Post on 19-Aug-2015
UHS Overview
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
• Manage underutilized capital:• Optimize assets within and across hospitals and systems• Provide greater equipment availability and quality with clinical and
technical expertise • Capture data and create metrics that drive actionable decisions
• Support clinical goals:• Right treatment, Right patient, Right time• Support protocol compliance• Prevent and reduce Hospital Acquired Conditions
• Provide access to new and leading technologies:• Reduce length-of-stay • Reduce readmissions• Improve outcomes
Executive SummaryWhat Sets UHS Apart
UHS helps health care providers lower costs, improve efficiencies and support better patient outcomes in the new health care environment
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
80+District Offices
2,500+Employees
8,000+ Health Care
Facilities
200+ Manufacturers
UHS Overview
NATIONWIDE FOOTPRINT
75+Years of
Experience
700,000+Medical equipment owned or managed
UHS utilizes our national footprint, equipment expertise and dedicated teammates to provide comprehensive solutions that help our customers lower costs, increase efficiencies and support better patient outcomes
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Our Vision
To provide medical technology solutions for caregivers and patients
that are affordable, effective and accessible
Workflow,Data &Analytics
Service& Support
Equipment &Technology
NationalInfrastructure
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Health Care Challenges
Equipment repair and down time
Reimbursement
(Medicaid and Medicare)
Decreasing
inpatient volumes
Increased costs of
staff and supplies
Reducing operating budgets
Inadequate or lack of funding for
capital improvements
OR scheduling
challenges and delays
Implementation of ICD-10
Staying current on agency
and state regulations
Redesigning nursing care processes
Pay for performance
Challenges
Underutilized assetsNursing turnover
and burnout
Managing Hospital Acquired
ConditionsStaying current on equipment
training and certifications
High technology
costs & total cost
of ownership
Driving Excess Costs:
Typical 500 bed facility (annual):
• $3M+ in costs from OR case delays
• $1M+ in equip maintenance & software costs
• $5M+ in infusion technology upgrade costs
• $3M+ in beds/therapy surface upgrades and rentals
• $2M+ in nursing turnover costs
• $4M+ in patient falls and HAPU expenses
• $20M+ in Hospital Acquired Infection expenses
• $10M+ in preventable readmissions
Challenges associated with health care technology and patient management are costing the industry $ BILLIONS in excess costs
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
The UHS Value
Number of Offerings Utilized
Val
ue
Vendor with focus on
price
Trusted Advisor relationship with a focus on lowering
costs and improving revenue
• Product A • Product A• Product B
• Service A• Product A• Product B
• Service A• Service B• Product A• Product B
• Solution A• Service A• Service B• Product A• Product B
• Solution A• Solution B• Service A• Service B• Product A• Product B
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Hospital
Hospital
Approach to Equipment Management
Surgery Center
HospitalHospital
Main Hospital
Enterprise 360
Today’s EnvironmentFocused on the single facility. Misaligned resources to
demand driving low equipment utilization and increased costs across the system.
UHS EnvironmentSystem focused approach allowing maximum equipment
utilization and improved work-flow.
70%70%
70%
70%
70% 70%
Surgery Center
Hospital Hospital
Main Hospital
55%30%
45%
25%
80% 30%
System
Equipment Utilization
UHS enables health care systems to share underutilized moveable medical assets across facilities. We ensure that equipment is utilized to its maximum and eliminate equipment shortages and excess rentals.
Hospital
Hospital
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Scope of Enterprise Management
Surgery Center
Surgery Center
Surgery Center
Hospital
Hospital Hospital
Specialty Hospital
Main Hospital
System1
1
3
2System Level• Greatest opportunity for cost savings and
efficiency• Largest pool of equipment
• Management of System-Owned equipment and rental provider
• Equipment standardization support
Regional Level• Management of Region-Owned
equipment and rental providers• Drives asset utilization, strategic
capital planning at sub Sub System• Improves work-flow and efficiency
Single Facility Level• Drives asset utilization, strategic
capital planning at Facility level• Improves work-flow and efficiency• Management of both facility-owned
and rental units
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
2
3
Enabled by Proven Systems
• Enabled by Proprietary Technology / Systems• Nationwide, real time equipment management & logistics• Billing & customer management• Quality & repair• Supply management• Real time analytics and reporting
• Full featured biomedical management and work order system
• Regulatory compliance• Capital planning & analysis• Real time analytics and reporting
Customer-driven tool enabling:• Equipment ordering• Utilization management• Regulatory: reporting & compliance• Clinical management• Reports & analytics
• On-site proprietary management tracking software for 360 programs
• Real time interface connects UHS to hospital, medical record, admission/discharge system, and financial systems
• Real time productivity and clinical, regulatory reports
• HIPAA Compliant
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
360 On-Site Managed Solutions
Results of Improper Equipment Management
360 solutions are full service technology management programs that provide:• Customer and UHS owned assets• Delivery, pick-up, cleaning and maintenance of medical technology• Data and analytics to help improve workflow and equipment utilization• On-site staff available 24x7• Clinical protocol compliance
360 Solutions
SurgicalEquipment 360
BioMed 360 NPWT 360 Beds & Therapy Surfaces 360
Fall Mgmt 360 Infusion 360
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
360 On-Site Managed Solutions
Note: Potential savings based on average 500-bed facility
VALUE
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Comprehensive 360 SolutionIDN – 11 Facilities
Hospital Profile Hard Benefits
Beds 3,500 (11 Facilities)
Program Coverage
Infusion, NPWT, Biomed360, Patient Handling, and other Medical Equipment
QualitativeValue Creation
63% increase in nursing satisfaction
57% increase in delivery times
Virtually eliminated cross contamination violations (<0.5% system-wide)
Free up essential services for mission critical work
Increased technician net promoter score by 9.2%
Key Savings Summary
18% savings guaranteed over term of the contract
20% savings for beds 20% savings for NPWT $3m+ biomed savings (in 14
months) $30m in capital avoidance
Cumulative Program Savings (Since Sept 2011):
Capital Avoidance
$14.4m $30m
Cross Contamination Violations: Equipment moves from patient to patient without being cleaned and/or processed
20% Savings in NPWT
20% Savings in Specialty Beds
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Peak Need Rental Solutions
Online Ordering & Reporting
State-of-the-Art Technology Education & Compliance
• Lost, broken and dirty equipment • Low equipment utilization • Inefficient use of capital dollars
Challenges of Peak Need Equipment Management: • Variable inpatient volumes • Managing multiple vendor relationships• Regulatory provisions and documentation
• Extensive fleet of over 700,000 pieces of state-of-the-art equipment• Patient-ready equipment delivered when and where it is needed most• Regulatory support, training and documentation
• Cost Avoidance: Avoid costs of equipment ownership related to depreciation, maintenance, repair, storage and cleaning • Risk Management: UHS is 100% responsible for all aspects of equipment management• Increased Productivity: Caregivers can access equipment when and where they need it, allowing them to focus on
providing optimal patient care
Peak Need Solutions
VALUE
Drivers of Bad Rental:
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Documentation Reporting
Technology Expertise
Equipment Planning
Expense Management
Clinical Engineering Solutions
• Equipment maintenance and repair services• Centralized regulatory compliance• Strategic technology planning and sourcing• Medical Equipment Management Plans (MEMP)
Clinical Engineering Impact: • Highly regulated environment• Patient safety litigation expenses• Technology utilization & obsolescence
Challenges for Clinical Engineering: • Device risk and security management• Equipment interoperability execution• Capital equipment procurement expertise
Total $140,003,640
High Priority Items by Facility, $46,419,500
High, $46.4M,
33%Medium, $76.6M,
55%
Low, $17.0M,
12%
Campus A$625,000
1%
Campus B$3,694,000
8%
Campus C$2,050,000
5%Campus D$3,300,000
7%
Campus E$8,975,000
19%
Campus F$5,975,000
13%
Campus G$825,500
2%
Campus H$5,030,000
11%
Campus I$625,000
1%
Campus J$12,415,00
027%
Campus K$2,905,000
6%
PM Compliance Reporting
Security Risk Reporting
• Single Source Solution: Your single-source solution for equipment planning, repair, maintenance, reporting and compliance
• Decrease Clinical Engineering Expenses: 10% savings on existing spend by leveraging UHS buying power
• Optimize Capital: Utilize UHS technology scoring matrix for expert guidance on capital planning and sourcing
•Dedicated technicians•EMR integration•PHI compliance•Alarm management
•Regulatory compliance•Asset optimization•Vendor sourcing & negotiation
Clinical EngineeringSolutions
VALUE
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Education & LSO Support
Scheduling
SurgicalTechnology
Analytics & Reporting
Surgical Lasers
Surgical Services
• Access to technology with certified technologists without the high cost of ownership • Pay-per-use model ensures that charges are incurred only when used on a patient • Metrics and actionable analytics
Cost of OR Inefficiencies: • HAIs cost $15,000 per incident• Total cost of ownership: $1M per year for surgical
equipment management • Trained and certified equipment operators• Litigation expense
Challenges for ORs: • Access to technology to provide desired outcomes• Cost per patient is up / reimbursements are down • Delays, lengthy procedure times and retreatment rates cost
facilities millions of dollars per year • Efficient utilization of capital equipment
• Accessibility: Access to the most advanced and comprehensive surgical equipment fleet and certified technologists in the industry• Assessments: On-site assessments to determine utilization, cost of ownership and regulatory compliance• Analytics: Review quarterly metrics, analytics and quality indicators to increase efficiencies, lower costs and improve patient
outcomes
Aloka ESWLEndocare Cryocare
Tru-DSmartUV
OmniGuide Greenlight XPS 100 Watt Holmium Lumenis Ultrapulse CO2
VALUE
Surgical Services
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Wound Management Solutions
• Patient-ready equipment delivered when and where it is needed• Address patient needs from prevention to treatment• On-site programs maximize speed to therapy and clinical compliance
Assessment & Care Plan
Documentation
Prevention
Education & Compliance
Treatment
Bedside Pressure Mapping
OnCare™ Rest-Q® OnCare™ VitalGo TLB™
Therapy Surfaces NPWTOnCare™ Dolphin FIS®
Costs of Wounds: • $10.5 billion annually• $43,000 average cost to treat pressure ulcer• Litigation expenses
Challenges of Wound Management: • Inconsistent documentation and compliance to current protocols• Equipment availability negatively impacts speed to therapy and
caregiver satisfaction• Higher focus on treatment vs. prevention and compliance
• Decrease Rental Costs: 20-30% savings on specialty bed and therapy surface rentals
• Reduce HAPUs: Up to a 50% reduction in hospital acquired pressure ulcers (HAPU), which can cost over $43,000 per wound
• Clinical Support: UHS’ dedicated team of clinical experts partners with your facility to support compliance and maximize patient careVALUE
Wound ManagementSolutions
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Assessment & Care Plan
Reporting & Documentation
Fall Prevention
Education & Compliance
InjuryPrevention
Fall Management Solutions
• Scientifically validated risk tool and care plan• Actionable education and reporting to drive accountability and sustainability• Best-in-class products deliver optimal patient outcomes
Costs of Falls: • 11,000 fatal falls annually• $14,056 average cost of fall with injury• 6.3 additional days of hospital stay
Challenges of Fall Management:
Alarms Enclosure Beds
OnCare™ Harmony® Low Bed
OnCare™ LiftSeat® OnCare™ Bedside Guardian Fall Mat™
Telesitting Systems
• Assessment tool and care plan not linked• Difficulties providing education for staff, patient and family• Inconsistent use of risk prevention equipment
• Decrease Rental Costs: 20-30% savings on specialty bed and therapy surface rentals
• Reduce Fall Injuries: Reduce the risk of fall-related injuries from the industry average of 30% to less than 1%• Caregiver and Regulatory Compliance: Drive caregiver compliance and fulfill regulatory compliance responsibilities
VALUE
Fall ManagementSolutions
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Early Mobility Solutions
Assessment & Care Plan
Protocol Development
Education & Clinical Support
MobilizationEquipment
• State-of-the-art technology to safely mobilize critical patients• Patient-ready equipment delivered when and where it is needed • Clinical education and support for proper use of equipment
Costs and Complications of Bed Rest: • $4,000 average daily cost of an ICU stay• 4-13 days increase in length of stay from VAP• Increased risk of pressure ulcers (Average cost $43,000)
Challenges of Early Mobility: • Safety of caregivers and patients during mobilization • Inadequate ICU staffing levels and knowledge • Patient sleep deprivation & state of consciousness
• Reduce Length of Stay: Early mobility solutions help facilities accelerate healing time, reducing hospital stays by over two days• Reduce Readmissions: Early mobilization in the ICU plays a crucial role in helping improve patients’ physical health after critical illness• Improves Patient Outcomes: Early mobility programs have been proven to improve lung output, respiratory function, bowel function,
circulation, pressure ulcers, muscle strength, cognitive growth and optimism
OnCare™ VitalGo Total Lift Bed™
OnCare™ LiftSeat®Gait Trainers
Mobility Carts
VALUE
Early Mobility Solutions
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Assessment & Care Plan
Education & Clinical Support Specialty
Beds & Therapy Surfaces
Reporting & Documentation
Lift Products
Bariatric Solutions
• Best-in-class products deliver optimal patient outcomes• Proper use of equipment solutions promotes improved clinical outcomes• Focused on patient and caregiver safety
Bariatric Impact: • Nearly one quarter of U.S. adults are obese (22.3%)• 30% of staff injuries related to patients with BMI ≥ 35• Average workers compensation claim is $15,000
Challenges of Bariatric Management: • Equipment availability negatively impacts speed to therapy and
caregiver safety• Inconsistent use of comprehensive bariatric equipment• Equipment needs fluctuate based on census
• Decrease Rental Costs: 20-30% savings on bariatric and therapy surface rentals• Reduce Never Events: Prevent and minimize wounds and falls while facilitating healing with clinically-proven wound prevention and
treatment products• Reduce Injuries: Reduce and prevent caregiver and patient injuries through proper use of specialized bariatric equipment
OnCare™ LiftSeat®
OnCare™ VitalGo Total Lift Bed™
Specialty Beds
VALUE
Bariatric Solutions
Therapy Surfaces
Floor Lifts Standing Aids
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
OnCare™ Products
Comfort-X™ MattressRest-Q® Mattress
Comfort-X™ Mattress
Harmony® Low Bed
Fall Management
Wound Management
Bariatrics
Bedside Guardian™ Fall Mat
Early Mobility
Rest-Q® Mattress
Harmony® Low BedVitalGo Total Lift Bed™
Dolphin Fluid Immersion Simulation®
Dolphin Fluid Immersion Simulation®
LiftSeat™ Powered Toilet Lift
LiftSeat™ Powered Toilet Lift
VitalGo Total Lift Bed™
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Business AnalyticsSample Review Metrics
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
HAPU Reduction with 360 Solution400-Bed Hospital Case Study
METRIC DETAILS: KEY TAKEAWAY:
The number of Hospital Acquired Pressure Ulcers (HAPUs) at the facility in comparison to Specialty Bed usage
While specialty bed and surface usage has increased by 30% since go-live it has resulted in a 50% reduction in HAPUs. Protocol compliance is being enforced and the correct product is being assigned to the correct patient.
Analysis:
12 reduction in HAPU / month
12 months in a year x 43k average cost of HAPU
$6.2M annual Savings
Missed pressure ulcers on admission screening. Additional training provided
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Surgical Analytics
IDN Comparative Analytics
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Assessment ServicesData Collection & Process
Define Scope & Objectives Pre-Data Collection & Planning On-Site Assessment Report &
Recommendations
Equipment Management Surgical Services Wound ManagementFall Management
Challenge: • Managing Hospital Acquired Conditions• Preparing for Accreditation• Managing HCAHPS• Managing the equipment management process
UHS Solution: • Unbiased, 3rd party assessment of processes and protocols• Comparative data and baseline reporting• Actionable analytics• Recommendations that are sustainable
VALUE• Improve controls to reduce capital and operational expenses• Improve operational efficiencies• Improve patient outcomes
• Collaborate with UHS team to identify specific objectives that will yield impactful results
• Obtain current data relevant to objectives
• Customize staff survey• Determine on-site dates
• Facilitate staff interviews• Observe facility processes• Review protocols• Collect survey results
• Present results and recommendations for sustainable areas of improvement
©2014 Universal Hospital Services, Inc. All rights reserved. CONFIDENTIAL.
Talk to your UHS rep today to schedule an
assessment!