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Quality Matters

for a healthier community.

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Lawrence Memorial Hospital, in collaboration with its Medical Staff, is dedicated to providing personal and high quality health and wellness services for the people of Lawrence and the extended community.

LMH by the Numbers (2011) Inpatient Discharges Emergency Visits Outpatient Visits Births

Oncology Visits Surgery Cases

Mammograms CT Scans

Laboratory Tests

Pharmacy Prescriptions

Physical Therapy Procedures Meals Prepared Website Visits

Physicians on Medical Staff Employees Volunteers

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7,589

36,244

177,831 1,086 8,422 4,505

24,895 18,756

415,304 485,652 71,957

251,666 265,435 217

1,270 830

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Dear Friends

and Family

Gene Meyer President and CEO Lawrence Memorial Hospital

At Lawrence Memorial Hospital (LMH), we only want the best for this community. For us, the ‘best’ means high quality health care – a commitment we all embrace that is deeply embedded in our mission. From patient safety and satisfaction to new services, facilities, technology and more, we make every effort to provide the very best health care for every patient. To us, quality matters at every touch point. Whether you’re visiting LMH for the very first time or you’ve already come to know us as your friends in the community, we are driven to provide quality experiences for you and your loved ones. Everyone at LMH – our

dedicated Board members, physicians, nurses, support staff and volunteers – shares a mutual commitment to exceptional care. In this report, you’ll find more information about many of our 2011 accomplishments, which enable us to deliver better, more advanced systems of care today. Our focus on quality health care shows in everything we do, because at LMH, quality matters most of all.

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Quality Matters

focusing on performance, safety and every patient care experience

Beating the Standards: Quick Heart Attack Care

42 60 90 minutes

LMH Average Median Time for Primary Percutaneous Coronary Intervention (PCI)

minutes

LMH Goal Top 10% Hospitals

minutes

National PCI Standard

LMH 2011 Quality Dashboard

“I never knew LMH ranked so high nationally for cardiac care, but now I’ll never forget it.” Julie Heart attack survivor

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W

Welcome to LMH, Where Quality Matters Most Simply put, quality in health care is providing the right care at the right time for the best possible result. LMH’s commitment to quality means patient care is always supported by the latest evidence-based literature, clinical practice guidelines, advanced technology, and of course, a healthy dose of compassion. LMH is held to the same rigorous standards as the nation’s largest hospitals and health systems. Thanks to a hospital-wide focus on quality care, LMH consistently meets or exceeds national averages for nearly every quality and safety measure. From the hospital’s executives and Board of Trustees, to its Quality Committee members, physicians, staff and helpful

volunteers, everyone at LMH is dedicated to performing among the country’s top hospitals…and it shows. For example, 100 percent of cancer patients treated at LMH in 2011 said they would recommend The Oncology Center to friends and family. And, in addition to a wide variety of clinical quality and safety measures, LMH consistently excels in key indicators like how quickly patients receive the care they need, the quality of their outcomes and how satisfied they are with their experiences. The hospital shares quality measures on its website, so patients in Lawrence and surrounding communities can make informed health care decisions and feel comfortable about choosing LMH.

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Growth Matters

enhancing community access to quality patient care

The Internal Medicine Group Joins LMH As part of the hospital’s efforts

Grand Opening: LMH Eudora Medical Park With a 45 percent population increase over the last decade, patients in Eudora needed greater access to primary care and outpatient services. In 2011, LMH answered the call with the grand opening of LMH Eudora Medical Park. The 10,500 square-foot facility accommodates new and improved services the old office could not. LMH Eudora Medical Park houses primary care and radiology (Eudora Family Care), physical rehabilitation (LMH Eudora Therapy Services), and an on-site pharmacy…all in one convenient location right off K-10.

to strengthen the system of care throughout the community, LMH added a sixth primary care practice in 2011: The Internal Medicine Group (IMG) at the Old Oak Medical Center on Sixth Street in Lawrence. IMG’s

LMH

board-certified physicians and

In t have c numb Instit rise o the ne readm Heart The rankin needs practi monit provid visit t

staff, who have always shared LMH’s mission and commitment to high quality care, provide primary care, preventive medicine, skilled diagnostic services, and specialized services in gastroenterology and infectious disease.

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LMH Relocates Services for Greater Access “LMH saved my life.They took extraordinary care of my family and me the entire time I was there.” Tony & Kaye Heart attack survivor and his wife

To increase access to the quality services provided by the Endoscopy Center (LMH’s gastrointestinal lab) and the Pain Management Clinic, LMH moved both operations from LMH South to the main hospital campus in 2011. Consolidated inpatient and outpatient services in one location makes LMH physicians more readily available to patients in need.

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LMH Opens Heart Failure Clinic In the U.S. today, more than 5 million people have congestive heart failure (CHF), and the number is growing according to the National Institutes of Health. In response to the steady rise of CHF cases in the community and the need to prevent unnecessary hospital readmissions, LMH opened its Congestive Heart Failure Clinic in 2011. The clinic complements LMH’s highranking cardiac services by targeting the health needs of CHF patients. Highly skilled nurse practitioners and pharmacists work together to monitor symptoms, manage medications and provide important education for patients who visit the clinic. Final_LMH_Annual_Report.indd 9

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Milestones Matter

embracing a commitment to compassionate patient care

The Oncology Center at LMH Celebrates a Decade of Caring

The Oncology Center at LMH commemorated its first decade anniversary in September 2011. Hundreds of patients, survivors and loved ones joined Center staff, LMH leadership and hospital supporters to pay tribute to the journeys they’ve shared and the many lives touched by cancer in the community. Thousands of patients from all over Kansas and 29 other states have come to The Oncology Center at LMH for treatment. People often travel to Lawrence for cancer care at LMH because The Oncology Center offers more than 150 cancer research trials – advanced, individualized therapy options not available everywhere. The Oncology Center at LMH is equipped with sophisticated diagnostic technology and pathology, enabling specialists to detect many cancers and risks before they grow and spread. The Center also offers hereditary cancer risk assessments to help identify individuals appropriate for genetic testing. In 2011, the Center tested for hereditary breast and ovarian cancer syndrome, as well as Lynch Syndrome, which causes an increased risk for early onset colorectal cancer and other cancer types.

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Grand Opening: Mario’s Closet Shortly before The Oncology Center’s first decade celebration, LMH became home to Mario’s Closet, a special shop providing custom solutions to help men and women fight the visible effects of cancer. A gift from Mario V. Chalmers Foundation and the LMH Endowment Association, Mario’s Closet offers salon services, wigs, scarves, prosthetics, skin care products, and other gifts and accessories for cancer patients. It is the only shop of its kind in Lawrence. To celebrate the grand opening, LMH hosted a ribbon-cutting

ceremony in July 2011. NBA and former KU basketball star Mario Chalmers and his family attended. “This is very close to me,” Chalmers said about Mario’s Closet and why his foundation was inspired to make the contribution. “My best friend Paul Peterson’s mom died of breast cancer, so this is something we are doing in honor of her now.”

“Lawrence Memorial Hospital gave me options, including the right cancer research trial.They gave me hope and saved my life.” Tammie Breast cancer survivor

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Innovation Matters

advancing technology for improved patient care and quality

LMH Receives National Recognition as “Most Wired” In July 2011, LMH was one of only 154 U.S. hospitals to be named “Most Wired” in a national survey published by Hospitals & Health Networks magazine. The study assessed nearly 1,400 hospitals and health systems on progress toward adopting more advanced health information technology, including electronic health records (EHRs), wireless networks, computerized physician order entry and more.

“Being named one of the country’s Most Wired hospitals is an honor,” said LMH President and CEO Gene Meyer. “It recognizes our long-term vision that LMH distinguishes itself over other providers through the use of information technology.” •

LMH became the first hospital in the

region, and one of only 15 hospitals in

the state, to attest to meaningful use of

EHRs.1 For meeting 2011 meaningful use objectives in the first year of the federal incentive program, LMH received a

LMH 2011 Achievements in Electronic Health Records Centers for Medicare & Medicaid Services, Meaningful Use Attestation, 2012.

1

Healthcare Information and Management Systems Society (HIMSS), HIMSS Analytics™ Database, Stage 6 Hospitals, www.himssanalytics.org/hc_providers/stage6Hospitals.asp (accessed January 2012).

2

$1.6 million Medicare incentive payment.

LMH is among 304 health systems

worldwide that have achieved Stage 6 of

the Electronic Medical Records Adoption ModelSM, putting LMH in the top

6.4 percent of 5,337 hospitals in the

HIMSS Analytics™ Database. HIMSS reports that most U.S. hospitals (45

percent) are in currently in Stage 3.2

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lity

Lab Expansion Enables More In-House Testing It was a year in the making, and in May 2011, LMH unveiled its newly remodeled and widely expanded laboratory. As the hospital’s hub of pathology – where hundreds of thousands of tests are performed every year to diagnose and study disease – the new lab and its technologically advanced equipment now accommodate more in-house testing than ever before. The space also includes a new waiting area for patients and more private spaces for blood draws. The 1.laboratory at LMH is open 2. 24 hours a day, seven days a week. Its 75 employees include highly skilled and accredited pathologists, H E A LTtechnologists H and phlebotomists, all of whom share LMH’s steadfast commitment to quality and patient safety.

Think

Breast

3.

“One walk through the halls of LMH and you’ll feel it – excellence is our business.” Donna Osness Former Member, LMH Board of Trustees and Quality Committee Chair

Think

BREAST H E A LT H 3.

Think

Breast

Health

In 2011, the LMH Breast Center

reached its goal to offer digital imaging

Think

Think

Breast

LMH Breast Center: Now with H E A Digital LT H Mammography in Three Locations Digital imaging boosts quality of care by allowing physicians to view 4.results in greater detail. It also enables greater collaboration among care team physicians by allowing radiologists and surgeons, for example, to view the same images simultaneously regardless of their locations.

Think

Breast Health Breast Health technology at all three Breast Center

locations: LMH South, LMH West and

now, the LMH hospital campus.

4.

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Think

Breast Health

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Connections Matter

reaching out for a healthier community e-Childbirth Prep: LMH Offers Online Classes for Parents-to-Be

LMH Community Care Navigators Reduce Readmission Rates Since LMH started its community care navigator program, the hospital has lowered 30-day readmission rates among the uninsured, Medicaid and chronic disease population it serves – in some cases by as much as 68 percent. By creating low cost, high impact connections between hospital care, primary care, specialty care, home care and community resources, LMH’s community care navigators are coordinating patient care for better outcomes, lower costs and higher quality health care. The most recent 12-month data shows a 9 percent hospital-wide drop in 30-day readmission rates for acute myocardial infarction (heart attack) and 7 percent for heart failure, as compared to historical rates.

It’s already helped a family as far away as South Korea. In 2011, LMH launched an online course to help moms and dads prepare for baby’s birth. One American couple overseas took the course last fall when they had difficulty finding an English-speaking obstetrician who would answer all their questions. To them, the LMH e-course was a “saving grace.” Locally, it’s more about convenience. With learning modules on pregnancy, childbirth, postpartum recovery and newborn care, parents can learn at their own pace in the comfort of their homes. The high-tech,

LMH Goes Social For more quality connections in the community, LMH enhanced its online presence in 2011 to include social media. Find LMH on:

high-touch approach includes videos, activities, quizzes and downloadable printouts, as well as a one-time, in-person session with a childbirth instructor.

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2011,

People Matter

expanding the patient care team

Everyone at LMH shares a commitment to high quality health care. Physicians who practice at LMH are board certified or board eligible, which demonstrates exceptional expertise in their respective medical specialties or subspecialities. In 2011, LMH welcomed the following new physicians to the team:

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Michele Bennett, MD Lawrence OB-GYN Specialists Dr. Bennett, a Lawrence native, earned her medical degree at the University of Kansas School of Medicine and completed her OB-GYN internship and residency at the University of Utah Hospitals & Clinics. She is board eligible in Obstetrics and Gynecology.

“I come to work every day with a sense of purpose. We all do.” Angela LMH Nurse

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well

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Luke Huerter, MD The Oncology Center at LMH Dr. Huerter earned his medical degree from the University of Kansas School of Medicine. He completed his residency at the University of Utah Hospitals & Clinics, where he also completed a fellowship in Hematology/Oncology. Dr. Huerter is board certified in Medical Oncology and Internal Medicine. Ryan Stuckey, MD OrthoKansas, P.A. Dr. Stuckey completed his medical degree and residency at the University of Kansas School of Medicine, as well as a spine surgery fellowship at Texas Medical Center. He is board certified in Orthopedic Surgery and is the only spine surgeon in Lawrence. Robert J. Gorman, MD Lawrence Hospitalist Physicians Dr. Gorman received his medical degree from the University of Missouri-Columbia School of Medicine and completed his residency at the University of Missouri Health Care and Children’s Hospital. He is board certified in Internal Medicine.

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Leadership Matters

Board of Trustees

Medical Executive Committee Charles Yockey, MD, Chief of Staff Eric Huerter, MD,Vice Chief of Staff John Keller, MD, Secretary

Back Row (left to right): Joe Flannery, Allen Belot, Rob Chestnut, Mike Wildgen, Chuck Heath Front Row (left to right): Charles Yockey, MD (ex-officio), Gina Pacumbaba-Watson, Jane Blocher, Judy Keller, Lee Reussner, MD

Board of Trustees Judy Keller, Chairperson Allen Belot,Vice Chairperson Mike Wildgen, Secretary Chuck Heath, Treasurer Jane Blocher Rob Chestnut Joe Flannery Gina Pacumbaba-Watson Lee Reussner, MD Charles Yockey, MD (ex-officio)

LMH Administrative Council Gene Meyer, President & Chief Executive Officer Carolyn Bowmer, Vice President, Human Resources Kathy Clausing-Willis,Vice President & Chief Development Officer Sheryle D’Amico,Vice President, Physician Division Janice Early, Director, Marketing & Business Development Dana R. Hale,Vice President, Nursing Services Jane A. Maskus,Vice President & Chief Information Officer Joe Pedley,Vice President & Chief Financial Officer Karen Shumate, Chief Operating Officer Sherri Vaughn, MD,Vice President, Medical Affairs

LMH Auxiliary Board Sharon Stultz, President Proctor Crow, Vice President Suzie Craig, Secretary Shirley Anderson, Treasurer Mary Arensberg, Past President Erma Dieker Carol Falen Joanne Hurst Dianna Nelson

Department Chiefs Dan Roelofs, DDS, Anesthesia Sabrina Prewett, DO, Emergency Medicine Joy Murphy, MD, Family Practice Molly Imber, MD, Internal Medicine Tiffinie Mercado, MD, OB-GYN Mike Thompson, MD, Pathology Marshall Kelley, MD, Pediatrics Robert Knight, MD, Radiology Douglas Klingler, MD, Surgery

Lawrence Memorial Hospital Endowment Association Board of Directors Carla Phipps, MD, President Kurt von Achen,Vice President Ted Haggart, Treasurer Marilyn Dobski, Secretary Dale Denning, MD Stacey Dillon Sandra Gautt Mary Jane Grinter Jon Heeb, MD Matt Hoy Teresa Mulinazzi Kempf Shade Keys Little Rita “Peach” Madl Jeffrey Morrison Dick Orchard, MD Beverly Roelofs Jean Shepherd Valentino J. Stella, PhD Ex-Officio Gene Meyer, LMH President & CEO Joe Flannery, LMH Board of Trustees Mary Arensberg, LMH Auxiliary Board of Directors Kathy Clausing-Willis, LMH Vice President & Chief Development Officer

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Financial Highlights

2011

2010

Revenues: Gross patient service revenues $425,898,266 $387,286,623 Revenue deductions (Medicare, Medicaid and other discounts) (233,210,422) (207,677,093) Charity care (10,505,000) (7,985,000) Net patient service revenues 182,182,844 171,624,530 3,001,077 Other operating revenue 1,342,733 $185,183,921 $172,967,263 Net Operating Revenue Expenses: Salaries $64,988,245 $61,569,331 Employee benefits 13,625,988 12,732,172 13,877,896 Medical professional fees 13,095,144 8,591,619 Purchased services 7,318,421 27,669,564 Supplies 25,890,736 2,387,044 Utilities 2,248,704 1,017,307 Miscellaneous expense 1,308,063 Kansas Provider tax assessment 530,881 531,448 6,900,786 Repairs and maintenance 6,492,911 10,265,823 Depreciation & amortization 9,934,014 4,981 Loss on sale or disposal of property 162,762 837,110 Insurance 939,336 Other capital costs 2,324,354 2,191,564 3,573,003 Interest 3,253,878 19,045,700 Provision for uncollectible accounts 16,570,200 $175,640,301 Total Expenses $164,238,684 Operating Income: $9,543,620 $8,728,579 Available for facility improvements, new equipment and services to meet the health care needs of the community Additions to Capital Assets: $14,081,355 $10,659,968 Construction, equipment purchases and facility improvements

tors

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LMH is a 173-bed not-for-profit hospital owned by the City of Lawrence, Kansas. LMH receives no tax support from the city or county and serves the community’s health care needs regardless of individuals’ ability to pay. Dedicated to improving the health of the community, LMH invests all excess revenues in services, equipment and facilities that further the mission. Inquiries about this annual report or requests for additional copies should be sent to the Marketing Department, Lawrence Memorial Hospital, 325 Maine, Lawrence, KS 66044, (785) 505-3130. LMH does not discriminate on the basis of race, color, national origin, age, disability, gender or sexual orientation in providing services to patients or the public, nor in relation to employment practices.

3 2 5 M ain e S tre e t • L aw re n c e , K S 6 6 0 44 • 785- 505- 5000 • www.lmh.org

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