Page 33 - 10641MHSBRO COPR Report December 2017 FINAL

Springfield Performance Report

EXECUTIVE SUMMARY

Amazing patient care preauthorization team to coordinate effective oversight for
managing the medical necessity approval process prior to
The current opioid crisis in Ohio has affected many in Clark and patient scheduling. We look forward to realizing small wins that
Champaign counties. During the first seven months of 2017, the contribute to monumental achievements for our region and the
emergency departments (EDs) at Springfield Regional Medical system as we innovate to find best practices.
Center and Mercy Hospital Urbana treated more than 955
substance abuse patients, a 300% increase compared to 2014. Patient story
To address this critical health concern, funds raised by this
year’s Community Mercy Foundation Gala, “Kaleidoscope of Tina was a patient in CVICU following an aortic bypass at SRMC.
Hope,” will help the Mercy REACH (Recovery, Education, Tina complained of pain, and a short time later her speech
Advocacy, Care and Hope) program expand the services became slurred and she was unable to follow commands or
provided to those recovering from and being treated for express herself appropriately. Nursing and physician
addiction. At the center of this initiative will be the creation of a consultation led to a bedside exam where the patient went
new case manager position working collaboratively with unresponsive and a stroke alert was issued. Critical intervention
providers. Aligning resources and services available in the was provided and transport was arranged to OSU for intensive
community with patient needs, a greater number of individuals neurological care where Tina remained in their Neuro ICU for
will benefit from better access to behavioral health treatments. another two weeks. As her condition improved, she was
Social programming will encourage the development of returned to SRMC to have her trach and PEG removed. Upon
positive behaviors to manage life’s daily stressors, resulting in a arrival, Tina asked to speak with one of the nurses from her
greater chance that recovery will be preserved. Together we initial visit and then expressed her gratitude for the professional
will bring about new opportunities for care and care provided throughout her stay. Tina’s family reached out
encouragement to those battling addictions, while supporting separately to the cardiology team in appreciation for the quick
healthy community development. response and concern from all caregivers. The family’s
sentiment for our care deepened when OSU’s neuro ICU staff
Operational excellence were openly complimentary of our efforts, having stated that
SRMC’s immediate intervention and recognition of those critical
In November, CMHP realized operating income of $880K, symptoms surely saved Tina’s life. Tina and her family are very
favorable to budget by $503K. Operating results reflected a thankful to have had such an exceptional level of care in their
net $235K of positive one-time items. Adjusting for the one- community hospital, and thankful for our willingness to arrange
time items would have resulted in a run rate operating margin specialized services to ensure the highest quality medical
of $655K for the month and a positive margin of $2.1M for the treatment for our patients.
year. Solid expense management and strong volumes at SRMC
drove the operating performance. Net revenue was slightly Clinician story
unfavorable due in part to the shortfall in physician recruitment,
the absence of a surgical spine program that was planned to Magued Khouzam, MD, is a
start in October, and necessary hospitalist staffing coverage. compassionate and committed board
certified general and bariatric surgeon
Creating the future offering advanced laparoscopy and
bariatric surgery serving our Springfield
Infusion procedure and medication preauthorization was Market. Dr. Khouzam has been with the
reported as the top reason for 2016 payor denials in our market Mercy family since 2014 and was
resulting in a significant loss in contribution margin. We formed instrumental in our efforts to create a
a team consisting of staff and management to pursue a goal of regional bariatric program. Born and raised in Cairo, Egypt,
no denials for the remainder of 2017 and beyond. This Dr. Khouzam began his medical career in general surgery, then
passionate and tenacious group is a multi-disciplinary team decided to broaden his experience with a relocation to the USA.
consisting of administration, service line leaders, revenue cycle, He works closely with patients to explore surgical weight loss
pharmacy and finance. Notable successes have been achieved options as well as overseeing nutritional and behavioral
thus far in overturning previous denials and enhanced revenue counseling in support group settings. Dr. Khouzam embodies
generation currently exceeding $750K YTD. Patients have also the Mercy Health Mission and is very active in overseas medical
benefitted from case review and collaboration with MedAssist, ministries in developing and impoverished countries. “I
which provides free and discounted medication from drug wholeheartedly believe that God is utilizing me through my
manufacturers. Seeking further opportunities for impact in surgical skills to reach people lives,” said Dr. Khouzam recently.
2018, we have now teamed up with Cincinnati’s 33