Annual Report 2012

CHIEF EXECUTIVE OFFICER’S REPORT

A PERIOD OF GREAT ADVANCES IN MANY AREAS

ACHIEVING OUR MISSION AND VISION TO DELIVER AN INTEGRATED SYSTEM OF HEALTHCARE HAS ALWAYS BEEN AN UNVARYING SEHA PRIORITY AND 2012 WAS NO EXCEPTION. WHEN I LOOK BACK ON THE YEAR, I SEE GREAT PROGRESS IN MANY AREAS AND THE DEVELOPMENT OF UNSTOPPABLE MOMENTUM IN THE PURSUIT OF OUR GOALS.

CARL V STANIFER

Chief Executive Officer

This is very evident in out financial results, where enhanced skills and systems have made a significant contribution to the 18.4% growth in annual net patient revenue – 8.8% ahead of budget.

Admissions increased by 1.9% and outpatient visits by 4.2%. Inpatient revenue per admission grew 36.3% and outpatient revenue per visit by 37.3%, reflecting improved efficiency in claims management and collection. SEHA continues to show a favorable revenue growth trend per adjusted patient day (APD) with a 28.5% increase in net patient revenue.

The financial performance is indicative of the long-term trend to better alignment of strategic decision-making with business objectives, constantly improving the way we assess our capabilities, identify our strengths, pinpoint our challenges, benchmark our activities, and set targets.

With more reliable data and technology such as Cerner and Oracle, we are able to make detailed examination of aspects of our activities and compare ourselves against one another and against other organizations – improving patient care as a result.

Accomplishments such as JCI accreditations, ISO 9001, ACGME-I, and CAP accreditations provide validation that we are standardizing our care delivery. Initiatives such as Malaffi are helping us move with firm steps in the direction of using electronic medical records for the welfare of our patients and simultaneously for the development, efficiency, and effectiveness of our system.

The ACGME-I accreditation is in alignment with sustaining and improving our educational capabilities, and thereby the capabilities of our clinicians and future healthcare services in the emirate. Many quality initiatives such as Patient Safety Net were implemented and we are now making a difference by improving the quality of care.

With the formation of new Business Entities and the upcoming challenges of opening and commissioning new hospitals, the operations division has been reconstituted as two new divisions. One is headed by Clyde Eder, whose new title is Group Chief Operations Officer, Acute Care Hospitals. The second division is headed by Dr K Barbara Carbone, whose new position is Group Chief Operations Officer, Clinical Health System Services (CHSS). This new division includes operational responsibility for several non-hospital Business Entities (AHS, Laboratory, Rehabilitation, Behavioral Health, Dialysis, and Radiology Group Practice) as well as continuing responsibility for Clinical Service Lines, Physician Pay-for-Performance system (PPfP), and other physician professional services oversight.

SEHA Corporate Office has been reaccredited for ISO 9001:2008 certification by BSI, an internationally well-recognized ISO Standards certification body. I thank all teams and leaders whose support and effort led to this much-appreciated result.

In the first half of 2012, SEHA signed an agreement with the Accreditation Council for Graduate Medical Education International (ACGME-I). By year-end, all SEHA teaching facilities had achieved ACGME-I Institutional Accreditation, making the UAE the second country in the world outside the USA to achieve this distinction. The six facilities receiving accreditation are: SKMC, Mafraq, Corniche, Tawam, Al Ain, and AHS.

This world-class accreditation has two complementary phases: the first phase is institutional; the second is for the foundational and advanced specialty aspects of residency programs. We now proceed to the second phase and seek accreditation for 17 training programs in eight specialties.

We have also entered a new phase of SEHA’s Patient Safety Plan, implementing an advanced medication process improvement initiative called Positive Patient ID (PPID), which uses barcode technology to scan a patient’s wristband and medication when prescribing drugs. The software checks the patient and medication information against what is entered in the patient’s Malaffi record and warns if there are inconsistencies. The process is now operational in all nursing units at Madinat Zayed Hospital, and in pilot mode at Corniche, Tawam, and Al Ain hospitals.

In addition to providing a safer medication process, implementation of PPID has elevated these four SEHA hospitals to HIMSS (Healthcare Information and Management Systems Society) Analytics Level 6 Certification. This is an eight-step process and is the authoritative source on Electronic Medical Record (EMR) adoption trends. The EMR adoption model scores hospitals on their progress in completing the eight stages to creating a paperless patient record environment.

Such achievements in 2012 are indicative of the rapid progress being made by SEHA in our pursuit of healthcare excellence. We look forward to reporting on many more advances during 2013.

Carl V Stanifer
Chief Executive Officer

ADMISSIONS INCREASED BY 1.9% AND OUTPATIENT VISITS BY 4.2%. INPATIENT REVENUE PER ADMISSION GREW 36.3% AND OUTPATIENT REVENUE PER VISIT BY 37.3%, REFLECTING IMPROVED EFFICIENCY IN CLAIMS MANAGEMENT AND COLLECTION.
ACCOMPLISHMENTS SUCH AS JCI ACCREDITATIONS, ISO 9001, ACGME-I, AND CAP ACCREDITATIONS PROVIDE VALIDATION THAT WE ARE STANDARDIZING OUR CARE DELIVERY.
SEHA CORPORATE OFFICE HAS BEEN REACCREDITED FOR ISO 9001:2008 CERTIFICATION BY BSI, AN INTERNATIONALLY WELL-RECOGNIZED ISO STANDARDS CERTIFICATION BODY.