Avera Marshall Update Presented to the Marshall City Council

July 10, 2012

Mary Maertens, President & CEO

Background• One of five regional Avera facilities• 25-bed critical access hospital• 76-bed long-term care facility• Emergency care center – level 3 trauma designation• Behavioral Health Center opened in July 2007• Outpatient services center• Avera Medical Group clinics• Management agreement with Avera in 2004 and

renamed Avera Marshall Regional Medical Center• Became an Avera sponsored facility in Nov. 2009

Physicians Office Building

Physicians Office Building• Ground breaking in August 2011• Project continues on time

and on budget• Local contractors• Substantial completion

expected in September

• Phased move-in to new construction followed by remodeling of existing clinic spaces

• Fully completed in December 2012

Avera MarshallPhysicians Office Building

Physicians Office Building

Clinic space for Avera Medical Group providers :• Ophthalmology & Optometry• Obstetrics/Gynecology • Internal Medicine• General Surgery• Orthopedics• Pediatrics• Family Medicine

• 22,500 square feet of new construction• 5,220 square feet of remodeled space

within the existing clinic structure• 40 exam rooms, including 4

procedure rooms

Physicians Office Building Features• Decentralized check in and waiting

areas• On-stage/off-stage layout, with staff

core • Clinic based lab and imaging services• Convenient drive-up, drop-off area• Extensive measures to protect patient

privacy – exam room construction, white noise, etc.

Strength of Avera

Purpose of the initial partnership was to elevate Avera Marshall to a regional medical center:• Operational support• System branding• Physician recruitment and retention activities• Service/product expansion• Investment in advanced technology• Excellence in quality and customer service• Building relationships with business entities &

health care providers

Avera Marshall Growth

1. Recruitment of health care providers

2. Service expansion3. Regional footprint4. Financial milestones5. Technology

Recent… • Family Medicine: – Melissa Scotting, CNP – Theresa Bly, CNP

• Psychiatry: – William Del Monte, II, MD

• Optometry:– Melissa Younger, OD

Recruitment of Providers

Recruitment of Providers

Future… • Family Medicine: – Amy Nicolas, CNP (8/2012)– Jane Hartman, MD (10/2012)

• General Surgery: – Traci Kruse, MD (9/1/2012)

• Hospital Medicine: – Justin Hartman, MD (8/1/2012)

Additional recruitment in pediatrics, internal medicine, psychiatry, family practice, orthopedics

Service Expansion

Recent:• Palliative Care• Lasik – laser vision correction• New Surgery Center• Medical Home

Future/under consideration:• Emergency Department expansion• Cancer services

Expanding our Footprint

Bringing specialty care to the region…

Recent additions:

Granite Falls – Dr. Louwagie, Ophthalmology outreach

Slayton – Dr. Reber, Ob/Gyn outreachDr. Buntrock, Ophthalmology outreach

Tyler – Dr. Buntrock, Ophthalmology outreach

Marshall – Dr Affolter practice acquisition

Future…Redwood Falls

TechnologyRecent:• AveraChart electronic medical record• Avera eCARE complement of services• Surgery Center• DexaScan

Future:• Stereotactic breast biopsy• Continued AveraChart/electronic medical

record advances

Financial Milestones

• Nearing $100 million gross revenue

• $12 million net revenue growth• Foundation surpassed $1 million

mark• Auxiliary has donated over

$2.5 million

Health Care ReformSupreme Court Upholds Affordable Care Act -- • Avera recognizes that the law is not perfect, but it does provide

insurance coverage for everyone. • Insurance coverage for everyone makes health care more accessible

for those people who can least afford it.• Avera has been working to position our organization to be ready for

full implementation of this law. We can now move forward with our plans.

• Avera long has been committed to providing care for everyone. The United States Supreme Court affirmed the importance of health care for everyone.

• The individual mandate was upheld.• Medicaid expansion TBD

Health Care Reform in Minnesota

Task force appointed by Gov. Dayton to develop strategies to improve access to health care, lower costs and improve health of Minnesotans. Current strategies address:

• Health insurance exchange• Affordability• Quality and coordination• Prevention/wellness• Long-term care• Health care workforce

Health Reform in Minnesota:Health Insurance Exchange• Marketplace for consumers to compare,

choose and buy health insurance• Compare based on cost, quality and consumer

satisfaction• States have until January 2013 to create

health insurance exchange or federal government will establish one

• Available to consumers in 2014

State Legislative Update--Minnesota Health & Human Services Budget

• Restored hospitals’ decision-making authority regarding community benefit activity

• Improvements to Provider Peer Grouping law• Working to restore cuts to Emergency Medical

Assistance program – funding restored for dialysis and cancer treatment for individuals eligible for EMA

• Legislation creating new felony charge under Minnesota’s Vulnerable Adult law