1. Planning for Tomorrow
Thank you for your interest in JPS and the continuing efforts of your public healthcare system to
Improve performance
meet demands of our growing community and
provide stewardship of the taxpayer’s money.
Today I want to provide a brief overview of :
JPS history and unique role in our community,
Public health system’s value beyond the quality of care provided through more than 1 million patient encounters every year, and
Challenges we face daily in keeping up with community growth, technology advancements, and regulatory and industry changes.

2. Meeting Community Needs
JPS’s roots date back more than 100 years, when Fort Worth and the county agreed to jointly operate a 25-bed emergency hospital, located at Fourth and Jones.
In 1937, Fort Worth and county officials voted to approve $137,500 in bonds to match a Public Works Administration grant for construction of a new hospital on land that businessman and visionary John Peter Smith deeded back in 1877 as the site of a place where the community’s indigent could have the best of medical care. New hospital was occupied in 1939.
Through the 1950s, numerous additions were made. By 1959, it was clear a reliable source of funding was crucial. A public election allowed for the creation of the Tarrant County Hospital District, authorizing the assessment of taxes to support the hospital.
By 1971, the 11-story patient tower was completed as phase III of a construction plan that included new ER and radiology facilities, power plant, cafeteria, laundry, pharmacy, a blood bank and labs.
In 1985, county voters approved a $49.5 million bond for major renovations and additions, including construction of Trinity Springs Pavilion, our psychiatric hospital. Thirty years ago was the last time the hospital district went to voters with a bond election.
In 2008, Patient Care Pavilion opened, built through a capital campaign and operational efficiencies.

3. Centered in Care 1.7 million+ patient encounters in 2015
330+ Emergency Department patient visits/day – 120,000 emergency visits/year
60,000 Urgent Care visits/year
20,000 Behavioral Health patients/year
5,000 babies delivered annually
JPS is YOUR PUBLIC HEALTHCARE SYSTEM.
JPS offers the full CONTINUUM OF CARE, from a 537-bed acute hospital to outpatient/preventative services at our more than 40 primary care community clinics to behavioral health services.
The demand on JPS services has increased significantly in the past 10 years, much less the last 30 years, when last we had a bond election. When the new ED opened in the patient care pavilion in 2008, we were seeing about 160 patients a day. Today we average 330. And with flu season coming, we know the number will bump above 400 on many days.

4. Our Unique Role Level 1 Trauma Center Leaders in Behavioral Health
The only one in Tarrant County
Leaders in Behavioral Health
Psychiatric Emergency Center –
only one in Tarrant County
Correctional Health –
more than 60,000 patient encounters per year
Teaching Hospital
Residency programs –
11 residency and fellowship programs; 202 JPS residents
Undergraduate programs –
50 affiliation agreements; 1,000 students
Care for Underserved –
More than 40,000 charity-eligible JPS Connection members
JPS is uniquely equipped to satisfy its unique role in Tarrant County
Only Level 1 trauma center. Not every hospital can attain Level 1 status – facility requirements – OR on standby at all times – spectrum of subspecialty physicians available at all times, research component.
Only Psychiatric Emergency Center in county – unique facilities and infrastructure as well as an experienced and compassionate pool of caregivers.
Correctional Health – clinic at county jail AND inpatient services.
Teaching hospital – largest hospital based family medicine residency in the nation.
Care of the underserved – population largely more diverse, more sick and with more issues than our peer hospitals see.
JPS also helps lessen the impact on other public and private service agencies, such as EMS, police, the jail as well as other hospitals.
You may never imagine a scenario in which you would need to seek help at JPS. But Trauma and BH are society’s great equalizers. The dollars in your bank account, degrees behind your name, street address of your house or the importance of your job can’t insulate you against potential traumatic injury or behavioral health issues. JPS IS where you want to be in those cases.

5. Community Footprint
Our Starbucks map – JPS’s footprint extends throughout Tarrant County. Our primary care and 20 school-based health clinics are largely located in areas of high poverty penetration. We can never forget our over-arching mission as our community’s safety net healthcare system. And that is true to John Peter Smith’s vision of providing the best of medical for all Tarrant County residents, regardless of their ability to pay.

6. Estimated growth based on population growth trend from 2000-2010.
Population Trends
3.5 million
1.8 million
860,000
Growth is good – it’s a sign of an attractive community offering opportunities for employment, good schools and great quality of life for families.
North Texas is a great place to live – and that explains why Tarrant County’s population has more than doubled in the past 30 years, since the last bond election. And you as chamber members know very well what the population is projected to be.
But growth brings its own set of challenges as well, be they transportation, air quality, water availability, educational demands or strain on the public healthcare system.
Turn it over to my colleague Scott Rule, vice president and administrative chief of staff, to talk about what those growth challenges are doing at JPS.
Estimated growth based on population growth trend from
Source: University of Houston Hobby Center for Public Policy. (2014). Projections of the Population of Texas and Counties in Texas by Age, Sex, and Race/Ethnicity from 2010 to Retrieved from

7. Environment of Care/Patient Experience
JPS Patient Tower
Patient Care Pavilion
Does not support:
Infection control standards
State and federal privacy laws (HIPAA and CMS)
Reimbursements tied to patient satisfaction
Improved quality outcomes
Operational and cost efficiencies

8. Campus Split by Main St.
Lack of appropriate adjacencies of departments and services

9. Emergency/Urgent Care
Urgent Care is separated from Emergency Department
Approximately 750 monthly transfers
Approximate total transfer time: 250 hours/month
Urgent Care
Main ED

10. Behavioral Health
Psychiatric Emergency located on 10th floor of main hospital tower
Access challenges
Potential risks to others
Potentially unsafe transfers
10th Floor
Trinity Springs Pavilion
Main ED

11. Care Delivery Challenges
JPS Current State
Best Practice
Outpatient Clinics
Patients waiting in corridors
Waiting areas remote from clinic entrance
Lack of capacity - landlocked
Multiple registration areas confusing for patients
Outdated design limits productivity and performance improvement

12. Past Projects JPS Medical Home Southeast Tarrant $7,812,343
Partial Hospitalization (four sites) $915,896
Bardin Road Specialty Clinic renovations $1,045,589
JPS Health Center – Stop Six Pharmacy Expansion $231,285
Center for Pain Management Clinic $365,066
Gertrude Tarpley JPS Health Center at Watauga $3,477,722
JPOC 1400 and 1350 renovations $17,355,983
Medical Home Northeast Tarrant Land Purchase $1,100,000
Outpatient Pharmacy $1,318,167
Emergency Department split flow $994,263
East Pavilion Expansion $23,533,442
St. Joseph Hospital Abatement and Demolition $5,325,237

13. JPS Medical Home Northeast Tarrant
30,000 square feet Primary Care Medical Home
RFQ issued September 2015
Design Process: Underway
Construction RFPs out: Late
September/early October 2016
Services will include:
Primary Medical Care
Dental
Geriatrics
Pharmacy
Lab
Behavioral Health
Radiology
Patient Education
Case Management
Financial Screening
Snapshot of JPS presence in Precinct 3 – two adult primary care facilities – Health Center Northeast on Brown Trail in Bedford; Gertrude Tarpley Health Center in Watauga – and four school-based clinics. Our Grapevine/Colleyville school based clinic is located on Timberline Drive.
JPS recently completed a land purchase to build a new 30,000-square-foot primary care medical home for Northeast Tarrant County. Design is scheduled to begin late 2015, with construction getting underway in spring of Operations are scheduled to being in late spring, early summer of 2017.
Located at 3200 W. Euless Blvd., the medical home will feature primary care, dental, pharmacy, lab, behavioral health, radiology, patient education, case management and financial screening.

14. 3 1 2 Proposed Future Projects Renovate Existing Facilities
subject to change 3 1
Renovate Existing Facilities
164,619 sf
Renovation
New Inpatient Tower
739,011 sf
New Construction 2
Psychiatric Hospital
220,000 sf
New Construction

15. 1 3 2 Proposed Campus subject to change
RENOVATIONS TO EXISTING FACILITY
164,619 sf
Hospital Renovation and Backfill
739,011 sf
10 floors
Parking Garage
(2,300 spaces)
Central Utility Plant
SOUTH MAIN ST. 2
PSYCHIATRIC HOSPITAL
220,000 sf
5 floors including psychiatric emergency

16. in the Tarrant County Hospital District tax rate.
County Support
The bond improvements as outlined in this proposal will result in NO INCREASE
in the Tarrant County Hospital District tax rate.

17. County Support STEP 1 – Analyze and review healthcare and JPS’ role
STEP 2 – Establish a citizens committee
STEP 3 – Evaluate JPS’ current facilities
STEP 4 – Combine findings from Steps 1-3

18. Diversity and Inclusion
Our Mission
Transforming healthcare delivery for the communities we serve
Our Vision
To be a regional and national leader in:
Improving the patient and family experience
Improving the quality and outcomes of population health
Improving access to care
Our Values
Trust
Mutual Respect
Excellence
Integrity
Accountability
Teamwork
Our Diversity and Inclusion Commitment
JPS seeks to promote and provide equity of
access, care and opportunity to patients,
individuals or business owners seeking
health care, employment or business
opportunities within JPS Health Network.

20. To ask questions via email, go to
To ask questions via , go to
Schedule a tour of JPS

21. Growth is good – it’s a sign of an attractive community offering opportunities for employment, good schools and great quality of life for families.
North Texas is a great place to live – and that explains why Tarrant County’s population has more than doubled in the past 30 years, since the last bond election. And you as chamber members know very well what the population is projected to be.
But growth brings its own set of challenges as well, be they transportation, air quality, water availability, educational demands or strain on the public healthcare system.
Turn it over to my colleague Scott Rule, vice president and administrative chief of staff, to talk about what those growth challenges are doing at JPS.