CEO UpdateJonathan W. Curtright

OPEN - HEALTH AFF - INFO 4

WHERE WE’RE GOING TODAY

• Boone Hospital Center update

• Where we’re headed

– Integrated academic health system

– Value-based care and insurance products

– Tiger Institute for Health Innovation

– Clinical integration

– Master facility space plans

• Performance metrics

BOONE HOSPITAL CENTER UPDATE

• Exclusive negotiations paused

• A mutual decision

• Committed to patient-centered care and being good stewards of resources

• Willing to explore collaborations in the future

Where we’re headed

Integrated Academic Health System

INTEGRATED ACADEMIC HEALTH SYSTEM

Hannibal Regional Healthcare System

Bothwell RegionalHealth Center

University of Missouri Health Care

Capital Region Medical Center

Lake Regional Health System

MISSIONTo advance the health of all people, especially Missourians.

Through exceptional clinical service, University of Missouri Health Care supports the education and research missions of the University of Missouri.

VISIONThrough discovery and innovation, University of Missouri Health Care will be

the model health care provider for exemplary patient- and family-centered care.

STRATEGIC FOCUS AREAS

STRATEGICINVESTMENT

DELIVERY MODEL & PATIENT

EXPERIENCE

DIVERSITY, LEADERSHIP

& TALENT

QUALITY & INNOVATION

HIGH VALUE SYSTEM OF CARE

ORGANIZATIONAL SUSTAINABILITY

STRATEGIC INVESTMENT• Select Clinical Areas – CV, oncology, and primary care• MU Health Care Branding as “Destination Medical Center”• Facilities and Physical Infrastructure

DELIVERY MODEL AND PATIENT EXPERIENCE• Expand Continuum of Care – Primary Care and Post Acute Care• New Models to Drive Patient Service -- Tele-health, Patient Portal

DIVERSITY, LEADERSHIP AND TALENT• Employer of Choice in Boone County• Leadership Excellence• Innovative solutions for Hard-to-Recruit Staff; e.g., Nursing

HIGH VALUE SYSTEM OF CARE• Clinical Partners – HNM, MPact, Tiger Institute, Hospitals, Groups• Value Based Care – Exclusive Provider Networks/Narrow Networks

QUALITY AND INNOVATION• Enhanced Continuous Improvement • Tiger Institute –Revenue Cycle, CRMC, and Expanded New Partners

ORGANIZATIONAL SUSTAINABILITY• Data Analytics and Enhanced Infrastructure• Master Facilities Space Planning with Cannon Design• Excellence Hospital-Based Services – Acute Care/Trauma, ICU, Hospitalists

MU Health Care 2018-2019 Strategic Plan

VALUE-BASED CARE, INSURANCE PRODUCTS

• Direct to employer– Custom Network– Missouri Custom

• Development of additional value-based partnerships

TIGER INSTITUTE – ELECTRONIC HEALTH RECORD

Clinical Integration

CLINICAL INTEGRATION

• Multiple specialty groups and hospitals want to partner with MU Health Care.

– Mission alignment?– Organizational structure?– Financial

Master Facilities Space Planning

SPACE PLANNING

Strategic Master Facility Space Planning Committee

Dr. Talissa AltesMary BeckJonathan CurtrightJennifer DollJeri DotyJeremy FotheringhamDr. Rick FraunfelderRoger Higginbotham

Dr. Hunter HofmannDr. Eric KimchiMarty McCormickMark McIntoshPam MulhollandKeri SimonDr. Kevin Staveley-O’Carroll

Shelly Vincent-MasekEric VogelweidChristina VollrathDr. Steve WhittDr. Robert ZitschDr. Steve Zweig

SPACE PLANNING

MU Health Care continues to invest in inpatient beds

314 340 340 364 388

61 61 61 61 6120 20 42 42 42143 148 152 152 152

0

100

200

300

400

500

600

700

FY15 FY16 FY17 FY18 FY19

UH MUPC MOI WCH

538 569(+31)

595(+26)

619(+24)

643(+24)

Performance metrics

PERFORMANCE – INPATIENT MARKET SHARE

63.2% growth in 25-county service area market share FY07 to FY17

Does not include Normal Newborns

17.1% 17.0% 17.2%19.2% 19.7% 20.2%

23.0%

25.1%26.0%

27.2% 27.9%

10.0%

15.0%

20.0%

25.0%

30.0%

FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17

MUHC Linear (MUHC)

Source: MHA HIDI

PERFORMANCE – INPATIENT MARKET SHARE

33.3% growth in Boone County market share FY07 to FY17

Does not include Normal Newborns

43.6% 42.6%43.6%

48.2%

46.8%

47.3%

51.9%

54.4%55.8%

57.0%58.1%

40.0%

45.0%

50.0%

55.0%

60.0%

FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 FY16 FY17

MUHC Linear (MUHC)

Source: MHA HIDI

February FYTD Financial Performance

• $69.7M v. $60.4M LFYTD

• 10.5% Operating Margin v. 9.9% LFYTD

• $3M investment in Sinclair School of Nursing

• $18-$20M Academic Support to School of Medicine

EMPLOYEE ENGAGEMENT

• 70th percentile!– A 20 percentile jump from

last year– 81% participation

Engaged employees

EMPLOYEE ENGAGEMENT

14

19

28

52

35

50

70

10

20

30

40

50

60

70

80

2011 2012 2013 2014 2015 2016 2017

Surv

ey P

erce

ntile

Engagement Survey Year

Switched to Gallup