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Slide 2 Slide 3 20132014201520162017 5-Year Strategic Plan: Ascending Life Initiatives Increased bed occupancy Eliminated pension plan for new hires Occupancy Rate about 55% No additional remodeling planned in the near future All Americans would have access to health care insurance Occupancy rate above 65% Promote and Expand Centers of Excellence: Cardiology, Oncology, Pediatrics and Obstetrics Increased reimbursement from Health Care Reform Measure A fund Pay for Performance Occupancy rate above 80% Increased reimbursement from Health Care Reform Measure A fund Pay for Performance Occupancy rate continues to grow Increased reimbursement from Health Care Reform Measure A fund Pay for Performance Occupancy rate close to max capacity Slide 4 Improve lobbying efforts to obtain higher percentage of Measure A funds to cover a larger ratio our charity care SRH to drive the market by creating its own Federally Qualified Health Center (FQHC) Slide 5 Operational Initiatives for Cost Containment & Revenue Improvements Human Resource Strategies Invest and promote in Strategic Areas of Excellence: Cardiology, Oncology, Pediatric and Obstetrics Slide 6 Slide 7 Slide 8 Slide 9 Metrics to drive staffing needs Eliminate pension plan for all new hires Reduce supply costs by better managing vendors Ensure OR is utilized by physicians efficiently Involve physicians in cost reduction efforts Outsourcing the management of some services Slide 10 Partnering with local physicians to reduce competition for outpatient cases Grow case volume by attracting new physicians to the facility Possibly expand service line that is needed for the community (Emergency Department) Hiring hospitalists to manage inpatient care. Renegotiate managed care contracts Slide 11 Slide 12 Slide 13 SOURCE: Hospital profile. (2012). Retrieved 04/23, 2013, from http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 Slide 14 SOURCE: Hospital profile. (2012). Retrieved 04/23, 2013, from http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 Slide 15 SOURCE: Hospital profile. (2012). Retrieved 04/23, 2013, from http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 Slide 16 SOURCE: Hospital profile. (2012). Retrieved 04/23, 2013, from http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 http://medicare.gov/hospitalcompare/profile.aspx#vwgrph=0&profTab=1&ID=050002&loc=HAYWARD%2C%20CA&lat=37.6688205&lng=- 122.0807964&dist=25&type=4&AspxAutoDetectCookieSupport=1 Slide 17 Slide 18 Slide 19 Slide 20 2012 21 cardiologists 2017 Full service line Premier site for STEMI in Bay area Increase in cardiologists > 75 % Slide 21 Slide 22 Slide 23 Slide 24 Slide 25 Slide 26 Slide 27 Slide 28 AFFORDABLE CARE ACT -MEDICAID EXPANSION Increase in life expectancy More people under Medicaid Increased revenues Slide 29 Ascending Life Initiatives: Leveraging Measure A funds for charity care Converting Silva Clinic to FQHC Improved Quality Measures Promoting Centers of Excellence Slide 30