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PUBLIC OPINION SURVEY RESULTS

PUBLIC OPINION SURVEY RESULTS

PUBLIC OPINION SURVEY RESULTS

October 2012

October 2012 Alison Peters Consulting

Alison Peters Consulting

RESEARCH OBJECTIVES

Are residents aware they live in a hospital district and do they want to preserve this system, either for their personal benefit or the benefit of the community? How is Valley Medical Center perceived by the community in comparison to other health providers? Has awareness of Valley Medical Center’s affiliation with UW Medicine increased and, if so, what does the community think of this relationship? Is it producing positive results? Is there awareness of changes to Board governance as a result of the affiliation? What changes does the community agree or disagree with? Looking ahead, how should Valley Medical Center make decisions regarding administrative pay, debt and continuing to be part of a district system? What are the community’s priorities?

METHODOLOGY

Sample Universe

King County Public Hospital District #1

Field Dates

September 10-16, 2012

Sample Size

N=500

Survey Length

20 minutes

Phone Types

Landlines and Cell Phones

Margin of Error

4.5%, larger for subgroups

Interviewing was completed locally, at Pacific Market Research, in Renton, WA

SAMPLE PROFILE

GENDER

 

ETHNICITY

 

PATIENT?

 

Male

46%

White

79%

Yes, self

27%

Female

54%

Non-White

21%

Yes, other

19%

AGE

 

LEG. DISTRICT

 

Yes, both

16%

18-24

4%

5

th

2%

No

38%

25-34

9%

11

th

34%

HOUSEHOLD

 

35-49

16%

33

rd

13%

Single, no children

26%

50-64

38%

37

th

7%

Couple, no children

38%

65+

31%

41

st

7%

Single, with children

5%

REF.

2%

47

th

36%

Couple, with children

31%

PARENT

 

INCOME

 

EDUCATION

 

Yes

36%

Under $50,000

28%

College

51%

No

64%

Over $50,000

59%

Non-College

48%

4

PATIENT PROFILE

50-65 years old Non-College 65+ years old Under $50K Income Women
50-65 years
old
Non-College
65+ years
old
Under $50K
Income
Women

KEY FINDINGS

1.

2.

3.

4.

The hospital district system is highly valued, not only by patients, but, after education, by potential patients to Valley Medical. The community does not want to see the district sold to pay off its debt. Over 40 percent of residents do not know they live in the hospital district boundary. It is common for younger people, non-whites and parents to be more confused by this. In comparison, a higher percentage of residents know about the affiliation with UW Medicine (67%). Satisfaction with the medical care provided by Valley Medical is high and unchanged since the 2011 Elway survey. However, strong majorities of residents also say affiliation has made no impact on the cost of care, access to research, access to specialists, personal attention from providers or the hospital’s community involvement.

6

KEY FINDINGS

5.

82 percent of survey participants said they had no

6.

knowledge of changes to Board structure or governance since the affiliation with UW Medicine. There is consensus that changes to board structure (size,

7.

process of expansion) should require a public vote and that voting members live in the district. The community also believes the community can best provide input to the Board through an Advisory Committee, without expanding the full voting board to include new members. Furthermore, there is consensus that administrator pay align with executive pay at other area hospitals.

THE CURRENT LANDSCAPE

THE CURRENT LANDSCAPE

RESIDENTS VALUE THEIR COMMUNITY HOSPITAL

How valuable are these community institutions?

35%

30%

25%

20%

15%

10%

5%

0%

29% 26% 26% 16% 4% Your Your school district Your fire Your local roads/transit Your
29%
26%
26%
16%
4%
Your
Your school
district
Your fire
Your local
roads/transit
Your libraries
community
services

hospital

COMMUNITY HOSPITALS HAVE THE GREATEST VALUE TO OLDER RESIDENTS, PAST PATIENTS AND WOMEN

I would like you to tell me how valuable your community hospital is to you personally (Give a ranking of 1-5).

65+ years old

Non-College

Patients of VMC

Women

Under 50

College

Men

? 43% 29% 36% 31% 34% 31% 33% 32% 25% 30% 23% 30% 25% 28%
?
43%
29%
36%
31%
34%
31%
33%
32%
25%
30%
23%
30%
25%
28%

0%

20%

40%

60%

80%

Ranked #133% 32% 25% 30% 23% 30% 25% 28% 0% 20% 40% 60% 80% Ranked #2 Groups

Ranked #225% 30% 23% 30% 25% 28% 0% 20% 40% 60% 80% Ranked #1 Groups that Rank

Groups that Rank Hospitals Lower:

Men Residents Under 50 Couples with Kids Singles with Kids Non-Patients of VMC

10

AWARENESS OF BEING IN A HOSPITAL DISTRICT

Percentage of Residents that Know They Reside in a Hospital District

36% 54% 10%
36%
54%
10%

YesHOSPITAL DISTRICT Percentage of Residents that Know They Reside in a Hospital District 36% 54% 10%

NoHOSPITAL DISTRICT Percentage of Residents that Know They Reside in a Hospital District 36% 54% 10%

Don't KnowBEING IN A HOSPITAL DISTRICT Percentage of Residents that Know They Reside in a Hospital District

PARENTS, YOUNG PEOPLE AND NON-WHITES ARE THE LEAST INFORMED ABOUT BEING IN A DISTRICT

Do you know if you live within the boundary of a public hospital district?

Percentage Who Said “Don’t Know”

18-34 year olds

35 to 49 year olds

Non-whites

Couples with kids

Single with kids

Total

55% 52% 43% 41% 39% 36%
55%
52%
43%
41%
39%
36%

0%

10%

20%

30%

40%

50%

60%

WHAT RESIDENTS THINK ABOUT BEING IN A HOSPITAL DISTRICT

Some people have been to Valley Medical Center as a patient and some have not. Please listen and tell me which of these statements comes closest to the way you feel.

60%

50%

40%

30%

20%

10%

0%

50% 35% 12% 3%
50%
35%
12%
3%

I support public hospitals like Valley Medical Center; they care for the uninsured and provide for the common good

I consider Valley Medical Center my local hospital; they care about this community

I don't consider Valley Medical Center my local hospital or value public hospital districts

Don't Know

SINGLES AND NON-WHITES ARE LESS LIKELY TO NAME VMC AS THEIR LOCAL HOSPITAL

Total % Considering VMC their Local Hospital

Patient White Couple, no kids Total Single, no kids Non-white Non-Patient

59% 52% 52% 50% 44% 39% 35%
59%
52%
52%
50%
44%
39%
35%

0%

10%

20%

30%

40%

50%

60%

Income, geography, gender and education did not matter!
Income, geography, gender and education did
not matter!

70%

14

ECONOMIC INDICATORS

Overall, do you think the economy in your area is:

Getting better

The same

Getting worse

27% 47% 23%
27%
47%
23%

0%

10%

20%

30%

40%

50%

60%

70%

80%

LOCAL THERMOMETER READINGS

I’d like you to rate your feelings toward some people, groups and ideas with 100 meaning a very WARM, favorable feeling and 0 meaning a very COLD, unfavorable feeling.

UW Medicine The main hospital at Valley Medical Center Nurses at Valley Medical Center Harborview Medical Center Valley Medical Center's urgent care clinics Swedish Hospital Valley Medical's primary care clinics Virginia Mason Medical Center Overlake Hospital MultiCare Health System Hospital administrators at Valley Medical Center St. Francis Hospital Highline Community Hospital Auburn Regional Medical Center Rich Roodman, CEO of Valley Medical Center

75 74 74 74 72 72 71 68 66 62 59 55 54 51 49
75
74
74
74
72
72
71
68
66
62
59
55
54
51
49

0

10

20

30

40

50

60

70

80

LOCAL THERMOMETER READINGS

Percentage of Residents Who Haven’t Heard of Each Hospital/Provider

St. Francis Hospital Highline Community Hospital Auburn Regional Medical Center MultiCare Health System Overlake Hospital Virginia Mason Medical Center Valley Medical's primary care clinics Harborview Medical Center Swedish Hospital Valley Medical Center's urgent care clinics UW Medicine Nurses at Valley Medical Center The main hospital at Valley Medical Center

40% 53% 37% 40% 40% 39% 31% 37% 25% 32% 31% 25% 22% 19% 14%
40%
53%
37%
40%
40%
39%
31%
37%
25%
32%
31%
25%
22%
19%
14%
18%
12%
14%
11%
12%
19%
8%
12%
6%
9% 4%

0%

20%

40%

60%

80%

100%

22% 19% 14% 18% 12% 14% 11% 12% 19% 8% 12% 6% 9% 4% 0% 20%

65+ years old 18-34 years old

17

SATISFACTION WITH MEDICAL CARE

Based on your experience, tell me whether you would rate the quality of medical treatment provided at Valley Medical Center as Very Good, Good, Average or Poor?

TOTAL Seniors Under Parents with Patient White Non-white Over 65 50 Kids Very good 51%
TOTAL
Seniors
Under
Parents with
Patient
White
Non-white
Over 65
50
Kids
Very good
51%
61%
43%
47%
59%
56%
33%
Good
27%
21%
38%
35%
28%
25%
37%
TOTAL
78%
82%
81%
82%
87%
81%
70%
Average
11%
9%
9%
10%
8%
10%
13%
Poor
5%
4%
3%
3%
4%
5%
5%
Don’t Know
6%
5%
7%
4%
1%
4%
12%

NO CHANGE IN SATISFACTION: In 2011 (Elway Poll), 75% of all respondents rated “the quality of medical treatment provided” was Very Good or Good.

18

ASSESSMENT OF REPUTATION

How would you rate the overall reputation of Valley Medical Center in your community? Would you say it is Very Good, Good, Average or Poor?

TOTAL Seniors Under Parents Patient White Non-White Over 65 50 with Kids Very good 48%
TOTAL
Seniors
Under
Parents
Patient
White
Non-White
Over 65
50
with Kids
Very good
48%
57%
37%
41%
53%
50%
41%
Good
30%
19%
44%
42%
30%
29%
33%
TOTAL
78%
76%
81%
83%
83%
79%
74%
Average
14%
14%
15%
12%
12%
13%
17%
Poor
7%
7%
4%
5%
5%
7%
6%
Don’t
2%
3%
0%
0%
1%
2%
2%
Know

SLIGHT DROP IN REPUTATION: In 2011 (Elway Poll), 83% of all respondents rated “the overall reputation of VMC” was Very Good or Good.

19

THE MAJORITY OF RESIDENTS CHOOSE VALLEY AS THEIR HOSPITAL IN AN EMERGENCY

Would Valley Medical Center be your first choice hospital in an emergency?

Valley Medical Center/ UW

Somewhere Else

DK or It Depends

23% 5%
23%
5%

72%

0%

20%

40%

60%

80%

This Group Is: NOT A PAST PATIENT (+17) SINGLE PARENTS (+16) NON-WHITE (+4) DISTRICT 9/DUNN
This Group Is:
NOT A PAST PATIENT (+17)
SINGLE PARENTS (+16)
NON-WHITE (+4)
DISTRICT 9/DUNN (+4)

THERE IS NO CLEAR SECOND CHOICE HOSPITAL, JUST PERSONAL PREFERENCE

Which hospital would you ask to go to? (N=136)

14% 12% 12% 10% 10% 8% 8% 7% 6% 6% 4% 2% 0% Swedish Group
14%
12%
12%
10%
10%
8%
8%
7%
6%
6%
4%
2%
0%
Swedish
Group Health
Auburn
Regional
Medical Center
Highline
Harborview
Hospital
Medical Center Medical Center

AWARENESS OF AFFILIATION

AWARENESS OF AFFILIATION

AWARENESS OF AFFILIATION

Prior to this call, were you aware that Valley Medical Center is now affiliated with UW Medicine?

80%

70%

60%

50%

40%

30%

20%

10%

0%

67% In 2011 (Elway Poll), 55% were aware of the affiliation with UW Medicine 32%
67%
In 2011 (Elway Poll), 55%
were aware of the affiliation
with UW Medicine
32%
1%
Yes
No
Don't know

Yes(Elway Poll), 55% were aware of the affiliation with UW Medicine 32% 1% Yes No Don't

No(Elway Poll), 55% were aware of the affiliation with UW Medicine 32% 1% Yes No Don't

Don't knowIn 2011 (Elway Poll), 55% were aware of the affiliation with UW Medicine 32% 1% Yes

THERE ARE GAPS IN AWARENESS OF THE AFFILIATION

Prior to this call, were you aware that Valley Medical Center is now affiliated with UW Medicine?

?

+35

+ + 71% 70% 63% 61% 56% 44% 38% 36% 29% 29%
+
+
71%
70%
63%
61%
56%
44%
38%
36%
29%
29%

Under 50 years old

Over 50 years old

Women

Men

Non-White

24

AWARENESS OF AFFILIATION

How informed would you say you are about Valley Medical Center’s affiliation with UW?

40%

35%

30%

25%

20%

15%

10%

5%

0%

34% 26% 18% 17% 5% Extremely well informed Well informed Somewhat well informed Not well
34%
26%
18%
17%
5%
Extremely well
informed
Well informed Somewhat well
informed
Not well
Never heard of
informed

SOME GROUPS (RIGHT BOX) HAVE NOT HEARD AS MUCH ABOUT THE AFFILIATION

Most Informed

 

All Voters Well Informed or Extremely Well Informed

Seniors Over 65

28%

Patients

28%

College

27%

Women

26%

Over $50K Income

25%

Total

23%

Least Informed

 

All Voters Well Informed or Extremely Well Informed

Men

20%

Non-College

20%

35-49 year olds

18%

18-34 year olds

16%

Under $50K Income

16%

Non-Patients

15%

ALMOST 50 PERCENT SAY THE AFFILIATION WITH UW MEDICINE HAS MADE NO IMPACT

Thinking about the following areas, has the affiliation made a positive or negative impact or have you not observed a significant difference?

Access to research

Cost of health care

Programs/Community

involvement

Access to specialists

Personal attention

Quality of care

Ability to remain a community hospital

Competitiveness

25% 1% 61% 26% 8% 58% 31% 2% 57% 36% 3% 55% 37% 4% 53%
25%
1%
61%
26%
8%
58%
31%
2%
57%
36%
3%
55%
37%
4%
53%
38%
4%
52%
40%
2%
51%
42%
2%
48%

Positive55% 37% 4% 53% 38% 4% 52% 40% 2% 51% 42% 2% 48% Negative No difference

Negative4% 53% 38% 4% 52% 40% 2% 51% 42% 2% 48% Positive No difference Answers from

No difference38% 4% 52% 40% 2% 51% 42% 2% 48% Positive Negative Answers from patients were not

Answers from patients were not significantly different.

0%

50%

100%

27

AWARENESS OF CHANGES IN GOVERNANCE

Are you aware of any changes to the Board of Commissioners or hospital decision-making as a result of the affiliation?

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

Yes 82% No Don't know No subgroups expressed higher-than- average 13% awareness of 5% changes
Yes
82%
No
Don't know
No subgroups
expressed
higher-than-
average
13%
awareness of
5%
changes to
Board
governance.
Yes
No
Don't know

ATTITUDES ON BOARD GOVERNANCE

ATTITUDES ON BOARD GOVERNANCE

WHERE WE HAVE CONSENSUS

AGREE

DISAGREE

Hospital administration salaries at Valley Medical Center should be comparable with other public hospitals in this area

91%

6%

The best way for the community to provide guidance and insights is to create a Community Advisory Group to advise the Board of Commissioners

78%

13%

 

Every voting member of the Board must reside within the boundaries of the hospital district

74%

21%

The hospital CEO has been serving in his position for 25 years; so it’s time to think about new leadership

68%

18%

As part of the affiliation, UW should have some responsibility for paying down the hospital’s debt

68%

20%

There should be a public vote before any changes are made to the duties or structure of the board running the hospital

71%

25%

Only individuals elected by the public should have decision- making authority for a public hospital district

60%

34%

SUBTLE DIFFERENCES IN ATTITUDES

In just about all cases, the following subgroups were more likely to AGREE with what was being proposed (i.e. Comparable administrative salaries, a residency requirement, public votes before changes taking place)

PATIENTS OF VALLEY MEDICAL CENTER

WOMEN

PEOPLE WHO NAMED VALLEY MEDICAL CENTER AS THEIR FIRST CHOICE HOSPITAL

PEOPLE WHO WERE AWARE OF THE AFFILIATION WITH UW MEDICINE

OVERALL REACTION TO PAY/BENEFIT PACKAGE OF HOSPITAL ADMINISTRATORS

Now that you know more, what of these statements comes closest to your opinion?

4%

19% 77%
19%
77%

The salaries are not justified. Hospital administrative pay needs to be competitive, but also aligned with other public hospitals in the areathese statements comes closest to your opinion? 4% 19% 77% The salaries of the CEO and

The salaries of the CEO and other leaders are justified. The pay and incentives help retain top talent and provide stable leadershipadministrative pay needs to be competitive, but also aligned with other public hospitals in the area

Don't Knowof the CEO and other leaders are justified. The pay and incentives help retain top talent

A SIMILAR REACTION FROM WOMEN AND PATIENTS

Which one of these statements comes closest to your own?

100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%

77% 76% 75% 21% 19% 18%
77%
76%
75%
21%
19%
18%

The salaries are not justified. Pay needs to be competitive, but also aligned with other area hospitals.

The pay is justified. It helps retain top talent and provide stable leadership.

Total

Womenother area hospitals. The pay is justified. It helps retain top talent and provide stable leadership.

Patientswith other area hospitals. The pay is justified. It helps retain top talent and provide stable

33

INTEREST IN PAYING DOWN DEBT OR REINVESTMENT?

What should be the top priority: to pay down the hospital’s debt or save those funds for reinvestment or other needs?

11%

17% 71%
17%
71%

Hospital should pay down some of its debtthose funds for reinvestment or other needs? 11% 17% 71% Hospital should save funds for reinvestment/other

Hospital should save funds for reinvestment/other needssave those funds for reinvestment or other needs? 11% 17% 71% Hospital should pay down some

Don't Knowneeds? 11% 17% 71% Hospital should pay down some of its debt Hospital should save funds

FUTURE OF THE HOSPITAL DISTRICT?

It’s possible that VMC and its clinic system could be sold for $341M to pay off the bonds owed and eliminate the hospital district. What would you think of this option? Should this be considered – yes or no?

80%

70%

60%

50%

40%

30%

20%

10%

0%

65% 25% 47% 17% 18% 10% 8%
65%
25%
47%
17%
18%
10%
8%

Strongly yes

Somewhat yes Somewhat no

Strongly no

Don't Know

35

FINAL CONCLUSIONS

AWARENESS OF HOSPITAL DISTRICT/PRESERVATION -Public education to parents, non-whites (perhaps in non-English language materials) and young people will help them identify with their hospital districts.

DO RESIDENTS IDENTIFY VALLEY AS THEIR LOCAL HOSPITAL? -Perceptions of VMC are strong across the board, but patient loyalty is truly the more accurate benchmark to track. As more younger people, parents and non-whites become patients, their likelihood of identifying VMC as their local hospital increases.

AWARENESS OF AFFILIATION -Awareness of Valley’s affiliation with UW has grown from 55% to 67% in one year. However, the public does not know why the affiliation happened, the goals or what has changed.

FINAL CONCLUSIONS

AWARENESS OF CHANGES TO BOARD GOVERNANCE -Very few residents know of changes to the Board’s duties and structure since the affiliation took place. That being said, there is widespread community support and validation for past Board resolutions regarding executive pay. -There is also a high level of community support if the Board pursues a renegotiation of roles and responsibilities with UW Medicine.

COMMUNITY’S PRIORITIES -There was consensus around paying down the hospital’s debt and very little support around selling the hospital’s clinic system to eliminate the hospital district.

THANK YOU!

CONTACT INFO:

PH: 206-229-4981 EMAIL: ALISON@ALISONPETERSCONSULTING.COM

October 2012

October 2012 Alison Peters Consulting

Alison Peters Consulting