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Lima Performance Report

EXECUTIVE SUMMARY

Amazing patient care Patient story

The team at Mercy Health — St. Rita’s Medical Center’s When Mr. CM was admitted to St. Rita’s, the predominant
Emergency Department recently were shown what focus of his care appeared to be palliative. He was elderly,
Amazing Patient Care can do for a patient. They had seen frail, fatigued and had lost his ability to take care of
a patient numerous times who was suffering from himself because of tiredness and feelings of dizziness. His
addiction. The ED team noticed that there was more family had also accepted that it was probably “his time.”
involved in the patient’s medical complaints than physical However, while in the hospital he was seen by Dr. Sandeep
ailments and so asked difficult questions. This persistence Patel, a new interventional cardiologist, who heard a loud
appears to have made a significant impact on the patient’s murmur. The patient’s family reaffirmed that they had
life. The patient made a point to return to St. Rita’s to say known about the murmur but that there was nothing that
thank you to those who helped her see where life was could be done for him. Ultimately, he underwent workup
headed and who helped her get it back on track. The and was found to have severe aortic stenosis, which was
patient shared that the team’s actions and comments fitting to his symptoms.
resonated and helped lead to change.
Dr. Patel thought that Mr. CM would be a good candidate
Operational excellence for transcatheter aortic valve replacement (TAVR).
Mr. CM underwent the TAVR procedure performed by
Lima overcame unfavorable volume variances and Dr. Patel without any complications and was discharged
exceeded budgeted expectations and prior year from the hospital within 48 hours. He returned with his
performance for net operating revenue. Specifically, Lima family for follow-up and said that he could finally
is $0.5 million favorable to budget (1.1%) and $3.1 million “breathe again.” Mr. CM continues to do well to this day.
(7.1%) favorable over the prior year. Operating income is He and his family continue to follow-up and are grateful
$1.4M favorable to budget and $0.6M to prior year. The for the care they received.
results were driven by higher case mix, favorable payer
mix and cost management. As mentioned, volumes fell
short of expectations across the board, something on Clinician story
which we are focused.

Creating the future Sandeep Patel, MD, is an
interventional cardiologist and
Knowing that the nationwide shortage of mental health part of The Heart Specialists of
providers has reached epic proportions, the team at Mercy St. Rita’s. He earned his medical
Health — St. Rita’s Medical Center has begun to focus on degree from the Northeastern Ohio
bridging the gap between provider and patient through Universities College of Medicine.
the use of tele-psychiatry. Statistics show that there will be He attended the Mayo Clinic School
a 25 percent national deficit in psychiatrists by 2025 and of Graduate Medical Education for
that currently 43 of the 50 states are classified as having his Internal Medicine Residency, the University of
“severe shortages.” Tele-psychiatry has been a successful Pittsburgh Medical Center for his Cardiovascular
way to reach patients in remote areas, and make the most Fellowship and Case Western Reserve University for his
of scarce resources. In 2018, the region will be piloting and Interventional Cardiology Fellowship and Advanced
expanding these behavioral health services in our region Interventional Cardiology Fellowship. Dr. Patel has come
and other Mercy Health regions. to St. Rita’s with numerous certifications, such as
American Board of Internal Medicine, nuclear cardiology
and echocardiography. His clinical interests include
coronary angiograms/intervention, intravascular imaging
and structural heart disease. Dr. Sandeep Patel serves
as the medical director of the Structural Heart Center
at St. Rita’s.

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