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2013 Annual Report


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urray-Calloway County Hospital is a great hospital, but it is the people who work here every day who make the real difference. Our team of over 900 employees makes a tremendous difference in the lives of our patients and their families. Not only do they use their clinical skills to diagnose and treat our patients, but they reflect our values compassion, confidentiality, honesty, positive attitudes, respect, and teamwork. In this report to the community, you will see how MCCH is committed to providing exceptional care. During 2013, we continued to invest in our patients building on advances in technology, quality and safety to ensure our patients receive the finest care available. Whether it’s a new technique or advanced technology, if it will benefit patients, then you’ll find it at MCCH. All of this is possible because of the support of our Board of Trustees, physicians and staff, and our donors. Thank you for choosing Murray-Calloway County Hospital as your healthcare provider of choice. We encourage you to review our Annual Report, learn more about our not-for-profit hospital, and visit our website at www.MurrayHospital.org to find out more. In Good Health, Jerry Penner

CEO of Murray-Calloway County Hospital


recognized for quality

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elivering high quality and safe care is a major focus for Murray-Calloway County Hospital. During 2013, quality measures and outcomes were monitored and departments were recognized for their focus on patient safety and quality.

treatment, surgical site preparation, and medications administered to reduce the risk of blood clots and heart attacks.

Quality health care can be described as striving for and reaching excellent standards of care. It involves assessing the appropriateness of medical tests and treatments and measures to continually improve personal health care in all fields of medicine.

To further advance patient care and outcomes, MCCH expanded its electronic medical record system and invested in renovations, new equipment and information technology.

MCCH’s Laboratory Service Department completed a two-day inspection by the Commission on Laboratory Accreditation (COLA) in which they were graded on 350 standards including quality control, performance improvement, and proficiency testing. The MCCH Ambulance Service was recognized as the Region One Provider of the Year by the Kentucky Ambulance Providers Association over 19 other providers. MCCH’s Surgery Department scored 99% on Multiple Measures as part of the Surgical Care Improvement Project. The goals included effective, safe, efficient, patent-centered, equitable, and timely care. The measures are set to reduce the risks of infections, blood clots, and heart attacks in and around the time of the operation. The project monitors the antibiotic selection and duration of

The Ultrasound Program also received re-accreditation during 2013.

Facility Upgrades also continued during 2013. Phase One of construction for the Hybrid Operating Room was completed. The Medical Arts Building received renovations in the commons area and in several office locations. Marshall County Family Medical also relocated to a new facility in Benton, and our pediatric rehabilitation rooms received kid-friendly facelifts. The improvements to the pediatric rooms included two large wall murals, one in the speech-language pathology room and one in the occupational and physical therapy rooms.

guest satisfaction remained strong for Murray-Calloway County Hospital and compared to other hospitals, we continue to offer outstanding customer service.

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B o a r d o f TRU S TEE S

Murray-Calloway County Hospital’s Board of Trustees consists of 11 volunteer members, including the Mayor and Judge Executive. Additional representation is provided by the Chief of Staff, along with eight additional Trustees appointed by city and county government. Chair • Mr. Steve Owens Vice Chair • Yancey Watkins, PhD Secretary • Judge Executive Larry Elkins Treasurer • Mr. Kenneth Darnell

Robin Floyd, MD Tony Page Loretta Jobs Lisa Shoemaker

Carolyn Marcum Burton Young, DMD Mayor Bill Wells

M e d i ca l Sta f f L ea d e r s h i p Medical Staff President • Dr. Brian Swain President Elect • Dr. Matt Price Chief of Staff • Dr. Robin Floyd Chief of Surgery • Dr. David Koelsch Chief of Medicine • Dr. Richard Blalock

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M CCH CA M PU S LOCATION S

• One Acute Care Hospital (MCCH) • Center for Health & Wellness (Medical-Based Fitness Center) • Six Clinics in Two Counties • Home Health & Hospice Services • Regional Cancer Center • Spring Creek Healthcare Nursing & Rehabilitation Center • Center for Rehabilitation & Sports Medicine • Center for Sleep Studies • Medical Arts Building - Physician Offices

Primary Service Area Calloway County Secondary Service Area Marshall County Graves County Trigg County Henry County, TN

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M CCH S TATI S TIC S

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FINANCIAL S U M M ARY

Charity Care: $5.9 million Bad Debt: $6.9 million Income Statement

(shown in thousands)

Gross Patient Revenue...................... $244,671 Net Patient Revenue............................$103,209* Other Revenue....................................... $2,282 Total Operation..................................... $105,491 Total Expenses................................. $107,790 Less from Operations: .................... ($2.30 million) Meaningful Use...................................... $1.32 million Loss from Operations..........................($980,000) Days Cash on Hand September 2012.................................... 77 September 2013.................................... 104 *Includes Bad Debt & Charity Care - $12.8 million

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W ELCO M E OUR NE W E S T PHY S ICIAN S

Recruiting and retaining outstanding physicians is extremely important for Murray Hospital and our patients. We continue in our recruiting efforts and in 2013, we welcomed two new specialists, Dr. Rachel Korson and Dr. Stephen Compton.

Dr. Rachel Korson Neurologist

Dr. Korson graduated with her medical degree from Loma Linda University School of Medicine in Loma Linda, CA, and completed a Fellowship in Sleep Medicine at Stanford University in Redwood City, CA. She finished her Neurology residency program at the University of Tennessee Health and Science Center in Memphis, TN. Dr. Korson is Board Certified by the American Board of Psychiatry and Neurology and a member of the American Academy of Neurology and the American Academy of Sleep Medicine. Dr. Korson’s area of interest includes treating sleep disorders such as Obstructive Sleep Apnea, Narcolepsy, REM behavior disorder, and Restless Leg Syndrome. Dr. Korson is the Medical Director of the Center for Sleep Studies.

Dr. Stephen Compton Orthopaedic Surgeon

Dr. Compton graduated from Murray High School prior to graduating Murray State University Summa Cum Laude with a degree in Biology. He continued his education at the University of Louisville School of Medicine where he graduated Summa Cum Laude and received his medical degree. His orthopaedic surgery residency program was completed at the University of Iowa Hospitals and Clinic in Iowa City, IA. Dr. Compton joined the practice of Charette, Morgan and Compton Orthopaedics.

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Technology At Murray-Calloway County Hospital, we understand that investing in our community is important. In 2013, we added new technology throughout the facility. Wireless EKG In an emergency, minutes matter and thanks to a donation received by Jeanne Mathis and Donna and Woody Herndon, the ambulance service at MCCH received four 12-lead EKG modems that allow the EMTs to gather important heart readings on a patient and send them ahead to the Emergency Department. The diagnostic reading allows the ED to see the severity of the cardiac situation and acts as an early intervention before the patient arrives. Hybrid Operating Room The construction for the new Cath Lab/Hybrid OR allows MCCH to provide cardiac diagnostic capabilities and an operating room to care for patients that require various procedures. The Hybrid OR has diagnostic heart cath and vascular surgery capability. This is a $3.2 million investment. T-System MCCH purchased the T-System, the most complete emergency department information system. The T-System is intuitively designed to match the emergency physician’s unique workflow while serving as a road map to patient care. T-Systems offer a variety of performance tools including: ePrescribe, referral management tools, and evidence-based information to enhance clinical decisions and more. RF System for Surgery In June of 2013, MCCH became the first hospital in Kentucky to use the RF Assure Detection System. This system uses radio frequency (RF) energy to determine whether the surgical team has retrieved all sponges, gauze, and towels from a patient’s body at the conclusion of each procedure, and complements manual counts. A mat is placed under the patient and a 12-second scan with a wand is performed to identify if any remaining materials were left in the patient. Urology Equipment & Monitors MCCH purchased new urology equipment and monitors to provide patients with the latest advancements in surgical techniques. Laparoscopic Equipment for Surgery MCCH’s Surgery Department purchased additional laparoscopic equipment to meet demands and continue to provide high quality minimally invasive surgery options. Vascular C-Arm A mobile image intensifier that includes the X-ray generator and image system on a portable imaging system (C-arm) and the workstation unit used to store and manipulate the images.

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Pediatric Rehabilitation Rehabilitation services department

MCCH Ambulance region one provider of the Year Volumes Inpatient Volumes: consistent across KY (↓) 2011 Total Patient Admissions..................... 5,291* 2012 Total Patient Admissions..................... 4,884* 2013 Total Patient Admissions: ................4,373 (↓11%) Surgical Volumes 2011............................................................ 5,693 2012........................................................... 5,832 2013........................................................... 5,565 (↓5%) Endoscopy Volumes 2011............................................................ 4,527 2012........................................................... 4,508 2013........................................................... 4,779 (↑6%) *Includes admits from Geriatric Behavioral Unit (closed December 2012) 203 in 2011 and 198 in 2012

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A CULTURE OF GIVING Murray calloway endowment for healthcare Proceeds Earned in 2013 Golf Tournament.................... $25,000 Murray Half Marathon.......... $48,000 Telethon................................... $53,000 Circle of Friends.................... $2,500 Dillard’s Partnership Sale.... $3,700 Large Donations.................... $125,000 Giving is fundamental to our work at MurrayCalloway County Hospital, whether the gift is time, money, knowledge or emotional support. Our staff and those who support us through partnerships and philanthropy wholeheartedly embrace a culture of giving to improve the lives of our patients and community. The generous support of our donors and staff makes it possible for our hospital to successfully achieve our mission of improving the overall well-being of the people we serve. After six years of planning and fundraising, the Murray-Calloway County Hospital Board of Trustees formally moved to proceed with the construction of the Anna Mae Owen Residential Hospice House. The $3.5 million project was fully funded by

more than 7,000 donors. The planned sixbed facility will be an acute care, inpatient facility designed to care for patients facing end-of-life scenarios. The future Residential Hospice House will be built to include private rooms with private baths, sleeping accommodations for family members, private patios, kitchen, family room and memory garden all in a homelike setting. Thank you to our 2013 donors and those who participate in the Murray Half Marathon, Golf Tournament, and other fundraisers held each year to support our initiatives. We sincerely appreciate those who share our commitment to providing quality care. We extend our deepest gratitude to all our donors, including many employees and medical staff, who contribute in so many ways to the Murray Calloway Endowment for Healthcare. 2013 Annual Report

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CO M M UNITY B ENEFIT Murray-Calloway County Hospital has been providing charity care to uninsured, low income and medically indigent patients for many years. Also, our employees are committed to promoting wellness and improving the health of our community. MCCH partners with many businesses, non-profits and area schools to focus on improving health. This past year, MCCH partnered with the American Cancer Society to host the Cancer Prevention Study on-site in which over 300 community members and employees participated. We’re proud to offer so many outreach programs and healthy-living opportunities to help everyone who lives in our region. Charity Care $5.9 million MCCH’s policy is to provide medically necessary care to all patients regardless of their ability to pay. A minimum of 30% assistance is available for incomes up to 300% of the federal poverty level. Bad Debt $6.9 million Some individuals with incomes may not qualify for charity care. Even if covered by insurance, they may have high deductibles or limited benefits. Bad debt occurs when patients do not pay hospital charges for which payment was expected. The hospital works with patients to identify financial assistance eligibility and offers flexible payment plans. Medicaid and Medicare Losses Kentucky’s Medicaid program provides health coverage to qualifying individuals. In Kentucky, the Medicaid and Medicare programs pay the hospital an average of 85-95 cents for each dollar MCCH spends on care for Medicare recipients. Community Benefit Activities $263,000 In an effort to promote health, MCCH hosts and participates in free health fairs, screening events, and educational programs throughout the region. We partner with organizations to provide clinical training and education to advance the knowledge of those seeking healthcare careers, participate in research, and strive to improve access to quality of care.

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H e a lt h P r o m ot i o n s , H e a l t h E x p r e ss & W e l l n e ss Health Fair/Major events 9 events Total Community Screenings 3,374 Individuals • 7,459 Screenings (Adult only, includes Health Express stops) Corporate Screenings 2,032 Individuals • 8,013 Screenings • 14 companies At the Center for Health & Wellness Support Group Attendance.............................365 Diabetes Self Mgt. Group Education............45 Smoking Cessation.............................................19 Health Education.................................................670 Youth Health Education.....................................1,168 High School Sports Physicals.........................542 Wellness Center Memberships Scholarships (88% discount).................................179 Total members......................................................1,631 Total visits..............................................................104,061 Free Athlete memberships..............................62 Murray High School & Calloway County Schools 2 Athletic Trainers............................................... $73,000 2 School Nurses.................................................. $60,000

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Founders Society of 1910 McDevitt, Hahs and Keys Society 750,000 - $999,999 Anonymous Donor

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Clark, Austin & Quertermous Society 100,000 - $249,999 Mr. Kenneth Owen W.K. Kellogg Foundation

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Benefactors: $40,000 - $59,999 Anonymous Donor Anonymous Donor Mr. John Parker and Mrs. Julia A. Parker The Hugh T. Carroll Family The Murray Bank Builders: $10,000 - $19,999 Mr. Keith E. Bailey and Mrs. Janet Bailey Mr. Bob Billington and Mrs. Jeannie H. Billington D.C. Electric Mr. Sid Easley and Mrs. Melissa Easley Mr. James D. Garrison and Mrs. Edith Garrison Geotech Engineering & Testing, Inc. Heritage Bank The Michael Holton Family

Mr. Dan Hutson and Mrs. Sue H. Hutson Insurance Center of Murray Johnson & Johnson Marcum Engineering, LLC McConnell Insurance Agency Murray Anesthesia Group Murray Hospital Auxiliary Pella Rolscreen Foundation Pinnacle Construction, Inc. Mr. Walter Polly and Mrs. Margaret Polly Poplar Spring Baptist Church Mr. Stuart Poston and Mrs. Donna Poston Radiology Associates of Murray Dr. Jack Rose and Mrs. Janice F. Rose Medical Arts Pharmacy Dr. Brinda Smith Mr. Dwain Taylor Mr. Gary Taylor and Mrs. Peggy Taylor Mr. Tommye D Taylor and Mrs. Anna F. Taylor Mr. Keith Travis and Mrs. Joan Travis Dr. Richard F. Weaver and Dr. Janice F. Weaver Waburn & Brenda Wyatt Family Stephanie; Kerry & Rachel; Terry & Kim Dr. Ruiza R. Yee and Mr. Sandy Yee

CareGivers 1,000 - $9,999

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Mr. William Adams, III and Mrs. Jill Adams Dairy Queen, Mr. Hal Kemp and Mrs. Leslie Kemp Mr. Timothy U. Allbritten and Mrs. Linda C. Allbritten Dr. Arthur Allen and Mrs. Sheila Allen Dr. Tiche K. Allen and Mr. Jeffrey L. Allen Almo Church of Christ Alpha Omicron Pi Foundation Mr. Ron K. Arant and Mrs. Cheryl M. Arant Ms. Margaret M. Arnold Mr. Tommy Arnold Ms. Bonnie Baker Mr. Alan S. Barber and Mrs. Cassie Barber Mr. Richard D. Bazzell and Mrs. Dana H. Bazzell BB&T Mr. Bradley Bloemer and Mrs. Ann Marie Bloemer Blue and Company Mr. David Boyd and Mrs. Sherri L. Boyd Mr. Earl E. Boyer and Mrs. Shelby J. Boyer Mr. Rick W. Bray and Mrs. Melony D. Bray Bridge Homecare Partners Mr. Donald Brittain and Mrs. Rene L. Brittain Dr. David F. Bryson and Mrs. Jennifer S. Bryson Mr. Steven W. Burford and Mrs. Susan Burford Mr. Thomas H. Busse and Mrs. Bonnie H. Busse C.A. Jones Management Group, LLC Mr. William G. Call and Mrs. Brenda G. Call Calloway County Cooperative Extension Office Mr. Bob L. Cavitt and Mrs. Linda J. Cavitt Dr. Raymond J. Charette and Mrs. Diane Charette Mr. Ronald Churchill and Mrs. Ann Perry Churchill Mr. David Clark and Mrs. Jill B. Clark Community Health Care Partners Mr. James Cook Mike, Whitney and Mae Carroll Cooper Dr. Jimmy E. Couch and Mrs. Sara A. Couch

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Credit Bureau Systems INC. Dr. Richard H. Crouch and Mrs. Cheryl S. Crouch Cyberonics, Inc. Dr. Tyrone L. Daniels and Mrs. Terry L. Daniels Mr. Gary Darnell and Mrs. Diana McClain Darnell Ms. Ruth Daughaday David Taylor Chrysler Dodge Jeep Ram Mr. Richard A. Davis and Mrs. Susan E. Davis Mr. Michael C. Davison and Mrs. Kitty R. Davison Mr. Jeffery DeHaan Mr. Robert DeHaan III Mr. Joe Dick and Mrs. Linda Dick Mr. Danny Dick and Mrs. Sandra Dick Dr. David Eldredge and Mrs. Judy Eldredge Judge Executive Larry Elkins and Mrs. Janie Elkins EmCare Emergency Medicine In Memory of John K. Emerson EMS Management LLC Epilepsy Foundation of Kentuckiana Family Allergy & Asthma Mr. Richard Farrell Fidalgo Bay First Christian Church First Presbyterian Church First United Methodist Church Mr. Ryan Flota and Mrs. Whitney Flota Dr. Robin M. Floyd and Mrs. Kamille E. Floyd FNB Bank Mr. Tripp Furches and Mrs. Sharon W. Furches Mr. Don H. Futrell and Mrs. Debra P. Futrell Mr. David C. Griffo and Mrs. Kimberely S. Griffo Mr. Eddie C. Hale and Mrs. Darlene Hale Ms. Courtney Harness Mr. Everett D. Hart Mr. James C. Hart


Hart Real Estate Account Ms. Rachel L. Haugh and Miss Ava Elliott Mr. Robert W. Head and Mrs. Nita Head Mr. Clarence W. Herndon and Mrs. Donna R. Herndon HFR, INC. Ms. Betty L. Hill Hillard Lyons, INC. Mr. Charles M. Hoke and Mrs. Anne W. Hoke Mr. Rudy Holland Dr. Tara Houston Mr. Ronnie G. Hubbard and Mrs. Mary S. Hubbard Hutson, Inc. Mr. Danny Hudspeth and Mrs. Regina Hudspeth Imes-Miller Funeral Home Independence Foundation Inc. Interstate Batteries J.H. Churchill Funeral Home Dr. Herschel S. Jackson and Mrs. Karen M. Jackson Mr. Joe Pat James and Mrs. Lola C. James Jasmine Thai & Sushi Jim DeFew Custom Painting and Body Shop JL & Sons, LLC Mr. John Johnson and Mrs. Christine D. Johnson Dr. Conrad H. Jones and Mrs. Evelyn L. Jones Mr. Troy Joyce and Mrs. Jimmie R. Joyce JRA, Inc. KAPPA Department Keller Williams Experience Realty, Loretta Jobs - Principal Broker Mrs. Molly Kelley Dr. Prue Kelly and Mrs. Linda Kelly Kentucky Lake Moving and Storage Kentucky Lake Oil Co., Inc. Kentucky Medical Services Foundation, Inc. Mr. David King Ms. Janet B. Kirk Dr. Kanchan Koirala and Dr. Regina Poudel Kroger Lake Chem Community Federal Credit Union Lattimore, Black, Morgan & Cain, P. C. Legacy Oxygen and Home Care Liberty Cumberland Presbyterian Church Dr. Gordy Loberger and Mrs. Ethelyn Loberger Dr. Bob Lochte and Mrs. Kate Lochte Dr. Robert F. Long and Mrs. Patricia M. Long Dr. Lal Mangla Sheriff William E. Marcum and Mrs. Carolyn A. Marcum Dr. Gary Marquardt and Mrs. Brenda K Marquardt Mr. David Martin and Mrs. Janet Martin Mr. Robert K. Martin and Mrs. Shirley Martin Ms. Lynn Martinson Ms. Jeanne L. Mathis Mr. Christopher A. Mayfield and Mrs. Emily Mayfield MCCH Business Office MCCH Hospice Department MCCH Spring Creek Health Care Bee Positive Committee Mr. Johnny McDougal and Mrs. Charlotte McDougal Mr. Richard D. McGee and Mrs. Belinda McGee Mr. Mark McLemore and Mrs. Linda McLemore MedBen Ms. Keena J. Miller Ms. Judith Moore Mr. Vernon Moore and Mrs. Janet Henry Dr. Derek Morgan MSU Accounting & Fiscal Services MSU Volleyball Team Murray Convention and Visitors Bureau Murray Electric System Murray Fast Pitch Club Murray Medical Associates Murray Opthalmology Associates Murray State University Foundation, Inc. Murray-Calloway County Chamber of Commerce Mr. Theodore Myre Jr.

Mr. Nagin G. Nathu and Mrs. Gopal J. Nathu New Life Christian Worship Center Mr. Rick Nance and Mrs. Anne Newberry Ms. Vera L. Nordhoff Mr. Robert R. Olson and Mrs. Karen Olson Mr. Terence D. Olson and Mrs. Laura Olson Mr. Joe F. Orr and Mrs. Winelle P. Orr Mr. Steven B. Owens and Mrs. Phyllis E. Owens Paducah Physiatric Partners Mr. Charles Pangborn Park Place International Mr. Eric Rogers and Mrs. Christina Rogers Dr. Sandra W. Parks Mr. Brady Parks and Mrs. Vicki Parks Parkway Chrysler, Benton KY PeCo Products, LLC Peel & Holland Pella Corporation Mr. Jerome Penner III and Mrs. Jamie Penner PHI Air Medical Primary Care Medical Center Pro Wash of Murray Purchase Gastroenterology R.T. Vanderbilt Company, Inc. Mr. Larry Ragsdale and Mrs. Cynthia Hussey-Ragsdale Mr. Michael Randolph and Mrs. Carole Randolph Mr. Joe Pat Ray and Mrs. Lisa Winters-Ray Mr. John E. Rebuck and Mrs. Jocelyn K. Rebuck Regions Bank Mr. William Rogers and Mrs. Ruth Rogers Dr. Monte E. Rommelman and Mrs. Kimberly A. Rommelman Rotary Club of Murray Dr. John M. Sallee Mr. Gordan K. Sapp and Mrs. Barbara Sapp Ms. Suzanne C. Seeley Mr. Warren Shropshire and Mrs. Virginia Shropshire Signet Health Corp. South Pleasant Grove U.M.W. St. John’s Episcopal Church Mr. Mark B. Steadham Mr. Donald L. Story Dr. Richard Stout and Mrs. Lynn H. Stout Mr. Dan K. Taylor and Mrs. Beverly G. Taylor Mr. David M. Taylor and Mrs. Jennifer B. Taylor Dr. Randy K. Taylor and Mrs. Lee A. Taylor The Heart Group Mr. David D. Travis and Mrs. Vickie C. Travis Mr. Don Travis and Mrs. Nancy T. Travis Dr. John E. Tveite and Mrs. Pat Tveite UK College of Medicine US Bank Dr. Richard Vonnahme and Mrs. Dee Dee Vonnahme W D Steel Construction Services, LLC Mr. Todd Walker and Mrs. Sheila Walker Mr. Joe Ward and Mrs. Beth Ward Yancey and Jean Watkins Anne and Mayor Bill Wells West Kentucky Surgical, Inc. Westlake Financial Group, Inc. Mr. Joey Williams and Mrs. Pamela S. Williams Mr. John R. Wilson and Mrs. Jamie M. Wilson Dr. William E. Wilson Mr. Kenneth W. Winters and Mrs. Shirley A. Winters Woodmen of the World, Lodge 592 Woodmen of the World, Lodge 728 Mr. Thomas M. Woods and Mrs. Dorothy J. Woods Mr. Daniel H. Wright and Mrs. Rebecca B. Wright Mr. Chuck Wynn Dr. Leslie Yates Mr. Chris Yoo Ms. Jung J. Yoon Dr. Burton R. Young and Mrs. Cathy L. Young Ms. Janet K. Zweedyk

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M i ss i o n

To be the leading partner in improving the overall well-being of the people we serve.

Vision

MCCH is a center of healthcare excellence that provides the highest quality of service and patient safety while delivering compassionate, patient-centered outcome based care. MCCH is fiscally responsible, an employer of choice, and a leader in philanthropic and educational growth of the region.

Va lu e s

Moving forward with Compassion, Confidentiality and Honesty built on Positive Attitudes, Respect and Teamwork.

803 Poplar Street Murray, KY 42071 270.762.1100 • 1-800-342-MCCH www.MurrayHospital.org facebook.com/murrayhospital @murrayhospital youtube.com/murrayhospital


2013 Annual Report