Jackson Health System

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Transcription:

Jackson Health System Capital Bond Proposal Board of County Commissioners Committee of the Whole October 3, 2013

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

Presentation Agenda Overview New Projects Modernization Technology Finance Oversight

Overview Overview Need Strategy New Projects Modernization Technology Finance Oversight

Technology Needs Overview: Need Aging Facilities Limited Footprint Strategic Misalignment

Overview: Strategy Modernized ERs & ORs New Facilities Updated Accommodations Expanded Footprint Technology for Efficiency

New Projects Overview New Projects Children s Ambulatory Center Rehabilitation Hospital Urgent Care Centers Modernization Technology Finance Oversight

Children s Ambulatory Center

Pediatric Market Share 25% 20% 15% 10% 2008 2009 2010 2011 2012

Jackson Pediatric Payer Mix 16.7% Self-Pay Medicaid Medicare Managed Care/Other

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

Off-Campus Components Family-friendly lobby and waiting areas Pediatric exam rooms Child-centric imaging areas Physician offices Child-life activity center Conference spaces

Construction Timeline Permitting and Design Groundbreaking Planning and Zoning CAP Grand Opening (estimate 30-36 months after permitting & design)

Rehabilitation Hospital

Rehabilitation Hospital

Attracting Patients All Miami-Dade Rehab Centers Jackson Rehab Hospital Miami-Dade Broward Other Florida Out Of State 88.9% 74.9%

Jackson Rehab Payer Mix 10.4% Self-Pay Medicaid Medicare Managed Care/Other

Cost of Inaction 700 600 500 400 44 90 137 184 230 275 317 352 300 200 100 608 564 518 471 424 378 333 291 256 0 2010 2011 2012 Projected 2013 Cases Projected 2014 Lost Cases Projected 2015 Projected 2016 Projected 2017 Projected 2018

Projected New Volume 700 600 500 44 90 137 184 230 250 275 300 400 300 200 608 564 518 471 424 378 378 378 378 100 0 2010 2011 2012 Projected 2013 Projected 2014 Projected 2015 Cases Lost Cases Growth Projected 2016 Projected 2017 Projected 2018

Construction Timeline Permitting and Design Groundbreaking Planning and Zoning New Rehab Hospital Grand Opening (estimate 30-36 months after permitting & design)

Urgent Care Network

Current Footprint

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

Modernization Overview New Projects Modernization ERs & ORs Patient Rooms Deferred Maintenance Technology Finance Oversight

Operating Rooms

Emergency Rooms

Build Out Intensive Care Unit Fourth Floor Patient Unit

Inpatient Rooms & Units

Deferred Maintenance FORTY-YEAR CERTIFICATION Structure HVAC Electrical ELEVATOR REPLACEMENT PARKING

Technology Overview New Projects Modernization Technology Medical Equipment Information Technology Finance Oversight

Medical Equipment Cardiac Cath Labs Brain Scanners Oncology Equipment

Information Technology Electronic Health Record Network Infrastructure Bedside Computer Systems

Finance Overview New Projects Modernization Technology Finance Oversight

Project Budgets

Oversight Overview New Projects Modernization Technology Finance Oversight Ballot Language Oversight Structures

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?

Oversight Structure BCC & Mayor Financial Auditors Inspector General PHT Board Citizen Oversight Board Ethics Commission External Oversight Law Enforcement Jackson Staff