Highlands Health System - Annual Report 2013

all day. every day.

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table of Day after day, year after year, we share our time, resources, expertise and caring with the community we call home.

Each service we add, each physician we welcome, each program we fund exemplifies our commitment to the families we serve.

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contents Letter from the President

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New Services

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Quality and Safety

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Community Outreach

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Autism News

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New Physicians

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Community Benefit Report

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Board of Directors

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dear friend

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and neighbor, All day, every day, we continue to improve your Highlands Health System. As you read this 2013 Annual Report, countless patients and families are reaping the benefits of new services, new specialists, quality initiatives, community outreach and more.

2013 was a landmark year. We celebrated our 40th anniversary with renovations to Highlands Regional Medical Center. New paint and window caulking brightened and unified our main campus while improving energy eďŹƒciency.

It was also a year of firsts. After rigorous evaluation and refinement of our cardiac care processes, we achieved Chest Pain Center Accreditation from the Society of Cardiovascular Patient Care. We also implemented a new medication safety system and added pediatric speech therapy, lactation consultation, fitness classes and more.

Our extended family grew as well. As a founding member of the Eastern Kentucky Healthcare Coalition, we welcomed UK HealthCare and St. Mary’s Medical Center to our clinically-integrated network of healthcare providers.

Thank you for choosing and supporting Highlands Health System. We appreciate your trust and are honored to give back to you and your family.

To Your Good Health,

Harold C. Warman, Jr., FACHE President & CEO, Highlands Health System

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giving back with

new

After Hours Care Expands Family health needs seldom follow a 9 to 5 schedule, which is why Highlands After Hours Care is so important to the community. After successfully opening the first After Hours location in Paintsville, Highlands expanded its After Hours Care to Salyersville and Inez. Those communities can now receive walk-in care after work and on weekends for minor illnesses and injuries, including X-ray and lab services.

Lactation Counseling New mothers are often overwhelmed by the daunting task of breastfeeding. To give them the help they need, two Highlands employees completed a five-day training course to become Certified Lactation Counselors. Amy Hyden, a registered dietitian, and Ashley Spriggs, a labor and delivery nurse, were certified by the Healthy Children Project to support and educate new moms.

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services Pediatric Speech Therapy Amber Fleming, a Louisa native, returned to serve the Big Sandy Area as a speech pathologist. She has a Master’s of Science in Speech Pathology and more than 12 years of experience. Amber evaluates and treats a variety of speech language disorders including articulation, phonological processing disorders, receptive and expressive language disorders, fluency, oral motor and feeding disorders.

New Fitness Classes The Highlands Wellness Center introduced three new fitness classes to the community: Zumba®, Xtreme Fit and Yoga. The classes are held in the lower level of the Highlands Medical Office Building on the HRMC campus.

Black & Blue Clinic Dr. Robert Royalty, Orthopaedic and Sports Medicine Surgeon, offers sports medicine evaluation and treatment to student athletes. The Clinic’s services include free drop-in evaluations, arthroscopy, cartilage repair, fracture treatment, joint replacement, labrum/shoulder instability treatment, ligament reconstruction and repair of the meniscus and rotator cuff.

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quality and ensuring

Appropriate Care Measures The Appropriate Care Measure (ACM) is a composite measure of whether patients received all the care they were eligible for based on applicable, publicly-reported measures. These percentages compare Highlands Regional Medical Center to the average for all Kentucky hospitals. Source: Kentucky Inpatient Hospital Quality Measures Report (HCE)

HRMC

99% HRMC

91%

KY

95%

HEART ATTACK ACM An acute myocardial infarction (AMI)—or heart attack —happens when one of the heart’s arteries becomes blocked and the supply of blood and oxygen to part of the heart muscle is slowed or stopped. When the heart muscle doesn’t get the oxygen and nutrients it needs, the affected heart tissue may die. These measures show some of recommended treatments provided, if appropriate, for most adults who have had a heart attack.

HEART FAILURE ACM Heart failure (HF) is a weakening of the heart’s ability to pump blood to the body. With heart failure, the body doesn’t get enough oxygen and nutrients to meet its needs. Heart failure can cause shortness of breath, fatigue, rapid or irregular heartbeat and many other severe symptoms that should not be overlooked.

HRMC

HRMC

92%

KY

91%

KY

89%

KY

94%

95% SURGICAL CARE ACM

PNEUMONIA ACM Pneumonia (PN) is a serious infection in one or both lungs which usually causes difficulty breathing, fever, cough and fatigue. This infection can also lower the oxygen level in the blood. Some of the care measures include pneumococcal vaccination, blood cultures, antibiotics and adult smoking cessation counseling.

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Hospitals can reduce the risk of infection after surgery by making sure they provide care that’s known to get the best results for most patients. Examples of that care would be giving the recommended antibiotics at the right time before surgery, stopping the antibiotics within the right time frame after surgery, maintaining the patient’s temperature and blood glucose (sugar) at normal levels and removing catheters that are used to drain the bladder in a timely manner after surgery.

safety

every day

Medication Safety System To better protect patients, Highlands Regional Medical Center installed the Bar Code Medication Administration (BCMA) system.

All day, every day, our nurses scan and compare the bar codes on each patient’s wristband and medication to be sure they match and to avoid medication errors.

Chest Pain Center Accreditation Highlands Regional Medical Center performed a rigorous reevaluation of our cardiac care processes and received Chest Pain Center Accreditation from the Society of Cardiovascular Patient Care (SCPC). It ensures that patients who arrive at the hospital with heart attack symptoms receive timely treatment to preserve heart muscle.

Disaster Drill Highlands coordinated the “Operation Omega Shield” disaster drill with the Health Planning Coalition. Local Anthrax “victims” from Prestonsburg High School were treated in a decontamination tent and taken to the ER for further “evaluation.” We organized communications and resources at our “Incident Command Center,” where administrators, doctors, managers and staff all took part in the successful simulation.

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reaching out

to our community

Ladies in Red Over 75 guests attended our second annual women’s heart-healthy luncheon event. Participants received preventive information on heart disease risk, heart attack symptoms, nutrition and exercise by Highlands personnel.

Elder Abuse Awareness Highlands hosted a staff luncheon featuring Leslie Caudill, RN, BSN, from the Big Sandy Council on Elder Maltreatment. Over 30 attendees learned about recognizing and reporting types of abuse.

Colon Cancer Lunch and Learn As part of our employee professional development, Drs. Kirti Jain, Jason Clark and Phil Crace met with 20 Highlands employees to present information on colonoscopy, tumor classification and treatment options.

Prostate Screening Our annual screening at the Highlands Cancer Center included a PSA blood test, physician exam and information. Volunteers included Dr. Brett Akers, PA Krista Welch and Dr. Jeremy Parsons.

Think Pink In October, Highlands hosted a series of free breast cancer luncheons.

Our representatives shared information on signs, symptoms, detection and treatment options.

Community Health Fairs Highlands gave back to our communities with various health fairs across our area, offering flu shots and free screenings for blood sugar, cholesterol, glycohemoglobin, blood pressure and more.

CPR Training Highlands Regional Medical Center was once again designated a Regional CPR Training Center by the American Heart Association.

Our 270 CPR instructors processed nearly 6,000 certification cards.

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on autism working overtime

Securing health coverage for Applied Behavior Analysis at the Highlands Center for Autism continued to be a struggle for families in 2013.

Even though state law mandates that insurance companies cover this form of treatment, many were still denied. Highlands Center for Autism Program Director Dr. Shelli Deskins, Ph.D. BCBA, worked closely with Anthem and other insurance carriers to resolve these issues.

Ashley Ratliff Receives Board Certification

Fourth Annual Poker Run This summer motorcycle event raised over $1,500 for the center and included about 30 bikes. Riders enjoyed a scenic route through John’s Creek in Pikeville and a lunch at Highlands. Organized by Jimmy Williamson, our Director of Facility Services, the Poker Run raised funds for fee assistance awards, allowing more students to participate in the Center for Autism’s treatment program.

As one of only 120 Board-Certified Behavior Analysts (BCBA) in the state, Ashley helps her patients make improvements in socially significant behaviors. She works with individuals diagnosed with autism spectrum disorder, attention deficit hyperactivity disorder, obesity, addictions and more.

Applied Behavior Analysis (ABA) is the only treatment proven effective in improving their quality of life. The Highlands Center for Autism is the first center-based program in Kentucky exclusively using ABA in a clinical setting.

To achieve this ranking, Ashley received her master’s in Clinical Psychology, then completed an extra 15 credit hours of behavior analytic coursework and over 1,500 hours of clinical work under the supervision of Dr. Shelli Deskins.

Fourth Annual Autism Jigsaw 5K Approximately 275 people registered for this spring event, which yielded about $17,000 for the Highlands Center for Autism. The event kicked off with a Kids’ Fun Run. Our 5K walk/ run age categories included teen to 25, 25 to 50, and 50 plus. Awards were also given to overall best men’s and women’s categories.

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quality physicians

recruiting

Jason Clark, M.D. Pathologist Dr. Clark recently moved to the Prestonsburg area after completing a fellowship at the University of North Carolina, specializing in Cytopathology (the study of cells for diagnosing cancer and infectious diseases).

He earned his medical degree from Indiana University School of Medicine and completed his residency at Baylor University Medical Center in Dallas, TX.

Leslieann Dotson, D.O. Board-Certified Pediatrician Choosing to give back to her community, this Paintsville native returned to practice at Highlands. Dr. Dotson graduated from Georgetown College with a Bachelors of Science degree and earned her medical degree from Pikeville College of Osteopathic Medicine. She continued her training in pediatrics at Charleston Area Medical Center in Charleston, WV. She oers preventative care to children from birth through age 19 and specializes in childhood obesity and attention deficit/ hyperactivity disorder (ADHD).

Chad Patterson, M.D. Board-Certified General Surgeon Dr. Patterson graduated from the University of Louisville with both his B.S. and medical degrees. He continued his training with a surgical residency at the University of Toledo in Toledo, OH. Dr. Patterson then practiced for six years at Lake Cumberland Regional Hospital in Somerset.

He performs many laparoscopic and minimally-invasive procedures, including gallbladder removal, tumor removal, hernia repair and appendectomy.

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community benefit report persons

total benefit

724

$12,547

CPR & First Aid

40

$654

Diabetes Education

70

$1,472

Community Health Education – General Cancer Education

$2,500

Donation of Used Laptops 106

$116

8,320

$66,353

Heart Disease/Healthy Heart Education

452

$12,729

Mental Health/Depression Education

824

$20,264

Nutrition & Weight Management

240

$740

Prenatal & Family Planning

100

$486

School Based Programs

5,769

$77,820

Seniors Education and Outreach

1,164

$18,611

170

$229

1,032

$2,428

Family Parenting & Sibling ED Health Fairs

Tobacco/Smoking Cessation Worksite Based Programs

Health Care Support Services – Meals/Nutrition Services Charity Food Trays

7,848

$76,056

Financial Donations for the Community Financial Assistance (includes Bad Debt at cost) Subsidized Services

$3,395,176 $699,835

Unreimbursed Medicaid Services

$5,285,244

TOTAL COMMUNITY BENEFIT

$9,673,260

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board members HIGHLANDS HEALTH SYSTEM BOARD OF DIRECTORS

HIGHLANDS REGIONAL MEDICAL CENTER BOARD OF TRUSTEES

Harold C. Warman, Jr., FACHE

Harold C. Warman, Jr., FACHE

Dewey L. Bocook, Jr.

Edward R. Nairn

Dennis T. Dorton

Gregory A. Wilson

Edward R. Nairn

Robert M. Duncan

Paul D. Nunn

Paul D. Nunn

Robert M. Duncan

Charles Arnett, M.D.

Mark E. McKenzie

Sabrina Arnett

Gregory A. Wilson

Dewey L. Bocook, Jr.

PRESIDENT & CEO CHAIRMAN

VICE CHAIRMAN SECRETARY

TREASURER

PRESIDENT & CEO CHAIRMAN

VICE CHAIRMAN SECRETARY

TREASURER

James Booth Dennis T. Dorton Mark E. McKenzie Bertie Kaye Salyer Joanna Santiesteban, M.D.

CHIEF OF STAFF, HIGHLANDS REGIONAL MEDICAL CENTER

Chris Tackett Mark J. Veronneau, D.O.

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and trustees HIGHLANDS HOME HEALTH BOARD OF DIRECTORS

HIGHLANDS FOUNDATION BOARD OF DIRECTORS

Harold C. Warman, Jr., FACHE

Harold C. Warman, Jr., FACHE

Edward R. Nairn

Dennis T. Dorton

SECRETARY

CHAIRMAN

Jack Blackwell

Edward R. Nairn

TREASURER

SECRETARY

Charles Arnett, M.D.

Connie Prater

PRESIDENT & CEO

Burl W. Spurlock

HIGHLANDS CENTER FOR AUTISM BOARD OF DIRECTORS

PRESIDENT & CEO

TREASURER

Robert Allen II Sabrina Arnett Lindsey Case Leah Castle

Harold C. Warman, Jr., FACHE

Harry Childress

PRESIDENT & CEO

Fran Jarrell

K. Kate Shutts, M.D.

Mark E. McKenzie

CHAIRPERSON

Edward R. Nairn

VICE CHAIRPERSON

Dwayne Moore John Reed

Moriah Kinzer

Bob ShurtleямА

SECRETARY & TREASURER

Beau Spurlock

Gregory A. Wilson

Burl W. Spurlock Chris Tackett Joseph Buz Tharp III Neil Turner Lisa Veronneau Gregory A. Wilson

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