OO3b, FY11-Organization Annual Report Report.pdf. October 19,

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1 UC Irvine Medical Center Executive Leadership Team Fiscal Year End 20 Organizational Goals October 19,

2 Goal Areas and Number of Goals Quality (5 goals) Service (5 goals) People (2 goals) Growth (3 goals) Finance (3 goals) 2

3 Legend Year to date performance meets or exceeds FY20 target Year to date performance is FY20 target n/a Data for goal not available Incentive Plan goal 3

4 Quality Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes Reduce falls across the organization by 15% (to 2.09 / 1,000) by June 30, 20 Reduce Pressure Ulcers as measured by CAL NOC < 4.5% rolling average for the fiscal year Problem list will meet federal standards for 80% of ambulatory visits in the last quarter of the fiscal year Achieve all cause 30-day related readmission rate of 4.5% or lower Improve core measure composite score to meet UHC target of 90% 1.55 per 1,000 patient days 2.0 per 1,000 patient days 2.04 per 1,000 patient days 2.19 per 1,000 patient days days days days days 3.9% 2.5% 2.0% 2.42% Quest impleme nt. is first step 83% Dec 20 98% Feb & Mar 20 97% June % 4.24% 4.46% 4.48% 89.2% 89.3% 89.2% n/a* CalNOC Mean is 2.87 falls per 1,000 patient days for FY Prior YTD Q4 = 5.64% Baseline compliance was 20% in Nov 20 Prior year comparison YTD: 4.56% Prior year comparison through Q2: 85.8% UHC core measure composite score not available, as of December 20. 4

5 UC Irvine Medical Center Organizational Goals Progress Report - June 20 Service Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes [i] Improve Willingness to Recommend benchmark score using the HCAHPS Inpatient Survey July 20 - June Prior YTD Q4 = Willingness to Recommend (Percent Definitely Yes) Jul- 09 Aug- 09 Sep- 09 Oct- 09 Nov- 09 Dec- 09 Jan- Feb- Mar- Apr- May- UCIMC Threshold Target Outstanding %tile Rank Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- 5

6 Service Goal YTD YTD YTD YTD Q3 Q1 Q2 Q4 Notes Increase HCAHPS inpatient satisfaction "percent always" to 76.8% for the "communication with physicians" questions series by FYE 20 Increase HCAHPS Inpatient satisfaction "percent always" to 67.3% for the "pain management" questions series by FYE 20 Increase HCAHPS Inpatient satisfaction "percent always" to 73.1% for the "communication i i with nurses" " questions series by FYE 20 Increase ambulatory patient satisfaction percent always to 82.8% for the willingness to recommend question series by FYE Prior YTD Q4 = 76.3 Prior YTD Q4 = 66.8 Prior YTD Q4 = 72.6 Prior YTD Q4 = 82.8% 6

7 People 3 Year Goal: Attract and retain a talented workforce that is committed to UC Irvine Healthcare as an employer as confirmed by a statistically significant improvement in faculty / staff engagement survey results by FYE 2012 Develop 3 year plan to enhance employee engagement and implement as projected for FYE 20 Review FY survey results & identify organizational action items by 08/20 Develop organizational interventions by 09/20 Establish process for accountability by /20 Complete manager training by /20 Establish departmental interventions by manager by 2/15/ Re-survey medical center staff by 6/30/ Departmental interventions by manager target date revised. 7

8 People Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes Maintain career turnover to 1% or more HASC benchmark for FY 20/12 Rate 1.9% (-0.8% Rate 4.0% (-0.9% Rate 5.7% (-1.0% HASC) HASC) HASC) Prior YTD Rate Q1 = 2.2%, 7.4% Q2 = 3.5%, (HASC Q3 = 5.3% data n/a) Q4 = 7.8% * Green designation because linear trendline forecasts UC Irvine Medical Center rate to be more than 1% point HASC. 8

9 Growth Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes Inpatient census to increase to (-2.3% (-2.9% (-2.5% Prior year (-2.6% comparison: Prior YTD ADC = Surgeries to increase by 2,753 5,388 8,305 % over FY (FY target =,438) Ambulatory visits to increase by 4.8% over FY (FY target = 528,623) ) (-8.1% 125,396 (-9.4% (-6.4% 243,774 (-9.6% (-1.7% 378,176 (-5.4%,300 (-1.2% target, IP +1.2% above and OP -3.6% behind Prior year comparison: Overall surgeries up 8.7%, IP and OP up.4% and 6.0% respectively Prior year 5, comparison: (-3.5% Overall visits up target, ER +1.1%, ER visits -2.3% and up +2.4% and Clinic -5.0% Clinic visits behind down -0.4% Ambulatory visits target adjusted up based on revised historical baseline data. 9

10 Finance Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes 27.7% cash Cash flow margin met at 13.3% 20.8% 18.9% 19.55% flow margin for 12.0% June 20 Margin met at 4.0% 5.3% 13.5%.6% 12.06% 20.8% margin for June 20 Net operating revenues met at $658 million -$3.7M target $17.9M above YTD target $22.2M above YTD target $41.1M above YTD target

11 UC Irvine Medical Center Organizational Goals Progress Report - June 20 Organizational Goals Incentive Plan Update Organizational INCENTIVE (a.k.a. Institutional) Goals Reduce falls across the organization by 15% (to 2.09 / 1,000) by June 30, 20 Reduce Pressure Ulcers as measured by CAL NOC < 4.5% rolling avg. for the FY Problem list will meet federal standards for 80% of amb.visits in the last quarter of FY Status Data Through 2.19 Q Q4 97% Q4 Threshold Target Outstanding 1 Goal 2 Goals 3 Goals Met Met Met Improve Willingness to Recommend benchmark score using the HCAHPS Inpatient Survey July 20 - June Q Cash flow margin met at 12.0% 19.6% Q4 Margin met at 4.0% 12.1% Q4 1 Goal Met 2 Goals Met 3 Goals Met Net operating revenues met at $658 million +$41.1M1M Q4

12 FY20 Q4 Performance by Area Quality Service People Growth Finance 12