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Emory Hospitals Emory Hospitals An OverviewAn Overview
Emory University HospitalEmory University Hospital Emory Crawford Long HospitalEmory Crawford Long Hospital Wesley Woods Hospital/CenterWesley Woods Hospital/Center “ “more than a hospital”more than a hospital”
Robert J. Bachman , Chief Operating Officer, Robert J. Bachman , Chief Operating Officer, EUHEUH
Mark Aycock, Chief Financial Officer, Emory Mark Aycock, Chief Financial Officer, Emory HospitalsHospitals
Emory Hospitals - An Emory Hospitals - An OverviewOverview
BeginningsBeginnings Current ConfigurationCurrent Configuration Leadership (Management)Leadership (Management) ServicesServices Operational StatisticsOperational Statistics
Emory University Emory University Hospital Hospital
Beginnings/Current ConfigurationBeginnings/Current Configuration Chartered in 1904/Opened as Wesley Chartered in 1904/Opened as Wesley
Memorial Hospital in 1905Memorial Hospital in 1905 Moved to Emory campus in 1920sMoved to Emory campus in 1920s CurrentlyCurrently
Licensed to operate 579 bedsLicensed to operate 579 beds Actual:Actual: 360 Med/Surg Beds360 Med/Surg Beds
82 ICU Beds (new 20 bed NICU open in 1/07)82 ICU Beds (new 20 bed NICU open in 1/07)52 Rehab Beds (38 in use)52 Rehab Beds (38 in use)20 Psych Beds (18 in use)20 Psych Beds (18 in use)
Emory Hospitals – Emory Hospitals – LeaderhsipLeaderhsip
EUH: Robert J. Bachman, COOEUH: Robert J. Bachman, COO Mark Aycock, CFOMark Aycock, CFO Susan Grant, R.N., CNO, EHCSusan Grant, R.N., CNO, EHC Ira Horowitz, M.D., CMO Ira Horowitz, M.D., CMO Nathan Spell, M.D., CQONathan Spell, M.D., CQO
ECLH: Albert Blackwelder, COOECLH: Albert Blackwelder, COO James Steinberg, CMOJames Steinberg, CMO Richard Gitomer, M.D., CQORichard Gitomer, M.D., CQO
WW: WW: Peter Basler, COO Peter Basler, COO Joseph Ouslander, M.D., CMOJoseph Ouslander, M.D., CMO
Emory Healthcare - Emory Healthcare - System Leadership For EHsSystem Leadership For EHs
John T. Fox, President/CEOJohn T. Fox, President/CEO James Hatcher, CFOJames Hatcher, CFO Susan Grant, R.N., CNOSusan Grant, R.N., CNO William Bornstein, M.D., Ph.D., CQOWilliam Bornstein, M.D., Ph.D., CQO
Emory University Emory University HospitalHospital
12,000 surgeries (300 transplants)12,000 surgeries (300 transplants)700 Heart surgeries/700 Heart surgeries/28,000 ED visits (>28% of pts 28,000 ED visits (>28% of pts
admitted)admitted)494 - Adjusted Average Daily Census494 - Adjusted Average Daily Census27,500 – Adjusted Admissions27,500 – Adjusted Admissions2,700 FTEs (3,300 employees)2,700 FTEs (3,300 employees)ALOS – ALOS – 6.46.4 days daysCMI – CMI – 2.152.15
Emory University Emory University HospitalHospital
ServicesServices Cardiology/Cardiovascular SurgeryCardiology/Cardiovascular Surgery Oncology – WCIOncology – WCI Neurology/NeuroSurgeryNeurology/NeuroSurgery TransplantationTransplantation OrthopaedicsOrthopaedics The Rollins PavilionThe Rollins Pavilion No OB/No Pediatrics - CHOANo OB/No Pediatrics - CHOA
Emory University HospitalOrganizational Chart
Source: Administration, Emory Hospitals
DevelopmentPathology & Laboratory ServicesPharmacyImaging ServicesTransplant Services
Assistant AdministratorEmory Hospitals
Larry F. Hodges, CHE
Chief Financial OfficerEmory HospitalsMark A. Aycock
Center for Rehabilitation MedicineHospital Rehabilitation ServicesMental Health Services
Chief Operating Officer — EUHSenior Associate Administrator
Emory HospitalsRobert J. Bachman
Medical Staff
Chief Medical Officer
Ira Horowitz, MD
Associate Medical Director
Donald C. Davis, MD, PhD
Hospital Auxiliary
Education & Learning Services Employee Health Services• Workers’ Compensation
Educational Information & Media Services• Medical Library
EHC Service Performance
Infection ControlEHC Information Systems’ Medical Director
Medical Staff OfficeRisk Management Office
Materials Management• Purchasing
Social Services• Clinical Resource
ManagementValue Analysis
Human Resources
Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll
Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office
Clinical Performance Improvement
Regulatory/Accreditation
Chief Human Resources Officer
Emory HealthcareMargaret A.
Bloomquist, SPHR
Anesthesiology Services Facility Planning & Development Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety
Medical EngineeringTelecommunications
Associate Administrator
Emory HospitalsDavid E. Pugh
Chief Financial OfficerEmory Healthcare
James T. Hatcher, CPA
Associate AdministratorChief Operating Officer
Emory Hospitals CRM, Mental Health
Services, & Wesley Woods
Peter A. Basler, Jr.GambroMedical Services & Patient Services Information Systems
Nursing Systems Integration & Maternity Services
Oncology Services Perioperative & Endoscopic Services Support Systems
General Surgery & Transplant ServicesSurgical Specialties/Community ServicesGeriatric Nursing Services
Emergency Services
Assistant AdministratorEmory Hospitals
M. June Connor, RN
Cardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services
Assistant AdministratorEmory Hospitals
Jane Vosloh, RN
GIDOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing
President & Chief Executive Officer
EMORY HEALTHCAREJohn T. Fox
Associate Administrator
Emory HospitalsToni F. Wimby,
CHE
Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy
Chief Quality Officer, Emory Healthcare/Chief Medical Officer,
Emory HospitalsWilliam A. Bornstein, MD,
PhD
Chief Quality Officer
Nathan Spell, MD
Associate AdministratorEmory Hospitals
Barbara E. Hargett, RN
Chief Nursing OfficerEmory Healthcare
Susan M. Grant, MS, RN, CNAA
Updated September 2006
Licensed for 511 beds – 420 beds in Licensed for 511 beds – 420 beds in serviceservice
Emergency Room - 50,000 visits/yearEmergency Room - 50,000 visits/year14,000 surgeries (IP & OP) – 1,100 cardiac14,000 surgeries (IP & OP) – 1,100 cardiacOB - 4,200 births/yearOB - 4,200 births/year““Open Medical Staff”Open Medical Staff”Long Term Acute Care HospitalLong Term Acute Care HospitalCMI – 1.6CMI – 1.6FTEs – 2300 FTEs – 2300 Adjusted FTEs per AOB – 4.8Adjusted FTEs per AOB – 4.8Adjusted Admissions – 33,000/yearAdjusted Admissions – 33,000/yearALOS – 5 daysALOS – 5 days
Emory Crawford Long Emory Crawford Long HospitalHospital
Emory Crawford Long HospitalOrganizational Chart
Source: Administration, Emory Hospitals
Assistant AdministratorEmory Hospitals
Larry F. Hodges, CHE
Associate AdministratorEmory Hospitals
Barbara E. Hargett, RN
Chief Financial OfficerEmory HospitalsMark A. Aycock
Hospital Rehabilitation ServicesLTAC
GambroMedical Services & Patient Services Information Systems
Nursing Systems Integration & Maternity Services
Oncology Services Perioperative & Endoscopic Services Support Systems
General Surgery & Transplant Services
Surgical Specialties/Community Services
Geriatric Nursing ServicesEmergency Services
Medical Staff
Chief Medical Officer
James P. Steinberg, MD
Associate Medical Director
James K. Bennett, MD
Associate Medical Director
William M. McKinnon, MD
Chief Operating Officer — ECLHSenior Associate Administrator
Emory HospitalsAlbert K. Blackwelder, FACHE
Hospital Auxiliary
Chief Quality Officer, Emory Healthcare/Chief Medical Officer, Emory Hospitals
William A. Bornstein, MD, PhD
Education & Learning Services Employee Health Services• Workers’ Compensation
Educational Information & Media Services• Medical Library
EHC Service Performance
Infection ControlEHC Information Systems’ Medical Director
Medical Staff OfficeRisk Management Office
Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll
Materials Management• Purchasing
Social Services• Clinical Resource
ManagementValue Analysis
Food & Nutrition ServicesGuest & Volunteer ServicesNeurodiagnostics TestingPastoral ServicesRespiratory Care Services• Electrocardiography• Pulmonary Function• Respiratory Therapy
Human Resources
Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office
Clinical Performance Improvement
Regulatory/Accreditation
Chief Human Resources Officer
Emory HealthcareMargaret A.
Bloomquist, SPHR
Chief Nursing OfficerEmory Healthcare
Susan M. Grant, MS, RN, CNAA
Chief Financial OfficerEmory Healthcare
James T. Hatcher, CPA
Assistant AdministratorEmory Hospitals
M. June Connor, RNCardiac Services• EP• Cardiac Cath Lab• Heart Failure ProgramCardiac Nursing Services
President & Chief Executive Officer
EMORY HEALTHCAREJohn T. Fox
Cardiothoracic Research LabDevelopment
Assistant AdministratorEmory Hospitals
Jane Vosloh, RN
GIDBronchoscopyOperating RoomPACUAmbulatory SurgerySterile ProcessingSame Day SurgeryPre Admit Testing
Associate AdministratorChief Operating Officer
Emory Hospitals CRM, Mental Health
Services, & Wesley Woods
Peter A. Basler, Jr.
Associate Administrator
Emory HospitalsToni F. Wimby,
CHE
Associate Administrator
Emory HospitalsDavid E. Pugh
Anesthesiology Services Facility Planning & Development
Facility Services• Environmental Services• Laundry • Facilities Management• Property Management• Public Safety• Safety
Medical EngineeringTelecommunications
Chief Quality OfficerRichard Gitomer, MD
Updated September 2006
Wesley Woods HospitalWesley Woods Hospital
100 Geriatric Hospital100 Geriatric HospitalLong Term Acute Care HospitalLong Term Acute Care HospitalNo ED/OR/ICUNo ED/OR/ICU““Continuum of Care”Continuum of Care”Budd Terace Budd Terace
Wesley Woods CenterOrganizational Chart
Assistant AdministratorEmory Hospitals
Larry F. Hodges, CHE
Assistant AdministratorEmory Hospitals
Barbara E. Hargett, RN
Assistant AdministratorEmory HospitalsMark A. Aycock
Medical Services & Patient Services Information Systems
Geriatric Nursing Services
Chief Medical OfficerWesley Woods Center
Joseph G. Ouslander, MD
Medical Director
Wesley Woods Hospital
Frank W. Brown, MD
Education & Learning Services Employee Health Services• Workers’ Compensation
Educational Information & Media Services• Medical Library
EHC Service Performance
Infection ControlEHC Information Systems’ Medical Director
Medical Staff OfficeRisk Management Office
Materials Management• Purchasing
Social Services• Clinical Resource
ManagementValue Analysis
Human Resources
Financial Services• Accounts Payable• Decision Support• Financial Planning• General Accounting• Payroll
Management EngineeringMedical RecordsPatient Accounts• Admissions• Audit Coordinators• Business Office
Clinical Performance Improvement
Regulatory/Accreditation
Associate AdministratorChief Human Resources
OfficerEmory HospitalsMargaret A.
Bloomquist, SPHR
Associate Administrator
Chief Financial OfficerEmory Hospitals
James T. Hatcher, CPA
Source: Administration, Emory Hospitals
DevelopmentRehabilitation ServicesMental Health Services
Medical Director
Long Term CareJeff Lesesne,
MD
Pastoral Services Director
Elwood H. Spackman
Budd Terrace Administrator
Janice Langford
Health Center Administrator & WWC
Assoc. AdministratorWilliam J. Such
Chief Operating Officer Wesley Woods Center Peter A. Basler, Jr.
President & Chief Executive Officer
EMORY HEALTHCAREJohn T. Fox
CEO, Woodruff Health Sciences Center &
Chairman of the Board, EHCChairman of the Board, WWC Michael M.E. Johns, MD
Medical Director Long Term Acute Care
HospitalGerry Staton, MD
Wesley Woods, Inc. CEO
Ken Weber
SOURCEDirector
Jennifer Schuck
Wesley Woods Clinic Administrator
JoAnn Croley
Director of Quality,Wesley Woods Center
Vicki Davis
Director of NursingWesley Woods CenterBecky Provine, RN
Wesley Woods LTAC*Administrator
William J. Such
*Wesley Woods Long Term Acute Hospital (LTAC) is a separate corporate entity with a management agreement with Wesley Woods Center
Chief Quality Officer, Emory Healthcare/Chief Medical Officer, Emory Hospitals
William A. Bornstein, MD, PhD
Chief Nursing OfficerEmory Healthcare
Susan M. Grant, MS, RN, CNAA
Updated September 2006
Emory Hospitals FY07 Emory Hospitals FY07 BudgetBudget
Total Operating Revenues of $1.025 Total Operating Revenues of $1.025 billion from $2.1 billion in billingsbillion from $2.1 billion in billingso Emory University Hospital $586 million (57%)Emory University Hospital $586 million (57%)o Emory Crawford Long Hospital $384 million Emory Crawford Long Hospital $384 million
(38%)(38%)o Wesley Woods Center $55 million (5%)Wesley Woods Center $55 million (5%)
Total Operating Expenses of $957 Total Operating Expenses of $957 millionmillion
Operating Income of $68 million or 6.6%Operating Income of $68 million or 6.6%
Cardiology ServicesCardiology ServicesMarket Share – 2004Market Share – 2004
Emory Hospitals combined = 15%Emory Hospitals combined = 15%13%
9%
7%
5%
4%5%
10%
0%
2%
4%
6%
8%
10%
12%
14%
St. Joe's Piedmont Kennestone Grady Cobb EUH ECLH
Orthopaedics and Spine Orthopaedics and Spine ServicesServices
Market Share – 2004Market Share – 2004Emory Hospitals combined = 8%Emory Hospitals combined = 8%
7%
10%9%
6%
5%
4% 4%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
St. Joe's Piedmont Kennestone Grady Northside EUH ECLH
Oncology ServicesOncology ServicesMarket Share – 2004Market Share – 2004
Emory Hospitals combined = 16%Emory Hospitals combined = 16%
7%
9%
8% 8%
10% 10%
6%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
Dekalb Piedmont Kennestone Grady Northside EUH ECLH
Neuroscience ServicesNeuroscience ServicesMarket Share – 2004Market Share – 2004
Emory Hospitals combined = 14%Emory Hospitals combined = 14%
5%
7%
8%
7%
6%
8%
4%
2%
0%
1%
2%
3%
4%
5%
6%
7%
8%
St. Joe's Piedmont Kennestone Grady Dekalb EUH ECLH WW
Emory University HospitalEmory University HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information
Medicaid6%
Medicare43%
Blue Cross12%
HMO21%
PPO8%
Self Pay & Other10%
Emory Crawford Long Emory Crawford Long HospitalHospital
FY2007 Payer Mix InformationFY2007 Payer Mix Information
Medicaid19%
Medicare37%
Blue Cross9%
HMO22%
PPO6%
Self Pay & Other7%
Wesley Woods HospitalWesley Woods HospitalFY2007 Payer Mix InformationFY2007 Payer Mix Information
Medicaid2%
Medicare86%
Blue Cross2%HMO
7%
PPO2%
Self Pay & Other1%
Emory Crawford Long Emory Crawford Long HospitalHospital
FY2007 Expense Information ($957M)FY2007 Expense Information ($957M)
Benefits9%
Salaries36%
Supplies27%
Interest & Depreciation
6%
Utilites & Maintenance5%
EU & EHC Overhead6%
All Other11%
Emory Hospitals Cash Flow Emory Hospitals Cash Flow FY2007FY2007
Cash Generated from Operations: $105 Cash Generated from Operations: $105 millionmillion
LESS:LESS:Debt Principal PaymentsDebt Principal Payments $30 million$30 millionCapital ExpendituresCapital Expenditures $37 million$37 millionClifton Road DevelopmentClifton Road Development $12 million$12 millionWHSCAB & SOM FundingWHSCAB & SOM Funding $34 million$34 million
Funding TotalFunding Total $113 million$113 millionThis is our biggest financial challenge as a This is our biggest financial challenge as a
health science center.health science center.
Medical EducationMedical Education Hospital, via billing from GME office, Hospital, via billing from GME office,
reimburses SOM for residents in reimburses SOM for residents in accredited programsaccredited programs
Hospital is then partially reimbursed for Hospital is then partially reimbursed for this expense from the Medicare program this expense from the Medicare program through the filing of an annual cost reportthrough the filing of an annual cost report
Medicare has capped Emory Hospitals Medicare has capped Emory Hospitals resident FTEs at 356resident FTEs at 356
Tightly regulated area, particularly on Tightly regulated area, particularly on accounting for residents time and the accounting for residents time and the location where they are workinglocation where they are working
ResearchResearch The hospitals have a standard rate of 35% of The hospitals have a standard rate of 35% of
charges for research (was 40% in FY2006)charges for research (was 40% in FY2006) Hospital rates change each September and a Hospital rates change each September and a
new listing of charges is provided to the new listing of charges is provided to the Clinical Trials Office for download into the Clinical Trials Office for download into the Siteminder SystemSiteminder System
Upfront identification of research patients is Upfront identification of research patients is a must if proper hospital billing is to occura must if proper hospital billing is to occur
Research revenues are budgeted at $1.5 Research revenues are budgeted at $1.5 million for FY07 (0.1% of hospital revenues)million for FY07 (0.1% of hospital revenues)
Emory Hospitals: An OverviewEmory Hospitals: An Overview
Q U E S T I O N S Q U E S T I O N S
Emory Healthcare Organizational Chart
Source: Emory Healthcare, Office of the President and Chief Executive Officer
CEO, Woodruff Health Sciences Center & Chairman of the Board, EHCMichael M.E. Johns, MD
President and Chief Executive OfficerJohn T. Fox
Director,The Emory Clinic
Wright Caughman, MD
President & CEO, Emory Children’s Center
Barbara J. Stoll, MD
Senior Director, Managed Care
S. Patrick Hammond
Senior Director,Marketing
Una H. Newman
Chief Compliance OfficerAnne Adams, JD
Chief Information OfficerDedra Cantrell
Senior Director, Risk & Insurance Svcs.
Shulamith Klein
Chief Human Resources Officer
Margaret A. Bloomquist
Chief Quality OfficerWilliam A. Bornstein,
MD, PhD
Chief Operating Officer,Emory University Hospital
Robert J. Bachman
Chief Operating Officer,Wesley Woods Center
Pete A. Basler, Jr.
Chief Operating Officer,Emory Crawford Long Hospital
Albert K. Blackwelder
Chief Nursing Officer,Emory Healthcare
Susan M. Grant, RN, MS, CNAA-BC
Chief Operating Officer,The Emory ClinicDonald I. Brunn
Chief Financial Officer, Emory Healthcare
James T. Hatcher, CPA
Executive Director,Emory Center for Pastoral Services
Elwood H. Spackman, M.Div.
Chief of StaffGary L. Teal, MBA
Updated October 2006
Associate AdministratorDebra Bloom, APR
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