Tenet Healthcare Corporation · NYSE:THC
Tenet Healthcare — Investor Presentation (December 2012)
19 slides from Tenet Healthcare's investor presentation, Dec 10, 2012
Slide 1: Clinical Operations
Clinical Operations Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012
Slide 2: Forward-looking Statements
Forward-looking Statements Certain statements contained in this presentation constitute “forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Such forward-looking statements are based on management's curre
Slide 3: Overview
Overview • Highlight of External Factors and Internal Focus • Tenet’s Quality Agenda 1.0 vs. 2.0 • Delivering Results • Looking to 2014 and Beyond • Key Takeaways • Open Discussion and Q&A 3
Slide 4: The Changing Environment of Healthcare
The Changing Environment of Healthcare Driven by private and public payer-led initiatives to contain costs and improve quality, three trends have emerged: Reimbursement focused on value Renewed focus on safety and the prevention of hospital‐ acquired conditions and preventable readmissions; and Grea
Slide 5: Our Strategy is Clear
Our Strategy is Clear Tenet’s Strategy is to: Differentiate our hospitals Control cost through our through superior quality and Align physicians more closely Medicare Performance Initiative service, growing our business by with our facilities in order to and other initiatives designed to providing g
Slide 6: Clinical Quality: Quality Agenda 1.0 Process Focused
Clinical Quality: Quality Agenda 1.0 Process Focused Commitment to Quality – Key Strategic Initiative • Focused on Core Process Measures Performance • Early adopter of these proxy measures for associated outcomes • Continue to exceed the national average • Dedicated to creating industry leading ED a
Slide 7: CMS Hospital Compare - Core Measures Tenet Trend vs. National Average
CMS Hospital Compare- Core Measures Tenet Trend vs. National Average 99 98.3 98.5 98.5 98.5 98.0 98.2 97.5 97.0 97.2 96.6 97 96.2 95.7 97.5 95.1 96.9 97.1 94.7 96.6 95 94.4 96.0 95.7 93.8 95.3 95.5 93.1 95.0 94.6 94.1 93 92.2 93.5 93.2 91.2 90.8 90.4 92.2 91 89.7 89.6 91.3 88.8 90.3 88.5 89 89.3 87.
Slide 8: Tenet Quality Is Recognized By Insurers
Tenet Quality Is Recognized By Insurers Centers of Excellence and Other Quality Designations for Tenet Hospitals and Service Lines 306 305 308 260 202 166 2007 2008 2009 2010 2011 2012 8
Slide 9: Clinical Operations: Quality Agenda 2.0 Improving Outcomes, Driving Value
Clinical Operations: Quality Agenda 2.0 Improving Outcomes, Driving Value Clinical Operations Refreshed Commitment to Quality Reduction of Health Care Standards and Standardization Associated Infections Elimination of Never Events Engaged in Driving Reduction of non-value added Service measurement a
Slide 10: Defining Value
Defining Value Delivering improved Outcomes Achieved outcomes at a lower total cost Value = of care or reducing costs Cost to Deliver those Outcomes while maintaining the current level of outcomes Key Components: Safety – First doing no harm Patient Baseline Health Status Patient Care Variabilit
Slide 11: Clinical Operational Performance Improvement Objectives Framework
Clinical Operational Performance Improvement Objectives Framework Unifying Safest, high quality, most efficient provider of health care Purpose services. Clinical Operational Categories Safety Variability & Service Efficiency Quality Healthcare Associated Cardiac Care Performance Infections (HAIs) A
Slide 12: How We are Working Together to Increase Value
How We are Working Together to Increase Value Supporting reporting of publicly required data Participating in relevant external registries Aggregating, analyzing and distributing data Identifying and sharing best practices Establishing internal collaboratives Providing support and expertise for sust
Slide 13: Driving Outcomes – Patient Safety
Driving Outcomes – Patient Safety Serious Reportable Patient Safety Events: Decreasing Events and Continuously Learning Patient Safety Performance Patient Safety Improvement Process Improvement Initiatives: Rapid Response Do we send a Does it require a detailed safety flash • Process quickly determi
Slide 14: Business Risk: October 2012 Meningitis Outbreak
Business Risk: October 2012 Meningitis Outbreak Engaged Conifer for response call center Daily CEO Updates and patient letters Incident Command Center All Tenet facilities sequestered all NECC products Inventory Assessment of all Facilities for NECC and Ameridose Products October 4th – 29th Da
Slide 15: Demonstrable Results
Demonstrable Results Patient Safety Initiatives since 2011 have resulted in significant improvements in key areas: Ventilator Catheter Associated Associated 46% 31% Urinary Tract Pneumonias Infection reduced by 46% reduced by 31% Falls with Vascular Catheter‐ 41% Associated 64% Injury reduced by 41%
Slide 16: Avoiding Potential Readmissions
Avoiding Potential Readmissions CMS Readmission Reduction Program initiated a penalty for avoidable readmissions beginning October 2012, with an initial associated penalty of 1% of total base operating DRG as a withhold. To increase accountability, we Created a task force Distributed best included r
Slide 17: The Enabling Role of Technology: HIT
The Enabling Role of Technology: HIT Health Information Technology (HIT) Advances in health information Tenet HIT Roadmap technology continue to improve Phase 1 ‐ EHRs Phase 2 ‐ CPOE care and help us to better inform clinical processes. • Core clinicals • 26 completed • 26 completed as of 10/2012 as
Slide 18: Driving Value – Future Measures
Driving Value – Future Measures Beginning January 2013, Tenet hospitals will be required to submit VTE and Stroke Measure data to CMS. Failure to submit this data will result in a loss of 2% of the Annual Payment Update (APU) in 2014. What have we done to prepare and focus on improvement? Stroke Ven
Slide 19: Questions?
QUESTIONS? 19
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