REPORT TO OUR COMMUNITY
VALUES COMPASSION
MISSION Our mission is to provide exceptional health care with compassion.
We have heart We respect diversity and individuality We honor body, mind and spirit COMMUNITY We are welcoming and friendly We practice kindness in all our relationships
VISION
We reach out as teachers and as leaders
We aspire to serve our community by
DEDICATION
being the best health system in the
We work hard for our patients and each other
region as measured by the quality of
We are committed to professionalism and excellence
care we deliver, the experiences we
We listen, we learn, we grow
create and the value we bring. INTEGRITY We tell the truth We are responsible in how we use our resources We have the courage to uphold our values
ANNUAL REPORT 2017 Published May 2018 5301 E. Grant Road Tucson, AZ 85712 tmcaz.com 1
(520) 327-5461
Leadership perspective Health care is rapidly evolving as market disruptors are changing what it means to be a hospital and a health system.
our patients are treated with the care and respect we would provide to our own families. Within these pages, you will read about how we achieve our mission – from caring gestures such as arranging an impromptu wedding for a patient facing
Because of that, in 2017, we revisited our mission
cardiac surgery (page 3) to our leadership role in the
and vision. We asked our staff, our physicians and
broad community effort to combat the opioid epidemic
our community what the mission and vision of
in Southern Arizona (page 5).
Tucson’s community hospital should be. We thought about the stories they shared, including the story of an ICU nurse who was so struck by the suffering of one young family whose dad had passed away just weeks after the birth of a new baby, that she organized a back-to-school drive for his elementary-aged son. We listened. And based on their involvement and feedback, we introduced our new mission and vision earlier this year.
TMC is a community leader working with local governments and business leaders to ensure that our region thrives. We invest in community programs, such as the City of Tucson’s TuGo Bike Share Program
Dr. Eric Anctil
(page 9), the Tucson Festival of Books and our new
Arnie Aros
cancer symposium held in collaboration with our
David Cohen
partners at the Mayo Clinic Care Network (page 10).
Stephen G. Eggen
As we define and redefine what it means to be a community hospital in today’s marketplace, know that we will always keep our patients and our
Even with the intricate nature of the health care
community at the center of all we do. We have set
industry, our mission is outwardly simple to
our aspirations high, striving to be the best in terms
remember but incredibly complex in practice.
of the quality of care we deliver, the experiences we
Our mission is to provide exceptional health care
create and the value that we bring.
with compassion. While the words are new, our commitment to this has been unwavering since
TMC HealthCare Board of Trustees
Louise L. Francesconi Dr. Jay A. Katz Dr. Clifford Martin Judy Rich Dr. Alan K. Rogers Ira H. Rosenberg Dr. Steven Siwik Beckie Torrey
We set the bar high, because that’s what our community
Gay Tosch
deserves and it’s what we expect from ourselves.
Jon R. Young
our founders set our course in the 1940s.
Dr. J. Paul Yurkanin
We are committed to creating a dynamic health system that serves the evolving needs of our community. We do this by developing leading medical and surgical programs, innovative community collaborations, and so much more. We do this by creating a work environment that leads the country in employee satisfaction. We do this by making sure
Judy Rich, R.N. President and Chief Executive Officer
Louise Francesconi, TMC HealthCare Chairwoman
2
Mission moments: celebrating a new mission & vision
Mission Moments aren’t necessarily dramatic tales of heroism – even though our staff members save lives every day. They are profound moments that capture the power of compassion and remind us why we do the work we do.
TMC nurse helped couple wed before surgery A patient was just days away
together. The bride nominated
from open heart surgery when his
Ingalls for the quarterly DAISY
fiancée of 12 years told him she
Award, an international program
would like to stop waiting and just
that rewards and celebrates the
get married. To her delight, he
extraordinary clinical skill and
said yes. That’s when Cardiac Unit
compassionate care given by
nurse Malloree Ingalls jumped into
nurses every day.
matrimonial action.
In her nomination, the bride said
With two rings purchased at the
of Ingalls, “Words can never explain
TMC Gift Shop, calls were made
my utter love and gratitude towards
to arrange for a cake, refreshments
her and her beautiful soul. Having
from TMC Food and Nutrition
her as our nurse was the best thing
Services, a notary and TMC Chaplain
that happened to us, in our most
Mary Klaehn. And a wedding came
troubling time.”
TMC employees save a life out in the community When TMC nurses Kimberly Fore and Cindy Sacra agreed to staff the first aid booth at a community run in early December, they expected they’d be working on scrapes or blisters. A turned ankle at most. But their skills were desperately needed when a runner collapsed. The two, along with TMCOne front desk representative Lauren Barnhart, helped provide CPR and other support until medics arrived. The man was revived and taken to the hospital. All three said they were grateful to be able to help someone in need. “We’re nurses,” Fore said. “This is what we do.”
“I asked because I feel
Helping Puerto Rico in time of need
that TMC is very involved in the community to make
Anesthesiologist Monica Guzman
When Guzman asked if TMC
a difference. They don’t
Zayas watched in horror as news
could help with medications,
reports showed her hometown
TMC Pharmacy rapidly identified
in Puerto Rico being pummeled
drugs that could best help in a
by hurricane winds and rain.
disaster, including those needed
Worried about family members
to treat infections and provide
still in the remote area of Villalba,
relief from symptoms. Guzman
she was determined to help
worked with other doctors
after hearing stories of people in
engaged in the relief effort to
need and struggling to get even
get the medication where it
routine medical care.
could do the most good.
just say it, they do it.”
Monica Guzman Zayas, M.D.
4
TMC responds to other areas of health priority The CHNA identified other priority areas in addition to opioid abuse. TMC independently identified access to health care as a continuing need.
ACCESS TO CARE When people have access to health care, they can take steps to prevent costly emergency services. And when the right technology improves access to care at the right time, patients are more likely to have stronger outcomes. Tucson Medical Center: • promoted Marketplace and Medicaid enrollment. • held a town hall discussion about the implications of reducing access to care. • opened online appointment scheduling in the Emergency Department. • expanded hours and same-day access to providers at TMCOne.
Community health needs assessment helped TMC target efforts around opioids Substance abuse was among the most crucial issues facing the community when Tucson Medical Center partnered with the Pima County Health Department,
ANXIETY/DEPRESSION SPECTRUM
area hospitals, community health centers and others to identify and prioritize areas of focus.
Tucson Medical Center addressed behavioral health needs by: • offering short-term inpatient mental health treatment for older adults at the TMC Geropsychiatric Center. • sponsoring lectures and other wellness opportunities. • providing anti-bullying education to students. • hosting regular postpartum support groups. 5
Among drug overdose deaths, opioids accounted for more than 66 percent in 2016 and 2017 in Pima County. And since 2008, according to the Pima County Health Department, opioids have led to a nearly two-fold increase in the number of emergency department visits and inpatient hospital stays.
ACCIDENTS & CHRONIC PAIN TMC Emergency Department is the busiest in the region “The opioid epidemic is dramatically impacting Pima
serving nearly 100,000 patients in 2017.
County residents, providers, acute-care hospitals and
Additionally, Tucson Medical Center:
law enforcement personnel,” explained Julia Strange,
• opened the Integrative Pain Center for the evaluation and treatment of pain.
vice president of TMC Community Benefit. “We are committed to working toward a solution as we
• provided more than 1,500 car seats, 8,000 bike helmets, 3,200 booster seats and funded more than 500 free swimming lessons for children.
consider the lives being lost and the broader costs to our communities.” The needs assessment will be revisited in 2018, but
• offered balance classes for seniors to help reduce falls as well as extensive community safety education for children and families.
among the interventions to address the epidemic, TMC: • opened an annex to provide specialty care for the unique needs of infants born with exposure to opioids.
• introduced self-defense classes at its retail wellness space and employee gym.
• partnered with a behavioral health provider in hosting on-site support groups, parenting classes and skills training for parents wrestling with substance abuse. • worked closely with anesthesiologists on developing
DIABETES CHALLENGES
surgical protocols that reduce the need for narcotics during recovery.
The prevalence of diabetes in Arizona has more than doubled since 2003, making this chronic disease a major threat to
• spearheaded a visioning session with major health
public health.
care stakeholders, designed to help align multiple stakeholders to a common agenda.
Among many interventions, TMC:
• hosted national expert Steven Defossez, M.D., with the
• engages directly with vulnerable patients to provide one-on-one education.
Massachusetts Hospital Association, to share expertise
• collaborated with other medical professionals to
• streamlined ordering of supplies through an automated prescription so patients have everything they need when they leave for home.
determine appropriate treatment guidelines for
• brought two pediatric endocrinologists on staff.
on leveraging task forces to combat the epidemic.
opioid usage for chronic pain in emergency settings.
• offers free basic nutritional counseling, as well as individualized clinics and a comprehensive weight-loss program. 6
TMC also was recently granted accreditation for a Dietetic Internship Program by the Accreditation Council for Education in Nutrition and Dietetics. TMC will accept four interns per year to complete 1,200 hours of supervised practice in order to take the exam necessary to become a registered dietitian. About 10 internships open in Tucson, even though there are 150 students each year graduating in nutrition from the University of Arizona. “If they don’t get an internship in Tucson, we lose them,” said Beth Dorsey, director of Food and Nutrition Services. Additionally, when it comes to training new professionals, Child Life has both
TMC: a great place to work, expanding employee skills
internship and practicum programs.
Opportunities to expand skills and
Lacie offers realistic preparation for
and TMC hosts the Tucson Hospitals
abilities routinely rank in the top 10
birthing complications, with the training
Medical Education Program for resident
for employee satisfaction.
happening in a simulation suite designed
training and other physician education.
Tucson Medical Center, which earned
to resemble TMC’s patient rooms.
certification as a Great Place to Work,
“The better the training, the better the
constantly seeks ways to help staff
patient outcomes,” said Stacie Wood,
members update their knowledge in
clinical nurse educator at TMC for
the fast-paced world of health care.
Women. “Our simulator is a bridge
Lacie, a wireless robotic mannequin, not only talks, breathes, blinks and
between classroom learning and real-life clinical experience.”
responds, but gives birth, reacts to
TMC is the only hospital in Southern
medications, simulates bleeding and
Arizona with an advanced simulator
measures interventions, such as the
and one of very few to have such
force of CPR compressions.
in-depth training right on campus.
7
Pharmacy offers a residency program,
Employees find their momentum at TMC gym TMC marked the fourth anniversary of its employee gym by asking some of its 900 members to share their inspiration. Nine employees celebrated their own approach to health with the resulting images shared on social media and displayed in the O.R. Gym which was formerly operating-room space. “Perfection isn’t the goal,” said Amy Ramsey, manager of Employee Wellness. “The key is taking small steps to get incrementally better every day.”
TMC invests in community-building initiatives, events As a nonprofit community hospital, Tucson Medical Center proudly supports programs that strengthen the region by building health and connections. TMC was proud to support Tucson’s new TuGo, a short-term bike rental service, a new option in public transit and a way to support a cleaner environment and active lifestyles. Bikes can be checked out and returned to kiosk stations, with affordable pricing that includes annual memberships to day passes. “We are pleased to help play a role in bringing bike sharing to Tucson as an extension of our work to build community health,” said Julia Strange, vice president of TMC Community Benefit. Additionally, TMC continued to serve as the presenting sponsor for the Tucson Festival of Books, which generated more than $1.4 million for local literacy providers since 2009. “Literacy supports economic stability, which is strongly correlated with physical health,” Strange said. “Literacy is a key factor for an individual’s lifelong health and wellness, and we are proud to support reading as one of the festival’s original sponsors.” 9
TMC, Mayo Clinic collaborate on first
WELL SURVIVE Living with Cancer Symposium Patients and families living with and
Sekulic, M.D., Mayo Clinic
overcoming cancer had an opportunity
dermatologist and deputy director
to learn about best approaches and
of the Mayo Clinic Cancer Center in
strategies for moving forward in treatment
Arizona. “The symposium is a valued
and recovery at the first Survive Well:
part of our collaborative efforts to
Living with Cancer Symposium.
provide meaningful information and
The free event, which took place in April, was patterned from an event the Mayo Clinic
support to patients with cancer and their families.”
has successfully offered for the past eight
As a member of the Mayo Clinical Care
years. In addition to hearing from clinical
Network, TMC works with Mayo Clinic to
experts in the field, participants had an
better serve patients and their families by
opportunity for supportive dialogue among
sharing education and best practices. “This
patients, caregivers and family members.
symposium is a continued maturation of the
“Survive Well is a fitting venue to share advancing technologies, leading treatments, and support services,” said Aleksandar
relationship we’ve developed with Mayo Clinic, to ensure that our patientsbenefit from our collective knowledge,” said Dr. Robert Brooks, medical director of oncology at TMC.
News and Notes
TMC participates in Butterfly Trail to honor children of Holocaust More than 500 hand-painted ceramic butterflies on a campus art installation memorialize the 1.5 million children who honoring the survivors.
‘Yarnbomber’ wraps TMC for Children in colorful fiber
Each butterfly – a symbol of renewed life
An artist known for large-scale fiber-art
and hope – was painted and glazed by
installations in January draped the entire
died in the Holocaust, as well as
CMO named honorary commander for Air National Guard
TMC employees and volunteers, as well
façade of TMC for Children in colorful
The 162nd Fighter Wing of the Arizona
as community members who attended
displays of yarn from around the world.
Air National Guard is one of the largest
outreach events at TMC for Seniors and
The art installation – the largest ever
wings in the country, training the world’s
The Core at La Encantada.
by artist Stephen Duneier and the first
The installation is part of a larger Tucson
urban piece – was intended, in part, to
Butterfly Trail – the vision and inspiration
commemorate Tucson’s response to
of Amy and Wayne Gould and their family.
the tragedy of Jan. 8, 2011, reflecting
best fighter pilots. Rick Anderson, M.D., TMC senior vice president and an Army veteran, was selected to serve a two-year term as honorary commander. “It is an honor to better serve and connect with members of our armed forces,” he said.
TMC’s local economic impact pegged at $740 million
“It is our hope that it will inspire people to remember the past and simultaneously, resolve to do what they can in the present to work for a more peaceful future,” said Maya Luria, director of TMC for Seniors.
disparate members of the community coming together.
TMC salutes elementary school teacher for wellness efforts
Hospitals don’t just play a strong role
TMC saluted Monica Bermudez, a Lulu
in improving the physical health of
Walker Elementary School teacher, for
a community. They also help build
volunteering her time to launch a fitness
economic health. Hospitals are the
club at her school. TMC celebrated
largest employer sector in the state,
Bermudez, a teacher for 33 years, on
making up 13 percent of Arizona jobs.
Legendary Teacher Day. If that weren’t
TMC’s economic impact comes in the
enough, Bermudez also helps students
form of supporting 5,800 direct and
make better choices by volunteering
indirect jobs, as well as investments
as a coach for Girls on the Run, a youth
in technological innovation and capital investment. 11
The butterfly trail is on the walking path that encircles the TMC campus. It may be seen at the east side of Wyatt, just south of Glenn.
development and running program that teaches life skills.
TMC expands accessibility of vascular screening Vascular screenings are simple and fast. They don’t hurt. There’s no radiation, dyes or needles. And they can save lives by identifying serious conditions before they become life-threatening. TMC in the fall began offering a set of three tests for $30, aimed particularly at those over the age of 50 with chronic health conditions. The tests check for signs of disease in the arteries of the limbs, as well as the abdominal aorta and the carotid artery. “As a community hospital, we know that preventive care is important in catching disease early, before it creates a critical
CHAMPIONS Building our community’s health care knowledge
and to champion stronger wellness
We Are Champions is an initiative
make a positive impact on health
created by the TMC Foundation to
and health care in Southern Arizona,”
build a healthier Southern Arizona
said Adaline Klemmedson, chair of
by infusing health care knowledge
the We Are Champions effort. “When
into the community.
communities have the knowledge
Rothschild to connect potential
Local volunteers, TMC staff and
and confidence to improve their
homebuyers with dozens of lenders
health care leaders organize in-depth
overall health, we are champions.”
and housing professionals. The May
health care presentations and campus
TMC welcomes you to be a part of
event shared information about
tours to help participants know more
building an informed and healthy
mortgage options, credit scores and
about Tucson’s only locally-governed,
community - call (520) 324-2296
down-payment assistance.
nonprofit community hospital
or visit tmcaz.com/champions.
health event,” said Sarah Yeager, patient care manager. “It was important to us to expand access to these life-saving tests.”
TMC hosts homebuyer expo With home ownership strengthening neighborhoods and families, TMC teamed up with Tucson Mayor Jonathan
throughout our communities. “This is a great opportunity to
12
2017 Community Benefit
Community Benefit Breakout 2017 Portion
16%
57% TMC will report almost $63.6 million in community benefit and charity care for 2017, or about 11.9 percent of net
Unpaid Costs for AHCCCS/Medicaid Patients $35,966,067
revenues. In the previous year, TMC
WHAT MAKES UP THIS NUMBER?
19% Hospital Assessment $11,885,779
Outreach and Education $5,361,422
Patients: TMC provides services to
of TMC’s Community Care program.
patients covered by AHCCCS and other
For purposes of community benefit
public programs for people with low
reporting, charity care, bad debt
incomes. This is the shortfall created
and uninsured discounts are reported
when a facility receives payments
in terms of costs, not charges. For
that are less than the cost of caring
more information about TMC’s
for public-program beneficiaries.
charity care policy, visit:
Total Community Benefit as percentage of net revenue: 11.9% (based on net revenue of $533,748,919)
Community Benefit Trends as a % of net revenue
12.7%
tmcaz.com/community-care.
Care, Bad Debt & Discounts for the
Hospital Assessment: Hospitals in the
Uninsured: Charity care is free or
state of Arizona are assessed a fee
discounted health services provided to
to help fund the cost of expanding
people who can demonstrate that they do
AHCCCS coverage to approximately
not have the means to pay the full cost of
422,000 low income residents of the
care and who meet the organization’s
state. In 2017 TMC’s portion of the
financial-assistance policy criteria.
hospital assessment was $11.9 million.
Bad debt consists of services for which
Outreach & Education: This figure
the hospital anticipated but did not
includes community benefit programs
receive payment. Recognizing that self-pay
and activities that provide treatment
patients who do not have health insurance
or promote health and healing as a
are not in the same position as insurance
response to identified community needs.
companies to negotiate reduced rates,
These programs and activities help
TMC discounts these patients’ bills by 69
improve access to health care services,
percent; and, depending on a patient’s
enhance the health of the community
income, other discounts may apply as part
and advance medical knowledge.
13
$63,559,138
8%
Unpaid Costs for AHCCCS/Medicaid
Uncompensated Cost of Care for Charity
Total Percentage of net revenue: 11.9%
reported a community benefit of 11.6 percent of net revenues.
Uncompensated Care (Charity Care & Bad Debt) $10,345,870
12.4% 11.9% 11.8% 11.6%
2013
2014
2015
2016
2017
$53 million $56 million $56 million $59 million $64 million
Licensed Beds
7% 40%
Direct Touch of Programming
167,000
5%
Seniors 12,670
General 66,069
The Core 7,600
48% Pediatrics 80,661
Unit
Beds
Mom/Baby
60
NICU
42
Pediatric
44
PICU
12
Medical-Surgical
404
ICU
45
Geropsychiatric
16
Inpatient Hospice
16
Total
639
2017 VOLUMES
DIRECT TOUCH OF PROGRAMMING
DIRECT TOUCH OF PROGRAMMING
78,000
Community Organizations Supported: 83
387,000
Adult
71,185
Pediatric
28,008
COMMUNITY ORGANIZATIONS SUPPORTED
Total Events: 1,298
Total reach of programming:
1,298
Programming Reach
99,193
Inpatient Admissions 33,727
Adult
31,728
Pediatric
1,999
Babies Delivered
5,224
Total Surgeries
25,356
Inpatient Surgeries
10,518
Adult
10,037
Pediatric
481
Outpatient Surgeries 14,838
Adult
12,223
Pediatric
2,615 14
TOTAL EVENTS
Emergency Visits
78,000
3
2017 HOSPITAL DATA
83
NITY ATIONS TED
TMC impacts local community
ON CENTER
As Americans we are strong. As Tucsonans
In addition, the TMC CardioVascular Center
we are resilient. While we face challenges
received grants to support its Structural
and changes in the health care system,
Heart Program and provide new cardiac
our donors continue to give, and give
rehabilitation equipment. This support
generously, to the TMC Foundation. The
allows cardiac surgeons to have access to
generosity of our community is essential,
leading-edge technology, including the
helping TMC continue to enhance patient
most advanced echocardiogram imaging
care and services.
available. The grants also ensure patients
Many individuals, corporations and foundations tell us how confident they are in the quality of care that our
Michael J. Duran, J.D.
reduce hospital readmission. TMC Mega Raffle proceeds and an
every day. As a result, giving to TMC
inspiring gift from a donor funded a new
reached record levels in 2017, supporting
transport incubator for the Newborn
patient care services that improve
Intensive Care Unit. The equipment
outcomes for our patients.
acts as a mobile incubator, providing
about generous donor investments that allowed the TMC Foundation to make
life-sustaining care for infants who must be transported across Southern Arizona to receive medical treatment.
extraordinary grants, funding the latest
When you give to the TMC Foundation,
technology, life-saving equipment and
you can feel confident that your generosity
meaningful community programs.
is making a genuine difference for patients,
TMC partnered with the David and Lura
their families and our community.
Lovell Foundation to educate physicians,
We are grateful for your continued support
nurses and caregivers in end-of-life issues.
and trust you will enjoy reading about the
The impact of the Lovell Foundation’s gift
impact of the gifts that each and every
will be seen in caregivers’ ability to engage
one of you make to improve the quality of
in conversations with their patients about
care at TMC today, tomorrow and beyond.
their wishes and aspirations.
1
proven to strengthen survivability and
physicians and staff deliver each and
In this issue of On Center, you will read
From the Vice President & Chief Development Officer
have access to cardiac rehabilitation,
The TMC Foundation marked another
as provide comforting and therapeutic
successful and exciting year in 2017.
patient environments for women.
Numerous campaigns came to fruition, new efforts were launched and
Another proud accomplishment is the
fundraising events triumphed, enriching
expansion and success of the Grateful
the care, programs and facilities at
Patient program, establishing a direct
Tucson Medical Center.
means for patients to share their gratitude and recognize the clinical
Before noting some of the 2017
staff who cared for them.
accomplishments, I would like to recognize the enduring and dedicated
Most notably, the TMC Foundation
service of my colleagues on the TMC
made a number of significant grant
Foundation Board of Trustees. Their
awards, funding critical advancements
tireless efforts are vital to providing
from the latest cardiac technology
exceptional care with compassion to
and life-saving newborn equipment
Southern Arizona communities.
to innovative surgical machinery and robust pediatric diabetes programs.
I’d like to enthusiastically welcome
From the TMC Foundation Chairman Steven Siwick, M.D.
new trustees Beth Brewer, Nicole
With these successes in mind, we are
Zuckerman Morris and Chris Kemmerly.
developing outreach programs to take
We are excited to have them on board
TMC HealthCare into neighborhoods
and look forward to their participation
and further impact the well-being of
and engagement.
our community at the grass roots level.
In 2017, we witnessed the completion
While there is much to celebrate over
of a multi-year effort to open the
the last year, the TMC Foundation
Joel M. Childers, M.D., Women’s
will continue to actively address
Center. The Childers Women’s Center
community health needs and
helped modernize the TMC campus in
provide the resources and support
nearly every aspect. State-of-the-art
to strengthen care at Tucson’s only
enhancements ensure safe and cost-
locally-owned, nonprofit hospital.
effective health care delivery, as well
2
SAVI-SCOUT technology improving outcomes for breast cancer patients
With generous community support, TMC opens Joel M. Childers, M.D., Women’s Center A sincere thank you to Mr. and Mrs.
In the fight against breast cancer,
of the TMC Breast Health Program.
donors Alan and Jan Levin provided
“By using this technique, we can
funding to purchase a SAVI-SCOUT,
improve surgical outcomes and reduce
the industry’s most advanced breast-
the number of surgeries a patient may
cancer targeting system.
need to clear all the margins of cancer.”
MEANINGFUL GIFT
HOW IT WORKS
While many know Alan and Jan Levin
A radar-reflecting implant, smaller
for their business success, the Tucson
than a grain of rice, is inserted into the
couple is more widely known for their
target tissue several days or weeks
generous support of local charities.
before surgery. During the surgery, specialized equipment locks onto the
Charles Childers, TMC donors and our
Jan is passionate about improving
community for providing the resources
breast cancer treatment for a very
and support needed to open the Joel M.
important reason. “I lost my sister
Childers, M.D., Women’s Center – Southern
to breast cancer, and I can appreciate
Dr. Boyce Ley explained important
Arizona’s premier women’s health location.
what patients and families experience,”
additional benefits. “With this type
Jan said. “We want more breast
of accuracy, we can enhance both the
cancer patients to have access
surgical outcome and the cosmetic
to the advantages of the SAVI-
outcome – this is a very important
SCOUT technology.”
aspect to breast cancer patients.”
Before his untimely death in 2002, Joel M. Childers, M.D., was a world-renowned gynecologist and gynecological surgeon, who was one of the first surgeons to use micro-technology to treat women with
IMPROVED OUTCOMES
cancer. With his colleagues, he pioneered
Breast cancer can be small,
treatments for ovarian cancer and
dispersed and elusive. The new
many other gynecological conditions.
equipment is wireless, uses no
Dr. Childers was innovative and generously shared the ideas and
implant’s position, revealing the cancer’s exact location.
radiation and can locate the targeted tissue within 1 millimeter.
techniques he developed. In addition
“The SAVI-SCOUT is a more
to his surgical accomplishments,
convenient, comfortable and
patients often commented on his
effective process for the patient,”
compassionate and caring nature.
said Dr. Michele Boyce Ley, director
Alan & Jan Levin
TMC healing art continues to enhance patient care If you have visited Tucson Medical Center
reported gains in observational, cognitive,
in the last few years, you probably
interpersonal and intrapersonal skills.
noticed at least a few of the nearly 1,000 gallery-quality pieces of artwork throughout the hospital.
The TMC Healing Art Program accepts donations of paintings, graphics, photography and sculpture. The program
Research shows that artwork placed in
considers all styles of art that can enhance
hospitals makes everyone feel better
healing and patient experience.
– speeding recovery and reducing pain and the length of hospital stays.
For information on how to contribute works of art, contact the TMC Foundation
In addition to a calming atmosphere,
at (520) 324-3116. Charitable contributions
some have found that artwork can
are important for supporting the program.
improve cognition and communication.
Funds are used for framing, installation
The TMC Healing Art Program offers
and maintenance of the art.
courses to TMC staff that focus on visual reflection – which not only increases their knowledge and appreciation of how artwork can contribute to a healing environment, but also helps staff develop and sharpen patient care skills. HOW NEW COURSES ARE CONTRIBUTING
“Looking at art this way fosters stronger collaboration, observation and critical-thinking skills,” said Lauren Rabb, curator of TMC Healing Art. “This course is an additional way for the TMC Healing Art Program to add value to TMC.”
The interesting and fun courses help TMC staff reflect on the important details and aspects of artwork. In a similar hospital course, staff and nursing students
Lauren Rabb, Curator, TMC Healing Art Program 4
Grateful patient leaves hospice legacy Following the death of his beloved at TMC Hospice and then finding himself a patient of its end-of-life services, Rick Schoen established an endowment to enhance hospice care and accessibility for outlying communities in Southeastern Arizona. Schoen was a Tucson resident for nearly 40 years. The Renaissance man earned several college degrees and certifications, engaged in several professions and owned a successful computer-supply business. Schoen had a passion for jazz, local radio and the arts. He learned Spanish fluently, traveled frequently, was a talented potter, a gardener and an avid trout fisherman. His many pursuits and interests are not what he is most remembered by.
5
“He loved life and loved people,” said Schoen’s brother, Greg Schoen. “He had a generous spirit and was very conscious of need in the community,” said his sister, Barb Anthem. While some prosperous businessmen favor a suit and tie, Schoen preferred the humble garb from local thrift shops and his signature long beard. “In some ways, he was a hippie who never grew up,” Anthem said, adding that he lived modestly and appreciated the work of local, community support organizations, particularly the food banks. “When his life partner, Karen, passed in 2014, Rick valued the sincere hospice services she received at Peppi’s House,” said Anthem, about TMC’s inpatient hospice facility. “He always remembered the compassionate care at Peppi’s.” Schoen, himself, fell ill in 2016. TMC Hospice homecare program
and Peppi’s House made such an impression on him that he wanted all in need to have access to care like he and Karen received. Schoen asked his siblings, Greg, Joe and Barb, to ensure his estate supported high-quality hospice services in rural Arizona. In turn, the TMC Foundation worked creatively with TMC’s hospital partners in the region to provide the community support Schoen envisioned. “We commend the TMC Foundation for helping us find and create ways to best honor Rick’s wishes, and leave a legacy that meaningfully impacts hospice patients in Tucson and beyond,” his brother said. Schoen’s endowment will fund improvements for hospice programs in Southeastern Arizona for many years to come, including muchneeded hospice space at Benson Hospital - refreshing the patient hallway and rooms with new wood
floors, French doors and other touches designed to make the space more inviting. His generosity is also supporting the start of TMC Dream Makers, a new program designed to help fulfill the last wishes and hopes of hospice patients. Schoen’s family is happy to see that his estate is supporting the community in a way that reflects his spirit and character. “He really was an amazing and unique guy,” his sister said, “and his legacy is making a difference in amazing and unique ways.”
Rick Schoen
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Funding advanced cardiac equipment, care Faster diagnoses. Life-saving interventions.
minimally-invasive heart procedures
Fifty percent greater survivability. In 2017,
outside of the operating room. The
the TMC Mega Raffle proceeds funded
work we do helping patients at TMC
leading technology and equipment that
would be impossible without this
saves lives, from testing through aftercare.
state-of-the-art equipment.”
CARDIAC CARE STARTS WITH AN ECHO It all begins with an echocardiogram
IMPROVING OUTCOMES WITH CARDIAC REHABILITATION
– a diagnostic ultrasound that is used
One of the most important aspects of
to identify abnormalities of the heart.
cardiac care is recovery. Clinical studies
The Mega Raffle supported the purchase
show that those who engage in cardiac
of the next generation of 3-D imaging
rehab experience fewer symptoms, 50
and moving 3-D imaging (often called
percent greater survivability and 25
4-D imaging) to allow for faster and
percent fewer hospital readmissions.
more accurate diagnosis.
“Cardiac rehabilitation provides
“The imaging system has additional
patients with the support and confidence
advantages that enhance care,” said
to maintain a healthy life,” said Angela
Travis Warner, M.D., an anesthesiologist
Workman, supervisor of TMC Cardiac
with Old Pueblo Anesthesia who frequently
Rehabilitation. “Support from the
performs echocardiograms at TMC.
TMC Mega Raffle provided the
“Advances in this technology enable targeted heart-valve repair in the operating room and guidance for
equipment and monitoring systems to create a safe and effective curriculum.”
Donation supports life-saving transport for newborns When an infant has a health
plane or ambulance to provide
emergency, there isn’t a second to
care for an infant. When it was
waste. Treating the delicate system
time to replace the equipment,
of a newborn requires special
the NICU knew it could rely
medical equipment and expertise
on its partnership with the
that are not readily available in
TMC Foundation.
outlying areas, making time even more critical.
“We’re so thankful for the support of the TMC Foundation,” Brown
The TMC Mega Raffle funded a new
said. “The incubator is an essential
infant transport incubator, a mobile
part of NICU care that makes
intensive care unit designed to
it possible to safely transfer
keep newborns alive while they are
a newborn from rural areas in
transported to receive needed care.
Southern Arizona.”
“It’s about saving a life,” explained
Michael Duran, vice president
Pat Brown, R.N., director of
and chief development officer of
Women’s & Children’s Services.
the TMC Foundation, explained
“The incubator is used to control
the TMC mission extends beyond
temperature, oxygen and other
Tucson. “TMC is committed
life-sustaining needs.”
to working with our rural care
A highly trained nurse from the NICU and a respiratory therapist
partners to extend life-saving care throughout the region we serve.”
from TMC travel via helicopter,
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Kohl’s helps deliver soothing care for infants born with opioid addiction Through the Kohl’s Cares Hospital Partner program, the department store works with the TMC Foundation to provide a soothing environment and care for infants born with opioid addiction. Newborns experience the same agonizing substance withdrawal symptoms as adults. With support from sponsors like Kohl’s, TMC provides a separate care area dedicated to treating newborns suffering from neonatal abstinence syndrome, or NAS. “Kohl’s support helps the NICU hire and train “This grant has had an incredible impact – helping us
nurses, especially since each infant needs constant
provide high-quality and compassionate care for
attention, monitoring and care,” Brown said. “These
infants who are suffering,” said Pat Brown, director
infants have a very tough start, and we are thankful
of Women’s & Children’s Services. “Because of Kohl’s
for the resources to give them the best care and get
generosity, we have what the babies need - medical
their health on the right track.”
equipment, bedding, cribs and much more.” In the wake of the opioid crisis, community partnerships The harsh experience of opioid withdrawal can last
are coming together to ensure those in need receive
from a week to two months. In addition to intense
treatment. “The TMC Foundation is grateful to
symptoms such as nausea, muscle spasms and
Kohl’s,” said Erika Grasse, director of development for
constant tremors, infants exposed to opioids can
Children’s Miracle Network. “With their partnership,
also be premature, experience seizures and have
we’re caring for the most vulnerable in our community.”
many other life-threatening conditions. The nurses who tend to these infants have specialized education and training. They are experts in assessing withdrawal needs and infant cessation treatment.
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Douglas families benefitting from local, high-quality care With the help of the TMC Foundation and Children’s Miracle Network Hospitals, Chiricahua Community Health Centers, Inc. created the Early Childhood
Helping children, families manage diabetes through reading The Reach Out and Read program gives
officer of the TMC Foundation. Funds were used to furnish and equip a family resource center and exam rooms, provide advanced clinical diagnostic equipment and purchase emergency medical equipment.
Center of Excellence, a state-of-
“This very generous financial
the-art health center designed to
support brings TMC’s team
provide an in-depth integration
directly into the heart of
of pediatric medical, dental,
Chiricahua’s mission to elevate,
behavioral and dietetic care to
expand and deepen the care
children up to age 11 years and
provided to young children and
children with special health care
children with special health care
needs of all ages.
needs in the Douglas area,”
young children a foundation for success by
said Jonathan Melk, M.D., chief
incorporating books into pediatric care and
Chiricahua Community Health
encouraging families to read aloud together.
Centers, Inc., a health care
The TMC Foundation and Children’s Miracle
provider in Southeastern
Network Hospitals has funded these special
Arizona, recognized the Douglas
Dr. Melk said the community is
books to educate children about managing
community’s growing need
very enthusiastic about the new
diabetes in a fun, interesting and relatable way.
for pediatric services, and
level of pediatric care that will be
endeavored to provide quality
available in Douglas. “We really
pediatric care regardless of the
needed this help, and we are
family’s financial status or
grateful for this partnership.”
“The Reach Out and Read program is an effective way of encouraging children to read, which broadens their world and helps them manage their diabetes,” said Chetanbabu Patel,
As Tucson’s locally owned,
care through TMC and TMCOne.
nonprofit community hospital,
children and their families. This grant gives us the tools to build their knowledge and confidence in a unique way,” said Patel.
Community Health Centers, Inc.
insurance coverage.
M.D., a pediatric endocrinologist who provides
“Managing diabetes can be challenging for
executive officer of Chiricahua
TMC appreciates the value of locally available health services. “Having the ability to reach out and invest in our rural communities is part of our mission,” said Michael Duran, vice president and chief development
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Volunteering at TMC
TMC Auxiliary – bigger and better
With almost 92,000 hours logged, some 634
TMC Auxiliary continues to expand, operating in 54 areas throughout
active volunteers donated their time in 2017
the hospital. In 2017, Auxiliary volunteers began working on more
to support patients, staff and the community
clinical units including Orthopaedics and the Acute Critical Care Unit.
at large. Duties range from staffing
In addition, the college volunteer program is growing, and you’ll notice
concierge desks and checking people in for
younger smiles providing kind assistance to patients and visitors. All
breast screenings to helping older adults
Auxiliary volunteers sport their teal vests and jackets in support of the
navigate Medicare enrollment, making home
TMC mission to provide exceptional health care with compassion.
visits to hospice patients and rounding with their pets. TMC volunteers are a critical
TMC AUXILIARY FINANCIAL SUPPORT TO TMC
component in reaching out to our patients
Joel M. Childers, M.D., Women’s Center
$50,000
and the community.
Initial Pledge for 2018 NICU Services
$25,000
Breast Screening Services
$20,000
TMC Hospice Family Support Services
$12,000
TMC Foundation Events
$4,000
Auxiliary Operations
$161,039
TOTAL
$272,039
HOURS OF SERVICE FOR ACTIVE VOLUNTEERS TMC Auxiliary
450 79,954
TMC Hospice
97
8,025
TMC for Seniors
40
2,091
Pet Therapy Program
47
1,858
TOTAL
634
91,928
> TMC Hospice volunteers saved the organization $193,724 in the services provided to patients
> TMC for Seniors touches: 32,670 TMC AUXILIARY TOTALS:
11
Volunteer Areas
54
Auxiliary Volunteers
450
Total Volunteer Hours
79,954
Full-Time Equivalent
39
TMC Salary Savings
$2,200,000
THE TMC AUXILIARY SEWING CIRCLE CONTRIBUTED: Heart Pillows
1,230
Walker Bags
756
Pink Pillows
160
Bolsters
150
TOTAL
2,296
Grant funds end-of-life care planning The David and Lura Lovell Foundation
participants representing organizations
and the Community Foundation for
throughout Southern Arizona, just in the
Southern Arizona announced their
first quarter.
alliance to award significant funding to Arizona nonprofits to cooperatively address issues related to the awareness, understanding and availability of endof-life care, particularly for underserved and vulnerable communities.
“Breaking down taboos around mortality is the first step in empowering patients and their families to have conversations that provide an opportunity to share their values, priorities and wishes about end-of-life care,” said Michael Duran, vice
“With this funding, our partners are
president and chief development officer of
creating one of the largest end-of-life
the TMC Foundation.
support networks in the country,” said John Amoroso, executive director of the David and Lura Lovell Foundation. “The TMC Foundation is a strong partner in this effort, engaging Southern Arizona’s health care community to provide information and education.”
“The TMC Foundation is pleased to be a part of the comprehensive end-of-life care planning program that supports primary care providers, health care organizations and community service organizations as they help Southern Arizona residents complete end-of-life care planning,” said
This community-wide collaboration is one
Duran. That effort includes health care
of the largest end-of-life care initiatives
partners in Benson, Safford, Douglas,
in the nation, engaging more than 220
Sierra Vista, Bisbee and Tucson.
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Planned gifts build a legacy of strong community health
Donor expands support and fulfillment with a planned gift
donor’s partner was diagnosed with cancer and received ongoing treatment at TMC. “The
A donor touched by the care he and his partner
quality of the medical care, and the empathy
received chose planned giving as a way to give
of the nurses and patient care techs really
back, while allowing him to receive a steady
made a difference to him,” Wolfe Beadle
stream of income.
said. “He wanted to be a part of ensuring our
The donor wishes to remain anonymous. “He is
community has access to this type of care.”
humble and wanted the focus to be on what TMC
The donor explored several methods of
is doing to better care for our community,” said
giving, looking for a way that would fit his
Julie Wolfe Beadle, director of major gifts at the
financial needs and make a true difference. In
TMC Foundation. “It was the compassionate care
his case, planned giving offered advantages
his partner received at TMC that motivated the
that fit just right.
considerable gift.” 13
After more than 30 years together, the
“In our discussions, he preferred a reliable revenue stream to constantly
Estate gifts support key services, education and more at Tucson Medical Center
monitoring the stock market,” said Wolfe
Planned giving allows donors to maximize their
Beadle. A charitable gift annuity provided
gift and community impact by using asset and
continuous income and a capital gains tax
estate planning techniques. Gifts can be made
incentive, with the estate proceeds going
outright, delayed to a future period, or made
to the TMC Foundation after his passing.*
over time in a manner that provides income or
“The planned giving options gave him
financial benefits to the donor.
financial peace of mind,” said Wolfe
These contributions are a key element in TMC’s
Beadle. “He was also able to make a
mission to provide exceptional health care with
more substantial gift, and that was
compassion. Pal Evans, M.D., and his wife, Sally,
very important to him.”
appreciate the effectiveness and benefit of
For this donor, planned giving provided financial benefits and
planned giving and encourage others to engage in planned giving initiatives at TMC.
maximized philanthropy. “Planned
“It has been a great way to express gratitude to
gifts like this provide donors with more
Tucson Medical Center and keep providing health
options and greater fulfillment,” said
care for our community in the future,” Evans said.
Wolfe Beadle. “It is a meaningful way to expand support for the care and services we provide at TMC.”
Every financial situation is different. Please consult your financial advisor for further information about planned giving options. For more information please contact Julie Wolfe Beadle at (520) 324-3411.
Pal and Sally Evans 14
Corporation
Individual
Foundation
19%
Women’s Center 37%
46%
17%
Corporation
Individual
Foundation
20%
General Purpose
Donor-designated funds
TMC Foundation sources 2017
Children’s 37%
17%
46%
Women’s Center
Hospice
General Purpose
Women’s
20%
5%
Children’s Corporation
Individual
Foundation
19%
Women’s Center
Women’s
General Purpose
25.5%
Patient Care
Children’s
25.5%
Patient
Care 24%
5% 4% 35%
Women’s
5%
Other
4%
Community Benefit Community
24%
24%
Children’s
12%
Hospice
12%
Other Hospice
Other12%
7%
Other
7%
25.5%
Patient Care
24%
Women’s
.5%
Community Benefit
24%
Women’s
.5%
Education
7%
Women’s
.5%
Education
7%
Education
7%
7%
total grants awarded in 2017 = 68 total amount awarded in 2017 = $2,633,762.31 15
4%
Benefit
24%
Hospice
17%
17%
Hospice
Children’s
20%
Other
Children’s
Grants awarded to TMC departments
Other
Hospice
17%
19%
35%
REPORT TO OUR COMMUNITY CREDITS Publisher: Judy Rich, R.N., President and Chief Executive Officer Executive Editor: Julia Strange, Vice President, Community Benefit Editor: Rhonda Bodfield Design: Hilton & Myers Advertising Contributing Writers: Rhonda Bodfield Angie Bush Cheryl Kohout Jim Marten Julia Strange Photography: Eric Suhm Rick Peterson
A legacy of caring TMC lost a special spirit this year with the passing of Jessie Pergrin.
ON CENTER CREDITS
Pergrin, widely considered one of
Publisher:
Tucson’s leading experts on Alzheimer’s
Michael J. Duran, J.D., Vice President
disease and related dementias, was
and Chief Development Officer
instrumental in the development of
Executive Editor:
TMC for Seniors, a program that now
Julia Strange, Vice President,
serves close to 13,000 members
Community Benefit
of the community each year.
Editor and Writer:
Pergrin worked tirelessly to support
Jim Marten
families dealing with the loss of
Design:
memory, from teaching coping skills to
Hilton & Myers Advertising
sharing resources. She was a guardian
Photography:
angel to many and will be missed.
Eric Suhm Published May 2018
16