Page 6 Improving Efficiency - Peninsula Regional Medical Center

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A Message From The Chairman Few are as fortunate as I to be handed the keys to Peninsula Regional Medical Center by a gentleman’s gentleman, Dr. Farouk Sultani, at such an exciting time. As he departs his three-year chairmanship of the Board of Trustees and I begin mine, I am privileged to have the distinct honor to be asked to provide community leadership to this dynamic, high quality and critically-important institution. Before many much larger hospitals had even begun discussing patient and medication safety, Peninsula Regional was already implementing it in the pharmacy, at the bedside and throughout its electronic medical record and physician computerized medication ordering systems. New initiatives, like 24 hour teleICU monitoring of critically ill patients and advanced robotic surgery, continue to characterize the exceptional advancements here. We can all be proud of the Medical Center’s back-to-back national Distinguished Hospital Awards placing us among the top 5% of all American hospitals. 2010 Clinical Excellence Awards, 5-Star ratings across numerous services and “best on Delmarva” designations all speak to the commitment and passion of our dedicated medical staff, employees and volunteers. Much of that unprecedented success resulted from the visionary direction of Alan Newberry, who expected nothing but the best of this organization. Alan, who retired this month as President/CEO of the Peninsula Regional Health System after 17 years of executive leadership, now turns over the Health System – as he did a year ago with the Medical Center, to the exceptionally qualified Dr. Peggy Naleppa. Peggy has the full support and confidence of the board as she begins writing her own history as the President/CEO of the Health System and the Medical Center. Peggy is currently leading a new Strategic Plan that focuses on recruiting and retaining physicians and staff and expanding connectivity to health care services with an emphasis on patient-centered care. It’s an ambitious start for a gifted and ambitious leader with a view to the future. And yes, this board will face its own challenges. We need more physician specialists in our region, we must learn how to do more with less because of rate reductions, and we may not know for months what effect health care reform might have on our Medical Center. What I can assure you, on behalf of the board, is that Peninsula Regional Medical Center will continue to provide the most technically-advanced medical, clinical and surgical care possible. We’re honored to share the keys to your Medical Center. Farouk Sultani, MD On October 1, 2009, Farouk Sultani, MD concluded a very successful three year term as the Chairman of the Peninsula Regional Health System Board of Directors and the Peninsula Regional Medical Center Board of Trustees. “Dr. Sultani set the bar high and will be remembered at our Medical Center for years to come as an outstanding surgeon and Chairman who led us through a period of unprecedented change and growth,” said President/CEO Peggy Naleppa, MS, MBA, Dr. M., FACHE. “More importantly, when recalled, people will speak of him as a true gentleman, a devoted friend, a loving husband and father, and one of the kindest people they will have ever had the privilege of knowing.” Dr. Sultani, who retired from a successful plastic surgery practice last year, joined the Peninsula Regional medical staff in 1982. Dr. Sultani and his wife Shirley live in Ocean City. Murray “Ray” Hoy, EdD, Chairman Peninsula Regional Medical Center Board of Trustees PENINSULA REGIONAL MEDICAL CENTER BOARD OF TRUSTEES PENINSULA REGIONAL MEDICAL CENTER Fiscal Year 2009 Number of Acute Care Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362 Number of Sub-Acute Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Front Row: William McCain, Treasurer; Martin Neat, Vice Chairman; Murray (Ray) K. Hoy, EdD, Chairman; Peggy Naleppa, President/CEO; Edward W. Urban, Secretary Second Row (Seated): Hugh P. McLaughlin; Jeffrey F. Turner; Herbert J. Geary, III Standing: Farouk Sultani, MD; Marion Keenan; Christjon J. Huddleston, MD; Michael E. Crouch, MD; Monty Saylor; Marilyn Booth; Rene Desmarais, MD, President of the Medical Staff Missing: Brian Shockley Statistics: Admissions (Adult) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21,266 Admissions (Newborn) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,195 Admissions (TCU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 837 Average Length of Stay (Acute) . . . . . . . . . . . . . . . . . . . . . . . . . 4.42 Patient Days of Care (Acute) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93,803 Total Outpatient Visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 491,542 Emergency Department Visits . . . . . . . . . . . . . . . . . . . . . . . . . . . 83,411 Surgical Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16,601 Peninsula Regional Board of Trustees leadership. Left to right, Edward Urban, William McCain, Murray (Ray) Hoy, and Martin Neat 10 BOARD OF TRUSTEES LEADERSHIP At its annual Board of Directors meeting this past October Peninsula Regional Health System members elected four of their peers to leadership roles on the Health System Board of Directors and the Medical Center’s Board of Trustees. Murray (Ray) K. Hoy, EdD was elected Chairman of the Health System Board of Directors and Chairman of the Peninsula Regional Medical Center Board of Trustees. Dr. Hoy is the President of Wor Wic Community College in Salisbury, Maryland. Elected Vice Chairman of both governing bodies was Martin Neat. Mr. Neat is President/CEO of First Shore Federal Savings & Loan Association. Edward W. Urban was elected Secretary of the Health System and Medical Center Boards. Mr. Urban is the Executive Vice President of Harvard Custom Manufacturing. Elected Treasurer was William R. McCain, President/CEO of W.R. McCain Associates. PENINSULA REGIONAL MEDICAL CENTER JUNE 30, 2009 BALANCE SHEET Assets Current Assets: Cash and investments . . . . . . . . . . . . . . . . . . . . . . . . . . $30,786,671 Accounts receivable - net . . . . . . . . . . . . . . . . . . . . . . . 37,406,473 Other current assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9,932,912 Total Current Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78,126,056 Property, plant and equipment - net . . . . . . . . . . . . . . 215,838,468 Investments - long term . . . . . . . . . . . . . . . . . . . . . . . . . . 95,036,091 Assets limited as to use . . . . . . . . . . . . . . . . . . . . . . . . . . . 41,558,525 Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,386,474 Total Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $434,945,614 Liabilities and Net Assets Current liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $39,569,453 Bonds payable - long term . . . . . . . . . . . . . . . . . . . . . . . . 137,691,545 Other liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,368,446 Net assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227,316,170 Total liabilities and net assets . . . . . . . . . . . . . . . . . . . . . $434,945,614
A Message From The President There’s no understating the importance of strategic planning at Peninsula Regional Medical Center. From my office and throughout our top leadership, strategy defines the essence of executive responsibility. As the President exercises strategic leadership, the Board of Trustees-led by Dr. Ray Hoy-provides the influence and oversight. Our 2009-2014 Strategic Plan is a change in direction as it focuses more on the key issues that are at the core of our organization. That, as we have pointed out in an accompanying story in this edition of HealthFocus, includes recruiting and retaining physicians and staff, and redefining our commitment to advanced technology and electronic connectivity. We must embrace and implement new technology into our everyday lives, demonstrating superior performance on all dimensions of patient-centered care, thus advancing patient satisfaction. The uniqueness of the importance for us is that advanced medical technology in the right hands can and does heal people and save lives. The challenge, as Dr. Hoy touched on in his message, is that we’re doing this-and have to-in an unsettled economic environment. We must be forward thinking with our strategic plan as it is our roadmap for the future. But, we all know how tough it can be at times to get a roadmap properly refolded after opening it. To be successful you need the skills to do both. We must be aggressive in our vision but at the same time practice resource optimization and process and work flow management. Waste and inefficiency need to be eliminated. If we allow that to occur, the best strategic plan isn’t worth unfolding in the first place. Our Executive Team and Board of Trustees will monitor implementation of the strategic plan based on the accomplishments of driving strategies and tactics as well as performance against key indicators. In health care, you can’t afford to be caught lagging behind. Planning and Business Development Director Doug Wilson and I are always happy to share more about our Medical Center’s vision for the future and how we intend to implement this strategic plan into important emerging areas of need, some perhaps even in your own backyard. If interested, please contact us through our Speaker’s Bureau at 410-543-7287. Peggy Naleppa, MS, MBA, Dr. M., FACHE President/CEO Executive Leadership Changes Peggy Naleppa, MS, MBA, Dr. M., FACHE, President of Peninsula Regional, was also named the CEO of the Medical Center, and President/CEO of the Peninsula Regional Health System on January 1, 2010. Naleppa began her health care career as Director of Neurosurgical Services at George Washington University Medical Center in Washington, DC. She has served as a clinical leader or as a senior executive at several hospitals in Maryland including Anne Arundel Medical Center, Calvert Memorial Hospital and St. Cindy Lunsford Mary’s Hospital. She has served as the President of the Maryland Chapter of the Healthcare Financial Management Association (HFMA) and has held several leadership positions with the Maryland Hospital Association. Naleppa is also a Fellow of the American College of Healthcare Executives. Naleppa, who is a registered nurse, holds a BS in Healthcare Administration from St. Joseph’s College in Baltimore; a Master of Administration degree from the University of Maryland University College, an MBA from The Johns Hopkins University; and recently completed her Doctorate in Management with a concentration in Systems Re-engineering from the University of Maryland College Park. She and husband Dan live in Salisbury. They are parents to two daughters, Adrienne and Renee. Lura Cynthia “Cindy” Lunsford has been promoted to the position of Executive Vice President/COO. Lunsford, who previously served as Peninsula Regional’s Vice President of Ambulatory and Professional Services since April of 2005, assumed administrative responsibility for the overall day-to-day operation of the Medical Center last summer. Throughout her 30 year career in health care, Lunsford has provided senior executive leadership for multiple clinical programs, community outreach efforts and hospital-based services and departments. Immediately before joining Peninsula Regional in March of 2005, she served as the Vice President of Community Services at University Health Services, Inc., a 612 bed hospital in Augusta, Georgia. Lunsford holds a BS and MS in Nursing from the Medical College of Georgia and an MBA from Augusta State University and is a Fellow in the American College of Healthcare Executives. She also brings to her executive role at Peninsula Regional clinical experience as a registered nurse in the emergency department and ten-year tenure at University Health Services as Director of Emergency Services and Outpatient Clinics. She resides in Salisbury with her husband Dexter. PENINSULA REGIONAL MEDICAL CENTER FINANCIAL STATEMENT: JULY 1, 2008 - JUNE 30, 2009 STATEMENT OF OPERATIONS *Patient service revenue - amount billed . . . . . . . . . . . . . . . . . . . . . . . $418,478,277 Amounts not collected: Financial Assistance and uncollected accounts . . . . . . . . . . . . . . . (29,029,736) Medicare and Medical Assistance contractual amounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (23,028,165) Other amounts not collected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (15,905,418) Patient service revenue - amount collected . . . . . . . . . . . . . . . . . . . . . 350,514,958 Other operating revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,976,481 Total revenue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 352,491,439 Operating expenses: Salaries, wages and benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169,385,332 Supplies and other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146,643,761 Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,162,693 Depreciation and amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19,263,105 Total expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 340,454,891 ** Net income available to improve facilities and enhance technology and services in our community . . . . . . . . . . . . .$12,036,548 Income (loss) on investments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (17,877,331) Total operating and income (loss) on investments . . . . . . . . . . . . . . . $ (5,840,783) * Use of Patient Service Revenue ** Net income and other resources Salaries Wages & Benefits 40% Other Amounts Not Collected 4% Medicare & Medical Assistance 5% Supplies & Other Expenses 35% Financial Assistance & Uncollected Accounts 7% Interest Depreciation & Amortization 6% Net Operating Income 3% were used for: Capital spending for technology, equipment and improvement totaled $24,685,100. Total capital spending for the fiscal year that ended June 30, 2009 was $40,198,924. Note: Funding for capital is from operations, contributions and bond issue Over the past 10 years, we have spent $159,403,987 for equipment and improvements (not including the current expansion project). To date, our current expansion project has incurred costs of $107,473,000. 11
Page 1 and 2: Consistency and excellence. It’s
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