Community

Who we are

Economic impact

Mission and values

Key issues in health care

Our future

unityComm

Who we are

Overview

Unity Health System

Unity Medical GroupGenesee St. Campus

Park Ridge Hospital

Map

ACM Medical Laboratory

Aging and Continuing Care Services Unity Health Foundation

• 208 acute care beds• Intensive Care Unit

– A Top 100 ICU• Emergency Department

– Full service with QuickCare unit• Surgical Services Center

– Inpatient and outpatient• Orthopaedics & Joint Replacement Center

– Highest volume in Rochester

Park Ridge Hospital

• Family Birth Place & Women’s Services• Behavioral Health & Psychiatry

– 40-bed inpatient psychiatric unit– 40-bed inpatient chemical dependency unit– Outpatient clinics and services– Community residences

• Cancer Center (opening Spring 2005)

Park Ridge Hospital (cont’d)

• Cardiology Services– Coronary angioplasty– Full-service outpatient testing & cardiac rehab

• Vascular Services• Child Care Center

Park Ridge Hospital (cont’d)

Changes in patient volume2000-2004

0

10

20

30

40

50

60

70

80

Medical Surgical OB E.D. visits

SMH

RGH

TGH

HH

PRH

TOTAL

• 33,000 square feet total• Expand treatment spaces from 24 to 40 • Upgraded facilities include four new operating rooms• Designed for 45,000

patient visits per year• Total cost $27 million• Opening January 2006

Emergency center expansion

Return to overview

• Walk In Care Center (24/7)– Psychiatric Emergency Unit

• Inpatient Psychiatric Unit– 40 beds

• Brain Injury Rehabilitation Unit– 33 beds, adults and children– Regional referral center

• Unity Living Center– 120-bed skilled nursing facility

Genesee Street Campus

• Outpatient Services– ACM Laboratory– Dialysis– Oncology– Full Service Pharmacy– Dental Practice– Family Medicine Practice – Pediatrics Practice– Outpatient Psychiatry

Genesee Street Campus (cont’d)

• Community Outreach Programs– Children's Clothes Closet– HealthReach, Healthy

Moms, Healthy Start– Health Care for the Homeless– McCree McCuller Wellness Center, HIV-AIDS

Services

Genesee Street Campus (cont’d)

• Affordable Senior Housing & Senior Services– Moore Park– Park Place SouthWest

• Leased Services– Family Resource Centers of Rochester– GRHC Hospice– Sector 4 CDC Office– Monroe County WIC Office

Genesee Street Campus (cont’d)

Return to overview

• Skilled Nursing Facilities (362 beds)– Park Ridge Living Center– Unity Living Center– Edna Tina Wilson Living Center

• Medical Adult Day Health Services (3 sites)• Social Adult Day Health Services (3 sites)• Home Care Services (325 patients)

– Unity at Home– Care at Home

Aging and Continuing Care Services

• Senior Housing (549 units)– The Village at Park Ridge (Greece)

– Woodland Village (Greece)

– The Hamlet (Greece)

– Park Ridge Commons (Greece)

– Resch Commons (Greece)

– Moore Park (Rochester)

– St. Bernard’s Park (Rochester)

– Hilton Project (2006)

Aging and Continuing Care Services (cont’d)

Return to overview

• For-profit business enterprise• Central reference laboratory• Testing services for:

– Physicians– Nursing homes– Hospitals– Pharmaceutical companies– Industry and occupational groups

ACM Medical Laboratory

• 29 patient service centers throughout Monroe County• Licensed for DOT/Non-DOT toxicology testing. Only

New York State lab (and one of six in the U.S.) with a SAMHSA license for drug testing

• Rapidly growing global clinical trials division– From $2.5 million in 2000 to $5.5 million in 2003

ACM Medical Laboratory (cont’d)

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• 23 practice sites throughout Monroe County• 39 MDs, 354,000 visits• Specialties:

– Internal Medicine– Family Medicine– Dentistry– Obstetrics & Gynecology– Geriatrics– Neurology– Cardiology– Pediatrics

Unity Medical Group

Return to overview

• Assets: $13.1 million• Revenues: $1.9 million• Grants Paid: $829,000• Funds raised through:

– Annual Appeal- PRISM Leadership Giving Society

– Memorials and Tributes– Planned Giving– Special Events *2003 numbers

Unity Health Foundation

Return to overview

Unity locations in Monroe County

Return to overview

Economic impact

Continuing financial success

0

50,000,000

100,000,000

150,000,000

200,000,000

250,000,000

300,000,000

350,000,000

Revenue

2001

2002

2003

2004

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

Surplus

• Medical staff

• 4,690 employees = 3,355 FTEs

Unity physicians and employees

461 ActiveMembers

174 CourtesyMembers

173 AlliedHealthProfessionals

• Direct impact: $414,213,000

Our economic impact

Payroll: $253,286,000

Supplies: $146,435,000

Capital Spending: $14,492,000

State income tax: $8,761,000

State sales tax: $4,744,000

Local sales tax: $4,772,000

• Taxes: $18,277,000

• Bad debt and charity care: $7,994,999

Mission and values

The mission of Unity Health System is to make a positive difference in the lives and health status of individuals in the city of Rochester and western Monroe County. We will educate our community, our providers, and future health care professionals in order to offer the highest quality care to all members of our community, especially those who are underserved and most vulnerable.

Our mission

• Respect• Quality service• Compassion• Empowerment• Creativity

Our core values

Unity Health people provide the best possible health care experience.

Our brand promise

• Employee turnover

A great place to work

24.8%22.0%

18.7%

14.9%

12.4%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

1999 2000 2001 2002 2003

• Overall employee satisfaction

A great place to work

79%

67%

60%62%64%66%68%70%72%74%76%78%80%

Unity National Norm

Key issues in health care

Changing consumer needs

Labor shortages

Costs

Quality and safety

Health policy

Key issues in health care

• Aging of the population• Chronic illnesses• Patient expectations• Growth of uninsured and under-insured

Changing consumer needs

Obesity Trends* Among U.S. Adults1990, 1996, 2002

*BMI 30, or ~ 30 lbs overweight for 5’4” woman

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%-14% 15%-19% 20%-24% 25%

1991 1996

2002

Health risks among the uninsured

*Among women 50–64. **Among adults 45–64.

Percent of Individuals Not Receiving Selected Recommended Preventive Care Services

Source: J. Ayanian, et al. “Unmet Health Needs of Uninsured Adults in the United States,” JAMA 284 no 16 (2000): pp 2061–2069.

11%

18%21%

24%

32%

41%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

No Mammogram in Past 2 Years* No Cholesterol Check in Past 5 Years**

Insured Uninsured < 1 year Uninsured > 1 year

Increased spending on health care

10.9%

13.4%14.8%

16.4%17.7%

13.1%

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

1988 1993 1996 2002* 2008* 2012*

*Projected

Source: Heffler et al., “Health Spending Projections for 2002–2012,” Health Affairs (February 7, 2003).

National Health Care Expenditures as a Percent of GDP1988-2012 Projected

Return to key issues

• Physician supply• Scarcity of nurses and other health professionals• Benefits costs• Workforce diversity

Labor shortages

• Shortages in certain specialties• Changing practice patterns• Malpractice costs• Physician-hospital relationships• Fees

Physician supply

• Recruit, develop, and retain high quality physicians• Increase physician involvement in decision-making• Support physician-to-physician networking• Employment vs. solo practice

Physician strategies

• Support of MCC nursing and radiologic technologist programs

• On-site classes for Keuka College nursing students

• Employee development: training pathways for existing employees to advance into clinical positions

Our commitment to training

Return to key issues

• Increasing costs of:– Labor– Technology– Benefits– Competition

• Limited access to needed capital• Rising importance of philanthropy

Costs

Rochester hospitals: inpatient trends

1990 2000 2002 2004

Med/Surg beds

1,736 1,617 1,347

Occupancy 92.1% 69.2% 81.9%

The majority of hospitals lose money on Medicare and Medicaid

Source: MedPAC and AHA Annual Survey Data

29%

55%

57%

Hospitals withNegative Total

Margins In 2002

Hospitals withNegative MedicaidMargins in 2002

Hospitals withNegative Total

Medicare MarginsIn 2002

Health care IT spending

$16.0

$18.9

$21.6 $25.8

$30.5

$0.0

$5.0

$10.0

$15.0

$20.0

$25.0

$30.0

$35.0

1998 2000 2002 2004 2006*

In Billions

Return to key issues

• Medical errors and patient safety• Consumer-driven health care• Hospital and provider report cards

Quality and safety

• Willingness to recommend

Unity patient satisfaction

97.8%

99.0%

98.1%

97.7%

99.3%99.0%

97.7%

100.0%

96.5%

97.0%

97.5%

98.0%

98.5%

99.0%

99.5%

100.0%E

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• Average patient satisfaction: 98.5%

Published reports:– ACM Laboratory– Behavioral Health– Cardiology– Emergency Services– Endoscopy (GI)– Housing– Joint Replacement Center– Obstetrics– Senior Services– Surgery

Care to compare

In process:– Diabetes Services– ICU– Primary Care– Patient Safety Initiative– Vascular Services

Sample report

Return to key issues

• Reimbursement• Medicaid – Medicare Reform• HIPAA• Public health and bioterrorism preparedness• Legislative outlook

Health policy

Return to key issues

Our future

Opportunities and challenges:• Capacity and throughput• Evolution away from community rating• Flat population growth• Healthy competition versus community-wide planning

(Centers of Excellence concept)

The local environment

• Specialty centers and services– Cardiology– Diabetes– Emergency Services – Gastroenterology – Geriatrics – Obstetrics

Strategic priorities

– Oncology– Stroke Care– Surgery:

- Orthopaedics- Spine-Neuro Surgery- Vascular

“Execution . . .

. . . is a discipline and integral to strategies.

. . . is the major job of the business leader.

. . . must be a core element of an organization’s culture.”

Community