2012-2013 Mid-Year Report
Leading the Way to Better Health
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 (2012) Inpatient Discharges..........................7,708 Emergency Visits...............................37,275 Outpatient Visits...............................70,433 Births..................................................... 1,103 Oncology Visits................................... 9,283 Surgery Cases.................................... 4,209 Mammograms...................................24,560 CT Scans............................................18,972 Laboratory Tests.............................416,912 Pharmacy Prescriptions................695,493 Physical Therapy Procedures..........76,110 Meals Prepared.............................. 274,528 Website Visits................................. 282,572 Physicians on Medical Staff..................215 Employees (FTEs).............................. 1,108 Volunteers............................................... 872
A message from the
President & CEO Dear Friends of Lawrence Memorial Hospital, I am pleased to share with you our 2012-2013 Mid-Year Report, a compilation of many incredible accomplishments that your community hospital has achieved during the last year and a half. In reviewing the draft of the report, I was taken back as to all that’s happened at LMH, and how significant these developments are to the broader picture of health care delivery in our region. Also on the following pages, you will see our future. From program development to physician recruitment to facility enhancement, LMH has set the foundation for outstanding health care for many years to come. These days, it is nearly impossible to read a current newspaper or magazine without seeing new headlines and articles about the challenges our health care system faces. Health care reform and its many ramifications on employers, individuals and providers illustrate the need for organizations like LMH to navigate carefully through many turbulent waters. Our Board of Trustees and Medical Staff provide guidance and expertise to make the difficult decisions on health care delivery, as well as our commitment to improving our community’s health.These are not easy challenges, and we take them very seriously. As you will see, LMH has continued to perform as an outstanding community hospital throughout 2012 and 2013. Our accomplishments would not have been possible without tremendous contributions from the more than 1,300 associates who work for and are committed to LMH. I cannot thank them enough for helping us serve our mission and reach the excellence for which we’ve become known. As always, we welcome your input. My direct phone number is (785) 505-6130, and I look forward to hearing your suggestions for how we can continue to improve.Thanks for your ongoing support of LMH and our efforts to provide outstanding health care for those we serve. To your health,
LMH President and CEO
OUTPERFORMING hospitals nationwide LMH Receives the 2013 Truven Health 100 Top Hospitals® Award Throughout Kansas and Missouri, only one hospital is named among the 2013 Truven Health 100 Top Hospitals®: Lawrence Memorial Hospital. Truven Health Analytics (formerly the health care division of Thomson Reuters) uses objective, quantitative data to identify 100 U.S. hospitals that outperform more than 2,800 others nationwide. LMH is one of only 20 medium-sized community hospitals to receive this prestigious award in 2013. The 100 Top Hospitals program, now in its 20th year, objectively
evaluates 10 clinical and financial measures (see inset) over a three- to five-year period of time. As a 100 Top Hospital, LMH has demonstrated that its patients have better survival rates, fewer complications, better long-term outcomes, shorter hospital stays and superior overall hospital experiences. “This award validates our decade-long pursuit to be the best community hospital in the country,” said Gene Meyer, LMH President and CEO, in an open letter of thanks to LMH associates, physicians,
volunteers, donors and leaders. “When people come to LMH, they know they’re experiencing exceptional care made possible by outstanding individuals who go above and beyond to improve outcomes, save lives, and comfort our patients and visitors.”
Measuring Up LMH earned the Truven Health 100 Top Hospitals award through outstanding performance in each of these clinical and financial measures:
LMH Recognized as a Top Performer by The Joint Commission LMH was named a Top Performer on Key Quality Measures™ for heart attack, pneumonia and surgical care in 2012. This esteemed recognition put LMH in the top 18 percent of all accredited U.S. hospitals, and among only eight hospitals in Kansas to earn this distinction last year. The Top Performer program by The Joint Commission, the nation’s leading accreditor of health care organizations, honors hospitals like LMH for taking the right steps at the right time, every time. The 2012 Top Performer award is based on 2011 performance data and illustrates LMH’s focus on high standards of patient care. “We truly are a great hospital with a culture of quality and patient service that sets us apart,” says Karen Shumate, RN, LMH Chief Operating Officer. To learn more about what makes LMH a Top Performer, visit www.lmh.org/qualitymatters.
1 In-hospital mortality 2 Medical complications 3 Patient safety 4 Average patient stay 5 Expenses
™
2011
6 Profitability 7 Patient satisfaction 8 Adherence to clinical standards of care
9 Post-discharge mortality
Top Performer on Joint Commission Key Quality Measures™ 2011 2
10 Readmission rates for heart attack, heart failure and pneumonia The Truven Health 100 Top Hospitals award is based purely on merit. Hospitals cannot apply for the 100 Top Hospitals award, and winners do not pay to market this honor.
LMH Named Among “100 Great Community Hospitals” by Becker’s Hospital Review When something is exceptional, others take notice, and 2013 continues to be a year of notable recognition for LMH. In addition to the Truven Health award earlier this year (see page 2), LMH received another prestigious national honor in June when it was named among “100 Great Community Hospitals” by Becker’s Hospital Review. LMH was the only Kansas hospital on Becker’s nationwide 2013 list.
To earn this distinction, LMH demonstrated its commitment to the health of the community through clinical excellence, community involvement and various other efforts. Hospitals cannot pay for inclusion on the list. The Becker’s Hospital Review team selects community hospitals based on rankings and recognition from a variety of industry sources, including Truven Health Analytics, iVantage
Most Wired Hospital LMH was recently named a 2013 “Most Wired” hospital by Hospitals & Health Networks magazine, marking the third consecutive year LMH has made the list. As a Most Wired hospital, LMH is nationally recognized for leading the way in technological integration at all levels.
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Health Analytics, HealthGrades and The Joint Commission. LMH was compared to other hospitals in the nation with fewer than 550 beds and minimal teaching programs. When announcing the top 100 community hospitals, Becker’s editorial team stated, “The hospitals [on the list] have worked with limited resources to continually provide the quality of care and the experience patients expect.”
Building on our strengths in
Cardiology
LMH Re-Accredited as Chest Pain Center, Certified as Chest Pain Center with PCI Thanks to LMH, patients in and around Lawrence don’t need to travel for potentially life-saving treatment at an accredited Chest Pain Center. Last March, LMH was re-accredited by the Society of Cardiovascular Patient Care (SCPC), an international organization formerly known as the Society of Chest Pain Centers. SCPC’s rigorous accreditation process once again verified that LMH meets or exceeds quality care measures for patients with coronary symptoms. To earn and maintain its status as an Accredited Chest Pain Center, LMH has an effective organizational structure with demonstrated excellence in:
• Integration between the hospital’s emergency department and local emergency medical services (EMS) • Quickly assessing, diagnosing and treating patients • Treating chest pain patients effectively • Continuously improving processes and procedures • Providing optimal patient care through functional design Because LMH cardiologists are available 24/7 for percutaneous coronary intervention (PCI), LMH was also certified as Chest Pain Center with PCI in 2012. PCI involves opening a blocked coronary artery by inflating a balloon or
inserting a stent in the vessel where the blockage occurs. Faster intervention typically means less heart damage and better chances for recovery. At an average median “door-to-balloon” time of only 47 minutes, LMH consistently and significantly outperforms the national PCI standard of 90 minutes.
Top Performer™ in Heart Attack Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for heart attack care. Learn more at www.lmh.org/qualitymatters.
NEW PROVIDERS AT CARDIOVASCULAR SPECIALISTS OF LAWRENCE
2012-2013
Learn more at www.lmh.org Elizabeth Guastello, MD Cardiologist
Christina Salazar, MD Cardiologist
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Expanding options in
Women’s Health
The Growing Team at Lawrence OB-GYN Specialists With a care team of four boardcertified OB-GYN physicians, two OB-GYN nurse practitioners, two certified nurse midwives and several nurses, some may be surprised to hear Lawrence OB-GYN Specialists is still growing. In August 2013, LMH welcomed a fifth OB-GYN physician: Emily Riggs, MD. Dr. Riggs, a Kansas native, earned her medical degree at the University of Kansas School of Medicine and is excited to be back in Lawrence after completing her residency in Denver. As an OB-GYN physician, Dr. Riggs believes in partnering with patients to help them understand and become actively involved in their own health care. “Together, my patients and I can work toward great things for them,” she says, emphasizing her passion for helping women at all life stages, from early adolescence through postmenopausal years. “Being able to share some of the most exciting and memorable moments in a woman’s life is a gift for me as an OB-GYN physician.”
Pamela Pray, CNM, and Phillip Moreano, MD, visit with a patient at Lawrence OB-GYN Specialists.
In 2012, LMH renamed its birthing center in honor of a trailblazing nurse who helped implement educational programs for local parents-to-be in the late 1970s. At a special ceremony in November, the center was officially renamed the Cindy Murray Family Birthing Center.
NEW PROVIDERS AT LAWRENCE OB-GYN SPECIALISTS
2012-2013
Watch videos and learn more at www.lmh.org Emily Riggs, MD OB-GYN Physician
Pamela Pray, CNM, APRN, MSN Certified Nurse Midwife
Jaime Thompson, CNM, APRN, MSN Certified Nurse Midwife
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Improving access to
Primary Care & preventive health
LMH Continues to Expand in Family Medicine and Primary Care To make primary care more accessible in the community, LMH has added several new providers and a new practice. Expanding primary care means more choices and added convenience for patients, including extended office hours. In June 2013, Bonnie Cramer, MD, joined the physician care team at Family Medicine of Baldwin City. Last year, Rebekah Johnston, PA, joined
Eudora Family Care and Family Medicine of Baldwin City, enabling extended hours on select evenings and weekend hours in Eudora. Also in 2012, Anna Kumru, MD, joined The Internal Medicine Group. Additionally, a new family practice is now at LMH: Total Family Care opened August 2013 in the 4th Street Health Plaza (adjacent to LMH’s main campus). New LMH
physician Luis Salazar, MD, has joined the Total Family Care team, along with Sherri Vaughn, MD, and Joy Murphy, MD, who moved from Mt. Oread Family Practice to the new location to expand their practices.
LMH WellCare Helps Create a Healthier Workforce in Lawrence The LMH Business Health Center, which provides occupational medical services for area employers, launched a new program in 2012 to broaden its capabilities in preventive health: LMH WellCare. Its mission is to provide convenient, personalized access to quality wellness activities, and to improve the health status of its customers through proactive intervention – all while lowering
the costs of employer-sponsored health plans by reducing the cost of maintaining good health. To help people achieve the best possible health and wellness outcomes, LMH WellCare offers a variety of resources, from physical exams, screenings and health improvement plans to educational offerings, referrals and more. The program also identifies risk factors in an employer’s workforce
population and provides chronic disease management services aimed at targeting those risks. LMH WellCare is designed to produce long-term effects on overall community health through ongoing consultations at the individual level. Currently, 18 employers in Lawrence and surrounding areas participate in the program, including the City of Lawrence and the City of Eudora Police Department.
NEW PROVIDERS AT LMH PRIMARY CARE PRACTICES
Bonnie Cramer, MD Family Practice Family Medicine of Baldwin City
Anna Kumru, MD Internist The Internal Medicine Group
2012-2013
Luis Salazar, MD Family Practice, Sports Medicine Total Family Care
Watch videos and learn more at www.lmh.org Rebekah Johnston, PA Physician Assistant Eudora Family Care Family Medicine of Baldwin City
DHG-5323 AR_06.indd 8
Anna Marshall, RN, BSN, MSN, APRN-C Nurse Practitioner Eudora Family Care McLouth Medical Center
8/28/2013 4:42:54 PM
:54 PM
Growing our
MEDICAL STAFF across many specialties NEW LMH MEDICAL/ALLIED STAFF
2012-2013
Kirsten Evans, MD Pediatrics
Brendan Farrell, DDS Oral & Maxillofacial Surgery
Miranda Fowler, MD Family Practice
Justin Waco Goodnight, MD Pediatrics
Kevin A. Heath, MD Hospitalist
Melissa Kalb, MD Family Practice
Christopher Koster, MD Pediatrics
Melissa Kramer, PA Hospitalist
Justin W. Labart, DDS, MD Oral Surgery
Michael D. Magee, MD Hospitalist
Peter D. Morris, MD Emergency Medicine
Benjamin J. Newell, MD Anesthesia
Mark Oertel, MD Internal Medicine
Cleve Pilakowski, MD Podiatry
Stephan Pr么, MD Orthopedics
Michael J. Sanders, MD Radiology
Ajay Tejwani, MD Radiation Oncology
Caleb Trent, MD Emergency Medicine
Lori Winfrey, APRN Oncology
Ravi Yarlagadda, MD Cardiology
Not pictured: Matthew Galliano, DPM (Podiatry); Timothy Gateley, DPM (Podiatry)
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Gaining new
Surgical expertise & technology
da Vinci Robotically Assisted Surgery, Now at LMH LMH added the da Vinci Surgical System® to its growing list of advanced surgical technology in December 2012, with surgeons performing the first da Vinci robotically assisted procedures at LMH in February 2013. By combining computer and robotic technologies, the da Vinci robot provides assistance to surgeons in ways that ultimately benefit patients, often resulting in faster recovery times and less postoperative discomfort. Robotically assisted surgery requires only a few 1-2 centimeter incisions, and in some cases, only one incision. The surgeon operates from a nearby console, while highly sophisticated software translates the surgeon’s hand movements to the robot’s miniaturized instruments at the bedside. The software provides enhanced visualization, automatic motion scaling and tremor reduction to improve precision and dexterity. “The da Vinci robot has very intuitive control and more range of freedom than the human wrist,” says Chad Tate, MD, general surgeon. Tiffinie Mercado, MD, OB-GYN physician, agrees, adding that the system’s enhanced visualization offers improved clarity of tissues, which can
The image above illustrates the small size of the da Vinci robot’s instruments, as compared to an ordinary sewing needle.
enable better outcomes in certain cases. Patients should discuss all treatment options with their doctors before deciding on any type of surgery. The da Vinci system is not appropriate for every surgical procedure, nor is it recommended for every patient. To provide
comprehensive surgical treatment options, LMH has more than 30 surgeons across many specialties, and together they performed 4,200 surgical procedures last year. From robotics to traditional laparoscopic and open procedures, the surgeons of LMH are dedicated to high quality performance and outcomes.
NEW PROVIDERS AT LAWRENCE GENERAL SURGERY
2012-2013
Watch videos and learn more at www.lmh.org Paul Kolkman, MD General Surgeon
Chad Tate, MD General Surgeon
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LMH Brings Laser-Assisted Cataract Surgery to Lawrence Together with the physicians of Lawrence Eye Care Associates, LMH now offers the FDA-approved LenSx® laser system for bladeless cataract removal surgery. Laser-assisted procedures offer many advantages over traditional cataract surgery: • Enhanced customization accommodates eye size, depth and curvature. • More precise incisions, created by lasers instead of blades, cause less stress to eye tissues and can result in faster recovery. • Less ultrasound energy required for cataract removal means a decreased risk of complication. • Surgeons can also correct or reduce astigmatism during laser-assisted cataract surgery, increasing the likelihood that patients won’t need glasses after surgery. Top Performer™ in Surgical Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for surgical care. Learn more at www.lmh.org/qualitymatters.
Because precise vision starts with precise technology, LMH is proud to be an exclusive provider of laser-assisted cataract removal technology for the Lawrence community.
Meet Karen Dixon, da Vinci Patient
options, but Dixon’s surgeon, Dr. Chad Tate, strongly recommended da Vinci robotic surgery. “It was clear he had great confidence in da Vinci, and I had great confidence in him,” Dixon says. “So in the end, it was an easy decision. da Vinci offered my best chances at a fast recovery, and that’s exactly what it delivered!” Dixon’s procedure required five small incisions, and all were healed almost completely within 10 days of surgery. While open surgery would have resulted in a week-long hospital stay, Dixon spent only two nights at LMH after da Vinci surgery and was able to resume all her normal activities at home very quickly. “I feel fantastic!” she says. “Based on my own experience as a patient, I would definitely recommend da Vinci surgery.”
“I had very little pain – I felt great almost immediately!” says Karen Dixon, 58, recalling her experience with da Vinci surgery at LMH in early June 2013. “In fact, a lot of physicians and nurses who saw me the next day were amazed that I was doing so well right after major surgery.” Due to a recurring pancreatic pseudocyst, Dixon needed a Roux-en-Y cystojejunostomy – a procedure for placing a permanent drain between the cyst and her intestine. Traditional laparoscopy and open surgery were among her treatment
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Enhancing
Neurological care for all ages
LMH Certified as a Primary Stroke Center Because stroke is the fourth leading cause of death and the number one cause of adult disability in the U.S., LMH is dedicated to providing prompt diagnosis and care that improves outcomes for stroke patients. In July 2012, The Joint Commission, in conjunction with The American Heart Association/American Stroke Association, recognized LMH as a center of excellence with its Advanced Certification for Primary Stroke Centers. The esteemed two-year certification reflects LMH’s commitment to best practices and certification standards. To receive Primary Stroke Center designation, LMH demonstrated proficiency in: • Diagnosing patients with stroke by EMS technicians while en route to the hospital • Having CT scanners ready and CT technologists waiting to receive patients upon arrival • Diagnosing patients with type of stroke and administering proper treatment within 60 minutes of arrival In the spring of 2013, LMH received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award. The award recognizes the hospital’s commitment and success in implementing a higher standard of stroke care by ensuring that stroke
patients receive treatment according to nationally accepted standards and recommendations.
Use BE FAST to Prevent Death or Disability from Stroke Knowing the signs of stroke can help save lives. Stroke strikes suddenly, so remember, the key is BE FAST:
B
E
F
A
S
T
Balance
Eyes
Face
Arms
Speech
Time
Sudden loss of balance or coordination. Unexplained dizziness, unsteadiness or sudden falls.
Sudden dimness or changes in vision, particularly in one eye.
Facial weakness. One side of the face may droop when attempting to smile.
Arm or leg weakness on one side of the body. When attempting to raise both arms, one will often drift downward.
Trouble speaking or understanding speech. Words may sound slurred or strange. Difficulty repeating a simple sentence.
If you observe any of these signs, time is crucial. Call 911 or get to the hospital fast.
NOTE: In some cases, stroke may also cause a severe headache of unknown origin. IN AN EMERGENCY, CALL 911. LMH Emergency Department: 325 Maine Street. 10
LMH Brings ImPACT® Concussion Testing to School Athletes For school athletes, concussions are common and potentially very serious. To protect kids in the community from long-term complications, in 2012 LMH partnered with Lawrence schools (grades 9-12) and Eudora schools (grades 8-12) to provide ImPACT® baseline concussion testing for more than 1,000 student athletes, free of charge, courtesy of LMH. ImPACT’s computerized, cognitive assessment helps determine when an athlete can safely return to play after a concussion. “The key is to have a baseline test done for each athlete before a concussion, so we know that this child is this fast on this test with a normal brain,” says Daniel Dickerson, MD, PhD. Then, by comparing brain functions after a concussion to the athlete’s baseline results, physicians
can more accurately determine healing progress and readiness to return to play. Dr. Dickerson, a physician at Eudora Family Care and a Certified ImPACT Consultant, worked closely with physical therapist and sports injury specialist Adam Rolf, DPT, ATC, CSCS, of LMH Therapy Services to bring this program to life. In addition, three physicians – Thomas Marcellino, MD, Joy Murphy, MD, and Karen Evans, DO – have received specialized training for treating concussive patients using ImPACT reports. ImPACT baseline tests and follow-up post-concussion testing help protect athletes from a range of potentially very serious complications.
Children aged 10 to 19 account for 70 percent of all emergency room visits for traumatic brain injuries (TBIs), and kids take longer to heal from TBIs than adults.* Without proper care and adequate healing time, long-term ramifications can include: • Alzheimer’s disease • Parkinson’s disease • Major depression • Decreased academic performance • Death * Source: Centers for Disease Control and Prevention
Tune into LMH’s YouTube Channel to learn more about symptoms and treatment for stroke and concussions. www.youtube.com/lmhorg
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Strengthening our community through
Pulmonary Care
Introducing Lawrence Pulmonary Specialists To expand its reach in pulmonary care, LMH opened a new specialty practice in 2012: Lawrence Pulmonary Specialists. This development proactively addresses the growing need for specialized care among patients with lung disease or breathing disorders, such as asthma, chronic obstructive pulmonary disease (COPD), shortness of breath, severe coughing or occupational lung diseases. The physicians of Lawrence Pulmonary Specialists also provide 24/7 on-call coverage for critically ill pulmonary inpatients. “COPD is the third leading cause of death, and we have a huge population at risk,” says Charles Yockey, MD, FACP, FCCP, one of three board-certified and fellowship-trained physicians at Lawrence Pulmonary Specialists. “If we can do a better job with prevention, then we can decrease hospitalizations and increase quality of life.”
Breathe easy.
Lawrence Pulmonary Specialists joins an already expansive suite of cardiopulmonary services provided
at LMH’s pulmonary function testing lab, pulmonary rehabilitation center, sleep center and ICU.
Top Performer™ in Pneumonia Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for pneumonia care. Learn more at www.lmh.org/qualitymatters.
NEW PROVIDERS AT LAWRENCE pulmonary SPECIALISTS
2012-2013
Watch videos and learn more at www.lmh.org Amanda Gudgell, DO Pulmonologist
Krishna Rangarajan, MD Pulmonologist
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Advancing
CANCER CARE in our region LMH Offers Local Access to Cancer Clinical Trials Advanced cancer care is a hallmark of the LMH Oncology Center, where clinical trials have been provided as treatment options since 2003.Today, LMH partners with organizations like the Wichita Community Clinical Oncology Program and the Midwest Cancer Alliance to offer NCI-approved trials for many different cancer types. With more than 150 trials in its portfolio, LMH brings local access to newly developed cancer treatments. It’s all part of LMH’s commitment to improving cancer care in its own community and throughout the region.
To request Your Guide to Cancer Clinical Trials, call (785) 749-5800.
Jamie’s Wish: New Infusion Rooms in LMH Oncology Center Shortly before Jamie Barkes Pursley passed away from breast cancer in March 2011, she talked about making the infusion rooms at LMH’s Oncology Center more comfortable and calming for patients undergoing chemotherapy. After her
death, her friends organized “Jamie’s Wish” and raised $140,000 for the project. On March 30, 2012, the remodeled infusion rooms were unveiled in a special dedication, ribbon-cutting and open house.
Thanks to Jamie’s Wish and the LMH Endowment Association, the rooms are soothing and relaxing, with more comfortable chairs and other amenities for patients and their guests.
Caring for our
CAregivers
LMH Ranks Among 2012 “Best Companies to Work For” Many factors earned LMH a spot on Ingram’s 2012 “Best Companies to Work For” list: competitive salaries, tuition reimbursement, scholarship opportunities, continuing education and leadership development, to name just a few. LMH was one of six large businesses and the only hospital to receive this recognition. To drive performance and satisfaction, LMH engages its associates and listens to feedback. President and CEO Gene Meyer describes a workplace defined by “two levels of care” – one for patients and another for the LMH associates who serve them. One way LMH bridges the two levels is through its annual Employee
LMH Administration Team
Campaign, whereby associates may contribute some of their earnings to any or all of these four funds: • The Crisis Assistance and Resources for Employees (CARE) Fund helps employees in crisis with utility and medical bills, car repairs, and holiday meals. 13
• The Employee Education Fund pays registration fees for LMH associates to attend educational events relevant to their occupations. • The Help and Healing Fund helps patients with medications or equipment when other community resources don’t meet their needs. • The Patient Satisfaction Fund helps patients by using innovative ideas from LMH associates.
Since the program began in 2002, employee participation has doubled, and LMH associates have donated more than $550,000 to the LMH Endowment Association to help people in need.
Growing our campus today to meet tomorrow’s
growing demand
LMH Renovates with Patients in Mind 2-North medical unit After a six-month renovation and expansion project, LMH unveiled many upgrades to 2-North last October. The unit now includes 28 private rooms for acutely ill patients, whose vitals are monitored via in-room devices that feed data directly to electronic medical charts. Improved amenities include larger bathrooms, more in-room seating for guests, and a hospitality lounge with a refrigerator, microwave, free Internet access and a warm fireplace. For the nurses and other providers on 2-North, the new environment helps maximize workflow efficiencies as well. The $2.1 million project was paid for in part by the LMH Endowment Association’s 2012 Hearts of Gold Ball, which raised more than $350,000 toward the renovation. Segebrecht Room The Segebrecht Room, part of the Cindy Murray Family Birthing
The new lounge on 2-North provides a comfortable and functional setting for visitors.
Center at LMH, is for parents to use when their newborn babies need longer-than-usual hospital stays. But after 20+ years of helping parents stay close to their infants, the Segebrecht Room got some much-
needed updates in 2012. Thanks to funds raised by the Girards, a local family, the room now has a glider for nursing moms and babies, a table and armoire to house belongings, and a new headboard.
LMH Launches Sleek New Website LMH has enhanced the patient experience, even for people who aren’t there. In April 2013, the hospital redesigned its website to offer more functionality for site visitors. Among the enhancements: physician, location and service directories, calendars and event listings, eCards, and a new online gift shop. The site also includes responsive design, which presents an ideal experience on a variety of mobile devices and screen sizes.Visit the new and improved website at www.lmh.org.
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Caring for our
Community
2012 Community Benefits Support LMH Mission The mission of LMH is to provide personal and high quality health and wellness services for the people of Lawrence and the extended community. One way LMH achieves its mission is by offering programs and services that focus on improving community health. In 2012, LMH documented community benefit activities totaling nearly $8.7 million. Together these activities impacted the lives of more than 50,000 people throughout the area. “We touch and improve the health and the lives of people throughout the region,” says Janice Early, Vice President of Marketing and Communications. “The commitment and leadership of our Board of Trustees, Medical Staff, associates, volunteers and community partners make our community a better place. Many of these community benefits would not or could not exist without the support and commitment of LMH.” LMH provides a safety net for vulnerable populations who have no health insurance; the cost of providing charity care and the unpaid
cost of serving Medicaid patients are counted as community benefits. In addition, LMH offers free and lowcost educational programs, support groups, and health screenings each year. The hospital also provides continuing education opportunities to physicians and health professionals throughout the region, and LMH actively supports health-related organizations and endeavors that benefit the community. Examples of community benefits provided by LMH in 2012 include: • The Breastfeeding and New Parent Support Group had nearly 1,800 participant visits, and the Build Your Village Post-Partum Adjustment Support Group had 240. • Community Education nurses had approximately 400 interactions with residents at Babcock Place during weekly wellness clinics. • LMH supported Safe Kids Douglas County, an organization that facilitated 451 car seat inspections in 2012. • LMH provided post-graduate clinical training for two students
through its annual Pharmacy Residency program. • LMH supported the Douglas County Community Health Improvement Partnership and other organizations. • Emergency planning efforts are ongoing to prepare the hospital in the event of a community disaster. • LMH associates serve on community boards and lend their expertise to community-building activities. Community benefits are defined as programs or activities that: 1 Address identified community needs 2 Are not provided for marketing purposes 3 Meet at least one of these objectives: • Improve access to health services • Enhance community health • Advance medical knowledge • Demonstrate charitable purpose
Summary of Community Benefit Activities (2012) Excluding Unpaid Cost of Medicare and Bad Debt for Period from 1/1/2012 through 12/31/2012 Persons Served
Total Offsetting Expenses Revenue
Net Benefit
Estimated Cost of Charity Care
10,057
$3,808,058
$0
$3,808,058
Unpaid Cost of Medicaid
19,992
$12,438,676
$8,300,496
$4,138,180
Community Health Improvement
17,607
$168,607
$30,554
$138,053
Health Professions Education
N/A
$170,830
$0
$170,830
Subsidized Health Services
142
$306,379
$9,189
$297,190
Financial & In-Kind Contributions
2,481
$123,860
$0
$123,860
Community Building Activities
301
$22,379
$0
$22,379
Community Benefits Total
50,580
$17,038,789
$8,340,239
$8,698,550
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Furthering our
Financial Strength
LMH’s Credit Rating Gets an Upgrade In 2012 LMH became one of the smallest hospitals in the U.S. to receive an A1 long-term bond rating by Moody’s Investors Service. Because most A1-rated hospitals have operating incomes four times greater than LMH, this upgrade is a true testament to the hospital’s financial stability and staying power. As noted by Moody’s, reasons for the A1 rating include: • LMH’s dominant market position in a favorable area • LMH’s strong operating results with 12 years of increasing cash flow growth In an article for WellCommons, LMH Board Treasurer Chuck Heath said, “Moody’s always told us that A1 probably isn’t going to happen for LMH because of the size, but the numbers and the accomplishments were too good for them to ignore.” On June 28, 2013, Moody’s again affirmed the hospital’s A1 rating with a stable outlook.
Financial Highlights 2012
2011
Revenue Gross patient service revenue
$462,777,576
$425,898,266
Revenue deductions (Medicare, Medicaid and other discounts)
(261,596,797)
(233,210,422)
Charity care
(12,595,000)
(10,505,000)
Net patient service revenues
188,585,779
182,182,844
Provision for uncollectible accounts
(18,227,600)
(19,045,700)
170,358,179
163,137,144
4,712,105
3,001,077
$175,070,284
$166,138,221
Salaries
69,793,488
64,988,245
Employee benefits
15,347,433
13,625,988
Medical professional fees
15,127,314
13,877,896
Other operating revenue Net Operating Revenue
Expenses
Purchased services
7,681,699
8,591,619
Supplies
28,942,103
27,669,564
Utilities
2,555,070
2,387,044
Miscellaneous expense
1,251,238
1,017,307
Kansas provider tax assessment Repairs and maintenance Depreciation and amortization
663,204
530,881
7,664,090
6,900,786
10,748,998
10,265,823
Loss on sale or disposal of property
226,425
4,981
Insurance
802,499
837,110
Other capital costs
2,663,516
2,324,354
Interest
3,490,763
3,573,003
$166,957,840
$156,594,601
$8,112,444
$9,543,620
$11,282,976
$14,081,355
Total Expenses Operating Income
Available for facility improvements, new equipment and services to meet the health care needs of the community
Additions to Capital Assets:
Construction, equipment purchases and facility improvements
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lmh leadership
Back row: Joe Flannery, Jane Blocher, Dr. Charles Yockey, Rob Chestnut, Chuck Heath, Dr. Lee Reussner Front row: Allen Belot, Gina Pacumbaba-Watson, Mike Wildgen, Cindy Yulich Board of Trustees Allen Belot, Chairperson Mike Wildgen,Vice Chairperson Jane Blocher, Secretary Chuck Heath, Treasurer Rob Chestnut Joe Flannery Gina Pacumbaba-Watson Lee Reussner, MD Cindy Yulich Charles Yockey, MD (ex officio) LMH Administrative Council Gene Meyer, President & Chief Executive Officer Carolyn Bowmer,Vice President, Human Resources Kathy Clausing-Willis,Vice President & Chief Development Officer Sheryle D’Amico,Vice President, Physician Division Janice Early,Vice President, Marketing & Communications Dana R. Hale,Vice President, Nursing Services Jane A. Maskus,Vice President & Chief Information Officer Joe Pedley,Vice President & Chief Financial Officer Karen Shumate, Chief Operating Officer Sherri L.Vaughn, MD,Vice President, Medical Affairs
LMH Auxiliary Board Sharon Stultz, President Proctor Crow,Vice President Mary Freeman, Secretary Shirley Anderson, Treasurer Joanne Hurst Bev Bartscher Bob Bechtel Suzie Craig Reaumur Donnally Proctor Crow Dianna Nelson Mary Arensberg (ex officio) Medical Executive Committee Charles Yockey, MD, Chief of Staff Eric Huerter, MD,Vice Chief of Staff John Keller, MD, Secretary Department Chiefs Stephanie Schmidt, MD, Anesthesia Sabrina Prewett, DO, Emergency Medicine Joy Murphy, MD, Family Practice Molly Imber, MD, Internal Medicine Tiffinie Mercado, MD, OB-GYN Michael Thompson, MD, Pathology Marshall Kelley, MD, Pediatrics Robert Knight, MD, Radiology Douglas Klingler, MD, Surgery Scott Solcher, MD (ex officio)
Lawrence Memorial Hospital Endowment Association Board of Directors Kurt von Achen, President Marilyn Dobski,Vice President Ted Haggart, Treasurer Val Stella, Secretary Carla Phipps, MD, Past President Dale Denning, MD Jon Heeb, MD Kelli Henderson, DDS Matt Hoy Starla Jones Teresa Mulinazzi Kempf Shade Keys Little Rita (Peach) Madl Jeff Morrison Dick Orchard, MD Doris Ricks Beverly Roelofs Jean Shepherd Ex Officio Gene Meyer, LMH President & CEO Cindy Yulich, LMH Board of Trustees Sharon Stultz, LMH Auxiliary Board of Directors Kathy Clausing-Willis, LMH Vice President & Chief Development Officer
About Lawrence Memorial Hospital Lawrence Memorial Hospital (LMH) is a 173-bed, not-for-profit health care provider serving a regional market in northeast Kansas. Supported by 1,300 associates and nearly 250 physicians, LMH is dedicated to the health of its community, as demonstrated in the hospital’s physician expertise, advanced technology and high standards of clinical excellence. Regularly recognized for quality and service, in 2013 LMH was named among the nation’s 100 Top Hospitals® by Truven Health Analytics and “100 Great Community Hospitals” by Becker’s Hospital Review. Also in 2013, LMH was recognized for the third consecutive year as a Nation’s “Most Wired” hospital and earned an “A” Hospital Safety ScoreSM by The Leapfrog Group for the second year in a row. In 2012, LMH was honored as a Top Performer on Key Quality Measures™ by The Joint
Commission and named among the “Best Companies to Work For” by Ingram’s Magazine. LMH is self-funded from its operations, receives no tax support from the City of Lawrence or Douglas County, and serves the community’s health care needs regardless of individuals’ ability to pay. LMH does not discriminate on the basis of race, color, religion, national origin, age, disability, gender or sexual orientation in providing services to patients or the public, nor in relation to employment practices. 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. For more information about LMH, visit www.lmh.org.
325 Maine Street • Lawrence, KS 66044 • 785-505-5000 • www.lmh.org