UC Irvine Medical Center Executive Leadership Team Fiscal Year End 20 Organizational Goals October 19, 20-1- 1
Goal Areas and Number of Goals Quality (5 goals) Service (5 goals) People (2 goals) Growth (3 goals) Finance (3 goals) 2
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
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 20 4.36% 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
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 20 78.1 77.0 77.5 78.0 Prior YTD Q4 = 79.6 90 Willingness to Recommend (Percent Definitely Yes) 85 80 75 70 65 Jul- 09 Aug- 09 Sep- 09 Oct- 09 Nov- 09 Dec- 09 Jan- Feb- Mar- Apr- May- UCIMC 83. 75. 80. 77. 78. 77. 76. 77. 84. 80. 80. 84. 80. 77. 77. 74. 72. 78. 81. 79. 75. 76. 82. 77. Threshold 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 80 Target 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 83 Outstanding 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 86 %tile Rank 83 83 83 82 82 82 81 81 82 83 83 84 81 81 81 79 76 75 78 79 78 78 79 74 Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar- Apr- May- Jun- 5
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 20 76.4 76.0 76.4 72.0 61.9 65.6 65.0 64.0 Prior YTD Q4 = 76.3 Prior YTD Q4 = 66.8 Prior YTD 73.0 72.22 71.3 66.0 Q4 = 72.6 Prior YTD 83.2 83.5 83.5 83.0 Q4 = 82.8% 6
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
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
Growth Goal YTD Q1 YTD Q2 YTD Q3 YTD Q4 Notes Inpatient census to increase to 288 281.3 (-2.3% 279.8 (-2.9% 280.1 (-2.5% 280.5 Prior year (-2.6% comparison: Prior YTD ADC = 283.5 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 5,070070 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
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
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 Q4 2.42 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 20 78.0 Q4 80 83 86 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
FY20 Q4 Performance by Area Quality Service People Growth Finance 12