Assessment during 2016 to identify the greatest health challenges facing communities served by each of our 22 hospitals—in collaboration with the Utah Department of Health, Idaho Department of Health and Welfare, and local health departments in each community. As a result of these assessments, Intermountain identified four health priority needs, including prevention of:

• Prediabetes • High blood pressure • Depression • Prescription opioid misuse

We are now addressing these needs—especially for low-income and underserved people— through screening, education, and treatment. The assessment is just one of the ways we promote health and access to care for people in our communities. We provide services directly and in collaboration with others.

INTERMOUNTAIN IN THE NEWS

Intermountain CEO Named to List of 100 Great Healthcare Leaders Becker’s Hospital Review cites exemplary healthcare leaders in 2017 list

Becker’s Hospital Review has named Marc Harrison, MD, Intermountain’s President and CEO, to its 100 Great Healthcare Leaders to Know for 2017 list.

“Healthcare has been moving from volume to value-based care for the past decade,” the article states. “Now healthcare institutions need strong leadership to navigate the changing industry tides ... while continuing to promote higher quality care at a lower cost.”

Dr. Harrison, who became CEO at Intermountain last October, is a pediatric critical care intensivist by training. He was previously the Chief of International Business Development for Cleveland Clinic, where he developed and implemented the system’s international strategy. He also spent time as the CEO of Cleveland Clinic Abu Dhabi, which developed 12 Institutes, five Centers of Excellence, and more than 30 medical and surgical specialties under his leadership.

What the World Is Saying About Us Excerpts from recent media coverage

Science News Today (Feb. 2, 2017) Intermountain Precision Genomics Announces Translational Science Center “The center will house several of the latest high-throughput next-generation sequencing instruments for large-scale whole genome sequencing. This initiative comes as Intermountain’s next step to bring personalized medicine from the lab bench to clinical practice and improve patient’s lives.” Modern Healthcare Magazine (Feb. 4, 2017) Intermountain Helps Grocery Shoppers Steer Past Junk Food “Intermountain Healthcare and Associated Food Stores have partnered with the Utah Department of Health to set up a LiVe Well Lane checkout stand in 43 of Associated’s Utah grocery stores. These lanes feature healthy snacks selected by dieticians instead of the candy and single-serve junk foods usually offered.”

Becker’s Hospital Review (Feb. 8, 2017) Creating Health System Strategy When ‘Policy Is Out of Our Control’ – 5 Questions on ACA Repeal With Intermountain CEO Dr. A Marc Harrison “Above all else, we need to maintain our commitment to provide better value for patients. Given the right tools, we can meet the goals of coverage and care access, and providing care at reasonable costs.”

The Advisory Board (Feb. 13, 2017) Intermountain, Omada Team Up on Digital Diabetes Pilot Program “Intermountain Healthcare and Omada Health have launched a pilot program that uses digital tools to prevent the onset of diabetes in at-risk patients.”

Wellness News Today (Feb. 16, 2017) Four Ways to Keep Your Healthcare Costs Down “Initiatives at Intermountain Healthcare have lessened the cost of care for patients by an estimated two billion dollars since 2011, all while maintaining high-quality care.”

Healthcare IT News (Feb. 19, 2017) Precision Medicine’s Holy Grail: Anticipate Cancer’s Next Step “[Dr. Mark] Lewis’ opening keynote at the [Feb. 19] HIMSS 17 Precision Medicine Symposium highlighted the results of Intermountain’s precision medicine program, which has reduced cancer treatment costs and improved patient outcomes.”

Healthcare Dive (Feb. 23, 2017) How Tele-ICUs Are Giving Hospitals a Boost “At Intermountain Healthcare’s tele-ICU support center, a team of four critical care nurses and a board-certified critical care physician monitor patients 24/7 via a steady data stream from EMRs, two-way audio-visual connections and bedside monitors.”

Health Data Management (Feb. 27, 2017) Why Big Data Must Be Better Utilized to Fight Cancer “Private efforts are underway. These include forward-thinking providers such as US Oncology and Intermountain Healthcare…” AWARDS AND RECOGNITION

Truven Names Four Intermountain Hospitals Among Nation’s Top 100 Recognition based on patient care and satisfaction, operational efficiency, financial stability

Four Intermountain Healthcare hospitals made the Truven Health Analytics 2017 list of 100 Top Hospitals. To generate the list, Truven evaluates hospitals on patient care and satisfaction, operational efficiency, and financial stability, and compares hospitals against similar facilities in terms of size and teaching status. The Top 100 list is based on independent public data, risk-adjusted and peer-reviewed methodology, and key performance metrics. The four Intermountain hospitals recognized are:

• (small community hospital category) • (medium community hospital category) • LDS Hospital (teaching hospital category) • (large community hospital category)

Truven identifies a total of 100 hospitals divided into five groups: major teaching hospitals (15), teaching hospitals (25), large community hospitals (20), medium community hospitals (20), and small community hospitals (20).

Intermountain Named One of the ‘150 Top Places to Work in Healthcare’ Becker’s Hospital Review includes Intermountain on list for fourth consecutive year

Becker’s Hospital Review recently published its annual list of “150 Top Places to Work in Healthcare” and included Intermountain Healthcare for the fourth consecutive year. The list recognizes hospitals, health systems, and organizations “committed to fulfilling missions, creating outstanding cultures, and offering competitive benefits to their employees,” according to the Becker’s article.

Intermountain was the only healthcare provider in Utah included on the list, but Utah-based CHG Healthcare Services and Health Catalyst also made the list for 2017.

Joe Fournier, Intermountain’s Vice President and Chief People Officer, said, “This recognition symbolizes the outstanding service our caregivers provide to our patients, families, and community every day. I am humbled by their commitment to Intermountain and for making it one of the top places to work in healthcare.” Fifteen Medical Group Clinics Receive the HealthInsight Award Intermountain Clinics recognized for quality and service based on national benchmarks

Fifteen Intermountain Medical Group clinics earned the 2016 HealthInsight Physician Office High Performance Award. The award recognizes reaching above the 75th percentile benchmarks on at least six clinical quality and/or experience measures. Results are based on 2015 Centers for Medicare & Medicaid Services quality of care measures, scores from the Clinician and Group CAHPS survey administered by the U.S. Department of Health & Human Services, and best practice adherence data.

HealthInsight is a not-for-profit, community-based healthcare consulting organization that works to improve health and healthcare for patients and providers. The recognized clinics are:

• Bountiful Clinic, Family Practice • Bountiful Clinic, Internal Medicine • Bountiful Clinic, Pediatric • Budge Clinic Internal Medicine (Logan) • Cottonwood Family Medicine (Murray) • Ephraim Clinic • Logan Clinic Family Medicine • Manti Clinic • Memorial Pediatric Clinic (Salt Lake City) • Moroni Clinic • Mt. Pleasant Clinic • North Clinic (Hyde Park) • North Orem Clinic • South Cache Valley Clinic (Providence) • Sunset Clinic (St. George)

Learn more about HealthInsight quality awards here.

Links Newsletter Archive » Trustee Resource Center »