annual-report-2011

for a healthier community.

Quality Matters

2 0 1 1 A n n u a l R e p o r t

325 Maine Street • Lawrence , KS 66044 • 785-505-5000 • www. lmh.org

Final_LMH_Annual_Report.indd 3 6/8/2012 12:15:12 PM

Lawrence Memorial Hospital, in collaboration with its

Medical Staff, is dedicated to providing personal and high

quality health and wellness services for the people of

Lawrence and the extended community.

LMH by the Numbers (2011)

Inpatient Discharges 7,589Emergency Visits 36,244Outpatient Visits 177,831Births 1,086Oncology Visits 8,422Surgery Cases 4,505Mammograms 24,895CT Scans 18,756Laboratory Tests 415,304Pharmacy Prescriptions 485,652Physical Therapy Procedures 71,957Meals Prepared 251,666Website Visits 265,435Physicians on Medical Staff 217Employees 1,270Volunteers 830


Dear Friends

At Lawrence Memorial Hospital (LMH), we only want the best for this community. For us, the ‘best’ means high quality health care – a commitment we all embrace that is deeply embedded in our mission. From patient safety and satisfaction to new services, facilities, technology and more, we make every effort to provide the very best health care for every patient. To us, quality matters at every touch point. Whether you’re visiting LMH for the very first time or you’ve already come to know us as your friends in the community, we are driven to provide quality experiences for you and your loved ones. Everyone at LMH – our

dedicated Board members, physicians, nurses, support staff and volunteers – shares a mutual commitment to exceptional care. In this report, you’ll find more information about many of our 2011 accomplishments, which enable us to deliver better, more advanced systems of care today. Our focus on quality health care shows in everything we do, because at LMH, quality matters most of all.

Gene MeyerPresident and CEOLawrence Memorial Hospital

and Family

1


2

Quality Mattersfocusing on performance, safety and every

patient care experience

Welcome to LMH, Where Quality Matters Most

“I never knew LMH ranked so high nationally for cardiac care, but now I’ll never forget it.”

Julie Heart attack survivor

Beating the Standards: Quick Heart Attack Care

LMH Average Median Time for Primary Percutaneous Coronary Intervention (PCI)

LMH GoalTop 10% Hospitals

National PCI Standard

42minutes

60minutes

90minutes

LMH 2011 Quality Dashboard


3

patient care experience Simply put, quality in health care is providing the right care at the right time for the best possible result. LMH’s commitment to quality means patient care is always supported by the latest evidence-based literature, clinical practice guidelines, advanced technology, and of course, a healthy dose of compassion. LMH is held to the same rigorous standards as the nation’s largest hospitals and health systems. Thanks to a hospital-wide focus on quality care, LMH consistently meets or exceeds national averages for nearly every quality and safety measure. From the hospital’s executives and Board of Trustees, to its Quality Committee members, physicians, staff and helpful

Welcome to LMH, Where Quality Matters Most

volunteers, everyone at LMH is dedicated to performing among the country’s top hospitals…and it shows. For example, 100 percent of cancer patients treated at LMH in 2011 said they would recommend The Oncology Center to friends and family. And, in addition to a wide variety of clinical quality and safety measures, LMH consistently excels in key indicators like how quickly patients receive the care they need, the quality of their outcomes and how satisfied they are with their experiences. The hospital shares quality measures on its website, so patients in Lawrence and surrounding communities can make informed health care decisions and feel comfortable about choosing LMH.

LMH Average Median Time for Primary Percutaneous Coronary Intervention (PCI)

LMH GoalTop 10% Hospitals

National PCI Standard

LMH 2011 Quality Dashboard

www.lmh.org/qualitymatters


Growth Matters

LMH Opens Heart Failure Clinic

In the U.S. today, more than 5 million people have congestive heart failure (CHF), and the number is growing according to the National Institutes of Health. In response to the steady rise of CHF cases in the community and the need to prevent unnecessary hospital readmissions, LMH opened its Congestive Heart Failure Clinic in 2011. The clinic complements LMH’s high-ranking cardiac services by targeting the health needs of CHF patients. Highly skilled nurse practitioners and pharmacists work together to monitor symptoms, manage medications and provide important education for patients who visit the clinic.

4

Grand Opening: LMH Eudora Medical Park

With a 45 percent population increase over the last decade, patients in Eudora needed greater access to primary care and outpatient services. In 2011, LMH answered the call with the grand opening of LMH Eudora Medical Park. The 10,500 square-foot facility accommodates new and improved services the old office could not. LMH Eudora Medical Park houses primary care and radiology (Eudora Family Care), physical rehabilitation (LMH Eudora Therapy Services), and an on-site pharmacy…all in one convenient location right off K-10.

As part of the hospital’s efforts

to strengthen the system of care

throughout the community,

LMH added a sixth primary care

practice in 2011: The Internal

Medicine Group (IMG) at the

Old Oak Medical Center on

Sixth Street in Lawrence. IMG’s

board-certified physicians and

staff, who have always shared

LMH’s mission and commitment

to high quality care, provide

primary care, preventive

medicine, skilled diagnostic

services, and specialized services

in gastroenterology and

infectious disease.

The Internal Medicine Group Joins LMH

enhancing community access to quality patient care LMH Relocates Services for Greater Access


LMH Opens Heart Failure Clinic

In the U.S. today, more than 5 million people have congestive heart failure (CHF), and the number is growing according to the National Institutes of Health. In response to the steady rise of CHF cases in the community and the need to prevent unnecessary hospital readmissions, LMH opened its Congestive Heart Failure Clinic in 2011. The clinic complements LMH’s high-ranking cardiac services by targeting the health needs of CHF patients. Highly skilled nurse practitioners and pharmacists work together to monitor symptoms, manage medications and provide important education for patients who visit the clinic.

5

As part of the hospital’s efforts

to strengthen the system of care

throughout the community,

LMH added a sixth primary care

practice in 2011: The Internal

Medicine Group (IMG) at the

Old Oak Medical Center on

Sixth Street in Lawrence. IMG’s

board-certified physicians and

staff, who have always shared

LMH’s mission and commitment

to high quality care, provide

primary care, preventive

medicine, skilled diagnostic

services, and specialized services

in gastroenterology and

infectious disease.

The Internal Medicine Group Joins LMH

enhancing community access to quality patient care“LMH saved my life. They took extraordinary care of my family and me the entire time I was there.”

Tony & KayeHeart attack survivor and his wife

To increase access to the quality services provided by the Endoscopy Center (LMH’s gastrointestinal lab) and the Pain Management Clinic, LMH moved both operations from LMH South to the main hospital campus in 2011. Consolidated inpatient and outpatient services in one location makes LMH physicians more readily available to patients in need.

LMH Relocates Services for Greater Access


6

Milestones Matterembracing a commitment to compassionate patient care

The Oncology Center at LMH commemorated its first decade anniversary in September 2011. Hundreds of patients, survivors and loved ones joined Center staff, LMH leadership and hospital supporters to pay tribute to the journeys they’ve shared and the many lives touched by cancer in the community. Thousands of patients from all over Kansas and 29 other states have come to The Oncology Center at LMH for treatment. People often travel to Lawrence for cancer care at LMH because The Oncology Center offers more than 150 cancer research trials – advanced, individualized therapy options not available everywhere. The Oncology Center at LMH is equipped with sophisticated diagnostic technology and pathology, enabling specialists to detect many cancers and risks before they grow and spread. The Center also offers hereditary cancer risk assessments to help identify individuals appropriate for genetic testing. In 2011, the Center tested for hereditary breast and ovarian cancer syndrome, as well as Lynch Syndrome, which causes an increased risk for early onset colorectal cancer and other cancer types.

The Oncology Center at LMH Celebrates a Decade of Caring

Grand Opening: Mario’s Closet


7

embracing a commitment to compassionate patient care

The Oncology Center at LMH commemorated its first decade anniversary in September 2011. Hundreds of patients, survivors and loved ones joined Center staff, LMH leadership and hospital supporters to pay tribute to the journeys they’ve shared and the many lives touched by cancer in the community. Thousands of patients from all over Kansas and 29 other states have come to The Oncology Center at LMH for treatment. People often travel to Lawrence for cancer care at LMH because The Oncology Center offers more than 150 cancer research trials – advanced, individualized therapy options not available everywhere. The Oncology Center at LMH is equipped with sophisticated diagnostic technology and pathology, enabling specialists to detect many cancers and risks before they grow and spread. The Center also offers hereditary cancer risk assessments to help identify individuals appropriate for genetic testing. In 2011, the Center tested for hereditary breast and ovarian cancer syndrome, as well as Lynch Syndrome, which causes an increased risk for early onset colorectal cancer and other cancer types.

Shortly before The Oncology Center’s first decade celebration, LMH became home to Mario’s Closet, a special shop providing custom solutions to help men and women fight the visible effects of cancer. A gift from Mario V. Chalmers Foundation and the LMH Endowment Association, Mario’s Closet offers salon services, wigs, scarves, prosthetics, skin care products, and other gifts and accessories for cancer patients. It is the only shop of its kind in Lawrence. To celebrate the grand opening, LMH hosted a ribbon-cutting

ceremony in July 2011. NBA and former KU basketball star Mario Chalmers and his family attended. “This is very close to me,” Chalmers said about Mario’s Closet and why his foundation was inspired to make the contribution. “My best friend Paul Peterson’s mom died of breast cancer, so this is something we are doing in honor of her now.”

“Lawrence Memorial Hospital gave me options, including the right cancer research trial. They gave me hope and saved my life.”

TammieBreast cancer survivor

Grand Opening: Mario’s Closet


8

Innovation Mattersadvancing technology for improved patient care and quality

In July 2011, LMH was one of only 154 U.S. hospitals to be named “Most Wired” in a national survey published by Hospitals & Health Networks magazine. The study assessed nearly 1,400 hospitals and health systems on progress toward adopting more advanced health information technology, including electronic health records (EHRs), wireless networks, computerized physician order entry and more.

“Being named one of the country’s Most Wired hospitals is an honor,” said LMH President and CEO Gene Meyer. “It recognizes our long-term vision that LMH distinguishes itself over other providers through the use of information technology.”

LMH Receives National Recognition as “Most Wired”

LMH 2011 Achievements in Electronic Health

Records

• LMH became the first hospital in the region, and one of only 15 hospitals in the state, to attest to meaningful use of EHRs.1 For meeting 2011 meaningful use objectives in the first year of the federal incentive program, LMH received a $1.6 million Medicare incentive payment.

• LMH is among 304 health systems worldwide that have achieved Stage 6 of the Electronic Medical Records Adoption ModelSM, putting LMH in the top 6.4 percent of 5,337 hospitals in the HIMSS Analytics™ Database. HIMSS reports that most U.S. hospitals (45 percent) are in currently in Stage 3.2

1 Centers for Medicare & Medicaid Services, Meaningful Use Attestation, 2012.2 Healthcare Information and Management Systems Society (HIMSS), HIMSS Analytics™ Database, Stage 6 Hospitals, www.himssanalytics.org/hc_providers/stage6Hospitals.asp (accessed January 2012).


“One walk through the halls of LMH and you’ll feel it – excellence is our business.”

Donna Osness Former Member, LMH Board of Trustees and Quality Committee Chair

9

advancing technology for improved patient care and qualityLab Expansion Enables More In-House Testing It was a year in the making, and in May 2011, LMH unveiled its newly remodeled and widely expanded laboratory. As the hospital’s hub of pathology – where hundreds of thousands of tests are performed every year to diagnose and study disease – the new lab and its technologically advanced equipment now accommodate more in-house testing than ever before. The space also includes a new waiting area for patients and more private spaces for blood draws. The laboratory at LMH is open 24 hours a day, seven days a week. Its 75 employees include highly skilled and accredited pathologists, technologists and phlebotomists, all of whom share LMH’s steadfast commitment to quality and patient safety.

In 2011, the LMH Breast Center reached its goal to offer digital imaging

technology at all three Breast Center locations: LMH South, LMH West and

now, the LMH hospital campus.

LMH Breast Center: Now with Digital Mammography in Three Locations

Digital imaging boosts quality of care by allowing physicians to view results in greater detail. It also enables greater collaboration among care team physicians by allowing radiologists and surgeons, for example, to view the same images simultaneously regardless of their locations.

Breast BREASTThink Think

H E A LT H

BreastThink

H E A LT H

H E A LT H

1.2.

3.

BreastThink3.

Health

BreastThink4.

HealthBreastThinkHealth

BreastThink4.

HealthFinal_LMH_Annual_Report.indd 13 6/8/2012 12:15:26 PM

Connections Matter

LMH Community Care Navigators Reduce Readmission Rates

Since LMH started its community care navigator program, the hospital has lowered 30-day readmission rates among the uninsured, Medicaid and chronic disease population it serves – in some cases by as much as 68 percent. By creating low cost, high impact connections between hospital care, primary care, specialty care, home care and community resources, LMH’s community care navigators are coordinating patient care for better outcomes, lower costs and higher quality health care. The most recent 12-month data shows a 9 percent hospital-wide drop in 30-day readmission rates for acute myocardial infarction (heart attack) and 7 percent for heart failure, as compared to historical rates.

It’s already helped a family as

far away as South Korea. In 2011,

LMH launched an online course

to help moms and dads prepare

for baby’s birth. One American

couple overseas took the course

last fall when they had difficulty

finding an English-speaking

obstetrician who would answer

all their questions. To them, the

LMH e-course was a “saving

grace.” Locally, it’s more about

convenience. With learning

modules on pregnancy, childbirth,

postpartum recovery and

newborn care, parents can learn

at their own pace in the comfort

of their homes. The high-tech,

high-touch approach includes

videos, activities, quizzes and

downloadable printouts, as well

as a one-time, in-person session

with a childbirth instructor.

e-Childbirth Prep: LMH Offers OnlineClasses for Parents-to-Be

reaching out for a healthier community

For more quality connections in the community, LMH enhanced its online presence in 2011 to include social media. Find LMH on:

LMH Goes Social

10


It’s already helped a family as

far away as South Korea. In 2011,

LMH launched an online course

to help moms and dads prepare

for baby’s birth. One American

couple overseas took the course

last fall when they had difficulty

finding an English-speaking

obstetrician who would answer

all their questions. To them, the

LMH e-course was a “saving

grace.” Locally, it’s more about

convenience. With learning

modules on pregnancy, childbirth,

postpartum recovery and

newborn care, parents can learn

at their own pace in the comfort

of their homes. The high-tech,

high-touch approach includes

videos, activities, quizzes and

downloadable printouts, as well

as a one-time, in-person session

with a childbirth instructor.

e-Childbirth Prep: LMH Offers OnlineClasses for Parents-to-Be

reaching out for a healthier communityPeople Matter

expanding the patient care team

Everyone at LMH shares a commitment to high quality health care. Physicians who practice at LMH are board certified or board eligible, which demonstrates exceptional expertise in their respective medical specialties or subspecialities. In 2011, LMH welcomed the following new physicians to the team:

Michele Bennett, MD Lawrence OB-GYN SpecialistsDr. Bennett, a Lawrence native, earned her medical degree at the University of Kansas School of Medicine and completed her OB-GYN

internship and residency at the University of Utah Hospitals & Clinics. She is board eligible in Obstetrics and Gynecology.

Luke Huerter, MD The Oncology Center at LMHDr. Huerter earned his medical degree from the University of Kansas School of Medicine. He completed his residency at the University of Utah

Hospitals & Clinics, where he also completed a fellowship in Hematology/Oncology. Dr. Huerter is board certified in Medical Oncology and Internal Medicine.

Ryan Stuckey, MDOrthoKansas, P.A.Dr. Stuckey completed his medical degree and residency at the University of Kansas School of Medicine, as well as a spine surgery fellowship at Texas

Medical Center. He is board certified in Orthopedic Surgery and is the only spine surgeon in Lawrence.

“I come to work every day with a sense of purpose. We all do.”

AngelaLMH Nurse

11

Robert J. Gorman, MD Lawrence Hospitalist PhysiciansDr. Gorman received his medical degree from the University of Missouri-Columbia School of Medicine and completed his residency

at the University of Missouri Health Care and Children’s Hospital. He is board certified in Internal Medicine.


Leadership MattersBoard of Trustees

Back Row (left to right): Joe Flannery, Allen Belot, Rob Chestnut, Mike Wildgen, Chuck Heath Front Row (left to right): Charles Yockey, MD (ex-officio), Gina Pacumbaba-Watson, Jane Blocher, Judy Keller, Lee Reussner, MD

Board of TrusteesJudy Keller, Chairperson Allen Belot, Vice ChairpersonMike Wildgen, Secretary Chuck Heath, Treasurer Jane BlocherRob ChestnutJoe FlanneryGina Pacumbaba-Watson Lee Reussner, MDCharles Yockey, MD (ex-officio)

LMH Administrative CouncilGene Meyer, President & Chief Executive OfficerCarolyn Bowmer, Vice President, Human ResourcesKathy Clausing-Willis, Vice President & Chief Development OfficerSheryle D’Amico, Vice President, Physician DivisionJanice Early, Director, Marketing & Business DevelopmentDana R. Hale, Vice President, Nursing ServicesJane A. Maskus, Vice President & Chief Information OfficerJoe Pedley, Vice President & Chief Financial OfficerKaren Shumate, Chief Operating OfficerSherri Vaughn, MD, Vice President, Medical Affairs

LMH Auxiliary Board Sharon Stultz, PresidentProctor Crow, Vice PresidentSuzie Craig, SecretaryShirley Anderson, TreasurerMary Arensberg, Past PresidentErma DiekerCarol FalenJoanne HurstDianna Nelson

Medical Executive CommitteeCharles Yockey, MD, Chief of StaffEric Huerter, MD, Vice Chief of StaffJohn Keller, MD, Secretary

Department ChiefsDan Roelofs, DDS, AnesthesiaSabrina Prewett, DO, Emergency MedicineJoy Murphy, MD, Family PracticeMolly Imber, MD, Internal MedicineTiffinie Mercado, MD, OB-GYNMike Thompson, MD, PathologyMarshall Kelley, MD, PediatricsRobert Knight, MD, RadiologyDouglas Klingler, MD, Surgery

Lawrence Memorial Hospital Endowment Association Board of DirectorsCarla Phipps, MD, PresidentKurt von Achen, Vice PresidentTed Haggart, TreasurerMarilyn Dobski, SecretaryDale Denning, MDStacey DillonSandra GauttMary Jane GrinterJon Heeb, MDMatt HoyTeresa Mulinazzi KempfShade Keys LittleRita “Peach” MadlJeffrey MorrisonDick Orchard, MDBeverly RoelofsJean ShepherdValentino J. Stella, PhD

Ex-OfficioGene Meyer, LMH President & CEOJoe Flannery, LMH Board of TrusteesMary Arensberg, LMH Auxiliary Board of DirectorsKathy Clausing-Willis, LMH Vice President & Chief Development Officer

12


Medical Executive CommitteeCharles Yockey, MD, Chief of StaffEric Huerter, MD, Vice Chief of StaffJohn Keller, MD, Secretary

Department ChiefsDan Roelofs, DDS, AnesthesiaSabrina Prewett, DO, Emergency MedicineJoy Murphy, MD, Family PracticeMolly Imber, MD, Internal MedicineTiffinie Mercado, MD, OB-GYNMike Thompson, MD, PathologyMarshall Kelley, MD, PediatricsRobert Knight, MD, RadiologyDouglas Klingler, MD, Surgery

Lawrence Memorial Hospital Endowment Association Board of DirectorsCarla Phipps, MD, PresidentKurt von Achen, Vice PresidentTed Haggart, TreasurerMarilyn Dobski, SecretaryDale Denning, MDStacey DillonSandra GauttMary Jane GrinterJon Heeb, MDMatt HoyTeresa Mulinazzi KempfShade Keys LittleRita “Peach” MadlJeffrey MorrisonDick Orchard, MDBeverly RoelofsJean ShepherdValentino J. Stella, PhD

Ex-OfficioGene Meyer, LMH President & CEOJoe Flannery, LMH Board of TrusteesMary Arensberg, LMH Auxiliary Board of DirectorsKathy Clausing-Willis, LMH Vice President & Chief Development Officer

Financial Highlights 2011 2010 Revenues: Gross patient service revenues $425,898,266 $387,286,623 Revenue deductions (Medicare, Medicaid and other discounts) (233,210,422) (207,677,093)Charity care (10,505,000) (7,985,000)Net patient service revenues 182,182,844 171,624,530 Other operating revenue 3,001,077 1,342,733 Net Operating Revenue $185,183,921 $172,967,263 Expenses: Salaries $64,988,245 $61,569,331 Employee benefits 13,625,988 12,732,172 Medical professional fees 13,877,896 13,095,144 Purchased services 8,591,619 7,318,421 Supplies 27,669,564 25,890,736 Utilities 2,387,044 2,248,704 Miscellaneous expense 1,017,307 1,308,063 Kansas Provider tax assessment 530,881 531,448 Repairs and maintenance 6,900,786 6,492,911 Depreciation & amortization 10,265,823 9,934,014 Loss on sale or disposal of property 4,981 162,762 Insurance 837,110 939,336 Other capital costs 2,324,354 2,191,564 Interest 3,573,003 3,253,878 Provision for uncollectible accounts 19,045,700 16,570,200 Total Expenses $175,640,301 $164,238,684 Operating Income: $9,543,620 $8,728,579 Available for facility improvements, new equipment and services to meet the health care needs of the community Additions to Capital Assets: $14,081,355 $10,659,968Construction, equipment purchases and facility improvements


2 0 1 1 A n n u a l R e p o r t

LMH is a 173-bed not-for-profit hospital owned by the City of Lawrence, Kansas. LMH receives no tax support from the city or county and serves the community’s health care needs regardless of individuals’ ability to pay. Dedicated to improving the health of the community, LMH invests all excess revenues in services, equipment and facilities that further the mission. Inquiries about this annual report or requests for additional copies should be sent to the Marketing Department, Lawrence Memorial Hospital, 325 Maine, Lawrence, KS 66044, (785) 505-3130.

LMH does not discriminate on the basis of race, color, national origin, age, disability, gender or sexual orientation in providing services to patients or the public, nor in relation to employment practices.

325 Maine Street • Lawrence , KS 66044 • 785-505-5000 • www. lmh.org


annual-report-2011

Documents