University of Iowa Health Care Presentation to The Board of - PowerPoint PPT Presentation

University of Iowa Health Care Presentation to The Board of Regents, State of Iowa June 8-9, 2016 5/25/2016 4:27 PM 1

Agenda � Opening Remarks (Robillard) � Operational and Financial Performance (Kates & Fisher) � Faculty Presentation Bedside-Bench-Bedside Multidisciplinary Integrated Auditory Neurobiology (Hansen) 2

Opening Remarks Jean Robillard, MD Vice President for Medical Affairs 5/25/2016 4:27 PM 3

Operational and Financial Performance Ken Kates, Associate Vice President & Chief Executive Officer, UI Hospitals & Clinics Ken Fisher, Associate Vice President for Finance and Chief Financial Officer, UI Hospitals & Clinics 4

Volume Indicators Fiscal Year to Date April 2016 % Variance % Prior Variance to Variance to to Prior Variance to Operating Review (YTD) Actual Budget Year * Budget Budget Year Prior Year Discharges 27,720 27,111 26,257 609 2.2% 1,463 5.6% Patient Days 182,382 173,595 170,976 8,787 5.1% 11,406 6.7% Average Daily Census 597.97 569.17 562.42 28.80 5.1% 35.55 6.3% Total Surgeries 25,456 25,464 24,707 (8) 0.0% 749 3.0% - Inpatient 12,323 10,169 9,862 2,154 21.2% 2,461 25.0% - Outpatient 13,133 15,295 14,845 (2,162) -14.1% (1,712) -11.5% 48,832 48,074 47,617 758 1.6% 1,215 2.6% ED Visits 725,655 729,087 690,102 (3,432) -0.5% 35,553 5.2% Total Clinic Visits * from ongoing operations Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 5

Discharges by Type Fiscal Year to Date April 2016 % Variance % Prior Variance Variance to to Prior Variance to Operating Review (YTD) Actual Budget Year to Budget Budget Year Prior Year Adult Medical 7,656 7,418 7,193 238 3.2% 463 6.4% Adult Surgical 14,943 14,081 13,658 862 6.1% 1,285 9.4% Adult Psych 1,006 1,123 1,085 (117) -10.4% (79) -7.3% Subtotal – Adult 23,605 22,622 21,936 983 4.3% 1,669 7.6% Pediatric Medical & Surgical 3,065 3,236 3,109 (171) -5.3% (44) -1.4% Pediatric Critical Care 675 712 688 (37) -5.2% (13) -1.9% Pediatric Psych 375 541 524 (166) -30.7% (149) -28.4% Subtotal – Pediatrics w/o 4,115 4,489 4,321 (374) -8.3% (206) -4.8% newborn 1,358 1,430 1,326 (72) -5.0% 32 2.4% Newborn TOTAL w/o Newborn 27,720 27,111 26,257 609 2.2% 1,463 5.6% Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 6

Discharge Days by Type Fiscal Year to Date April 2016 % Variance % Prior Variance Variance to to Prior Variance to Operating Review (YTD) Actual Budget Year to Budget Budget Year Prior Year Adult Medical 45,467 41,803 41,184 3,664 8.8% 4,283 10.4% Adult Surgical 80,343 75,224 74,144 5,119 6.8% 6,199 8.4% Adult Psych 17,932 17,508 17,208 424 2.4% 724 4.2% Subtotal – Adult 143,742 134,535 132,536 9,207 6.8% 11,206 8.5% Pediatric Medical & Surgical 16,613 15,521 15,284 1,092 7.0% 1,329 8.7% Pediatric Critical Care 18,812 19,430 19,157 (618) -3.2% (345) -1.8% Pediatric Psych 4,193 4,289 4,208 (96) -2.2% (15) -0.4% Subtotal – Pediatrics w/o 39,618 39,240 38,649 378 1.0% 969 2.5% newborn 3,092 3,084 3,014 8 0.3% 78 2.6% Newborn TOTAL w/o Newborn 183,360 173,775 171,185 9,585 5.5% 12,175 7.1% Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 7

Length of Stay (March 2014 – March 2016) Length of Stay - Adult (excluding Psych & UHC Outliers) - 12 Month Moving Average 1.10 1.00 0.90 0.91 0.90 0.90 0.90 0.89 0.89 0.89 0.89 0.89 0.90 0.88 0.90 0.90 0.90 0.90 0.89 0.89 0.89 0.89 0.89 0.89 0.88 0.88 0.88 0.88 0.80 Mo 0.70 3/1/14 5/1/14 7/1/14 9/1/14 11/1/14 1/1/15 3/1/15 5/1/15 7/1/15 9/1/15 11/1/15 1/1/16 3/1/16 Discharge - Month Date Length of Stay - Peds (excluding Psych, NNB, Neonate & UHC Outliers) - 12 Month Moving Average 1.20 1.10 1.03 1.03 1.02 0.99 0.99 1.00 0.98 0.98 1.02 1.02 0.97 0.97 0.99 0.96 0.99 0.99 0.98 0.98 0.98 0.98 0.97 0.97 0.96 0.95 0.95 0.95 0.90 0.80 Mo 0.70 3/1/14 5/1/14 7/1/14 9/1/14 11/1/14 1/1/15 3/1/15 5/1/15 7/1/15 9/1/15 11/1/15 1/1/16 3/1/16 Discharge - Month Date 8

Case Mix Index 2.3 2.2 2.1 2 1.9 1.8 1.7 1.6 1.5 Medicare All Payors 9

Inpatient Surgeries – by Clinical Department Fiscal Year to Date April 2016 % Variance % Prior Variance to Variance to to Prior Variance to Operating Review (YTD) Actual Budget Year Budget Budget Year Prior Year Cardiothoracic 920 880 872 40 4.5% 48 5.5% Dentistry 375 260 241 115 44.2% 134 55.6% General Surgery 3,550 2,911 2,810 639 22.0% 740 26.3% Gynecology 762 638 638 124 19.4% 124 19.4% Neurosurgery 2,129 1,524 1,481 605 39.7% 648 43.8% 230 111 90 119 107.2% 140 155.6% Ophthalmology 2,825 2,399 2,348 426 17.8% 477 20.3% Orthopedics 677 623 596 54 8.7% 81 13.6% Otolaryngology 77 113 101 (36) -31.9% (24) -23.8% Radiology – Interventional 778 710 685 68 9.6% 93 13.6% Urology w/ Procedure Ste. Total 12,323 10,169 9,862 2,154 21.2% 2,461 25.0% Solid Organ Transplants 255 277 270 (22) -7.9% (15) -5.6% Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 10

Outpatient Surgeries – by Clinical Department Fiscal Year to Date April 2016 % Variance % Prior Variance to Variance to to Prior Variance to Operating Review (YTD) Actual Budget Year Budget Budget Year Prior Year Cardiothoracic 35 52 49 (17) -32.7% (14) -28.6% Dentistry 433 473 461 (40) -8.5% (28) -6.1% Dermatology 26 27 22 (1) -3.7% 4 18.2% General Surgery 2,087 2,389 2,326 (302) -12.6% (239) -10.3% Gynecology 680 734 691 (54) -7.4% (11) -1.6% Internal Medicine 10 4 3 6 150.0% 7 233.3% Neurosurgery 513 760 774 (247) -32.5% (261) -33.7% 2,891 3,158 3,063 (267) -8.5% (172) -5.6% Ophthalmology 2,788 3,671 3,589 (883) -24.1% (801) -22.3% Orthopedics 1,946 2,141 2,043 (195) -9.1% (97) -4.7% Otolaryngology 1 4 3 (3) -75.0% (2) -66.7% Pediatrics 31 79 76 (48) -60.8% (45) -59.2% Radiology – Interventional 1,692 1,803 1,745 (111) -6.2% (53) -3.0% Urology w/ Procedure Ste. Total 13,133 15,295 14,845 (2,162) -14.1% (1,712) -11.5% Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 11

Emergency Department Fiscal Year to Date April 2016 % % Prior Variance to Variance to Variance to Variance to Operating Review (YTD) Actual Budget Year Budget Budget Prior Year Prior Year 48,832 48,074 47,617 758 1.6% 1,215 2.6% ED Visits ED Admits 15,407 15,216 15,072 191 1.3% 335 2.2% ED Conversion Factor 31.6% 31.7% 31.7% -0.3% -0.3% ED Admits / Total Admits 56.0% 56.2% 57.4% -0.4% -2.4% Greater than Neutral Greater than 2.5% Favorable 2.5% Unfavorable 12

Clinic Visits by Specialty Fiscal Year to Date April 2016 % Operating Review (YTD) Actual Budget Variance to Budget Variance to Budget Burn Clinic 2,648 2,856 (208) -7.3% Center for Disabilities & Development 8,406 8,125 281 3.5% Center for Digestive Disease 18,587 16,316 2,271 13.9% Clinical Cancer Center 44,275 44,908 (633) -1.4% Dermatology 20,353 19,114 1,239 6.5% General Surgery 15,227 13,061 2,166 16.6% Hospital Dentistry 14,705 13,865 840 6.1% Internal Medicine 25,552 28,558 (3,006) -10.5% Neurology 12,991 12,488 503 4.0% Neurosurgery 10,879 8,604 2,275 26.4% Obstetrics/Gynecology 49,810 50,799 (989) -1.9% Ophthalmology 52,323 57,371 (5,048) -8.8% Orthopedics 57,795 61,992 (4,197) -6.8% Otolaryngology 16,634 19,604 (2,970) -15.1% Pediatrics 49,710 49,417 293 0.6% Primary Care (non-IRL) 154,047 149,227 4,820 3.2% Psychiatry 32,003 29,494 2,509 8.5% Urology 8,202 9,402 (1,200) -12.8% UI Heart Center 15,622 15,860 (238) -1.5% IRL 115,886 118,026 (2,140) -1.8% Total 725,655 729,087 (3,432) -0.5% Greater than 2.5% Favorable Neutral Greater than 2.5% Unfavorable 13