Page 21 - COPR-Oct 2017
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Lima Performance Report




        EXECUTIVE SUMMARY









        Amazing patient care                                     Patient story

        From time to time, we hear of a story that truly embodies   The loss of a loved one is always difficult, but for one lady
        what amazing patient care means to our community. This   it took almost two years to speak about the care and
        is a perfect example. A husband was in St. Rita’s ICU    compassion she received when her husband passed away.
        dying from cancer. With two young children, the wife     “It’s not often that people have such huge impacts on our
        couldn’t see a future without her husband. She did not   lives, but when they do, it is definitely something to talk
        know Dr. Javier Pere prior to the admission, but was struck   about. Dr. Pere made me feel that we were the only
        by his patience and compassion. “He was so patient.      patient and family that he had to deal with. The time that
        He explained it all in terms I could understand. And he   he took to make sure I understood 100% is not something
        answered all my questions, no matter how many times      that you often hear about. Most people feel like just a
        I asked the same question over and over.” Even more      number, but in this case, I didn’t. I will be forever grateful
        touching was that Dr. Pere attended the viewing at her   to him for what he did for my husband and the entire
        husband’s funeral. “He didn’t even tell us, he just came.”   family. Not a day goes by that I don’t think of the
        This is amazing patient care.                            phenomenal medical staff that was responsible for my
                                                                 husband’s care during the 24 hours he was here. The six
        Operational excellence                                   months that we had with my husband — from the day he
                                                                 was diagnosed to the day he passed — was such an
        Operating Income for September was $1.6M favorable.
        Net Operating Revenue was also favorable to by $1.325M.   unbelievable short amount of time, and even though the
        The September run rate is $7.1M, which is also favorable to   end result was devastating, I feel like I made some life-long
        budget by $.9M for the month. Operations continue to be   friends in the process, Dr. Pere being the #1 friend!”
        hampered by unfavorable payer mix ($1.6M), however       Doctor referenced, Javier F. Pere, MD.
        CMI was higher contributing $0.3M more than budget.
        Volumes are generally lower than budget, with inpatient
        admissions unfavorable to budget by 3.3% and inpatient   Clinician story
        surgeries unfavorable by 20.6%, while CMI is favorable by
        8.9%. Outpatient volumes are also slightly unfavorable                     Javier F. Pere, MD, is a pulmonologist
        overall, with outpatient surgeries favorable to budget by                  at Mercy Health — St. Rita’s
        11.2%, while ER visits are unfavorable by 14.9%, and                       Pulmonology. After living in Louisiana
        Physician visits off by 14%.                                               for nearly 14 years, he and his family
                                                                                   moved to Lima, Ohio and have been
        Creating the future                                                        here ever since. Dr. Pere specializes is
                                                                                   asthma, critical care medicine,
        The Lima region now has an intense focus on patients who                   chronic obstructive pulmonary
        are being admitted and how these admissions could have                     disease and sleep medicine. When
        been prevented all together. A team has been gathering                     caring for his patients, Dr. Pere
        weekly to review cases and identify if any actions could                   always brings a smile, a good
        have prevented the admission. Preventive measures could                    handshake, and honesty when
        be anything from social service needs, transportation or                   meeting with them.
        medications. This is a very different mindset for all of us
        as healthcare tries to change its focus to keeping people
        well and not just helping them when they are sick. Soon,
        we may be requesting clinician input on preventing
        admissions — population health is definitely a team sport.









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