Concho Valley Health System Statistics

by Alan Prest, MHA

1

AIM

• Provide the public information on key health care statistics for the Concho Valley, including shifts in health insurance coverage and key community health measures.

2

Shifts in Coverage

Need -

• Seismic shifts in health care coverage are well underway and accelerating

Employer Provided

Government Funded

Individual Responsibility 3

Major Concho Valley Employers

Impacted by State budget cuts 4

0

20

40

60

80

100

120

140

160

180

200

Employees/Retirees DroppingCoverage

Dependents Losing Coverage Total Losing COSA Health Insurance

147

City of San Angelo Number Losing Health Insurance 1-1-11

45

192

Employees/Retirees Dependents Total Losing Health Coverage 5

6

0

50

100

150

200

250

Actual Projected

2008 2019

1998 ESI r

2008 ESI r

CBO

Employer Sponsored Health Insurance Under Health Reform (CBO projections)

176 million ESHI in 2008

1998 ESHI rate

2008 ESHI rate

CBO Projection

212 million

197 million

162 million

50 million shift

2008 2019 Projected 7

0

100

200

300

400

500

600

700

1-Jan-99 1-Jan-00 1-Jan-01 1-Jan-02 1-Jan-03 1-Jan-04 1-Jan-05 1-Jan-06 1-Jan-07 1-Jan-08 1-Jan-09

Mill

ion

s $

Cost Report Year

Shannon Medical Center - A Decade of Costs and Charges

$92.2 million

$207.4 million

$603.5 million

$152.6 million

Costs rose 65%

Charges rose 191%

8

0

50

100

150

200

250

300

350

400

450

1-Jan-01 1-Jan-02 1-Jan-03 1-Jan-04 1-Jan-05 1-Jan-06 1-Jan-07 1-Jan-08 1-Jan-09

Mill

ion

s $

Cost Report Year

Community Medical Center - A Decade of Costs & Charges

Costs

Charges

$140.4 million

$404.1 million

$42.7 million

$73.8 million

Costs rose 73%

Charges increased 188%

9

Tom Green County Indigent Healthcare Program Funds Budgeted and Spent

$2 million

$1 million

10

$0

$2,000,000

$4,000,000

$6,000,000

$8,000,000

$10,000,000

$12,000,000

$14,000,000

2012 2013 2014 2015 2016

Cost to implement

State savings

$1.2 million

Medicaid Copays – Texas Legislative Proposal

$12.9 million

11

Concho Valley Hospitals Existing Measures

• Death Rates

• Readmission Rates

• Process of Care Measures

• Patient Survey Feedback

Aim

• Help the public access and understand various quality measures

12

13

14

15

Better than U.S. National Rate 16.3

16

17

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Shannon Medical Center

San Angelo Community Medical Center

Heart Attack/Chest Pain Process of Care Measures

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Patient Survey Feedback

Shannon Medical Center

San Angelo Community Medical Center

20

Patient Survey Feedback (cont.) Shannon Medical

Center

San Angelo Community Medical Center

21

Key Health Statistics

• Access to information on cost, quality and community health parameters

22