Title Subtitle 1 In 2000 To provide housing and community-style - PowerPoint PPT Presentation

December 15, 2015 FY 2014-2015 Annual Report to the Health Commission The Laguna Honda Community Laguna Honda Hospital and Rehabilitation Center San Francisco Health Network Department of Public Health Title Subtitle 1

In 2000 “To provide housing and community-style living, with the highest level of independence for Laguna Honda’s hundreds of residents by constructing the most st technologically advanced, efficient, flexible, humane and natural facility in the world.” Vision Statement, 2000 Laguna Honda Hospital Replacement Program

Service to San Franciscans “To provide housing Unique Individuals Served Per Fiscal Year and community- 1800 1578 1600 1410 1257 1192 1218 1290 1400 Bed style li living , with the 1184 1105 1140 Capacity: 1200 1125 1000 Bed Bed highest level of independence # of Residents Capacity: Capacity: 800 915 780 for Laguna Honda’s hundreds 600 of residents by constructing 400 the most technologically 200 0 advanced, efficient, flexible, humane and natural facility in the world.” Fiscal Year Vision Statement, 2000 Laguna Honda Hospital Replacement Program

Patient Flow Service to San Franciscans Admissions and Community Discharges “To provide housing and community-style living, with 600 549 the hig ighest le level 500 452 428 380 400 # of Residents of in independence 325 285 300 247 209 for Laguna Honda’s hundreds 162 160 160 200 141 of residents by constructing 100 the most technologically advanced, efficient, flexible, 0 CY2009 CY2010 CY2011 CY2012 CY2013 CY2014 humane and natural facility in Calendar Year the world.” Admissions Community Discharges Vision Statement, 2000 Laguna Honda Hospital Replacement Program

IT Infrastructure Unplanned IT Downtimes “To provide housing and community-style living, 10 9 with the highest level of 9 independence for Laguna 8 7 Honda’s hundreds of 6 6 # of Incidents 6 5 residents by constructing 5 4 4 the mos ost tech chnologically ly 4 3 3 advanced, efficient, flexible, 2 humane and natural 1 0 0 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr facility in the world.” 2014 2014 2014 2014 2015 2015 2015 2015 (thru Nov '15) Vision Statement, 2000 Quarter Laguna Honda Hospital Replacement Program

Workforce Talent “To provide housing and Hiring and Separations community-style living, 250 228 with the highest level of 200 independence for Laguna 151 150 128 Honda’s hundreds of 117 # of HR Activity 91 residents by constructing 100 77 67 the most technologically 37 50 50 advanced, effic icient , 0 FY12-13 FY13-14 FY14-15 fle flexible, humane and Fiscal Year natu tural facil cility in the world.” Separations New Hires Total HR Activity Hiring Increased by 66% Turnover Rate: 5.71% Vision Statement, 2000 Avg. Vacancy Rate: 5.50% Laguna Honda Hospital Replacement Program

Wellness Center “To provide housing and community-style living, with the highest level of independence for Laguna Honda’s hundreds of residents by constructing the most technologically advanced, efficient, fle lexible , humane and natu tural facil cility in the world.” Vision Statement, 2000 Laguna Honda Hospital Replacement Program

Workplace Safety “To provide housing and Recordable Injuries community-style living, 280 273 with the highest level of 270 independence for Laguna # of recordable injuries 260 Honda’s hundreds of 254 residents by constructing 250 the most technologically 240 235 advanced, efficient, flexible, 230 humane and natural 220 facility in the world.” 210 CY2012 CY2013 CY2014 Calendar Year Vision Statement, 2000 Laguna Honda Hospital Replacement Program

Quality of Life “To provide housing and Received Antipsychotic Medication (Long Stay) community-style living, 25% with the highest level of 19.5% independence for Laguna 19.3% 19.0% 18.6% 20% Percent of Residents Honda’s hundreds of 15.1% 14.7% 14.3% 14.1% 15% residents by constructing the most technologically 12.4% 10% 11.9% 11.3% 11.0% advanced, efficient, flexible, humane and natural 5% 0% facility in the world.” 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 Three Quarter Periods LH Avg CA Avg Nat'l Avg Vision Statement, 2000 Laguna Honda Hospital Replacement Program

In 2009 “To be an innovative world-class center of excellence in long-term care and rehabilitation.” Vision Statement, 2009 Laguna Honda Hospital and Rehabilitation Center

Centers of Excellence Service Lines “To be an in innovative Acute SNF Rehab General SNF world-class center of Rehab excellence in long-term care and rehabilitation.” Dementia/ Behavioral Palliative Memory Health Care Care Vision Statement, 2009 Laguna Honda Hospital and Rehabilitation Center Positive Respite Wellness Care

Workforce Transformation “To be an innovative Employee Overall Job Satisfaction (n=962) world-class center of 2 Rating (Fair 1 Rating 16% (Poor) 3 Rating excellence in long- 8% (Good) 43% term care and rehabilitation.” 4 Rating No Response (Excellent) Vision Statement, 2009 4% 29% Laguna Honda Hospital and Rehabilitation Center 4 Rating (Excellent) 3 Rating (Good) 2 Rating (Fair 1 Rating (Poor) No Response

Care Experience “To be an innovative Likelihood to Recommend world-class Poor, 2% Fair, 1% center of excellence in long- Good, 32% term care and rehabilitation.” Excellent, 65% Vision Statement, 2009 Laguna Honda Hospital and Rehabilitation Center Excellent Good Fair Poor

Resident Satisfaction “To be an innovative Overall Resident Satisfaction world-class Poor (1), 2% Fair (2), 2% center of excellence in long- Good (3), 29% term care and rehabilitation.” Excellent (4), 67% Vision Statement, 2009 Laguna Honda Hospital and Rehabilitation Center Excellent (4) Good (3) Fair (2) Poor (1)

CMS Quality Measures “To be an innovative wor orld- Lose Too Much Weight (Long Stay) cla class ce center of of exce cell llence in lo long-term care 7.4% 8% 7.2% 7.1% 7.0% 7% 6.2% 6.0% 5.8% 5.7% and rehabilitation.” 6% Percent of Residents 5% Vision Statement, 2009 4% 3.3% 3.2% 3.2% 3.1% Laguna Honda Hospital and Rehabilitation Center 3% 2% 1% 0% 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 3 Quarter Period LH Avg CA Avg Nat'l Avg

Quality of Care “To be an innovative wor orld- High-Risk Residents With Pressure Ulcers (Long Stay) cla class ce center of of exce cell llence in long-term care lo 7% 6.1% 6.1% 6.1% 6.0% 6% Percent of Residents and rehabilitation.” 6.0% 5.9% 5.9% 5.9% 5% 4% Vision Statement, 2009 2.9% 2.7% 2.7% 2.6% Laguna Honda Hospital and Rehabilitation Center 3% 2% 1% 0% 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 3 Quarter Period LH Avg CA Avg Nat'l Avg

Care Outcomes “To be an innovative wor orld- Urinary Tract Infection (Long Stay) cla class ce center of of exce cell llence in lo long-term care 5.7% 5.7% 6% 5.5% 5.3% 4.6% Percent of Residents 5% and rehabilitation.” 4.4% 4.2% 4.0% 4% Vision Statement, 2009 2.8% 2.6% 3% Laguna Honda Hospital and Rehabilitation Center 2.3% 2.0% 2% 1% 0% 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 3 Quarter Period LH Avg CA Avg Nat'l Avg

Post-Acute Care “To be an innovative wor orld- New/Worsened Pressure Ulcers (Short Stay) cla class ce center of of exce cell llence in long-term care and 1.2% 1.0% 1.0% rehabilitation .” 1.0% 0.9% 0.9% Percent of Residents 0.8% 0.7% 0.7% 0.7% 0.6% Vision Statement, 2009 0.6% Laguna Honda Hospital and Rehabilitation Center 0.4% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 3 Quarter Period LH Avg CA Avg Nat'l Avg

Post-Acute Care “To be an innovative wor orld- Newly Received Antipsychotic Medication (Short Stay) cla class ce center of of exce cell llence in long-term care and 3.0% 2.4% 2.4% rehabilitation .” 2.3% 2.3% 2.5% Percent of Residents 2.0% 1.8% 1.8% 2.0% 1.7% Vision Statement, 2009 1.7% 1.5% Laguna Honda Hospital and Rehabilitation Center 1.0% 0.5% 0.7% 0.4% 0.3% 0.0% 1Q14–3Q14 2Q14–4Q14 3Q14–1Q15 4Q14–2Q15 3 Quarter Period LH Avg CA Avg Nat'l Avg

FY14-15 Finance Review Laguna Honda: 1.4M Surplus Major Vari riances 14-15 GF Favorable / (Unfavorable) Net Patient Revenues $3.0 Salary and Fringe Benefits $0.4 Health at Home: .8M Surplus Major Vari riances 14-15 GF Favorable / (Unfavorable) Salary and Fringe Benefits $0.8

From 1866 to 2016 – A Leader in Post-Acute Care 1866 – Gold Rush 1868 - Smallpox Pioneers 1906 – Relief 1870 – Almshouse Home 1926 – Laguna 1910 - Clarendon Honda Hospital Hall Built and Rehabilitation Center 1963 – Hospital 2010 – The New Accreditation Laguna Honda 2016 – 150 years of Service

Thank you from the Laguna Honda Community!