Meeting of February 23, 2023

thank you good evening I'd like to call and see regular meeting of the Davis County Fiscal Court to order Miss marksberry would you lead us in the pledge I'm in the opening prayer and a pledge please turn my neck on there to help Heavenly Father we thank you thank you and the passion of its people we ask for your wisdom and guidance on our Fiscal Court as we make decisions that affect our citizens and we seek your word as our guide please continue to bless and protect judge castlin commissioner castlin commissioner Condor and myself as we embark on this journey for the betterment of our County I pray for safety and good health for our community and always seek protection for those who serve and protect us I ask these things in Jesus name amen of America into the Republic for which it stands start your engines

thank you commissioner marksberry well welcome everyone and uh good to have another full house here so uh Miss uh Warren item one consideration for presentation a Owensboro Health Community report we have a there you are Gavin and Miss Mark Myers thank you all for joining us if you would I'm gonna give you the floor Jordans or they need to turn on their micas okay it's on it's on all right thank you all very much I'm Gavin Roberts I'm the chair of the Owensboro Health Board and I want to thank you all for the opportunity to Come Share good words about Owensboro health and all the good that we're doing for this not only this community but for the the region um as chair of the board it's uh it's been a great six years since I've been on the board I've got a couple more it's my second year as chair but right now there's there is not any more time that there are headwinds that we're facing as a healthcare system and Healthcare uh this Nationwide and we have no better uh leadership team that I can think of and I'm so proud to work with them what Mr

Marsh has put together everybody over here uh that that is he that we've brought with us it's an exceptional team and I put them up against any others all those systems that we've um there's a Becker's report that I get every day and read every day about systems across the the nation and the number of layoffs the number of services the Health Care Systems are shutting down because of the the employee shortage the nurse shortage we've talked about that and Mr Marshall talk about the Innovation Center but we're we're fixing that ourselves we're not waiting for somebody else to do it we're doing that here in Owensboro Davis County so part of our mission or our mission is Owensboro Health exists to heal the sick and to improve the communities we serve there's 18 counties that we serve so we've grown so probably since well since the last time we we have presented to this board so our vision it is our desire to become a regional center of excellence by actively listening and partnering to to meet the individual health care needs of those that we serve so again I want to thank you all for for having our having us here and I'm going to turn it over to Mr Mark Marsh CEO of Owensboro health um judge Commissioners

um Folks at Davis County thank you for allowing us a few minutes of your time I know you're busy but uh again uh as you heard Gavin say it's it's our honor to serve and uh certainly we take this uh this oath very seriously uh in healthcare we've learned a lot in these last three years that's for sure uh with this pandemic with his covet but uh again we we take it uh as Gavin said the mission about improving the health and the lives of each and every person we get a chance to serve that's something we we think about every day when we walk through those doors so as Gavin said I'm blessed uh with having a really smart team around me and we've built a great team many of those have been here for many years but we've we've built some other compliments along that I know it's it's a pleasure to work alongside them and more importantly our team members our 5 000 team members every day who really are there to try to improve improve those lives and take great care of all those folks who they get to serve every day so let me just walk through and I'm going to try to get through fairly quickly be respectful of your time let me walk through a few slides obviously the first slide I'm going to reference there is really just shows you a little bit of the geographical footprint certainly of what we get to serve and the lives we serve we use a lot of data we're really data rich now we've learned in the last two years to

understand that clinical data that quality data and really the market share and understand what those needs are we've done a lot what we call Our Community needs Health assessment so we understand what those social determinants are such as housing food shelter mental well-being all those things but we really need to understand our footprint so what you're going to see there is really those counties that represent what we call our primary service area and really shows you the various Footprints in those very heavy populated areas and so that's what we think about every day so just to give you a representation of again the service area there again roughly 600 000 lives next this is really just our our bricks and mortar per se and then some of the key statistics obviously three hospitals we brought on a new hospital um now just two years down in um in Litchfield in Grayson County as well as Twin Lakes Regional Medical Center muellerberg and obviously Owensboro Regional and so this just shows you our commitment to making sure that we are a regional base facility we know Davis county is our Hub is where a majority of our consumers reside but we also know Health Care is local it's very important to provide that health care and having access which I'll talk about in these Regional areas what may seem as a very

easy drive for me to drive down from here to Muhlenberg but to have somebody who's trying to care for a loved one being a part of that care an hour drive in those windy roads can be in double dangerous at times and so we we're thinking about that access and what we can do not just in Davis County but how do we expand that throughout the parameters so again this just kind of shares where we're at number of births you think about we're still growing so you know 2500 bursts here in the region that's quite a number so next slide um some of the key statistics again I referenced the 5500 team members and so I still believe what I'm being told is we're the largest employer west of Louisville we enjoy that because we know um as I was at the chamber board meeting this morning just talking about the Partnerships and the importance of that and what we do together collaboratively what we can do as it relates to Health Care education and so we want to be doing our part that's something I've challenged our leadership throughout is to be very engaged and be out in these various boards not-for-profits and I'll reference that but again we have 5 000 team members who stand ready we're right in the middle of what we call Our Town Hall meetings it's our chance I'll be doing 25 Town Hall meetings have started them two weeks ago and my intent is to reach is be able to talk to 90 percent

of our team members and so that's here in Davis County it's Muhlenberg that's our health plexus and so we want to hear firsthand I think it's really important for team members to understand kind of what they're achieving the great work and really be able to complement them on the great work they're doing but we also want to make sure they understand kind of the vision where they're going and feel like they're a part of that and so again that's our intent we'll finish those up at the first in March um the other one that I'll really talk about is the emergency department visits we know that you think about that still one of the busiest one ERS uh in the state but collectively for three ERS that we have we almost did a hundred thousand visits this past year and so that's a great thing in one sense but we also know we're trying to do things for access points so we can cut down on those unnecessary emergency rooms we know you read it we want the emergencies to be used for the right way so we're looking for ways to increase access and other types of means Urgent Care primary care and so on so but again very busy ER and lastly I'll just reference that 14-day access to Primary Care that is something that we heard loud and clear and we've heard from our studies is people will not be able to get into the primary care physicians in a timely manner so what do you do you do two things you delay care you don't get care right so you prolong something now something more catastrophic comes up or

we go to an emergency room that maybe for something that really needs to be managed for my primary care so we've we've tracked that and that is one of what we call our success share goals this year it's a goal that we really explain our team members our ER everybody else why that's important because we want people to make sure they have great access to preventive care and so 63 percent may seem low and that's well above the Benchmark and so we're strident every day and so we know the number of primary care visits we've seen between this year and last year we've grown exponentially so we're excited about that next slide this is just the economic impact you can certainly see the number of full-time equivalents that we have within the health system itself so that's the difference if you're you're thinking through 5500 those are contract those are part-time but true full-time equivalents we have 4 300 team members throughout Owensboro Health you'll see the total salaries and benefits grown in those two years from 2021 to 2022 Grew From 403 million to 460 million obviously we brought 10 Twin Lakes on during that time but we've had to do a lot in salaries to keep up with that we'll talk about certainly Travelers the things that we want to do is be competitive to make sure we can retain those great team members we've had to do some significant salary increases in a