World-Class Physician Leadership - DaVita Inc.

Transcription

D AV I TA C L I N I C A L L E A D E R S H I PInternational Partnerships with DaVitaWorld-ClassPhysician LeadershipPhysicians who choose to partner with DaVita have direct access to some of the world’s leadingclinical experts in various areas of kidney care. DaVita’s clinical team, including the Office of theChief Medical Officer (OCMO), the Physician Council, Group Medical Directors and our physicianpartners, work together to identify and resolve clinical issues.Together with our teammates, our clinical leaders strive to identify and recommend clinicallysound and effective practices for our physician partners in our more than 1,800 dialysis centers.When determining our approach to care at DaVita, our clinical leadership team continuouslyinnovates new and better ways to address patients’ kidney care issues, as well as theirco-morbid conditions.Office of the Chief Medical OfficerChief Medical OfficerAllen R. Nissenson, MD, FACPVP, Medical AffairsMark Kaplan, MDVP, Clinical AffairsHome ModalitiesJohn Moran, MD, FACPVP, Clinical ResearchMahesh Krishnan, MDVP, Medical AffairsRobert Provenzano, MD, FACPVP, Integrated ServicesStephen McMurray, MDVP, Clinical Support ServicesJohn Robertson, MDVP, Clinical Risk SupportRobert Merrell, MD, FACPVP, Clinical Support ServicesDavid B. Van Wyck, MDTo discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

C L IN ICA L L E A D E R S HI PD AV I TA C L I N I C A L L E A D E R S H I PInternational Partnerships with DaVitaLeading ClinicalInnovation & ImprovementThe Office of the Chief Medical Officer collaborates with a cross-functional team of clinicaloperations experts to improve the quality of care our patients receive. DaVita physician partners,clinical educators, dietitians, nurses and others work together to develop and implement initiativesconsistently across our dialysis centers. From driving fistula compliance to standardizing clinicaleducation and training for tens of thousands of teammates, these initiatives are linked to betteroutcomes, reduced hospitalizations, lower mortality rates and improved quality of life for our patients.Through this dedication to innovation, DaVita has achieved 11 consecutive years of improved clinicaloutcomes and raised the bar for care in the U.S.Clinical Management TeamVP of Clinical Support ServicesDebbie BennerVP of Clinical EducationSusie JuarezVP of Clinical Management& Vendor RelationsShaun CollardSr Director of Biomed ServicesTed KasparekSr Director of Clinical ServicesNancy CulkinDirector of Corporate ComplianceStephanie MotterVP of Clinical ImprovementIrina GoykhmanVP of Clinical Support ServicesMaribeth SommerDirector of Quality ManagementGinger HansonVP of Clinical ImprovementAbbe VolzTo discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

C O M PA N Y O V E R V I E WInternational Partnerships with DaVitaOur CompanyDaVita Inc., is a Fortune 500 company and a leading provider of kidney care in the United States.As of March 31, 2012, DaVita operated or provided administrative services at 1,841 dialysis facilities,with more than 36,500 teammates (employees) serving approximately 145,000 patients. Thecompany’s leadership development initiatives and social responsibility efforts have been recognized byFortune, Modern Healthcare, Newsweek and WorldBlu.Through intensive collaboration, we and our physician partners are “moving the needle” onintegrated clinical care through innovations that benefit nephrologists and their patients. Together,we have achieved clinical outcomes that have improved continuously for more than a decade and, inmany key areas measuring quality dialysis care, lead the nation. DaVita is also a leader in alternativetreatment modalities, medication management and cutting-edge research. A dedicated service provider expanding internationally Award-winning training and leadership development programs Leaders in alternative treatment modalities, patient education and cutting-edge researchOur CultureOur MissionWe consider DaVita to be a communityfirst, and a company second. Our teammateswork with our physician partners to providesuperior patient care and build a healthy,sustainable community.To be the Provider, Partner and Employer of Choice Support for achieving high-quality outcomes Service Excellence Commitment to hiring and retaining the bestcaregivers for our patients Integrity Leadership development, performance recognitionand a community environment for teammates Team Continuous Improvement A vision of becoming a role model for healthcareby providing innovative, integrated care and strongeconomic value for society Accountability Fulfillment FunOur Core ValuesTo discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

CLINICAL OUTCOMESInternational Partnerships with DaVitaLeading clinical qualityPhysicians at DaVita have achieved superior clinical outcomes for their patients in theUnited States. Overall, DaVita’s outcomes have improved for 11 consecutive years and are thebest or among the best in virtually every category reported publicly in the U.S. We believe that byproviding the support physicians need, we can help them improve the lives of our more than 145,000chronically ill patients. Together we have implemented multiple quality improvements measuresthat have made the difference, including an in-house benchmarking tool and a nationally recognizedvaccination program.U.S. Clinical Outcomes% Immunized forPneumococcalPneumonia36%19%DaVita 2010 U.S.vaccination rate73%% Immunizedfor Influenza62%0%10%20%DaVita30%40%50%60%70% 90%80%Nation-DaVita57.00%53.00%Phosphorus 3.5 - 5.570.00%63.00%Calcium 8.4 - 9.585.20%80.60%Calcium 8.4 - 10.240.70%35.00%Albumin 4.083.70%83.40%Albumin 3.50%10%DaVita20%30%40%50%60%70%80%90%Nation Minus DaVitaImmunization data –2010 USRDS Annual Data Report (2008 data). Other measures: National Q4 2008 eLabs Report. Q4 2010 DaVita data replicated from claims dataOther key indicators*: Adequacy (Kt/V 1.2) has improved by60% since 2000 Fistula rate has improved by 83% since 2002 CVC rate has improved by 27% since 2007 Gross Mortality has decreased by 15% since 2001 The DaVita Quality Index (DQI), a proprietarybenchmark, measures overall clinical performancein one score per facility and is correlated withdecreased mortality*Data reflects U.S. outcomes only.To discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

H O S P I TA L S E R V I C E SInternational Partnerships with DaVitaEfficient and Cost-EffectiveHospital Dialysis Services94% of patients would“choose the same hospital again”as a result of their dialysis careAs a dedicated service provider, DaVita helps hospitals achievesuperior outcomes, operational efficiencies and cost savingsthrough staff and patient education, as well as global purchasingpower among diverse suppliers.75% of patients are“more involved” intheir own careDaVita Discharge Planning Survey May, 2011DaVita’s breadth of services cover* Over 950 Hospital partners 1,841 Outpatient clinicsInpatient clinical servicesPatient/Hospitalstaff sisDischarge planningOutpatient JointVenturesPeritoneal dialysisCRRTComprehensivepatient educationResearchHospitalstaff trainingVascular Access /ASCCost savingsCost per treatment100%80% 6.1% reduction in length of stay (0.5 days) Partners have realized savings of 82 per treatment equivalence40% 110% reduction overall20% 45% reduction for renal relateddiagnosis-related group (DRG)16%Outsourcing savings18%Discharge planning savings60%0%Average Cost PerTx withIn-House DialysisAverageCost Per Txwith DaVitaThe average hospital saves34% per treatmentwhen partnering with DaVita*As of July 2011To discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

PA R T N E R S H I P O P P O R T U N I T I E SInternational Partnerships with DaVitaPhysician and Business PartnershipsDaVita is committed to partnering with highly qualified clinical professionals. Our objective inengaging the best consulting physicians is to ensure that we provide high-quality care for all of our patients.Physician partners at DaVita are advised on new clinical initiatives and protocols, staff trainingand medical supply selection. They are also connected with other nephrology leaders and colleagues,through a vast network of DaVita medical partners — extending the boundaries of their knowledgeand practice.By partnering with DaVita, physicians enjoy a range of benefits, including: Stature. A relationship with DaVita comes with the stability of a provider that has a proventrack record but continues to grow and evolve. Initiatives and protocols that drive patient care. We are committed to innovating clinical programs that help ourphysician partners consistently achieve clinical outcomes that are the best or among the best in virtually every category.DaVita prides itself on being the “Partner of Choice” and is the most experienced partner inthe industry, with more jointly owned dialysis centers than all other dialysis providers combined.This is primarily due to our unique focus on our physician partners, our integrated clinical andbusiness systems, and the benefits of DaVita’s operational and management programs.Benefits of a partnership with DaVita: Experienced partner to share in the risks,rewards and responsibilities Industry-leading clinical outcomes,initiatives and research Staff development and retention Local leadership and experienceIt is important to note that the business purpose of a dialysis partnership is to identify a counterpartwith a commitment to creating an outstanding operation, the capability to help do so, and the resourcesto drive growth for the center. Business partners are never limited in where they can refer patients,including a competitor’s clinic or center.To discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com

CLINICAL RESEARCHInternational Partnerships with DaVitaA Global Approach toAdvancing Kidney CareDaVita Clinical Research (DCR ) is one of the largest renal research providers in the world,offering comprehensive services across the entire spectrum of the drug development cycle, fromearly discovery through post-approval marketing commitments.Our expertise: Preclinical (genomic and proteomic studies) Phase 1 clinical trials with our inpatient clinic in Minneapolis Outpatient clinical trials through partnerships Health economics and outcomes research(economic modeling, commercial reimbursement and formulary placement) Safety surveillance (REMS programs) DCR has more than 20 years of experience in renal research with a full range of services:- Biorepository Services (building the largest collection of genomic, metabolomic and proteomic data in renal patients)- Clinical Development - Phase I inpatient and outpatient studies- Central Laboratory- Clinical Informatics- Medical CommunicationsDCR has partnered with physicians to deliver important research results and to publishclinically relevant posters, abstracts and manuscripts. We have also participated in clinicaltrials of investigational and marketed drugs and devices.DCR strives to bring value-added research services to DaVita-affiliated physicians whosupport the mission to advance the knowledge and practice of kidney care.To discuss international partnership opportunitiescontact us at global@davita.com or visit DaVita.com 2012 DaVita Inc. All rights reserved. 05754-00-INTL- Advisory Committee Preparation Services

DaVita Inc., is a Fortune 500 company and a leading provider of kidney care in the United States. As of March 31, 2012, DaVita operated or provided administrative services at 1,841 dialysis facilities, with more than 36,500 teammates (employees) serving approximately 145,000 patients. The