Regional Roll-Out (RRO) Leader/Lead Organization Information

Name:  The Boeing Company
Link:  www.boeing.com
Description:  The world's largest aerospace company, Boeing is among the largest global commercial jet makers and defense contractors.  Boeing has two major segments (Commercial Airplanes and Integrated Defense Systems) and Boeing's space operations also include communications satellites, missiles, the International Space Station, and the Space Shuttle.

Contact:  Theresa Helle, Boeing
Title:  Manager Health Care Quality and Efficiency Initiatives
Address:  7755 East Marginal Way South, P.O. Box 3707, M/C 11-56, Seattle, WA  98124
Phone:  206-655-5833
Fax:  206-544-1190
Email:  theresa.m.helle@boeing.com

Contact:  Dick Miller, Mercer
Title:  Principal – Mercer Health and Benefits
Address:  600 University Street, Suite 3200, Seattle, WA 98101
Phone:  206-808-8506
Fax:  206-382-0627
Email:  dick.miller@mercer.com

Why did your organization decide to apply to become a Leapfrog Regional Roll-Out leader and what your goals are for the Region?

The Boeing Company applied to become a Leapfrog Regional Roll-Out leader in the Puget Sound and Wichita areas to promote and advance regional and national patient safety initiatives.  As a major purchaser of health care in each of these markets Boeing recognizes the importance of controlling health care costs and improving quality.   Boeing has been working in these communities through coordinated efforts of regional health care purchasers and labor organizations to support efforts to improve transparency within these markets and to promote informed health care decision making among its employees.

In your view, what kind of impact has Leapfrog had on your market thus far?

Since Boeing first met with hospital executives in 2001 about the Leapfrog leaps, Puget Sound area hospitals have made great strides with both the CPOE and IPS leaps.  Two hospitals now fully meet the CPOE leap, two hospitals expect to meet the standard by March 2006 and nine other hospitals have substantially implemented either an ambulatory or inpatient electronic medical record.  Intensivist coverage of intensive care units is common now in Puget Sound; of twenty six hospitals reporting to Leapfrog, ten fully meet the standard, compared to three in 2001.  Additionally, nine hospitals fully meet the NQF Safe Practices leap.

Regional Roll-Out Market Information

Geographic Coverage: Puget Sound area:  King County, Snohomish County, Kitsap County, Pierce County, Island County, Mason County, Thurston County

Population: Combined population of King, Snohomish, Kitsap, Pierce, Island, Mason and Thurston Counties - 3,763,569 (2000 U.S. Census estimate)                                                   

Employer characteristics:

Number of employerlives in RRO area:  Boeing Puget Sound area covered lives:  189,421

Puget Sound Area’s Major Employers (source:  Greater Seattle Chamber of Commerce [Boeing numbers have been updated by The Boeing Company])

The Boeing Company  62,000
Port of Seattle  11,225
Alaska Air Group Inc.  11,150
Microsoft Corporation  11,000
University of Washington  10,000
Safeway Stores   9,293                                                                                                    VA Puget Sound Health Care System  8,500
Virginia Mason  7,957
Amazon.com Inc.  7,500
AT&T  7,328

Distribution of Private Sector Firms and Employment by Industry (source: WorkforceExployer.com of Washington State Employment Security Department):
Industry       Firms  Employment
Construction       13%  7%
Other services, executive public administration  12%  5%
Retail trade       11%  12%
Healthcare and social assistance    10%  12%
Accommodation and food services    9%  10%
Professional and technical services    9%  6%
Wholesale trade      7%  5%
Manufacturing       5%  10%
Administrative and waste services    5%  6%
Agriculture, forestry, fishing and hunting   4%  5%
Real estate and rental and leasing    4%  2%
Finance and insurance     3%  5%
Transportation and warehousing    2%  4%
Arts, entertainment and recreation    2%  2%
Information       1%  3%
Educational services      1%  5%

Hospital Characteristics:

Total number of general acute care facilities and total number of beds in RRO

Puget Sound area: licensed
Allenmore Hospital      130 beds
Auburn Regional Medical Center    149 beds
Capital Medical Center     119 beds  
Cascade Valley Medical Center    48 beds
Children's Hospital and Regional Medical Center  250 beds
Enumclaw Community Hospital    38 beds
Evergreen Healthcare      261 beds
Good Samaritan Community Healthcare   225 beds
Group Health Cooperative / Eastside Hospital  179 beds
Harborview Medical Center     474 beds
Harrison Memorial Hospital     297 beds
Highline Community Hospital    269 beds
Mary Bridge Children's Hospital and Health Center  72 beds
Overlake Hospital Medical Center    257 beds
Providence Everett Medical Center    362 beds 
Providence St. Peter Hospital     390 beds
Snoqualmie Valley Hospital     28 beds
St. Clare Hospital      106 beds
St. Francis Hospital      110 beds
St. Joseph Hospital      253 beds
Stevens Healthcare      217 beds
Swedish Medical Center / First Hill Campus   697 beds
Swedish Medical Center / Providence Campus  385 beds  
Swedish Medical Center/ Ballard Campus   163 beds
Tacoma General Hospital     391 beds
University of Washington Medical Center   450 beds
Valley General Hospital     72 beds
Valley Medical Center     328 beds
Virginia Mason Medical Center    336 beds
Whidbey General Hospital     51 beds

Breakdown by hospital system (list systems and number of facilities w/in):
Puget Sound area: 
MultiCare Health System
  Allenmore Hospital
  Tacoma General Hospital
  Mary Bridge Children’s Hospital and Health Center
 University of Washington Academic Medical Center
  Harborview Medical Center
  University of Washington Medical Center
 Group Health Cooperative of Puget Sound
  Group Health Eastside Hospital
 Providence Health System Washington
  Providence Everett Medical Center
  Providence St. Peter Hospital
 Franciscan Health System West
  St. Clare Hospital
  St. Francis Hospital
  St. Joseph Medical Center
 Swedish Medical Center
  Swedish Medical Center – First Hill
  Swedish Medical Center – Ballard
  Swedish Medical Center - Providence

Insurer Characteristics:

Largest plans and % of the market share for HMO/PPO products:

Puget Sound area [all data is statewide and includes insured business only] (source: Washington State Office of Insurance Commisioner-2004 Market Share and Loss Ratio Annual Report):
Premera Blue Cross       19.79%
Regence BlueShield       17.07%
Group Health Cooperative      15.36%
PacifiCare of WA Inc.       5.72%
Molina Healthcare of Washington Inc.    4.65%
Community Health Plan of WA     3.80%
Group Health Options Inc.      3.42%
Kaiser Permanente Northwest     3.10%
Aetna         0.52%
 
State/Local government activities:

Health Information Infrastructure Advisory Board (SSB 5064)
- The Washington State Health Care Authority (HCA) and the Health Information Infrastructure Advisory Board (HIIAB) are charged with developing health information and technology strategy.  They are responsible for developing strategy for the adoption and use of electronic medical records and health information technologies that are consistent with emerging national standards and to promote interoperability of health information systems. The HIIAB is comprised of twelve members.  These members represent parties that include consumers, providers, hospitals, health organizations, health information technology experts, among others.

Puget Sound Health Alliance - www.pugetsoundhealthalliance.org
-The Puget Sound Health Alliance is a regional partnership of health care purchasers, plans, health care professionals and patients collaborating to improve quality and make health care costs affordable across King, Kitsap, Pierce, Snohomish and Thurston Counties. Alliance participants agree to measure and share health care quality data, which will be housed in an information repository containing clinical care treatment guidelines and tools for all members to use.

Washington Patient Safety Coalition - www.wapatientsafety.org
-The WPSC is a voluntary organization of diverse stakeholders committed to improving safety and reducing errors. Their collaborative, non-punitive approach builds on Washington’s significant history of innovative quality improvement efforts, which have brought together broad groups of participants in a collaborative atmosphere to achieve shared goals. The Coalition involves individuals and organizations from all parts of the health care system: consumers, providers, purchasers, regulators, quality improvement and risk reduction organizations, researchers, and others.

Local Quality Improvement Organization (QIO) contact information:
Puget Sound area:
QUALIS - www.qualishealth.org

- Qualis Health is a private, nonprofit organization based in Seattle since 1974.  Under a contract to the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services, Qualis Health serves as the Quality Improvement Organization (QIO) for Alaska, Idaho and Washington.