El Centro Médico Natividad recibe la aprobación de principio para convertirse en un hospital público

El Centro Médico Natividad recibe la aprobación en principio para convertirse en una autoridad hospitalaria pública

Julio 29, 2011

SALINAS, CA (July 29, 2011) The Board of Supervisors approved in principle for Natividad Medical Center (NMC) to move forward to establish a Public Hospital Authority to take effect following the passage of enabling legislation and approval of a future County Ordinance. This will enable the hospital to pursue reconfiguring its governance, management, business model and services to more effectively transition into a more streamlined integrated health care system offering an array of primary, specialty and acute health care services.

NMC CEO Harry Weis said NMC needs to have a “best in class” governance, business model and service array to have a high probability of long term success as a designated public safety net hospital absent any future County General Fund subsidies. While maintaining its historic public safety net role, becoming a Public Authority will enable NMC to more easily contract, partner or develop all of the healthcare delivery components required as a result of local market forces, state and federal healthcare reform. As a Public Authority, NMC can develop or more easily participate in cost effective health care plans for both individuals and businesses.

As a Public Authority, NMC will have the ability to be a key player, collaborating more fully in the community to reshape the delivery of health care in Monterey County. As an authority, NMC will:

· Evolucionar de un departamento del Condado a una organización de atención médica de primera clase con alta calidad y satisfacción del paciente y operaciones eficientes y efectivas;

· Mantener su función como hospital de red de seguridad pública designado, el proveedor preferido para la población de bajos ingresos, que es la población de consumidores de atención médica de más rápido crecimiento en el Condado de Monterey;

· Mantener estructuras de salarios y beneficios similares a la implementación previa a la autoridad;

· Estar mejor equipado para competir plena y directamente con el sector privado en la atención médica;

· Mantener una Junta de Fideicomisarios basada en habilidades, aprobada por la Junta de Supervisores, cuya única función es centrarse en el gobierno del hospital;

· Estructuralmente, todas las funciones operativas deben reportar directamente al Director Ejecutivo;

· Celebrar nuevas asociaciones comerciales y acuerdos de contratación que sean pragmáticos y no políticos implementados para fortalecer el sistema de prestación de atención médica de NMC;

· No requerir el apoyo del Fondo General.

· Una inversión mínima de $132 millones en mejoras de capital para modernizar las instalaciones y los equipos existentes y para financiar nuevas líneas de negocio entre ahora y 2020;

· Como autoridad, la posición de efectivo de NMC mejora en más de $70 millones durante un período de diez años en comparación con continuar como un departamento dentro del Condado de Monterey a través de una toma de decisiones más oportuna, flexibilidad operativa y un mejor desempeño basado en el reembolso de Medicare y MediCal; y

As health care evolves over the next several years, the implementation of a NMC Authority with a projected implementation date no later than June 30, 2012 will ensure NMC’s continued ability to meet its obligations as the safety net hospital to the residents of Monterey County.

About Natividad Medical Center

Natividad Medical Center is a Monterey County owned and operated 172 bed acute care hospital providing health care services to the people of the county for more than 125 years. Natividad Medical Center offers inpatient, outpatient, emergency, diagnostic and specialty medical care. NMC provides more than 33,000 patient days each year and more than 42,000 emergency department visits per year. NMC is ranked #1 in newborn deliveries in Monterey County. Natividad is the only teaching hospital on the Central Coast, through its affiliation with the University of California, San Francisco (UCSF). With a medical staff of more than 250 physicians, Natividad’s mission is to continually improve the health status of the people of Monterey County through access to affordable, high-quality health care services. Natividad is based in Salinas, California. For more information, please call 831-755-4111 or visit www.natividad.com.

With or without federal health care reform, the health care market place is changing at an unprecedented rate. The recent changes in how Medicare proposes to reimburse hospitals for acute care services will markedly change how hospitals deliver care. Medicare is scheduled to move to paying hospitals a “bundled rate” for a specific inpatient stay. Bundle payments include the reimbursement for all hospital costs as well as all physician costs in a single payment including all outpatient medical care up to 30 days after a hospital stay. This will be mean that hospitals, physicians and other healthcare providers will need to work much more closely with each other in the future.

In addition, Medicare has developed a series of quality indicators which hospitals must improve upon each year in order to avoid any payment penalties from Medicare. Quality measures including hospital re-admission rates, rate of hospital acquired infections, and other quality measures will be utilized to determine whether a hospital will avoid any payment penalties for services delivered. Other major health insurance plans are very likely to follow Medicare’s lead in restructuring their reimbursement systems and establishing new quality indicators for acute hospital care. With the change in reimbursement structures for acute care services, hospitals will have to shift from a “volume based” business model to a “quality based” business model in order to insure the maximum rate of reimbursement.

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El Centro Médico Natividad recibe la aprobación en principio para convertirse en una autoridad hospitalaria pública

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