2011 community benefit report

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Insist on the Best. 2011 COMMUNITY REPORT

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See how University Hospital helped our community in 2011.

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Page 1: 2011 Community Benefit Report

Insist on the Best.

2011 COMMUNITY REPORT

Page 2: 2011 Community Benefit Report
Page 3: 2011 Community Benefit Report

1w w w. u n i v e r s i t y h e a l t h . o r g

As a community not-for-profit

hospital, University doesn’t

pay dividends to owners or

shareholders, nor are we supported by

any local tax dollars. We reinvest our rev-

enues in excess of expenses each year

to enhance our technology and level of

care and advance our charitable and

community outreach goals. In a year

in which record numbers of hospitals closed and most others were on

shaky ground, University finished the year with a positive operating mar-

gin. We continue to remain in the top five employers in Augusta-Rich-

mond County, and our annual economic impact on the CSRA is in excess

of $900 million. Many say we are Augusta’s best-kept secret because

you don’t hear about us much in the news. We worked diligently in 2011

to maintain the delicate balance of current operations with spending

and planning for the future. Plainly put, University is doing great things.

We’re expanding and introducing innovations comparable to those of

the leading health systems in the country, yet maintaining our patient

and family focus. At University, we hire the best and brightest, yet they

smile and speak to you in the hallways and escort you to your destina-

tion if you need directions. University is far more than bricks and mortar

– it is a dedicated group of health care professionals, and I am honored

to be a part of their team. In 2012, you can bet that despite these un-

certain times, we will continue the tradition of excellence our patients,

physicians, volunteers and donors expect from us. Insist on University!

James Davis, President and Chief Executive Officer

University Health Care System

Page 4: 2011 Community Benefit Report

2 2 0 1 1 C o m m u n i t y R e p o r t

RICHMOND COUNTYHOSPITAL AUTHORITYReverend Clyde Hill Sr., ChairmanJeffrey L. Foreman, Vice ChairmanHugh L. Hamilton Jr., SecretaryJoseph S. BowlesCharles G. CayeA. Bleakley Chandler Jr., M.D.Eugene F. McManusJames C. Sherman, M.D.Thomas E. Sizemore

UNIVERSITY HEALTH, INC.Randolph R. Smith, M.D., ChairmanCharles G. CayeGregory L. Gay, M.D.J. Brewster GivenLevi W. Hill IVReverend Clyde Hill Sr.Sanford LoydEllen G. Shaver, M.D.James C. Sherman, M.D.R. Lee Smith Jr.James R. Davis (EO)

UNIVERSITY HEALTH SERVICES, INC.R. Lee Smith Jr., ChairmanBrian J. Marks, SecretaryTerry D. ElamRichard A. FaireyHugh L. HamiltonReverend Clyde Hill Sr.Jerry W. Howington, M.D.Wyck A. Knox Jr.Gerald E. MatheisEugene F. McManusThomas A. Parfenchuck, M.D.John P. RhodesNatalie D. SchweersThomas E. SizemoreSteven B. Vaughn, M.D.James R. Davis (EO)

UNIVERSITY EXTENDED CARE, INC.Gerald E. Matheis, ChairmanReverend Clyde Hill Sr., SecretaryTerry D. ElamRichard A. FaireyHugh L. HamiltonJerry W. Howington, M.D.Wyck A. Knox Jr.Brian J. MarksEugene F. McManusThomas A. Parfenchuck, M.D.John P. RhodesNatalie D. SchweersThomas E. SizemoreR. Lee Smith Jr.Steven B. Vaughn, M.D.James R. Davis (EO)

UNIVERSITY HEALTH RESOURCES, INC.Levi W. Hill, IV, ChairmanJames C. Sherman, M.D., SecretaryReverend Clyde Hill Sr.Jeffrey L. ForemanSanford LoydRandolph R. Smith, M.D.James R. Davis (EO)

HOSPICEReverend C. Gregory Deloach III, ChairmanCaroline T. Thomas, SecretaryWilliam L.M. Knox Jr., TreasurerDavid BelkoskiMarilyn BowcuttPeter F. Buckley, M.D.Carolyn ByrdReverend Sam DavisWilliam Farr, M.D.Tara Kattine, M.D.Patti MooreCecil Sharp, M.D.Ellen TereshinskiAngela O. Wright, M.D.James R. Davis (EO)

GOVERNING BOARDS

Page 5: 2011 Community Benefit Report

3w w w. u n i v e r s i t y h e a l t h . o r g

MEDICAL STAFF EXECUTIVE COMMITTEEJames Sherman, M.D., PresidentDaniel Boone, M.D., President-electBarry Jenkins, M.D., Secretary/TreasurerBenjamin Kay, M.D., Vice PresidentMatthew Mondi, M.D., Member-at-LargeMallory Lawrence, M.D., Member-at-Large

SENIOR MANAGEMENT TEAM James R. Davis, President/Chief Executive OfficerDavid Belkoski, Executive Vice President/Chief Financial OfficerMarilyn Bowcutt, Senior Vice President/Chief Operations OfficerEdward Burr, Vice President for Legal AffairsLes Clonch, Vice President for Information Systems/Chief Information OfficerWilliam Farr Jr., M.D., Vice President of Medical Affairs/Chief Medical OfficerStephen Gooden, M.D., Vice President of Physician ServicesKyle Howell, Vice President of Support and Ancillary ServicesRichard Kisner, Vice President of Continuum Services/President of Brandon WildeSandra McVicker, Vice President of Network Development/President of University

Hospital McDuffieLaurie Ott, Vice President of Community Services/President of University Health

Care FoundationShannon Stinson, M.D., Chief Medical Informatics Officer

MEDICAL DIRECTORSTimothy Hunter, M.D., Cardiothoracic SurgeryTara Kattine, M.D., Palliative Care and HospiceChris Carlson, M.D., Bariatric Surgery

UNIVERSITY HEALTH CARE FOUNDATION OFFICERSJed W. Howington, M.D., ChairCatherine D. Knox, Immediate Past ChairRichard A. Fairey, Chair-electNatalie Schweers, Vice Chair

VOLUNTEER BOARD OFFICERSChristy Jones, PresidentPat Hozey, President-electAlison Jeselnik, Vice PresidentPatty Sommers, SecretaryBruce Wilson, Treasurer

LEADERSHIP TEAM

Page 6: 2011 Community Benefit Report

4 2 0 1 1 C o m m u n i t y R e p o r t

Helping ensure our patients receive the highest level of care, delivered with dignity

and compassion, is our goal with every patient and family member, every time. Our

Board challenges us to remain in the top 10 percent of hospitals in the country in

quality scores, and they meet monthly with physicians and clinical staff to analyze

the data and develop a plan to better serve our patients. It is this goal-driven mind-

set that has earned us recognition in key areas for our quality strides.

n Implemented nursing bedside re-

porting to ensure patients and fam-

ily members stay informed during

all shifts of their care and progress

toward the desired outcome and

discharge

n Kicked off Project RED with intense

education and follow-up care to

help reduce readmission rates for

congestive heart failure patients

n Renovated 5 North/South inpa-

tient rooms with updated nurse call

systems, new flooring, furnishings

and restrooms and state-of-the-art

beds

n Launched Greater Augusta Health-

care Network (GAHN) community

needs assessment in cooperation

with Georgia Health Sciences Uni-

versity to identify the major health

needs in our community and de-

velop a trackable, working plan to

address those needs

In addition, the following initiatives were launched, moving health care at Univer-

sity to new levels of quality:

n Society for Critical Care Award for

Leadership in Eliminating Ventilator

Associated Pneumonia

n Women’s Certified Top 100 Hospital

for Patient Experience

n American Cancer Society College of

Surgeons Cancer Certification with

Commendation

n Vascular Lab Intersocietal Com-

mission for the Accreditation of

Vascular Laboratories Accreditation

n Cardiac Rehab Certification

n Joint Commission Accreditation

n Joint Commission Certified Stroke

Center

n Ranked No. 1 in Augusta in ENT, GI,

Nephrology and Orthopedics by US

News & World Report

n Blue Distinction Center for Cardiac Care

n Laboratory Services accredita-

tion by the College of American

Pathologists

QUALITY & PATIENT SAFETY

Page 7: 2011 Community Benefit Report

5w w w. u n i v e r s i t y h e a l t h . o r g

109,065 Acute patient days

21,668 Inpatient a dmissions

3,196 Births

72,807 Emergency Department visits

53,600 Home Health visits

261,821 Outpatient visits

15,217 Cardiovascular interventional

procedures

140,922 Radiology procedures

19,521 Surgical cases

PATIENT PROFILE

AWARDS & RECOGNITION

The dedication to excellence of our employees, Medical Staff and Boards of Trust-

ees culminates each year in numerous awards and recognition. In 2011, University:

n Was named the CSRA Consumers’

Choice Award winner from the Na-

tional Research Corporation for the

13th consecutive year.

n Was named the Top Hospital in all

three categories of giving by the

United Way of the CSRA.

n Received 11 ADDY® Awards from the

Augusta Advertising Federation,

including Gold ADDY®s for Dr. W.G.

Watson’s 100th birthday invitation

and Eating Well with Kim recipe

photos; four Silver ADDY®s and five

Bronze ADDY®s.

n Honored Mitch Moore, Supervisor

of Distribution Services, as Em-

ployee of the Year.

n Congratulated Lynda Jones Watts,

RN, BS, BSN, MSM, Administrative

Director Nursing Operations/Di-

rector Cardiovascular, Critical Care

& Respiratory Services, for being

named the CSRA Nurse of the Year

at the 2011 Spirit of Nursing Awards.

n Recognized Lynne Giles, R.N.,

Emergency Department, as Univer-

sity’s Georgia Hospital Association

G.R.E.A.T. Ambassador.

Page 8: 2011 Community Benefit Report

6 2 0 1 1 C o m m u n i t y R e p o r t

At University, physicians and staff advocate for services that will surpass the ex-

pectations of our patients and their family members, while achieving excellent

outcomes. As Baby Boomers age and health needs shift or intensify, we assess

our services to ensure we continue to lead the way as the region’s health re-

source. This is a delicate balance in a new era of health care reform, record un-

employment and growing rates of uninsured, but in 2011, University rose to the

challenge and:

n Finalized a proposal to purchase

the current McDuffie Regional

Medical Center with plans to build a

new hospital and submitted it to the

Georgia Attorney General, another

step toward securing modernized,

high-quality care in Thomson.

n Finalized an agreement with Geor-

gia Health Sciences University to

resume residencies at University

beginning July 2012.

n Broke ground for Brandon Wilde’s

Windsor House, Georgia’s only

“small house” concept for Alzheim-

er’s and dementia care.

n Opened our Heart Attack & Stroke

Prevention Center, a progressive pro-

gram in which specially trained medi-

cal personnel offer advanced individ-

ualized testing and move beyond the

standard of care to determine your

true risk for cardiovascular disease.

n Hit the streets with our “Heart Cart,”

the mobile version of the Heart At-

tack & Stroke Prevention Center,

taking this advanced diagnosis to

business and industry, churches and

community centers.

n Had bond ratings reaffirmed by S&P

and Moody’s with stable outlooks.

n Celebrated the first year of success

and outstanding patient care for new

service lines (Hospice, Wound & Hy-

perbaric Center and Bariatric Surgery).

n Continued improving the quality of

life for many through our anterior

approach hip replacement surgery

that has most patients walking out

of the hospital unassisted after only

a day or two of hospitalization.

n Increased employed physicians to 62.

GROWTH

Page 9: 2011 Community Benefit Report

7w w w. u n i v e r s i t y h e a l t h . o r g

In 2011, we continued the system build and additions to system infrastructure for

the Epic enterprise-wide information system to create a safer, more efficient and

integrated health care experience for our patients and to qualify for the Federal

Government’s Meaningful Use financial incentives. Epic is a $40 million invest-

ment over five years.

INNOVATION

University is one of the best equipped hospitals in Georgia. In addition to Epic, the

Board approved the reinvestment of more than $16.2 million in equipment and

technology in 2011. Here are some of the largest and most noteworthy improve-

ments:

n 64-slice CT scanner

n Cardiac PET scanner

n Cardiac Imaging Associates

n Sterile processing equipment

n Infant/pediatric security system

n Lab hematology instrumentation

n Lab flow cytometer

n McKesson Picture Archiving Communication System (PACS) upgrade

n Digital radiography system

n Spacelab monitors

n Cath Lab information system

Page 10: 2011 Community Benefit Report

8 2 0 1 1 C o m m u n i t y R e p o r t

In 2011, University Health Care System provided $28,813,764 in indigent and char-

ity care. These costs include:

$19,322,359 — nearly double from 2010 — for inpatient and outpatient services

for indigent patients. This includes Project Access, which University helped devel-

op in 2002 with the Richmond County Medical Society to care for Richmond and

Columbia County indigent patients. University continues to be Augusta’s largest

hospital contributor of funds and services to this program.

$1,794,505 to help support

community clinics such as

Christ Community Clinic, the

Lamar Medical Center, Belle

Terrace Health and Wellness

Center, St. Vincent dePaul

and the Harrisburg Family

Healthcare Clinic.

$7,488,260 in uncompensated physician services for indigent and charity pa-

tients.

$208,639 for disease management programs coordinated and staffed by Univer-

sity to help people with chronic diseases such as congestive heart failure, asthma

and congestive obstructive pulmonary disease (COPD) better manage their con-

ditions so they live longer, healthier lives.

Not included in the community benefit amount, but a significant contribution by

University Hospital is the loss sustained by “bad debt,” or the amount of care pro-

vided for which payment was expected but not received and “Medicare and Medic-

aid shortfalls,” or the difference between the cost of care provided to those patients

and the payment received from the state and federal government for that care.

INDIGENT & CHARITY CARE

Page 11: 2011 Community Benefit Report

9w w w. u n i v e r s i t y h e a l t h . o r g

Staying true to our mission of helping people stay healthy, University reached more

than 200,000 people in 2011 and invested more than $2 million in free screenings,

community education classes, publications and more to educate the community

on the importance of prevention and early detection of disease. These include:

n Heart Month Health Fairs

n Skin cancer screenings

n Prostate Specific Antigen (PSA) tests

n Breast Health Center’s

4,000 patient contacts

n Mobile Mammography Unit’s

1,240 free mammograms

n Diabetes Expo Event

n Healthy U Magazine

n Monthly Healthy U Calendar

n Cancer Survivor Luncheon

n Columbia County Back-to-School

Festival

n Breast Cancer Survivor Dinner

n Health Library Online Website

n Monthly physician-led Community

Education Classes

At University we know that a skilled and educated workforce is an important part of

providing advanced health. In 2011, University invested more than three quarters of a

million dollars in three University-based programs — Harry T. Harper Jr., M.D., School

of Cardiac and Vascular Technology; Augusta Dietetic Internship; and Stephen W.

Brown School of Radiography — to train excellent allied health professionals.

HEALTH PROFESSIONALSEDUCATION

COMMUNITY OUTREACH

Page 12: 2011 Community Benefit Report

10 2 0 1 1 C o m m u n i t y R e p o r t

University certainly could not shine at the level we do without the support in

hours and dollars of our Foundation and Volunteer Board. They work every day

to extend the mission of the hospital by helping the residents of our community,

including the uninsured and underinsured, achieve and maintain optimal health.

In 2011, University Health Care Foundation

n Reinvested more than $1.1 million back

into support for University Hospital

and patient care in our community.

n Provided 2,662 instances of direct

patient assistance, of which 1,240

were free mammograms for women

without insurance.

n Provided 30 scholarships to ensure

we maintain the highest quality em-

ployees and best trained nurses in

the region.

n Provided 145 employees with con-

tinuing education opportunities.

n Sent 36 children to Camp Juliet to

help them learn to better manage

their diabetes.

n Hosted Lady Antebellum at our

Young Philanthropists’ Event to

fund the mission of the Dr. John

Kelley Cardiovascular Endowment,

increasing the event revenue from

$52,000 to $265,000.

n Increased Miracle Mile Walk walk-

ers and revenue from $170,000 to

$314,000 including $65,000 of on-

line giving from as far away as Af-

ghanistan to fund mammograms

and other breast health services for

our uninsured and under-insured

patients. No woman is ever turned

away because of this event.

n Kicked off a $3 million Brandon

Wilde capital campaign to help fund

the construction of the Windsor

House for dementia and Alzheimer’s

care at Brandon Wilde, along with

a new and improved wellness facil-

ity. Brandon Wilde resident Stella

Windsor Grandin donated $1 million

to the Foundation in her parents’

name to help kick start the project.

n Held the 19th Annual Art Patchin

Jr. Celebration event, attended by

more than 250 people and raising

$40,000 for the special needs of

patients.

n Featured the 26th Jernigan Golf

Tournament with 324 golfers raising

more than $147,000 to benefit the

Harry W. Jernigan Jr. Endowment

for cancer patients.

n Hosted the Heartfelt Luncheon

featuring author and physician Dr.

Jana Klauer, and an evening Heart-

felt Affair to benefit the Elaine Clark

Smith Endowment and to further

her work in the area of education

on cardiovascular disease.

GIVING BACK

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12 2 0 1 1 C o m m u n i t y R e p o r t

n Completed 38,043 hours of service in 37 departments throughout the hospital

n Donated $183,000 back to the hospital and patient care services

n Donated $45,735 to University Health Care Foundation to launch our Heart Cart

n Completed the most successful $5 jewelry sale in the hospital’s history

n Held a grand opening for Cat’s Pajamas boutique in the Breast Health Center

n Increased revenues in all retail businesses including the Sunshine Gift Shop,

Hair Salon, Uniform Shop and Bella Baby Photography

n Presented four Helen C. Field Memorial Junior Volunteer Board Scholarships.

Mrs. Field, who passed away in March 2011, actively served the Volunteer Board

for more than 54 years, two terms as president and in literally every leadership

role. She was passionate about service and about University Hospital.

VOLUNTEER SERVICES

Page 15: 2011 Community Benefit Report

13w w w. u n i v e r s i t y h e a l t h . o r g

OTHER VOLUNTEER SERVICES PROJECTS AND DONATIONS INCLUDE:

Pastoral Care Intern .......................................................................................................$ 25,000

Heart attack and stroke education video .........................................................$ 15,000

Hospice .................................................................................................................................$ 10,180

Miracle Mile Walk .............................................................................................................$ 10,000

Camisoles for Breast Health Center patients .......................................................$ 10,000

Ultrasound equipment for Breast Health Center ..............................................$ 9,500

Diabetes Services testing equipment .......................................................................$ 8,500

Patient Care management fund .............................................................................$ 7,500

Tree of Love ........................................................................................................................$ 7,500

Born to Read program for newborns .......................................................................$ 6,234

Heart & Vascular education booklets .......................................................................$ 4,673

Shaken Baby Syndrome project ............................................................................$ 3,770

Shumsky pillows for heart patients ......................................................................$ 2,119

Page 16: 2011 Community Benefit Report

1350 Walton Way • Augusta, Ga. 30901(706) 722-9011 • www.universityhealth.org