Operations Report – October, 2015

Executive Summary

Operations Report

Fiscal Year Ending October 31, 2015

Executive Summary

Cooper Green Mercy Health Services (CGMHS) is pleased to submit this summary of key utilization for

the Month ending October 31, 2015.

FY 2013 data has been dropped from this report. FY 2013 data included three months while the

inpatient portion of the facility was still in operation and now closed specialty clinics, e.g.

Pulmonary and OB; consequently there was some skewing of the data for that year. FY 2014 and

FY 2015 will serve as comparator data going forward.

Total clinic visits reflect a heavy volume, particularly with regard to primary care visits. Primary

care visits for October are up substantially over the same period for both 2014 and 2015.

Annualized data at this early point would predict over 60,000 patient visits for FY 2016. A .6 FTE

primary care physician is being added as of December 1st. This brings the clinic’s total to fourteen

providers and 8.7 FTEs.

Specialty clinic volumes continue to decline slightly. This is not a capacity issue. Volumes are the

result of referrals from primary care as need is determined. There is no particular reason associated

with the decline in referrals. Importantly, specialty patient visits are not a key indicator of success,

as are primary care visits.

Pain Clinic visits are recovering after the temporary medical LOA of the CGMHS pain provider.

Currently, the pain provider’s panel is full and there are several hundred pending referrals. Efforts

continue to be made to identify an additional provider or increase capacity through an arrangement

with UAB’s Pain Management Clinic.

Patient visits for Rehabilitation Services are increasing; however, capacity to see patients has been

down for the majority of FY 2015 because of a vacant Physical Therapist position. Patient visits

have been shortened to better accommodate the patient volume and to continue meeting Medicare

access standards, but this obviously has some effect on continuity of care. The position needs to be

filled as soon as possible. The lack of a part-time Respiratory Therapist has also adversely affected

patient volume.

Urgent Care is continuing a trend of a slight uptick in visits that has been occurring since June,

2015. This is possibly due to an effort to educate emergency room users about the use of urgent

care as an alternative. A joint UAB/CGMHS Clinical Care Coordinator is charged with directly

reaching out to ER users who are cardholders and a follow up Urgent Care Clinic flier is sent to

each household. These fliers are also posted throughout the facility.

The high volume of in-house lab tests for October continues to reflect the increase in primary care

visits. Tests performed by reference labs increased as the result of the addition of the Women’s

Clinic, increased Hep C testing, and the decision to move A1c testing to LabCorp pending the

acquisition of a new A1c analyzer. All occurred in FY 2015.

Operations Report

Fiscal Year Ending October 31, 2015

*Corrected patient visits for FY 2015. Behavioral Health was counted twice in “All Visits”.

Clinical Service FY 2014 FY 2015 FY 2016

Primary Care 15,995 21,595 2,057

Specialty Care 16,632 15,709 1,351

Pain Management 2,110 2,240 182

Urgent Care 10,916 11,127 1,111

Behavioral Health 0 647 152

Rehabilitation 4,948 4,522 409

TOTAL VISITS 50,601 55,840 5,262

15,995

21,595

2,057

16,632

15,709

1,3512,110 2,240

182

4,948 4,522

409

10,916 11,127

1,111

647 1521

10001

20001

30001

FY 2014 FY 2015 FY 2016

Vis

its

All Visits

Primary Care Specialty Care Pain CareRehabilitation Urgent Care Behavioral Health

2014 50,601

2015 55,840*

2016 YTD

(One Month)

5,262

Operations Report

Fiscal Year Ending October 31, 2015

1,640

1,307

1,647 1,669 1,701

1,8741,959 1,934

2,110

1,921 1,945 1,888

2057

0

500

1000

1500

2000

2500

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Primary Care - Visits by Month

FY 2014 FY 2015 FY 2016

1,376

974

1,3051,270 1,275

1,3911,486

1,206

1,4301,369 1,349

1,278

0

200

400

600

800

1000

1200

1400

1600

1800

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Specialty Care - Visits by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

250

192

234246 241

271

212

251

142

4

79

118

182

0

50

100

150

200

250

300

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Pain Care - Visits by Month

FY 2014 FY 2015 FY 2016

42

117

156 157

175

152

0

20

40

60

80

100

120

140

160

180

200

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Behavioral Medicine - Visits by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

440

344324 318

261

344 339

382

512

450415

393409

0

100

200

300

400

500

600

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Rehabilitation Services - Visits by Month

FY 2014 FY 2015 FY 2016

789

683

896 895 898952 918 908

1,014 1,004

1,099 1,0711111

0

200

400

600

800

1000

1200

1400

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Emergent/Urgent Care - Visits by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

10,102

7,2297,889

10,5399,658

8,546

11,65511,37611,39910,691

12,33611,894

11,497

0

2000

4000

6000

8000

10000

12000

14000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Total In-House Lab Tests by Month

FY 2014 FY 2015 FY 2016

670573

660

1,065945

890

1,752

1,614 1,642

1,354

1,519 1,477

1,617

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Total Reference Lab Tests by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

1,178

901

1,037

1,324

1,136

1,382

1,593

1,089

1,3091,368

1,146

1,289

0

200

400

600

800

1000

1200

1400

1600

1800

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Vis

its

Month

Total Lab Phlebotomy Patients by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

Pharmacy Core Measures

8,758

6,707

8,438 8,4978,029

8,932 8,980

8,193

8,889 8,7428,316

7,6838405

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Axis

Title

Month

Pharmacy - Prescriptions by Month

FY 2014 FY 2015 FY 2016

Operations Report

Fiscal Year Ending October 31, 2015

537442

545 581 546630 608

486 494 464 457 487

4156

52 5543

49 75

71 55 51 52 56

181

147125

132 173

221 190

188 17075

197 156

112

105124

111 118

60 141

115 143

117

101 97

0

200

400

600

800

1000

1200

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Pro

ced

ure

s

Month

Imaging Utilization FY 2015

Computerized Radiology CT Scanning Mammography Ultrasound

519

55

185

100

0

100

200

300

400

500

600

700

800

900

1000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep

Pro

ced

ure

s

Month

Imaging Utilization FY 2016

Computerized Radiology CT Scanning Mammography Ultrasound

Operations Report

Fiscal Year Ending October 31, 2015

-

2,000

4,000

6,000

8,000

10,000

12,000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct

5,851 5,800 5,804 5,796 6,068 6,154 6,236 6,197 6,148 6,189 6,182 6,171 6,141

2,717 2,642 2,594 2,543 2,487 2,438 2,385 2,363 2,347 2,305 2,286 2,237 2,197

839 859 860 854 894 893 915 927 958 957 956 973 978

En

roll

es

ENROLLED PATIENTS - FY 2015

Indigent Total Medicare Total Medicaid Total

Commercial Total Self Pay Total Other Total

-

2,000

4,000

6,000

8,000

10,000

12,000

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct

6,165

- - - - - - - - - - - -

2,149

- - - - - - - - - - - -

990

- - - - - - - - - - - -

En

roll

ees

ENROLLED PATIENTS - FY 2016

Indigent Total Medicare Total Medicaid Total

Commercial Total Self Pay Total Other Total

Operations Report

Fiscal Year Ending October 31, 2015

DATA TABLE FOR ENROLLED PATIENTS FY – 2015

DATA TABLE FOR ENROLLED PATIENTS FY – 2016

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Indigent Total 5,851 5,800 5,804 5,796 6,068 6,154 6,236 6,197 6,148 6,189 6,182 6,171 6,141

Medicare Total 2,717 2,642 2,594 2,543 2,487 2,438 2,385 2,363 2,347 2,305 2,286 2,237 2,197

Medicaid Total 839 859 860 854 894 893 915 927 958 957 956 973 978

Commercial Total 256 264 275 283 274 276 285 283 297 317 318 340 363

Self Pay Total 143 149 160 176 191 193 206 213 219 236 240 267 269

Other Total 104 104 104 91 92 96 108 105 96 87 90 91 89

Grand Count 9,910 9,818 9,797 9,743 10,006 10,050 10,135 10,088 10,065 10,091 10,072 10,079 10,037

Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Indigent Total 6,165 - - - - - - - - - - - -

Medicare Total 2,149 - - - - - - - - - - - -

Medicaid Total 990 - - - - - - - - - - - -

Commercial Total 372 - - - - - - - - - - - -

Self Pay Total 275 - - - - - - - - - - - -

Other Total 88 - - - - - - - - - - - -

Grand Count 10,039 - - - - - - - - - - - -