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Lima Performance Report




        EXECUTIVE SUMMARY









        Amazing patient care                                     Patient story

        Increasingly, we are all focused on how consumerism      Earlier this fall, a well-known and respected business
        impacts healthcare. With that in mind, we developed a    owner in the Lima community was home with his wife
        unique offering in the small college town of Bluffton where   when she noticed he was having trouble speaking and
        we believe we have achieved this goal. Bluffton is home to   experiencing some face drooping. Immediately, she put
        a non-Mercy Health community hospital and emergency      him in the car and drove him to St. Rita’s Emergency
        room with limited primary care and no affordable         Room to be treated for what she correctly feared was
        convenient care options. We developed a walk-in family   a stroke. The ED team immediately recognized the
        practice in the heart of Bluffton’s thriving historic    situation, activated the stroke team and the patient was
        downtown. Here, patients can schedule routine care, walk   administered TPA. The patient’s outcome was incredibly
        in with or without appointments for acute needs, and get   positive thanks to the quick work of the team. Just a few
        their X-rays and labs when it’s convenient for them. The   weeks later the patient and his wife returned to the ED
        site opened in early October, and already, reviews and   with cookies and treats, thanking the team for saving his
        numbers are proving to be quite strong.                  life. Since then, the patient has been sharing his story with
                                                                 everyone around him. He even stood up at church to tell
        Operational excellence                                   his story and thank St. Rita’s for the gift of life.

        Although overall volumes for the month were strong,
        operating Income for September was $1.7M off target,
        mostly due to an unfavorable payer mix of $2.2M. Net     Clinician story
        operating revenue was also favorable by $1.33M. Inpatient
        volumes are favorable, with inpatient admissions favorable                   Vibhav Bansal, MD, of St. Rita’s
        to budget by 2.2% and inpatient surgeries favorable by                       Neuroscience and Rehabilitation
        6.4%, while CMI is also favorable by 4.4%. Outpatient                        Center, graduated from the
        volumes are also favorable overall, with outpatient                          University of Cincinnati College of
        surgeries favorable to budget by 10.3%, while ER and                         Medicine in 2007. After completing
        physician visits are unfavorable by 8.2% and 19.3%                           an interventional neurology and
        respectively. As we look ahead to 2018, our team                             vascular neurology fellowship at
        is highly focused on productivity goals and will be                          Michigan State University and
        identifying opportunities to implement new lean                              Sparrow Health Systems, Bansal
        processes and cost containment.                                              went on to receive his JD from
                                                                 DePaul Law School. Having been in practice for two years,
        Creating the future                                      his expertise and clinical interests are cerebral angiogram,
                                                                 carotid artery stenting, aneurysm coiling, arteriovenous
        Recruiting and retaining quality physicians is the       malformation embolization, mechanical thrombectomy,
        backbone of our sustained growth, but attracting new     and epistaxis embolization. Since joining the Neuroscience
        doctors to small Midwest communities can clearly be a    team at St. Rita’s, Dr. Bansal has been able to drastically
        challenge in a hyper-competitive market. We believe that   change the way strokes can be treated in our community.
        our path forward is to create a residency program in the
        Lima Region that will not only support the work we do in
        our community, but begin building a direct funnel for
        physician employment. While the process is detailed and
        lengthy, we are proud to share that our application has
        been approved and we are now in planning phases for our
        first class of residents to begin in 2019–2020.








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