Operational &

Financial Summary
Health & Hospital Committee Meeting
November 8, 2017
Overview

• Sobrato Pavilion Update

• Financial Performance

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 Sobrato
Pavilion
Update

County of Santa Clara 3

 About Sobrato Pavilion
• SCVMC’s new hospital building is a
culmination of nearly a decade of
community support to improve health
services in Santa Clara County
• State-of-the-art facility with:
• Lower level and six upper level floors
• 168 private patient rooms
• Indoor Garden Atrium Lobby Link
• Rehabilitation Center including full
service therapy department, aquatic
center and more
• Leadership in Energy and Environmental
Design (LEED) gold certification

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Private Patient Rooms
Every room is equipped with:
• Private bathrooms
• Non-ICU rooms have private showers,
sleep accommodation for family and
overhead patient lift into the restroom
• State-of-the-art entertainment unit
• Access to MyChart Bedside patient portal
(electronic medical record)
• ICU beds – all rooms are dialysis equipped
• Four Med/Surg rooms are dialysis
equipped
• All floors have rooms designed to support
bariatric patient care
• All floors have designated isolation
(negative pressure) rooms

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Innovations and Technologies
• The ZeroG® Gait and Balance Training
System protects Therapy Gym patients
from falls while providing dynamic body-
weight support
• With the Box Picker Automated
Pharmacy Storage System, hospital
pharmacies can fully automate
medication storage and retrieval which
eliminates picking errors and increases
safety at dispense
• MyChart Bedside is a tablet-based
application that gives hospitalized patient
and their families more information
about their hospital stay
• LEED Energy Efficiency Features
throughout the Building

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 What is Moving!
Current Future
Rehab Offices, Respiratory, Therapy, Pharmacy,
Basement, A Building, Sobrato Pavilion
Biomed, IT Data Center, Admitting Offices
Customer Relations Department, PBX Operators,
Volunteer Office, Therapy Services and Wound Clinic 1st Floor, A Building, Sobrato Pavilion
(1st Floor, E Building)
Medical ICU
2nd Floor, A Building, Sobrato Pavilion (MICU)
(4th Floor, M Building)
Coronary Care Unit
2nd Floor, A Building, Sobrato Pavilion (CCU)
(4th Floor, M Building)
Rehab SCI Unit 3rd Floor, A Building, Sobrato Pavilion
(1st Floor, E Building) (Acute Rehabilitation Unit)
Rehab Trauma Center 3rd Floor, A Building, Sobrato Pavilion
(2nd Floor, K Building) (Respiratory Rehab Unit)
Rehab Brain Injury Unit 4th Floor, A Building, Sobrato Pavilion
(2nd Floor, E Building) (Acute Rehabilitation Unit)
Transitional Care Neurosurgery Unit 5th Floor, A Building, Sobrato Pavilion
(4th Floor, M Building) (Progressive Care Unit)
Medical Unit 6th Floor, A Building, Sobrato Pavilion
(4th Floor, E Building) (Medical Unit)

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Recently Completed Milestones
• Staff and Stock Occupancy
Received on September 21
• Completion of Day in the Life
Rehearsal Exercise on September
28
• Elevator readiness
• M-Building basement connector
opening
• Clean room preparations In
Pharmacy
• Hospital-level cleaning by EVS

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Recently Completed Milestones
Clean Room In Pharmacy
Air Quality and Pressure

EVS Hospital
Level Final
Clean

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Day in the Life (Rehearsal) Exercise

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Upcoming Milestones
Milestone Date
End User Trainings October 2 – November 2, 2017
Internal Pre-Survey October 17-18, 30, and 31, 2017
CDPH Licensing Visit Window November 6 – 28, 2017
Media Briefing November 17, 2017
Backstage Pass November 30, 2017
Community Celebration and Ribbon Cutting December 2, 2017
Patient Move Day December 10, 2017
Dedication and Multi-Denomination Blessing January 2018

• Backstage Pass on November 30, 2017

• Employee Sneak Peak Tours (12 pm to 6 pm)
• Donor Wall Unveiling and Reception (6 pm to 7 pm)
• Community Celebration and Ribbon Cutting on December 2, 2017
• Self guided tours, official/formal program, lunch, information booth,
community booths, games for children, petting zoo, and more

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Project Timeline

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 Status Snapshot
Track 120 Day 90 Day 60 Day
Overall Project Status
Staff & Stock (Building Handover)
Data Center and Network
Fit-Up (Building and Operation)
Application/Systems Readiness
Training
Day in The Life (DiTL) COMPLETED

CDPH Survey Readiness/Licensing

Communication & Marketing
S A N TA C L A R A V A L L E Y M E D I C A L C E N T E R B E T T E R H E A LT H F O R A L L

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60-Day Look Ahead
• Focus for the next two months:
• Final Committee Task Completion
• SCVMC Fit-Up Protocols Implemented
• Orientation and Training Program
• Fire And Life Safety Training/New
Facility Orientation
• Equipment and Systems Training
• New Department-Specific
Workflow Training
• Issue Identification and Resolution
• CDPH Licensing Survey Preparation
(Internal Survey Planning for
Department and Equipment
• Patient Move Planning

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Patient Move Planning Objective
• Execute a thorough,
organized, methodical
and safe plan for the
relocation of patients
• Enforce clear
communication processes
• Educate and orient key
staff to their roles and
move plan
• Ensure uninterrupted
patient care on move day
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Patient Move Assumptions
• Approximately 140 patients will be moved on Patient
Move Day from existing units
• Patients will be moved in the safest and most appropriate
manner
• Move tracks and move teams will be based on patient
acuity/needs
• Dedicated patient move routes and elevators will be used
• Patient family members and visitors will be notified daily
during the prior week and asked to keep a distance to
minimize disruption
• Accommodations will be available for those who wish to
stay nearby
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Patient Move Routes – Two Tracks
• Based on existing location and patient needs
Interval
Unit Track Minutes
Unit Track
Type Order between
Patients
2K Rehab
Rehab T1a 1 5
Trauma
ICU 4M MICU T1a 2 5

ICU 4M CCU T1a 3 5

PCU 4M TCU T1b 4 4

2E Brain
Rehab T2 1 3
Injury
Rehab 1E SCI T2 2 3

Med 4E Med T2 3 3

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Patient Move Routes – Two Tracks
• Based on existing location and patient needs
Interval
Unit Track Minutes
Unit Track
Type Order between
Patients
2K Rehab
Rehab T1a 1 5
Trauma
ICU 4M MICU T1a 2 5

ICU 4M CCU T1a 3 5

PCU 4M TCU T1b 4 4

2E Brain
Rehab T2 1 3
Injury
Rehab 1E SCI T2 2 3

Med 4E Med T2 3 3

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Questions?

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Financial Performance

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August 2017 Financials
Total Net Revenue
• Unfavorable to budget by -$12.9M (-9.3%)

Total Operating Expenses

• Payroll is favorable to budget by $1.5M (1.7%)
• Service & Supplies favorable to budget by $9.9M (21.2%)

Net Income is -$5.5M, unfavorable to budget by -$3.5M

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August Year-to-Date 2017 Financials
Total Net Revenue
• Unfavorable to budget by -$28.9M (-10.7%)

Total Operating Expenses

• Payroll is favorable to budget by $3.0M (1.6%)
• Service & Supplies favorable to budget by $21.5M (22.9%)

Net Income is -$11M, unfavorable to budget by -$6.9M

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Monthly Billing Production
Billing production was $381.3M ($15.2M below target). The CMS delay in publishing our annual
Diagnostic Relation Group (DRG) updates and subsequent increase in our coding backlogs was the
primary cause. This should be remediated in early November.

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 Monthly Cash Performance
Cash receipts totaled $64.3M (target of $63M). We have performed better than target for the past six
months and had strong deposits from United Healthcare, Kaiser, Santa Clara Family Health Plan, and
MediCal Managed Care FQHC. Also, retail pharmacy receipts were very high for the month. For FY 2018 we
are $15.2M ahead of target.

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Accounts Receivable (AR) Performance
Total Gross AR Days increased to 58.5 but remained better than our target of 59. The rise was
primarily in the more current facility billing aging categories as we continue to improve on older
aged receivable balances.

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