County Administrator 2/25/2014 9:13:20 AM County Counsel 2/25/2014 10:49:03 AM COB

2/25/2014 3:39:44 PM

AGENDA ITEM SUBMITTAL FORM BOARD OF SUPERVISORS

CLERK OF THE BOARD 44 N. San Joaquin Street, Suite #627

Stockton, Ca1ifornia 95202

SUBMIT ONE COPY OF THIS FORM WITH EACH BOARD AGENDA ITEM.

For Clerk's Use Only: AGENDA NUMBER

At the time of submitting your agenda item documents, please provide ONE ORIGINAL & 7 COPIES OF THE BOARD LETTER AND ANY ACCOMPANYING DOCUMENTS (Resolutions, Board Orders. Contracts, etc.) for distribution after Board Approval.

If more than one original is required, you must provide the appropriate number of originals to be executed by the Board of Supervisors.

DATE: February 24, 2014 DEPARTMENT: San Joaquin General Hospital

CONTACT & PHONE #: Sheila - 468-6621

AGENDA ITEM TITLE: Acceptance of the San Joaquin General Hospital 2013-2014 Midyear Financial Report

PROPOSED AGENDA PLACEMENT DATE: PROPOSED CALENDAR:

March 11,2014 Discussion - Health & Human Services

DISTRIBUTION: (MAILING ADDRESSES MUST BE PROVIDED IF NOT A COUNTY DEPARTMENT)

San Joaquin General Hospital

Clerk of the Board

DOCUMENT

Board Order

Board Order

Special instructions to the Clerk of the Board:

# OF COPIES

Original

AGENDA ITEMS MUST BE REVIEWED AND SIGNED OFF BY THE DEPARTMENT HEAD, COUNTY ADMINISTRATOR AND COUNTY COUNSEL.

Department !lead

0IU5 AOSE

Datc------+~A_J Y"+-k--+-Y--

San Joaquin General Hospital/P. O. Box 1020 • Stockton • CA 95201 • (209) 468-6000

February 24,2014

Board of Supervisors County Administration Building Stockton, California

Dear Board Members:

ACCEPTANCE OF THE SAN JOAQUIN GENERAL HOSPITAL 2013-2014 MIDYEAR FINANCIAL REPORT

RECOMMENDATION:

It is recommended that the Board of Supervisors accept the San Joaquin General Hospital midyear financial report.

REASON FOR RECOMMENDATION:

The information is intended to keep the Board of Supervisors informed and provide recommendations about the current situation of and future plans for San Joaquin General Hospital. The report includes an update about the financial results through the first two quarters of fiscal year 2013-14 and other operational and strategic developments at the Hospital.

FISCAL IMPACT:

There is no fiscal impact in the acceptance of this report.

ACTION TO BE TAKEN FOLLOWING APPROVAL:

Upon approval by the Board of Supervisors, the report will be filed with the Clerk of the Board.

DKC:sl Board Letter - SJGH Midyear Update

cc: Clerk of the Board

Very truly yours, [,- ... )-?/ E:J: . /1 {/L-z:::--David K. Culberson Chief Executive Officer San Joaquin General Hospital

MOTION:

Before the Board of Supervisors County of San Joaquin, State of California

8----

ACCEPTANCE OF THE SAN JOAQUIN GENERAL HOSPITAL 2013-2014 MIDYEAR FINANCIAL REPORT

THIS BOARD OF SUPERVISORS DOES HEREBY accept the San Joaquin General Hospital midyear financial report.

I HEREBY CERTIFY that the above order was passed and adopted on _______ by the following vote of the Board of Supervisors, (0 wit:

AYES:

NOES:

ABSENT:

ABSTAIN:

MIMI DUZENSKI Clerk of the Board of Supervisors

County of San Joaquin State of California

Mid-Year Hospital ReportPresented to the San Joaquin County Board of Supervisors on March 11, 2014

San Joaquin General HospitalFrench Camp, California

May 31, 2009

San Joaquin General HospitalFrench Camp, California

March 11, 2014

Volume Trends – FY 2013-2014

Jul Aug Sept Oct Nov Dec

Fiscal YTD Average

BudgetAverage

Prior YearAverage

ADC 97.0 103.3 98.7 107.6 104.6 95.4 101.1 118.6 97.1

Clinic Visits 11,059 12,169 10,704 11,240 9,384 10,657 65,213 63,521 64,607

ER VisitsPer Day

3,440111.0

3,509113.2

3,346111.5

3,416110.2

3,254108.5

3,441111.0

20,406110.9

20,216109.9

20,000108.7

Surgeries

SurgicalMinutes

405

41,487

405

43,162

391

42,715

440

47,856

503

36,246

522

36,660

2,666

41,354

2,068 2,076

37,488

DeliveriesPer Day:NormalC-SectionTotal

163

3.61.75.3

175

3.81.95.7

150

3.11.94.8

154

3.31.75.0

131

2.91.44.4

149

3.41.44.8

154

3.41.75.0

176

3.82.05.8

192

3.71.95.6

Payer Mix

FY2013-14

6 Months Actual

FY 2013-14

6 Months Budget

FY2012-13

6 Months Actual

Medicare 14.2% 13.9% 13.8%

Medi-Cal 48.0% 46.5% 47.8%

CDCR 11.6% 9.6% 9.0%

Indigent and Private Pay 20.4% 23.9% 22.9%

Commercial and Other 5.8% 6.1% 6.5%

Total 100.0% 100.0% 100.0%

Volume Trends - CDCRJul

2013Aug 2013

Sept 2013

Oct 2013

Nov 2013

Dec 2013

Patient Days 401 514 381 498 537 542

Inpatient Discharges 122 143 124 161 153 155

Average Length of Stay 3.3 3.6 3.1 3.1 3.5 3.5

Average Daily Census 14.6 16.7 14.1 15.7 18.5 18.9

Outpatient Visits 664 722 769 1,018 813 903

Overtime and Registry Usage

Jul2013

Aug 2013

Sept 2013

Oct 2013

Nov 2013

Dec 2013

Overtime Full-Time Equivalents (FTEs)

43.4 31.5 46.1 35.7 50.0 66.3

Temporary Staffing FTEs 35.5 29.7 24.2 24.2 26.3 20.5

Total FTEs 1,333 1,319 1,337 1,334 1,346 1,376

Trauma Program Analysis

August – December 2013

Actual

First 5 Months Annualized

Initial Projection

Total Patients 469 1,126 986

Net Revenue $6,754,681 $16,211,234 $17,708,380

Expenses $5,529,131 $13,269,915 $13,667,647

Contribution $1,225,550 $2,941,320 $4,040,733

FQHC Update

Electronic Application Submitted January 30, 2014HRSA Acknowledged Receipt of ApplicationThree Day Survey by HRSA During the Week

of April 1, 2014Mock Survey Completed by Consulting Firm

HFS on February 26 and 27Ongoing Review of Activities with All FQHC

Staff

Important Physician Recruitments

Family Medicine Faculty Resignations

Drs. Labbad, Jafri, Zuniga, St. Croix New Recruitment

In Process

Primary Medicine Providers Resignations

Drs. Zuniga, Ahmed New Recruitment

Dr. Arshian Mahajan – January 4, 2014 (.5 FTE) Dr. Ngoc Lan Le – January 13, 2014 Dr. Samuel Ko – February 10, 2014 Dr. Carina Gonzalez – February 18, 2014

eClinical Works

Scheduling Templates are 95% Complete Fee Schedule Upload – Week of February 10 Admissions, Discharges, Transfer Interface Project

Underway Integration With IMO, UpToDate and ExitCare Are

Underway Informatics Training Room Completed i2i Database Conversion Continuing

Electronic Health Record for Ambulatory Care Services

eClinical Works

Weekly eCW Project Status Meetings Held Each Monday

Weekly ACS Meetings Held Each Tuesday to Discuss Workflow Changes

Go-Live Scheduling, Charge Capture and Billing Targeted for 2nd Quarter of 2014

eCW Implementation Will Support Meaningful Use Year 1, Stage 1 CPOE and Medication E-Prescribing October 1 through December 31, 2014

Electronic Health Record for Ambulatory Care Services

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