Jackson Health System
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- Jonathan Farmer
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1 Jackson Health System Capital Bond Proposal Board of County Commissioners Committee of the Whole October 3, 2013
2 Mission Statement To build the health of the community by providing a single, high standard of quality care for the residents of Miami-Dade County
3 Presentation Agenda Overview New Projects Modernization Technology Finance Oversight
4 Overview Overview Need Strategy New Projects Modernization Technology Finance Oversight
5 Technology Needs Overview: Need Aging Facilities Limited Footprint Strategic Misalignment
6 Overview: Strategy Modernized ERs & ORs New Facilities Updated Accommodations Expanded Footprint Technology for Efficiency
7 New Projects Overview New Projects Children s Ambulatory Center Rehabilitation Hospital Urgent Care Centers Modernization Technology Finance Oversight
8 Children s Ambulatory Center
9 Pediatric Market Share 25% 20% 15% 10%
10 Jackson Pediatric Payer Mix 16.7% Self-Pay Medicaid Medicare Managed Care/Other
11 Children s Ambulatory Center Off Campus Checkups On Campus Dedicated Entrance Urgent Care Same-Day Surgery Specialty Clinics Child- Friendly Spaces Imaging One-Stop Clinics
12 Off-Campus Components Family-friendly lobby and waiting areas Pediatric exam rooms Child-centric imaging areas Physician offices Child-life activity center Conference spaces
13 Construction Timeline Permitting and Design Groundbreaking Planning and Zoning CAP Grand Opening (estimate months after permitting & design)
14 Rehabilitation Hospital
15 Rehabilitation Hospital
16 Attracting Patients All Miami-Dade Rehab Centers Jackson Rehab Hospital Miami-Dade Broward Other Florida Out Of State 88.9% 74.9%
17 Jackson Rehab Payer Mix 10.4% Self-Pay Medicaid Medicare Managed Care/Other
18 Cost of Inaction Projected 2013 Cases Projected 2014 Lost Cases Projected 2015 Projected 2016 Projected 2017 Projected 2018
19 Projected New Volume Projected 2013 Projected 2014 Projected 2015 Cases Lost Cases Growth Projected 2016 Projected 2017 Projected 2018
20 Construction Timeline Permitting and Design Groundbreaking Planning and Zoning New Rehab Hospital Grand Opening (estimate months after permitting & design)
21 Urgent Care Network
22 Current Footprint
23 Service Offerings All Centers Illness School Physicals Occupational Health Broken Limbs Diabetes Monitoring Employment Physicals Simple Wounds Some Locations Travel Health Geriatrics Physical Therapy Immigration Physicals Weight Loss Programs Advanced Diagnostics Routine Prenatal Care
24 Modernization Overview New Projects Modernization ERs & ORs Patient Rooms Deferred Maintenance Technology Finance Oversight
25 Operating Rooms
26 Emergency Rooms
27 Build Out Intensive Care Unit Fourth Floor Patient Unit
28 Inpatient Rooms & Units
29 Deferred Maintenance FORTY-YEAR CERTIFICATION Structure HVAC Electrical ELEVATOR REPLACEMENT PARKING
30 Technology Overview New Projects Modernization Technology Medical Equipment Information Technology Finance Oversight
31 Medical Equipment Cardiac Cath Labs Brain Scanners Oncology Equipment
32 Information Technology Electronic Health Record Network Infrastructure Bedside Computer Systems
33 Finance Overview New Projects Modernization Technology Finance Oversight
34 Project Budgets
35 Oversight Overview New Projects Modernization Technology Finance Oversight Ballot Language Oversight Structures
36 Ballot Language Shall Miami-Dade County fund modernization, improvement and equipping of Jackson Health System s facilities located throughout the county, including, but not limited to, emergency rooms, children s ambulatory pavilion and urgent care centers, by issuing, from time to time, general obligation bonds payable from the ad valorem taxes collected in Miami-Dade County in principal amount not exceeding $830,000,000, bearing interest not exceeding maximum legal rate and maturing within 30 years from issuance date?
37 Oversight Structure BCC & Mayor Financial Auditors Inspector General PHT Board Citizen Oversight Board Ethics Commission External Oversight Law Enforcement Jackson Staff
38
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