1. Welcome to Banner – University Medicine
Gordon Carr MD
CMO, BUMCT
David Sheinbein MD
CMO, BUMCS

2. Academic Medicine is Changing
Threats to cross-subsidies
Volume to Value transition
New Model:
Better organized
More efficient
More nimble
More disciplined
Easier to access
More accountable
Traditional
Academic
Model
Pressure
from
Payors
Requirements for transparency
Empowered
patients

3. Culture and Leadership
Outcomes
Operations
Processes
Infrastructure
Culture and Leadership

4. We are not alone

5. What can we learn from other leading institutions?
System based
More financially sustainable operations
New practice structures
Transparency in quality and financial outcomes
Population health expertise
Revamped culture
Aligned governance and management systems
New university relationships =
AAMC. Advancing the academic health system for the future: a report from the AAMC advisory panel on healthcare

6. What is Happening Now?

7. Leadership Infrastructure
Old
New
Top-Down or hub-and-spoke
Command and control
Silos
Enjoying your comfort zone
Technical leadership
Distributed
Resilience
Networks
Challenging our comfort zones
Adaptive leadership

8. Success since Banner Affiliation
Improved risk-adjusted LOS and mortality
Stabilization of faculty base and key departments
Increase in NIH grant funding
Nurse retention and recruitment
12% reduction in sepsis mortality
26% reduction in blood product usage
$500 million of capital projects
Rebuilding transplant programs
New Physician compensation model

9. BUMCT – ALOS Since 2015

10. Reducing ALOS Hospital Capacity and Financial Implications
Average Census = Arrival Rate x ALOS
Average Census / ALOS = Daily Admission Capacity
400/6.0 = 66 patients/day
400/5.6 = 71 patients/day
400/5.4 = 74 patients/day

11. BUMCT Priorities - 2016 ALOS and OBS LOS
Performance Improvement – Leadership Infrastructure
Healthcare Associated Infections
Banner Health Strategic Initiatives
Cerner and New Construction
Joint Commission visit – next 18 months

12. Questions?