1. Community

2. Who we are Economic impact Mission and values Key issues in health care Our future unityComm

3. Who we are

4. Overview Unity Health System Unity Medical Group Genesee St. Campus Park Ridge Hospital Map ACM Medical Laboratory Aging and Continuing Care Services Unity Health Foundation

5. 208 acute care beds Intensive Care Unit –A Top 100 ICU Emergency Department –Full service with QuickCare unit Surgical Services Center –Inpatient and outpatient Orthopaedics & Joint Replacement Center –Highest volume in Rochester Park Ridge Hospital

6. Family Birth Place & Women’s Services Behavioral Health & Psychiatry –40-bed inpatient psychiatric unit –40-bed inpatient chemical dependency unit –Outpatient clinics and services –Community residences Cancer Center (opening Spring 2005) Park Ridge Hospital (cont’d)

7. Cardiology Services –Coronary angioplasty –Full-service outpatient testing & cardiac rehab Vascular Services Child Care Center Park Ridge Hospital (cont’d)

8. Changes in patient volume 2000-2004

9. 33,000 square feet total Expand treatment spaces from 24 to 40 Upgraded facilities include four new operating rooms Designed for 45,000 patient visits per year Total cost $27 million Opening January 2006 Emergency center expansion Return to overview

10. Walk In Care Center (24/7) –Psychiatric Emergency Unit Inpatient Psychiatric Unit –40 beds Brain Injury Rehabilitation Unit –33 beds, adults and children –Regional referral center Unity Living Center –120-bed skilled nursing facility Genesee Street Campus

11. Outpatient Services –ACM Laboratory –Dialysis –Oncology –Full Service Pharmacy –Dental Practice –Family Medicine Practice –Pediatrics Practice –Outpatient Psychiatry Genesee Street Campus (cont’d)

12. Community Outreach Programs –Children's Clothes Closet –HealthReach, Healthy Moms, Healthy Start –Health Care for the Homeless –McCree McCuller Wellness Center, HIV-AIDS Services Genesee Street Campus (cont’d)

13. Affordable Senior Housing & Senior Services –Moore Park –Park Place SouthWest Leased Services –Family Resource Centers of Rochester –GRHC Hospice –Sector 4 CDC Office –Monroe County WIC Office Genesee Street Campus (cont’d) Return to overview

14. Skilled Nursing Facilities (362 beds) –Park Ridge Living Center –Unity Living Center –Edna Tina Wilson Living Center Medical Adult Day Health Services (3 sites) Social Adult Day Health Services (3 sites) Home Care Services (325 patients) –Unity at Home –Care at Home Aging and Continuing Care Services

15. Senior Housing (549 units) –The Village at Park Ridge (Greece) –Woodland Village (Greece) –The Hamlet (Greece) –Park Ridge Commons (Greece) –Resch Commons (Greece) –Moore Park (Rochester) –St. Bernard’s Park (Rochester) –Hilton Project (2006) Aging and Continuing Care Services (cont’d) Return to overview

16. For-profit business enterprise Central reference laboratory Testing services for: –Physicians –Nursing homes –Hospitals –Pharmaceutical companies –Industry and occupational groups ACM Medical Laboratory

17. 29 patient service centers throughout Monroe County Licensed for DOT/Non-DOT toxicology testing. Only New York State lab (and one of six in the U.S.) with a SAMHSA license for drug testing Rapidly growing global clinical trials division –From $2.5 million in 2000 to $5.5 million in 2003 ACM Medical Laboratory (cont’d) Return to overview

18. 23 practice sites throughout Monroe County 39 MDs, 354,000 visits Specialties: –Internal Medicine –Family Medicine –Dentistry –Obstetrics & Gynecology –Geriatrics –Neurology –Cardiology –Pediatrics Unity Medical Group Return to overview

19. Assets: $13.1 million Revenues: $1.9 million Grants Paid: $829,000 Funds raised through: –Annual Appeal -PRISM Leadership Giving Society –Memorials and Tributes –Planned Giving –Special Events *2003 numbers Unity Health Foundation Return to overview

20. Unity locations in Monroe County Return to overview

21. Economic impact

22. Continuing financial success

23. Medical staff 4,690 employees = 3,355 FTEs Unity physicians and employees

24. Direct impact: $414,213,000 Our economic impact Taxes: $18,277,000 Bad debt and charity care: $7,994,999

25. Mission and values

26. The mission of Unity Health System is to make a positive difference in the lives and health status of individuals in the city of Rochester and western Monroe County. We will educate our community, our providers, and future health care professionals in order to offer the highest quality care to all members of our community, especially those who are underserved and most vulnerable. Our mission

27. Respect Quality service Compassion Empowerment Creativity Our core values

28. Unity Health people provide the best possible health care experience. Our brand promise

29. Employee turnover A great place to work

30. Overall employee satisfaction A great place to work

31. Key issues in health care

32. Changing consumer needs Labor shortages Costs Quality and safety Health policy Key issues in health care

33. Aging of the population Chronic illnesses Patient expectations Growth of uninsured and under-insured Changing consumer needs

35. Obesity Trends* Among U.S. Adults 1990, 1996, 2002 *BMI  30, or ~ 30 lbs overweight for 5’4” woman Source: Behavioral Risk Factor Surveillance System, CDC. No Data<10%10%-14%15%-19%20%-24%  25% 1991 1996 2002

36. Health risks among the uninsured *Among women 50–64. **Among adults 45–64. Percent of Individuals Not Receiving Selected Recommended Preventive Care Services Source: J. Ayanian, et al. “Unmet Health Needs of Uninsured Adults in the United States,” JAMA 284 no 16 (2000): pp 2061–2069.

37. Increased spending on health care *Projected Source: Heffler et al., “Health Spending Projections for 2002– 2012,” Health Affairs (February 7, 2003). National Health Care Expenditures as a Percent of GDP 1988-2012 Projected Return to key issues

38. Physician supply Scarcity of nurses and other health professionals Benefits costs Workforce diversity Labor shortages

39. Shortages in certain specialties Changing practice patterns Malpractice costs Physician-hospital relationships Fees Physician supply

40. Recruit, develop, and retain high quality physicians Increase physician involvement in decision-making Support physician-to-physician networking Employment vs. solo practice Physician strategies

41. Support of MCC nursing and radiologic technologist programs On-site classes for Keuka College nursing students Employee development: training pathways for existing employees to advance into clinical positions Our commitment to training Return to key issues

42. Increasing costs of: –Labor –Technology –Benefits –Competition Limited access to needed capital Rising importance of philanthropy Costs

43. Rochester hospitals: inpatient trends 1990200020022004 Med/Surg beds 1,7361,6171,347 Occupancy92.1%69.2%81.9%

44. The majority of hospitals lose money on Medicare and Medicaid Source: MedPAC and AHA Annual Survey Data

45. Health care IT spending Return to key issues

46. Medical errors and patient safety Consumer-driven health care Hospital and provider report cards Quality and safety

47. Willingness to recommend Unity patient satisfaction Average patient satisfaction: 98.5%

48. Published reports: –ACM Laboratory –Behavioral Health –Cardiology –Emergency Services –Endoscopy (GI) –Housing –Joint Replacement Center –Obstetrics –Senior Services –Surgery Care to compare In process: –Diabetes Services –ICU –Primary Care –Patient Safety Initiative –Vascular Services

49. Sample report Return to key issues

50. Reimbursement Medicaid – Medicare Reform HIPAA Public health and bioterrorism preparedness Legislative outlook Health policy Return to key issues

51. Our future

52. Opportunities and challenges: Capacity and throughput Evolution away from community rating Flat population growth Healthy competition versus community-wide planning (Centers of Excellence concept) The local environment

53. Specialty centers and services –Cardiology –Diabetes –Emergency Services –Gastroenterology –Geriatrics –Obstetrics Strategic priorities –Oncology –Stroke Care –Surgery: -Orthopaedics -Spine-Neuro Surgery -Vascular

54. “Execution...... is a discipline and integral to strategies.... is the major job of the business leader.... must be a core element of an organization’s culture.”

55. Community