Eight Sutter Medical Network Organizations Achieve IHA Top Quality Honors

Posted on May 20, 2019 in Carousel, Palo Alto Medical Foundation, Quality, Scroll Images, Sutter East Bay Medical Foundation, Sutter Gould Medical Foundation, Sutter Medical Foundation, Sutter Pacific Medical Foundation

SACRAMENTO, Calif. —Integrated Healthcare Association (IHA) has recognized eight Sutter Medical Network (SMN) organizations for reaching a high level of quality care for Medicare Advantage patients.

The following five SMN organizations achieved 4.5-star ratings for performance across a subset of 12 quality measures during the 2017 reporting year:

  • Sutter East Bay Medical Foundation – Sutter East Bay Medical Group
  • Sutter Gould Medical Foundation – Gould Medical Group
  • Sutter Medical Foundation – Sutter Medical Group
  • Sutter Pacific Medical Foundation – Sutter Medical Group of the Redwoods
  • Sutter Palo Alto Medical Foundation – Palo Alto Foundation Medical Group

Three other Sutter Medical Network organizations received 4-star ratings:

  • Brown & Toland Physicians
  • Central Valley Medical Group
  • Sutter Palo Alto Medical Foundation – Mills-Peninsula Division/Mills-Peninsula Medical Group

Nearly 200 physician organizations participate in IHA’s Medicare Advantage Measurement Program. IHA is a statewide, multi-stakeholder leadership group that promotes quality improvement, accountability and affordability in healthcare. IHA collects clinical quality data and provides it to the Office of Patient Advocate (OPA) for the Health Care Quality Report Card. OPA considers physician organizations “very good” for achieving 4.5 and 4-star ratings.

To learn more, visit the OPA website.

SMN consists of the Sutter medical foundations, their exclusively contracted medical groups, and contracted independent practice associations. These organizations agree to work collaboratively with the goal of achieving sustainable high quality outcomes and services at an affordable price.

Sutter Health and Alignment Healthcare Team Up in Northern California for Medicare Beneficiaries

Posted on May 14, 2019 in Expanding Access, Scroll Images

Not-for-profit health system and Medicare Advantage insurance provider seek to expand access to care and coverage, pending regulatory approval

SACRAMENTO, Calif.–Today, Sutter Health, a not-for-profit integrated healthcare system, and Alignment Healthcare, a Medicare Advantage insurance provider, announced the signing of an agreement that allows the two organizations to work together to offer more healthcare and insurance coverage options for Medicare-eligible residents in Northern California in 2020, pending regulatory approval.

Alignment has filed an application with the Centers for Medicare & Medicaid Services (CMS) to expand its Northern California service area. If the application is approved, Alignment and Sutter would begin offering new Medicare Advantage plans in the approved counties in October 2019 and members could seek “in-network” care with Sutter-affiliated and aligned physicians and facilities on Jan. 1, 2020.

“Sutter has a long history of launching new and innovative healthcare solutions for the benefit of patients and our communities,” said Phil Jackson, Sutter’s CEO of Health Plan Products. “This collaboration is designed to introduce new Medicare Advantage plans for eligible individuals and to help them shop for plans, find affordable coverage, and gain access to high-quality healthcare.”

Medicare Advantage plans are offered by private health insurance companies approved by CMS and must cover everything included in traditional Medicare — hospital costs, doctors’ visits and outpatient care. These plans often include extra benefits like prescription drug coverage, vision, dental and hearing exams. Every year, Medicare enrollees can review their health plan options in October and make changes to coverage beginning the following January.

Managed care delivery models such as Medicare Advantage make it easier for healthcare providers to coordinate care and practice preventive medicine, avoiding emergency room visits and more costly treatment plans. According to a study by the Boston Consulting Group[1], Medicare Advantage patients pay less in out-of-pocket costs than patients in traditional Medicare and, on average:

  • Are twice as likely to receive preventive care
  • Are half as likely to go to the emergency room
  • Go home from the hospital one day earlier
  • Are less likely to be readmitted to the hospital after discharge, and
  • Use fewer healthcare services, allowing providers to care for others in need

The Congressional Budget Office estimates that approximately 40 percent of all Medicare beneficiaries will be enrolled in Medicare Advantage plans by 2020.[2] Of the approximately 2 million Medicare-eligible residents in Northern California, an estimated 850,000 are currently enrolled in Medicare Advantage plans, according to CMS.

“The collaboration between Sutter Health and Alignment Healthcare is centered on our customers,” said Dawn Maroney, Alignment’s consumer president. “We are coming together to offer Medicare-eligible individuals in Northern California more choice, designing health plan products that will provide access and flexibility for specific population age groups in most of Sutter’s existing service areas in Northern California.”

Founded in 2013, Alignment Healthcare has created a model of healthcare delivery that combines high-touch care coordination with AVA®, its proprietary command center technology, to improve quality of care and eliminate waste in the care system. The central nervous system of Alignment Healthcare, AVA provides real-time reporting and predictive analytics that allow care specialists to anticipate care, often before it’s even needed. Now serving more than 60,000 members across three states, the Orange, Calif.-based company is supported by industry-leading investors and endorsed by influential parties including former CMS administrators and best-in-class hospital systems and health plans.

“Alignment is thrilled about this relationship with Sutter Health,” said John Kao, Alignment Healthcare founder and CEO. “By working together, we have the opportunity to offer more communities more access to care and implement population health strategies that improve care and lead to better health.”

 

[1] https://www.bcg.com/publications/2013/health-care-payers-providers-alternative-payer-models.aspx

[2] https://www.cbo.gov/sites/default/files/cbofiles/attachments/44205-2015-03-Medicare.pdf

Young Mother Receives Gift of Surgery

Posted on May 14, 2019 in Community Benefit, Expanding Access, Scroll Images, Sutter Santa Rosa Surgery & Endoscopy Center

SANTA ROSA, Calif. –Nancy Arrango, 35, was legally blind for a decade. When she closed her right eye, she couldn’t see anything out of her left. She had a hard time caring for her children, and she lost her ability to drive and to work. But without health insurance, cataract surgery was out of reach.

Late last year, Sutter Santa Rosa Surgery & Endoscopy Center and Operation Access partnered to give Nancy the Gift of Surgery. Sutter Health collaborates with Operation Access and other community health clinics every year to provide surgeries and procedures for uninsured patients based on their medical condition, health status and financial need.

Today, Nancy has a new lease on life.

Sutter Delivers the Best Mother’s Day Gifts: New Babies

Posted on May 12, 2019 in California Pacific Medical Center, Quality, Scroll Images, Sutter Medical Center, Sacramento, Uncategorized, Women's Services

SACRAMENTO and SAN FRANCISCO — While looking down lovingly at her brand-spanking-new little baby boy, Cody, a tired yet glowingly beautiful Leah Strange of Sacramento pondered how grateful she felt to have given birth on Mother’s Day.

Leah Strange gave birth to baby Cody on Mother’s Day at Sutter Medical Center. Looking at his baby girl is Dad Adam Strange.

“He was overdue,” Leah said, “but I had a feeling he was going to wait it out and make it an extra-special day.”

By Sunday afternoon, Sutter Medical Center, Sacramento already made it an extra-special day for 11 women by delivering the best Mother’s Day gift ever – 11 new babies. By the end of the day, it was expected that 15 bundles of joy would be born at what is known by the locals as “Sacramento’s baby hospital,” which has delivered a city worth of babies – nearly 400,000 – in its 95-year history. More than 6,000 babies are born there every year.

Ninety miles west, it was the first Mother’s Day at Sutter CPMC Mission Bernal campus, one of the newest hospitals in Northern California, having replaced the venerable St. Luke’s campus. As extra-special treats, Mission Bernal serenaded new moms with a musical duo from the San Francisco Conservatory of Music to go along with their new, spacious rooms and penthouse views of the City by the Bay.

Janelle McCarthy was born at St. Luke’s, but gave birth to her second daughter, Evelyn, at the new CPMC Mission Bernal hospital campus. With them is Dad Sean McCarthy and their first daughter, Alexandria.

Janelle McCarthy, with her baby, Evelyn, was getting ready to go home, but she and her little family stopped long enough to appreciate the calming classical sounds of the flute-and-guitar duo.

“I am really happy to be at this hospital,” she said. “I was born at St. Luke’s, my first child was born at St. Luke’s, and now my second child was born here at Mission Bernal. They really take care of you here. It’s great.”

In Northern California, more babies are born at Sutter Health hospitals than anywhere else. The CPMC campuses at Mission Bernal and Van Ness deliver half of all babies born in San Francisco, and Mission Bernal is on target for more than 1,000 newborns in its first year. Throughout Northern California, an average of about 85 babies – or almost four kindergarten classes worth – are born at Sutter Health hospitals every single day … and some, like Cody Strange, hold out to be born on Mother’s Day.

“I feel super lucky and fortunate to have the opportunity to carry him and deliver him, and then be healthy and here,” said Leah Strange as she fought back tears. “So, I’m super grateful.”

Charisse Francis and Kalin Green are all smiles with Kalin’s “Mother’s Day gift,” baby Marley-Rose.

Down the hall, though, it sounded more like the Mother’s Day present was for Dad, not Mom.

Charisse Francis of Sacramento looked stunning as she prepared to go home with her third child, a beautiful, little girl named Marley-Rose. Waiting at home are Marley-Rose’s two brothers, who are just 3 and 2 years old.

“I have two boys who really, really love Mom a lot,” said proud papa Kalin Green as he held Marley-Rose. “I understand. I’m a Mama’s boy, and they are too, so I need a Daddy’s girl.” As Charisse laughed, Kalin looked down at his little sweetheart and said, “So this is mine.”

Move-In Day is Near for San Francisco’s Newest Medical Office Building

Posted on May 8, 2019 in California Pacific Medical Center, Expanding Access, Palo Alto Medical Foundation, Pediatric Care, Scroll Images, Sutter Pacific Medical Foundation, Women's Services

10-story facility integrates outpatient services with nearby hospital care

SAN FRANCISCO –Sutter Health today announced the June 3 opening of Sutter Pacific Medical Foundation’s (SPMF) Van Ness and Geary medical office building (or MOB) at 1100 Van Ness Ave. The building, owned by Pacific Medical Buildings, is a 10-story, 250,000 sq. ft. facility located across the street from Sutter’s new CPMC Van Ness Campus hospital, which opened in March. More than 120 specialty physicians and clinicians from the Sutter Health network will occupy five floors of the building in the heart of San Francisco. The MOB completes the creation of a coordinated medical campus community that integrates outpatient services with nearby hospital care.

The new Van Ness and Geary Medical Office Building (MOB) opens its doors on Monday, June 3. This 250,000 sq. ft. building completes a coordinated medical campus community that integrates outpatient services with nearby hospital care.

Physicians and clinicians affiliated with SPMF, the Palo Alto Medical Foundation (PAMF) and California Pacific Medical Center (CPMC) will occupy five floors. Private physicians will lease space on floors 7-10. Among the practice areas: advanced organ therapy (including transplant services), women’s services, medical and surgical specialty clinics, neurosciences, and cardiovascular services. In addition to a 383-spot underground parking garage, a Walgreens pharmacy is located on the street level. Lab and imaging facilities will be available by July 15. A 125-foot-long, staff-only tunnel connects the MOB with the hospital, completing the new medical campus community.

“Sutter’s Van Ness and Geary medical office building is designed to enhance convenience and access to high-quality care, as well as create an exceptional experience for patients, their families and friends,” said Kelvin Lam, M.D., Interim CEO for SPMF San Francisco and Marin. “The opening of this modern and centrally-located facility adds another world-class, multi-specialty healthcare center to the Sutter portfolio. This medical office building incorporates a powerful healing environment with an integrated continuum of services to support the community for decades to come.”

A truly integrated healthcare network

Sutter’s integrated care model allows patients to access primary care in local neighborhoods and higher level specialty care at the new MOB and at other care centers throughout the Bay Area.  The CPMC Van Ness hospital serves as the hub for all consolidated inpatient facilities and outpatient services. With the completion of the MOB, the campus knits together hospital and emergency services, affiliated medical offices and specialty outpatient services – including convenient underground parking for patients.

The Sutter Health Newborn Connections program will be occupying space on the entry level of the building. From perinatal classes and lactation services to breastfeeding and baby supplies, Newborn Connections provides expecting families with a range of support from pregnancy to parenthood.

“We’ve been looking forward to the ‘birth’ of this vibrant space to provide families with easy access to all of CPMC’s Newborn Connections classes and services,” said Paula Sulkis, supervisor of the Newborn Connections program. “With Sutter’s new CPMC Van Ness Campus hospital located directly across the street, the need for mom, baby and new families to pop in and out of multiple facilities all over town just to make their appointments is eliminated.”

Designed to achieve LEED Silver certification, the MOB was constructed and operates in an environmentally conscious way.

The building will feature:

  • A reduction of water use by 40 percent with water efficient fixtures
  • An energy reduction of 35 percent through lighting control design
  • A 2-year contract to purchase at least 8 kwh/gsf of green power
  • 25 percent of materials made from recycled content
  • 75 percent of building waste diverted from landfill
  • Certified low-emitting materials used in furniture and no urea formaldehyde in any wood composites
  • Bike parking and storage as well as showers and storage rooms that encourage alternate transportation

By the numbers

  • Planning and design completed in July 2017
  • 250,000 sq. ft. total; 114,000 sq. ft. available for Sutter provider clinics
  • Capacity for 129 providers
  • 20,000 sq. ft. for Ancillary Services, including a lab, imaging and Newborn Connections
  • Six-level, subterranean parking structure, with 383 parking spaces and a staff-only tunnel that connects the building to the CPMC Van Ness Campus hospital

Services Offered

The medical office building features the following services from the Sutter Health Network:

  • Comprehensive neuroscience center
  • Cardiovascular services
  • Maternity and women’s health services
  • General and complex gastroenterology
  • Surgical specialties
  • Outpatient imaging
  • Advanced organ therapies (organ transplant)
  • Women’s ultrasound
  • Outpatient laboratory and imaging
  • Newborn Connections (support and lactation consulting for new parents)

Royal Baby Birth Celebrated at CPMC’s Van Ness Campus with Newborn Coronations

Posted on May 6, 2019 in California Pacific Medical Center, People, Scroll Images, Women's Services

Brittney and Trevor Moore with baby girl Harlow

San Francisco—Newborns at California Pacific Medical Center’ (CPMC) Van Ness Campus hospital celebrated the royal

Kunal Jain and Isha Bhatnayar with baby boy Kiaan Jain

baby’s arrival on May 6 with nine newborn births of their own, each presented with a gold crown. These eight girls and one boy will forever share a special day with the royal couple’s new arrival.

The crowns these babies are donning were hand-made by CPMC nurse, June Shiraki, who’s been crocheting beanies for newborns at CPMC for the past 7 years. Coronations took place throughout the day as the new babies eased into their first day. Nurse Shiraki was on hand to help assist with coronations as we celebrated this day with the Sussexes.

 

Beanies for Babies: CPMC Nurse Gives Back by Making Snuggly Hats

Posted on May 3, 2019 in California Pacific Medical Center, People, Scroll Images

SAN FRANCISCO–June Shiraki R.N., started her career in nursing in 1993 as a nurse’s aide in telemetry at the California Pacific Medical Center’s (CPMC) Pacific Campus. She followed in the footsteps of her mother who started working at CPMC’s California Campus in 1974. But it was a patient that really encouraged June to actually become a nurse and follow her passion to care for others.

In the spirit of generosity and to thank patients for having their babies at CPMC, June crochets a beanie-style hat for each newborn in her care. She receives heartfelt thank-yous every time she presents a hat to a mother. Shiraki acknowledges that patients keep the hats as generational keepsakes, some going to lengths of preserving them in hope chest. She even has “repeat” patients!

“It is amazing how people come back and ask for me when they deliver their next child,” said Shiraki. “I even have people who recognize me when I am traveling in Hawaii or Tahoe and they come up to me to say how wonderful their experience was.”

According to “hat math” calculations, Shiraki crochets 20 hats a week, which totals more than 1,000 hats a year. “I didn’t realize how many hats I have made. I guess I make a lot of hats,” she exclaimed. “Everywhere I go I have a ball of yarn and a needle so I am crocheting all the time…even on the plane to Hawaii.”

Shiraki is happy and appreciative to be the second generation in her family to work at CPMC. She also expresses gratitude for her patients and thinks fondly of the one who set her life’s work into motion. “I am thankful for the positive interactions I have with patients. It is just so heartwarming and I am happy to give back in the name of Camilla, the patient who inspired me to become a nurse to begin with.”