O P E R A T E

2 0 1 3 C O M M U N I T Y R e p o r t

I N N O V A T E

C O L L A B O R A T E

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For many health care organizations in 2013, it seemed that Armageddon had arrived early, and University was no different. For University, 2013 brought $10 million in budgeted Medicare reductions, $2 million in Fiscal Cliff cuts and $3 million in Sequestration cuts. We received no relief from Medicaid as planned by the Federal Government when Georgia opted to forego our state’s expansion. All told our reimbursement for services in 2013 was decreased $17 million from 2012. Our answer to this and future chal-lenges remains steadfast — we will operate, innovate and collaborate.

Operate means we will continue to be the low-cost, high-quality health care provider in the CSRA. Medicare spends less per patient for an episode of care initiated at University than at our local competitors or the average hospital across the country. If our costs were equivalent to our competitors, overall cost for hospital care would increase $20 million annually. All the while, University leads the way with more patient safety and quality-of-care recognitions than all area hospitals combined. We have to strive to be even better while making every patient encounter a great one.

To innovate we will continue to leverage the education and experience unmatched in our medical staff – the largest and most diverse in the CSRA. We will also continue to lead the way in technology, state-of-the-art facilities and access for all patients.

As small independent hospitals across the coun-try continue to close, it is crucial that we contin-

ue to collaborate with other providers when it makes sense to create economies of scale that benefit our patients and the community.

As the CSRA’s only locally owned, not-for-profit hospital, University Hospital provides access to care 24 hours a day, seven days a week for all who need and seek emergency care regardless of their ability to pay. Every dollar we are able to make above the expenses required to care for our pa-tients is retained right here in Augusta to support our organization and the community for the future.

These funds allow us to ensure we have the most advanced technology, progressive facilities and highly skilled staff and physicians to care for patients. We are also able to increase our entry points so all patients who desire the great care only University can provide will have access to it.

University will weather this storm and whatever obstacles come our way. We have the team necessary, we have a strong balance sheet and we have great partners.

University is dedicated to setting and maintain-ing the standard for health care in the region. We promise to always keep what is best for our patients and their families at the forefront.

James R. Davis President and Chief Executive Officer University Health Care System

LETTER from the CEOHard work and perseverance were key to a successful 2013

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Board members for University Health Inc., University Health Services Inc., University Extended Care Inc. and University Health Resources Inc.

Randolph R. Smith, M.D., ChairmanBrian J. Marks, SecretaryTerry D. ElamDana T. AtkinsJames W. Bennett Jr.Daniel H. Boone, M.D.William P. DoupeJeffrey L. ForemanHugh L. HamiltonLevi W. Hill IVSanford LloydEugene F. McManusNatalie D. SchweersEllen G. Shaver, M.D.James R. Davis (ex officio)

GOVERNING BOARDSUniversity Health Care System’s corporations are governed by volunteer boards of directors who spend a gracious amount of time to help ensure University continues to provide progressive, accessible and compassionate care.

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Executive Team James R. DavisPresident/CEO, University Health Care System

David BelkoskiVice President Financial Services/Chief Financial Officer

Marilyn BowcuttExecutive Vice President/Chief Operating Officer University Health Care SystemPresident, University Hospital

Laurie OttVice President, Human Resources and Community Services/President, University Health Care Foundation

Edward BurrSenior Vice President Legal Affairs/Compliance Officer

Les ClonchVice President Information Systems

William Farr Jr., M.D.,Vice President Medical Affairs/Chief Medical Officer

Stephen Gooden, M.D.Vice President Care Transformation

Kyle HowellVice President Support and Ancillary Services

Sandra McVickerPresident University Hospital McDuffie

Lynda WattsVice President Patient Care Services/Chief Nursing Officer

Medical Staff Officers Daniel Boone, M.D., President

Thomas Parfenchuck, M.D., President-elect

Barry Jenkins, M.D., Secretary/Treasurer

James Sherman, M.D., Past President

Donald Loebl Jr., M.D., Member-at-large

Cecil Sharp, M.D., Member-at-large

Medical DirectorsMac Bowman, M.D.Cardiovascular Services

Thomas Hunter, M.D.Cardiothoracic Surgery

Chris Carlson, M.D.Bariatric Surgery

LEADERSHIP TEAM

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QUALITY & PATIENT SAFETYEnsuring our patients receive the highest level of care at the lowest cost is our goal with every encounter, every time. In 2013, University was recognized as a leader in keeping our patients safe and ensuring they have the highest quality of care. Here are just a few of those awards:

n We were ranked No. 6 in Georgia and “high-per-forming in eight specialties including cardiology, heart surgery, neurosurgery and orthopedics by US News & World Report.

n We earned the Joint Commission Disease-spe-cific Certification in hip, knee and shoulder replacement and Advanced Disease-specific Certification in heart failure and stroke.

n The Georgia Hospital Association named us to the Chairman’s Honor Roll – the highest level attainable – for quality patient care processes.

n We received the Blue Cross Blue Shield Distinc-tion+ Center for hip and knee replacement and spine surgery.

n University Medical Oncology Associates was certified by the Quality Oncology Practice Ini-tiative for high standards of care.

n University’s Kentwood Extended Care facility received the “Excellence in Action” award for fifth year.

n Our Wound & Hyperbaric Service received the Outstanding Service Award from Healogics.

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To better serve our patients closer to home and answer the demand for primary and urgent care services, University broke ground and began construction in 2013 on University Medical Cen-ter – Grovetown to be completed in mid-2014. The project will include the following services:

n Primary Care

n Prompt Care

n Wound & Hyperbaric Services

n Walk-in Lab

n Radiology

In 2013, University continued to revamp the care deliv-ery system at University Hospital McDuffie, focused on ensuring patients and families receive safe, high-quality care and service from a committed staff and physi-cians. The Hospitalists who care for University Hospital McDuffie inpatients are the same as those who care for our inpatients and the Emergency Medicine spe-cialists are the same as those who care for patients at our flagship hospital in Augusta. Continuing University Hospital’s mission of quality, comprehensive care and access for our community, we will be proud to com-plete our new $30 million state-of-the-art hospital in McDuffie County by the end of 2014, and move our first patients in early 2015. University Hospital McDuff-ie, conveniently located near Interstate 20, will include a multitude of services including:

n 25 all-private inpatient beds, expandable to 100

n Comprehensive Emergency Department with trauma/cardiac rooms

n A heliport for quick and efficient air transport

n Three Operating Rooms

n Laboratory and Imaging Department with CT scanner

Increased AccessIn 2013, it became increasingly clear that the Affordable Care Act had forever changed the healthcare landscape. With our feet firmly grounded in providing the highest level of care, University set its sights on the horizon and planned for the future of health care delivery.

In April 2013, Brandon Wilde opened Windsor House, an innovative Alzheimer’s and dementia care facility. The Small House concept is one that brings both dignity and a higher quality of life to those with Alzheimer’s and dementia. It creates an environment that is very close to home, allowing residents to keep their daily living skills intact. The assisted living setting where residents are free to go about their independent daily routines is a safe, secure and relaxed family environment. Twenty-five private suites are connected to a Commons area where residents are engaged and stimulated through homelike activities and innova-tive programs designed for optimal living. Resi-dent-centered care partners provide individualized personal care so that residents can maximize their physical and cognitive potential. Green spaces, walking paths and a center courtyard allow for 24-hour freedom of mobility without worry of disorientation.

Other new services or locations in 2013:n University Cardiology Associates — Evans

n Cardiac Imaging Evans

n University Vein Center with two locations downtown and in Evans

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The Leader in INNOVATIONStructural Heart/Transcatheter Aortic Valve Replacement (TAVR) Program

At the end of 2013, University remained the only Structural Heart/Transcatheter Aortic Valve Re-placement (TAVR) program and regional referral center in the CSRA, and celebrated a 100 percent procedural success rate.

TAVR is a new option for inoperable and high-risk patients suffering from severe symptomatic aortic valve blockages, known as stenosis. In 2012, Uni-versity joined only five other hospitals in Georgia and South Carolina as a nationally recognized Valve Center. The others were Emory, Piedmont Medical College of Central Georgia in Macon, Wellstar in Marietta and Medical University of South Carolina. TAVR was the next step after University performed the CSRA’s first mini mitral valve surgery earlier in the year.

Aortic stenosis is a progressive and life-threaten-ing disease and aortic valve replacement greatly improves survival rates. However, more than 30 percent of patients with severe aortic stenosis are not candidates for the traditional replacement be-cause of their age, prior open heart surgery or other conditions. Without TAVR, they live with increasing angina, shortness of breath, light headedness and lack of energy until their death.

TAVR patients experience an almost immediate in-crease in energy after surgery. They generally leave the hospital with an adhesive bandage covering a two-inch incision within a week of surgery, and return to normal activity almost right away.

A multidisciplinary team including physicians, sur-geons, nurses and other specially trained clinical staff is necessary to evaluate and screen patients,

perform the procedure and follow their post-pro-cedure gains in clinic. Fewer than one in every 200 heart hospitals in North America that apply to be a procedure site are approved. University is proud to be among those elite institutions giving second chances to heart and vascular patients every day.

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“I came home three days after the surgery and haven’t had a problem since. I feel really good. I’m working out three days a week, and most importantly, I’m able to care for my wife.”

Roy Clements, 84

“Even at my age. I’m living by myself. I got my appetite back. I’ve gained weight and look better, too. I just can’t say enough about the doctors and nurses there at University.”

Mary Tolbert, 93

“I feel 25 years younger! I feel like a different person; it’ s like night and day. My energy has gone through the roof. I am just so grateful and amazed at the doctors and staff there at the Heart & Vascular Institute.”

Sarah Newman, 90

TAVR Patient Testimonials

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On Dec. 1, 2013, we celebrated one year of improved patient safety and quality of care through our new Epic Electronic Health Record (EHR) system, which was launched throughout the hospital after more than two years of intense planning and training. In our opinion and that of others throughout the health care industry, Epic, the industry leader, is the most complete, easy-to-use system that can be effectively shared by physicians and our entire health care com-munity. Built from the ground up as a fully integrated system, Epic has won numerous industry awards, regularly tops the list of EHR systems in surveys and is used by the Cleveland Clinic, Kaiser Permanente, Mayo Clinic and other health care leaders. EHR sys-tems enable hospitals and physicians to store and re-trieve detailed patient information used by health care providers, and sometimes patients; during a patient’s hospitalization; over time; and across care settings. Embedded clinical decision support and other tools help clinicians provide safer, more effective care than is possible by relying on memory and paper-based systems. We are extremely pleased in our choice of Epic and our continued success in maximizing its ca-pabilities to better serve patients and their families.

With the installation of Epic, came MyChart, giving patients direct online access to portions of their electronic health record where their physicians store their health information. Whether at work, on the road or at home, patients can view lab results, appointment information, medication, immunizations and more, all securely stored and available for quick retrieval. MyChart also provides new, convenient methods of communication with your physician’s office. Renew prescriptions, send messages and schedule appointments – all online. Patients can even access their family’s records and schedule appointments online. MyChart is also a free app available for smart phones.

The leader in INNOVATION

An EPIC Go-Live

MyChart Enables Patientsto Connect with Their Health

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In 2013, University invested $30 million in approved capital to increase our level of patient care. These updates included:

n Hemodialysis Unit redesign: $1.2 million u State-of-the-art reverse osmosis water treatment system u Doubled the size for better patient access and quality of care

n Eighth floor patient room renovations: $2.4 million

u New floors and headwalls

u Increased handicap accessibility

n Radiology renovation: $1.3 million

n New laparoscopic Operating Room equip-ment: $1.2 million

n Operating Room expansion — Phase I of II : $2.2 million

n New Breast Health Imaging Center: $235,000

Leveraging Technology

Our dedication to excellence results in numerous awards and recognitions each year. Here are a few highlights in 2013:

AWARDS ANDRECOGNITION

n Received the CSRA’s Consumer’s Choice Award for Over-all Quality and Image from the National Research Corpora-tion for the 15th consecutive year.

n Named the top hospital in all three categories of giving by the United Way of the CSRA for the fourth consecutive year.

n Recognized by the American Red Cross with their Com-munity Partner Award.

n Marilyn Bowcutt, University Health Care System Executive Vice President and Chief Operating Officer and University Hospital President, was named a National Academy of Nursing Fellow.

n Sybil Surrett, University Health Care Foundation Senior Development Officer, was named Outstanding Fundraising Professional for CSRA.

n Christine Edenfield, a volunteer with Rape Crisis & Sexual Assault Services at University Hospital, received the Unit-ed Way Volunteer of the Year Award.

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$20,986,802 for inpatient and outpatient services for indigent patients. This includes Project Access, which University helped develop 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 organization.

$1,376,086 to help support community clinics such as the Lamar Medical Center, Belle Terrace Health and Wellness Center, Christ Community Health Ser-vices and St. Vincent de Paul.

$10,624,611 for uncompensated physician services for indigent and charity patients.

$203,564 for disease management programs coordinated and staffed by University to help people with chronic diseases like congestive heart failure, asthma and congestive obstructive pulmonary disease (COPD) better manage their conditions 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 provided for which payment was expected but not re-ceived and “Medicare and Medicaid 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.

n Heart Attack & Stroke Prevention screeningsn Community-wide heart attack drill, teaming with

Gold Cross EMS, Columbia County Fire and Rescue and Walmart

n Community health fairsn Skin cancer screeningsn Diabetes Expo n Breast Health Center patient contactsn Mobile Mammography free mammogramsn Monthly physician-led community education classesn Monthly Healthy U Calendarn Breast Cancer Survivor Dinnern Online health library and websiten Women’s Wellness Expo with The Augusta Chroniclen Health and Wellness Expo with WJBF TVn Support groups for diabetes, cancer, heart disease

and childbirth preparedness

Indigent ANDCharity Care

COMMUNITYOUTREACH

In 2013, University Health Care System provided our community $33,191,063 in indigent and charity care. Here is the breakdown:

University reached more than 500,000 people in 2013 and invested more than $600,000 on free screenings, community education classes, publications and more to educate the community on the importance of prevention and early detection of disease.

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In 2013, University Health Care Foundation:

n Disbursed $1,778,365.68 in funds to care for patients in our community

n Provided 3,568 instances of direct patient assis-tance

n Funded 1,892 free mammograms, of which five cancers were discovered

n Provided 32 scholarships to ensure we maintain the highest quality employees and best trained clinical staff in the region

n Provided 175 University employees with continuing education opportunities.

n Renovated the Palliative Care Unit Family Room

n Gave $5,000 to help educate staff at Christ Community Health Services

n Held the 21st Annual Patchin-Westin Celebration event, raising $70,816.71 for the special needs of patients

n Purchased oxygen blenders for the Special Care Nursery to protect the sight of newborns

n Held the most successful Miracle Mile Walk in history with 10,000-plus walkers raising $423,583.98

n Featured the 28th Jernigan Golf Tournament with 280 golfers, raising $161,643.78 to benefit the Harry W. Jernigan Jr. Endowment for cancer patients

n Provided vein finders so patients with difficult veins don’t have to be stuck multiple times

GIVING BACKUnlike the philanthropic arms of many hospitals that focus their energy on building opulent structures, University Health Care Foundation concentrates on raising money that directly benefits the lives of patients and their families in a significant, meaningful way. They help people cover life’s necessities when there often isn’t another source.

At University we know that a skilled and educated workforce is an important part of providing advanced health care. In 2013, University invested $639,485 in three University-based programs — Harry T. Harper Jr., M.D., School of Cardiac and Vascular Technology, Augusta Area Dietetic Internship and Stephen W. Brown School of Radiography — to train excellent allied health professionals.

Health Professions Education

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n Completed 38,208 hours of service in 37 depart-ments throughout the hospital

n Donated $251,725 back to the hospital and patient care services, including:

u $50,000 3-D Tomosynthesis Mammography

u $50,000 Jernigan Cancer Center Family Room renovation

u $25,000 Pastoral Care Intern

u $12,500 Orthopaedic/Spine patient recliners

u $10,000 Miracle Mile Walk

u $10,000 Breast Health Center for patient camisoles

u $9,800 Cardiopulmonary Rehab patient treadmills

u $9,000 Patient Care management fund

u $8,800 Born to Read program for newborns

u $7,508 Shumsky pillows for heart surgery patients

u $7,500 Tree of Love for children’s programs

u $6,100 Diabetes Services testing equipment

u $2,719 Heart and vascular education booklets

VOLUNTEER SERVICES ALSO:

n Assumed full ownership of Magnolias Breast Health Boutique

n Inducted 21-year volunteer Joyce Meyer as an Honorary Life Member

For nearly 60 years, the men and women who serve on the Volunteer Board of University Health have contributed more than $6 million to University Hospital and its patients through the Board’s businesses. The time they give and the wisdom they impart is priceless. In 2013 the 385 volunteers — 343 women and 42 men — who make up Volunteer Services:

GIVING BACK

Joyce Meyer

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2013 Report to the Community

University Hospital McDuffie

OVERVIEWAs a licensed 25-bed medical center, University Hospital McDuffie offers a wide spectrum of med-ical and health services to the people of McDuffie County and surrounding communities. The hospital is a not-for-profit, non-tax supported, 501©3 orga-nization established in January 1952. We are fully accredited by Det Norske Veritas (DNV). University Hospital McDuffie is a member of both the American Hospital Association and the Georgia Hospital Association. University Hospital McDuffie offers Cardiac Care and 24-hour services in the Laboratory and Radiology departments. The Emergency Department provides full-time immediate evaluation, stabilization and treatment for more than 14,000 patients annually. Surgical Services of University Hospital McDuffie include surgeons specializing in surgical areas of general surgery, orthopaedics, podiatry, ophthal-mology and laparoscopic procedures.

EDUCATIONUniversity Hospital McDuffie, in cooperation with several educational institutions, offers practical experience to many students pursuing medical careers. We are linked to the University of Georgia Pharmacy Program, the Medical College of Georgia for Medical Internships, Augusta State University and Augusta Technical Institute for Nursing Pro-grams and Basic/Paramedical Programs. University Hospital McDuffie partners with Thom-son High School for their apprenticeship program and the very popular health occupation classes.

CHARITABLE GIVINGUniversity Hospital McDuffie’s greatest asset is the ongoing trust and support of the community. Gifts to the not-for-profit University Hospital McDuffie Foundation help preserve and improve the health of the communities we serve. The Foundation is governed by a board of trustees and committed to: n Educate the communities we serve on health

care and our hospitaln Raise funds for the hospital and related servicesn Oversee the development and implementation

of fund-raisingn Support and endow specific new hospital programsn Involve community and business leaders in

Foundation activitiesIn 2013 the Foundation raised $23,430.49 at our annual golf tournament to fund special equipment needs for the hospital.

CHARITY CAREIn 2013, University Hospital McDuffie provided $813,180 in charity care actual cost, along with $477,843 in Professional Support cost.

COMMUNITY OUTREACHIn 2013, University Hospital McDuffie invested $343 to provide free health screenings to 75 participants. In addition, University’s Mobile Mammography Unit came to McDuffie County five times in 2013 and provided 90 mammograms to women who otherwise might not have had access to this potentially lifesaving screening.

BUSINESS & INDUSTRY OUTREACHIn 2013, University Hospital McDuffie invested $12,822 to provide free health screenings and education to 284 employees of local business and industry in an effort to help keep our workforce well.

UNIVERSITY HOSPITAL MCDUFFIE | 521 West Hill Street | Thomson, GA 30824 | 706/595-1411 | universityhealth.org/mcduffie

1350 Walton Way | Augusta, GA 30901

universityhealth.org