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Overview of Hospitals and Healthcare in Virginia
Tracey van Marcke Executive Director, VHREF
June 8, 2017
2 Contents
• Virginia Healthcare Landscape
• Virginia Healthcare Statistics
• Virginia Hospital & Healthcare Association
• VHHA Member Health Systems
3 Virginia Healthcare Landscape
• Virginia has a growing and increasingly diverse population
• Low unemployment and higher family incomes than the U.S. population overall – 4% unemployment rate in March 2017 – $65,015 median income in 2015
• Virginia’s GDP grew by 0.6% in 2016, compared to the national average of 1.5%
• Population health ranking – 19th – is slightly above the national average
• Disparities in health and healthcare access exist in Virginia
• Virginia’s uninsured rate – 10.4% in 2015, ranked 28th nationally
Sources: BEA, Census Bureau, Kaiser Family Foundation, United Health Foundation, VHDA 4 Virginia Healthcare Landscape
• Similar to the national picture, the majority of Medicaid enrollees are children, but the elderly and individuals with disabilities account for most Medicaid spending – 52% of enrollees are children; account for 22% of spending – 26% of enrollees are aged, blind or disabled; account for 67% of spending
• Most Medicaid beneficiaries - 69% - are enrolled in managed care
• Virginia currently has limited Medicaid eligibility for adults – Pregnant women with income up to 148% FPL – Elderly and disabled with income up to 80% FPL – Parents of dependent children with income up to 52% FPL – Adults without dependent children are ineligible
• 191,000 currently uninsured adults remain in the coverage gap – The ACA expands coverage to nonelderly with incomes up to 138% FPL and provides premium tax credits for individuals with incomes between 100-400% FPL – Because Virginia has not expanded Medicaid, those nonelderly adults with incomes below 100% do no qualify for Medicaid or the tax credits
Source: Kaiser Family Foundation, Medicaid in Virginia 5
Virginia Healthcare Landscape
• Virginia is implementing new quality and performance measures to improve primary and preventative care and care coordination
• Virginia is seeking to better coordinate care and control costs for its dual eligible beneficiaries
• Virginia is one of 27 states in which the federal government has set up and is running the Health Insurance Marketplace
• Virginia hospitals and health systems continue to play a safety-net role – $584.9 million in financial assistance or charity care – $333.5 million Medicaid shortfall – $133 million in subsidized health services
• Despite Virginia’s health care safety-net, the state has Health Professional Shortage Areas (HPSAs) and unmet need for care – 90 HPSAs and only 72% of primary health care need met – 50 mental health HPSAs and 83 dental HPSAs, with 61% and 47% of need met respectively
Source: Kaiser Family Foundation, 2017 Annual Report on Community Benefit 6 Virginia Healthcare Statistics
Virginia Population: 8.4 million
Emergency Department Visits: 3,636,082
Inpatient Admissions: 789,171
Babies Delivered: 94,273
Hospitals’ Community Benefit: $1.43 billion
2015 Data
7 Virginia Healthcare Statistics
**Wellmont Health System, Other, Sheltering Arms Corporation, Diamond Healthcare, and Vibra Healthcare each represent <1% 8
Virginia Healthcare Statistics
Virginia Nonelderly Uninsured Rate by County
Source: RWJ Foundation and the University of Wisconsin Population Health Institute
9 Virginia Healthcare Statistics
Source: RWJ Foundation and the University of Wisconsin Population Health Institute
10 Virginia Hospital & Healthcare Association
• 29 member health systems
• 38 VHHA staff, headquartered in Glen Allen
• Affiliates: – VHHA Shared Services – Virginia Hospital Research and Education Foundation – Virginia Business Coalition on Health – Virginia Health Care Waste Management Cooperative – Health Providers Insurance Alliance – ASPR Hospital Preparation Program
11 VHHA Strategic Plan
Vision Through the power of collaboration, the association will be the recognized driving force behind making Virginia the healthiest state in the nation by 2020.
Mission Working with our members and other stakeholders, the association will transform Virginia’s health care system to achieve top tier performance in safety, quality, value, service and population health. The association’s leadership is focused on: principled, innovative and effective advocacy; promoting initiatives that improve health care safety, quality, value and service; and, aligning forces among health care and business entities to advance health and economic opportunity for all Virginians.
12 VHHA Strategic Plan Focus Areas
1. Principled, Innovative and Effective Advocacy
2. Improving Safety, Quality, Value and Service
3. Transforming Data and Analytics Tools
4. Cutting Edge Education and Communication
5. Broadening Membership and Members Impact
13 About Virginia Hospitals
• 107 community, psychiatric, rehabilitation and specialty hospitals
• 18,881 hospital beds
• 17 designated trauma centers
• 49 percent are rural hospitals
• 51 percent are urban hospitals
• 77 percent of Virginia hospitals are not-for-profit 14 Virginia Hospitals
15 Augusta Health Care
Headquarters: Fishersville, VA
Leadership: Mary N. Mannix, President and CEO
VHHA Board Member: Mary N. Mannix, Past Chair
Hospital: Augusta Medical Center
16 Bath Community Hospital
Headquarters: Hot Springs, VA
Leadership: Kathy S. Landreth, CEO
VHHA Board Member: Kathy S. Landreth
17 Bon Secours Virginia
Headquarters: Richmond, VA
Leadership: Toni R. Ardabell, CEO
VHHA Board Member: Toni R. Ardabell
Hospitals: − Bon Secours Depaul − Bon Secours Maryview − Bon Secours Memorial Regional − Bon Secours Richmond Community − Bon Secours St. Francis − Bon Secours St. Mary’s − Bon Secours Mary Immaculate − Rappahannock General
18 Buchanan General
Headquarters: Grundy, VA
Leadership: Robert D. Ruchti, CEO
19 Carilion Clinic
Headquarters: Roanoke, VA
Leadership: Nancy Howell Agee, President and CEO
VHHA Board Member: Steven C. Arner
Hospitals: − Carilion Franklin Memorial − Carilion Giles Community − Carilion Roanoke Community − Carilion Roanoke Memorial − Carilion New River Valley − Carilion Stonewall Jackson − Carilion Tazewell Community
20 Centra Health
Headquarters: Lynchburg, VA
Leadership: E.W. Tibbs, President and CEO
VHHA Board Member: E.W. Tibbs
Hospitals: − Bedford Memorial Hospital − Lynchburg General Hospital − Southside Community Hospital − Virginia Baptist Hospital
21 Chesapeake Regional Healthcare
Headquarters: Chesapeake, VA
Leadership: Reese Jackson, President and CEO
VHHA Board Member: Kenneth R. Deans, Jr.
Hospitals: − Chesapeake Regional Medical Center
22 Children’s Hospital of The King’s Daughters
Headquarters: Norfolk, VA
Leadership: James D. Dahling, President and CEO
VHHA Board Member: James D. Dahling
23 Children’s National Health System
Headquarters: Washington, DC
Leadership: Kurt Newman, MD, President and CEO
VHHA Board Member: Kurt Newman, MD
Hospitals: − Children’s National Medical Center
24 Community Health Systems
Headquarters: Franklin, TN
Leadership: Wayne T. Smith, Chairman and CEO
VHHA Board Member: Trent Nobles
Hospitals: − Southampton Memorial Hospital − Southern Virginia Regional − Southside Regional Medical Center
25 HCA Virginia
Headquarters: Richmond, VA
Leadership: Tim McManus, President
VHHA Board Member: Tim McManus Hospitals:
− CJW Medical Center – Chippenham − CJW – Johnston-Willis − Dominion Hospital − Henrico Doctors’ Hospital − John Randolph Medical Center − Parham Doctors’ Hospital − Lewis-Gale Medical Center − Lewis-Gale – Alleghany − Lewis-Gale – Montgomery − Lewis-Gale – Pulaski − Reston Medical Center − Retreat Doctors’ Hospital − Spotsylvania Regional − StoneSprings Hospital Center 26
HealthSouth
Headquarters: Birmingham, AL
Leadership: Jay Grinney, President and CEO
VHHA Board Member: Thomas J. Cook
Hospitals: − HealthSouth Rehabilitation Hospital of Virginia − HealthSouth Rehabilitation Hospital of Petersburg − The Rehabilitation Hospital of Southwest VA − HealthSouth Rehabilitation Hospital of Federicksburg − HealthSouth Rehabilitation Hospital of Northern Virginia
27
Inova Health System
Headquarters: Falls Church, VA
Leadership: J. Knox Singleton, CEO
VHHA Board Member: John L. Fitzgerald
Hospitals: − Inova Alexandria − Inova Fair Oaks − Inova Fairfax − Inova Loudoun − Inova Mount Vernon
28 Lake Taylor Transitional Care Hospital
Headquarters: Norfolk, VA
Leadership: Thomas J. Orsini, President and CEO
VHHA Board Member: Thomas J. Orsini
29 LifePoint Health
Headquarters: Brentwood, TN
Leadership: William F. Carpenter, III, Chairman and CEO
VHHA Board Member: Peter M. Mulkey
Hospitals: − Clinch Valley Medical Center − Danville Regional Medical Center − Fauquier Hospital − Memorial Hospital of Martinsville and Henry County − Twin County Regional Healthcare (a Duke Lifepoint Hospital) − Wythe County Community Hospital
30
Mary Washington Healthcare
Headquarters: Fredericksburg, VA
Leadership: Michael P. McDermott, MD, President and CEO
VHHA Board Member: Michael P. McDermott, MD, Secretary- Treasurer
Hospitals: − Mary Washington Hospital − Stafford Hospital
31 Mountain States Health Alliance
Headquarters: Johnson City, TN
Leadership: Alan Levine, President and CEO
VHHA Board Member: Anthony E. Keck
Hospitals: − Dickenson Community Hospital − Johnston Memorial Hospital − Norton Community Hospital − Russell County Medical Center − Smyth County Community Hospital
32
Novant Health
Headquarters: Winston-Salem, NC
Leadership: Carl S. Armato, President and CEO
VHHA Board Member: Melissa L. Robson
Hospitals: − Novant Health UVA Health System Culpeper Medical Center − Novant Health UVA Health System Haymarket Medical Center − Novant Health UVA Health System Prince William Medical Center
33 Pioneer Community Hospital of Patrick County
Headquarters: Stuart, VA
Leadership: Jeanette Filpi, Administrator
34 Riverside Health System
Headquarters: Newport News, VA
Leadership: William B. Downey, President and CEO
VHHA Board Member: Barry L. Gross
Hospitals: − Hampton Roads Specialty Hospital − Riverside Behavioral Health Center − Riverside Doctors’ Hospital Williamsburg − Riverside Regional Medical Center − Riverside Rehabilitation Institute − Riverside Shore Memorial − Riverside Tappahannock − Riverside Walter Reed 35
Sentara Healthcare
Headquarters: Virginia Beach, VA
Leadership: Howard Kern, President and CEO
VHHA Board Member: Michael V. Gentry, Chairman
Hospitals: − Sentara CarePlex Hospital − Sentara Halifax Regional − Sentara Leigh Hospital − Sentara Martha Jefferson − Sentara Norfolk General − Sentara Northern Virginia Medical Center − Sentara Obici Hospital − Sentara Princess Anne − Sentara RMH Medical Center − Sentara Virginia Beach General − Sentara Williamsburg Regional Medical Center 36
Sheltering Arms Physical Rehabilitation Centers
Headquarters: Richmond, VA
Leadership: Mary Zweiful, President and CEO
VHHA Board Member: Mary Zweiful
Hospitals: − Memorial Regional Campus − St. Francis Campus
37
Universal Health Services
Headquarters: King of Prussia, PA
Leadership: Alan B. Miller, CEO
VHHA Board Member: Jaime Fernandez
Hospitals: − Virginia Beach Psychiatric Center − Cumberland Hospital for Children and Adolescents − Poplar Springs Hospital − Kempsville Center for Behavioral Health − Newport News Behavioral Health Center − North Spring Behavioral Healthcare
38
University of Virginia Health System
Headquarters: Charlottesville, VA
Leadership: Teresa A. Sullivan, President
VHHA Board Member: Pamela Sutton-Wallace
Hospitals: − UVA Transitional Care Hospital − University of Virginia Medical Center − UVA-HealthSouth Rehabilitation Hospital − Novant Health UVA Health System Culpeper Medical Center
39
Valley Health
Headquarters: Winchester, VA
Leadership: Mark H. Merrill, President and CEO
VHHA Board Member: Mark H. Merrill, Vice Chairman
Hospitals: − Page Memorial Hospital − Shenandoah Memorial Hospital − Warren Memorial Hospital − Winchester Medical Center
40
VCU Health System
Headquarters: Richmond, VA
Leadership: Marsha D. Rappley, MD, CEO
VHHA Board Member: Deborah W. Davis
Hospitals: − Children’s Hospital of Richmond at VCU − MCV Hospitals and Clinics − VCU Health Community Memorial Hospital
41
Vibra Healthcare
Headquarters: Mechanicsburg, PA
Leadership: Brad Hollinger, Chairman and CEO
VHHA Board Member: Linda Tiemens
Hospitals: − Vibra Hospital of Richmond
42
Virginia Hospital Center
Headquarters: Arlington, VA
Leadership: James B. Cole, President and CEO
VHHA Board Member: James B. Cole
43 Wellmont Health System
Headquarters: Kingsport, TN
Leadership: Bart Hove, President and CEO
VHHA Board Member: B. Eric Deaton
Hospitals: − Wellmont Lonesome Pine Hospital − Mountain View Regional Medical Center
44