Berger Health
Spring 2015
Skin cancer
Play defense Protect your skin from the sun
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eing outdoors is often a choice and at other times a necessity, whether you’re enjoying a walk in the neighborhood or doing yard work. If you spend time outside, consider this a must-do: Defend yourself against the sun’s dangerous rays. Skin cancer is the most common type of cancer. But the good news is there are simple things you can do to help prevent skin cancer or detect it early enough so it can be effectively treated. To help protect your skin, the American Academy of Dermatology and other experts advise that you: Make sunscreen a habit. Choose a broad-spectrum one with a sun protection factor (SPF) of 30 or higher. Apply it generously and often. Try to seek shade between 10 a.m. and ONWARD TOGETHER 4 p.m., when the sun’s Share your thoughts about rays are strongest. Connections at facebook.com/ Avoid tanning beds and bergerhealthsystem. deliberately tanning. Wear wide-brimmed hats, long-sleeved shirts, pants and sunglasses when outdoors. Examine your skin from head to toe at least once a month. Report any suspicious or problem spots to your doctor. Ask your doctor how often you should have a skin exam. By taking these steps, you can enjoy the outdoors and lower your risk of getting skin cancer.
A FAMILIAR FACE
Nicholas Benner, DO, board-certified dermatologist, is back in his home area seeing patients at Berger Medical Center. Call 740-420-8655 for an appointment! Read more on page 4.
CALENDAR OF EVENTS
Representatives from Berger Health System and OhioHealth at the recent signing ceremony
Tuesday, May 12, 6 to 7 p.m. Pale Is the New Tan Nicholas Benner, DO Berger Hospital, Community Room 600 N. Pickaway St., Circleville An informal discussion on dangers of sun exposure, demonstrations of unseen sun damage with ultraviolet light, and options to repair and minimize further damage. Light refreshments will be served. Please call 740-420-8159 to reserve your seat at this event.
Thursday, May 21, 4 to 7 p.m. Berger Health System Open House and Touch-A-Truck Community Event 600 N. Pickaway St., Circleville Second annual event to see the latest health care technology and advancements at Berger Hospital. Climb aboard trucks and service vehicles of every shape and size. Free family fun, food, prizes and a chance to win a $500 Visa gift card.
Saturday, June 13, 10 a.m. Butterfly Remembrance Ceremony Berger Hospice Mary Virginia Crites–Hannan Park Berger Hospice hosts the third annual butterfly release ceremony to honor lost loved ones. Songs of faith, butterfly blessing and the release of butterflies to symbolically lift the prayers and wishes of the attending families.
2 Berger Health • Spring 2015
Together, we’re stronger than ever
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he first day of the new year is an exciting time for everyone. For residents of Pickaway County, Jan. 1, 2015, marked the beginning of enhanced health care—through a partnership between Berger Health System and OhioHealth. As partners, Berger and OhioHealth are working together to provide the best care possible to the community while remaining independent. “Instead of acting independently and competitively with all others, tomorrow’s successful hospitals will work in true partnership with neighboring hospitals, physicians and postacute care providers to ensure they can long serve their communities,” says Tim Colburn, president and CEO of Berger Health System. “Our partnership will enable us to meet and overcome industry and regional challenges while keeping care local.”
Building on success At its core, the partnership between Berger and OhioHealth is a joint commitment by the two organizations to bring expert care close to home for local patients. Berger and OhioHealth have a strong history of collaboration, having teamed up to bring cardiology experts to Pickaway County. The partnership will build upon this success and continue to enhance local access to cardiology services. It will expand access to primary care, neurosciences and more specialties. “We couldn’t be happier about this new
partnership,” says Mike Louge, executive vice president and chief operating officer of OhioHealth. “In the midst of all the change we are going through in health care, this partnership positions each organization for a strong future. Working together, we can utilize the best of both systems to enhance quality, improve efficiency and, most importantly, keep more care local to this community. Our partnership will position both of us to better serve our communities in this new era of health care.” Berger and OhioHealth’s partnership will directly benefit patients and the community by: Expanding local primary care. Enhancing local specialty services. Increasing access to talent and new competencies. Building on Berger’s 85-year legacy of service to Pickaway County. “Most importantly,” says Don McIlroy, Berger Board of Governors chairman, “through this partnership, Berger and OhioHealth will deliver high-quality local care for patients and remain a vital community asset for Circleville and Pickaway County for years to come.”
Berger a ‘Top Performer’ for third year
Jody Roese, RN, center, with a patient family during a health coaching visit.
Keeping you in good hands Berger Health System’s continuity of care helps you get well—and stay out of the hospital
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hat’s better than Berger Health System when you need hospitalization? Our dedication to your recovery, both during and after your hospital stay. Recent government data show that Berger is consistently reducing the number of patient readmissions, and it is one of only a few hospitals in Central Ohio seeing a significant drop in readmission penalties. Berger’s lower readmission rate is in part attributed to initiatives that help patients keep to the path of recovery after they leave the hospital. At Berger, quality of care does not end at discharge—we monitor patients recovering at home, a rehabilitation center or a skilled nursing facility to ensure that the same high quality of hospital care is continued in other settings. “We have implemented evidence-based care protocols to provide care during the hospital stay, and they are continued when our patients are discharged from the hospital,” says Keith Holten, MD, chief medical officer for Berger Health System. “Often, it’s finding the right settings for the right reasons, whether it’s home health care, skilled nursing or hospice. We maintain a relationship with our patients through their community care transition.”
Breaking down barriers Other Berger initiatives to prevent readmissions focus on ensuring that barriers to
proper care—such as transportation, access to primary care and medication adherence—are overcome. After discharge, Berger’s volunteer health coaches check on patients, arrange trips to follow-up appointments and increase communication. Berger also recently partnered with MedaCheck, a new technology for home medication compliance. All the information from these initiatives flows back to a care management team that meets regularly to proactively help patients avoid readmission. “We are proud of the efforts of our clinical and nonclinical staff members meeting and exceeding the expectations of Medicare guidelines. We are motivated to improve our community-based systems of care,” Dr. Holten says. “Berger Health System has implemented innovative communitywide protocols to reduce readmissions. To be recognized and rewarded for progressive improvement in reducing our patient readmissions is a bonus.”
5 ways to make sure you’re using your medication correctly 1. When you go to your doctor's office, the pharmacy or the hospital, bring a list or a bag with all your medicines.
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erger Health System has been designated a 2013 Top Performer on Key Quality Measures by The Joint Commission, the leading accreditor of health care organizations in the United States—one of only 314 hospitals in the country to achieve the Top Performer distinction for three consecutive years. Berger was recognized for attaining and sustaining excellence in pneumonia and surgical care. Berger was also recognized in 2011 and 2012 for its performance in pneumonia and surgical care. “We understand that the quality of care is what matters the most to our patients. For this reason, we are continually integrating the latest evidence-based practices into our care processes,” says Tim Colburn, president and CEO of Berger Health System. “Berger is proud to be named a Top Performer as it recognizes the knowledge, teamwork and dedication of our physicians, nurses and other clinical team members.” The Top Performer program recognizes hospitals for improving performance on evidence-based interventions that increase the chances of healthy outcomes for patients. Hospitals had to meet three performance criteria based on accountability measure data.
2. Ask questions about your medicines. 3. When you go to the pharmacy, make sure your medicine is what the doctor ordered. 4. Ask how to use the medicine correctly. 5. Ask about possible side effects. Source: Agency for Healthcare Research and Quality
www.bergerhealth.com 3
HEALTH NEWS Primary care providers
A good health must-have
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ne of the best things you can do for your health is to have an ongoing relationship with a primary care doctor, experts say. A primary care doctor is the lead person on your health care team. He or she helps you prevent disease and maintain good health. Your primary care doctor is able to diagnose and treat a variety of illnesses. If you need more specialized care, he or she works with other types of doctors. There are a number of different types of health care providers who fall into the primary care category. For example: Family physicians. These doctors diagnose and treat problems that occur anywhere in the body. They treat people of all ages. Internists. Like family physicians, they also treat a wide variety of medical problems. The difference is that internists focus entirely on adults. Pediatricians. These doctors are experts in children’s health. They work on preventing and managing health problems among newborns, infants, children, teens and even young adults. In addition to those mentioned, other medical professionals can also serve as primary care providers. These may include nurse practitioners, physician assistants and some other health care providers. Often they work in conjunction with a primary care physician.
LOOKING FOR DR. RIGHT?
Find the best health care provider for you at www.bergerhealth.com. Click on "Meet the Team" to view photos, office locations and contact information.
Thank you, Dr. Moshtaghi Berger Health System and community show their appreciation at retirement celebration
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urgeon Faryar Moshtaghi, DO, mentored hundreds of physicians and cared for thousands of patients in Central Ohio during his 39-year career. Berger Health System praised these accomplishments and more at a retirement celebration at Pickaway Golf Club. “Dr. Moshtaghi’s commitment to the community epitomizes community health care,” says Tim Colburn, president and CEO of Berger. He “established many lasting friendships during his unwavering service to the residents of Pickaway County and surrounding areas.” Dr. Moshtaghi, who held privileges at both Berger and Doctors West, established his surgery practice in Circleville in 1975. He was one of the first local surgeons to extensively perform laparoscopic surgery.
4 Berger Health • Spring 2015
Faryar Moshtaghi, DO, right, with incoming surgeon Jason Shoemaker, DO.
WELCOME, NEW DOCTORS Nicholas Benner, DO “I was inspired to study medicine so that I could give back to the community where I grew up,” dermatologist Dr. Benner says. He treats a broad spectrum of skin conditions—from acne and wrinkles to rare diseases and disorders. Dr. Benner is accepting new patients at Berger Medical Center, 9085 Southern St., Suite 200C, in Orient. To schedule an appointment, call 740-420-8655. Seth Rials, MD A board-certified electrophysiologist, Dr. Rials provides diagnostic studies and specialty cardiology services through the OhioHealth Heart and Vascular Physicians offices, located at Berger Hospital’s Medical Office Building, 600 N. Pickaway St., Suite 102, in Circleville. To schedule an appointment, call 740-420-8174. Anupreet Kaur, MD Dr. Kaur specializes in family medicine and sees patients 5 years and older at Pickaway Health Services (PHS). Her office is in the Professional Arts Building on the Berger campus, 210 Sharon Road, Suite D, in Circleville. Dr. Kaur earned her medical degree in India and completed her residency in Tennessee. She has special interests in women’s health and geriatrics. New patients are welcome. Call the PHS central scheduling office at 740420-8422 to schedule an appointment.
Medical expertise and compassionate care
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erger holds itself to the highest standards when recruiting quality physicians and advanced practice providers to the community. Here is a list to help you find a provider.
CARDIOLOGY
HOSPITAL MEDICINE
Daniel Evans, DO Gregory Lam, MD Daniel Mudrick, MD Seth Rials, MD Monica Riffle, CNP
Ram Bandagi, MD Jill Barno, MD Ekundayo Bolaji, MD Steven Burks, MD Carolyn Whatley, MD
COLON & RECTAL SURGERY
INTERNAL MEDICINE
Jaswant Madhavan, MD Anantha Padmanabhan, MD
DERMATOLOGY Nicholas Benner, DO
GASTROENTEROLOGY William Emlich, DO
GYNECOLOGY
Jennifer Regan, MD Joy Shields, MD Richard Villarreal, MD
PEDIATRICS
Kimberly Brown-Dean, MD Lenora Fitton, DO Linda Iskra, MD Gayle Melnick, DO Angela Moore, DO Denise Tulga, CNP
PODIATRY
NEPHROLOGY
Saleem Bharmal, MD Abdus Malik, MD Laura Miller, DO Brian Mussio, DO
NEUROLOGY
Bryan Berger, MD Kenneth Mankowski, DO Obinna Moneme, MD
NEUROSURGERY Chris Bonasso, MD
OBSTETRICS & GYNECOLOGY David Goldfarb, MD Carolyn Yost, DO Barbara Poole, CNM
OCCUPATIONAL MEDICINE Brent Cale, MD
ONCOLOGY & HEMATOLOGY
Sudhathi Chennuru, MD Anitha Nallari, MD
TESTS
by age for MEN
Raj Swain, MD
INTERVENTIONAL RADIOLOGY
FAMILY MEDICINE
SCREENING
PAIN MANAGEMENT
PHYSICAL MEDICINE & REHAB
Timothy Drankwalter, DO Timothy Nash, DO Nancy Alkire, MD Kristy Blum, MD John Bohlen, MD Vernon Bolender, MD Donald Fouts, DO Gary Gillen, MD Keith Holten, MD Anupreet Kaur, MD James Mosley, MD Kevin Sellers, MD Gretchen Reis, MD Connie Warren, MD Susan Bailey, CNP Clarisse Evans, CNP Melissa Pippin, CNP
Daniel Ianni, DO Michael Lefkowitz, MD Robert Mueller, MD Stephen Olson, MD
David McMahon, MD Arnold Palmer, DO Yadwinder Singh, MD
Sumit Bhatla, MD Eric Dolen, MD John Lippert, MD Jeffrey Silber, MD
EAR, NOSE & THROAT
ORTHOPAEDIC SURGERY
JUNE IS MEN’S HEALTH MONTH
James Sardo, MD
Edward Caplan, DPM Macaira Dyment, DPM Brock Liden, DPM Robert VanCourt, DPM
Ask your doctor about any tests you might need.
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BLOOD PRESSURE
Start screening at least every 2 years.
CHOLESTEROL
Start screening every 5 years.
PULMONARY & SLEEP MEDICINE
30
DIABETES
RADIOLOGY
45
DIABETES
50
COLORECTAL CANCER
Farooq Sattar, MD David Raiken, MD
SURGERY, GENERAL Robert Kloos, DO Joy Leverich, MD
SURGERY, VASCULAR
Roger Amigo, DO George Ho, MD
VEIN SERVICES Joy Shields, MD
WOUND CARE & HYPERBARIC OXYGEN THERAPY Sherman Katz, MD Joy Leverich, MD Brock Liden, DPM Joy Shields, MD Robert VanCourt, DPM
Start screening at least every 3 years.
Talk to your doctor about screening options.
PROSTATE CANCER*
John DeWalt, DO
UROLOGY
Ask your doctor about screening.
Ask your doctor about screening.
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ABDOMINAL AORTIC ANEURYSM
70
OSTEOPOROSIS
Get screened once between ages 65 and 75, ‚ if you ve ever smoked.
Start screening, depending on your risk factors.
These recommendations are for most men. Talk with your doctor about what’s right for you. *African American men should talk with their doctor at age 45. Sources: American Cancer Society; American Heart Association; National Institute of Diabetes and Digestive and Kidney Diseases; National Osteoporosis Foundation
www.bergerhealth.com 5
COMMUNITY ALWAYS
Berger Health System
Evolving for you
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or 85 years, Berger Health System has been a vital resource for Pickaway County. This is a responsibility we take very seriously, and it plays a significant role in how we think about evolving our organization to ensure that we continue to thrive in the future. And the future is something Berger’s leadership thinks about on a daily basis. The health care industry as a whole is in a period of rapid transformation. As a result of health care reform and tightening federal, state and local budgets, change is occurring at every hospital in the nation—and the pace of change is only accelerating as health care providers are being asked to do more with less. This climate has resulted in a complex set of challenges for all hospitals. Some of these include: The demand for greater scale as costs of care rise.
6 Berger Health • Spring 2015
Tim Colburn, CEO The drastic changes in how hospitals are paid, moving from fee-for-service to pay-forperformance. The need for hospitals and physicians to work more effectively in improving both quality and efficiency of health care. The focus on population health management, moving our industry from one that treats illness to one that keeps people healthy. The reality that an increasing number of patients are willing to travel for their care.
Milestones in our success Over the last couple of years, Berger has achieved a number of significant milestones that will help to drive us successfully into the future. After 63 years, the city and county entered into an amended and restated agreement
related to the operation and ownership of Berger Hospital. With cooperation from the city and county, in 2014, we strategically refinanced our debt. Berger began a capital campaign in June 2013 to raise $3 million to convert our semiprivate rooms to single-patient rooms. Thanks to the generous support of our owners and community members, we exceeded our goal in early 2015. We have added (directly or through collaboration) six new physicians to the community since 2013 to replace departing providers, enhance existing services or to provide new services. These new physicians work in general surgery, dermatology and family medicine. We continue to identify and implement operational effectiveness. A few examples include contracting for anesthesia services and wound care; contracting with Aramark to provide nutrition services; and expanding community services in pain management, vein treatment and ear, nose and throat treatment. We have also consolidated a number of leadership positions to more effectively and efficiently manage the organization. In 2014, Berger began collaborating with the Columbus Neighborhood Health Center to bring federal dollars to Pickaway County to retain and support primary care providers. On Jan. 1, 2015, Berger launched our partnership with OhioHealth, through which we are focused on pursuing opportunities to improve local health care services and the local economy.
Looking ahead As the industry changes, so too does Berger. We work daily to identify and implement solutions to address the challenges of tomorrow—which will sometimes require difficult decisions. Our efforts have and will continue to focus on ensuring that our patients have access to high-quality care close to home and that our community benefits from Berger Health System. We thank the community for its support in 2014 and look forward to even more success in 2015 and beyond.
Care first. Community always.
FINANCIAL HIGHLIGHTS (PER AUDITED FINANCIALS)
2014
2013
Net charges for patient services
$65,685,629
$65,849,675
Non-operating revenue and donations
$297,640
$60,861
Other operating revenue
$2,768,596
$3,211,630
Total revenue
$68,751,865 $69,122,166
Salary and wages
$22,034,476
$23,004,196
Employee benefits
$6,334,841
$6,969,633
Employees 570
Operating supplies and other
$19,214,745
$19,568,601
Licensed practical nurses 29 Registered nurses 132
Professional services and consultant fees
$5,603,196
$4,182,733
Purchased services
$6,866,539
$5,679,556
Depreciation and amortization
$4,410,201
$4,574,774
Interest expense
$630,985
$714,192
State hospital assessment
$1,048,178
$1,125,484
Total expenses
$66,143,161 $65,819,169
Provisions for future services (net income)
$2,608,704
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erger Health System is celebrating another busy year of caring and working for the community. As we look to areas of community support and financial highlights, we are reminded of our mission: “We will advance quality, compassionate care, personal health and community well-being.”
2014 WORKFORCE
Employed physicians 22 Physician extenders on staff 32 Physicians on staff 240 Technicians 123 Volunteers 120
SERVICE STATISTICS
$3,302,997
2014
2013
Total admissions
2,375
2,557
Newborn admissions
369
375
Emergency department visits
27,923
28,203
Medicaid loss
$1,834,034
Outpatient surgical procedures
4,866
3,618
Medicare loss
$3,406,175
Outpatient radiology procedures
229,422
236,466
Charity care
$1,250,225
Outpatient laboratory procedures
248,979
250,415
Bad debt
$5,037,092
Community health improvement services
$465,864
BOARD OF GOVERNORS 2014
Community benefit operations
$100,114
Mayor Don McIlroy, chairman Mark Leatherwood, vice chairman Angela Klett, treasurer Martha Hang, secretary
Community development
$34,774
Women's and children's services
$17,000
Shirley Bowser Don Fouts, DO Pamela Mets David Moss Gopinath Nair, MD Charles Wiggins
MAJOR AREAS OF COMMUNITY SUPPORT 2013
www.bergerhealth.com 7
Berger Health Foundation 1280 N. Court St. Circleville, OH 43113
Nonprofit Org. U.S. Postage
PAID
Midland, MI Permit No. 8
“Berger Health System’s mission: To advance quality, compassionate care, personal health and community well-being.”
Capital campaign paves way for new patient experience
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erger Health Foundation’s Building on Tradition capital campaign has reached its successful conclusion! The campaign, which is funding the transition of Berger Hospital’s inpatient facilities into single-patient rooms, received over $3.2 million in community support. The new single-patient rooms will have a dramatic effect on the patient experience at Berger Hospital. By keeping hospitalized patients separate, Berger will be able to better control the flow of patients and staff, greatly improving efficiency. The new rooms also incorporate the highest safety standards, including ambient lighting and safety rails. Additionally, the single-patient rooms will provide increased privacy and comfort. Families now have the opportunity to stay with and advocate for patients in a technologically advanced environment. These improvements would not have been possible without the outstanding support of the community. Each donor who made a contribution helped the campaign achieve an unprecedented level of success. Construction of 10 new single-patient rooms on the second floor was completed in March, and patients were placed in the new rooms in April. Construction is proceeding on the third floor with the expected completion of 21 additional singlepatient rooms by fall 2016. After this project’s completion, Berger will have
If you would like to contribute to ongoing projects at Berger Health Foundation, please visit www.bergerfoundation.org.
CONNECTIONS is published as a community service for the friends and patrons of BERGER HEALTH. Information comes from a wide range of medical experts. If you have any concerns or questions about specific
content that may affect your health, please contact your primary care provider. Models may be used in photos and illustrations. 2015 © Coffey Communications, Inc. All rights reserved. CMM31265
31 single-patient rooms for general medical/surgical patients. This represents a decrease of 10 medical/ surgical beds, but it is in line with anticipated national and local trends for decreasing inpatient usage and shorter lengths of stay. Berger will have fewer inpatient beds, but all of them will be private rooms that will enhance the patient experience and promote a healing environment. This campaign represents an outstanding partnership between Berger Hospital and the community. It is with the support of the donors that Berger, a local community hospital, can now provide the national standard of care.
INVEST IN GREAT HEALTH CARE