Regional Hospital, Transfer Center & Level II Trauma Center Eastern Kentucky's
At Pikeville Medical Center (PMC), we have a nearly 100-year history of meeting the healthcare needs of our community. Throughout the years, our footprint has grown as well as the number of patients we serve. We have faced many challenges, but we have celebrated an equal number of victories as we continue to exemplify the characteristics of grit and determination our region is known for
Over 600 credentialed providers and a total staff of more than 3,200 exemplify our mission statement, which is to advance the health and well-being of our region through comprehensive care in a Christian environment. I am very proud of this statement and I stand behind it wholeheartedly because it clearly shows what Pikeville Medical Center stands for
We offer our patients the same advanced level of care as in metropolitan areas with the heart, compassion and feel of a community hospital. Our employees are proud to serve the patients of Eastern Kentucky and go above and beyond to meet their needs.
PMC offers many support groups for patients facing medical challenges such as diabetes, obesity and cancer We understand their healing is dependent on much more than treatment and medications alone, and we want them to have access to an environment where they can learn and share outside of the hospital or clinic setting.
This mindset of caring for our community is also evident in the community events we either host or collaborate with others to offer Teams from different departments regularly participate in community and school events to interact with the community outside the walls of our hospital. From free medical screenings at area community centers to a stroke awareness event in the city park, we are committed to serving our patients. For nearly 10 years, the PMC Colors of Courage 5K has raised money to directly benefit patients of the Lawson Cancer Center at PMC and has grown into a very popular event in Pikeville.
During the summer of 2022, Eastern Kentucky faced the most devastating flash flood in our region's history, claiming 44 lives. I have never been more proud of our staff, who dedicated countless hours outside their responsibilities to help their neighbors in need.
Bottom line, when Pikeville Medical Center sees a need in our community, we are committed to meeting that need. This has been true throughout our past and will continue into our future.
Over the past several years, PMC has been fortunate to have great leadership to guide the organization and help overcome obstacles. This leadership team is able to define problems, develop and execute plans and deliver quality care to our patients.
Members of the PMC board of directors are actively involved, not only on the business side of the hospital, but also in hospital events and activities. The board is comprised of seasoned leaders from both in and out of the hospital who have a true passion for healthcare and are committed to growing Pikeville Medical Center to better serve the region.
Pikeville Medical Center (PMC) is a 348-licensed-bed facility dedicated to providing quality health care. PMC is the single largest transfer center in Eastern Kentucky and the 8th busiest in the state. The medical center has over 3,300 employees which includes 600 credentialed providers, all focused on providing quality patient care, and serves a patient population base of over 450,000.
PMC was named to the Forbes list of Best-in-State Employers for four consecutive years, earning the distinction as a Four-Year Champion. With a progressive and supportive leadership team and board of directors, PMC is able to supply its physicians and staff with the advanced technology and training needed to provide quality health care.
PMC is always striving to expand and further meet the needs of the service area. Being restricted by a rural geographical location, patients in the past were often at least two hours away from specialty healthcare services. Fortunately, PMC has grown into a regional referral center over the past several years and now offers the Commonwealth's only Level II Trauma Center. In 2023, PMC received nearly 350 transfers and admitted over 300 patients into one of the hospital’s Intensive Care Units. Additionally, there were over 40,000 patients referred to PMC specialty providers.
Pikeville Medical Center has made a giant leap in cardiac care with the completion of the $32 million Heart Institute Expansion Project. Three new state-of-the-art interventional cardiac catheterization (cath) labs enable
physicians to provide an advanced level of care with a broader range of minimally invasive diagnostic and interventional cardiovascular procedures, many that have never been offered at PMC before. PMC utilizes advanced technology and has the more cath labs than any other hospital in Kentucky, providing the medical center with the resources and technology to allow patients to remain close to their family and friends.
PMC saw the need to provide better access to pediatric care, which was something that previously required families to travel outside the region to obtain. The last several years have seen an intense push to increase pediatric services, which resulted in a five million dollar endeavor to create the region’s only children’s hospital.
While celebrating the opening of the Mettu Children’s Hospital, officials also broke ground on an expansion project for the Lawson Cancer Center. This expansion provided additional space for full-service cancer treatment and follow-up care, giving patients more options to receive advanced treatment close to home. The cancer treatment area offers 24 new infusion suites. Staff welcomed patients in September 2023.
Another impactful project was a seven million dollar renovation to the PMC laboratory. This created more space which now houses a state-of-the-art automated testing line with 10 new analyzers. The expanded lab increase in turn-around time of lab results by 50%. Due to high volume, another laboratory expansion is underway.
Under the direction of Chairman, President and CEO
Donovan Blackburn, PMC has entered into a new era of communication directed at engaging the community, staff, physicians, patients and their families. This open line of communication was particularly important and beneficial during the COVID-19 pandemic.
Prioritizing and strategizing are essential for PMC to reach its highest potential. The approach is to follow four basic strategies – Define, Develop, Execute and Deliver The core values on which PMC bases its foundation are: Quality, Faith, Inclusion, Teamwork, Integrity and Stewardship.
Quality - We are committed to a culture that provides quality healthcare services through dedicated professionals who continually strive for excellence.
Faith - Christian values give us the strength to heal and provide comfort to those in need.
Inclusion - We intentionally create an environment of acceptance where are all are valued and respected for who they are.
Teamwork - Allows us to work together for the safety and well-being of our patients and fellow co-workers.
Integrity - Allows us to adhere to high moral principles and professional standards by committing to honesty, truth, respect and transparency.
Stewardship - Sustain our mission by managing resources in a responsible manner
The mission, vision and values guides PMC on its journey allowing the medical center to exceed its goals and serve the region to the highest standard.
Pikeville Medical Center is recruiting some of the most talented and experienced physicians who are at the top of their class in their specialties. Nearly all PMC physicians are board certified and many are double and even triple board certified. Along with job creation, PMC is also working diligently on job retention through workforce development. The goal is to broaden the knowledge and experience of employees in order to make them stronger, which results in a stronger organization.
The administration and board of directors appreciate the talented, dedicated staff at PMC. There is a priority placed on recognizing those employees who go above and beyond to care for patients and show support for their fellow staff members. Those who rise to this level are recognized through programs such as PMC Shining Star, the Daisy Award, department and hospital-wide Nurse of the Year, the Woonie (Wound Care) Award and more.
QUALITY, PATIENT SAFETY
The PMC mission statement is an integral part of what Pikeville Medical Center stands for. The quality of the technology being used is constantly being evaluated and measured to ensure patients are receiving comprehensive, quality care.
Developing treatment plans and offering medical care to patients begins with proper diagnostics. PMC continues to invest in state-of-the-art radiology equipment to provide accurate and rapid diagnoses. By continually upgrading technology to increase capabilities, PMC can offer a higher level of care to patients. One recent example is the enhancement of stroke protocols with CT Profusion to allow physicians to detect viable brain tissue. Every minute counts during a stroke event and this technology provides lifesaving advantages.
PMC's mammography services were recently upgraded and improved to complement the care provided at the Eastern Kentucky Advanced Women’s Care Center. In addition to 3-D mammography, PMC now offers cancer detection through the use of the
Automated Breast Ultrasound (ABUS) System. When used in conjunction with mammography, this technology can detect smaller abnormalities of tissue, resulting in a quicker diagnosis.
Nationally Recognized Care You Can TRUST Close to Home
Human Experience Award
July 2024:
AWARDS & RECOGNITIONS
NATIONALLY RECOGNIZED AS A LEADER IN HEALTH CARE
• The Heart & Vascular Institute of Eastern Kentucky received the American Heart Association’s Get With The Guidelines®– Rural Coronary Artery Disease STEMI Silver Award
• Pikeville Medical Advanced Primary Stroke C e n t e r re c e i v e d t h e A m e r i c a n H e a r t Association/American Stroke Association’s Get With The Guidelines®- Stroke Gold Plus Quality Achievement Award with Target: Type 2 Diabetes Honor Roll
June 2024:
• PMC received the Chest Pain – MI Registry™ Platinum Performance Achievement Award, which recognizes hospitals participating in the registry who have demonstrated sustained, toplevel performance in the quality of care and adherence to guideline recommendations from the American College of Cardiology
April 2024:
• PMC received accreditation in Echocardiography from the Intersocietal Accreditation Commission in Adult Transthoracic and Adult Stress Echocardiography
February 2024:
• Rated by CareChex – Top 10% of Hospitals in the Nation for Patient Safety in Heart Attack Treatment, Sepsis Care
• Rated by CareChex – Top 10% of Hospitals in the State for Patient Safety in Heart Attack Treatment, Heart Failure Treatment and Sepsis Care
• Rated by CareChex – Top 10% of Hospitals in the State for Medical Excellence in Hip Fracture Care
• Rated by CareChex – Top 100 Hospitals in the Nation for Patient Safety in Sepsis Care
January 2024:
• Joint Commission Re-Accreditation for Hospital and Home Medical Equipment (DME)
December 2023:
• PMC Among Top in State and Nation in Four Areas of Medical Excellence and Patient Safety by CareChex/Quantros. Top 10% of Hospitals in the Nation for Patient Safety: Sepsis Care. Top 10% of Hospitals in the Nation for Patient Safety: Heart Attack Treatment. Top 10% of Hospitals in the
State for Patient Safety: Heart Failure Treatment and Heart Attack Treatment. Top 10% of Hospitals in the State for Medical Excellence: Hip Fracture Care.
October 2023:
• Foundation for Healthy Kentucky presented Donovan Blackburn, President and CEO, with the 2023 Gil Friedell Memorial Health Policy Award.
• PMC received 2023 Cardiac Cath Lab with PCI accreditation from the American College of Cardiology (ACC).
• “HRSA Gold Award DONation” Uniting America's workforce for organ, eye and tissue donation. September 2023:
• PMC Pulmonary Rehabilitation program certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).
• PMC laboratory re-certified by the Accreditation Committee of the College of American Pathologists (CAP)
• Kentucky Hospital Association honored Donovan Blackburn with 2023 Award of Excellence
• Southeast Kentucky Chamber Outstanding Contribution by an Organization Award presented to Appalachian Valley Autism (AVA) Center and Mettu Children's Hospital.
• PMC presented with the Epic Good Install award for the Epic implementation project in 2022
• PMC recognized by Forbes® as the Best-InState Hospital Employer in Kentucky: 4-Year Champion
August 2023: PMC Cardiac Rehabilitation program certified by the American Association of Cardiovascular and Pulmonary Rehabilitation.
July 2023:
• PMC received accreditation from the Accreditation Commission for Health Care (ACHC) for its Specialty Pharmacy Services.
• PMC received the American Heart Association’s Mission: Lifeline® STEMI Receiving Center Bronze recognition for its commitment to offering rapid, research-based care to people experiencing an ST Elevation Myocardial Infarction (STEMI).
FJune 2023: PMC received the Chest Pain – MI Registry™
Platinum Performance Achievement Award from the American College of Cardiology
February 2023: PMC Urgent Care & Family Wellness Center recognized as a Certified Autism Center™ (CAC) by the International Board of Credentialing and Continuing Education Standards (IBCCES).
January 2023: PMC named a 2022 Human Experience (HX) Guardian of Excellence Award® winner by Press Ganey
December 2022:
• PMC received two Women’s Choice Awards for Best Hospitals for Emergency Care and Best Hospitals for Cancer Care.
• The Lawson Cancer Center re-accredited by the American College of Surgeons Commission on Cancer.
October 2022: Hip Fracture, Hip and Knee Replacement re-certification from Joint Commission
September 2022: PMC’s Stroke Program awarded Advanced Certification as a Primary Stroke Center by The Joint Commission
August 2022: PMC recognized by Forbes® as the Best-InState Hospital Employer in Kentucky
May 2022: PMC received the American College of Cardiology’s NCDR Chest Pain MI Registry Platinum Performance PMC Among Top in State and ebruary 2022: Nation in Six Areas of Medical Excellence and Patient Safety by CareChex/Quantros. Top 10% of Hospitals in the Nation for Medical Excellence: Hip Fracture Care, Top 10% of Hospitals in the Nation for Patient Safety: Heart Failure Treatment and Heart Attack Treatment, Top 10% of Hospitals in the State for Medical Excellence: Hip Fracture Care, Top 10% of Hospitals in the State for Patient Safety: Heart Failure Treatment and Heart Attack Treatment.
November 2021:CEO Donovan Blackburn and Infectious Disease Specialist Fadi Al Akhrass, MD, recognized by Pikeville City Commission as Extra Mile Heroes as part of the “Extra Mile America” Initiative
October 2021:
• Chest Pain Center re-accredited by the American College of Cardiology Accreditation Services, version 7; First hospital in Kentucky to be awarded this version of accreditation and the 5th in the nation
• Sleep Lab re-accreditation by American Academy of Sleep Medicine
September 2021: PMC recognized as co-business of the year by Southeast Kentucky Chamber of Commerce
August 2021:
• Joint Commission Re-Accreditation for Hospital and Home Care
• College of American Pathologists Accreditation for Lab services
July 2021:
• Geriatric Emergency Department Accreditation, level 3 Bronze by American College of Emergency Physicians
• Laboratory Services re-accredited by College of American Pathologists
May 2021:
• Hospital and DME re-accreditation by Joint Commission.
• Pikeville Medical Center a recipient of the 2021 Chest Pain – MI Registry Platinum Performance Achievement Award, awarded by the National College of Cardiology
March 2021:
• Hip Fracture, Hip and Knee Replacement recertification from Joint Commission
• Hospital License Renewal by Kentucky Office of Inspector General
February 2021:
• ACGME re-accredited PMC’s Family Medicine Residency Program
• The Joint Commission re-certified PMC's Advanced Primary Stroke Center
600+ CREDENTIALED HEALTHCARE PROVIDERS
(includes Physicians, NPs, PAs and CRNAs)
ABA Therapy
Anesthesiology
Audiology
Bariatric Surgery
Cardiac Rehabilitation
Cardiothoracic Surgery
Clinical Trials
Critical Care Medicine
Dermatopathology
Diagnostics
Electrophysiology
Emergency Medicine
Endocrinology
Facial Trauma & Maxillofacial Surgery
Family Medicine
Gastroenterology
General Cardiology
General Surgery
Hand Surgery
Hematology
Home Medical Equipment
Hospital Medicine
Infectious Disease
Infusion Services
Interventional Cardiology
Interventional Radiology
Invasive Cardiology
Medical Oncology
Minimally Invasive Robotic Surgery
Neonatology
Nephrology
Neurology
Neurosurgery
Obstetrics/Gynecology
Ophthalmology
Optometry
Orthopedic Surgery
Orthopedic Trauma Surgery
Otolaryngology
Palliative Care
Pathology
Pediatrics
Pharmacy
Physical Medicine & Rehabilitation
Plastic & Reconstructive Surgery
Podiatry
Rehabilitation
Pulmonology
Radiation Oncology
Rheumatology
Sleep Medicine
Sports Medicine
Surgical Oncology
Trauma Surgery
Urology
Vascular & Endovascular Surgery
Wound Center
HEALTHCARE
EASTERN KENTUCKY
CENTERS OF MEDICAL EXCELLENCE
Heart & Vascular Institute
Bariatric &
Minimally Invasive Surgery
Neuroscience Center
Orthopedic Surgery
Advanced Eye Care
Advanced Women’s Care Center
PMC offers patients a wide range of services to treat various conditions and diseases and is home to many specialty services. The Appalachian Center for Advanced Eye Care at Pikeville Medical Center features high-level eye care provided by board-certified ophthalmologists specializing in cataract surgery, blepharoplasty, glaucoma diagnoses/treatment and other laser eye surgeries.
The Appalachian Center for Advanced Eye Care proudly offers a wide range of Optometry services for adult and pediatric patients, as well. For pediatric patients, it's important to catch any potential problems early and to resolve any issues before they risk impacting the child's development, especially in school.
PMC partners with the University of Pikeville’s Kentucky College of Optometry to offer routine eye exams.
THE NATION’S LARGEST AUTISM CENTER OF ITS KIND
The Appalachian Valley Autism (AVA) Center at Pikeville Medical Center (PMC) is the largest autism center in the country offering Applied Behavior Analysis (ABA) therapy By providing this sought-after and proven therapy for autism, the AVA Center is changing lives and meeting the demanding needs of many families throughout Central Appalachia.
The AVA Center also provides in-house speech, occupational and feeding therapies to children between the ages of two and twelve diagnosed with autism spectrum disorder (ASD) enrolled in its program. These crucial services allow families to remain together and close to home, rather than having to drive hours outside of the region or even relocate to receive this potentially life-changing therapy.
At the AVA Center, each learner (child enrolled in the program) has a dedicated Board-Certified Behavior Analyst (BCBA) who provides ongoing assessments and creates individualized care plans and evaluations of the child's progress. A Registered Behavior Technician (RBT) is responsible for running the child's program on a one-to-one basis while speechlanguage pathologists and occupational therapists address communication, feeding and functional living skills.
The Appalachian Valley Autism Center also offers Autism Diagnostic Observation Schedule or ADOS testing. During this assessment, a specialist interacts directly with the child in social and play activities to accurately assess and diagnose autism spectrum disorder across age, developmental level and language skills.
Soon after opening its doors in 2020 in a much smaller location, the AVA Center was faced with the almost immediate need for expansion. This growth came in the form of what is now a 27,000-square-foot, ocean-
themed oasis featuring autism-friendly spaces with close attention to textures, acoustics and lighting conditions. The state-of-the-art facility consists of multiple learning rooms, a specially designed gym, a BEAM virtual play system, and a special sensory stimulation room. The additional space created the ability for the AVA Center to increase the number of children receiving services to 75, but hundreds more remain on a waiting list.
The Appalachian Valley Autism Center in Pikeville features an Outdoor Sensory Stimulation Area which was funded by a $675,000 grant from the Health Resources & Services Administration (HRSA) through the Community Project Funding/Congressionally Directed Spending Act. This carefully planned area allows learners to receive their ABA therapy in an outdoor, sensory-friendly environment.
Pikeville Medical Center's multi-disciplinary approach to providing care is particularly valuable for families with a child on the autism spectrum because of the unrivaled expertise that exists in meeting the unique needs of toddlers and children with ASD. Particularly beneficial are the behavior therapies that aim to reduce undesired behaviors, improve a child's functioning and address co-occurring mental health conditions such as anxiety and depression. AVA Center clinicians utilize several therapies matched to the child's age, specific symptoms and degree of severity.
At no point since opening has the AVA Center not faced an intense need for expansion. In late October 2022, Pikeville Medical Center celebrated the
opening of a second location in Prestonsburg, Kentucky. This 5,500 square foot center features the same ocean theme and features 12 learning rooms, a feeding room, a BEAM virtual play system and two specially designed sensory stimulation activity rooms. This expansion allowed therapists to provide services for 14 additional learners and offer the same type of specialized, one-on-one services available at the Pikeville AVA Center facility.
Even with the incredible growth and expansion of the AVA Center, there are hundreds of children with an autism diagnosis in Eastern Kentucky who remain on a waiting list to be told the doors of hope for them are opening at the AVA Center. As funds are made available and opportunities present themselves, additional growth will remain on the horizon.
In addition to providing this life-changing opportunity to children on the autism spectrum, the AVA Center at Pikeville Medical Center creates new job opportunities for the region. The AVA Center in Pikeville employs 50 full-time employees and the Prestonsburg location created an additional 16 positions.
PMC and the staff of the AVA Center are deeply committed to providing high-quality care to the learners, which includes providing encouragement and support to help them reach their full potential.
AVA CENTER'S SUCCESS SHOWN IN THE NUMBERS AS OF JANUARY 1, 2024
Current enrollment:
• Pikeville – 91 (Will be 100 by the end of January)
• Prestonsburg – 24
• Up to 50 more learners by end of 2024
• 36 Learners have graduated from the program
Current staff:
• 11 BCBAs
• 57 RBTs
• 7 Student (RBT & BCBA)
• 1 APRN for ADOS Assessments
• 3 Occupational Therapists
• 3 Sleep-Language Pathologists
At the AVA Center, each learner has a dedicated Board Certified Behavior Analyst (BCBA) who provides ongoing assessments, creates individualized care plans and evaluation of the child's progress. A Registered Behavior Technician (RBT) is responsible for running the child's program on a one to one basis. Speech Language Pathologists (SLP) and Occupational Therapist (OT) provide therapy to address communication, feeding and functional living skills. The AVA Center also offers Autism Diagnostic Observation Schedule (ADOS). During the ADOS assessment, a specialist interacts directly with the child in social and play activities to accurately assess and diagnose autism spectrum disorder across age, developmental level and language skills As expansion continues, the AVA Center plans to provide services to 120 Learners in Pikeville and Prestonsburg.
The Pikeville campus has created over 50 jobs and is on track to add 20 more. The new Prestonsburg center created approximately 16 additional positions, all eligible for PMC's robust benefits package. The new positions include Board Certified Behavior Analyst (BCBA), Registered Behavior Technicians, a nurse practitioner, occupational, speech and feeding therapists and manager. (BCBA), Registered Behavior Technicians, a nurse practitioner and more.
EXPAND AVA CENTER SERVICE AREA
When a small percentage of children's health is adversely affected, there are devastating effects on the family and the community. The CDC reports that about 1 in 36 children has been identified with autism spectrum disorder (ASD) according to estimates from CDC’s Autism and Developmental Disabilities Monitoring (ADDM) Network. The rate of autism has steadily grown over the last twenty years and is the fastest growing developmental disorder, but yet the most underfunded.
With no regional facilities to offer autism therapy, PMC opened the doors of the Appalachian Valley Autism (AVA) Center in May 2020. Soon after opening, the overwhelming response and need required an immediate expansion. So many success stories have been imagined and created with the successful transition of children from a world all to their own, communicating with their family and friends in a comfortable and rewarding fashion.
Strategy: Constructed a Multi-Sensory Gym and an Outdoor Physical Stimulation Area
Children on the autism spectrum often possess sensory issues making the learning environment critical to their success and is contingent on having varied interventions. To provide that environment, PMC expanded the AVA Center by constructing an indoor multi-sensory gym and an outdoor physical stimulation area. It is critical for a child learner to be able to enjoy their day while releasing some of their energy
Strategy: Expand services and training program and training program
The expansion program will bring a registered
behavior therapist training program, additional jobs, and expanded much-needed service. The funding will provide 8,000 square ft for additional therapy services for 36 learners in Floyd County at the AVA Satellite campus, including a much-needed outdoor multisensory stimulation area and bring an in-house registered behavior technician (RBT) training program to train 25 students and create 25 additional jobs.
Strategy: Expand the AVA Center to Satellite Locations
The significant need in this area still far outweighs the availability of openings in the AVA program, making it critical to expand the program. Currently, the second satellite location is located in Prestonsburg, Kentucky
The Center for Bariatric & Minimally Invasive Surgery at Pikeville Medical Center (PMC) offers hope to patients who are ready to reclaim their lives from obesity. The Center is Accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS). This accreditation demonstrates that the Center for Bariatric & Minimally Invasive Surgery provides quality bariatric care and produces excellent outcomes for patients.
The highly skilled and experienced bariatric team is led by board-certified PMC Bariatric and General Surgeon Amy Johnson, MD, FACS. Dr. Johnson has vast experience, expertise and compassion for her patients which has raised the bar for weight loss surgery in the region. In addition to demonstrating a high level of skill when performing traditional surgeries, Dr. Johnson has many years of experience performing robot-assisted surgery at Pikeville Medical Center. Her primary goal in surgically treating morbid obesity is to eliminate or significantly improve most medical problems affecting her patients.
“We offer several minimally invasive surgical options to treat obesity which often leads to improvement in other related health issues,” explained Dr. Johnson, “Bariatric surgery can be life-changing and gives patients a second chance at living a healthy and productive life.”
KENTUCKY’S
TRAUMA
The PMC Trauma Center is a Level II trauma center offering emergency care 24/7. The team consists of experienced professionals in trauma, the emergency medicine, neurosurgery, orthopedic trauma, critical care, interventional radiology and local emergency transportation services. PMC's trauma services include the care of patients who have experienced a motor vehicle or all-terrain vehicle (ATV) accident, traumatic fall, gunshot wound and more.
PMC also offers advanced trauma courses such as: Rural Trauma Team Development Courses, Advanced Trauma Life Support Courses, Stop the Bleed Courses for schools in the area.
In addition, PMC works with the city to train local EMS.
TRAUMA SERVICE AREA
PMC EMERGENCY DEPARTMENT CERTIFIED FOR PEDIATRIC AND AUTISM READINESS
PMC Emergency Department consistently increasing number of pediatric patients. This growing group prompted PMC to begin the certification process in November 2019 to become “Pediatric Ready" by the Kentucky Emergency Medical Services for Children (KYEMSC) Program. Being recognized as "Pediatric Ready" demonstrates PMC's commitment to enhancing emergency care services for children in the region. Only three other hospitals in Kentucky have been certified Pediatric Ready
With the creation of the Appalachian Valley Autism (AVA) Center, the PMC ED recognized a need for further training in treating individuals with autism, as these individuals typically have different needs relating to communication, pain perception, and other treatments. The International Board of Credentialing and Continuing Education Standards (IBCCES) has recognized the PMC ED as a Certified Autism Center. Now, PMC staff is better equipped to help these patients.
ADVANCED EQUIPMENT WARMS INFANTS DURING TREATMENT
The Panda Warmer allows the medical team to focus on the most critical aspects of their job-caring for our youngest patients and their families. With direct heat application, babies, and toddlers stay warm and content. The compact size allows more room for the emergency staff and family to interact with the patient. An integrated x-ray cassette tray eliminates the need to move the baby. Plus, the Panda Warmer provides uninterrupted thermal support during x-rays. Additionally, a built-in scale makes taking the baby’s weight easy There is no need to move the baby to another tool or area. Having this piece of equipment will help treat sick babies more comfortably than before. This equipment has been extremely beneficial in the Emergency Department.
EMERGENCY RESPONSE
Challenging terrain and the location of many remote communities in Eastern Kentucky have long presented unique healthcare delivery challenges. Access to quality medical care can be a hurdle, especially during emergencies when every second counts. EMS personnel are pivotal in bridging this gap, providing expedited medical assistance and transport to those in need. Thanks to two Rural Emergency Medical Services Training Grants by the Substance Abuse and Mental Health Services Administration (SAMHSA), PMC is furthering its commitment to enhancing emergency medical services in rural communities through its Rural EMS Training Course.
In addition, PMC recently purchased two ambulances. These are used strictly for inter-facility transportation, freeing up the limited remaining ambulances in the region to respond to 911 calls.
PMC also procured funding to purchase Narcan. ED Staff has distributed these kits to local fire and police departments and provided these first responders with education and training.
Advanced Women’s Care Center
The Eastern Kentucky Advanced Women's Care Center at Pikeville Medical Center (PMC) is led by seven OB/GYN physicians who make up the largest on-call, board-certified OB/GYN team in the region. This experienced team of physicians is supported by a dedicated and compassionate team focused on all aspects of women's health including well screenings, family planning, menopausal care, pregnancy and postpartum care as well as minimally invasive gynecologic surgeries and more.
For mothers-to-be who are navigating the journey of pregnancy, the Eastern Kentucky Advanced Women's Care Center guides patients through this incredible chapter of life, delivering an average of 1,000 babies each year. Pregnancy and childbirth can be overwhelming, and the team at PMC strives to provide the support patients need every step of the way.
PMC's skilled obstetricians manage the various stages of labor, delivery and postpartum care, working closely with mothers to ensure safe and comfortable birthing experiences and employing medical interventions when necessary.
Where they are going to give birth is vitally important for women to consider as they choose an OB-GYN physician to care for them during their pregnancy. Having access to a Neonatal Intensive
Care Unit (NICU) is critical in the event the baby requires medical attention at birth. For this reason, PMC offers the region's only Level II Advanced Care Neonatal Intensive Care Unit PMC's two experienced neonatologists specialize in caring for infants born prematurely or with medical conditions that require immediate attention. The NICU at PMC can care for babies born as early as 28 weeks and weighing as little as 2.6 pounds, keeping more families together in the event these life-saving services are needed.
The comprehensive care provided by PMC obstetricians, neonatologists and their dedicated support staff ensures that pregnancies are monitored with precision, deliveries are safe and newborns receive the support they need for a healthy start in life.
NICU GROWTH & SUPPORT
Throughout Pikeville Medical Center's 100-year history, there have been numerous growth and expansion projects that have completely changed the level of care the hospital can provide. One such project took place in PMC's neonatal intensive care unit in 2019. The hospital had applied for and was granted a certificate of need to double the number of NICU beds and treat babies born as early as 28 weeks. This historic expansion also allowed the unit to transition to a Level II Advanced NICU, becoming the only NICU of this distinction in all of Eastern Kentucky.
At Pikeville Medical Center, there is never a moment of rest when it comes to advancing the technology and care offered to patients, especially the most vulnerable. In 2020, the PMC NICU received a generous grant from Kosair Charities to purchase a temperature management “cooling blanket therapy” system, which can cool a newborn's body and brain temperature. In certain situations, this
non-invasive technology has the potential to save a newborn's life by utilizing a technique known as hypothermia treatment. Babies, even those born at full-term, can experience a lack of oxygen and blood flow to the brain and experts say inducing hypothermia in those situations can reduce the risk of brain injury by as much as 50 percent.
In 2023, the Pikeville Medical Center NICU was able to add another piece of advanced equipment, thanks to funding provided by the WHAS Crusade for Children Foundation. While having a Level II Advanced neonatal intensive care unit allows PMC to care for more critical newborns than any other medical center in the region, inevitably, it is sometimes necessary to transport a newborn to a higher-level facility. There are times when Level I care is necessary and time is of the utmost importance. Thanks to the generosity of the Crusade for Children Foundation, PMC was able to purchase a Voyager Transport Incubator to transport the most fragile babies. The Voyager unit essentially becomes a mobile NICU and has a wide range of capabilities from cooling to high-frequency ventilation.
NICU NUMBERS FOR CY 2023
Drugs & Alcohol Use
• Newborns affected by maternal use of tobacco – 3
• Newborns affected by maternal use of drugs of addiction – 3
• Newborns with withdrawal symptoms of drugs of addiction – 27
Prematurity/Pre-Term Births
• Born prior to 33 weeks – 15
• Born at 33 completed weeks – 11
• Born at 34 completed weeks – 19
• Born at 35 completed weeks – 20
• Born at 36 completed weeks – 17
Pikeville Medical Center’s Primary Stroke Center is among the top stroke treatment centers in KY. Its goal is to deliver the most effective care with cutting edge technology. To provide patients with quality care, PMC works with Emergency Medical Service providers from across the region to ensure acute stroke care starts from the moment of patient contact.
PMC’s Emergency Department is highly trained for immediate identification of early stroke symptoms and equipped to provide intervention. The hospital has assembled a Stroke Team which has been trained to respond to stroke emergencies and provide expert neurological care. The Stroke Center has earned The Joint Commission’s Gold S e a l o f A p p r o v a l ® a n d t h e A m e r i c a n H e a r t Association/American Stroke Association’s Heart-Check mark for Advanced Certification for Primary Stroke Centers.
In addition to traditional neurology services, PMC’s Eastern Kentucky Neuroscience Center offers neurosurgery and an inpatient rehabilitation (IPR) program.
IPR provides services for patients suffering from falls, serious illnesses, and most commonly, stroke. The physicians and staff works together get patients back home or back to work as soon as possible. The team working with physicians includes, physical, occupational and speech therapists, rehabilitation nurses, case managers, social workers, dietitians and other professionals.
FEATURED TECHNOLOGY
PMC Heart & Vascular Institute has three state-of-the-art interventional cardiac catheterization (cath) labs. and two electrophysiology labs. At the heart of the new cath labs is the Philips Azurion® imaging system. This advanced technology helps optimize patient comfort and enables physicians to provide an advanced level of care for their patients. The PMC team of specialists can now perform a wider range of minimally invasive diagnostic and cardiovascular procedures in a patient-focused environment.
The Lawson Cancer Center (LCC) at Pikeville Medical Center provides patients of the region with expertise and leading-edge technology to fight cancer. LCC provides full-service cancer treatment and follow-up care The LCC is staffed with experienced oncologists, surgical specialists, nurses, pharmacists, patient navigators and many other highly trained healthcare professionals dedicated to providing quality cancer care. The LCC makes it convenient for patients across Eastern Kentucky to receive advanced cancer care close to home.
Due to a wide range of healthcare providers being involved with cancer care, the LCC utilizes a team approach. A dedicated group from different departments provide specific services to each patient with the goal of ensuring quality care and support. Each patient's team is assembled based on their
specific circumstances. Multi-disciplinary teams aim to improve communication, coordination and decision making between healthcare professionals. Cancer care is more than simply treating the disease. LCC staff treats the whole person with sincere, compassionate care. The staff understands a cancer diagnosis can be devastating to a family and affects more than just the patient. The goal is to walk with the patients and their families through this difficult time and to help make the process less difficult and the treatment a success.
The Lawson Cancer Center also hosts a variety of helpful support programs to aid in the healing of patients' mental and social well being to provide them with the tools they need to look and feel better.
LCC was awarded the Outstanding Achievement ward by the Commission on Cancer (CoC) of the American College of Surgeons (ACS). PMC is part of an elite group of healthcare facilities. Only 24 accredited cancer programs in the United States share this national honor. The Outstanding Achievement Award acknowledges cancer programs that achieve excellence in providing quality care to cancer patients.
TECHNOLOGY & INITIATIVES
Technology
The PMC Radiology Oncology Division added two (2) new medical linear accelerator (LINAC). The LINAC customizes high energy x-rays or electrons to conform to a tumor's shape and destroy cancer cells while sparing surrounding normal tissue LINACs are equipped with 3D image guidance to accurately target tumors. Special software then matches radiation beams to unique tumor sizes and shapes. This customized approach makes external beam radiation therapy safer and more precise for cancer treatment.
The PMC Radiology Division has expanded their schedules, offering additonal appointments to accommodate patients The new advanced equipment provides the ability to detect diseases earlier.
The SOMATOM® Definition Flash Computerized Tomography (CT) provides a whole-body scan requiring only five seconds. The Fully Assisting Scanner Technologies (FAST) simplify typically timeconsuming procedures so the scan process is more automated and results become more reproducible. Integrating the capabilities of syngo®.via leads to a fast and reliable diagnosis.
PMC utilizes new ultrasound technology designed specifically for screening dense breast tissue. The Invenia Automated Breast Ultrasound System (ABUS) 2.0, by GE, is the only FDA approved system of its kind. PMC is the only hospital in the area with this technology, and it adds another layer of breast cancer screening capability to PMC Diagnostic Center.
FEATURED SERVICES
NEW CLINICAL TRIALS
LLCC is among a relatively small percentage of cancer centers approved to offer some of the newest treatments to qualifying cancer patients in the form of clinical trials. Clinical trials are research studies that involve people and are the final step in the long process of developing a new drug. Patients whose cancer has not responded well to treatment and who meet specific qualifications are given the option to participate in a clinical trial, giving them access to new medications not yet available to the majority of patients.
RADIATION ONCOLOGY
Radiation Therapy utilizes highly controlled and accurate techniques to eradicate cancer cells with radiation. Our radiation oncologists specialize in the treatment of breast, brain, spine, lung, head and neck cancers as well as cancers of the gastrointestinal and genitourinary tract, including prostate and gynecologic, abdominal disease and bone.
MEDICAL ONCOLOGY
Staffed by expert oncologists, nurses, pharmacists, patient navigators and many other highly trained healthcare professionals, LLCC provides quality care close to home.
Primary Oncology Services:
Hematology
On-Site Biopsies
Surgical Services
Financial Counseling/ Co-Pay Assistance
Radiation Therapy
Genetic Counseling
Palliative Care
Patient Navigation
OTHER ONCOLOGY SERVICES
Hematology & Medical Oncology
Hematological Diseases
Benign Blood Disorders
Malignant Blood Disorders
Bleeding Disorders
Solid Tumors
Diagnosis, Staging & Management of all Malignancies
Hormonal Cancer Therapy
Chemotherapy
Management of Malignant & Non-Malignant Cancers
CURATIVE/PALLIATIVE THERAPY
Hypofractionation
HDR Brachytherapy
Skin eBx Treatment
Intensity Modulated Radiation
3D Conformal Treatment
FEATURED TECHNOLOGY
LINAC
Targeted delivery techniques for radiation therapy are key factors to improving patient outcomes and quality of life. Varian True Beam Linear Accelerator (LINAC) provides the latest, up-to-date treatments and procedures. The LINAC is used to deliver external beam radiation treatments to cancer patients. It can target and destroy cancerous cells in a precise area of a patient's body with minimal exposure to the surrounding healthy tissue. A LINAC can be used to treat cancer in virtually any area of the body. It can also be used to execute various radiation delivery techniques, including: conventional external beam radiation therapy, intensitymodulated radiation therapy, image-guided radiation therapy, and stereotactic body radiation therapy
ABUS
The Invenia Automated Breast Ultrasound System (ABUS) 2.0 by GE is the only FDA-approved system of its kind. ABUS is a supplemental exam for women with dense tissue detected by traditional mammography. PMC is the only hospital in the region to possess this technology, allowing patients an increased chance of detecting cancer sooner
BK FLEX FOCUS
The BK Flex Focus 400 is a high-resolution ultrasound imaging machine offering patients a convenient in-office breast biopsy once a mass has been identified. It provides patients with unique imaging capabilities and convenience. The Hologic 3-D Mammography, BK Flex Focus 400 In-office Breast Biopsy and Hologic Stereotactic Biopsy focus on two specific areas of breast care, the detection of abnormalities at microscopic levels and less invasive biopsies.
XOFT
Electron Therapy
Image Guided Radiation
Stereotactic Radiosurgery
Radiopharmaceuticals
CT Stimulation
The Xoft® Axxent® Electronic Brachytherapy (eBx®) System® uses an advanced technology to deliver a targeted dose of radiation directly to the surface of nonmelanoma skin cancer (NMSC) lesions. The Xoft System is FDA cleared for cancer treatment anywhere in the body, including early-stage breast cancer, gynecological cancers, and NMSC, including basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). The Xoft System uses a proprietary, miniaturized x-ray source to deliver a precise dose of targeted radiation directly to the surface lesion while reducing the risk that radiation will affect surrounding healthy tissue.
Eastern Kentucky is nationally ranked in the top five (5) percent among all congressional districts for cancer diagnosis, particularly in the early-stages. The reasons are yet to be discovered and potentially could be a combination of environmental factories and disparities of health care access. Patients undergoing oncology treatments are some of the most vulnerable patients in the medical environment.
With a group of oncologists, surgeons, radiologists, nurses and other support staff, this team collaborates to design tailored treatment plans that consider each patient’s unique medical history, preferences and emotional needs.
GOAL: EXPAND ONCOLOGY SERVICES
Strategy: Created an Oncology Treatment Area
With the assistance of grant funding, PMC opened a 7,000 square foot oncology treatment area located on the 11th floor of the PMC Clinic building. This area provided an additional 18 exam rooms to compliment those on the 10th floor. We built an additional 24 chemotherapy treatments spaces. This new treatment area is located adjacent to our state-of-the-art cancer specialty pharmacy making for easy and immediate delivery of treatment medications.
Not only was this area constructed to efficiently deliver the treatment, it was designed to maximize the comfort of the patients with a home-like feel. Patients can receive treatment in a comfortable environment, complete with recliners, internet access, massage equipment and other new features that will provide a calming experience during treatment.
To continue offering the highest level of oncology treatment, PMC will continue to replace equipment by upgrading our second linear accelerator to the new Varian True Beam unit. The expansion has allowed us to offer additional treatment plans to our patients, including Stereotactic Body Radiation Therapy (SBRT), which is a treatment procedure specially designed to coordinate-systems for finding the exact location of tumors in the body by delivering radiation in limited, but highly precise, treatment fields. SBRT has significantly improved the cure rates for the tumor in a way which PMC could not previously deliver.
PMC treats cases for prostate, liver, and breast tumors without damage to the surrounding tissue. This technology will also allow PMC to treat multiple brain lesions simultaneously.
the past several years working to bolster the level of care offered to pediatric patients and improve their overall experience at PMC.
Pikeville Medical Center, like most acute care hospitals, has historically focused on both ends of life's spectrum, from the beginning of life with obstetrics and neonatal services to the end of life with adult specialties. However, there has been a noticeable void of services offered to the pediatric population. No matter where this void is found, it can cause several problems, including financial and emotional stress to families when traveling with children, often frightened by the unknown and unfamiliar surroundings. In addition, these hardships can affect the healing process in children. Knowing this, Pikeville Medical Center has spent
In 2021, PMC celebrated the opening of the Mettu Children's Hospital (MCH), the only dedicated children's hospital in Eastern Kentucky, offering over 13,000 square feet of space for both inpatient and outpatient services. Everything about the MCH was designed to care for children, from the junglethemed decorations and child-friendly exam rooms to comforting patient rooms and a distraction therapy area for times when the environment is just too overwhelming.
The inpatient section of the Mettu Children's Hospital encompasses over 8,100 square feet and consists of a family-friendly waiting room, 10 private patient rooms (two of which are isolation rooms), a consultation room, a treatment room, a medication room, a nourishment room and more.
TELEHEALTH SERVICES FINDING SUCCESS IN SCHOOL PROGRAM
Living in the rural area of the Appalachian Mountains can be a barrier to many things, but healthcare should never be one of them. A generous USDA Rural Health Grant enabled PMC to offer state-of-the-art telehealth services to all 19 Pike County Schools. The Healthy @ School Telehealth program launched in 2020 and has been very successful. In 2023, there were nearly 350 telehealth visits from elementary, middle and high schools. The PMC Healthy @ School Telehealth program is available for students, faculty and staff.
Pediatric
PEDIATRIC THERAPIES
patients and especially their families know they have access to exceptional care at Pikeville Medical Center, whether they need inpatient care, outpatient treatment or specialty services.
Physical therapy evaluation and intervention focuses on factors affecting mobility in the home, school and play environments. Intervention techniques include but are not limited to:
• Neurodevelopmental Treatment approach
• Normal development of gross motor skill activities
• Adaptive equipment
• Positioning equipment
• Orthotic development
• DIR Floortime
• Sensory Integration and modulation techniques
• Education of caregivers, clients and family members
Speech therapy evaluation and intervention focuses on factors affecting the child's speech, language, peer relationships, feeding and swallowing skills and social skills in the home, school and community environments. Intervention techniques utilized are based on clinical reasoning, theories of speech therapy practice and evidence based practice. Intervention techniques include but are not limited to:
• Normal developmental sequences of expressive and receptive communication
• Oral motor intervention for feeding and swallowing safety
• Articulation intervention techniques
• Augmentative device selection, design, and programming
• Education of caregivers, clients, and family members
OCCUPATIONAL
A child's occupation includes play, learning, peer interaction and self-care skill development. Intervention techniques utilized are based on clinical reasoning, theories of occupational therapy practice and evidence based practice. Intervention techniques include but are not limited to:
• Neurodevelopmental treatment approach
• Sensory Integration & modulation techniques
• Normal development of fine motor & visual motor skill activities
• Positioning equipment
• Oral Motor intervention
• Education of caregivers, child & family
• Reflex Integration
The administration of Pikeville Medical Center recognized the need to offer pediatric specialty services not currently offered in-house, which prompted the establishment of a relationship with the University of Kentucky (UK Healthcare) Children's Hospital. Through this partnership, PMC is bringing the known expertise of Kentucky's top pediatric heart program as well as other pediatric specialty programs to Eastern Kentucky. The success of this partnership is being seen in the improved health of pediatric patients from the region who require specialty care.
PEDIATRIC SERVICES
PMC, like most acute care hospitals has historically focused on both ends of life's spectrum, from the beginning of life with our obstetrics and neonatal services to the end of life with our adult specialists. However, there is a void of service offerings to the pediatric population. This can cause several problems, including financial and emotional stress to families when traveling with children and children often being scared of the unknown and new surroundings. This can affect the healing process. If we could render services nearer to home, it could make a significant difference on the family burden, the stress of the younger patient and potentially increase the likelihood of a child receiving treatment.
The growth of the AVA Center and our pediatric service line is PMC's foundation to becoming this region's premier pediatric healthcare provider. In December 2021, the opening of the Mettu Children’s Hospital launched PMC to establishing itself in this role.
The over 13,000 square foot wing of the hospital is fully dedicated to the treatment of children, complete with child friendly exam rooms, comfortable and comforting patient rooms and a distraction therapy area. Patients, parents and visitors will have separate waiting areas for sick and well children. The Mettu Children's Hospital at PMC is on the main campus for both inpatient and outpatient specialty treatment, and is located close to the testing and diagnostics centers for the convenience of both the patients and the providers.
EXPAND PEDIATRIC SPECIALTY CARE
Strategy: Expand Relationship with Uk’s Children’s Hospital
The existing relationship with University of Kentucky (UK) is the foundation on which we grow additional specialty services. By expanding our relationship with UK, we will develop a team of medical providers including specialists, with expertise in specialized medical needs and anatomy of children. Additionally, PMC has developed the strategies to offer virtual services, for both consultation and outpatient services, when it is appropriate for the delivery of the plan of care. These specialties include cardiology, endocrinology, BMI, pulmonology, and plastic surgery.
Strategy: Expand Pediatric Care Offerings
We have evaluated offering additional services such as pediatric endoscopy, EEG's and general surgery, with our partnering physicians. To support those services we will review the need for additional medical pediatric hospitalists to manage the services rendered by the specialists and or the local pediatrician. With additional patients, we expect to have the need for a Pediatric Intensive Care Unit (PICU). As we evaluate the need going forward, we will be able to utilize tele-ICU services with our partners and then expand to having a fully functioning PICU as demand warrants. PMC is fully vested in caring for the children of the region in all aspects of their medical needs.
Orthopedic Surgery
& Sports Medicine Institute
Sprains, strains, fractures and joint damage are common injuries that most people will face in their lifetime. The Pikeville Medical Center Orthopedic Surgery and Sports Medicine Institute has a team of highly trained orthopedic specialists to treat patients when these injuries occur
The PMC Orthopedic Surgery and Sports Medicine Institute utilizes state-of-the-art technology, offers the latest advancements in procedures, and is staffed with surgeons, physician assistants, nurse practitioners and numerous support personnel with a broad range of expertise in orthopedics.
Offering a wide variety of services, such as sports injuries, shoulder replacements, anatomic ACL surgery, fracture care, podiatry, hand surgery, arthroscopic rotator cuff repair, total hip and knee replacements and replacement revisions, orthopedic trauma and more, the orthopedic team comprehensive care to the patients of the region. Pikeville Medical Center has received the gold seal of distinction for hip fracture, joint replacement hip and joint replacement knee by the Joint Commission. PMC is the only hospital in the state to receive all 3 certifications.
ORTHOPEDIC CENTER SERVICES
Total Knee Replacement
Total Hip Replacement
Hip/Knee Revision Surgery
Hand Surgery
Orthopedic trauma
Sports Injuries
Knee Arthroscopy
Shoulder Arthroscopy
Rotator Cuff Repair
ACL Repairs
Carpal Tunnel Surgeries
Muscle Sparing Direct Anterior Total Hip Replacement
MRI Custom Fit Total Knee Replacement
Treatment of Fractures
Evaluation and Correction of Limb Length Discrepancy
Knocked Knee and Bow-Leg Deformities
Developmental and Post-Traumatic Limb Deformity
Arthritic Conditions
Joint Pain
Trigger Thumb or Finger
Routine Orthopedic Pathology
Post-Traumatic Complications
Traumatic Injuries
Nail & Fingertip Injuries
Carpal Tunnel Syndrome
Amputations de Quervain's Tenosynovitis
Tennis Elbow Arthritis
Ganglion Cysts/Tumors
Dupuytren's Contracture
Congenital Problems (Syndactyly/Polydactyly)
Concussion Management
Treatment of Arthritis and Chronic Overuse Syndromes
Sports Physicals and Clearance to Play
EXPAND THE SURGICAL AREA & OPERATING ROOM PROGRAM
With the opening of the PMC Clinic Building, PMC expanded the surgical suite capacity to total of 20 suites to provided a comprehensive array of surgical services of the highest caliber Many would no longer have to travel out of the area for care, saving the cost of ambulance or helicopter travel, and ensuring that patients receive the care they need as soon as possible.Rising costs and diminishing reimbursements require hospitals to continually find ways to improve efficiency and productivity. The operating room (OR) is a cost-intensive environment requiring efficient and effective management. The power of performance of the OR is crucially dependent on the cooperation of the surgical, anaesthesia, nursing and allied health professionals involved.
Strategy: Add four (4) additional operating rooms
Each operating room will be a well- designed system that meets the various needs of operative patient care. The addition of these four OR suites will dramatically expand our ability to perform the most complex tertiary surgical procedures while also caring for our trauma patients. The new, high-tech operating rooms is part of a significant expansion to expand the surgical program.
Strategy: Expand Surgical Program
The expansion would allow procedures to be scheduled in a more timely fashion, cutting down on patients’ wait time and ensuring that care will remain local. The expansion would allow more physicians to utilize
advanced technology and equipment, equipment that in some instances is underutilized due to space constraints.
Strategy: Enhance surgical operations by transforming patient pathways, improving OR utilization and using data to drive safety and quality outcomes.
PMC offers a wide variety of surgical and endoscopic procedures including open-heart and minimallyinvasive cardiac bypass procedures, lung surgeries, mastectomies, orthopedic surgeries, eye surgeries, robotic assisted urological surgeries, gynecological surgeries and many more.
PHARMACY SERVICES
The goal of Pikeville Medical Center Pharmacies is to provide the community with fast, safe, effective and reliable service. PMC pharmacists work hard to achieve that goal. There are several retail and internal pharmacies at PMC, each offering prescriptions to serve our patients’ needs, whether they be in the hospital, visiting our retail location or needing the services of a specialty pharmacy.
Outpatient/Retail Pharmacy
PMC’s Outpatient Pharmacy has taken the necessary steps to ensure convenience for all patients. Recently, drive-thru lanes two and three have been upgraded with a new tube system to accommodate larger medication packages. The new credit card readers have eliminated the need to send a payment through the tube system. With drive-thru services available 24 hours a day, extended walk-in hours, online prescription refills, mail delivery, home delivery for 41501 service area and consultation services, these features simplify access to medications and healthcare products.
Inpatient Pharmacy
PMC’s Inpatient Pharmacy dispenses and prepares medications for patients that are hospitalized or in the emergency department. Pharmacists work alongside physicians to ensure proper medication treatment, dosage and safety for each patient. A satellite pharmacy operates in the ICU to provide more dedicated care to those in critical condition.
Specialty Pharmacy
Unlike traditional retail pharmacies, specialty pharmacies cater to patients with complex and often rare medical conditions. The PMC Specialty Pharmacy is equipped to provide specialized medications tailored to the unique needs of these patients. Specialty pharmacies primarily handle high-cost, specialty medications often used to treat complex and chronic conditions .
The PMC Specialty Pharmacy offers a wide spectrum of patient support, including medication counseling and management, ongoing monitoring and financial services. These services ensure patients achieve the best possible outcomes while managing their side effects and potential complications.
Oncology Pharmacy
PMC’s oncology pharmacy prepares chemotherapy for patients at the Lawson Cancer Center. Pharmacists work in close conjunction with oncologist to formulate chemotherapy regimens appropriate for the needs of each individual patient. These pharmacists are regularly consulted to aid physicians in searching for drug information that will better serve our patients.
GOAL: ENHANCE SPECIALTY PHARMACY SERVICES
Pharmacists are now a large part of the healthcare team. Pharmacists conduct consultations with patients and providers to help recommend the most appropriate medications available for treatment. Most patients requiring medications for short-term illnesses often visit traditional retail pharmacies. Pikeville Medical Center has been one of the most relied upon retail pharmacies in the region for years by offering 24-7 service to our community. With the continued growth of specialized medical care, PMC patients are being treated for more complex diseases here at home. Many of those treatment plans utilize pharmaceuticals that are highly specialized that they are not prescribed in large volumes. Furthermore, certain medications need to be handled or distributed in nonconventional ways, such as refrigerated or frozen until administration. These medications are not available at smaller pharmacies. PMC has become the regional provider of specialty medications providing significant advantages to residents of this region.
Strategy: Continue to Partner with Providers and Pharmacies in the Area
Partnering with the providers and other pharmacies in our area have continued to allow us to harness purchasing power through the 340B Program. This initiative will significantly help both PMC's purchasing power and the purchasing power of other pharmacies in the area. As we continue to develop the strength and network of these partnerships it will allow us to help other organizations, and ultimately more patients, regardless of their retail pharmacy location.
Strategy: Expand PMC’s Pharmacy Line
The pharmacy has undergone a major transformation. Most recently, drive-thru lanes two and three have been upgraded with a new tube system to accommodate larger medication packages. The new credit card readers have eliminated the need to send a payment through the tube system. This means all three lanes are now capable of prescription pickup. Due to an increase in volume, the pharmacy has expanded to hold additional prescriptions for an extended period of time.
FAMILY MEDICINE & PRIMARY CARE
AGES & STAGES OF LIFE
Pikeville Medical Center Family Medicine and Primary Care Clinics provide basic and comprehensive healthcare. Unlike specialty physicians, family practice providers are not limited to any particular age group, gender or part of the body and may provide care for anyone. Family practice physicians and nurse practitioners evaluate a patient’s symptoms, chronic care management, preventative care and refer patients to a specialist when needed. They provide families with medical care such as treatment for colds, flu, respiratory illnesses and other non-emergent health concerns.
Family practice and primary care providers are compassionate, dedicated people who care about the health and well-being of our region.
RHEUMATOLOGY
The PMC Rheumatology department is prepared to treat arthritis and other chronic joint pain caused by musculoskeletal and /or autoimmune disorders. PMC Rheumatologists Dr. TanToush and Dr. Young Min Ch o specialize in:
• Arthritis
• Gout
• Autoimmune Diseases
• Lupus/Other CTD
• Myositis
• Rheumatoid Arthritis
• Scleroderma
• Sjogren's Syndrome
• Soft Tissue Rheumatism
• Vasculitis
In addition to in-person visits, PMC’s rheumatologists see patients via telemedicine.
Telehealth visits are a great way to do frequent checks and provide consistent monitoring of patients who may live farther away or can't come to the office as often as usual. It's often much more convenient for these patients when labs and x-rays can be monitored and discussed remotely.
Pictured: Dr.TanToush
SLEEP MEDICINE
The Sleep Center at Pikeville Medical Center (PMC) is fully accredited by the American Academy of Sleep Medicine. It is staffed by a highly skilled and dedicated team of providers and sleep medicine professionals led by boardcertified PMC Sleep Medicine Specialist David Carter. Dr. Carter’s experienced team includes a nurse practitioner, certified polysomnographic technologists, and respiratory therapists, who treat a wide range of sleep disorders together
“So many people don’t realize the health benefits of getting enough sleep,” explained Dr. Carter. “Sleep health contributes to all aspects of a person’s health, and getting proper, restful sleep can help improve overall health as well as many other related medical conditions.”
Dr. Carter added that patients often don’t know they need a sleep study, and most are unaware of the benefits of having one when they arrive for their initial visit to the PMC Sleep Center. One of the most common symptoms patients seek help for is snoring. Others include morning headaches, being sluggish or tired, pauses in breathing during the night and difficulty focusing or concentrating during the day
The PMC Sleep Center provides a wide range of services, including overnight sleep studies and at-home sleep studies. In addition to Dr David Carter, the sleep center staff includes certified polysomnographic technologists and respiratory therapists.
For many, not getting enough sleep can be more than just an inconvenience. Too many sleepless nights can aggravate both physical and mental health problems and can be responsible for the inability to focus as well as general irritability The inability to sleep has been linked to increased stress and the weakening of the body’s immune system. Chronic insomnia is also linked to a spectrum of serious health problems, including diabetes, cardiovascular disease, depression, obesity and hypertension.
Those who suffer from lack of proper sleep may find answers for a better night’s sleep at Pikeville Medical Center’s (PMC) Sleep Center. The Sleep Center’s highly trained staff works together to diagnose and treat adult patients with sleep disorders.
The PMC Sleep Center is fully accredited through the American Academy of Sleep Medicine.
“Sleep disorders can be much more complicated than just not being able to sleep,” said PMC Sleep Center Supervisor Todd Werner. “Extended sleep loss and sleep
disorders can have long-term effects on patients. “
For many patients, the first step is to have a sleep study performed. For those qualifying patients, thanks to new technology, the study may be conducted in the comfort of the patient’s home.
There are several options available to treat sleep disorders, including a bi-level or CPAP sleep device. Recent advancements in technology have allowed manufacturers to produce much smaller devices than in the past, allowing patients to sleep more comfortably.
to schedule an appointment for an evaluation at 606-430-2209.
WOUND CARE CENTER
USING HYPERBARIC OXYGEN THERAPY TO IMPROVE WOUND HEALING
Patients battling a chronic or non-healing wound often see positive results following hyperbaric oxygen therapy. Wounds resistant to other types of treatments are not a disease in and of themselves, but rather the result of one or more underlying conditions which often require specialized care to proceed through an orderly and timely set of healing stages.
The Wound Center at Pikeville Medical Center (PMC) offers two hyperbaric oxygen chambers which deliver 100% pure oxygen to patients in a pressurized chamber. Non-healing wounds are particularly prevalent among the estimated 25.8 million Americans affected by diabetes, a disease affecting many who live in Eastern Kentucky. Of those diagnosed with type 2 diabetes, 15 to 25 percent are at risk for developing foot ulcers.
Hyperbaric Oxygen Therapy (HBOT) is an advanced way of healing these types of wounds, and can also be beneficial in treating carbon monoxide poisoning, decompression illness, radiation necrosis and open bone fractures. During HBOT, patients experience pressure equivalent to diving 40 to 65 feet underwater. HBOT is usually scheduled in consecutive sessions over many weeks and offers several patient benefits. It enhances the delivery of oxygen to tissues, which promotes the healing of wounds and helps fight infection.
Increased oxygen levels also stimulate the production of collagen, a key component in tissue repair and regeneration. This type of therapy can also improve the effectiveness of certain antibiotics and enhance the body's natural defense mechanisms by increasing the amount of oxygen blood can carry.
COMMUNITY NEEDS & ACCESS TO CARE
Living in the rural area of the Appalachian Mountains can be a barrier to many things. As a tertiary referral center, Pikeville Medical Center has become the axis of care delivered to a significant part of the tri-state areas of Kentucky, Virginia, West Virginia, and even parts of Tennessee and Ohio.
Our facilities are located within five (5) major market areas including: South Williamson, Whitesburg, Pikeville, Martin and Prestonsburg. These communities have an approximate population of 450,000 which derive about 75% of PMC's patient volume In addition to the overall economic situation, many in the region have fall victim to the opioid epidemic and have found themselves in addiction treatment facilities with little access to preventative care.
EXPAND ACCESS TO CARE
Strategy: Expand Specialty Services in Clinic Locations & Telehealth Offerings
Currently, PMC has specialty clinics in Whitesburg, Prestonsburg and South Williamson, KY and Grundy, VA.. Those clinics have been designed and built with additional exam room capacity for expansion of specialty services. The family practice locations in Prestonsburg and the new Urgent Treatment and Wellness Center in Pikeville, also have the space to add specialty care.
More specialists from various services lines, will now be able to see patients in their homes, at least for their initial visits and evaluations. Depending on the level of treatment and follow up required, patients could come to the main campus or continue to be seen at the satellite locations.
Additionally, for some patients and specialists, we will expand the availability of telehealth services for an added level of convenience
Strategy: Healthy at School
Expanding the focus on pediatric services, PMC and local school districts have launched a collaborative initiative called “Healthy at School.” We intend to expand this service in other school districts in the region. The intent of this program is to provide access to care to the students of this region who may have otherwise gone untreated.
Strategy: Providing Care to the Addiction Recovery Industry
Some segments of our population cannot travel to seek care for reasons other than economic ones. One example is patients who are actively engaged in inpatient addiction recovery. Many treatment programs cannot offer cost prohibitive wellness programs nor transport residents efficiently. Therefore, the residents of many addiction rehabilitation institutions have limited access to wellness programs further complicating their recovery efforts. If the healthcare needs of these residents
IMPROVING SUPPORT SERVICES
A hospital has many different departments, each responsible for providing differing levels of service that make a hospital run efficiently. These departments comprise a wide variety of support services including biomedical engineering, facilities engineering, environmental services, laboratory, dietary, radiology, information technologies and many others. All of these support services are necessary to keep the hospital going, so hospital staff can provide care and patients can receive treatment. These support services also have an opportunity to drive operational improvements. Typically, these departments operate independently of each other. Many times, each department relies on its own software systems to manage workflow From an end-user/customer support perspective, however, these silos become problematic, making it difficult for hospitals to meet the needs of the staff and patients alike.
One of the biggest initiatives a healthcare organization can take on is the replacement of the Electronic Health Record system (EHR), followed closely by the replacement of a revenue cycle system. Most major healthcare organizations have recognized the value in having all of that on a single platform. Pikeville Medical Center is no different. As the healthcare industry becomes more competitive, and as reimbursement is increasingly based on the performance of quality metrics, PMC must have the tools with which to work.
The PMC wireless network, as it is today, provides wireless coverage for mobile devices in most areas of the hospital. We offer wireless connectivity to both our corporate network as well as a public network for guests. The existing systems face issues ranging from several dead spots throughout the facility, outdated hardware that can't be updated, non-compatibility of our old hardware with newer technologies, and the inability to upgrade our wireless phone system to use Wi-Fi technology. These issues will be intensified with the implementation of the EPIC system.
GOAL: IMPROVE ACCESSIBILITY AND SECURITY
Strategy: Implementation of EPIC
PMC's Board of Directors and Executive Leadership Team have committed to one of the single largest projects in this hospital’s history by moving to a single integrated EHR platform. Implementation of EPIC, the top EHR system in the world, has helped decrease our IT application footprint and moved the majority of our departments and staff to a single unified system. Preparing for the EPIC system involved intricate details of planning and software customization to meet the needs of all departments Existing hardware was evaluated and replaced as necessary. A comprehensive process of data migration ensured that all patient data from the legacy systems would be available on this new system. Cordinate between departments followed by intense training for all staff on all levels was conducted before we can begin to utilize the system.
Strategy: Implement Security Enhancement
In order to keep PMC safe from outside cyber threats which is vital to the organization, additional security
solutions will be added for more layers of protection. set up identity access management to manage user identities, govern access to resources, enforce security, and ensure compliance. Also implement a solution for Data Loss Prevention (DLP) ) – Varonis For Cloud Storage and network shares
Strategy: Improve Wireless Communication and Access
In order to improve our wireless communication ability, we need to replace all current wireless access points in the facility as well as add new access points to remove any dead spots in coverage. The newer system is compatible with our new wireless network. In order to save cost, we will be repurposing the current access points from the hospital and reinstalling those in outside offices. Those access points will be more than sufficient to handle the speed and number of users. This will also upgrade their access points from older technology, currently in use at these locations, to the current technology that is in place within the hospital.
Our patients come first, and we appreciate them choosing PMC. Patient experience is an important aspect of patient care, and we continue to improve the experience we provide at PMC.
Medical Center
Though offering more specialized services than ever before, PMC realizes certain services continue to be needed in our region. We have recruited some of the most talented and experienced physicians, and we continue to search for more specialists to care for our patients. During a national nursing shortage, we have maintained a progressive venture to recruit nurses who are among the best in the industry. Even with this growth, it has become clear there is still a need to expand the specialty services for the people of this region, particularly for our younger patients.
C H A P L A I N S E R V I C E S
Being hospitalized is a stressful experience for patients and their families. Pikeville Medical Center Chaplains can help relieve some of that stress and ease fears for patients and loved ones. Chaplains are available 24/7 and offer a wide range of services and support.
P M C C h a p l a i n S e r v i c e s p r o v i d e s compassionate spiritual care, which involves attending to a person's spiritual or religious needs as they cope with illness, loss, grief or pain.
What Do Chaplains Do?
Chaplains are involved in patient care in many ways, including:
• Offer reflective listening and nonjudgmental emotional and spiritual comfort
• Attend patient care meetings
• Part of the palliative care team
• Provide bereavement support during end-of-life care
• Help with crisis support and treatment decisions
• Provide information and education
• Being of assistance to patients and families
Chaplains are the go-to people for religious support and faith-based materials in the hospital. These can include:
• Praying
• Providing devotional material
• Helping contact a patient's personal clergy and/or community of faith
SPECIAL SERVICES
Overhead Devotions & Spiritual Care HotlineAt 9 AM , PMC chaplains offer a brief devotion on the overhead speaker system in the hospital and on the spiritual care hotline at ext. 22055 from a hospital phone.
Worship Services – Second floor, May Tower across from Starbucks - Sundays at 7:30am or in-room television on Channel 5.
Sacramental Requests - Chaplain Services offers baptisms by sprinkling, pouring, immersion, communion, anointing with oil, etc.
Chaplains On-Call – PMC Chaplains are available 24/7. Dial ext. 13123 from any hospital phone or 606-430-3123. If you need a chaplain after hours, ask a PMC staff member to contact the on-call chaplain.
PMC SERVICES
APPLIED BEHAVIOR ANALYSIS
(ABA) THERAPY
ANESTHESIOLOGY
focuses on teaching communication, social learning and fine motor skills. ABA Therapy is provided by trained behavioral therapists and technicians at the Appalachian Valley Autism (AVA) Center to children who have been diagnosed with Autism Spectrum Disorder (ASD). 606-430-2256 provides patients with perioperative care. Anesthesiologists may provide anesthesia throughout the surgical process and provide pain management before, during and after surgery.
AUDIOLOGY
consists of the prevention, evaluation and rehabilitation of hearing and balance impairments with specialty services in hearing/otoacoustic emissions testing, hearing aids, balance and dizziness, pediatric/adult auditory brain stem response testing, diagnostic hearing evaluations and more. 606-430-2209
BARIATRIC SURGERY
offers surgical weight loss options including sleeve gastrectomy, gastric bypass and biliopancreatic diversion. PMC Center for Bariatric and Minimally Invasive Surgery has been accredited by the American Society for Metabolic and Bariatric Surgery. 606-430-2205
CARDIAC REHABILITATION
provides support to patients who are recovering from a heart attack or heart surgery. PMC's Cardiac Rehabilitation program offers lifestyle monitoring and fitness programs to help restore the patient's heart to maximum efficiency. 606-430-2201
CARDIOTHORACIC SURGERY
focuses on the surgical intervention in relation to the organs of the chest. Cardiothoracic surgery generally treats conditions of the heart and lungs. At PMC’s Heart & Vascular Institute, cardiothoracic surgeons may perform angioplasty, ablation, open-heart surgery, thoracotomy and more. 606-430-2201
CLINICAL TRIALS
are health-related research studies that follow a pre-defined protocol. By opening clinical trials to oncology patients and providing them with easy access to search for available clinical trials, PMC offers patients opportunities to be treated with promising new treatments not normally available to people in the region. In addition to possible immediate benefits, participation benefits future patients both here and across the globe. Clinical trials provide information that leads to safer and more effective use of drugs and treatments in the medical setting. 606-430-2210
CRITICAL CARE MEDICINE
encompasses acute and emergency care for the critically ill or injured. The PMC Intensive Care Unit (ICU) is comprised of skilled professionals using advanced technology including ECMO, handheld ultrasound devices, the Prismax kidney support system, updated facilities, high-tech patient beds and more. The PMC ICU has 75 patient beds and has locations on four hospital floors.
DERMATOPATHOLOGY
focuses on diseases of the skin. PMC Dermatopathologists work closely with dermatologists to study samples of hair, skin and nails to diagnose and treat diseases and disorders. 606-430-2210
DIAGNOSTIC TESTING
is available at a convenient off-site facility located across the road from the PMC main campus. At this state of the art center, patients may receive 3D mammography scans, lab tests, x-rays, PET or CT scans, bone density scans, MRI’s and more. 606-430-4673
ELECTROPHYSIOLOGY
is the study of abnormal heartbeats and rhythm. PMC Electrophysiologists diagnose and treat issues with the electrical system of the heart. The PMC Heart & Vascular Institute utilizes the latest advancements in medical technology and devices such as the Watchman, Pacemaker, Defibrillator and more.. 606-430-2201
SERVICES
EMERGENCY MEDICINE
at PMC provides care and planning for the region's emergency responses, and sometimes, disaster control. The emergency department is an integral part of the hospital’s Level II Trauma Center and Primary Stroke Center. It is recognized as “pediatric ready,” as well as certified as an autism center.
ENDOCRINOLOGY
includes the diagnosis, treatment and management of hormone disorders including diabetes (types 1 and 2), hypoglycemia, cholesterol disorders, hyperthyroidism, hypothyroidism, metabolic bone diseases such as osteoporosis, parathyroid disease and more. PMC’s endocrinology team works with patients to create educational sessions and specialized treatment plans. 606-430-2208
GENERAL CARDIOLOGY
focuses on preventing and treating general heart disease. The PMC Heart and Vascular Institute’s general cardiologists aid in the prevention and treatment of those with heart disease or those who are at risk of heart disease. 606-430-2201
GENERAL SURGERY
focuses on the esophagus, stomach, small/large intestine, liver, pancreas, gallbladder, appendix, bile ducts and more. PMC’s general surgeons are achieving greater accuracy with ultra high definition equipment.
HAND SURGERY
is located in the PMC Orthopedic Center. PMC's skilled hand surgeons can diagnose and treat issues dealing with the hand, wrist, forearm or fingers and are prepared to operate when needed. Hand surgeries may include tendon repairs, joint replacement, skin grafts or nerve repairs. 606-430-2206
HEMATOLOGY
focuses on blood and blood disorders including but not limited to anemia, hemophilia, blood clotting and leukemia. PMC Hematologists
specialize in the study of a patient's white blood cells, red blood cells, platelets, blood vessels, bone marrow, lymph nodes, etc.
HOME MEDICAL EQUIPMENT
provides high quality, professional healthcare equipment. PMC offers the finest equipment and services, including durable medical needs, respiratory therapy, feeding supplements, equipment repair, orthopedics and diabetic shoes. PMC Home Medical Equipment offers discharge assistance, free home delivery and set-up, equipment training and financial assistance.
606-430-4750
INFECTIOUS DISEASE
focuses on diseases caused by bacteria, viruses, fungi, parasites or other organisms that can be transmitted from person to person. PMC Infectious Disease physicians specialize in congenital immune deficiencies, fungal infections, immunizations, hospital acquired infections, hepatitis b and c, HIV/AIDS and much more.
606-430-2208
INFUSION SERVICES
provides medication through infusion into the bloodstream through IVs (intravenous catheters). Infusion services can be used to treat severe diseases or infections oral medication cannot treat.
INTERVENTIONAL CARDIOLOGY
is a non-surgical treatment option for patients with heart disorders. At the PMC Heart and Vascular Institute, highly-skilled physicians offer several treatments and procedures using heart catheters to repair damaged parts of the heart’s structure.
606-430-2201
SERVICES
INTERVENTIONAL RADIOLOGY
treats cancer and other conditions that once may have required surgery through non-surgical pathways. PMC Interventional Radiology specializes in minimally invasive procedures. Such procedures generally include the use of needles and catheters, X-ray, ultrasound, MRI, CT and other imaging modalities. These treatments have been shown to reduce infection rates, improve recovery and shorten hospital stays.
606-218-6288
INVASIVE CARDIOLOGY
focuses on the diagnosis and treatment of heart conditions such as congestive heart failure, coronary artery disease, vascular disease, congenital heart disease and more. The PMC Heart & Vascular Institute is comprised of cardiac specialists and cutting-edge technology. With the latest treatments and updated facilities, the PMC Heart & Vascular Institute provides comprehensive heart care that is second to none. 606-430-2201
MEDICAL ONCOLOGY
provides patients with the diagnosis, treatment and prevention of cancer. At the PMC Lawson Cancer Center, patients have access to expertise and leading technology to fight cancer. Staffed with expert oncologists, surgical specialists, nurses, pharmacists, patient navigators and many other highly trained healthcare professionals, the Lawson Cancer Center makes it convenient for patients across Eastern Kentucky to receive advanced cancer care close to home.
606-430-2210
MINIMALLY INVASIVE ROBOTIC SURGERY
allows for shorter hospital stays, less pain and scarring, minimal risk of infection, reduced blood loss and overall faster recovery. This intelligent technology follows the surgeon's hand movements in real-time, bending and rotating the instruments while performing the procedure. The system delivers highly magnified, 3-D highdefinition views of the surgical area, allowing the surgeon to operate through one or only a few small incisions.
NEONATOLOGY
consists of around-the-clock service for newborns requiring intensive medical care. The PMC NICU staff’s highly-skilled Neonatologists specifically trained to care for premature or sick newborns.
NEPHROLOGY
focuses on the diagnosis and treatment of diseases of the kidney. PMC Nephrologists diagnose and treat a wide variety of conditions such as blood or protein in urine, chronic kidney disease, kidney stones, kidney infections, kidney cancer, polycystic kidney disease and more.
606-430-2208
NEUROLOGY
is the diagnosis and treatment of the anatomy, functions and organic disorders of the nerves and the nervous system. PMC’s neurologists diagnose and treat disorders including cerebrovascular disease, such as stroke, demyelinating diseases of the central nervous system, such as multiple sclerosis, headache disorders, infections of the brain and peripheral nervous system, movement disorders, such as Parkinson's disease, neurodegenerative disorders, such as Alzheimer's disease, Parkinson's disease, and Amyotrophic Lateral Sclerosis (Lou Gehrig's disease), seizure disorders, such as epilepsy, spinal cord, disorders, speech and language disorders and more.
606-430-2208
NEUROSURGERY
is the surgical treatment of the nervous system concerned with the diagnosis and treatment of injuries or diseases/disorders of the brain, spinal cord and peripheral nerves of the body. PMC neurosurgeons utilize state-of-the-art equipment such as the BrainLab system to care for patients with tumors and brain-related injuries, as well as non-invasive assessments of a patient's condition and injury prior to the operation. 606-430-2208
SERVICES
OBSTETRICS/GYNECOLOGY
(OB/GYN)
specializes in the care of women during pregnancy and childbirth and in the diagnosis and treatment of diseases of the female reproductive system. It also specializes in other women's health issues, such as menopause, hormone problems, contraception (birth control) and infertility. PMC OB/GYN team specialize in many different areas, including annual exams, endometriosis, incontinence, infertility treatment, prenatal and postpartum care and more. 606-430-2207
OPHTHALMOLOGY
is the study and treatment of disorders and diseases of the eye. PMC Ophthalmologists specialize in a wide variety of areas, including Macular Degeneration, Diabetic Retinopathy, Retinal Detachment, Retinal Tears, Vitreous Hemorrhage, Macular Holes, Other Vitreo-Retinal Diseases, LASIK, Painless, state-of-the-art Cataract Surgery, Glaucoma Diagnosis & Treatment, Eyelid lift, Brow lift, Comprehensive Eye Exam, Blepharoplasty, Laser Eye Surgery, Diabetic Eye Exams and more. 606-430-2209
OPTOMETRY
provides primary eye care which encompasses the diagnosis and treatment of eye conditions. PMC Optometrists conduct vision exams, school eye exams, diabetic eye exams, foreign body removal, stye treatment, glaucoma evaluation, cataract evaluation and laser treatment. 606-430-2209
ORTHOPEDIC SURGERY
specializes in surgical treatment of conditions of the musculoskeletal system. PMC Orthopedic Surgery team provides a wide range of services including Knee Arthroscopy, Shoulder Arthroscopy, Rotator Cuff Repair, ACL Repairs, Carpal Tunnel Surgeries, Muscle Sparing Direct Anterior Total Hip Replacement, MRI Custom Fit Total Knee Replacement, Ganglion Cysts/Tumors, Dupuytren's Contracture, Congenital Problems (Syndactyly/Polydactyly) and more. 606-430-2206
ORTHOPEDIC TRAUMA SURGERY
specializes in diagnosing, treating and rehabilitating injuries of the musculoskeletal system. In the ED, PMC’s trauma surgeons are primarily responsible for stabilizing a patient with life-threatening injuries. PMC Orthopedic Trauma Surgery team provides many services, including Post-Traumatic Limb Deformity, Post-Traumatic Complications, Traumatic Injuries, Amputations and more.
OTOLARYNGOLOGY
is the study of the Ear, Nose and Throat as well as Head and Neck disorders. PMC ENT team offers comprehensive care in these areas and has a wealth of experience. They specialize in tonsils/adenoids, ear infections, sinus disease, allergies, thyroid surgery, head & neck cancer surgery, hearing aids and environmental allergy testing. PMC ENT team also has an audiologist that specializes in Hearing Testing, Hearing Aids, Balance & Dizziness, Otoacoustic Emissions Testing, Pediatric & Adult Auditory Brain Stem Response Testing. 606-430-2209
PALLIATIVE CARE
is designed to improve a patient's quality of life and provide comfort during illness. Attention is given to controlling pain, as well as emotional support, spiritual and cultural needs. Palliative Care is designed to provide relief of pain and other symptoms related to serious, life-threatening illnesses. The Palliative Care team provides relief from distressing symptoms, strength to carry on with everyday life, improved ability to tolerate medical treatments, better understanding, and choices for care coordination of home care services, 24-hour support, emotional and spiritual support for patients and their family and more.
PATHOLOGY
primarily focuses on the cause, origin, and nature of disease. It involves the examination of tissues, organs, bodily fluids, and autopsies in order to study and diagnose disease. PMC Pathologists perform lab testing and help other healthcare providers reach diagnoses.
SERVICES
PEDIATRICS
offers an extensive line of services strictly for pediatric patients. PMC Pediatricians provide a wide variety of services, including inpatient pediatric care and outpatient pediatric clinical treatment at the Mettu Children's Hospital and at the Pediatric Clinic of the Urgent Care and Family Wellness Center 606-430-2230
PHARMACY
provides a wide variety of medication to patients, as well as consultations and assistance throughout a patient's medical journey.
OUTPATIENT PHARMACY provides the region with many services, including 24 Hour Drive Thru, 24 hour pharmacist access, Walk-In Pharmacy, Retail Pharmacy, Meds to Beds program (free delivery of medications to bedside before discharge), prescription refills and transfers, free home delivery in 41501 zip code, mail delivery, immunizations, medication therapy management and more. 606-218-3576
SPECIALTY PHARMACY provides specialty medications, enhanced support, education, financial counseling programs, medicine delivery, prior authorization assistance, personalized refill reminders, and clinical support. The Specialty Pharmacy team also provides access to multiple specialties including chemotherapy drugs, growth/hormonal disorders, inflammatory bowel disorders, hepatitis, multiple sclerosis, osteoporosis, psoriasis, cystic fibrosis, transplant drugs and more. 1-888-762-5979
PHYSICAL MEDICINE & REHABILITATION
is a medical specialty involving restoring function for a person who has been disabled as a result of a disease, disorder or injury. Physical medicine provides integrated, multidisciplinary care aimed at the recovery of the whole person by addressing the individual's physical, emotional, medical, vocational and social needs. Rehabilitation is the process of helping a person achieve the highest
level of function, independence, and quality of life possible. Rehab does not reverse or undo the damage caused by disease or injury, but rather helps restore the person to optimal health and well-being. 606-430-2208
PLASTIC & RECONSTRUCTIVE SURGERY
provides a wide range of services, including reconstructive surgery to restore function and normal appearance, and to correct deformities caused by birth defects, trauma, or medical conditions. Cosmetic Plastic Surgery is also offered to enhance overall cosmetic appearance by reshaping and adjusting normal anatomy to make it more visually appealing. PMC Plastic Surgery Team provides many services including body contouring after massive weight loss, Botox & fillers, breast augmentation & reduction, breast reconstruction, endoscopic brow lifts, face lifts, liposuction, rhinoplasties, tummy tucks and more. 606-430-2210
PODIATRY
is devoted to the study, diagnosis, medical and surgical treatment of disorders of the foot, ankle, and leg. PMC podiatrists specialize in many fields, including surgery, sports medicine, wound care, pediatrics, and diabetic care. 606-430-2206
PULMONOLOGY
is dedicated to the prevention and treatment of pulmonary disease. PMC Pulmonologists provide comprehensive care for patients with or at risk for lung disease, performing many procedures including endobronchial ultrasound (EBUS), pulmonary function testing (PFT) and electromagnetic navigation bronchoscopy (ENB). They also provide pulmonary rehabilitation, which includes exercise and educational programs for individuals with chronic pulmonary diseases that cause shortness of breath and interfere with the ability to perform daily tasks. 606-430-2208
SERVICES
RADIATION ONCOLOGY
is the treatment of cancer using radiation (X-rays, gamma rays, or electrons). PMC Radiation Oncologists use specialized state-of-the-art technology, like the Varian TrueBeam Linear Accelerator, to treat different kinds of cancer. 606-430-2212
REHABILITATION
provides a full range of service for patients who need intensive rehabilitation. PMC rehabilitation team customizes treatment plans for each patient in order to care for and allow them to return to their daily activities as quickly as possible following an illness or injury. Inpatient rehabilitation services include occupational therapy, physical therapy, speech/language pathology and neurological rehabilitation.
Outpatient rehabilitation offers extensive therapy options for patients who are not hospitalized. PMC outpatient rehabilitation team utilizes innovative technology, equipment and therapy practices such as the Lokomat, lymphedema, vitalism, the Armeo Spring and the Smart Balance Master to provide physical, occupational and speech therapy to care for patients following an illness or accident.
RHEUMATOLOGY
is the treatment of arthritis and other chronic joint pain caused by musculoskeletal or autoimmune disorders. PMC Rheumatologists specialize in treating conditions such as Arthritis, Gout, Autoimmune Diseases, Lupus/other CTD, Myositis, Rheumatoid Arthritis, Scleroderma, Sjogren's Syndrome, Soft Tissue Rheumatism and Vasculitis. 606-430-2208
SLEEP MEDICINE
offers specialty services to test, diagnose and treat adult patients with sleep disorders. The PMC sleep lab treats a wide variety of sleep disorders such as Obstructive Sleep Apnea, Narcolepsy, Insomnia, Restless Leg Syndrome and more. 606-430-2206
SPORTS MEDICINE
deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. PMC Sports Medicine and Orthopedic teams provide many different services including hand surgery, orthopedic trauma, sports injuries, rotator cuff repair, ACL repairs, treatment of fractures, Tennis Elbow and more. 606-430-2206
SURGICAL ONCOLOGY
treats cancer through surgical procedures, primarily by locating and removing cancerous cells, growths, and tumors in your body. PMC Surgical Oncologists study, prevent, and treat cancer. They also work with primary care physicians to create individualized care plans. Primarily, PMC Surgical Oncologists remove tumors and surrounding tissue that have cancerous cells, and perform biopsies that detect the presence and severity of cancer. 606-430-
TRAUMA SURGERY
offers trauma care 24/7. Our Trauma Team consists of experienced professionals in trauma, the emergency medicine, neurosurgery, orthopedic trauma, critical care, interventional radiology and local emergency transportation services. PMC's trauma services include, care of patients who have experienced a motor vehicle or all-terrain vehicle (ATV) accident, traumatic fall, gunshot wound and more. 606-430-2206
UROLOGY
treats conditions relating to the urinary tract. PMC Urologists perform a plethora of procedures including cystoscopy, prostate biopsy, urodynamics, urethral dilation, bladder scans, heparin injections, penile implants, ESWL, robotic procedures, bladder sling, ureteroscopy, PCNL, nephrectomy, prostatectomy, varicocelectomy, h y d r o c e l e c t o m y , e p i d i d y m e c t o m y , spermatoceletomy, bladder interstims, prostate cancer hormone injection therapy, TURBT, TURP, testosterone replacement therapy, circumcisions, pediatrics, vasectomy, bladder, kidney and prostate cancer procedures. 606-430-2202
Strategy: Providing Care to the Addiction Recovery Industry (continued) programs cannot offer cost prohibitive wellness programs nor transport residents efficiently Therefore, the residents of many addiction rehabilitation institutions have limited access to wellness programs further complicating their recovery efforts. If the healthcare needs of these residents heighten to a level of urgent care, the logistical and financial burden on the treatment facility can be extensive, resulting in the decline of their program capacity.
PMC is pursuing a new project working with Addiction Recovery Care's (ARC's) 13 residential sites in Kentucky to provide telehealth services to their residents. This will allow us to offer a level of care many of these individuals have never previously had which will assist in their recovery. This is a new concept of offering health care for the addiction recovery, and will serve as a model for many other organizations in the state, region and nation.
Strategy:
Implement Virtual Nursing
Virtual nursing is the delivery of nursing care and services from a remote location. Virtual nurses are responsible for monitoring multiple patients while collaborating with the nurses, physicians, therapists, and other staff who provide care at the patients' bedside. There are several benefits and models of care with Virtual nursing.
Virtual nurses augment the care delivered by bedside nurses by alleviating their workload and providing greater patient satisfaction. Nurses at the bedside can focus on clinical tasks and patient care, while a highly trained, flexible, virtual workforce is connected to inroom technology to manage the more administrative tasks.
Virtual nursing workflows for patient observation, companionship, care concierge, and administrative tasks can ease workloads and improve care delivery.
Hybrid patient care, combined with bedside and virtual care, allows hospitals to keep nurses working at the top of their licenses and create scalable workforce options. Meanwhile, patients enjoy greater convenience, access to caregivers, faster quality care, and an all-around improved patient experience.
GOAL: EXPAND PROJECT H.E.A.R.T. & WORKFORCE CENTER PROGRAM
Strategy: Expand Workforce Education
PMC's collaboration with organizations like East Kentucky Concentrated Employment Program (EKCEP) and others will provide training and education to expand labor participation, and enhance communities through skill building and provide a better standard of living.
To further grow local nursing programs and increase nurse graduates, PMC will enter into a partnership with the University of Pikeville to creatively enhance their program. We developed incentives to ease the cost of school and make it easier for these students to complete their education. This program has been replicated in other fields that apply to the healthcare industry, such as environmental service and hospitality management, both of which are integral parts of hospital operations.
Strategy: Provide Opportunities for Training
It is our desire to become the employer of choice and to attract and retain a highly skilled staff.
PMC implemented a program which will give staff vested ownership in their jobs and to meets our mission of advancing the health and well-being of our region through comprehensive care in a Christian environment, by becoming a Highly Reliable Organization (HRO).
Strategy: Provide Second Chance Employment
PMC's leadership has made a bold step to become a second chance employer. Second chance hiring is a great opportunity for both organizational and individual growth. By hiring previously incarcerated individuals, people in recovery or other applicants disadvantaged by life's choice, we can help them develop the skill sets they need in order to obtain and maintain stable employment.
We work with ARC to provide skill development and job opportunities for qualified people that have been a part of addiction recovery. Individual recovery plans will include training of skills for positions within the hospital and for which those individuals are suited. Additionally, our partnership with the local jails will offer telehealth services, allowing us to assist those incarcerated find their way to a better life.
Strategy: Build a Medical Training Facility
We designed and built a Medical Training Facility where all area individuals involved in the healthcare industry can work together and develop an active learning community. This has provided a place where medical staff, students of health care and members of the community can work in collaboration to create robust teaching and learning experiences. This has built vital community partnerships to create an intellectually diverse and active learning center as it pertains to healthcare.
Workforce Innovation Center
$25,957,000
EDUCATIONAL OPPORTUNITIES/PARTNERSHIPS
• Pikeville Medical Center is proud to collaborate with the University of Pikeville, home to one of only three medical schools in the state (UK, U of L & UPIKE).
• PMC provides a medical facility for clinical rotations. Additionally, PMC plans to work with UPIKE to offer dental services after the planned opening of the university's new College of Dentistry.
• UPIKE is also home to the only optometry school in the state – while PMC clinic hosts students for their clinical training (UK, U of L and Western KY each only have a preoptometry program).
• Soon UPIKE will be home of the third dental school in the state alongside UK and U of L.
• The Nursing Fellowship Partnership Program is a collaboration with UPIKE and PMC to provide financial assistance to nursing students.
• Big Sandy Community and Technical College is officially located the Pikeville campus and opened for class 2021.
• Galen College of Nursing is located on our PMC campus and opened for class 2022 .
• As a third nursing school, ANU relocated to PMC campus this year, 2023.
• In addition to offering nursing degrees, ANU will also be offering associate degrees for positions in the laboratory, respiratory, radiology or certified pharmacy techs.
• PMC has become an educational hospital with our oncampus educational partnerships, clinical rotations and extern employment opportunities for additional learning opportunities while being paid.
• PMC has received several grant to fund these healthcare educational programs.
Pikeville Medical Center collaborates with the Kentucky College of Osteopathic Medicine, Kentucky College of Optometry, all area nursing schools and area colleges that offer 2-year associate degree programs in the medical field (respiratory therapy, medical laboratory technology, radiologic technology) to provide students with clinical rotations and training. PMC also offers an extern program for nursing students to gain valuable training experience.
REGIONAL ECONOMIC DRIVER
Pikeville Medical Center's Executive Leadership Team and Board of Directors acknowledges that we are a hospital that can transform lives in more than one way. The need for economic growth in our region has been magnified over the past several years with the negative drivers of the economy and the pandemic. We are committed to not only providing quality healthcare, but to also creating career opportunities for citizens in the region.
The community has received economic benefits from these hospital projects. As the community's economic anchor, we know the impact of our activity within the regional economy and the ripple effect it can have across multiple industries, local suppliers, and the potential to generate household disposable income and spending.
GROW THE FIELD OF HEALTHCARE WORKERS LOCALLY
Workforce Innovation Center
Workforce development is an essential component of community stability in any economic climate. It is even more critical following the loss of jobs in the local energy sector. The outmigration of families from the region is reflected in the need for qualified staff, particularly in the field of nursing. With an aging baby boomer population and climbing rates of chronic issues like obesity and diabetes, the healthcare industry is not able to keep up with the demand for registered nurses. Recent studies show Kentucky will have a 10,000 person deficit in nursing in coming years.
3,100+ EMPLOYEES from 33 KENTUCKY
COUNTIES
$234,269,465 2,894 as of 09/30/2021 $102,736,930 501,728 10,996 490,732
