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Bruce Siegel MD, MPHPresident & CEO

January 2012

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America’s Safety Net: Setting the Bar for the Nation

Who is the National Association of Public Hospitals and Health Systems (NAPH)?

30+ years advocating for safety net hospitals and health systems

NAPH..... Represents 140 hospitals with a shared mission—access

for all

Effectively advocates at the federal level on issues of concern to safety net hospital systems

Conducts research and shares innovations on health system changes at member hospitals

Communicates value of the safety net to policymakers and the public

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How Do NAPH Hospitals Serve Their Communities?

One-third of all outpatient visits One out of four emergency room patients One out of five babies born 40% of all Level 1 trauma centers 60% of burn care beds One fifth of uncompensated care Train one quarter of US physicians

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Health Reform (the one page version)

Insure the Uninsured Expand Primary Care Cuts Safety Net Funding (DSH) Regulate the Insurance Market Tie Payment to Quality Create New Models to do all of the Above

(ACOs)

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Rethinking UHS San AntonioThe UHS Network

LSU Medical HomeD

IABE

TES

DIA

BETE

SD

IABE

TES

DIA

BETE

S

CHF

CHF

CHF

CHF

HIVHIV

HIVHIV

KID

NEY

DIS

EASE

KID

NEY

DIS

EASE

CAN

CER

CAN

CER

CAN

CER

CAN

CER

ASTH

MA

ASTH

MA

ASTH

MA

ASTH

MA

THROMBOGENIC STATE CONTROL

BLOOD PRESSURE CONTROL

GLYCEMIC CONTROL

LIPID CONTROL

SMOKING CESSATION

DIET EXERCISE WEIGHT CONTROL

SCREENING

7

0

10

20

30

40

50

60

70

80

90

100

67.862.7

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HCAHPS: Patients Who Gave a Rating of '9' or '10' (High)

LSU's Top Performing Hospital Compared to NAPH Membership, Other US Hospitals

Data Covers Patients Hospitalized Between January 2010 and December 2010

Perc

en

t o

f P

ati

en

ts W

ho

Gave a

Rati

ng

of

‘9’

or

‘10

’

Source: October 2011 CMS Hospital Compare Data Release

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National Average NAPH Average Lallie Kemp Regional Medical Center

0

10

20

30

40

50

60

70

80

90

100

69.666.5

77

HCAHPS: 'YES', Patients Would Definitely Recom-mend the Hospital

LSU's Top Performing Hospital Compared to NAPH Membership, Other US Hospitals

Data Covers Patients Hospitalized Between January 2010 and December 2010

Perc

en

t o

f P

ati

en

ts R

ep

ort

ing

Th

ey W

ou

ld D

efi

nit

ely

Reco

mm

en

d

the H

osp

ital

Source: October 2011 CMS Hospital Compare Data Release 9

30-Day Heart Failure Readmission RatesA Comparison of LSU's Hospitals to the NAPH Membership and

Other US HospitalsData Covers Patients Hospitalized Between July 2007 to June 2010

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Readmissions Resources

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NAPH Safety Network (NSN)

14Note: Final participation still to be confirmed.

tc.nphhi.org

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NAPHcommunity.org

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The Key to Success

“Do something. If it works, do more of it. If it doesn’t, do something else.”

Franklin Delano Roosevelt

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