Clinical Affairs and The Emory Clinic

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• Clinical Affairs and The Emory Clinic
• 2006/2007
• S. Wright Caughman, M.D.
• Director, The Emory Clinic, Inc.
• Executive Associate Dean for Clinical Affairs/The
  Emory Clinic

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Presentation Overview

• Organizational Overview
• Emory Healthcare and Affiliated Clinical Programs
• The Emory Clinic

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Overview Woodruff Health Sciences Center
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Emory University Organizational Structure
Robert W. Woodruff Health Sciences Center Board
EMORY HEALTHCARE Board
Emory University President James Wagner, PhD
Executive VP Chief Operating Officer Michael
J. Mandl
CEO, Woodruff Health Sciences Center Executive
VP Health Affairs Chairman of the Board, EMORY
HEALTHCAREMichael M. E. Johns, MD
Executive VP Academic Affairs ProvostEarl
Lewis, PhD
Dean, Emory College Dean, Graduate A S Dean,
Oxford Dean, Theology Dean, Law Dean, Business
EMORY HEALTHCAREPresident and CEOJohn T. Fox
Senior VP for Campus Life John Ford, PhD
Dean, Public Health
Dean, Nursing
Dean, SOM Thomas Lawley MD
Director, Yerkes
VP for Research Administration
Emory Hospitals
The Emory Clinic
Senior VP for Institutional Advancement Johnnie
D. Ray
ECC
Wesley Woods
Grady MemorialHospital
Veterans Affairs Medical Center
EMCF
Childrens Healthcare of Atlanta
EHCA, EJCH
Emory Adventist Hospital
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Emory University Organizational Structure
Robert W. Woodruff Health Sciences Center Board
EMORY HEALTHCARE Board
Emory University President James Wagner, PhD
Executive VP Chief Operating Officer Michael
J. Mandl
CEO, Woodruff Health Sciences Center Executive
VP Health Affairs Chairman of the Board, EMORY
HEALTHCAREMichael M. E. Johns, MD
Executive VP Academic Affairs ProvostEarl
Lewis, PhD
You Are Here!
Dean, Emory College Dean, Graduate A S Dean,
Oxford Dean, Theology Dean, Law Dean, Business
EMORY HEALTHCAREPresident and CEOJohn T. Fox
Senior VP for Campus Life John Ford, PhD
VP for Research Administration
Dean, Public Health
Dean, Nursing
Dean, SOM Thomas Lawley MD
Director, Yerkes
Emory Hospitals
The Emory Clinic
Senior VP for Institutional Advancement Johnnie
D. Ray
ECC
Wesley Woods
Grady MemorialHospital
Veterans Affairs Medical Center
EMCF
Childrens Healthcare of Atlanta
EHCA, EJCH
Emory Adventist Hospital
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Overview Woodruff Health Sciences Center
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Overview History

• Emory Healthcare
• 1993 Emory University System of Healthcare
  Created
• 1997 Renamed Emory Healthcare
• 1998 Change in Bylaws and Structure
• 2003 One Emory Healthcare

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Clinical Affairs WHSC/Emory Healthcare
EHC SOM Faculty Practice Plans
EHC Hospitals

• Emory University Hospital

Emory Crawford Long Hospital
Wesley Woods Center
The Emory Clinic
Emory Childrens Center
Emory Medical Care Foundation
EHC SOM Affiliates
EHC Joint Ventures
Emory Adventist Hospital
EHCA, LLC
Childrens Healthcare of Atlanta
Grady Health System
Veterans Administration Medical Center
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Overview Scope of the Enterprise

• Over 2 million outpatient and inpatient visits a
  year at TEC and ECC. (3 million patient visits a
  year including Grady and the VAMC)
• 750,000 adjusted admissions at Emory Hospitals
• 1,184 licensed hospital beds
• Nearly 2 billion in clinical net patient service
  revenues within EHC
• 2,000 full-time faculty and more than 1,700
  adjunct faculty
• 12,000 staff
• 3,200 students and residents across the Woodruff
  Health Sciences Center
• Increase in research rankings move from the
  30s to the 20s in 5 years 276 million
  in research expenditures for the Health Sciences
  Center (2003) SOM 19 in NIH funding in 2005.
• 3.1 billion economic impact to the Atlanta area
  economy (2001)
• Top 20 ranking for Emory University Hospital in
  key clinical programs including Eyes, Heart
  Heart Surgery, and Psychiatry.

Data reflects FY 2003 unless noted.
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Overview Clinical Affairs
Emory Healthcare Hospitals

• Emory University Hospital

Emory Crawford Long Hospital
Wesley Woods Center

• Located on Emorys Main Campus
• Center for Rehabilitation Medicine
• Closed Medical Staff
• 573 Licensed Beds
• 500M Net Patient Revenues
• 29,000 Adjusted Admissions
• 25,000 ER Visits
• 81,000 Outpatient Visits

• Located in Midtown Atlanta
• Open Medical Staff
• 511 Licensed Beds
• 360M Net Patient Revenues
• 26,000 Adjusted Admissions
• 44,000 ER Visits
• 129,000 Outpatient Visits

• Located on Emory Campus
• Geriatric Complex
• 100 Licensed Bed Acute Care Hospital and Nursing
  Home
• 50M Net Patient Revenues
• 3,000 Adjusted Admissions
• 34,000 Outpatient Visits
• Does not include Budd Terrace

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Overview Clinical Affairs
EHC SOM Faculty Practice Plans

• The Emory Clinic (2005)

Emory Childrens Center (2005)

• 564,555 Annual Inpatient Visits
• 1,248,132 Annual Outpatient Visits
• 935 Physicians
• 80 Clinical Locations
• 366M Net Patient Revenue

• 82,000 Total Patient Visits
• 77 Physicians
• 15M Net Patient Revenue

Emory Medical Care Foundation (2005)

• 740,000 Total Patient Visits
• 30M Net Patient Revenue

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Overview Clinical Affairs
Affiliates
Joint Ventures
Childrens Healthcareof Atlanta
Emory Adventist Hospital
Grady Health System
EHCA, LLC

• Hospital Located in Cobb County
• 88 Licensed and 41 Staffed Beds
• 2,400 Admissions
• 19M Net Patient Revenue
• 215 Physicians

• Includes Emory Dunwoody, Emory Eastside, and
  Emory Johns Creek Medical Centers
• Formed in 1999
• Reorganized in 2002

• Two Hospital System
• Egleston Location
• 225 Licensed Beds
• 8,200 Admissions
• 242,000 Outpatient Visits
• 205M Total Patient Revenue
• 594 Physicians

• 953 Licensed Beds
• 27,000 Admissions
• 695,000 Outpatient Visits
• 522M Total Revenue
• 1,000 Physicians

Veterans Administration Medical Center
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Overview Emory Healthcare
CEO, Woodruff Health Sciences Center Chairman
of the Board, EHC Michael M.E. Johns, MD
President and CEO, EHC John T. Fox
Dean, School of Medicine Thomas J Lawley, MD
Chief Counsel Jane E. Jordan, JD
Director Chairman of the
Board, The Emory ClinicWright Caughman, MD
CEO, Emory Childrens Center Barbara J. Stoll,
MD
Chief Operating Officer,Emory University
Hospital Robert J. Bachman
Associate Vice President, Strategic
Planning Shari M. Capers
Chief Quality Officer William A. Bornstein, MD,
PhD
Chief Operating Officer,Wesley Woods Center
Pete A. Basler, Jr.
Director, Managed Care S. Patrick Hammond
Chief Operating Officer, The Emory Clinic Donald
I. Brunn
Chief Compliance Officer Anne Adams, JD
Chief Operating Officer,Emory Crawford Long
Hospital Albert K. Blackwelder
Senior Director, Marketing Una H. Newman
Chief Information Officer Dedra Cantrell

• Associate Director
• Ira Horowitz, MD

Chief Financial Officer, Emory
Healthcare James T. Hatcher, CPA
EHC Chief Human Resources Officer Margaret A.
Bloomquist
Chief Nursing Officer,Emory Hospitals Alice F.
Vautier, RN, EdD
Senior Director, Risk Insurance
Svcs. Shulamith Klein
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Emory Healthcare Core Purpose and Values

• To Serve Humanity By Improving Human Health

• Excellence
• Caring
• Integrity

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Emory Healthcare Strategic Priorities

• Create a single health system employer and become
  the workplace of choice in the local health care
  market
• Promote a high performance, patient and physician
  focused service culture
• Create the organizational infrastructure to
  establish a depth of physician and administrative
  leadership and management talent
• Develop and promote key programs by providing
  high quality, compassionate care, differentiated
  by nationally recognized research and education -
  Winship Cancer Institute, Heart Center,
  Musculoskeletal, Pediatrics, and Neurosciences
• Develop an Emory Clifton Corridor and Emory
  Midtown master facility plan to support long term
  growth

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Emory Healthcare Strategic Priorities

• Develop evidence based care models to improve
  quality of care, patient safety and professional
  practice
• Provide all hospital and clinic records in one
  electronic enterprise-wide medical information
  system
• Deliver films via digital images throughout the
  hospital and clinic setting
• Improve the operating margin use of system
  assets and revenue cycle management
• Reduce medical malpractice expense
• Strategically target growth opportunities
• Fund strategic clinical programs through
  philanthropy

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The Emory Clinic
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Overview History

• The Emory Clinic 50 years old in 2003
• 1953 The Emory Clinic was created as a
  Partnership
• 1992 Changed from a Partnership to a LLC
• 1998 Governance structure changes501c3
  corporation under Emory Healthcare and the WHSC

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Overview The Emory Clinic
Section Heads
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Overview The Emory Clinic
Sections of The Emory Clinic
Anesthesiology CardioThoracic Surgery Dermatology
Emergency Medicine Family Medicine Internal
Medicine Neurology Neurosurgery OB/GYN Ophthalmolo
gy Orthopaedics and Spine
Otolaryngology Pathology Primary
Care Psychiatry Radiation Oncology Radiology Rehab
Medicine Surgery Urology Winship Cancer Institute
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Emory Clinic Goals and Initiatives

• Create an Outstanding Patient Experience

• Make TEC the best place to practice medicine
  the best place to work

• Excellence in Financial Stewardship

2007 Major Initiatives

• Quality Clinical Outcomes, Patient Safety, and
  Service EeMR.
• Innovation Design of the Ideal Patient
  Experience as a roadmap for facilities and
  patient scheduling redesign.
• Growth Achieve an operating margin of at least
  4.9 in order to internally generate capital for
  key future initiatives.
• People Retention and recruitment of our most
  valuable assets, our physician faculty and staff.

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TEC Physician Orientation

• Administrative Operations
• Managed Care
• Finance
• Hospital Care Coordination/Expedited Care
• Patient Financial Services and Scheduling
• Information Services/Privacy
• EeMR
• Medical Records
• Network Communications
• Corporate Compliance
• Marketing Emory Healthcare Connection
• Service Performance
• Patient Relations
• Risk and Insurance Services
• Legal Services
• Infection Control