The Nebraska Heart Institute Heart Hospital Influencing and Shaping the Future of Health Care

Mission The Heart Hospital ensures patient access to quality healthcare, superior outcomes and a place where patients do come first.

Values At the Nebraska Heart Institute Heart Hospital, we are committed to caring for the patient with; Integrity, holding high moral and ethical standards; through Excellence of service and care; with Respect for different ideals and beliefs; through a Teamwork of physicians and staff to assure the best outcome; and finally with Leadership, achieved through influence and trust to place the patient first.

Charitable Care Care is provided regardless of patient’s ability to pay or lack of health insurance Financial counseling available Screening for Medicaid eligibility Multiple personal financing options Charity care write off policy up to 100% based on patient’s ability to pay

Medical Staff 31 physicians –25 cardiologists –6 surgeons 2 cardiothoracic 2 cardiovascular 2 vascular

Regional Firsts Heart transplant surgery Balloon angioplasty Off-pump bypass Biventricular implantation Brachytherapy Drug-eluting stent Open-heart surgery without general anesthesia Minimal invasive surgery for irregular heartbeat

Heart Hospital Governance 18 physician investors –In addition, physicians are partners with the Nebraska Heart Institute medical practice Seven-member board of directors

Campus 20-acre Lincoln, NE campus $44 million project 92,000 s.f., 2 stories 59 Private Patient Rooms –63 licensed beds 68,000 s.f. MOB –To be completed October 2005

Facility 3 operating suites 3 catheterization labs –Cardiac –Vascular –Electrophysiology Comprehensive imaging services 24hour laboratory All digital Physician on site 24 hours/day

Strategies Physician Expertise Unique Hospital Attributes Transformative Operating Processes Excellence and Continuous Improvement Use of Technology Standardization

Strategies Patient focused care All private rooms – universal bed No set visiting hours Accommodating families 24 hours/day Hotel-styled service

Strategies Transformative operating processes –Develop processes de novo –No historical barriers –Active involvement of physicians, staff and administration –Staff ownership through involvement and profit sharing –Continuous quality improvement – defined metrics and indicators

Strategies Use of Technology –Understand the role of technology –Use technology when it makes a process better –Avoid the trap of “technology for the sake of technology” –Strategic technology partner - Siemens

From Planning to Opening January 2002 –Design development documents approved –1st stage building permits –Construction begins May 2003 first patient admission

Outcomes - Return on Investment * As of May 2004, one year of operation PlannedActual Patient Activity Patient Discharges Patient Satisfaction 1,6362,551 N/A94.40% Procedures Open Hearts Vascular Surgeries Thoracic Surgeries Cardiac Interventions Staffing Full-Time Equivalents238217

Outcomes Return on Investment Case Mix Index – 3.24 PlannedActual Length of Stay Surgical Patients Medical Patients Cath Patients Aggregate Average * As of May 2004, one year of operation

Coronary Artery Bypass

Interventional Cath (PCI)

Patient Satisfaction

Influencing and Shaping the Future of Health Care Sheryl Dodds, RN, MS Chief Executive Officer Nebraska Heart Institute Heart Hospital