Intermountain Trustee AN EMAIL BRIEFING FOR INTERMOUNTAIN HEALTHCARE TRUSTEES

November 2017

INTERMOUNTAIN ISSUES AND INITIATIVES

‘One Intermountain’ Organization Prepares Us for the Future President and CEO Dr. Marc Harrison: ‘We want to be a model for tomorrow’

“We’re looking to get ahead of changes roiling the industry,” said Intermountain CEO Marc Harrison, MD, to healthcare leaders at a Modern Healthcare Leadership Symposium in Arizona on October 19. Dr. Harrison said the goal is to get aligned internally so that decisions can be made more strategically and Intermountain can adapt quickly and communicate better with patients to deliver more efficient and effective care.

Dr. Harrison told Modern Healthcare there will be greater stewardship over quality and safety as our organization aims to establish consistency across the system. The hope is the new structure will streamline decision-making and remove some of the barriers between clinics and hospitals, he said.

Intermountain is one of many healthcare organizations looking to make big changes to thrive in the changing environment and better meet the needs of patients, according to Modern Healthcare. “As health systems move beyond initial strategies to reduce costs and improve care like shuffling supplier agreements or shifting more care to ambulatory facilities, some organizations like Intermountain are embarking on the more complex task of restructuring management and revamping corporate culture.”

Dr. Harrison said the One Intermountain structure is just one of many strategies we’re taking to better meet patient needs. For example, Intermountain will be launching an entirely virtual hospital January 1 that will cost a fraction of a traditional hospital build, he said. It will provide stroke, behavioral health, trauma, and other services via TeleHealth. He says we also plan to add virtual pediatric and adult acute care services in 2019.

“The goal is to keep people at home, or as close to home as possible,” Dr. Harrison said. “We want to be a model for tomorrow.”

You can read the entire article in Modern Healthcare. Kohl’s, Primary Children’s Hospital Announce New Program $300,000 grant will help provide better mental health service for Utah kids

Primary Children’s Hospital and Kohl’s are joining forces to address the growing mental health needs of young people in our community.

With a new $300,000 grant from Kohl’s to Intermountain Foundation at Primary Children’s Hospital, Primary Children’s will train mental health providers to better serve the needs of kids who are depressed or at risk for suicide. Additionally, within the next two years, the hospital will improve access to mental health services for uninsured and underserved youth at Intermountain Healthcare hospitals and clinics statewide.

“We’re incredibly grateful for this commitment from Kohl’s,” said Katy Welkie, Primary Children’s CEO. “Kohl’s generous gift to Intermountain Foundation at Primary Children’s will allow us to help many more kids and young people each year, including those who are experiencing emotional turbulence.”

To augment these efforts, Primary Children’s Hospital will undertake a public service campaign to improve awareness of ways to recognize and prevent depression and suicide-related behavior among children and adolescents, and promote help-seeking behaviors.

According to the Utah Department of Health, in 2015, 24.8 percent of Utah students reported they felt sad or hopeless, 16.6 percent reported they seriously considered attempting suicide, 13.5 percent reported they made a suicide plan, and 7.6 percent reported they attempted suicide one or more times. In Utah, suicide has surpassed unintentional injuries to become the leading cause of death among youth ages 10-17.

“There’s no question our community needs this program,” said Janet DeWolfe, Chief Development Officer of the Intermountain Foundation at Primary Children’s Hospital. “This generous contribution from Kohl’s is one more example of how community partners are increasingly stepping up to help Primary Children’s confront issues that threaten the health of our children.”

Learn more about Kohl’s Cares.

2018 Trustee Conference to Be Combined with Report to the Community Conference and Dr. Marc Harrison’s Report scheduled for Friday, May 11, 2018

Instead of being held in March, Intermountain Healthcare’s 2018 Trustee Conference will be held Friday, May 11, at The Grand America Hotel in downtown Salt Lake City. The conference will be followed immediately by CEO and President Dr. Marc Harrison’s Report to the Community: Intermountain 2018.

The morning will provide an opportunity for trustees to interact with Intermountain’s leadership, be introduced to the Intermountain Governance Plan and Trustee Experience work underway, as well as network with their colleagues. After the morning session, we’ll invite other community leaders to join us for a plated lunch. Then Dr. Harrison will deliver his second Report to the Community since becoming President and CEO in October 2016.

Please save the date—May 11, 2018—and watch for your invitation and more information in the coming months.

UPDATES AND FEATURES

Intermountain to Welcome Two New Administrative Fellows Program builds Intermountain’s reputation, shares philosophy and best practices

Congratulations to Morissa Sobelson and Aaron Fanello, who are joining Intermountain Healthcare as administrative fellows. Intermountain’s Administrative Fellowship program offers one- to two-year roles to recent graduates from master’s and doctoral-level programs, and prepares participants for leadership careers in healthcare. Their projects will be set by Intermountain leaders to match priorities for work and leadership development.

Morissa Sobelson is currently a doctor of public health candidate at Harvard University. She’s worked with Intermountain on several cross-sector projects bringing together healthcare, government, and community stakeholders to reduce Utah’s adolescent suicide rate. Morissa began her career in New York City focusing on the challenges children face as a result of poverty, lack of access to healthcare, and catastrophic events. She’s serving as chief of staff at the nonprofit Children’s Health Fund, as a consultant at Manatt Health Solutions, and as an advisor in the New York City Mayor’s Office.

Aaron Fanello will join Intermountain after completing his master of healthcare administration degree at the University of Utah in May 2018. He interned at the Huntsman Cancer Hospital as part of the University of Utah Health administrative internship, where he was responsible for planning a comprehensive outpatient clinic reorganization. As a student intern, he also worked on a project with the Intermountain Medical Group to improve access to care. Before graduate school, Aaron worked for three years as an operations analyst for Goldman Sachs in Salt Lake City.

“Since Intermountain created our Administrative Fellowship program in 1980, it’s been a wonderful source of recruitment, a way of building Intermountain’s reputation, and a way of sharing Intermountain’s philosophy and best practices with other health organizations,” said Mikelle Moore, Senior Vice President of Community Health, who administers the program. “I feel privileged to have served as a fellow in 1998-99. I had the opportunity to learn about Intermountain very broadly through projects and interactions with leadership. These experiences continue to influence me today. I’m excited to have Aaron and Morissa join our team and I’m confident they’ll make a great impact.” Transplantation in Utah and Intermountain West Gets a 500 mph Boost New Life Flight jet is expected to fly some 100 organ-retrieval missions this year

Organ transplantation in Utah and the Intermountain West is getting a major boost thanks to a new partnership between Intermountain Healthcare’s Life Flight air ambulance service and Intermountain Donor Services, the organ procurement agency that serves the region.

Life Flight officials unveiled their newest resource: A Cessna Citation/CJ4 jet that will be used primarily to retrieve organs for transplantation in patients in the Intermountain West, which is the first-of-its-kind high-speed aircraft used in Utah for this purpose. The CJ4 aircraft is the first jet in Intermountain Life Flight’s fleet of fixed wing aircraft, which also includes three turboprop Beechcraft King Air airplanes and six medical helicopters.

Kina Jewkes of Emery County, who’s 12, is the kind of patient who’ll benefit from Life Flight’s fast new jet. She was 9 when she began showing symptoms of liver failure, and in August 2016 she was added to Primary Children’s liver transplant waiting list. Emery County is about 230 miles from Salt Lake City—which is about four hours by car—and while she was on the waiting list, her parents had to be ready to bring her to Primary whenever a liver became available.

The Jewkes had a couple of close calls when donor organs turned out to be a poor matches for Kina, but she got a new liver in April—and her new life represents the kind of blessing Life Flight’s new plane will bring to other organ recipients. “People have worked really hard to get these planes built and to save kids and even grown-ups,” Jewkes said at a press conference in October when the new plane was announced.

This aircraft will primarily be used to more efficiently retrieve organs for Intermountain Donor Services for transplantation, according to Kent Johnson, Director of Aviation Operations for Intermountain Life Flight, which one of the premier air ambulance services in the nation. “With the Citation CJ4 we’re able to enhance and expand Intermountain Donor Services access to organs, retrieve organs more quickly, reduce overall costs, and provide an aircraft that has state- of-the-art avionics and safety features,” he said.

Life Flight’s new jet, which is expected to fly about 100 organ-retrieval missions for Intermountain Donor Services this year, will also be used for patient transports of over 300 miles from Salt Lake City and will serve as a backup to Life Flight’s other airplanes.

South Salt Lake’s Columbus Center Welcomes TeleHealth Services New Connect Care kiosk is now serving low-income residents of South Salt Lake

Low-income residents of South Salt Lake can now access healthcare for low-level urgent care conditions through Intermountain Connect Care via a new kiosk at the Columbus Center, 2531 South 400 East. The kiosk is equipped with a wide range of diagnostic tools—including a blood pressure cuff, otoscope to examine ears, thermometer, scale, and oximeter to measure oxygen levels. It was made possible through a partnership between Intermountain, United Way of Salt Lake, and Promise South Salt Lake.

“The kiosk will greatly benefit residents as they use the facilities at the Columbus Center,” said William Daines, MD, Connect Care’s Medical Director. “The diagnostic tools that are part of the kiosk enrich the care that patients can receive. But this partnership also serves as a point of education, where volunteers will work with residents to ensure they have access whenever they need urgent care by helping them download the app or sign up on the website so they can use it from home as well.”

The kiosk launch coincides with the launch of language translation on the service: Interpreters are now available to anyone using Connect Care, including on the website and mobile app. Intermountain is partnering with Globo to offer this service, which is vital for refugees and other populations who sometimes find it difficult to find care for their conditions and understand treatment plans if not provided in their native language.

“Improving access to care is a top priority for South Salt Lake. We have limited options within our city boundaries for residents who need to get low cost care,” said South Salt Lake Mayor Cherie Wood. “This partnership expands that access to care with the kiosk, which will be available during the Columbus Center open hours, and introduces our residents to a 24/7 mobile and web option for urgent care, no matter where they are. Translation services are also an important component of this partnership.”

“We are always looking for ways to better meet the healthcare needs of the communities we serve, and TeleHealth offers a unique opportunity to provide low cost care in a way that’s flexible and always available,” said Mikelle Moore, Intermountain’s senior vice president of Community Health. “We’re proud to be a part of delivering much needed care for the residents of South Salt Lake.”

“I’m excited to join an industry that’s so vital and dynamic and to be part of an organization at the forefront of change,” Mabbutt said. “Healthcare is primed for transformation, and Intermountain is well-positioned to lead the shift to a more customer-centric model. Leadership here has a clear, compelling, and progressive vision, and my sense is that the organization is ready, energized, and has the chops to pull it off. I’m humbled by this opportunity and eager to help Intermountain on this exciting journey.”

Mabbutt was born in London, England. He spent his childhood in Africa before returning to the United Kingdom for high school and college. Mabbutt received both his bachelor’s and master’s degrees of arts from Cambridge University, U.K.

In 2005, he and his family moved to the U.S., where he’s continued to enjoy a global career while checking off visits to the 50 states. Mabbutt and his wife, Sue, have two boys, George and Dylan, ages 18 and 16. They enjoy travel, skiing, hiking, African safaris, Formula 1, soccer, art, and music. They know Utah has a lot to offer and look forward to taking it all in. Caregivers Raise More Than $1.2 Million in Annual Giving Campaign Generous contributions will positively impact the lives of thousands of families

The 2017 Intermountain Giving Campaign raised more than $1.2 million in generous contributions that will positively impact the lives of thousands of families and help them live the healthiest lives possible.

“The success of this campaign is a tribute to our caregivers and our commitment to giving back,” said Danielle Marzelli, Intermountain Foundation Annual Fund Manager and the campaign’s coordinator. “We challenged caregivers to imagine how they want to make a difference in their hospitals or within their communities, and they responded with great enthusiasm.”

RESEARCH AT INTERMOUNTAIN

Intermountain Researchers Launch a New Breast Cancer Genomics Study Three-year study made possible by $1.8 million Beesley Family Foundation gift

Intermountain Healthcare cancer researchers are launching a new breast cancer genomics study, thanks to a generous $1.8 million gift to the Intermountain Precision Genomics Program from the Beesley Family Foundation.

The three-year study will determine whether breast cancer can be detected using a blood draw, perhaps even earlier than mammography. Leading the investigation are Lincoln Nadauld, MD, PhD, Executive Director of the Intermountain Healthcare Precision Genomics Program, and Brett Parkinson, MD, Imaging Director and Medical Director of the Intermountain Medical Center Breast Care Center.

The gift is being facilitated through Intermountain Foundation at Dixie Regional Medical Center, which is soliciting an additional $4 million to complete the study. AWARDS AND RECOGNITION

Intermountain’s Supply Chain Again Ranked No. 1 in the Nation Supply Chain takes top honor for second straight year, earns People’s Choice Award

Intermountain Healthcare has been ranked the top healthcare supply chain organization in the U.S. by Gartner Healthcare Supply Chain, a national business consulting company, for the second year in a row. The Healthcare Supply Chain Top 25 ranking recognizes healthcare manufacturers, providers, and retailers that demonstrate leadership in improving human life at sustainable costs. Intermountain has ranked in the top 10 for the past seven years, and this is the second time we’ve been ranked number one.

Intermountain also earned Gartner’s first ever “Best Health System” People’s Choice award, which is based on votes from peers.

Some reasons Gartner cited for our ranking include our strong bond rating, our supply chain’s support of our mission, our One Intermountain approach, and our supplier collaboration. “Intermountain Healthcare has a history of using supply chain strategically to support its corporate mission,” said Stephen Meyer, Research Director at Gartner. “New developments from their leadership team, led by new CEO Dr. Marc Harrison, continue to demonstrate the relationship of supply chain to Intermountain Healthcare’s mission of ‘Helping people live the healthiest lives possible.’”

“The caregivers in our Supply Chain Organization collaborate with clinicians and others across the Intermountain system to get the right tools to the right people at the right costs,” said Marc Harrison, MD, Intermountain’s CEO. “They help find significant savings while continuing to innovate and achieve high quality. During a time of so much uncertainty around federal healthcare policy and with such an intense focus on reducing costs and making care more accessible, it’s very gratifying that our Supply Chain continues to be recognized for leading the way.”

John Wright, Vice President of Supply Chain and Support Services, said: “We’re humbled and appreciative of the recognition we receive from Gartner. This number one ranking in the Gartner Healthcare Supply Chain Top 25 is a result of the dedication and commitment of our supply chain caregivers and the support they receive from Intermountain leadership. We strive to be a model healthcare supply chain organization and our team is aligned to make this a goal every day.”

Read more about the ranking and see who else made the list. President Emeritus Dr. Charles Sorenson Receives Distinguished Service Award U of U School of Medicine recognizes outstanding contributions to community

Congratulations to Charles Sorenson, MD, President Emeritus of Intermountain Healthcare, who received the 2017 Distinguished Service Award from the University of Utah’s School of Medicine. The recognition is given to healthcare leaders who’ve made outstanding contributions to the school, the community, and the practice of medicine. Here are several comments about Dr. Sorenson:

• Brent Wallace, MD, Intermountain’s Chief Medical Officer: “He genuinely cares about other people. He really is concerned about the welfare of patients, and concerned about the welfare of physicians. He’s just genuinely a compassionate caring person. The other thing that impressed me is his matter of principle. The desire to do what’s right. Those characteristics of Charles permeated my entire 23 years of experience with him.”

• Liz Joy, MD, Intermountain’s Medical Director for Community Health and Food and Nutrition: “I think his caring, his compassion, his integrity, his humility—just to name a few incredible characteristics—define him as a leader, but more importantly as a physician and as a human being.”

• Ron Larkin, MD, a retired OB/GYN and former Intermountain trustee: “He has as much integrity as any person I’ve ever met. He’s completely always wanting to do the right thing. He’s got such great intellect and such great judgment. He does do the right thing.”

Dr. Sorenson stepped down as Intermountain’s third president and CEO in October 2016. He’s worked with Intermountain for decades as a urologic surgeon and physician leader. He continues to serve as the Founding Director of Intermountain’s Healthcare Leadership Institute.

Intermountain Caregivers, Facilities Honored for Quality and Leadership UHA, HealthInsight, and American College of Healthcare Executives give awards

Three Intermountain leaders, eight Intermountain hospitals, and 18 Medical Group clinics were recognized by the Utah Hospital Association (UHA), HealthInsight, and the American College of Healthcare Executives in October. Here’s a rundown of who was honored. The Intermountain leaders honored:

Distinguished Service to Healthcare Award: Charles Sorenson, MD, Intermountain’s President Emeritus. “Dr. Sorenson served as president and CEO of Intermountain Healthcare from 2009 until 2016,” said Greg Bell, CEO of the Utah Hospital Association. “Prior to that, he served for 11 years as Intermountain’s Executive Vice President and Chief Operating Officer. Under his leadership, Intermountain launched a broad range of healthcare innovation strategies.” Executive of the Year Award: Terri Kane, Dixie Regional Medical Center CEO and Southwest Region Vice President. “Terri is highly respected and recognized throughout southern Utah as an effective and caring leader,” said Bell. “She’s had a long and exemplary career as a healthcare leader and has been responsible for overseeing the implementation of several innovative programs in southern Utah. She and other leaders have also worked tirelessly to cultivate health occupations programs with Dixie State University. Her efforts will help fill the pipeline to meet Utah’s growing healthcare needs.”

Hospital Trustee Service Award: Matt Packard, Chair of Intermountain’s South Region Board of Trustees and CEO of Central Bank. “During Matt’s five-plus years of service on the South Region board, he’s been actively involved in several key areas, including Utah Valley Hospital’s replacement project,” said Bell. “In his role as chair, Matt has effectively led the board and various committees in advancing the provision of healthcare in Utah County and surrounding areas.”

Eight Intermountain hospitals received the HealthInsight “Hospital Quality Award,” which recognizes the top 25 percent of hospitals in Utah, Nevada, and New Mexico for success in delivering high-quality care as measured by the Centers for Medicare & Medicaid Services’ quality of care measures, HCAHPS scores, and best practice adherence data. The honored hospitals are:

American Fork Hospital Cedar City Hospital Logan Regional Hospital McKay-Dee Hospital Park City Hospital Riverton Hospital TOSH Utah Valley Hospital

Eighteen Medical Group clinics earned HealthInsight’s “Physician Office High Performance Award” for exceeding the 75th percentile on benchmarks that measured at least six clinical quality or patient experience measures, including:

American Fork Internal Medicine Bear River Clinic Budge Clinic Family Medicine Budge Clinic Internal Medicine Heber Valley Clinic Intermountain Bountiful Clinic - Family Practice Intermountain Bountiful Clinic - Internal Medicine Intermountain Bountiful Clinic - Pediatrics Intermountain Budge Clinic - Pediatrics Intermountain Ephraim Clinic Intermountain Manti Clinic Intermountain Moroni Clinic Intermountain Mt. Pleasant Clinic Intermountain South Sandy Clinic Intermountain Sunset Clinic Logan Clinic Family Medicine North Cache Valley Clinic South Cache Valley Clinic

Learn more about the HealthInsight quality awards.

Intermountain Named One of 60 Greenest Hospital Systems in the Nation Becker’s Hospital Review recognizes work on solar panels, recycling

The 270 solar panels on the roof of Park City Hospital save Intermountain about $8,000 per year. Becker’s Hospital Review named Intermountain Healthcare one of the 60 greenest hospital systems in America for 2017. The Becker’s list released in October included several leading health systems, such as Kaiser Permanente, Johns Hopkins, Seattle Children’s Hospital, and Cleveland Clinic. According to Becker’s, hospitals and hospital systems on the list “extend efforts into their communities, sourcing cafeteria food from locally grown vendors, holding electronics and unused prescription recycling drives, and partnering with organizations to provide healthy food for underserved areas.”

Steven Bergstrom, Intermountain’s Director of Sustainability, said, “In recent years, Intermountain has redoubled our efforts to care for the communities we serve by implementing sustainability programs and practices that reduce our impact on the environment. We realize there’s still much to be done, but it’s an honor to receive this award that recognizes the hard work everyone is doing throughout the system to support those efforts.”

Intermountain was recognized specifically for our work to install solar panels on the Supply Chain Center and Park City Hospital, for our efforts to expand our recycling programs, and for our implementing energy-efficient upgrades such as LED lighting. We were also recognized because of two sustainability awards we received last year: The Energy Partner of the Year award from Rocky Mountain Power and the Salt Lake City mayor’s Community Leadership award for our participation in the Skyline Challenge, which encourages companies to proactively meet and exceed air quality and energy-saving targets.

Read the announcement from Becker’s and see the full list of winners.

Intermountain Foundation Again Named as Industry Top Performer Association for Healthcare Philanthropy recognizes Foundation for third straight year

For the third consecutive year, Intermountain Foundation has been honored by the Association for Healthcare Philanthropy (AHP) for its exemplary performance in raising funds for its local communities’ health needs. Intermountain Foundation is one of only 51 organizations throughout North America recognized as a “High Performer,” based on analysis in the most recent AHP benchmarking database. High performers represent the top 25 percent of all reporting organizations.

Each year, participating hospital foundations complete a survey that collects detailed information on organizational performance, including fundraising revenue, expenses, and details on specific fundraising programs and staff involvement. AHP analyzes this submitted data and defines high performance as those organizations that are in the 75th percentile for net production.

“To dignify the generous investments made through us, we continually strive to maintain Intermountain Foundation as a donor-centric, best-practice model, representing unique opportunities to impact lives within one of the finest health systems in the country,” said David Flood, Intermountain Foundation President and System Chief Development Officer. “This continued designation confirms that we continue to make significant progress to inspire grateful patients and visionary donors to help drive Intermountain Healthcare’s efforts to transform healthcare.”

INTERMOUNTAIN IN THE NEWS

What the World Is Saying About Us Recent news stories about Intermountain in the national and international media

Forbes, October 2: The New Healthcare Imperative: Building a Consumer-Centric Culture. “Our aspiration is to be the first digitally enabled, consumer-centric integrated delivery system in the U.S.,” said Dr. Marc Harrison, president and CEO at Intermountain Healthcare. “We’re taking cues from Amazon, fintechs, Starbucks, and the like. We’re going to inject that holistically into a real digital transformation of an integrated health system to truly understand and serve people the way they want to be served.” Intermountain is widely regarded as having one of the most consumer-centric cultures in the category.

Harvard Business Review, October 10: How the EMR is Increasing Innovation and Creativity in Healthcare. “Evidence-based, best-practice guidelines are publicized for many common conditions but are often deeply buried in medical journals. The EMR can bring these guidelines to the point of care, directing practitioners in completing all necessary treatments. Intermountain Healthcare, a system that serves patients in Utah and Idaho, has developed many such guides and is working to embed them into EMR workflows.”

U.S. News & World Report, October 11: A Look Into Older Adults’ State of Mind. “Intermountain Healthcare, with hospitals and clinics throughout Utah and southeast Idaho, is trying to normalize team-based primary care in which a primary care physician has a team of experts to call upon to check on a patient depending on both physical and mental screenings during a regular doctor’s appointment.”

NBC Nightly News, October 22: Nurse Turns Pediatric Ward into Art Museum with Cartoons to Encourage Patients. “A pediatric nurse at a hospital in Utah (Utah Valley Hospital), connects with young patients by drawing cartoons, a tradition that covers hospital walls and has spread among staff.”

Harvard Business Review, November/December 2017: The IT Transformation Healthcare Needs. “In the mid-1990s, everyone knew that healthcare organizations across the United States were plagued by wasteful spending. The question for Intermountain Healthcare, which serves residents of Utah and Idaho, was where to start looking for savings internally. Data analyses quickly identified the most promising targets: 104 of the 1,440 clinical conditions that Intermountain treated accounted for 95 percent of the care it provided, and two services— newborn delivery and treatment of ischemic heart disease—accounted for 21 percent of its work. Quality-improvement teams focused first on those two services. Armed with a sophisticated electronic health record (EHR) system and a separate information technology system that detailed the costs of activities, the teams used evidence-based guidelines and the experience of Intermountain’s physicians to redesign clinical workflows. The top executives, the board of trustees, physicians, and nurses all worked together to support the drive to improve care. Today more than 60 services have been revamped, and Intermountain is recognized as a national leader in quality improvement and cost management. None of it would have been possible without its IT systems. This example is impressive. Unfortunately, it is still a rarity.”

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