emerus, the nation’s innovator of micro-hospitals · 2017-04-07 · • acuity on par with...
TRANSCRIPT
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Emerus, The Nation’s Innovator of Micro-Hospitals
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VIC SCHMERBECK
Executive Vice President of Strategy and Business Development• 20+ yrs. Exp. Investment & Merchant Banking
• Healthcare & emerging markets specialization
• Frequent speaker & panelist
• Numerous public & private boards
• Salesmanship Club of Dallas
• Children’s Medical Center of Dallas
• The Rise School of Dallas
• Southern Methodist University Alumni
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TOPICS COVERED
• Introduction
• Who is Emerus
• Why Micro-hospitals
• Why Partner
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WHO IS EMERUS
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EMERUS
Excellence IntegrityInnovationCommunity Empathy
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EXPERIENCE
Emerus is the nation’s first, largest and most experienced operator of micro-hospitals
• 10 joint-venture partnerships
• 21 micro-hospitals in operation
• 25+ new facilities currently under development
• Over 130 years of combined, executive-level healthcare/business experience
• 4 consecutive years winning Press Ganey Guardian of Excellence
• 5 board-certified, ER-trained physicians on executive team
• 31 national marketing awards
• ENTIRE BUSINESS BUILT ON PARTNERSHIPS – we know how to integrate in market
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MAP OF LOCATIONS
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WHY MICRO-HOSPITALS
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PROTOTYPE FACILITY
• Independently licensed hospitals
• 30,000-60,000 sf. – Including hospital and MOB
space
• 8 ER beds, 8 - 10 in-patient beds
• 24/7 and staffed with board-certified ER
physicians
• On-site x-ray, CT, ultrasound and lab
• TransferAgreements with partner hospitals
• Facility becomes a hospital and healthplex with
ancillary services to include imaging, physical
therapy, primary care, rotating specialists,
surgery centers…etc
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MICRO-HOSPITAL LONG-TERM STRATEGY
Provide care at the right place and cost, where people live, work and play, in a capital-efficient manner
• Single access point for multiple levels of care and specialty
• Differentiated to prepare for population health initiatives
• Provide value to patient, provider and payor
• Focus on industry-leading clinical quality and patient satisfaction
• Test bed for innovation – pricing, quality and efficiency
• Clinical and capital-efficient facilities
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CONTINUUM OF HEALTHCAREProvide efficient, cost-effective care by combining services of Community ED, Outpatient
Ambulatory Center and Physician Services in one healthplex conveniently located close to home
Retail Clinic
Primary Care
Urgent Care
Community Hospital /
AmbulatoryPavilion
Campus Hospital
Inpatient Rehab
Home Health / Hospice
Extended Care / Skilled Nursing
Outpatient Rehab
HomeHome
Localized Centralized Localized
Acui
ty
Ambulatory Procedure Center
Pre-Acute Acute Post-Acute
Access gaps filled with capital-efficient, small hospital / ambulatory pavilion –all branded by health system
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Single access point for multiple levels of care• Micro-hospital• Consolidation of other service lines
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MICRO-HOSPITAL CAPABILITY
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• Acuity on par with community-based hospitals• Higher level of care capabilities than FSED (Observations and Inpatient)• Micro-hospitals see a distinct and different patient population than UCCs
*Source: Truven Health Analytics, CMS, McKinsey Research
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WHY PARTNER
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VALUE PROPOSITION
Coordinated transfers to higher level of care
Coordinated transfers to primary/specialty care providers
Assist to build patient/provider relationship, get the patient to the right place the first time
Brand promotion Fill market gaps Clinical and quality improvement Reduce overcrowding Ability to co-locate primary and
specialty care in MOB space in facilities
Pop. Health Mgt focused
Provide clinical access points for patient populations
Reduced costs through lowered re-admission rates
Quality care
Improved outcomes
Minimal litigation rate
0.04% physician complaint rate
Exceptional quality and patient satisfaction levels
Reduced wait times
Faster discharge times
Shorter length of stay
Compassionate and patient-friendly care model
Access both primary and secondary care at single location
Partner/Provider Payor Patient
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SERVICES WE PROVIDE15
1515
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DEVELOPMENT PROCESSMarket Level
Strategic Framework
Market Analysis
Development Analytics / Modeling / Proforma
Real Estate Initial Site Selection /
Architectural
Final Site Selection,
Development & Project Planning
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• Multi-step process that distills broad market analysis to hard corner site selection, development and management
• As experts in our field Emerus continually evaluates new and existing markets
• One stop shop for long-term development and management
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GEO-INTELLIGENCE
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Internal Data Analytics
• Multiple Market experience
• 550,000+ unique patient visits
• Patient trade area analysis
• 2,600 psychographic variables
• Tapestry Segmentation Analysis
• Demographics• Competitive Analysis• Market Opportunity
analysis
Secondary Analysis
• Analyzed unique patient data from 20+ major health systems
• Market analytics spanning the nation
• Advisory Board partnership
• Definitive Health Care• ESRI Geo-Analytics• Payscale• Truven Health Analytics• Dean & Co • Welsh, Carson, Anderson
and Stowe Partnership
Site Selection
• Site selection based on Internal and Secondary data analytics and factors unique to Micro-hospitals™ and Satellite EDs
• Market analysis heat maps developed by focusing on key performance indicators
• Proprietary multivariate regression modeling for Volume opportunity
• Retail Orientation to target where patients live and work
• Utilize in-market real estate professionals to secure propertyIdentifies distinct patient
populations that over-utilize Micro-hospital and Satellite EDs
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MICRO-HOSPITAL PERFORMANCE
1 Includes all facilities Emerus owns and manages across multiple markets and brands 12/2015 – 12/20162 In Emerus' case, # of minutes to see ER physician NOT other clinician3 Source: Hospital Compare, www.medicare.gov -- Overall hospital readmission rate
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PATIENT EXPERIENCE19
Press Ganey Guardian of Excellence Award is given to organizations that
have achieved the 95th percentile or higher for the composite overall rating
based on the standard Press Ganey Quarterly Reports during the course of
the year
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PARTNER OF CHOICE
Partner of Choice
National Network of Micro-hospitals