Integration Update

Redesigning Jefferson for 2000

Redesigning Jefferson for 2000 is under way. The majority of the design team members for the project have been appointed. Each design team, its focus and target and savings goals and team members' names appear in the accompanying chart and lists. While some teams have yet to be finalized and some team members are still to be appointed, the team structure is, for the most part, set, and design team members are starting to meet.

"Redesigning Jefferson for 2000 is key to our ability to maintain Jefferson's strong competitive position in the managed care market," said Thomas J. Lewis, senior vice president for healthcare administration and chief executive officer for the hospital.

"The employees who contribute to the redesign process will play a vital role in shaping Jefferson's future. They have made a commitment to identify areas that will help us meet our goal of saving $75 million over the next three years. We appreciate their spirit of cooperation as we all take on this challenge," Mr. Lewis explained.

Redesign ideas that teams will review fall into three major categories:
Design teams have savings targets or goals, both long and short term, as well as stretch targets. (See Design Team Target chart below, which indicates targets and breaks out near-term goals in parentheses. For example, the target for Ancillary and Diagnostic Processes is $7.5 million, $2.5 million of which is near term.)

"After studying other institutions that have initiated a redesign process," said Alan L. Brechbill, chief operating officer for the hospital, "we have identified stretch goals for each team. Our examination showed that, in many instances, teams are able to surpass their targets, and we anticipate that Jeffersonians will meet this challenge with similar success."

Please use the hotline at 955-1799 as well as e-mail and the Thomas "ANSWERS" system to ask any question you may have about the Redesigning Jefferson for 2000 project during this complex time.
Design Team Target Chart
(Below each team are three figures. First amount is Target. Second is the Component to be identified by July 1, 1996. Third is the Stretch Target.)
Administration and Corporate Services - Team #4
$9.0 ($3.0) $11.0

Ancillary and Diagnostic - Team #9
$7.5 ($2.5) $10.0

Care Management and Patient Care Innovation - Team #7
$6.0 ($2.0) $9.0

Clinical Programs and Residents Team #2
$12.0 ($4.0) $14.0

Clinical Resources Management Team #3
$14.0 ($4.7) $17.0

Drug Utilization and Medication Administration - Team #6
$3.8 ($1.3) $6.0

Patient Access and Transitions/Info/Comm. - Team #5
$3.4 ($1.1) $5.7

Perioperative Services Team #1
$2.2 ($0.7) $3.3

Supply/Material Management - Team #8
$6.4 ($2.1) $9.0

Support and Facilities Services - Team #10
$8.3 ($2.8) $12.0

Organization Structure
$2.4 ($0.8) $3.0

Totals
$75 ($25.0))

Administration and Corporate Services -
Co-Leaders - Dwight P. Lewis, David Zwillenberg, MD
Team focus:
administrative and managerial functions and departments; public relations, marketing and advertising communications; revenue cycle and business/finance functions.
Joseph Barr, Theodore Bross, Dane Caffrey, Michael Czerpak, Tom D'Alessandro, Joseph D'Antonio, Randi Eisen, Jane Elkis, Kathleen Goodman, Toni Hall, Guy Hoffman, Beverly Kelter, Theresa McAnally, Robert McCaffrey, Stacey Meadows, Linda Mitchell, Margaret Neff, Barbara Rhone, Cheryl Scully, Cathy Sistak, Lynn Solomen, Andrew Trachtman, Chris Tucci, Kathleen Von der Hayden, Patricia Wallace.

Ancillary and Diagnostic
Co-Leaders - Ira S. Tackel, Deborah Ritter, MD
Team focus:
laboratory and blood bank procedures and efficiency; diagnostic imaging services; processes for turnaround of diagnostic testing.
Judi Adamson ,Ted Christopher, MD, Gary Diehl, Craig Doerrman, Daniel Dreksage, Nancy Edger, Frank Giorgilli, Debbie LaCava, Lisa Masanova, Denise Matalonis, Peter Natalie, Jay Patel, Cathy Piccoli, MD, Karen Potts, Beth-Ann Schauer, Mary Sinnott, Stephen Stadler, Maria Stenta, Betty Stibitz, Peggy Straub, N. Suntharalingham, Pat Underwood, Richard Vandell.

Care Management and Patient Care Innovation
Co-Leaders - Madeline Albanese, Richard Wender, MD
Team focus:
patient care delivery system; case management; treatment and care delivery by patient care providers; roles and responsibilities; bed allocation.
Gail Bernhard, Sondra Burkhard, Karole Cassese, Sheila DeCourcey, Lauren Ehrich, Eleanor Fitzpatrick, Jill Frey, Karen Fried, Cynthia Giordano, Joseph Grover, MD, Ruth Hart, John Kairys, MD, Susan Krich, Marlene Kutys, Patricia Lubrano, Tricia Middaugh, Kathy Mikalski, Andrew Peterson, Theresa Preuss, Carole Reife, MD, Rose Schaffer, Barbara Schraeder, Terry Wallace Sherman, Johanna Shoeller, Edie Simpson, Christine Slovak, John Smalarz, Mary Grace Tighe, Kenneth Travis.

Clinical Programs and Residents
Co-Leaders - James Maratea, Jonathan Seltzer, MD
Team focus:
medical education departmental focus (contribution of Hospital support to resident, fellow and attending physician education); clinical programs' support.
José Caro, MD, Debra Cifelli, Angela Cimino, Joseph Cunningham, Walter Curran, MD, John Ditunno, MD, Valerie Godzieba, Lori Grosso, David Levin, MD, Thomas Nasca, MD, Len Obohoski, Gaile Plant, Edward Silberman, MD, Linda Weitzel.

Clinical Resources Management
Co-Leaders - Rebecca O'Shea, Gregory Kane, MD
Team focus:
Length of stay and resource consumption in high-cost high-volume DRGs; patient movement throughout the diagnostic and treatment components; physician protocols and practices in ordering tests and treatments.
Donna Barbot, MD, Rosemary Boccia, Jo-Lynn Brace, Carolyn Checko, Kathleen Crowley, Kelly Crozier, MD, Linda Gehring, Peggy Golightly, Bridget Haupt, Donald Jungkind, Kimberly Jungkind, Donna Kovach, John Mannion, MD, Theresa Marnell, Sharon Millinghausen, David Nash, MD, Lori Ross, Stephen Schwartz, MD, Joan Tannenbaum, Donna Townsend, Kenneth Travis, George Valko, MD, Perry Weinstock, MD, Howard Weitz, MD, Linda Weitzel.

Drug Utilization and Medication Administration
Co-Leaders - Susan G. Miller, Fred Gorstein, MD
Team focus:
Patterns of drug ordering, inventory and selection; medication administration process: order, dispense, transport, administer.
Renee Brandell, Joan Bretschneider, Eileen Canavan, Mary Carter, Robert Catalano, Theresa Coons, Margaret Cunningham, Susan Ferry, Bruce Frey, Frank Giorgelli, Jane Goldsworth, Elizabeth Johnson, Frank Leoni, MD, Mary Marczyk, Thomas McCool, Christine Muldoon, Sheila Murphey, MD, John Randall, MD, Stephen Schuster, MD, Richard Solit, MD, Michael Taylor, Lynda Thompson, Andy Wade, Cindy Wordell.

Patient Access and Transitions/Info/ Comm.
Co-Leaders - George McArdle, Ralph DeHoratius, MD
Team focus:
patient flow (inpatient and outpatient); information flow (data processing, clinical and financial information accessibility; telecommunications.
Gina Burton, Barbara Devlin, Marie Franzcni, Susan Foglia, Joan Grazel, Charles Haughton, Edwin Hearn, Carol Kincaid, Charles Lockard, Ed McCash, Laura McCloskey, Susan McGee, Gerald Meyer, Elaine Rose, Catherine Ryan, Alfred Savato, Roland Schwarting, MD, Naomi Segal, Andrew Seltzer, Allan Topham, Rex Trent, Eleanor Tullos, Jay Williams, MD, Nina Zimmer.

Perioperative Services
Co-Leaders - Eleanor Gates, Craig Winkel, MD
Team focus:
processes and structures surrounding the surgical areas, pre-admission testing, scheduling and information; intraoperative labor and supply efficiency; patient flow through post-procedure care); anesthesia care and invasive areas.
Steve Bell, MD, Joan Beninato, James Bustraan, Sylvia Cappozzoli, Donita Chimento, Murray Cohen, MD, Susan Dinan, Anna Farone, Patti Fritz, Eileen Gleason, Patricia Gottschall, Carl Herbert, Eric Hume, MD, Donna Leary, David Maguire, MD, Lynn Marino, Alice Monroe, Bruce Northrup, MD, Karen Oxler, Marie Pla, Barbara Lynn Polyak, Jan Rakinic, MD, Dot Reilly, John Smalarz, Craig Smith, James Stewart, Stephen Tranquillo, Linda Wilson.

Supply/Material Management
Co-Leaders - Tina Magasko, Alfred Kurtz, MD
Team focus:
purchasing, inventory and management of supply ordering procedures; distribution and delivery processes for all supplies, linen, food, etc.
Donna Ambrogi, Thera Callahan, Marcia Connolly, John DePasquale, Carl Guecia, Donald Jackson, Julie Joyce, Mary Kehner, Cheryl Kontogeorgos, Stephen Kotarski, Joseph Lamslugh, Tom Maskal, Cynthia Richardson, Adrienne Sheehan, Mary Stanley, Debra Strybuck, Anita Tiotti, Greg Wacker, Maurice Wilson, Frances Young.

Support and Facility Management
Co-Leaders - Elizabeth Seeber, Ken Certa, MD
Team focus:
environmental and plant/maintenance functions; food and nutrition processes and services; facilites redesign aspects.
Marta Aldover-Ayon, Tom Allport, Tina Aurillo, Tom Barossi, Ed Barr, Weldon Bazemore, David Bell, B.J. Bomentre, Vic Braverman, James Bustraan, Joseph Darby, George DeMarco, Mary Grant, Theresa Johnson, Donald Long, Heidi Purvis, Scott Ravenfeld, Ed Schultz, Darren Seltsky, Jolene Shaw, Dan Vallieu.