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To friends, supporters, patients and employees of HCMC

Hennepin County Medical Center has been a vital part of the health care system in Minnesota since it started as Minneapolis City Hospital in 1887.

HCMC Campus

These pages will explain more about HCMC, its role in the community, and upcoming changes to the governance structure of the hospital.

There are serious economic forces working against the traditional organizational model of public hospitals.

The work of a 2003 citizens task force, a 2004 citizens transition committee, and the 2005 Legislature has resulted in development of a new organizational model that will allow HCMC to remain a public hospital owned by Hennepin County and dedicated to its historic public mission.

Access to Care for All
Teaching Tomorrow's Doctors


HCMC — Changing with the times

1887

Minneapolis City Hospital opens

1920

Renamed Minneapolis General Hospital and placed under the management of the Minneapolis Public Welfare Board.

1963

Operations transferred to Hennepin County.

1964

Renamed Hennepin County General Hospital.

1969

County voters pass a bond issue of $25 million for new hospital.

1974

Name changed to Hennepin County Medical Center.

1976

HCMC moved to a new location on Park Avenue

1984

Physicians form Hennepin Faculty Associates practice plan

1991

HCMC purchases the Metropolitan-Mount Sinai Medical Center facilities, which closed due to declining admissions and inade-quate reimbursement. (Metropolitan Mount Sinai Medical Center was created in 1988 when Mount Sinai Hospital merges with Metropolitan Medical Center. Metropolitan Medical Center was created in 1970 when St. Barnabas and Swedish hospitals merged.)

2002

Begins joint strategic planning with Hennepin Faculty Associates in response to significant public program funding changes.

2003

2004

Citizens' Governance Transition Committee appointed by County Board to develop a detailed plan for the new organization.

2005

Minnesota House and Senate pass, and Governor Pawlenty signs bill to change the governance of HCMC.

County Board appoints Transition Management Team.

2006

SAFETY NET

What is a safety net hospital?


"A safety net hospital is a hospital or health system that provides a significant level of care to low-income, uninsured, and vulnerable populations. It is distinguished by its commitment to provide access to care for people with limited or no access to health care due to their financial or insurance status or health condition."

-National Association of Public Hospitals
"What is most important to me is our mission as a public teachinghospital. A true safety net hospital where our diverse patients receive the highest level of care within our power."  

-Scott Davies, MD, Chief of Internal Medicine

 

Safety Net Services

HCMC services reflecting its public safety net role include:

Alternative Therapies Hyperbaric Medicine
Burn Center Interpreter Services
Chaplaincy Program Medical Education
Chemical Dependency Services On-Site Economic Assistance Program
Commitment to International Patients Psychiatric Services
Cultural Diversity Training   Regional Poison Control
Dentistry Sexual Assault Resource Services
Emergency Preparedness Trauma and Critical Care
High Risk Births  


ACCESS TO CARE


Access to care for all means a healthy community

HCMC has a proud history of service, and today maintains a level of quality of care that is recognized nationally. But HCMC's ability to continue to excel was threatened as the business of health care changed and, as a department of Hennepin County, HCMC did not have the flexibility it needed to survive and thrive in a competitive hospital marketplace and maintain its core mission.   

Minnesota's hospitals and clinics serve a population that continues to grow, age, and become more diverse. People are using hospitals more, and consumers are more engaged when choosing where to get care and more demanding in their expectations. Hospitals today have to provide a level of customer service and amenities that match their high level of quality care.

The Twin Cities today has several large not-for-profit hospital systems and other  independent hospitals.  Although there are similarities among the hospitals, there are mission, clinical service, and geographic distinctions that make HCMC unique, including: 

  •  a Level 1 Trauma Center providing 24/7 emergency services
  •  commitment to critical care medicine; medical, surgical, pediatric and newborn  intensive care units extensive interpreter services and cultural competency
  •  a treat-first policy
  •  a location in downtown Minneapolis
  •  the third largest provider of graduate medical education and second largest  provider of undergraduate medical training in Minnesota

 

For all Minnesota hospitals today, operating margins are thin. At the same time, human resources, technology, and supply costs are increasing faster than revenues, and investor-owned specialty enterprises are attracting patients away from hospitals.

For HCMC, the challenges were compounded by the significant changes to how health care for the poor is unded. HCMC provides 18 percent of the uncompensated care in Minnesota, and 43 percent of its patient base is on Minnesota public programs. Since 1997, federal funding to HCMC has been reduced an estimated $40 million because of the federal Balanced Budget Act.  

Changes in Minnesota public program funding are resulting in a loss of $35 million in state funding from 2003 - 2005 due to eligibility changes, payment rate reductions, program benefit reductions for patients, and medical education cuts.

HCMC is not alone


Public hospitals across the country have been moving away from direct operation by state and local governments to achieve more operational autonomy and flexibility. By 2003 only 60 percent of the members of the National Association of Public Hospitals had changed their governance models.  

EXCELLENCE

Recognized for excellence in patient care, teaching, and research

  •  Named one of America's Best Hospitals by U.S. News & World Report in 2008. 2007, 2006, 2005, 2004, 2003,  2002, 2001, 2000, 1999, and 1998.
  •  A kidney transplant program ranked third in the nation in 2003 by the University HealthSystem Consortium (UHC) study of "best performers" in the area of kidney  transplants.   
  •  Awarded a 2003 Medica Choice Quality Improvement award in diabetes,  prenatal,  and child and en checkups.
  •  Named one of the 10 best hospitals in the country in which to have a baby in  the  December 2002 issue of FitPregnancy magazine.  
  •  A national benchmark study shows that patients admitted to HCMC adult intensive  care units have mortality rates and overall hospital lengths of stay that are  much lower than those predicted. Patients in HCMC intensive care units have a  40-50%  better chance of survival than the national standard.

CRITICAL CARE IN CRITICAL TIMES for Minnesota

From preparing the community for biological, chemical, and other disasters, to providing Level 1 Trauma Care nd Intensive Care Units with outstanding patient outcomes, HCMC provides critical care in critical times for all Minnesotans.  

- Intensive Care Units with outstanding outcomes

- Minnesota's largest Emergency Department and Level 1 Trauma Center

- Training doctors to serve Minnesota communities
- Acute and emergency psychiatric services available 24/7

- Minnesota Poison Help System serves all of Minnesota

- Emergency Medical Transport includes ground and air ambulances - Regional Hospital Resource Center for community disasters

- Global Migration and Quarantine Facility for infectious threats

PLANNING FOR THE FUTURE


HCMC responds with careful planning toward a bright future

In response to these serious threats, HCMC and its physician partners, Hennepin Faculty Associates (HFA), began joint strategic planning in 2002. National consultants McKinsey & Company assessed the situation ndconcluded that the economic forces against HCMC as currently structured were extraordinary and would lead to an operating deficit of $60 million by 2006. Similar situations are occurring for public hospitals across the country.  

In late 2003, HCMC and HFA launched an aggressive operational improvement plan called Partners in Care. While that plan is already resulting in some operational savings, it was suggested by the McKinsey and Company that a new operating model, with leadership provided by a sole-purpose hospital board, would provide many of the tools needed to make additional operational improvements that are essential to preserving the mission of HCMC far into the future.     

A New Governance

From 1963-2007, HCMC was owned and operated by Hennepin County, Minnesota and governed by the Hennepin County Board of Commissioners.  A task force of Hennepin County citizens, appointed by the County Board in 2003 to evaluate options for HCMC, determined that a change in governance would be necessary to provide flexibility and operational autonomy for HCMC.

A citizens committee appointed by the Hennepin County Board developed a proposal to strengthen the way Hennepin County Medical Center (HCMC) is governed. The committee held a series of community meetings in Minneapolis, Eden Prairie, Minnetonka and Brookly Center to talk about the current challenges facing HCMC, tline the proposed changes, and receive feedback.

Legislation enabling formation of a new public corporation was approved by the legislature and on January 1, 2007, Hennepin Healthcare System, Inc. began operations. HCMC remains owned by Hennepin County and dedicated to its historic public mission. The Hennepin Healthcare System, Inc. board serves as the day-to-day board for HCMC, bringing the business, financial and health care management skills necessary to manage the challenges of competing for employees and patients within today's health care marketplace. The County Board retains ultimate strategic and financial control and continue to own the facilities.

Across the country, public hospitals that have not reformed their business model have either become more nd more reliant on taxpayer funding, or seen their size, quality, and ability to fulfill their mission decline; in some cases resulting in complete closure of the hospitals. However, those hospitals that have reformed, especially those whose transformation have been made before the financial losses started to mount, have been able to not only continue their mission, but expand those services provided to their communities.  

Click here to link to Minnesota Statute 383B.901 — Creation of a County Subsidiary Corporation

Only 5 percent of HCMC's budget comes from Hennepin County property tax support, with 95 percent coming through patient care revenue.

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