2011 PCRMC Community Benefit Report www.pcrmc.com
An annual report highlighting the community benefit from Phelps County Regional Medical Center Board of Trustees: Tom Bahr Jo Ann Brand-Hoertel, RN Albert Crump Jr. Ted Day John Park, Ph.D.
John Denbo Chief Executive Officer Ellis Hawkins SVP, Chief Operating Officer Don James, D.O. SVP, Chief Medical Officer Lynn Wieties SVP, Chief Innovation/Strategy Officer Edward Clayton SVP for Finance, Chief Financial Officer
Production: Lead Writer Somer Overshon Marketing Communications Specialist Graphic Designer Sarah Wilson Marketing Coordinator Contributing Writer Lindsey Dunstedter Public Relations Specialist
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Community Benefit Report
At Phelps County Regional Medical Center, we encompass a proud past, thriving present and limitless future. Our focus is to provide our communities with world-class healthcare, close to home, so that PCRMC is the first and only choice for our patients. For us, being world-class is not just a mind-set—it is the essence of who we are; it is at the forefront of each and everything we do.
What is Community Benefit?
We are a talented, dedicated team of physicians, administration and staff; a technologically advanced facility; and a provider of sophisticated services and procedures. And while PCRMC is comprised of all of these things, our facility represents more than just healthcare. The other side of our story denotes a rich history deeply rooted in the community.
programs or activities that
PCRMC would not exist without our community, and our organization is unique from other healthcare organizations because we are able to exist as part of the community. Everyone working here is invested in expanding our resources into the areas we serve.
include:
We are your neighbors and your friends, as well as your trusted healthcare team—a relationship we value and will continue to develop; because for us, community is (and always will be) at the heart of our mission.
Community benefit refers to provide treatment and/or promote health and healing as a response to identified community needs. These >> Charity & Other Uncompensated Care >> Community Outreach Services >> Health Professionals Education & Placement >> Donations to Community Groups
Sincerely,
John Denbo, Chief Executive Officer
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The Golden Hour: Dedicated to honoring mother and child bond
There are few things in this world more
unapologetically hopeful than the birth of a baby, and Phelps County Regional Medical Center is dedicated to honoring the mother and child bond by promoting The Golden Hour, the practice of not interrupting the first hour of a baby’s life by minimizing separation to promote successful breastfeeding practices from the start.
PCRMC took part in an evidence-based
competition, and the OB/Maternity unit won locally with their study of The Golden Hour and the effect the practice had on breastfeeding initiation rates. The unit’s evidence-based poster was accepted at the state level from thousands of submissions and went on to win first place in Missouri.
“Once our assumptions were validated
that there was a correlation between The Golden Hour and breastfeeding success
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Community Benefit Report
rates, it was important for us as
peratures and blood sugars and
the unit decided to explore the
nurses and caregivers to invest
are known to cry less.
relationship between skin-to-skin
time and resources into making
care and breastfeeding rates is
The Golden Hour a best practice at
lifelong benefits for both mother
because the more women who
PCRMC. We are dedicated to rais-
and baby when skin-to-skin con-
decide to breastfeed the healthier
ing awareness of the importance
tact is initiated immediately after
the community. “Breast milk is
of breastfeeding so we can ensure
birth, which includes easier initial
without a doubt the very best
the healthiest community pos-
breastfeeding and the duration of
food a mother can provide for her
sible,” said Katie Burdett, Director
time mother continues to nurse.
baby. Mother’s milk provides baby
of Maternal Child Services.
Bringing this practice to PCRMC
with perfect nutrition designed
was truly a team effort – registered
for optimum health and growth,
“There are immediate and
Since The Golden Hour became a best practice, the PCRMC Nursery has seen a 7% increase in mothers who choose to breastfeed.
nurses and
needed antibodies to support
International
baby’s immature immune system
Board Certi-
and the milk has the incredible
fied Lactation
ability to perfectly meet the baby’s
Consultants
changing needs. A healthy com-
Julie Conaway,
munity starts with healthy moms
RN, and Angela
and babies.”
Johnson, RN,
To learn more about maternity
Among the many benefits of
spearheaded The Golden Hour
and obstetrics at Phelps County
breastfeeding, babies who are
initiative and were instrumental in
Regional Medical Center, please
kept close to mom following birth
implementing the practice as well
call the PCMRC Contact Center at
and have skin-to-skin care have
as providing staff education.”
(573) 364-9000.
more stable heart rates, body tem-
Burdett said that the reason
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PCRMC Is Honored to Participate in the
“We Honor Veterans” Program PCRMC’s Phelps Regional Homecare (PRH) has joined the national “We Honor Veterans” program which was developed as a collaborative effort with the Department of Veterans Affairs (VA) and the National Hospice and Palliative Care Organization (NHPCO).
The “We Honor Veterans” program
ensures local veterans receive excellent
end-of-life care by focusing on respectful
unique as the veterans themselves; many
inquiry, compassionate listening and grate-
experience great pride when remember-
ful acknowledgement. The formation of
ing their days in the service and know they
Hospice Veteran Partnerships (HVP) encour-
did something meaningful. Others look to
ages all those in the community who serve
the past as more of a traumatic dark spot
veterans to come together for the sharing
in their lives – oftentimes, it is a combina-
of ideas, programs and resources.
tion of both, and caregivers must be able to
Goals for Collaboration between Hospice and VA Programs
recognize lasting and conflicting emotions
The primary mission of the “We Honor
Veterans Program” is to provide comfort and support at the end of life, and this involves tailoring a very specific plan for each veteran with deference to their individual
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experiences and struggles.
Community Benefit Report
Veterans’ experiences at war are as
regarding veterans’ time in the service in order to provide the best physical, emotional and spiritual support possible.
Phelps Regional Homecare recognizes
that veteran needs are very different than civilian needs at the end-of-life. Kerry Poindexter, Client Services Coordinator for PRH,
recognizes various ways to provide support and hospice care to veterans. One way to support is to ensure veterans are signed up for benefits.
“Many veterans do not use their
benefits, and these benefits can be very helpful to both the veterans and their families, especially towards the endof-life,” says Poindexter. “Some of these benefits include medical, respite, endof-life care and burial, which can help relieve a financial burden on the veteran and family.”
Another way PRH supports veterans
is by increasing access to hospice and palliative care in their own community. Many veterans want the choice to live out their days in the comfort of their own homes but are unable to simply because they are not aware of the availability of home health (in-home) hospice. By receiving care in their own homes, veterans are able to enhance their quality of life while spending their final time in a comfortable and familiar setting.
Hospice Veteran Partnerships are
another way communities are able to
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“We consider it an honor and privilege to provide care the veterans of our community, especially since they have sacrificed so much for us and our country,” Poindexter says.
spiritual symptoms that may develop with veterans based on where, when and in what branch they served, and the Veteran’s services are assisted with our knowledge and expertise in end-of-life care,” says Poindexter. “The collaboration between hospices and VA programs helps everyone involved to better care for the primary person we are committed to help: the veteran.”
Pinning Ceremony
Another way Phelps Regional Home-
care supports veterans in the “We Honor Veterans” program is paying tribute to the veterans for their service. “For 2011 we participated in a pinning ceremony at the Missouri Veterans Home in St. James, some of the other long-term facilities and even support veterans, and the partnerships
in the private homes of our veterans,” says
exist as a network of people from different
Poindexter. “The pinning ceremony allowed
agencies who are dedicated to providing
us to gratefully acknowledge the service
the best in support and services for end-of-
these veterans provided to us and our
live care for veterans. The partnerships are
country, and also allowed them the oppor-
mutually beneficial to hospice providers
tunity to share part of his or her story. “
and VA programs.
of “pinning” the veterans, they are able to
“We receive education from the VA
about specific physical, emotional and
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Community Benefit Report
Poindexter says through the ceremony
experience the truth that other people still
care and appreciate their service. “We
with one another, and at the end-of-life
are able to convey our sincere gratitude
it is vitally important that the veteran
to them,” says Poindexter. “Although
feel comfortable and able to talk about
it may be a small gesture in the grand
anything. This often is easier done with
scheme of things, the pin and certificate
another veteran.” The volunteer role is
is a reminder to the veteran that people
mainly to provide companionship to
still value the commitment they made
the veteran and respite to the family.
to our country.”
“We currently have one veteran help-
Need for Veteran Volunteers
ing us, and we are actively looking to
PRH hospice has a special need for
veteran volunteers to help their fellow veterans. An important component to the hospice program is the volunteer service which is offered to every patient. In the case of a veteran patient, it is helpful if the volunteer assigned to them is also a veteran. Poindexter says, “Veterans have a special kinship
recruit more veteran volunteers due to
How to Volunteer for Hospice: If you would like information regarding hospice volunteering, contact Lynne BrennanHowk, Volunteer Coordinator, at 573-364-2425.
the number of veterans we serve every year,” says Poindexter.
There are many ways to get in-
volved. If you are interested in volunteering in the “We Honor Veterans” program or have additional questions about home health and hospice, please contact Phelps Regional Homecare at 573-364-2435.
Facts from We Honor Veterans site More than 1,800 veterans die every day. This represents a quarter of all deaths in America.
Approximately 85% of veterans do not receive care through the VA health care system.
Only 4% of veteran deaths occur in VA facilities.
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The Lily Pad: A Happy Place to Land
PCRMC Debuts the Lily Pad Gift Shop
Katie Lortz, The Lily Pad Gift Shop
Manager, selects all of the items sold in the
shop. “We really tried to give The Lily Pad the feel of a boutique—many of the items
we offer are unique to our shop,” Lortz says. “So when you come in our store, you will see merchandise for sale that you can’t find anywhere else in the area.” Lortz says new items are added to the gift shop almost daily and she is always looking for the next great buy.
Tina Pridgeon, Director of Auxiliary and
Volunteer Services, says much time and consideration went in to remodeling the gift shop; specifically, in how to make the space a special place at the hospital where people could purchase high-quality items.
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On October 11, 2011, Phelps
“The Lily Pad was a labor of love for us,”
County Regional Medical Center held the
Pridgeon says. “We collaborated with many
grand opening of its redesigned gift shop:
people to ensure we were providing an
The Lily Pad. The renovated gift shop offers
exclusive service to people at PCRMC, while
gifts for every occasion and is available to
supporting the mission of the hospital.”
patients, visitors and staff.
Community Benefit Report
The Lily Pad is one of the revenue
generating projects at PCRMC by the Auxiliary and Volunteer Services. Its operating hours are: Monday-Friday, 8:00-5:00, Saturday, 10:00-2:00; and Sunday from 12:00-4:00. For more information, please contact Tina Pridgeon, Director of Auxiliary and Volunteer Services, at (573) 4587939.
Auxiliary History Early in 1953 a cart carrying toiletries and books for patients started making regular rounds – the first fundraising project within the hospital. In 1966 the Auxiliary opened a gift shop. Revenue from the vending machines was another addition to income that year. The shop was relocated and enlarged in 1973 and again in 1981. A new gift shop was built in 1993 at still another location. Current sources of income, all still within the medical center, are baby portraits, vending and soda machines,
2011 Recap of monetary gains re-invested into PCRMC. From 2000-2010 AVS presented over $2 million to PCRMC. Last year the following was contributed to PCRMC: • $175,000 was contributed for the 4th Floor MOB Buildout project • $100,000 for the Gift Shop Expansion Project ($69,000 spent by Dec 2011) • $5,100 for Pediatric Baby Scales Project • $3,000 for Gerontology Conference • $100 for March of Dimes Sponsorship Support • $2,550 for OB Refrigerators for patient rooms • $4,020 for Smile Mobile • $2,500 for VolunTeen Salary • $1,460.72 for Lemon Tree Grill Fryer • $10,000 for Scholarships • $21,240 for Happy Hauler Driver Salaries and Maintenance • $12,540 for Gift Shop Manager Salary (To Be Paid in March when CD matures)
gift shop, grill and resale shop.
2011 Auxiliary Totals $337,510.72
24,916.98
$796,770.85
Return On Investment of Auxiliary and Volunteer Services Department allocated in 2011 in actual dollars.
24,916.98 x $18.57 = $459,260.13 (Volunteer hours served x National volunteer equivalency rate per hour = Total added value in volunteer support labor)
Combined Auxiliary contribution to PCRMC
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Area Health Education Center (AHEC):
Committed to providing physicians for rural communities
In 1994, Phelps County Regional Medical Center (PCRMC) became host to the Mid-Missouri Area Health Education Center (Mid-MO AHEC) and was committed to supporting AHEC’s mission “to serve as a catalyst for recruitment, retention, and local support of healthcare providers in the rural and medically underserved counties of central Missouri, resulting in healthier, stronger communities.”
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Community Benefit Report
Missouri’s rural populations are facing serious issues regarding healthcare access. While almost 40% of the state’s population lives in rural Missouri, only about 13% of the state’s physicians practice there. MidMissouri AHEC works with six other regional centers and three medical school program offices to coordinate a pipeline program resulting in improved supply, distribution, diversity, and quality of the healthcare workforce. Students who are raised in rural areas and who train in rural areas are most likely to practice in a rural environment. The medical school partners are University of MissouriColumbia, A.T. Still University-Kirksville, and Saint Louis University. The AHEC program fosters health career awareness, exploration and preparation. Awareness activities include classroom presentations and health career fairs. Exploration programs expose younger students to health careers to which they may not otherwise have access. Many events include presentations from healthcare professionals,
hands-on activities and job shadowing. AHEC health career preparation activities for high school and post-secondary students include online modules, workshops/labs, experiential learning opportunities, individual career planning, job shadowing and service learning projects. Students can be involved in leadership experiences and knowledge/skills competitions. At this level, Mid-MO AHEC strives to prepare students to become the best-prepared candidates when entering the field of healthcare. The next segment of the AHEC program involves training for community-based health professions in rural areas. PCRMC physicians are truly committed to training medical students in their practices. Students come from medical school campuses to live in the community while they train. They gain an under-
standing of rural medical practice, and they develop ties to the community and give back to it any way they can. Students of many other disciplines also complete training at PCRMC, and Mid-MO AHEC can oftentimes arrange housing for these students at a very reasonable cost. Another major component of MidMissouri AHEC that would not exist without PCRMC support is the MAHEC Digital Library (MDL). MDL provides a common web portal that allows students access to a core set of health information resources. Library memberships are also available to all Missouri health care providers and institutions. To learn more about the Mid-Missouri Area Health Education Center (Mid-MO AHEC), please call Jan Shipley, Executive Director at (573) 458-7576.
AHEC 2011 Statistics
H 27 Classroom events and career fairs exposed over 750 students to health careers.
200 junior high students engaged in service learning projects based on Health Literacy Awareness presentations.
Hospital staff accommodated a minimum of 150 one-day shadowing requests last year.
Forty-one Rolla area physicians dedicated 450 weeks of their time to train medical students.
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Researching with Care:
Clinical Trials Used to Fight Cancer The Delbert Day Cancer Institute at Phelps County Regional Medical Center strives to offer the best in cancer care for local patients. One way the Delbert Day Cancer Institute continues its commitment to fight cancer is through the availability of clinical trials.
What are clinical trials?
The Delbert Day Cancer Institute (DDCI)
is an affiliate of Cancer Research for the Ozarks, which was funded by the National Cancer Institute. Cancer Research for the Ozarks is also known as the Ozarks Regional Community Clinical Oncology Program, and is designed to let local physicians offer their patients the same opportunities for cancer research trials as in a larger city. Clinical trials conducted at the DDCI follow the regulations designated by the National Cancer Institute and Cancer Research of the Ozarks. Currently there are 48 other organizations like the Cancer Research of the Ozarks in the United States.
Clinical trials are research programs that
involve people. In cancer research, clinical
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Community Benefit Report
trials are used to answer questions about the disease and discover new ways to treat it. Clinical trials are used in the prevention, diagnosis and treatment of cancer; they are also used in the management of cancer symptoms.
Clinical trials follow very specific regu-
lations and are particular about who can participate in the study. Each clinical trial is formulated with a precise plan, or method of study, called a protocol. The protocol explains what the trial is about and how it will be conducted. Each clinical trial protocol clearly states the criteria for entering the trial. The criteria may specify a patient have a certain type or stage of cancer, or be a certain age. The reason that the criteria must be narrowed down is to keep the
participants as similar as possible so the
the patient to read it again and go over the
results are based off of a group that share
pros and cons with family members.”
comparable traits.
Meet the Clinical Research Nurse
Kristi Atkins, RN, BSN, is the clinical
Once a patient qualifies for a trial and
agrees to participate, Atkins makes sure the signed consent is sent in with all other preliminary requirements. She then helps
research nurse for oncology at the DDCI.
the patient stay on track with the study.
Atkins says, “I like that we are now able to
“Some studies require the patient to come
offer our cancer patients clinical trials close to home. Before, patients were driving several hundred miles, sometimes one way, to participate in a trial. Now, we are able to provide the same opportunities at the local level.”
Atkins serves as the primary contact
for patients who enter clinical trials. She is responsible for screening potential candidates, enrolling them in the study and monitoring them for the duration of the trial.
“We screen every new patient as well as
patients with a reoccurring cancer,” says At-
in every two weeks for blood work or tissue
kins. “If we find a trial that the patient may
samples, while others require blood work
qualify for, we go over the details with him
and an answered survey form every three
or her about the clinical trial and go over
months,” she says. “It really depends on the
the consent to participate. We encourage
protocol on what will be necessary for the
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The Delbert Day Cancer Institute at PCRMC has a primary vision: to provide high quality, advanced cancer care for patients in the local communities—the same cancer treatments and options a patient would receive in a larger city—only close to home. patient to do. Some studies have the trial
is a great feeling.” A patient needs to decide whether or not
participants take a pill, and others test new chemotherapy drugs intravenously.”
participating in a clinical trial is something
he or she would like to do. Atkins states there
Ultimately, Atkins says her job is to ensure
the patient is following the trial’s protocol,
are always pros and cons, but finds some of
answer any questions and make sure the
the possible benefits are reassuring for some
patient is comfortable with the process. “If
patients. “I have found that some people like
a patient starts a trial and decides that he
the idea of participating in a trial because
or she no longer wants to participate, I take
they feel they are more involved in their
them off the trial. Our number one focus is
treatment process; that is, by enrolling in a
the patient, and if he or she is not comfort-
trial, they are taking an active step towards
able with the trial, for whatever reason, we
their recovery and the decisions that affect
respect that decision,” she says.
their lives. Also, they like the idea that they
Clinical Trials Underway
Currently, there are several local patients
cancer and improve cancer treatments,” says Atkins.
participating in cancer trials at the DDCI. “We
are really excited, to say the least,” says Atkins.
the Delbert Day Cancer Institute, please call
“We are providing our local patients with the
the PCMRC Contact Center at (573) 364-9000.
option to participate in clinical trials, and that
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have the chance to help other people with
Community Benefit Report
To learn more about cancer research at
Our family caring for your family Regardless of complexity, the PCRMC Physicians Group is equipped to deal with whatever ailment you may have. Our highly qualified physicians focus on you, to walk you through prevention and diagnosis, and help you understand effective treatment and wellness options. Contact a PCRMC physician at 573-364-9000 for a physician that will provide you with a lifetime of care.
World-Class Healthcare Close To Home 17
Announcing a new name in the battle against cancer:
The Delbert Day Cancer Institute
acquired the equipment, personnel and
services of a major regional cancer center. Now, with a remarkable donation from Ted and Kim Day, the PCRMC cancer institute has a name and a future, The Delbert Day Cancer Institute. The donation was the single largest in PCRMC’s history.
The Days donated on behalf of Ted’s
father, Dr. Delbert Day, a man known for his technical achievements and contributions to the glass industry. Delbert is the former Chairman and President of MO-SCI Corp., a company he helped found in Rolla, MO, that manufactures special purpose glasses
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There was a time when central Missourians
for healthcare, electronics, transportation,
with cancer had to travel to distant cities
aerospace, chemical and sporting good
for care. This was certainly true in Phelps
industries.
County, where there was not a hospital
at all until 1951. Cancer diagnoses meant
work in the medical community,” Ted Day
long car rides, separation from family, lost
said. “He had always been “Dad” to me until
income, disruption of daily life and extra
I came to work at MO-SCI with him. It was
suffering at a time of terrible weakness,
a humbling experience to find out how
anxiety and vulnerability.
extensive and groundbreaking his achieve-
ments are. We are very proud of his ac-
Since the 1980’s, PCRMC has quietly
Community Benefit Report
“We wanted to honor Dad’s efforts and
complishments, and we felt this donation was a
staff of the medical center for the foresight of
wonderful way to honor him.”
establishing a cancer institute,” Day said. “It’s
often difficult to visualize the importance of a
The Day name is already closely tied to can-
cer care because of Delbert’s groundbreaking
decision like this at the time it is made. “
role in the development of selective internal ra-
diation therapy (SIRT). SIRT increases tumor tar-
tute would impact the community.
geting, reduces side effects and treats tumors
inaccessible by surgery. He co-invented special
standing services and cutting edge procedures
purpose glass microspheres, TheraSphere™,
that are already being used here to treat pa-
which is now being used at over 100 sites to
tients,” Delbert said. “The second will be a major
treat patients with inoperable liver cancer.
increase in the local and national recognition
He discussed three different ways the insti“The first will be an expansion of the out-
“Signage for the Delbert Day Cancer Institute is not just a name. It represents innovation, know-how, curiosity, strength, courage, faith, endurance and hard work that pays off—in short, everything we need to beat cancer.” TheraSphere is a form of cancer treatment that
of the medical center -- this will improve the
directly treats tumors in the liver using small,
overall healthcare available to our residents and
radioactive glass beads, measuring one-third
make our region more attractive to physicians
the diameter of a strand of human hair. Micro-
and medical specialists. And finally, the cancer
spheres emit radiation, killing the cancer cells in
institute and the hospital in general can be an
the tumor.
even larger engine for economic growth in this
area.”
The donation was announced during a press
conference and VIP event during which Dr. Day
addressed the hospital.
Institute, please visit www.pcrmc.com or call
the PCRMC Contact Center at (573) 364-9000.
“I want to congratulate the trustees and the
To learn more about the Delbert Day Cancer
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Cancer Support Group: Using a team approach to combat cancer
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Community Benefit Report
Phelps County Regional Medical Center
cancer or cancer treatment. The members of
offers a free cancer support group for cancer
the group are encouraged to discuss anything
patients and caregivers every Wednesday
in their lives that they would like to bring up.
evening at 5:00 pm in the Radiation Oncology
“We just go with the flow,” says Feco. “I let the
Reception area, located at the North Entrance
group decide what direction they want the
of the hospital.
meeting to take, whether that involves things
going on in their lives, where they are in treat-
The cancer support group is designed to
help give cancer patients and their caregivers
ment, stress reduction, nutrition or body image.
the tools to understand and cope with feelings
We do not follow a set guideline, so the meet-
and emotions; communicate effectively with
ings are very relaxed.”
support providers; cope and manage pain;
manage stress; adapt to change; and work
participants since the group’s inception. “Mem-
through the acceptance process.
bers of the group feel they have gained tools
for managing stress and relationships while
Randee Jo Feco, Psy.D began the cancer sup-
Feco has received positive feedback from
port group in 2005 and facilitates each meet-
undergoing cancer treatment,” says Feco. “They
ing. “When the cancer support group began,
feel the group is a strong, encouraging network
I had one person come to the meeting,” says
for them to rely upon—and they are very grate-
Feco. “Gradually, by word of mouth, the num-
ful for each other.”
ber increased, and today there are over twenty
members who regularly attend.”
people in all stages of cancer, from treatment to
remission, and all adults may attend. Feco says
Feco says the group serves as a vital sup-
The PCRMC cancer support group is open to
port system for patients. “The members really
the group’s motto is: “We control the cancer,
care about each other,” she says. “If one misses a
and do not let the cancer control us.”
meeting, other members will call that individual
to make sure everything is ok. The members of
cancer support group, please contact Diana
the group really feel like they are a family.”
Panteleo, RN at (573) 458-7502.
For more information about the PCRMC
The group discussions are not limited to
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Available Just for You
Hospitalists Offer In-Patient Care at PCRMC If you have been admitted to the hospital
patients more than once a day if necessary to
lately, you may have noticed you were cared
make sure their patients’ care is going accord-
for by a hospitalist. Hospitalists are physicians
ing to plan.
who are board-certified in internal medicine
and specialize in caring for patients in the
in-patient care, he or she is not a primary care
hospital. “We go through the same residency
physician (PCP). “Some patients prefer to have
and certification as other internal physicians,”
their PCP see them while in the hospital or
says Nurelign Abebe, M.D. “The only difference
help coordinate their care, and we are happy
is that we do not treat patients outside of the
to accommodate,” says Todd Riggs, D.O. “We
Although a hospitalist actively manages
“Since we are located in the hospital, we are able to track test results and order the appropriate follow-up care, promptly and efficiently.” – Dr. Abebe
22
hospital. Our job is to remain at the hospital
communicate with the patients’ PCPs while
and make rounds.”
they are in the hospital, and then once they
are discharged the PCP resumes total care.”
The benefits of hospitalists are numerous:
they are conveniently available to talk with
family members; are able to order and follow-
to the medical field, many hospitals today
up on labs and tests; are able to coordinate
employ hospitalists because they have been
patient care with the nurses; and they see
found to be beneficial to the patients. “Hospi-
Community Benefit Report
While the profession is relatively new
tals that have hospitalists on staff typically
request to have the hospitalist as their PCP.
show reduced in-patient stays in the hospi-
“Unfortunately, we cannot be a patient’s
tal,” says Dr. Abebe. “Since we are located in
PCP; our care ends once the patient is dis-
the hospital, we are able to track test results
charged from the hospital,” says Dr. Riggs.
and order the appropriate follow-up care,
“However, we are always more than willing
promptly and efficiently.”
to help a patient establish care with a local
PCP.”
A hospitalist is specialized in hospital
procedures and in the coordination of care
To learn more about Dr. Abebe or Dr.
for hospitalized patients. Their ‘office’ is the
Riggs, please call the PCRMC Contact Cen-
hospital, so they are readily available for
ter at (573) 364-9000.
all aspects of a patient care and organize the communication between other physicians and the nursing staff. “One of the best things about being a hospitalist is that I am always there if there is an immediate patient need, and I can respond quickly,” says Dr. Riggs. “Also, many times the patient’s family will have questions, so I am available to talk with them during my shift.”
So the next time you or a loved one is
admitted to the hospital, do not be surprised if you are greeted by hospitalist. “Some of our patients have never heard of a hospitalist,” says Dr. Abebe. “We are happy to explain to them what we are and how we help manage their care while in the hospital.” Sometimes the patients are so satisfied with the hospitalist’s care that they
Nurelign Abebe, MD
Todd Riggs, DO
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Phelps Regional Health Care Foundation: Funding the Greatest Good
Phelps Regional Health Care Founda-
Clinicians, staff, patients, friends and
tion is the dedicated philanthropic arm of
donors work together to fund the greatest
Phelps County Regional Medical Center and
needs and opportunities of Phelps County
provides support for critical medical services
Regional Medical Center and share the com-
in the community it serves. The Foundation
mon goal of being the ‘charity of choice’ in
supports and assists the mission of PCRMC
the region it serves.
by striving to provide every resident in
our community the opportunity for opti-
Health Care Foundation, please visit giving.
mal health through access to world-class,
pcrmc.com or call Lorrie Hartley, Executive
efficiently and effectively, close to home.
Foundation, at 573-458-7946.
To learn more about the Phelps Regional
Pediatric Dental Fund helps support on-going costs and services associated with Director of Phelps Regional Health Care patient-centered healthcare deliveredproviding safely, dental care to area youth between the ages of one and eighteen.
Abbie Darnell Fund $550.00 Baby Steps Fund $184.72 Breast Center Mammography Fund $2,660.50 Cardiac Services $45,147.69 Delbert Day Cancer Institute $337,619.22 Greatest Needs Fund $36,263.84 Guardian Angel Fund $6,811.00 Hospice Fund $14,704.32 Jay Crump, D.O. Medical Scholarship Fund $7,605.36 Joy of Caring Cancer Fund $75,210.61 Nursing Education Fund $2,321.00 Patient Transportation Fund $1,495.00 Pediatric Dental Fund $889.54
24
Community Benefit Report
Foundation Funds Abbie Darnell Fund supports patients experiencing loss of movement or nerve functions. Baby Steps Fund offers new parent support, breast feeding essentials to working mothers and fetal demise bereavement services.
Hospice helps meet the needs identified by Phelps Regional Homecare. Jay Crump, D.O. Scholarship Fund promotes retention of quality, long-term physicians in our community.
Breast Center Mammography Fund offers lifesaving mammograms at no cost for women who financially qualify.
Joy of Caring Cancer Fund provides financial assistance for cancer patients who may have difficulty managing their daily activities and capital needs related to cancer services.
Delbert Day Cancer Institute provides comprehensive, coordinated, compassionate and cutting-edge cancer care.
Nursing Education offers scholarships to nursing professionals pursuing advanced education.
Greatest Need Fund helps supplement existing funds and supports capital priorities at PCRMC.
Patient Transportation Program purchases and maintains vans to transport patients to and from PCRMC.
Heart-2-Heart Fund offers free heart-health screenings, educational materials, and cardiac rehabilitation assistance.
Pediatric Dental Fund helps support ongoing costs and services associated with providing dental care to area youth between the ages of one and eighteen.
$531,462.80 2011 Total Donors: 1,618
2011 Total Donations:
25
Education’s Impact PCRMC Education Department offers educational programs to the community based on interest and need. Featured are some of the PCRMC Education Department’s course highlights for 2011.
• American Heart Association Courses had the following attendees: BLS: 703, ACLS: 149, PALS: 93 • 13 Nurses from Crawford, Phelps, and Franklin County hospitals attended PCRMC’s SANE program • 7 graduates of the Chronic Disease Management Course that was a free service to Community
PCRMC’s Diabetic Education Program had 101 Participants
22 attendees certified as Safe Sitters
Spirit of Service: 65 boxes of complete Thanksgiving meals were donated by PCRMC employees to GRACE
Over $2500 provided for GED education classes to Community
9 support groups covering a 6 county area
Smoking Cessation School Outreach: totaling 600 students 26
Community Benefit Report
Stuff the Bus: 5,070 individual
supplies donated to 11 schools School supplies were delivered to the following local schools: Newburg, Dixon R1, Waynesville, Vienna, Belle, Salem, Cuba R2, St. James, and Mark Twain, Wyman and Harry S. Truman Elementary Schools.
Box Tops for education:
Number of items donated plus number of schools served
Mailed School County
Campbell Soup Lables
Box Tops
1/18/2011
Waynesville Elementary
Pulaski
150
200
2/23/2011
Hermann Elementary
Gasconade
150
200
4/20/2011
Owensville Elementary
Gasconade
does not accept
290
7/20/2011
Wyman Elementary
Phelps
0
350
8/16/2011
Truman Elementary
Phelps
150
200
8/16/2011
LWJ Elementary
Phelps
150
200
8/16/2011
Mark Twain Elementary
Phelps
150
200
9/21/2011
Newburg Elementary
Phelps
50
300
8 Schools • 800 Campbell Soup Labels • 1940 Box Tops
27
Community Support
Phelps County Regional Medical Center groups the community support it provides into the following four categories. FINANCIAL ASSISTANCE & CHARITY CARE • Free or Reduced Healthcare at PCRMC • PCRMC’s Breast Center Mammography Fund • Community Care Clinic: Phelps County • PCRMC’s Joy of Caring Cancer Fund • PCRMC’s Smile Mobile
COMMUNITY OUTREACH • Back to School Supplies: Phelps County, St. James, Pulaski County • Chamber Membership: Cuba, Rolla, Salem, St. James, Steelville & Waynesville/ St. Robert • Christmas in the Park • Cuba Women’s Expo • EMS Day • Free books for Kindergartners & Third Graders (Rolla, St. Patrick & Lutheran School Districts) • G.R.A.C.E. • Healthy Baby Extravaganza • Heart-2-Heart • KMST (National Public Radio) • Missouri Veterans Home • Christmas Parades: Rolla, St. James
& Waynesville • St. Pat’s Parade • St. James Grape & Fall Festival Parade • PCCAN - Take a Stand sponsor • PCRMC’s Free Car Seat Checks • PCRMC’s Community Education Classes • PCRMC’s Disaster Readiness Truck & Trailer • PCRMC Speaker’s Bureau • PCRMC’s Support Groups: Alzheimer’s Support Group Breastfeeding Support Group Cancer Support Group Diabetes Support Group Mental Health Support Group Parkinson’s Support Group Smoking Support Group • PCRMC’s Transportation Program • Rolla Ladies Night Out • Rolla Nutrition Site • Rolla Public School’s District Athletic Program (ambulance on-site) • United Way • Vienna Health Fair
EDUCATION • Champions of Rolla Education (C.O.R.E.) • East Central College • Kirksville College of Osteopathic Medicine • Lincoln University • Mid-Mo Area Health Education Center (AHEC) • Rolla Daily News - Newspapers in Education • Rolla Technical College • Rolla Technical Institute
• Texas County Technical College • University of Missouri - Columbia
DONATIONS TO COMMUNITY GROUPS • American Cancer Society Relay for Life: Crawford County, Phelps County & Pulaski County • Armed Services YMCA • B.W. Robinson School • Boys & Girls Town - Great Circle • Celebration of Nations • Children’s Miracle Network • Cops Care • Humanitarian Medical Support (Medical equipment and supplies to third world countries) • March of Dimes • Maries County Fair • Mid-MO Credit Union: • Missouri S & T Athletics • Missouri Veterans Home • National Day of Prayer • Ozark Actor Theater • Phelps County Fair • Presbyterian Manor Good Sam Fund • Rolla Athletic Booster Club • Rolla Band Boosters • Rolla FFA • Rolla High School • Rolla Kiwanis Club • Rolla Lions Club • Rolla Presbyterian Manor • Rolla Rotary Clubs • Rotary Club of Pulaski County • Russell House • St. James Grape & Fall Festival • St. James Lions • USO - Ft. Leonard Wood
While this report captures the majority of programs that PCRMC sponsored or supported in 2010, some may have been inadvertently omitted.
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Community Benefit Report
Charity & Other Uncompensated Care
$21,270,463
Includes the cost of providing care to persons who cannot afford to pay and the shortfall between the cost of providing care to Medicaid patients and the payments received from the government.
Community Outreach Services
$914,732
Includes activities to improve community health and other services that benefit the community. Examples include community health and education, health screenings, support groups, transportation services and support for free clinics
Health Professionals Education & Placement
$2,388,626
Includes the cost of recruiting physicians, nurses and other clinical professionals into the community, plus the cost of supporting healthcare educational programs (i.e. nursing schools, technical colleges, etc.)
Donations to Community Groups
$350,559
Includes cash and in-kind donations, fundraising costs to support community organizations and other community programs. Examples include United Way and the American Cancer Society Relay For Life.
Total Community Benefit
$24,924,380
29
Payor Mix
Commercial 32%
Medicare Medicare Medicaid 45%
Uninsured Commercial
Uninsured 6% Medicaid 17%
I npatient D ays O utpatient V isits E mergency department V isits S urgeries B irths
30 
Community Benefit Report
37,604 163,863 37,542 5,387 887
Inpatient Admissions: An overnight stay in the hospital Inpatient Days: Total number of days spent in the hospital. Outpatient Visits: Patients who come for same-day treatment. Emergency Department Visits: Includes ambulance calls and patient walk-ins.
Maries Medical Clinic Crawford Medical Clinic
Maries
Phelps County Regional Phelps Medical Center Pulaski Medical Clinic
Pulaski
Dent Crawford
Phelps
Pulaski Dent
Crawford Texas Maries Other
PCRMC Service Area
50.4 16.3 10.4 7.2 3.2 2.8 Crawford 9.7
• Dent • Maries • Phelps • Pulaski • Texas
Phelps County Regional Medical Center, located in Rolla, is one of Missouri’s leading regional referral centers, serving over 200,000 residents in South Central Missouri. PCRMC
Texas
is a non-tax supported, county-owned 242 bed hospital. It has more than 1,600 employees, 100 plus physicians and a five-member elected board.
Inpatient Phelps Pulaski Dent Crawford Texas Maries Other
50.4 16.3 10.4 7.2 3.2 2.8 9.7
Maries 2.8% Texas 3.2%
Outpatient Outpatient Phelps Pulaski Dent Phelps Crawford Texas 50.4% Maries Other
Other 9.7%
Crawford 7.2%
59.6 14.4 7.9 6.5 3.1 3.1 5.4
Outpatient
Other Maries 5.4% Texas 3.1% 3.1% Crawford 6.5%
Phelps 59.6%
Dent 7.9%
Dent 10.4% Pulaski 14.4% Pulaski 16.3% Outpatient
31 Outpatient
Mission To provide every resident in our community the opportunity for optimal health through access to world-class, patient-centered healthcare delivered safely, efficiently and effectively, close to home.
Phelps County Regional Medical Center 1000 W. Tenth Street • Rolla, MO 65401 w w w . p c r m c . c o m