Page 3 - 10641MHSBRO COPR Report December 2017 FINAL

System Performance Report

EXECUTIVE SUMMARY

Amazing patient care

This year Mercy Health has successfully implemented a system-wide, comprehensive approach to address the opioid
epidemic affecting communities across Ohio and Kentucky. Teams have implemented Screening, Brief Intervention and
Referral to Treatment (SBIRT) protocols in six EDs, with plans to roll out SBIRT to all EDs in 2018. Through November, we
have screened more than 45,000 people, engaged in numerous brief interventions and referred more than 2,000
individuals for needed treatment. Our care teams also have developed seamless handoff processes with treatment facilities
in each region and solidified additional partnerships in an effort to provide fully comprehensive and coordinated care to
those who are suffering from addiction. We’ve also removed thousands of pounds of excess pills from our communities by
installing drug drop boxes in each Mercy Health facility. Reducing opioid dependency is one of our ministry’s six 2018
strategic initiatives and will continue to be a high priority in every Mercy Health region.

Operational excellence

Mercy Health’s consolidated operating income for November was $13.97M, favorable to budget by $11.65M. Year-to-date
operating income is $157M, favorable to the budgeted operating income of $93.6M. Mercy Health Physicians (MHP) is
favorable to budget by $23.1M, a result of amazing patient care, disciplined operations and unbudgeted CPC+ care
management fees of $15.8M. Mercy Health Select (MHS) continues to cover more lives through new value-based contracts
and now has approximately 310,000 lives under management.
The six system strategic initiatives and 10 COPR KPIs have been finalized and leadership teams appointed. Work has already
begun among the teams in order to make 2018 a successful year in service to our patients.

Creating the future

While Mercy Health’s RN voluntary turnover rate continues to be better than most of our industry peers, we’ve also seen an
increase in turnovers in 2017. High attrition will likely continue due to growing competition and the number of nurses
reaching retirement age. Documentation requirements in the electronic medical record for physicians, advanced practice
providers and nurses has increased exponentially over the last decade, leading to job dissatisfaction and limiting interaction
with patients. In 2018 one of the 10 COPR KPIs will be to reduce the documentation burden on providers and nurses,
helping make Mercy Health the most desirable place to work.

3