Improving Quality at Northwestern Medicine

Presented to: eHealth Summit

Presented by: James Adams, MD, Senior VP and Chief Medical Officer, NMHC

Northwestern Memorial HealthCare “… Where the Patient comes First.”

• Northwestern University is ranked number 18 in the United States

• Out of 151 U.S. Medical Schools

•The main hospital is ranked #6 in the United States

• 2013-2014 US News Honor Roll of Top Hospitals

•$2.4 Billion in Operating Revenue with over 11,000 employees

• Growing to $3.6 Billion through

acquisition of a community health system

Feinberg and Galter Pavilions

Prentice Women’s Hospital

Northwestern Lake Forest Hospital

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Northwestern Medical Group Northwestern Memorial Hospital Prentice Women’s Hospital

• 650 Inpatient beds

• Average length of stay is 4.5 days

• 1050 doctors

• 11,000 employees

• 48,000 inpatient admissions each year

• >600,000 outpatient visits each year

• 11,000 infants delivered each year

Chicago’s Most Preferred Hospital

9.5%

5.7% 4.7%

4.2% 3.9%

NMH Hospital A Hospital B Hospital C Hospital D

Most Preferred Overall

Source: NRC, Chicago-Naperville-Joliet, IL Metropolitan Division, Quality Image Profile, Jan-Nov 2013, n=6,653

± 1.2% 4

Changes to the U.S. healthcare system are causing us to reduce costs by 25% over 5 years

$10'140 $10'385

$10'635 $10'892

$11'155

$11'424

$11'700

$9'760 $9'563

$9'366 $9'169

$8'972 $8'775

$9'714 $9'536

$9'111 $9'313

$8'000

$9'000

$10'000

$11'000

$12'000

FY11 FY12 FY13 FY14 FY15 FY16 FY17

Unmanaged 2.4% Inflation Goal Act/Bud

Scale Adjusted

Note: FY2011 excludes $65.2 million net favorable variance for malpractice insurance policyholder dividend, reserve release, and discount rate change. 5

Industry in Crisis

• Over 50% of physicians and 25% of nurses report being dissatisfied with their current jobs and overall career choice.

• In 2012, 28% of all physicians saw a decrease in their salaries.

• Administrative tasks account for nearly 25% of a physician’s day.

Leigh JP, DJ Tancredi, RL Kravitz. Physician Career Satisfaction Within Specialties. BMC Health Services Research 2009, 9:166 BMC Health Services Research 2009, 9:166

AMN Healthcare, Inc. “2012 Survey of Registered Nurses: Job Satisfaction, Career Patterns, & Trajectories.” (2012)

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How can we possibly…

• Improve patient satisfaction and quality while reducing costs?

• Improve doctor and nurse satisfaction while reducing costs?

• Improve safety while reducing costs?

Centerpiece of Quality

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1. Relationships

a. With patients b. With each other c. With our community and society

2. Reliability

a. Of ourselves b. Of our systems c. Of our teams

3. Efficiency

a. Reducing delays and unnecessary steps for the patient

b. Reducing preventable actions of the caregivers

c. Increasing productivity while reducing effort and cost, thereby enhancing value

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We are working to assure patient-centered relationships

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We are trying to make it easy for patients to find an appointment

Technology has become the indispensible center of care

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Technology will become the seamless enabler of care

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Enabling Relationships, Reliability, and Efficiency

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