Tufts Medical Center is a renowned academic medical center with an adult hospital and a children’s hospital in downtown Boston. We are engaged in advanced patient care, teaching tomorrow’s physicians, and conducting groundbreaking basic, clinical, and public policy research. We are the principal adult and pediatric teaching hospital for Tufts University School of Medicine and conduct $50 million in research each year. Tufts MC is part of a broad network of high-quality, value providers in eastern Massachusetts. With 415 beds, Tufts Medical Center and Floating Our collaborative approach in the community is Hospital for Children focus on providing the most borne out of our internal culture. We are known as complex and advanced care in downtown Boston an approachable, accessible academic medical and distributing secondary care to the community center, and we value physicians and hospitals in through thriving partnerships. the community as peers and partners. The Boston Our strategy has resulted in Tufts MC regularly Dispensary, our original institution, was the first treating the highest percentage of the sickest healthcare facility in New England; 2016 marks patients of any hospital in Boston. In addition, 220 years of Tufts MC leading innovation and our partnering institutions are able to treat service in healthcare. more patients in their own hospitals. This Case Mix Index 2014 strategy is both cost-effective for Massachusetts and convenient for patients. 1.8 Tufts MC is recognized as the region’s value 1.5 provider—achieving outstanding quality, safety, 1.2 and patient experience ratings while maintaining a lower cost. Government reviews of 0.9 cost and quality data consistently show Tufts MC 0.6 delivering care that is equal to or better than our 0.3 high-cost competitors. We are ranked as a five- star academic medical center by University 0.0 Tufts MC BWH MGH BIDMC BMC HealthSystem Consortium, one of only 13 in the MGH: Massachusetts General Hospital; BWH: Brigham & Women’s country and the only one in New England. The Hospital; BIDMC: Beth Israel Deaconess Medical Center; BMC: Boston Medical Center. Source: Final FY14 Acute Hospitals Data Book: “Case Mix Hospital Compare website also gives us four stars Index—Appendix B”—CHIA (Latest Data Available) for patient satisfaction; the only Boston academic medical center to achieve this for a full year. Our high-quality, lower-cost profile is an advantageous About Tufts Medical Center About Tufts Medical Center About Tufts position in a health reform environment that is demanding greater value from the healthcare dollar. KEY STATS Beds: 415 Residency and fellowship programs accredited by the Accreditation Council for Graduate Medical Education: 43 Residents and Fellows: 452 Tufts University School of Medicine student rotations: 900 to 1,000 Employees: 5,000 Employed Physicians: 580 Physicians in NEQCA: 1,800 Operating Revenue: $915.1 million Discharges: 17,572 Emergency Room Visits: 43,612 Clinic Visits: 351,145 Research Portfolio: $50 million FY 2015 figures TRAINING TOMORROW’S PHYSICIANS Tufts Medical Center has a rich tradition of educating the next generation of physicians and physician-scientists. We are the principal teaching hospital for Tufts University School of Medicine (TUSM), and each year we train about 450 residents and fellows in 43 programs approved by the Accreditation Council for Graduate Medical Education. All full-time physicians at Tufts MC and Floating Hospital for Children hold faculty appointments at TUSM, and 17 of TUSM’s 19 department chairs reside at Tufts Medical Center. Our physicians are regularly recognized among Boston’s top doctors and are sought-after experts in their fields nationally and internationally. The physicians are actively engaged in teaching and mentoring. Our partnership with TUSM, our highly complex patient population, and our connection with community affiliates provide a diverse, hands-on experience for aspiring doctors and for physicians seeking advanced specialization. DixvilleNotch ConnecticutRiver NEW HAMPSHIRE DRIVING VALUE IN HEALTHCARE Berlin Composite Relative Price Percentile of Boston Academic The Value of Our Academic Medical Center Medical Centers Commercial Hospital Payments, 2014 and Physician Network 93 89 Healthcare is no longer about who spends the most; it’s about who delivers the highest quality of care while valuing 68 patients’ and employers’ healthcare dollars. Massachusetts 64 data show that tiered network plans, where patients are 63 59 rewarded for choosing lower-cost providers, are growing; consumerism is increasing, and employers and payers are demanding greater efficiency and effectiveness. Tufts MC and our NEQCA physician network consistently deliver the highest quality of care at a lower cost, putting us in the best Boston Medical Tufts Medical Beth Israel Lahey * Massachusetts Brigham & position for patients and employers. Center Center Deaconess General Hospital Women’s Medical Center Hospital University HealthSystem Consortium’s Quality and * Lahey: teaching hospital category. Accountability Study ranks Tufts MC among the top 20 Source: CHIA Annual Report Series: Relative Price Health Care Provider Price Variation in Massachusetts Commerical Market, February 2016 AMCs in the nation for efficiency. We Are Distinguished by Our High Quality Tufts Medical Center has received numerous distinctions for high-quality care, including: ▶ University HealthSystem Consortium 5-star academic ▶ National Association of Epilepsy Centers’ Level 4 89 medical center (AMC) rating: only 13 of 102 AMCs Comprehensive Epilepsy Center received this recognition and no other AMC in Boston or ▶ Level 1 trauma center for adult and pediatric care New England is 5-star ▶ Tufts Medical Center’s primary care offices in Quincy, ▶ Hospital Compare: only AMC in Boston to achieve 4-stars Framingham, and Boston have all been recognized 95 for Patient Experience for a full year as Patient-Centered Medical Homes (PCMH) with a ▶ 93 Hospital Compare also gives us four stars for the way our Level III status from the National Committee for Quality 3 doctors and nurses communicate with patients, and how Assurance (NCQA) NH Circle Health/Lowell likely patients are to recommend us for care ▶ Our NEQCA physician network outperforms nearly all General Hospital ▶ In 2015, Boston Magazine named 82 of our physicians in other networks in the region: Lowell 45 specialties to its “Top Doctors” list 93 95 NEQCA: A Leader in Healthcare Quality ▶ Blue Cross Blue Shield Blue Distinction Center + Total 3 Melrose/Wakefield Wellforce Members Hospital value designation in: 2 NEQCA 68 Melrose Lawrence Memorial • Cardiac care • Bariatric surgery 59 Medford Hospital LGH PHO 55 495 95 190 • Hip and knee replacement • Spine surgery 47 Boston Hallmark Health 45 90 Tufts Medical Center/ 290 ▶ Truven Health Analytics named us one of the nation’s 50 Top 42 Quincy Floating Hospital Tufts University Score Cardiovascular Hospitals, one of only 15 teaching hospitals with residency programs to receive this designation Norwood 24 3 ▶ The American Stroke Association Gold Plus and Target Atrius NEQCA PCHI Steward BIDCO Lahey 495 95 Stroke Awards and the American Heart Association Network SCORE Award Source: MHQP HEDIS Quality Peer Group Score All Measures 2014 (Latest Data Available) RI 3 6 Tufts MC is a 5-Star UHC Hospital. One of only Fall River Hyannis 13 in the country. The only one in New England. DixvilleNotch ConnecticutRiver NEW HAMPSHIRE Berlin PARTNERSHIPS THAT WORK Tufts Medical Center and Floating Hospital for Children have a long history of partnering with providers in the community to ensure the best care is delivered where the patient needs it most. Almost half of the care provided by Tufts MC and Floating Hospital physicians is delivered in community settings. We have developed partnerships with community hospitals that bring our specialists into pediatric units, ICUs, special care nurseries, operating rooms, and more to provide advanced care locally. Our specialists and community hospital partners also have developed outpatient clinics, allowing adults and children to see oncologists, heart failure specialists, kidney specialists, surgeons, orthopedists, and other academic physicians close to home. This approach has been successful for our community partners and Tufts Medical Center physicians for Tufts MC and Floating Hospital for Children. Our partner in Wellforce, Lowell General Hospital, provide almost half of their care in has had increased volume and case mix since the community. selecting Tufts MC as its preferred AMC. Tufts MC has seen a more than 40% increase in tertiary 89 patients from LGH’s service area. 95 THE WELLFORCE A Far-Reaching 93 3 NETWORK Network NH Circle Health/Lowell Wellforce, an organization General Hospital founded by Tufts MC and Circle Lowell Health, is designed to bring 93 95 together hospitals, physicians 3 Melrose/Wakefield Wellforce Members and other providers to succeed Hospital 2 NEQCA Melrose Lawrence Memorial in the evolving healthcare reform Medford Hospital LGH PHO environment 495 95 190 Hallmark Health 90 Boston Tufts Medical Center/ 290 New England Quality Care Quincy Floating Hospital Tufts University Alliance (NEQCA), a network of more than 1,800 physicians with Norwood 24 a more than 10-year history of 3 495 95 transforming the way physicians care for patients RI A five-hospitaldistributed pediatric network reaching 3 across eastern Massachusetts with hospitalists, neonatologists 6 Fall River Hyannis and specialists