BillFla'eryCEOCarilionNewRiverValleyMedicalCenterVicePresident,WesternRegionOpera?ons

•  Nationally ranked integrated

healthcare delivery system •  501 c 3 not-for-profit •  $1.5 billion in annual revenue •  Headquartered in Roanoke •  12,800 employees •  1,000 employed providers •  7 hospitals •  Urgent care, home health

agencies, retail pharmacies, wellness, patient transportation

•  Children’s Hospital •  Jefferson College of Health

Sciences •  VTC School of Medicine &

Research Institute

Specialty Care

•  Heart and Vascular Institute •  Institute for Orthopaedics and Neurosciences •  Children’s Hospital •  Gastrointestinal care •  Level 1 Trauma Center •  Critical Care

Leading the way with high-level expertise in 70+ disciplines

Education and Research •  VirginiaTechCarilionSchoolofMedicineandResearchIns?tute

•  CarilionClinicGraduateMedicalEduca?on•  JeffersonCollegeofHealthSciences

Patient-centered Medical Home

•  Primary care practices are now “medical homes” –  Pro-ac?ve,team-based

approachtocare–  Fundamentallydifferentthan

tradi?onalprimarycaredeliverymodel

–  Usesteam-basedapproachthatfocusesonmanaginghighestriskpa?ents

Carilion Clinic

6

Integrated delivery system with multiple access points

Carilion Western Region 2016 Stats NewRiverValley Giles Tazewell

Admissions 8,300 1,100 595

AverageDailyCensus 95 16 6

EDVisits 31,000 12,000 10,000

ImagingStudies 84,250 23,300 13,400

Deliveries 1,200 0 0

OR&Endo 10,100 1,050 0

Opera?ngMargin $30,000,00015.5%

$1,700,0005.8%

($1,850,000)(15.4%)

Bo'omLineGrowthSince2009

Different But the Same

•  Each hospital is different, but the platform is the same – Healthcareisdeliveredlocally,andweareservingourcommunity

–  Itisnotaboutthemoney– OurfocusisonQuality,Pa?entSafety,Pa?entExperience

•  Connecteveryonetothispurpose•  Realizewehaveopportunitythatthebiggesthospitalsdon’t

– Weneedtotellourstorytothesystem•  Accesstopa?ents

New River Valley

•  High employee engagement •  Leapfrog “Straight A” hospital

•  AHRQ•  CMS 4 Star •  VBP clinical outcomes in 94th percentile; 88th

percentile overall •  HAC top decile •  Consumer Choice Award •  Challenge – digesting growth

Giles

•  High employee engagement •  CMS 4 star •  Very low HAC •  Challenge – retaining specialty physicians

Tazewell

•  Rebuilt primary care •  Removed expensive specialists •  Challenges

– LocalBoard– Avoidableadmissions– Opioidaddic?on