LINKING OUR PAST TO OUR FUTURE. By Carl M. Marchetti, MD

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1 LINKING OUR PAST TO OUR FUTURE By Carl M. Marchetti, MD 1

2 From its humble beginnings as a convalescent home to the Ann May Memorial Homeopathic Hospital in Spring Lake, to the opening of Fitkin Memorial Hospital in Neptune and ultimately to today s ever expanding university medical center, Jersey Shore s story is a rich and inspiring history. 2

3 Ann May 3

4 Ann May Hospital 4

5 Surgery 5

6 Rules & Regulations 6

7 7

8 Spring Lake

9 Fitkin Memorial Hospital

10 Emergency Room Fitkin Memorial Hospital 10

11 Fitkin Memorial Hospital

12 The Fifties New East Wing Dedicated -20 OB Beds -4 Delivery Rooms with 6 Labor Rooms -New Kitchen and Dining Room -6 Operating Rooms with a New Innovation A Recovery Room New 4 Story Nurse Residence Addition -Also Contains 6 Apartments for Married House Staff 12

13 Anthony DeSpirito, MD 13

14 1963 Interns & Residency Staff 14

15 Louis Albright, MD 15

16 Ed Lance, MD 16

17 Cardio Vascular Laboratory 17

18 The Sixties Free Standing Building with 18 Apartments for Residents Dr. LaPorta Develops the First Intensive Care Unit (ICU) in Central NJ Hospital Named Jersey Shore Medical Center State of New Jersey, First Child Evaluation Center 18

19 Nurse Sets Record Score 19

20 Growth in the Eighties Booker Pavilion Opens Rosa Pavilion Opens 6 Story Tower Building Opens Coronary Care Unit Opens First in the State of NJ Dental Department Residency Starts State Adopts JSUMC as a Level III Perinatal Center 20

21 Leadership Changes John K. Lloyd- President 21

22 Carl M. Marchetti, MD- VP, Medical Affairs 22

23 Lynn Parry, MD 23

24 Jersey Shore Medical Center- Robert Wood Johnson 24

25 First Faculty 25

26 First Cardiac Surgery Program 26

27 The Nineties JSUMC A Level II Trauma Center Brennan Pavilion Dedicated Jersey Shore Unveiled the First Single Room Maternity Unit in the state Medical Arts Building Opens 27

28 The Creation of Meridian 28

29 Leadership Changes- Steven G. Littleson, President, Jersey Shore Medical Center 29

30 Jersey Shore University Medical Center 30

31 K. Hovnanian Children s Hospital 31

32 Dr. Rich Hader 32

33 Where Are We Today? 33

34 Meridian's Powerful Continuum Key Health System Statistics -95 Convient Locations -$1.6 Billion in Annual System Revue -12,000 Team Members -2,100 Physicians on Staff 6 Hospitals:1,700+ beds -JSUMC -Riverview -K. Hovnanian Children s Hospital -Ocean Medical Center -Southern Ocean Medical Center -Bayshore Community Hospital Partner Companies -Post Acute Care: 5 facilities, 728 beds -At Home Nursing, Hospice, & Rehab: Serving all of Central New Jersey -Ambulatory Care: 12 facilities -Ambulance Medical Transport: 100+ vehicles -Occupational Health: 6 Centers -Rehabilitation and Fitness: 9 facilities, 2 inpatient facilities -MHR: 50+ affiliated physician practices and support services 34

35 Meridian is Recognized for Quality 35

36 Transition Team 36

37 New Campus 37

38 Mehandru Pavilion 38

39 Our Services We do just about EVERYTHING, except Burns Transplants Major emphasis is on Cardiology Services 39

40 K Hovnanian Children s Hospital and Specialty Care Center 40

41 Growth in Resident Numbers: 2002 vs PROGRAM st Year Residents st Year Residents Internal Medicine 14 Categorical 10 Preliminary 16 Categorical 12 Preliminary Ob/Gyn 2 Categorical 4 Categorical Pediatrics 6 Categorical 7 Categorical 1 Preliminary 1 Chief Resident (PGY 4) 41

42 Medical and Academic Affairs 2012 Resident Match Results Metric US Citizens 84% 88% 73% US Medical Graduates 50% 44% 40% UMDNJ Graduates 30% 7% 6% Positions filled in the Match 93% 71% 53% New Jersey Residents 52% 49% Monmouth & Ocean County residents 20% 10% -Dentistry filled 100% with US medical school graduates (all UMDNJ) -Pediatrics and Ob/Gyn matched their candidates in their top 18 choices 42

43 JSUMC Academic Achievements Unique in NJ Maximum accreditation cycle in all JSUMC sponsored residency programs with commendation Institutional Review- March The review Committee commanded the intuition for its demonstrated substantial compliance with the ACGME s Institutional Requirements without citations. Maximum cycle length (5 years) granted Pediatric RRC Site Visit-March The program director is commended for establishing a positive learning environment for the residents Maximum cycle (5 years) granted Ob/Gyn RRC Site Visit- July,2011- The review committee commended the program for its outstanding organization and innovation and for maintaining a strong educational focus in the midst of clinical growth. No citations. Maximum cycle (5yrs) granted. 43

44 Research -Office with full time director, staff and research assistants. -Consolidated Meridian Health IRB Structure. -Established a comprehensive, full-service Meridian Health Clinical Research Center at JSUMC in January Sponsored Clinical Trials New Trials Opened throughout the year 13 Trials Closed by year end 4 Total Active Trials at year end 34 Total Number of Patients Enrolled 555 Gross Revenue $853,600 44

45 What is in the Future? 45

46 Regional Campus of Robert Wood Johnson Medical School 30-3 rd and 4 th year medical students to receive their full academic and clinical program at Jersey Shore University Medical Center To be started in

47 Expansion of JSUMC Campus 47

48 Expansion of Services Center for the Treatment of Paralysis and Reconstructive Nerve Surgery Jersey Shore Partners With World- Renowned Reconstructive Surgeons to Unveil Center for Paralysis Robotics Surgery In December 2010, the first robotics surgeries were successfully performed at Jersey Shore University Medical Center Robotic treatment options are now available for men's and women s health, offering patients with prostate, kidney, and gynecologic conditions the highest quality care and faster recovery time. 1 48

49 The Path to the ACO - Delivery System Reform Integrating the three components of the delivery system into a single entity FFS P-4-P, Bundles Global Cap H P CIN I P-4-P ACO I H = Hospital P = Physicians I = Insurers CI = Clinical Integrated Network ACO = Accountable Care Organization In a Clinically Integrated Network: Physicians and Hospitals cooperate and modify practice patterns in order to control costs and ensure the quality of services Definition from Federal Trade Commission 49

50 Team Member Healthly Advantage Pilot Program with QualCare The Pilot Program has four Separate Modules Increase Enrollment in QualCare s Disease Management Program (only 27% now) Increase Chronic Disease HEDIS Scores -Diabetes, CAD/HF, COPD/Asthma Improve Preventative Medicine Compliance -BMI Assessment, Vaccinations, Breast Screenings, Lead Screening, LDL-C and Glucose Screenings Increase Generic Fill Rate 50

51 Medicare Advantage Plan Meridian Health is partnering with Geisinger, who offers one of the leading Medicare Advantage Health Plans in the country. Meridian's joint venture with Geisinger Health Plan will allow us to implement a provider-sponsored Medicare Advantage product for seniors in Monmouth and Ocean counties Geisinger Gold Medicare Plan focuses on the delivery of quality care through: patient-centered care management early intervention, and evidence-based care 51

52 Thank You For coming to hear about the past, present, and future. Have a safe trip home. 52

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