PPMC Townhall Meeting: Mar 2014

Report
Penn Presbyterian Transformation
The Next Chapter…What It Means To You
March 2014
PPMC Special All Employee Meetings
The Journey Has Begun!
One year ago :
- Preparing for
groundbreaking of
the Pavilion for
Advanced Care
- Laying the
foundations for the
now 13-story Penn
Medicine
University City
- Defining the
resources & skills,
and talent staff
needed in 2015
Today:
- Watching the
campus and
skyline of PPMC
change daily
- Days away from
the ribbon cutting
of the newly
renovated Scheie
Eye Institute
- Fine tuning the
plans, people, and
process needed in
the months ahead
One year from
now:
- Occupying two
gorgeous new
buildings on the
campus
- Welcoming
trauma patients
through our as the
Level 1 Trauma
Center at Penn
- Performing
Neurosurgical and
Orthopedic
Trauma cases on
the campus
- Launching EPIC
in our radiology
and ED
departments
2
Our Pavilion for Advanced Care and Penn Medicine University City are
transformative structures for Penn Medicine as well as the revitalization of 38th Street.
3
March Construction Update
January ‘14
October ‘13
August ‘13
Penn Medicine University City
June ‘13
4
March Construction Update
Pavilion for Advanced Care
 Steel Topped out – Feb 28th
 Exterior skin started
 Stud framing and mechanical,
Electrical and plumbing started
5
6
First Patient Schedule – August 2014
8/4
Retail Pharmacy,
Lobby, Security
GSPP Physical Therapy
and Offices
8/11
8/24
Allergy & Immunology
Clinic & Offices
Orthopaedic offices
only
Otorhinolaryngology
Clinic and Offices
Ortho Spine & Hand
Clinic
9/8
Remaining offices (MSK
Radiology & PPMC
Rheumatology)
Board Room
Ortho Trauma (HUP)
Clinic
CPD/Support/ Materials
The Surgery Center at
Penn Presbyterian
Surgery and Urology
Clinic
Medical Imaging &
Diagnostic Services
Ortho Shoulder &
Joints Clinic
Rheumatology Clinic
Neurosciences Clinic
MSK Radiology
Reading Rooms
Radiology (X-ray)
3,200 OP surgical
cases shift from
PPMC to new
Surgery Center &
GSPP closes
therapy site at 3624
Market
A&I from Mutch 6
Oto from MOB 3
Surgery from W/S 2
Urology from MOB 2
Mammography
from W/S 3
Pleural Program
Practices close &
move:
Ortho from Cupp 1
and HUP Silverstein
Rheum from 3910
Neurology from
MOB 3
New duplicative
Services established :
MRI, X-ray, EEG,
registration, EKG
Ultrasound, Vascular
Lab, Phlebotomy,
Outpatient Pharmacy
Practices close and
move:
MSK Radiology
from PCAM Ground
7
PPMC Campus Impact of Opening
The opening of Penn Medicine University City is projected to shift
from the main Presbyterian campus:




68,000 annual outpatient clinical practice visits
All PPMC Mammography and Dexascan screenings
3,200 outpatient surgical cases
A portion of… outpatient medical imaging (x-ray, ultrasound, MRI)
non-invasive vascular lab, EKG, EEG, outpatient phlebotomy,
outpatient pharmacy
 64 faculty – from orthopedics, neurology, allergy & immunology,
otorhinolaryngology, surgery, urology, rheumatology &
neurosurgery
 192 staff – including 40+ new hires in the hospital based areas
 Patient parking tied to the above noted visits
8
New Programs Accommodated Via Moves
Vacated space due to University City moves allows for new and expanded
programs on the main campus..
New /Expanded Program Plans
Space
Opening
Third Interventional Radiology Lab
W/S 4
July 2014
Pathology central receiving & Blood bank renovations
W/S 5
December
2014
CPUP Neurosciences faculty offices for neurosurgery,
neurocritical care, and neurology
TBD
Dec 2014
Penn Trauma program staff, advanced practitioner and
faculty offices from HUP
MOB 1
Dec 2014
Call Room suite for trauma and sub-specialists
W/S 4
Jan 2015
Combined faculty offices for the Department of Surgery
with Urology Division
W/S 2
Dec 2015
Acute Care Research collaborative program research
space
Mutch 3 TBD
Space Closures/ No Backfill
Space
PPMC Rheumatology
3910
9
Campus Renovations Underway
MRI Suite
ED Rapid
Triage Intake
• Davita
dialysis
relocated in
January to
make way
for the 2
room – MRI
suite
Complete
July/August 2014
OR 16
• ED
registration
and part of
the lobby
and
entrances
are under
renovation
Complete
July 2014
• The MRI has
moved to a
temporary
trailer in Myrin
Circle to make
way for the
construction of
the concourse
and OR16 on
the 2nd floor
Complete
December 2014
10
Pavilion for Advanced Care Occupancy
2015 Patient Occupancy:
SICU (4th)
HVICU (3rd)
PeriOP (2nd)
ED expansion (1st)
CT (1st) (2 units)
Trauma Unit (training)
January 4
January 4
January 10
January 12
January 12
January 6
Surgical Critical Care
Heart and Vascular
Critical Care
Perioperative
Services
Cupp 1 Medical
Imaging
OR and Critical Care
Pharmacy
Emergency
Department
Trauma Resuscitation
New construction completion anticipated November 17, 2014 allowing for
equipment, furniture, IT , stocking and staff training and licensure activity.
11
Trauma Center at Penn Presbyterian
We have set a date to move the Level 1 Trauma Center
PPM
FEBRUARY 4, 2015
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Penn Presbyterian Transformation
 In addition to the unit transitions to occupy the new Pavilion for
Advanced Care several internal main campus units and patient
population moves will also occur.
 Allows for service line consolidations and co-location of the general
acute care population on the campus
 Enables staffing & resources as a “full capacity organization”
TODAY
Licensed Beds
Ave. Daily Census
2015
305 Acute Care, 26 SNF
+26 Acute Beds
Acute 197, SNF 17, Total: 214
+47 ADC
Occupancy
72.9%
79% Occupancy
Admissions
15,982
+2562 Admissions
Surgeries
13,187
+2447 Surgeries
ED visits
39, 556
+7000 ED/Trauma Visits
13
Penn Presbyterian Internal Transitions
Current State
Next Chapter
5 East
Orthopedics, General Med/Surg
Orthopedics, Ortho Trauma,
Neuro/Gen Surgery
5 South
Orthopedics, General Med/Surg
Orthopedics, Ortho Trauma,
Neuro/Gen Surgery
4 East
Thoracic, Stroke, General Med,
and Observation
General Care Trauma Unit
4 South
Medical
Medical
3 East
Cardiac Surgical
Cardiac Medical/Surgical
3 South
Cardiac Medical, Heart
Failure/Pulmonary Hypertension
Heart Failure, Thoracic, Stroke
MICU
Medical
OR Locker Room/Office Space
SICU
General Surgery, Orthopedics,
CT & Vascular Surgery
MICU
CCU
Cardiac Critical Care
Patients/Heart Rescue
Observation Unit
14
Penn Presbyterian Internal Transitions
Current State
Next Chapter
ED
PAC 1
20 patient rooms plus
overflow
33 ED beds, plus 2 ED
resuscitation & 5 Trauma
resuscitation bays & 5
Rapid Triage Area rooms
PACU/SPU
PAC 2
Separate Units
Combined Unit/Prep &
Recovery - Improved
Patient Flow Patient
Experience
PAC 3
Heart & Vascular Intensive
Care Unit
PAC 4
General Surgery, Neuro
Surgery, &Trauma
Intensive Care Unit
PAC 5
Neuro Surgical Intensive
Care Unit (FY16)
15
Preparing Teams for the Transitions
New Building
Orientation
Orientation & Training
Classroom Instruction
5 East
X
X
5 South
X
X
3 East
X
X
3 South
X
X
MICU
X
X
Endo
X
X
Resource
X
X
X
X
PAC 2
X
X
PAC 3
X
X
X
X
X
X
4 East
PAC 1
PAC 4
ASF
X
X
X
Total Education Expenses Exceeding 1.8 Million
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PPMC Nursing Leadership Team
James Ballinghoff MSN MBA RN
Chief Nursing Officer
Magnet
Program
Director
Nursing
Shared
Governanc
e
Clinical
Director of
Trauma &
Orthopedics
Clinical
Director,
Emergency &
Medical
Nursing
Clinical
Director,
Heart &
Vascular
Nursing
Director,
Nursing
Education &
Research
Clinical
Director,
PeriOp
Nursing
PAC 4
SICU/Trauma
ED/Trauma
PAC 3 Heart &
Vascular Intensive
Care Unit
Educators
Main
Operating Room
PAC 5
SICU/Neuro
MICU
3 East
Cardiology
Med/Surg
4 East/ Trauma
4 South
General Med
3 South
Heart Failure,
Thoracic
5 East/Ortho
ACE
Geriatrics
Observation
W/S 3
5 South/Ortho
Wright 5
Psych
Nursing Admin
Coordinators
Occupational
Medicine
Wright 4
Detox
Core
Councils
Ambulatory
Surgical
Facility
Scheie
Operating Room
PAC 2
SPU/PACU
ENDO
Nursing Resource
Center
IOP
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New Unit and Team Transitions
 We are anticipating 200 FTEs from HUP to transition to PPMC for
February 2015 start dates
 72% of the transitioning staff are in the Department of Nursing
 All teams will experience a blending of staff, some more than
others
 Team structure and blending will take into account the following
criteria such as competency to serve the patient population, Penn
Medicine seniority and compliment of current shift schedules
 After the FY15 budgets are finalized in April we will know volume
allocations and can provide firm details on unit staffing -- WE
NEED YOU – PLEASE GIVE US AN OPPORTUNITY TO PROPOSE
OUR PLANS WITH FIRM DETAIL
18
Transitions Timing and Education
Mar.
Apr.
May
June
July
Define areas at
All employee
meeting
Aug.
Sept.
Oct.
Nov.
Dec.
Jan.
Feb.
Education for Staff
Group Interviews led by CMO/CNO pairs
Staffing
plans
finalized
PAC
building is
turned over
•RN
Professional
Exempt model
begins
•Shift Diff
Changes
implemented
SICU to 4 PAC
CCU to 3 PAC
Obs. To Cupp 3
SPU/PACU To PAC 2
ED exp. to PAC 1
MICU to 2 Myrin
Penn Medicine University
City opens
PeriOp, hospital operations
and CPUP staff move
4 East Trauma
1st Trauma
patient seen at
PPMC
19
Transition Details - Human Resources


HUP staff have committed to transition to PPMC by signed letter
Mitigate any Human Resources differences between entities as barriers to transfer
and retention to PPMC payroll and internal transfers as a result of our transition

Working to ensure a smooth integration of combined PPMC teams and new job roles

New hires are anticipated for both buildings and positions will be posted

Human Resources programs in development:

Base Pay Compensation program will be the same

Benefits program is the same including Tuition and Paid Time Off
programs

Shift Differential policy and rates will be equal

Certification and Preceptor bonus pay will be standardized

Registered Nurses will convert to Exempt/Professional model

Allied Health job requirements will be standardized
20
The Next Round of Details
We anticipate a 3rd round of All Employee Meetings to take place
in mid-summer
Topics for that session will explore in greater detail the plans for
 Human resource program details and timing
 Parking plan details
 Campus security after the Trauma move
 Transportation between HUP & PPMC
 Traffic and pedestrian plans around campus
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