Advancing the Financial Strength of Los Angeles County Clinics: - - PowerPoint PPT Presentation

▶
advancing the financial strength of los angeles county
SMART_READER_LITE
LIVE PREVIEW

Advancing the Financial Strength of Los Angeles County Clinics: - - PowerPoint PPT Presentation

Oct 12, 2022 137 likes •591 views

Advancing the Financial Strength of Los Angeles County Clinics: Monitoring and Improving Health Center Performance Susan Petrie, MBA Chief Operating Officer, Capital Link AFS 102 Training Program December 5, 2019 Capital Link - Overview

slide-1
SLIDE 1

AFS 102 Training Program December 5, 2019

Susan Petrie, MBA

Chief Operating Officer, Capital Link

Advancing the Financial Strength

  • f Los Angeles County Clinics:

Monitoring and Improving Health Center Performance

slide-2
SLIDE 2
  • Launched in 1995, nonprofit, HRSA national cooperative agreement

partner

  • Offices in CA, CO, FL, MA, MO, and WV
  • Over $1.2 billion in financing for over 234 capital projects
  • Direct assistance to health centers and complementary nonprofit
  • rganizations in planning for and financing operational growth and

capital needs

  • Industry vision and leadership in the development of strategies

for organizational, facilities, operational and financial improvements

  • Metrics and analytical services for measuring health center

impact, evaluating financial and operating trends and promoting performance improvement

 2019 Capital Link www.caplink.org 2

Capital Link - Overview

slide-3
SLIDE 3

 2019 Capital Link www.caplink.org 3

Advancing Financial Strength (AFS) Program Overview Program Developed with CCALAC

  • Tools, Trainings, Technical Assistance

Goal: Improve Health Center Financial Sustainability and Increase Readiness for Growth.

CEO/COO CMO/Clinical Team CFO/Finance Team Board Members

slide-4
SLIDE 4

 2019 Capital Link www.caplink.org 4

Goal: Financial Sustainability and Access to High Quality Care

slide-5
SLIDE 5

Benchmarking/Dashboards

slide-6
SLIDE 6

 2019 Capital Link www.caplink.org 6

Performance Improvement

slide-7
SLIDE 7

 2019 Capital Link www.caplink.org 7

Benchmarking

A standard or point of reference against which things may be compared or assessed.

slide-8
SLIDE 8

 2019 Capital Link www.caplink.org 8

Benchmarking/Best Practices

What metrics should I track? What to compare performance to? What does it mean?

slide-9
SLIDE 9

 2019 Capital Link

www.caplink.org 9

Capital Link’s Performance Benchmarking Toolkit

http://caplink.org/california-clinics

slide-10
SLIDE 10

Data Sources for Benchmarking

slide-11
SLIDE 11

 2019 Capital Link

www.caplink.org 11

CA FQHCs Performance Trends

http://caplink.org/ca-trends-2019

slide-12
SLIDE 12

 2019 Capital Link

www.caplink.org 12

Capital Link’s Benchmarking Toolkit

slide-13
SLIDE 13

Performance Trends: Key Metrics

slide-14
SLIDE 14

3.5% 5.9% 4.7% 5.7% 5.6% 6.3% 4.8% 4.5% 3.7% 4.3% 3.6% 3.1% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 2015 2016 2017 2018 CCALAC Operating Median CA FQHCs Median NATIONAL Median

 2019 Capital Link www.caplink.org 14

Operating Margin

slide-15
SLIDE 15

 2019 Capital Link www.caplink.org 15

Bottom-Line Margin

5.5% 6.8% 4.9% 5.9% 6.8% 7.3% 5.3% 5.4% 5.1% 5.5% 4.4% 4.1% 0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-16
SLIDE 16

 2019 Capital Link www.caplink.org 16

Personnel-Related Expenses as a Percentage of Operating Expenses

72.0% 68.0% 72.1% 69.3% 70.8% 70.6% 72.5% 71.2% 70.9% 70.2% 71.8% 71.5% 65.0% 66.0% 67.0% 68.0% 69.0% 70.0% 71.0% 72.0% 73.0% 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-17
SLIDE 17

 2019 Capital Link www.caplink.org 17

Days in Net Patients Receivables

54 48 43 40 44 38 37 38 41 41 39 38 10 20 30 40 50 60 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-18
SLIDE 18

 2019 Capital Link www.caplink.org 18

Days Cash on Hand

43 59 81 97 71 79 92 94 53 63 67 71 20 40 60 80 100 120 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-19
SLIDE 19

 2019 Capital Link www.caplink.org 19

Physician Visits per Physician FTE

2,500 2,600 2,700 2,800 2,900 3,000 3,100 3,200 3,300 3,400 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-20
SLIDE 20

 2019 Capital Link www.caplink.org 20

Mid-Level Visits per Mid-Level FTE

2,000 2,200 2,400 2,600 2,800 3,000 3,200 3,400 3,600

2015 2016 2017 2018

CCALAC CA FQHCs Median NATIONAL Median

slide-21
SLIDE 21

 2019 Capital Link www.caplink.org 21

Dental Visits per Dental Provider FTE

1,500 1,700 1,900 2,100 2,300 2,500 2,700 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-22
SLIDE 22

 2019 Capital Link www.caplink.org 22

Median Growth Rates – Patients

1% 13% 7% 5% 3% 7% 4% 3% 3% 5% 5% 3% 0% 2% 4% 6% 8% 10% 12% 14% 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-23
SLIDE 23

 2019 Capital Link www.caplink.org 23

Median Growth Rates – Visits

5% 14% 10% 9% 6% 9% 7% 7% 5% 7% 6% 5% 0% 2% 4% 6% 8% 10% 12% 14% 16% 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-24
SLIDE 24

 2019 Capital Link www.caplink.org 24

CCALAC Growth Rates by Service Line 2015-2018 Median Health Center

5% 5% 10% 12% 23% 12% 0% 5% 10% 15% 20% 25% Medical Patient Growth Rate Medical Visit Growth Rate Dental Patient Growth Rate Dental Visit Growth Rate Mental Health Patient Growth Rate Mental Health Visit Growth Rate

slide-25
SLIDE 25

 2019 Capital Link www.caplink.org 25

CCALAC Median Health Center: Service Mix by Year

77% 79% 77% 75% 6% 8% 10% 13% 4% 4% 4% 5% 4% 3% 3% 4% 0% 20% 40% 60% 80% 100% 2015 2016 2017 2018 Enabling Visits as a Percentage of Total Visits Mental Health Visits as a Percentage of Total Visits Dental Visits as a Percentage of Total Visits Medical Visits as a Percentage of Total Visits

slide-26
SLIDE 26

 2019 Capital Link www.caplink.org 26

CCALAC Patients per Payer as a Percent

  • f Total Patients (Median Health Center)

47% 55% 60% 64% 64% 65% 82% 81% 87% 86% 86% 85% 0% 20% 40% 60% 80% 100% 120% 140% 160% 2013 2014 2015 2016 2017 2018

CCALAC Medi-Cal

Medicaid Collections as Percentage of Total Collections Medicaid Patients as Percentage of Total Patients 45% 35% 29% 27% 24% 24% 5% 5% 3% 3% 3% 2% 0% 10% 20% 30% 40% 50% 60% 2013 2014 2015 2016 2017 2018

CCALAC Self-Pay/Uninsured

Self-Pay Collections as Percentage of Total Collections Self-Pay Patients as Percentage of Total Patients

slide-27
SLIDE 27

Evolving Business Models

slide-28
SLIDE 28

 2019 Capital Link www.caplink.org 28

Transition from FFS to Value-Based Reimbursement

slide-29
SLIDE 29

*Capital Link Performance Benchmarking Toolkit

 2019 Capital Link www.caplink.org 29

Transition from FFS to Value-Based Reimbursement

slide-30
SLIDE 30

 2019 Capital Link www.caplink.org 30

Medical Patients per Medical Provider FTE

750 800 850 900 950 1,000

2015 2016 2017 2018

CCALAC CA FQHCs Median NATIONAL Median

slide-31
SLIDE 31

 2019 Capital Link www.caplink.org 31

Medical Team Productivity: Medical Patients per Medical Staff FTE

260 270 280 290 300 310 320 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-32
SLIDE 32

 2019 Capital Link www.caplink.org 32

Cost per Patient

$851 $868 $875 $940 $887 $959 $1,049 $1,075 $801 $837 $873 $917 $0 $200 $400 $600 $800 $1,000 $1,200 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-33
SLIDE 33

 2019 Capital Link www.caplink.org 33

Cost per Visit

$193 $204 $204 $219 $201 $220 $230 $239 $208 $218 $233 $242 $0 $50 $100 $150 $200 $250 $300 2015 2016 2017 2018 CCALAC CA FQHCs Median NATIONAL Median

slide-34
SLIDE 34

 2019 Capital Link www.caplink.org 34

CCALAC Medical Support Staff by Medical Provider Median Health Center

slide-35
SLIDE 35

How Does Your Health Center Compare?

slide-36
SLIDE 36

 2019 Capital Link www.caplink.org 36

Performance Evaluation Profile (PEP)

slide-37
SLIDE 37

 2019 Capital Link www.caplink.org 37

slide-38
SLIDE 38

 2019 Capital Link www.caplink.org 38

slide-39
SLIDE 39

 2019 Capital Link www.caplink.org 39

slide-40
SLIDE 40

 2019 Capital Link www.caplink.org 40

slide-41
SLIDE 41

 2019 Capital Link www.caplink.org 41

slide-42
SLIDE 42

 2019 Capital Link

www.caplink.org 42

Resources

http://caplink.org/california-clinics

slide-43
SLIDE 43

Benchmarking is an Ongoing Process!!

slide-44
SLIDE 44

 2019 Capital Link www.caplink.org 44

Questions? Contact Us

Tony Skapinsky—CA Office Project Consultant Tel: 805-544-2355 tskapinsky@caplink.org Jose Fonseca—CA Office Associate Project Consultant Tel: 805-819-8909 jfonseca@caplink.org Susan Petrie Chief Operating Officer Tel: 617-988-2248 spetrie@caplink.org Jonathan Chapman Chief Project Officer Tel: 225-241-6855 jchapman@caplink.org