Vision 2020: A Decade of Transformation The Campaign for Rochester General Health System
Campaign Goal: $55,000,000 Project Need: $353,000,000
Case Statement Draft Fall 2010
Contents An Invitation from Our CEO& Board Chair ............................................................................ 2 Our Mission & Vision ............................................................................................................... 3 Our Tradition of Excellence...................................................................................................... 4 A Community Asset .................................................................................................................. 6 Our Strategic Opportunities ...................................................................................................... 7 Our Plan for the Future ............................................................................................................. 9 Investment Priorities: Building on Excellence ....................................................................... 11 Development Plan ................................................................................................................... 13 APPENDIX ............................................................................................................................. 14
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As of November 1, 2010
An Invitation from Our CEO & Board Chair Dear Friends, ur health system is one of America’s great healthcare facilities and a source of unique pride for Rochester. More than 6,000 dedicated hearts and minds care for patients from many different backgrounds. What distinguishes Rochester General Health System? Rochester General Hospital was built by a group of concerned visionaries who were responding and to dramatic changes in the landscape of their community, and planning for the future of Rochester. Through out the decades, our men and women with wisdom, courage, energy and this uncommon vision have focused their attention upon our mission: improving the health of the people and communities it serves by providing high quality care and exceptional service with compassion.
O
As we enter this next decade of caring, it is important to reflect upon our past. Today, as in our past, unavoidable social, political and business factors directly challenge this continued leadership and support. Now, rapid changes in health care are challenging individuals and institutions to plan for a future distinctly different from the world today. Growth will no longer be measured by the number of beds or the square footage of building, but by technology, efficiency and patient comfort. New technology, such as Electronic Medical Records, and medical breakthroughs like the Da Vinci Surgical system, are forcing institutions like our own to once again reinvent themselves. Rochester General Health System is a living institution. It draws it strength from generations of men and women who have nourished it from its humble beginnings over 160 years ago. Rochester General Health System has never stood still. It lives by traditions, energy, and ideals deeply routed in its past- excellence in all we do, compassionate care and service to its community. It has risen to the occasion time and time again, striving to anticipate and to help shape the course of change in health care. Our success in our previous campaign, Partners in Health has enabled us to continue shaping the course of healthcare in our community. At this moment we are positioned again to make great strides towards transforming care in Rochester. Through the creation of the Vision 2020: A Decade of Transformation campaign, we will focus on Improving Patient Safety, Transforming our Campus, Meeting Community Needs, Expanding Critical Care in Wayne County and Enhancing our Patient Care. Our plan calls for transformative enhancements in our facilities and technology and a continued investment in care for our community. As we enter this new decade of care it is imperative that we all do so with a renewed sense of vigor, commitment to our mission, and enthusiasm. Just as our history shows us, in order to make this plan a reality it is essential to involve the community and enlist the support of every concerned resident, business and organization of the Rochester region. This will be an extraordinary undertaking. There is a strong determination to ensure that our critical needs are met. The Rochester community’s rich history of support leaves us no doubt that together we will once again raise the standard of care in the Rochester community. Sincerely, Mark Clement & Bob Dobies
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As of November 1, 2010
RGHS at a Glance...
Our Mission & Vision For over 160 years, Rochester General Health System has been the heart of health care for the Rochester community and greater Western New York. Our flagship hospital was founded in 1847 as Rochester City Hospital by a group of dedicated civic leaders who united in order to respond to an overwhelming need in their community. For nearly a half of a century before this point, the community of Rochester lacked a permanent institution where the sick could be cared for. As Rochester’s population surged with the introduction of the Erie Canal, it became increasingly evident that Rochester lacked a centralized location for health care. With the creating of the first hospital in Rochester, Rochester’s residents worked to build a hospital that could provide for its residents. The city now had an institution that would provide high quality, compassionate care regardless of social class. Rochester City Hospital built upon its original mission as a community hospital, expanding and partnering with like minded institutions many times to meet new challenges and the demands of the constantly evolving health care climate. We have grown from a humble, single building on West Main Street to a dynamic health care system providing care multiple communities with the goal of providing a full continuum of care to our community. Each time Rochester General has transformed it has remained true to its mission of improving the health of the people and communities it serves by providing high quality care and exceptional service with compassion. Rochester General Health System’s vision is to be the health care provider of choice for both physicians and patients, and to be known for: exceptional care and service- a “high touch, high tech” approach to care; sustainable, focused growth and financial health; being a great place to work for current and potential employees; and teaching programs that enhance our clinical mission.
Service Area Population …………...........1,098,201 Number of Beds ………………………1,183 Inpatient Admissions ………...……………7,542 Emergency Visits …….……………..106,665 Surgical Procedures ………………….....22,619 Skilled Nursing and Rehabilitation Care Procedures .. ………………………650 Employees ………………….......6,836 Medical Staff …………….…………..291 Nursing Staff …......….………..........450 Volunteers ……………….………..584 Operating Budget ……….....…$805,578,000
Today, over 300 medical staff members, a workforce of 7,000, and an Auxiliary of over 600 volunteers are dedicated to the realization of these goals and fulfilling the mission of improving the health of the people and communities we serve through providing high quality and service with compassion.
Economic Impact of RGHS in the region……………..…TBD Direct spending of RGHS in the Community …...……..…$124,000,000 Charity care provided by RGHS to the community ………………$30,000,000
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As of November 1, 2010
Our Tradition of Excellence From its beginnings as Rochester General Hospital over 160 years ago, Rochester General Health System has played an integral role in the lives of millions of people. Not only has it been the birthplace of many generations, but it has been the place that the Rochester community has returned to over their lifetime to receive compassionate care when they have needed it most. Rochester General Health System has a deep history of performance, exceeding expectations and providing world class care. Our recent success in the Partners for Progress endeavor has enabled us to continue institutional modernization in order to transform the way in which we deliver acre. In addition, several nationally recognized Centers of Excellence and continued high level of over performance have led Rochester General Health System to this juncture. Rochester Heart Institute Our nationally recognized, award-winning cardiac program works with many of the best cardiologists, cardiac surgeons, doctors and nurses to provide patients with comprehensive cardiology services focused on patient-wellness. We are also A NY State designated Stroke center- Joint Commission accreditation in 2007 and 2004, and we have been given the American Stroke Association Gold Performance Achievement Award in 2009. Rochester Heart Institute is the only Thomson/Solucient Top 100 Heart Hospital in the region, and has been honored nine (9) times. Affiliated with Cleveland Clinic, which has been ranked by U.S. News & World Report as the #1 in cardiac care for the 15th straight year, Rochester General Health System has direct access to leading edge research and protocols from the nation’s number one heart program. It was also named as a Great Cardiovascular Program by Becker’s Hospital Review, a source of business and legal information for hospital and health system leaders. Becker’s Hospital Review awarded the distinction to only 25 US health systems. Accompanying Rochester General Hospital on the list of Great Cardiovascular Programs were The Mayo Clinic, Johns Hopkins Hospital and The Cleveland Clinic. Lipson Cancer Center (affiliated with Roswell Park Institute) We are a regional leader in Cancer and Hematology with a personalized, patient centered approach. Oncology and Hematology physicians are board certified in their specialties, and the Center encompasses all disciplines that contribute to the care of cancer and hematology patients with nutrition, counseling, and all services in the same families. The Lipson Cancer Care Center also features a satellite office in Linden Oaks, which offers increased access to care for the eastern suburbs.
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Surgical Services Rochester General Hospital is ranks in the top 20 in the national in Robotics Surgery. We were the the first hospital in Upstate New York to implement the da VinciŽ S HD Surgical System which provides patients with new, minimally invasive surgical procedures that offer significant advantages over traditional "open" surgeries. These robotic-assisted minimally invasive procedures available to treat conditions as diverse as prostate cancer and hysterectomies can benefit patients with less pain, discomfort, blood loss and a quicker return to normal activity. Our program ranks among top 4% in the U.S. in volume and serves as a global observation center. The Women’s Center Our board-certified physicians work closely with highly skilled midwives, physician assistants, nurse practitioners, social workers and dieticians, offering the latest information and treatments. For patients needing gynecological surgery, our physicians are experts in advanced robotic and minimally invasive laparoscopy, which means less time in the hospital and a faster recovery. We pride ourselves on a supportive, culturally sensitive environment. With four ob/gyn practices throughout Monroe and Wayne counties and a broad range of education and referral services, we make it convenient to get the care you need, when you need it. Rochester General Breast Center Rochester General Hospital is also the only member in the region recognized as certified participants in the National Quality Measures for Breast Centers, and is designated as a Breast Imaging Center of Excellence by the American College of Radiology. We are also a Baby Friendly Hospital designation by the World Health Organization Clinical Research Research at Rochester General Hospital brings together expert, dedicated researchers to pursue vital clinical and translational work that impacts the health of human beings worldwide. We draw on alliances that support our pursuit of innovative solutions to human health problems and enjoy partnerships with world-class medical and scientific institutions including The Cleveland Clinic, Roswell Park Cancer Institute and Rochester Institute of Technology. Senior Care Rochester General Health System operated three programs that are dedicated to the growing senior population of the Rochester region: De May Living Center, a 24 hour, 180 bed skilled nursing facility with the mission of creating a warm, comfortable place where seniors can receive short to long term care; Hill Haven Nursing Home, a 24 hour nursing facility for those in need of rehabilitation, long term care, transitional care, or hospice; and Independent Living For Senior, a unique program which gives the frail elderly an alternation to nursing home placement. At the heart of each program is a desire to provide a safe care facility for seniors where all health needs are met.
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A Community Asset While we continue to strive to provide an exceptional standard of quality care to a growing patient population, we are also becoming more involved with techniques and technology regarded as being on the cutting edge as well as enhancing our campus. A series of transformations include: Establishment of the B. Thomas Golisano Pavilion and Emergency Center; Development of the Eugene Polisseni Pavilion and Patient Access Center; Expansion of the Rochester Heart Institute; and Re-designation as Nursing Magnet program- a distinction held by just 2% of the hospital nursing teams in the United States; and We have been committed to providing cost efficient, high quality care with compassion since our founding. Our commitment to compassionate care makes Rochester General Health System the provider of choice for both patients and physicians in our region, and our services make a difference in the communities we serve.
Excellence in Community Satisfaction Recognized as one of the nation’s Top 100 Integrated Health Networks by SDI Health2010, 2009, 2008 and 2007 Ranked in the top 1% of U.S. Hospitals in a national Value Data Index Study measuring clinical quality and financial efficiency. In less than 4 years ED patient satisfaction levels rose from the 1st percentile to the 97th percentile in August Cardiac Rehab grew and sustained top 10 percentile performance for the first 3 quarters of 2010 From May to September the CTICU satisfaction rose from the 9th percentile to the 95th percentile
RGHS is a great place to work. As an organization, we value the participating of our employees, nurses, doctors, volunteers and board members.
RGHS is financially sound. We work hard to run an efficient hospital. While many hospitals are eliminating patient services, RGHS continues to grow to meet the community’s increasing demand for quality health care. RGHS is an economic anchor in our community. In addition to enhancing the health and well being of the communities we service, RGHS contributes significantly to the greater Rochester region’s economic well being. The total direct and indirect economic impact on our community is over ________.
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Our Strategic Opportunities To remain an exceptional community based resource, a hospital must continually adapt to the needs of the people it serves and the changes in health care delivery. RGHS has been at the forefront of change in the Rochester community striving to provide its residents with sophisticated medical care in convenient accessible settings. Our tremendous success coupled with the changing community demographics, a growing need, and the rapidly evolving state of healthcare in our country has made modernizing and expanding Rochester General Health System imminent. As this new era approaches, Rochester General Health System faces many challenges that require new solutions to sustain the quality of care and service that we have traditionally provided. These challenges include:
Outdated & Overcrowded Patient Facilities Many of the facilities at Rochester General Hospital date as far back as 20-30 years. While most, like the recent Polisseni Pavillion, and Golisano Emergency Department have been updated over the years, we still need to modernize and replace facilities that meet our high standards of care and our community’s expectation for excellence. Undersized Ambulatory & Surgical Units Improved techniques and equipment, particularly in the area of surgery have made inpatient admissions for many types of procedures unnecessary. Ambulatory surgery is one of the fastest growing areas in health care, in part because of the increasing sophistication of laparoscopic and other minimally invasive techniques.
An increasingly large aging population Across the country, the fastest growing segment of the population is those 65 years of age and older. The Greater Rochester region is no exception. Future population projections indicate that individuals over 65 years of age will comprise almost _____ percent of the counties total population. This population is also the greatest consumer of medical and surgical services, placing increasing demands on the health system. This population is one for which Rochester General Hospital is determined to care for in the future, as it has in the past. A drastically under-served population in Wayne County Newark Wayne Community Hospital is the only emergency medical resource in the county and 15-20 percent of patients seen in the Emergency Department are admitted for inpatient care. The Emergency Department was originally built to accommodate 3,000 patients per year. Since it was originally constructed, it
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has undergone only minor equipment upgrades in the last 35 years. Patient volumes have grown considerably, from 12,700 to 1999 to more than 20,000 patients in 2008, and increase of more than 50 percent in the last eight years.
High need for Dialysis services in our community The outpatient renal dialysis unit located on Ridge Road has experienced rapid growth. Since 2006, in keeping with national medical trends, there has been a overwhelming surge in the patient demand for Dialysis Services. The center has already expanded from 3-4 shifts to accommodate this significant growth. By the end of 2010 the center is projected to reach full capacity. The over capacity center will force RGH will to send patients to other Dialysis Centers outside our health system, sometimes in less accessible geographic areas. This disparity in care will not only create physical, logistical and financial burdens on our patients, but will also cause significant disruptions in care, leaving many patients without RGH physicians to monitor their treatments and progress. Transformations in Technology Every day technological changes result in less restrictive products, less invasive therapies and improved diagnostics for treating people. Rochester General Health System is committed to bringing its patients the most advanced treatments and the best technology available to enhance patient safety, dignity and care. RGHS strives to continue to enhance our technology so that we can provide our health professionals with the most cutting edge equipment and techniques so that in turn, they can provide our patients with the quickest, most effective diagnosis possible.
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Our Plan for the Future Exciting advances in the practice of medicine are rapidly changing the face of healthcare, and today we have the opportunity to build on the Hospital’s rise to excellence. The intent of Rochester General Health System’s Master Facility Plan is to strengthen our future while facing the challenge of providing increasingly sophisticated medical care to our community. Rochester General Health System has developed a Master Facility Plan to meet these needs. Rochester General Health System aims to continue to be a distinguished regional leader among top Health Systems and transform the way we deliver care in Western New York by focusing on a set of strategic opportunities over the next decade. The Vision 2020: A Decade of Transformation campaign will focus on Improving Patient Safety, Transforming our Campus, Meeting Community Needs, Expanding Critical Care in Wayne County and Enhancing our Programs. The effort is multi-fold, encompassing a modernization of the systems facilities to make patient care even more safe, comprehensive, comfortable and efficient, an investment in innovative technology that will define the future of medicine, and a commitment to serving our community in areas of need. We are well positioned to further improve upon our current high levels of achievement and this endeavor will enhance our opportunities to serve our community.
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As of November 1, 2010
RGHS Vision
Key Elements
Transforming Our Campus
Modernizing RGH facilities and expanding into Kings Park & Wilson Health Center
Expanding Critical Care in Wayne County
Upgrading and Enhancing Newark Wayne Community Hospital
Expanding Dialysis Services to treat Chronic Kidney Disease Meeting Community Needs
Enhancing Our Programs
Transforming Hill Haven Nursing into a state of the art nursing care facility through a major renovation project and the addition of 144 beds Transforming our Surgical Services by expanding our capacity with a focus on patient privacy Transforming our Imaging Center with cutting edge technology
Patient Safety Initiatives
Totals
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Investing in Electronic Medical Records
Estimated Cost
Philanthropy
Funding Method
$15,000,000
Private Philanthropy/ Health System Funding
$7,000,000
Private Philanthropy/ Health System Funding
$5,000,000
Private Philanthropy & Health System Funding
$10,000,000
Government Funding, Health System Funding & Private Philanthropy
$10,000,000
Private Philanthropy & Health System Funding
$3,000,000
Private Philanthropy & Health System Funding
$100,000,000
$5,000,000
Government Funding, Health System Funding & Private Philanthropy
$209,000,000
$55,000,000
$30,000,000
$13,000,000
$6,000,000
$24,000,000
$32,000,000
$4,000,000
As of November 1, 2010
Investment Priorities: Building on Excellence RGHS' goal is to build an all-inclusive health care delivery system able to provide for and manage patients' health care needs over time, regardless of the setting. This requires a full palate of services from traditional acute and institutional care, to new community-based services such as home health care, housing, transportation and more. Integration of services and technology not only promises added convenience for our patients but also ensures that our delivery will be cost-effective and of uniformly high quality. Transformative enhancements are now positioning us to fulfill our vision as being the premier healthcare provider of choice for physician’s patients. 1) Transforming Our Campus Patient care is exponentially improved when integrated teams of physicians, specialists, nurses, and health care professionals can work together seamlessly. State of the art facilities will enable world-class patient care to take place. Rochester General Hospital Modernization As hospital costs rise the need to maintain efficient facilities becomes increasingly important. RGHS must strategically enhance its facilities so that we are providing patients with a seamless, high quality experience. RGH facilities have an average age of 20-30 years, and improvements in overall logistics and energy efficiency lighting and heating are needed. With these transformations and upgrades, RGH will be able to improve cost efficiency and patient satisfaction, and provide high quality care in a convenient comfortable setting for both the patient and family. King Park & Wilson Health Center Rochester Health System seeks to consolidate its current support facilities. With the addition of these 2 building on the main campus, Rochester General Health System will be able to unify its administrative support, providing for an efficient, systematic approach. 2) Transforming Healthcare in Wayne County Rochester General Health System plans to expand and modernize Newark Wayne Community Hospital. The Newark Wayne Emergency Department has not been updated in 35 years and there is a great need for care in the community. RGHS plans call for a new modernized Emergency Department with cutting edge technology. An updated floor plan will focus on expanding the capacity of the facilities as well enhancing patient privacy in both the treatment rooms and waiting area. Central to this transformation will be the new Patient Access Center, where our team will provide streamlined care which will enhance the patient experience and improve patient satisfaction. A new Endoscopy Suite will also be added. Additionally, enhancements have been made to the Adult Day Care Center so that participants are in a new, safe facility.
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3) Meeting Community Needs Rochester General Health System will continue its quest to meet community needs through a focus on expanding our Dialysis Center to provide for the growing demand in care facilities for Chronic Kidney Disease, and renovating and modernizing Hill Haven Nursing Home so that residents can receive high quality care in a state of the art Nursing Home. Webster Dialysis Center It is our goal to expand our role as a leader in Monroe County in caring for patients with chronic kidney disease. This is evident by our recent launch of Monroe’s first home dialysis program and centralized nephrology services at one convenient facility. Our plan for a new Webster based Dialysis Center calls for a new 12-16 station facility with clean, soiled and medication rooms. Hill Haven Nursing Home As the need for centralized care for our aging population grows, RGHS will continue to remain dedicated to providing a full continuum of care to all patients. RGHS is ready to respond to the demands of our community by undertaking a major renovation and expansion of our current Nursing Care Facility, Hill Haven Nursing Home. Our plan calls for the addition of 144 beds, which will almost double the size of the current facility. Our existing facility will also be completely modernized, providing both residents and team members with the highest quality facilities. Additionally, due to the high need for Dialysis Service and to further our commitment to treating patients with chronic kidney disease, the new facility will have four new Dialysis stations. This enhancement will guarantee residents of Hill Haven convenient, accessible care in a state of the art facility. 4) Enhancing our Programs Advanced technology and innovative approaches will allow RGHS to provide new methods to saving lives through better diagnosis, treatment and prevention of illnesses. Rochester General Health System plans to invest in Surgical Services and Medical Imaging so that our physicians have access to cutting edge technology, and our patients receive the highest quality care in a convenient, private setting. Surgical Services Our Surgical Services Unit will undergo a major modernization program with dedicated focus on updating our equipment, increasing patient flow and family access and improving patient privacy. At the core of our vision is the addition of six (6) new state of the art operating rooms which will replace our outdated facilities, forty-one (41) pre/post surgery beds, and three (3) new GI procedure rooms. Imaging Center Rochester General Health System’s Imaging Center will be enhanced though the addition of several cutting edge medical imaging devices enabling our specialists to provide patients with better diagnosis. Through this enhancement, Rochester General will add an X Ray, fluoroscopy, DEXA, Mammography,
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ultrasound and CT Scan devices. This enhancement will add services to 40 physicians on campus. Through this additional capacity, patients will no longer have to travel outside of our system or significant distances to receive high quality medical care. 5) Patient Safety Initiatives Electronic Medical Records (EMR) will allow our Health System unprecedented access patient records leading to faster diagnosis, less redundant care and the more efficient practice of medicine.
Leadership a. b. c. d.
A message from Gail Riggs and Bob Dobies A message from Board members Doctor Testimonial: Constantino, Gangemi Patient Testimonials
Development Plan Rochester General Health System seeks to remain faithful to its mission and continue to provide state-of –the-art facilities for medical, surgical and nursing care; ensure the retention of leading physicians, highly educated nurses and well-trained technicians; and respond to the dynamic delivery of healthcare in our evolving community in Western New York. Vision 2020: A Decade of Transformation will strengthen and transform RGHS. This extraordinary and fully comprehensive strategy is vital for the comfort and support of patients, family member’s physicians and caregivers. We know this challenge translates into the ability to focus philanthropy to institutional transformation and we remain careful stewards of your generosity. Thanks to tremendous support from individuals in our community, corporate friends, foundations, physicians, nurses, staff and other strategic stakeholders and investors, we have been able to build a strong platform for critical capital and program initiatives. Your continued caring and generosity will help us reach our goal and enhance our facilities. This campaign is your opportunity to help create a health system that will transform healthcare and the lives of many people in this community. Please join the members of the Foundation and Health System’s Board of Directors, our esteemed physicians, well trained nursing staff, and the many friends and benefactors from with in the communities we serve by making a gift to our Vision 2020: A Decade of Transformation campaign.
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APPENDIX 1. Vehicles of Giving Cash Gifts
This is the most common method of making a pledge. Your gift is tax deductible and may be paid over three to five years.
Gifts of Securities
A gift of appreciated securities is a way to make a significant contribution at a reduced cost to you. Federal tax laws allow a charitable deduction for the full market value of securities on the date of your gift.
Bequests
Charitable bequests are fully deductible from your estate and can reduce estate taxes on the balance of your estate. Your bequests may be specified as a gift of cash or securities, real estate, or other property. Alternatively, it may take the form of a percentage of your total estate. You may also consider a residuary bequest, which is a gift of all or a portion of your estate after other conditions are met. Real property can also be given as an outright gift or by bequest. Bequests are one of the best ways to grow our endowment.
Matching Gifts
Please inquire as to your company’s ability and willingness to encourage and match your personal philanthropy. This could dramatically increase the size of your gift.
Charitable Remainder Annuity Trusts and Unitrusts
These enable you to make a significant gift to the Rochester General Health System during your lifetime and continue to receive income for yourself and/or other beneficiaries. After the life interests have passed, the remaining principal will pass to the Rochester General Health System. In addition to income tax deductions in the year the trust is instituted (with five-year carry-over privileges), donors may avoid capital gains and significantly reduce estate and gift taxes. Rochester General Health System receives interest income for a period of time from an amount you retain at the end of the trust term. You would receive tax benefits on the original amount of the trust and on the growth of funds during the term of the trust. The trust will go to your heirs upon your death.
Charitable Lead Trusts
Life Insurance
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Gifts of life insurance could include Absolute Assignment (transferring ownership of a policy that has outlived its original purpose) and Co-Beneficiary (naming Rochester General Health System as cobeneficiary of part of the proceeds of a new or existing policy).
As of November 1, 2010
2. Naming Opportunities To honor and recognize those donors who help make this milestone in Rochester General Health System’s healthcare plan possible, several attractive funding opportunities exist within the project. The Health System is offering a list of funding/naming opportunities to help ensure not only the establishment of this project, but the long-term support of it as well. (Please note these are examples and will be discussed and finalized in upcoming meetings) Funding Opportunity Hill Haven Nursing Home
$5,000,000
King’s Park
$2,500,000
Webster Dialysis
$5,000,000
Imaging Center
$2,500,000
Adult Day Care Center
$2,500,000
Imaging Suites (5, $250,000)
$2,500,000
Nursing Stations(10, $250,000System Wide)
$2,500,000
Patient Welcome Centers
$1,000,000
Dialysis Center at Hill Haven Nursing Home
$1,000,000
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