2 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
From the president: Our role grows to better serve I
Gazette
THE HOSPITAL now has 164 beds and annual revenue of about $143 million.
1914-2014
IRMC celebrates past with eye on future Year shapes up as busy one for hospital By RANDY WELLS
rwells@indianagazette.net
A $50 million renovation and expansion project is underway that will define some of the hospital’s capabilities for the next 30 to 40 years. And IRMC is observing its 100th anniversary with events, publications and videos looking back at the people who helped cement its place in the county and region. Anyone who doubts the importance of the hospital in the local economy should consider some statistics from hospital President and CEO Steve Wolfe:
• It takes about $3 million per week to operate IRMC. • The hospital’s annual payroll is approximately $86 million. • Hospital revenue is roughly $143 million annually. About 60 percent of it is generated by outpatient services and 40 percent comes from inpatient services. • Of the care provided by IRMC, about 50 percent involves Medicare reimbursements and approximately 11 percent involves medical assistance payments. • Charity care has been going up dramatically. IRMC now provides about $7.6 million worth of free care annually. • IRMC’s countywide market share is 56 percent — meaning 56 percent of county residents who are hospitalized go to IRMC. For the interior two-thirds
of the county, the market share figure rises to 69 percent. • Annually, the hospital has about 1,000 admissions and 15,000 outpatient visits by people living outside of Indiana County.
t would be difficult to measure the impact this hospital has had on the quality of life of people we serve both in Indiana County and beyond during our 100 years. We have been the caretakers for their health and well-being, and the business stewards for the economic impact Indiana Regional Medical Center has had on the region. It is no small thing to be taken for granted, and as we move forward, the number of true community hospitals seems destined to dwindle. We believe we are in a unique position to try to maintain that special community ownership here. So many generations have sacrificed and worked hard so we could have what we have today. Many worked for hardly anything at all. For some, it was really a mission, a ministry. We are honored to be a part of where we are now and where we are headed. On behalf of Indiana Regional Medical Center, I would like to thank everyone who has played a role in our evolution. We will continue to honor our humble past and embrace our exciting future.
STEVE WOLFE President and CEO since 1999
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IN THE BEGINNING Despite its size and influence today in the county, IRMC was not the first hospital in Indiana County. It was preceded in the first decade of the 20th century by small community hospitals in Blairsville, Dixonville, Saltsburg and in downtown Indiana. In 1907, an Indiana County Hospital Association was revived to solicit and collect money to build a new hospital. Three years later, Adrian Iselin, of New York City, a member of the family that owned the Rochester & Continued on Page 4
INDIANA REGIONAL MEDICAL CENTER
Indiana Gazette IRMC Centennial, Saturday, November 1, 2014— 3
NAVIGATING YOUR SUCCESS
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4 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Congratulations IRMC
100 years 1914: Indiana Hospital, with 40 beds and 13 private rooms, is dedicated.
1915: The first class of nurses begins studies at the hospital’s School of Nursing.
1917: The hospital’s porches are enclosed to make room for patients.
IRMC celebrates past with eye toward future / #FO 'SBOLMJO 3E *OEJBOB t t JDZNDB PSH
Continued from Page 2 Pittsburgh Coal Company, pledged to financially support the establishment of a hospital if county residents would contribute money for the land and a building. A campaign raised $17,000 to buy 55 acres of land where IRMC was built and opened in 1914. Iselin donated $125,000 for the building. His sister Georgine Iselin contributed $16,000 for instruments and furniture. Another sister, Eleanora Iselin Kane, donated what was then a modern motor ambulance with the necessary equipment. And a brother, Columbus O. Iselin, donated X-ray equipment that cost $1,600. In the century that followed, Indiana County residents repeatedly supported capital campaigns to help finance expansions of the hospital as its main campus grew and as the hospital ex-
ADRIAN ISELIN JR., 1846-1935, was a prime benefactor to the hospital. panded with satellite facilities and a larger staff that provided more services.
EXPANSION In the 1990s, the hospital strengthened its market position by branching out into the county and beyond. Family medicine offices and other outreach centers in Cherry Tree, Plumville, Barnesboro,
Marion Center, Clymer, Bolivar and Homer City brought hospital-related services closer to more of the region’s population. IRMC at Chestnut Ridge, a comprehensive ambulatory care facility with an Urgicare center that opened in 2009 in Burrell Township, significantly boosted the hospital’s market share in southern Indiana County. “As far as plans for other satellites, I’d say they’re minimal,� and if considered would probably involve an Urgicare type of concept, Wolfe said. In 2007, hospital administrators and directors — acting primarily from a business point of view — purchased the naming rights for a new pedestrian plaza along Indiana’s North Seventh Street. The hospital took down some billboards to create cash flow for the purchase Continued on Page 5
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Congratulations IRMC, for 100 years of caring for our community.
Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 5
100 years 1918: Patients included people sickened by the Spanish flu. More than 100 Indiana County residents die during the pandemic.
1931: A new three-story wing opens, increasing the number of beds to 154.
1939: The Mack Wing, dedicated to the care of maternity patients, opens with a total of 50 beds.
IRMC embraces past, looks ahead
Submitted photo
AN AERIAL photo of the hospital in its early days.
Thank you...
Continued from Page 4 and in March formally opened the outdoor space as “IRMC Park.� Under the name-purchasing agreement, IRMC uses the plaza several days a year for community health fairs, health care education seminars and health care screenings. A major centennial construction and renovation project now underway on the hospital’s main campus is designed to keep the hospital well-positioned from business and health care standpoints. “Our operating room theater is reaching maybe 30 to 40 years old,� Wolfe said. “And it’s very hard to renovate because of the infection control regulations. You’d almost have to shut down half the OR for a year (to do a renovation) and that’s not realistic. The same thing with the ICU.� The $50 million project is a blend of new and renovated spaces. “The amount of equipContinued on Page 6
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6 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
100 years
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1953: The hospital’s farm, which had supplied produce for the patients and staff, is closed.
1954: Margaret Oakes Strawn, a Clymer native, becomes the first female resident physician.
1958: Another two-floor addition opens, providing space for clinics and diagnostic treatment rooms.
IRMC embraces past, looks ahead Continued from Page 5 ment in an operating room today versus 30 years ago is dramatically different,” Wolfe said. “And we’re preparing for robotics as well. “As we build these new ORs, they’ll be dramatically larger than even our biggest OR now, and they’ll all be robot-capable. This will be the new operating room theater for this community for the next 40 years.” Hospital leaders in November 2013 launched a $5 million capital campaign to help finance the renovations and addition, and so far $3.27 million has been donated.
DEVELOPING STRATEGIES The hospital is facing new challenges as it starts its second century. “We’re looking at a 10 percent cut in revenues due to the Affordable Care Act,” Wolfe said. “That ramps up over a five-year period, but ultimately
we’re looking at close to a $14 million reduction in overall revenues. “Far and away, the biggest factor we’re looking at is the state health insurance exchanges,” he said. “I think you’re going to continue to see the state health insurance exchange grow. “That’s a big part of the revenue reduction in that we’re going to see people go from commercial insurance, where their employer is providing it, to out there on the exchange … and if Massachusetts is any example, the No. 1-selling product in Massachusetts is the cheapest one. (It’s) essentially more comparable to a medical assistance level in benefit and payment. “So, the hospital sees that shift in reimbursement from a commercial payment to a medical assistance type of payment,” Wolfe said. “But the patient also sees responsi-
bility for maybe 30 to 40 percent of the bill. On average in western Pennsylvania, the average patient is responsible for 8 percent of their health care bill. “Everybody is going to struggle with that additional out-of-pocket (expense). … That will certainly curb utilization (of the hospital). … People’s disposable income is stretched already. People are going to get less done than they would if they didn’t have to pay more out of pocket.” Wolfe said the hospital has three strategies for recouping the projected lost revenue. “One is that we’re going to continue to look for growth strategies,” he said. “Even though we have a pretty dominant market share, we think there are opportunities for growth. For example, we just made a big investment in the orthopedic service line.” Continued on Page 7
Durre Ahmed, MD Jamil Ahmed, MD Internal Medicine 2121 Shelly Drive Indiana 724-349-3433
Congratulations to the Indiana Regional Medical Center on
100 Years!
Submitted photo
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THE SCHOOL of Nursing’s first class, pictured, boasted 12 people in 1918. From 1919 to 1930, the classes ranged from four to nine members. From 1932 until the last graduating class in 1979, the classes included between 15 to 26 students, the largest being in 1962.
Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 7
100 years 1965: A radio network allows ambulance crew members to consult with hospital staff in the emergency medicine department.
1966: Teens interested in nursing begin volunteering as candy stripers. The hospital begins treating patients under Medicare.
1967: The first male students enroll in the hospital’s School of Nursing.
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IRMC celebrates past, looks ahead Continued from Page 6 Wolfe also said he believes IRMC can grow in the areas of vascular surgery, cardiology and stroke care. The second strategy is to improve efficiency. “There is a significant lean initiative going on around the organization,” Wolfe said. “We need to eliminate areas of waste and we have to be cognizant of our expenses. Eighty percent of our controllable expenses, like many businesses, is in our labor costs, so we’ll have to deal with that. We’ll have to work on our compensa-
tion ratio in terms of wages and benefits.” A third strategy, he said, is to look for regional synergies such as working with other hospitals in areas such as group purchasing. In July, the boards of directors of IRMC, Clarion Hospital and Punxsutawney Area Hospital agreed to formally evaluate a stronger affiliation to improve the health of the communities they serve by forming the Pennsylvania Mountain Care Network. The new collaborative model of
care will still allow local decisionmaking but will more formally commit the three hospitals to work together for the common interests of the region.
MEETING THE CHALLENGE Remaining independent and making health care decisions locally has been a guiding principle for IRMC’s directors for decades. That philosophy continues. Wolfe said consultants examined the hospital’s strategy and forecast Continued on Page 8
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8 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
100 years
Indiana Pediatric Associates, PC 15 S. 8th Street, Suite 200, Indiana 724.463.0476 Fax: 724.463.1196
1968: The hospital’s Intensive Care Unit opens.
Congratulations Indiana Regional Medical Center
Continued from Page 7 the impact of the Affordable Care Act to determine if IRMC needed to join a system. “We believe at this point we have the wherewithal, the strategy, the right people to be able to remain a locally governed hospital,” Wolfe said. “That’s something that has to be earned every day. Clearly, the number of independent community hospitals is shrinking. “We’re seeing statewide networks start to develop in terms of preparing for accountable care organizations. We strategically need to be able to work with the various systems and be able to be a low-cost, high-quality provider that really stands out and that people want to have. “For health care, there’s no understating the challenge: We’re really being pushed,” Wolfe said. “This health care delivery system is going to be reinvented.” Fortunately for IRMC administrators, recruiting and retaining talented physicians has not been as much of a challenge. “We’ve been really blessed, thanks to this community,” Wolfe said. “The majority of our recruits are people who have never been in western Pennsylvania. “Almost 99 percent of the time,
t W h
From these Indiana County Elected Officials
Judges William J. Martin, President Judge and Thomas Bianco, Judge Commissioners
Prothonotary & Clerk Of Courts
Magisterial District Judge
Randy Degenkolb
Jennifer Johnston Rega George M. Thachik
Auditors
District Attorney
Sandra K. Kirkland
Helen D. Clark Donna K. Cupp Rebecca M. Medvetz
Register & Recorder
Jury Commissioners
Robert E. Fyock
Patricia R. Streams-Warman
Mary Jane Dellafiora Louise Hildebrand
Jerry Overman
Treasurer
1976: The nursing school is severely damaged by fire. The last class of students would graduate in 1979.
1979: The “Tower,” a seven-story addition, opens.
IRMC embraces past, looks ahead
Amira M. Ahmed, MD Christina B. Lubold, MD Christopher Vaglia, MD Laura Russell, PA-C Jennifer Shobert, PA-C
Rodney D. Ruddock, Chairman Michael A. Baker Patricia A. Evanko
1970: The Department of Nuclear Medicine is established.
Patrick Dougherty
Sheriff Coroner
Then and now
they’re really impressed with this community, this hospital, the university, the banks, the downtown. So we’re really fortunate to have a community like this.”
Indiana Regional Medical Center comparisons, 1914 vs. fiscal year 2012-13 (the year for which the most current figures are available). 1914 636 40 15 $26,000 N/A
Admissions Beds available Babies delivered Revenue Employees
TAKING STOCK
2012-13 7,417 164 601 $143M 1,300
“IT’S INCREDIBLY humbling and honoring to sit as hospital administrator at this 100-year moment. So many people have sacrificed and given of themselves for generations, between employees, physicians and volunteer board members.” Steve Wolfe,
IRMC president and CEO
“It’s incredibly humbling and honoring to sit as hospital administrator at this 100-year moment” in IRMC’s history, Wolfe said. “So many people have sacrificed and given of themselves for generations, between employees, physicians and volunteer board members. It’s because of all their hard work before us that even gives us a chance in the current environment to celebrate this 100 years as an independent community hospital and have a chance to continue to do that.” Wolfe said his experience as a former chairman of the Indiana County Chamber of Commerce convinced him that having a first-rate, fullservice community hospital is critical to economic development in the region. “For anybody who’s coming to town to think about establishing a business, it’s schools and health care that’s at the top of everybody’s list,” he said. Despite the many changes taking Continued on Page 10
y ...IRMC & thank you s n o i t a l for your 100 years of servic service tu Congra to the Indiana area.
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 9
100 years 1993: Life Flight helicopter transport of critical patients to and from Indiana Hospital begins.
1994: A mobile medical unit allows the hospital to take preventive health care screening services on the road.
Hospital administrators • Sept. 23, 1914: Dr. F. F. Moore, of Lucerne, selected as physician in charge • Oct. 15, 1914-Dec. 3, 1917: Sara Mogart, of Johnstown, first superintendent of the hospital. Resigned for Red Cross duty in World War I • Dec. 3, 1917-Sept. 1, 1918: Eliza Dill, acting superintendent. Resigned for Red Cross duty in World War I • Sept. 8, 1918-August 1920: Bess F. Dale, superintendent • July 26, 1920-June 1922: Lenore Byers, superintendent • May 23, 1922-May 1929: E. F. Allison, superintendent • July 7, 1929-March 1, 1944: Lillian A. Hollohan, superintendent • March 15, 1944-May 1, 1965: Adeline W. Hauxhurst, superintendent • May 1, 1965-June 1, 1966: William
Peters, administrator • June 1, 1966-April 14, 1967: Adeline W. Hauxhurst, interim administrator • April 17, 1967-May 1, 1970: George Ferrey, administrator • June 10, 1970-Sept. 28, 1981: Donald Smith, administrator • Sept. 28, 1981-Feb. 22, 1982: Dr. Henry Mitchell, interim administrator • Feb. 22, 1982-Sept. 30, 1983: Donald Valentine, CEO • Sept. 30, 1983-Dec. 28, 1984: Administrative committee — Larry Marshall, Dr. Larry Kachik, Leona Shank, Jeryl Gates • Dec. 28, 1984-May 7, 1998: Donald Sandoval, president and CEO • May 7, 1998-Feb. 11, 1999: Dr. Robert Parker, acting president and CEO • Feb. 11, 1999-present: Stephen A. Wolfe, president and CEO
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10 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
100 years 1995: Cherry Tree Family Medicine Center opens.
1996: Plumville Family Medicine Center opens.
1997: Barnesboro Family Medicine Center opens.
2002: The Bork Emergency Center, with three times the space of the previous emergency department, opens after a $5 million renovation.
2002: Indiana Hospital is renamed Indiana Regional Medical Center.
Hospital celebrates
Submitted photo
A SHOT of the hospital in 1914.
Continued from Page 8 place in the industry, Wolfe said he feels IRMC is well-positioned to start its next 100 years. “We feel very blessed with all the strengths that we have,� Wolfe said. “We have a strong balance sheet, we’re a sole community provider and there’s only 15 of us in the state that have that designation. “We have great people, we have a great campus, we have a strong market share, great brand image recognition. “So we believe we have the ability to try to control our own destiny for the foreseeable future,� Wolfe said.
First female physician Indiana’s first female resident physician was Dr. Margaret Oakes Strawn, born and raised in Clymer. She graduated from Clymer High School in 1944, did her premed studies at Penn State, then entered Women’s Medical College of Pennsylvania in Philadelphia from which she earned her medical degree in 1952. She did her internship at Montgomery Hospital in Norristown, and in 1954 joined the staff at Indiana Hospital. Her term there was short. A year later, she moved to Virginia to start a private practice. Source: IRMC
INDIANA REGIONAL MEDICAL CENTER
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 11
100 years 2007: IRMC is chosen by the Team Pennsylvania Foundation as the best place to work in Pennsylvania.
2009: IRMC at Chestnut Ridge opens in Burrell Township.
2014: Administrators and staff celebrate the hospital’s centennial.
Expansion of ORs opens possibilities By MARY ANN SLATER news@indianagazette.net
T
he construction of six new operating rooms is key in the current expansion project at Indiana Regional Medical Center. The six ORs, each which will be approximately 650 square feet, will be on the top floor of a new two-story, 32,750-square-foot addition at the hospital. Loraine George, director of surgical services at IRMC, said the six new ORs will replace the six operating rooms now in use at the hos-
pital. She expects them to be open for service in June 2015. “The (current) operating rooms are fairly old,� George said. “They are probably from the 1970s.� They are also fairly small, she added, with the new ORs projected to be at least 100 to 150 square feet bigger. As hospital staff envisioned recent modifications, they knew that enlarging the ORs was important for surgery in the 21st century. “The technology has changed so much,� George said. “A lot more equipment
comes into the room.� The additional monitors and machines can crowd the floor in smaller ORs, forcing doctors and nurses to work in cramped spaces. The larger ORs will give the staff more room for procedures. “It’s a lot safer environment for the staff,� she said. The bigger rooms will also allow the IRMC administration to consider different options — such as robotic surgery — in the coming years. “That’s for a future decision,� George said when Continued on Page 13
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Your link to aging and disability resources in Indiana County. Link to Aging and Disability Resources is a collaborative effort among community agencies and the Office of Long-term Living (OLTL) to provide INFORMATION about support to individuals over the age of 60 and persons 18-59 with disabilities. The intent of the Indiana County Link is to improve access to services for aging consumers and adults with disabilities and their families through a collaborative network of providers and consumers.
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12 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Thank you, Indiana Regional Medical Center, for a century of caring for our community.
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 13
OR expansion opens possibilities Continued from Page 11 asked about the possibility of robots in IRMC’s operation facilities. She acknowledged that a large, open room would be necessary if the hospital goes that route. For this current phase of renovations, IRMC plans new lights for the ORs. The lights will be off the floor, suspended from booms, George said the new lighting will have better maneuverability and improve depth of field, have better shadow control and allow for greater tissue differentiation. Planning for the new ORs began in June 2013, with a series of meetings with IRMC’s architect, Stantec of Butler; surgical staff; and hospital support personnel from registration, facilities and housekeeping. “The hospital employees gave a lot of input on the design,” George said. The new addition will cost about $18 million, according to Norman Ziemer, director of facilities management at IRMC. Once the six new operating rooms are finished, IRMC will begin the second phase of the renovation project: converting the space where the current ORs reside into space for its preop testing, GI lab and ambulatory care unit (ACU.) As the hospital is now configured, those three units are not on the same floor as the
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THE HOSPITAL’S renovations have been going on for several months now. operating rooms and this arrangement can sometimes be unwieldy, George said. For instance, outpatients requiring surgery are now readied for their operations initially in the ACU. “We have to move patients up a ramp (to the operating room.) It’s a pretty gradual ramp,” she added. Still, the arrangement necessitates a lot of back and forth for the hospital staff and more wait time alone for the patients. “In the new building, the
departments will all be on the same floor and in the same building,” George said. This will improve work flow for hospital staff and, as it eliminates the need for patients to be moved from the ACU to a “holding area” near the operating room, gives them more time together with family. “We want to make sure our processes are efficient,” George said. “The new addition and new processes will help us accomplish covering our costs.”
The bottom floor of the addition will include the hospital’s intensive care unit, its central supply and a few smaller departments. Ziemer estimated that total construction costs for all changes at the hospital will be $36 million. This includes some major renovations to the ICU, two new passenger elevators for visitors and patients, and new equipment to increase the capacity of the HVAC and emergency electrical power systems.
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14 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
CENTENNIAL CELEBRATION
JAMES J. NESTOR/Gazette
HUNDREDS OF people attended the hospital’s gala last month at the Kovalchick Convention and Athletic Complex.
VISITING NURSE ASSOCIATION OF INDIANA COUNTY WISHES
Indiana Regional Medical Center
Congratulations 0n 100 Years of Service as a an Zilner o J r e d n co-fou t IRMC Diamond cist-in-training a pharma
time! g n o l a r We’ve known each othe
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 15
COLLECTIBLE BOOK As part of its centennial celebration, IRMC is featuring short videos on the history of the hospital at www.indianarmc.org. Click on “about us� and IRMC — A Century of Care. A new video will be released each month. The hospital also commissioned a hardcover book on the hospital’s history. “Indiana Regional Medical Center — Honoring Our Past, Embracing Our Future� has 144 pages and more than 200 photographs detailing the hospital’s founding and development and the people who made it happen. The book is $32 and may be ordered by calling (724) 357-7188.
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DEDICATION
&
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S&T Bank congratulates Indiana Regional Medical Center on their 100 year anniversary. We are proud of your accomplishments! Your dedication and commitment to providing quality healthcare to our community has made this a better place to live, work, and grow.
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18 â&#x20AC;&#x201D; Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 19
Many groups aid in IRMC mission By SEAN YODER
syoder@indianagazette.net
I
Thank you IRMC for your service & for letting us serve you.
ndiana Regional Medical Center is supported by a number of organizations, some of which are run by volunteers.
ALUMNI ASSOCIATION IRMC’s Alumni Association consists of nurses who have worked at the hospital or who graduated from the hospital’s School of Nursing before it closed in 1976 after a fire destroyed the nurses’ quarters. The first nursing class graduated with 12 members in 1918, just a few years after the hospital opened. The Alumni Association was formed a year later and has functioned ever since except for a few years in the mid-1980s when it was inactive. Diane Petras is a former president of the Alumni Association and is the incoming president. She said she was always a member after she graduated from the nursing school in 1963 but wasn’t able to be very active. She became an active member in the mid-’90s when she left nursing to pursue teaching. Its mission is to further the nursing profession and health care in general, Petras said. Today, it has 214 active members across the United States. Dues are $10 per year. Petras said the association would love to see new members because the current base is aging. Last year the Alumni Association made several donations, including $3,500 to IRMC. “We don’t keep any money except
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A SISTER of Adrian Iselin, Eleanora Iselin Kane, donated a “modern motor ambulance” to the hospital. to pay for the supplies we need,” Petras said. Petras said that, like the nursing profession itself, the association is about taking care of the community. “Nursing has changed dramatically in the last 50 years basically because of advancements in technology and science. But the heart of nursing will never change. And that is caring, really caring, for our patients, which is the center of our work.” “We are a rural, close-knit community,” she said. “We’re not just a number. When you go to the hospital, many times you see a familiar
face. I think that’s really important. … I think it makes a person feel a little more secure.”
HOSPITAL AUXILIARY The hospital auxiliary was established Jan. 21, 1916. The board of directors solicited one member of each church to serve on the governing council. Initially there are 163 members. They supplied hospital linens, sewed patient gowns and hemmed diapers. Today, the auxiliary has 250 members and handles all of the hospital volunteers. Members are the women Continued on Page 20
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Many groups aid in IRMC mission Continued from Page 19 in pink coats (red for the men) and serve many different functions throughout the hospital. The auxiliary stands as a volunteer support system to the hospital. Money goes toward hospital improvements or services. Jenny Williams began volunteering in 1968. When she started, meetings were during afternoon teas in the old nurses’ quarters. The regulations were strict; all members had to wear hats and gloves. Today the clothing regulations are more relaxed and the auxiliary meets quarterly. The officers are usually younger women, Williams said. The volunteers stay up to date on new regulations by inviting speakers to the meetings. There are two parts to the auxiliary: the general membership and the volunteer corps. Anyone can be a member of either or both. The general membership handles the fundraising and establishes policy. The volunteers help staff the hospital seven days per week. Williams spoke about the history of the auxiliary while commanding the operating room waiting area, where nervous family members awaited word from doctors. When she does this, she keeps a sheet of patient information and is one link of the chain that connects family members to their loved ones while they are under the knife. Volunteers staff the front desk and handle all of the mail. In 1959 the auxiliary established the service cart, which provided magazines and essentials to patients. The service cart is still active. Volunteers also help out in the emergency room, pain clinic and the surgical wing.
THE AUXILIARY for many years funded the hospital’s courtesy shuttle.
Submitted photo
During Christmas, the auxiliary buys gifts for the patients and distributes them. In 1986 it established and funded Lifeline. This service connected a wireless device to people’s phone lines, allowing them to call for help if they needed it and retain their independence. When that service became obsolete, the auxiliary shifted its supD.B. TAYLOR was port to the shuttle the first president service, which it of Indiana funds completely. Hospital’s auxiliary. Williams said many people decide to volunteer after they have received excellent care from IRMC. “We joke that once we get started, we
don’t know when to quit,” Williams said. She said many of the volunteers are in their 70s and 80s, and some are even in their 90s.
HEALTHCARE FOUNDATION The Healthcare Foundation was founded in 1987 as a philanthropy-promoting entity that helps keep IRMC an independent hospital. Heather C. Reed, executive director of the Healthcare Foundation, said it’s important for the hospital to remain independent because it has complete control over the services, even if they don’t show a profit. This way, residents of Indiana County don’t have to go elsewhere. “If we became part of a larger system or organization we would lack the control over which services to provide,” Reed said. One of those precious services is preventive medicine, something Reed said IRMC prides itself on. Continued on Page 21
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 â&#x20AC;&#x201D; 21
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AFTER THE 1958 addition to the hospital, the main entrance was on the north side.
Many aid in IRMC mission
Continued from Page 20 The foundationâ&#x20AC;&#x2122;s main annual events are the Teddy Bear Fund Drive, the Love of Life campaign and the Columbus Day golf outing. These events rely heavily on volunteers and the generosity of the community, Reed said. In December the hospital focuses on the Teddy Bear Fund Drive, which benefits the pediatrics unit at IRMC. Last year the drive raised about $90,456.
The auxiliary has been embarking on a capital campaign for the past year as the hospital expands. Reed also functions as a grant writer, her original position at the hospital when she started in 2006. Those grants also help keep IRMC functioning independently. But Reed said the grant-writing aspect has gotten harder with less federal money available. Grants must be eviContinued on Page 22
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22 â&#x20AC;&#x201D; Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Many groups aid in IRMC mission
Continued from Page 21 dence-based, and she said itâ&#x20AC;&#x2122;s hard to compete with the larger teaching hospitals in more populated areas. Additionally, grants follow the national pattern, which has turned toward the Affordable Care Act. â&#x20AC;&#x153;One of the things weâ&#x20AC;&#x2122;ve learned from watching other local acquisitions and mergers is they come in and look at your bottom line and the services that lose money first. As a community hospital, we provide a full range of services no matter how much money it costs us,â&#x20AC;? she said.
THE PANTRY
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The Pantry was founded in 1951 as a three-stool lunch counter under the control of the hospitalâ&#x20AC;&#x2122;s auxiliary. It was built for the convenience of guests and staff. Members of the auxiliary used to do all of the baking, but health regulations eventually stopped this practice. The Pantry, like other supporting arms of the hospital, has helped to keep IRMC an independent hospital through donations. It donated $25,000 to a $1.3 million wing completed in 1958. It was one of the biggest sources of funding that the auxiliary brought in, until the economy dipped. The auxiliary handed over control of The Pantry to IRMC in February, but the
Submitted photo
PAST PRESIDENTS of the hospitalâ&#x20AC;&#x2122;s auxiliary are, front row, from left, Dorothy Parnell, Patty Bidwell, Kim Balcerak, Karen Wiley and Phyllis Patchen. Back row, from left, are Nancy Clawson, Maureen Bash, Christine Calhoun, Louise Hildebrand, Marcy Martin, Catherine Pike, Linda Connell, Jenny Williams and Bonnie Parsons. gift shop is still under auxiliary control. Here visitors can find stuffed animals, jewelry, cards, flowers, angel figurines, childrenâ&#x20AC;&#x2122;s books and essentials such as haircare items and toothpaste. The Pantry is open from 8:30 a.m. to 7:30 p.m. Monday through Friday and is known for its milkshakes. The Pantry is much like a tiny diner hidden inside the hospital, giving guests a place to feel comfortable while they wait for their
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25
the counter. Cinnamon rolls sit under a glass on the counter and the signature clanging and chatter from the kitchen cements the small diner experience. Rethi is an Indiana native and has worked at The Pantry for 11 years. They have 15 employees and are augmented each day by an additional five volunteers. Rethi estimates The Pantry sees about 400 to 500 guests each day, including takeout orders.
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loved ones who have been hospitalized. Mildred Rethi is a cook at The Pantry and is in charge of the staff on a day-to-day basis. She said theyâ&#x20AC;&#x2122;re not allowed to ask about specific procedures, but they try to make guests feel at home. â&#x20AC;&#x153;We just try to give them something good to eat and put a smile on their face,â&#x20AC;? Rethi said, while she stood behind the counter in hairnet and apron. â&#x20AC;&#x153;We listen.â&#x20AC;? There are now 12 stools at
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 — 23
Cancer treatment evolves at IRMC
MC on R I s n o i t ula “Congrat of Excellence” s 100 Year
By JAN SHELLENBARGER news@indianagazette.net
W
hen Indiana Regional Medical Center opened to the public in 1914, cancer treatment consisted primarily of cutting out the malignancy. The American Society for the Control of Cancer, which later became the American Cancer Society, had been established the year before, and it would be another 14 years before George Papanicolaou discovered that cervical cancer could be detected by examining cervical cells, leading to the development of the Pap smear. Radiotherapy treatment, where high-energy rays are used to kill cancer cells, was slowly being developed and refined from its discovery in the early part of the century. Dr. M. Dorcas Clark, 92, remembers when treatment options differed sharply from current medical care. After graduating from medical school in 1945 and practicing family medicine for 20 years, Clark completed a second residency from 1964 until 1968 in radiology. While radiation gave physicians the ability to prevent some people from undergoing surgery to remove their cancer, it also
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THE WOMEN’S Imaging Center is named for Dr. M. Dorcas Clark, below. had its drawbacks. “Back then people were awfully sick after the radiation,” Clark said, “because the treatment would remove the cancer but badly damage or burn the surrounding area.” Clark’s training in radiology was the beginning of her expertise in breast cancer detection, although she said examining the breast
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in the mid-’60s was nothing like it is today. “We would have the woman lie on the exam table and place a balloon on the woman’s breast to flatten it so the X-ray would come out more even, and then lower the X-ray machine onto her breast,” Clark said. “The films were terrible compared to today.” During her tenure, IRMC began using digital mam-
MORE
mograms, which allow doctors to view the image on a computer screen and adjust the image size, brightness or contrast to see certain areas more clearly. In 2005, IRMC honored Clark by dedicating its new M. Dorcas Clark, MD, Women’s Imaging Center in her honor. At more than 9,500 square feet, the imaging center offers bone-density testing to detect osteoporosis, breast ultrasound, mammography and stereotactic biopsy, which uses digital images Continued on Page 24
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24 â&#x20AC;&#x201D; Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
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THE HERBERT L. Hanna Center for Oncology Care opened in 2003, named for one of the hospitalâ&#x20AC;&#x2122;s most respected physicians.
Cancer treatment evolves over the years at IRMC Continued from Page 23 to pinpoint the location of a breast mass before collecting a specimen. The center also has technology available to perform breast magnetic resonance imaging for certain breast masses that are difficult to detect. In 2003, the medical center opened the Herbert L. Hanna Center for Oncology Care, a nearly 10,000-square-foot facility that offers radiation and medical oncology patient services and has a centralized tumor registry department in one comprehen-
â&#x20AC;&#x153;BACK THEN people were awfully sick after the radiation because the treatment would remove the cancer but badly damage or burn the surrounding area.â&#x20AC;? M. Dorcas Clark sive center. In addition to a full complement of treatment options, the center also offers ancillary services, such as a
free door-to-door patient van transportation service to qualified patients, onsite social service assistance with a licensed social worker, and nutritional counseling by a registered dietitian. A healing garden just outside of the facility provides a beautiful respite for patients and their families. Reflecting back on all of the changes in medicine she has witnessed, Clark said, â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;m very proud of being part of the advances Indiana Regional Medical Center has made in cancer treatment.â&#x20AC;?
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Thank you for being such an important part of our community for the past 100 years!
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014 â&#x20AC;&#x201D; 25
READY TO SERVE
CONGRATULATIONS Indiana Regional Medical Center Gazette file photo
JAN DAUGHERTY served some coffee to then-hospital auxiliary president Marge Scheeren at The Pantry shortly after its expansion. Scheeren started as director of volunteers in 1975.
Congratulations Indiana Regional Medical Center on 100 Years!
on your
CENTENNIAL CELEBRATION! Saluting your proud history and many accomplishments. Your commitment and active role makes our community stronger.
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26 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Congratulations Cong Co Congrat ngra rat attulations tul tu ula lat atitio ions nss IRM IRMC RMC MC for f 100 Yea Year Years ars rs Of Se Ser Service erv rvic ice ce We W e lo love ve Sp Sports, ortss, but that is not all w that we e do!
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Indiana Gazette IRMC Centennial, Saturday, November 1, 2014— 27
Congratulations IRMC
BRANCHING OUT
Through the years many things have changed, but one thing that remains constant...the dedication to quality care demonstrated each day by your staff and physicians! Your extraordinary leadership, and efforts to improve the quality of life in Indiana County is unparalled. For this we thank you!
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28 — Indiana Gazette IRMC Centennial, Saturday, November 1, 2014
Honoring our Past... ...Embracing Our Future As we mark this monumental moment in time, we would like to thank YOU – the people we serve – for allowing us to provide care to you and your families for generations past and generations to come. We have been blessed over 100 years to have incredible volunteers, physicians, nurses and staff who have been selflessly committed to the cause of providing the very best health care to the communities we serve. We have been the caretakers for the communities’ health and well-being, and the business stewards for the economic impact this institution has had on this region. In our unique case, our history is not about shareholders. This hospital is owned and run by the community. We would like to thank everyone who has played a role in our evolution. We will continue to honor our past, and embrace our exciting future.
INDIANA