2012 Tucson Medical Center Report to Our Community by Tucson Medical Center

Report to Our Community

OUR HEALTH.OUR COMMUNITY.

TMC HealthCare Board of Trustees

TMC Medical Executive Committee

Report to Our Community credits

Louise L. Francesconi, Chairwoman J. Manuel Arreguin, MD Henry K. Boice Michael W. Bracht, MD David J. Cohen Susan L. Ernsky Jay A. Katz, MD Eduardo A. Leon Michael R. Probstfeld, MD Judy Rich, RN Beckie Torrey Gay Tosch Jon R. Young

Michael Probstfeld, MD, Chief of Staff J. Manuel Arreguin, MD, Chief of Staff Elect Abraham Bressler, DO Brian Cammarata, MD Amram Dahukey, DPM Gayle Dean, MD Lionel Faitelson, MD Thomas Harmon, MD Barton Hodes, MD Steven Ketchel, MD David Killion, MD Luis Leon, MD Douglas Lowell, MD Clifford Martin, MD Brandon Massey, MD Eva McCullars, MD Abhilash Nair, MD William Odette, MD Michael Parseghian, MD Douglas Peterson, MD Ronald Quintia, MD, DDS Richard Rosenthal, MD Abhay Sanan, MD Gulshan Sethi, MD Steven Siwik, MD Keith Soderberg, MD Shawn Stafford, MD David Teeple, MD Paul Walshaw, MD George Wilcox, MD

Publisher: Judy Rich, RN, President and Chief Excutive Officer Executive Editor: Julia Strange, Vice President, Community Benefit Editor: Aquil Hameed Design: Hilton & Myers Advertising Contributing Writers: Rhonda Bodfield, Cheryl Kohout, Michael Letson, Julia Strange, Kimberly Romo, Alicia Moura, Aquil Hameed Photography: Eric Suhm

TMC Foundation Board of Trustees Anne Fulton Cavett, Chairwoman Christine Aronoff Jodi Bain Henry K. Boice Kim Bourn Jeffrey J. Cesare David J. Cohen Palmer C. Evans, MD, Life Trustee Louise L. Francesconi Al Frizelle Fran Katz Sidney Mendelsohn David F. Peachin Judy Rich, RN Cody Ritchie Alan K. Rogers, MD Keri Lazarus Silvyn Steven Siwik, MD David Smallhouse Arlene Webster Jim Zarling

OnCenter credits Publisher: Michael J. Duran, J.D., Vice President and Chief Development Officer Executive Editor: Julia Strange, Vice President, Community Benefit Editor: Kimberly Romo Design: Hilton & Myers Advertising Contributing Writers: Rhonda Bodfield, Kimberly Romo Photography: Eric Suhm

Report to Our Community 2012

Our Mission Tucson Medical Center delivers caring, personalized, quality health care to patients and their families in an environment that is supportive and compassionate.

Our Values 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 We reach out as teachers and as leaders Dedication We work hard for our patients and each other We are committed to professionalism and excellence We listen, we learn, we grow Integrity We tell the truth We are responsible in how we use our resources We have the courage to uphold our values

LEADERSHIP PERSPECTIVE Judy Rich, RN, president & chief executive officer Hospitals are big business and economic drivers in communities big and small. We employ thousands of people; we invest millions of dollars in capital projects and community programs; we create strategic plans and watch industry trends carefully. But at the end of the day, at the end of the year, what really matters are the individuals who entrust their lives to us. Last year, we introduced two new methods to better understand what our patients value and how they view their experience in the hospital: our Lean project and Patient Family Advisory Councils. Our Lean journey began last summer with the help of local experts who learned the value of this process-improvement model at Raytheon. Leveraging local know-how and garnering insights from best-in-class hospitals from around the country such as Seattlebased Virginia Mason Medical Center, we are gaining a better understanding of how to put the patient at the center of our processimprovements efforts (see page 20). We also engaged patients through two advisory councils to help us to change how we work to make sure we provide care “with” patients instead of “to” them. The phrase “Nothing to me, without me” summarizes our goal of including our patients in their care. After all, it is their lives we are affecting, and the lives of the people who love them.

room is a muted color with minimal wall art to decrease stimulation. Children pass the time with bean bags to sit on, therapy mats to lie on, squeeze balls, sensory inflatables and objects of various shapes and textures, books, Legos® and toys.

Our councils bring together patients, family members and hospital staff in an ongoing effort to enhance the patient and family care experience. We need to see our work through our patients’ eyes and Patient and Family Advisory Councils serve as one important vehicle for that collaboration. Our members are honest with us about what works and doesn’t work within our hospital. Sometimes it is uplifting and sometimes it is very, very difficult. But, in all cases it makes us better. For example, members of our pediatric council explained how frightening the Pediatric Emergency Department could be for certain children. When the department was redesigned this year, we included a sensory integration room (see page 19) designed for babies born with substance addictions and children with sensory processing disorders, autism and ADHD. In order to create a calming space for these children, the new

In the pages of this report, you will read about what we do to improve the health and wellbeing of our community. Ultimately, how you and your family are cared for in our hospital – “with you, not to you” – is what matters. In April, we shared the story of Tonya, a 42-year-old woman admitted to the hospital as a result of complications from metastatic breast cancer. As she and her family made the difficult decision to move from the acute-care unit to TMC’s inpatient hospice unit she expressed her desire for a bubble bath (not a common offering at most hospitals). Read how our staff made that happen (see page 21). While we were not able to reverse the breast cancer, the staff worked with Tonya to address what mattered most to her. And that is our commitment to you, our community, our neighbors, our patients, our family. We will listen to you, we will care for you and we will do nothing to you without you.

LEADERSHIP PERSPECTIVE Louise Francesconi, TMC chairwoman The Saguaro – a symbol of the Arizona desert, the symbol of TMC – is a slow growing, long living cactus with one deep tap root and many other shallow roots that radiate out as far from the plant as it is tall. While growing slowly, the saguaro builds a strong framework, a solid foundation and, when the time is right, the cactus aims skyward and branches out. TMC’s roots are deep in the community and, much like the iconic cactus, our reach is far. Building upon an established foundation, TMC has driven forward with initiatives to bring the most sophisticated electronic medical record system to the community, the first accountable care organization, the most advanced surgical center, and an excellent network of physicians and specialists. While these forward-thinking strategies make us reach higher, we are firmly grounded with our purpose, vision and leadership.

with an operating margin of 2.5 percent. TMC has developed a careful discipline that drives our financial performance, allowing the organization to continue to address community need and focus on providing superior service and quality. It is this constancy of purpose that roots the organization and compels us to view our work on a very human scale.

Constancy of leadership has allowed Tucson’s nonprofit community hospital to continue to invest in our facility, our people and our community as we faced nearly unprecedented economic challenges, new federal regulations and programs, and a changing patient population. As a board, while we certainly pay attention to what’s new and what’s next, our focus is on how each incremental step gets us closer to world-class quality, best-in-class services and consistency of experience for those who come to us for care.

The volunteer board of trustees is composed of members of the community dedicated to improving the health and well-being of the people of Southern Arizona. Through this board, hospital leadership begins to see their work through the eyes of the community, the eyes of the physicians and through the eyes of our patients. And, thankfully, you have told us that your vision for a community hospital is similar to ours. We want a clean, safe and efficient hospital. We want a hospital prepared to provide the right care at the right time, every time. We want a hospital that respects and responds to individual preferences, needs and values. We want a hospital with strong roots, but still reaching higher.

TMC is a careful steward of resources, which has driven the organization to positive financial performance for the last five years. In 2012, TMC’s net operating income was $11.2 million

We achieve this vision by creating a culture of excellence that is embodied by the nurses, doctors, technicians, housekeepers, managers, volunteers and all of the people who come to

work each day. We have come a long way and we know the journey has really just begun. We stay the course because we are defined by the quality of our work and the experience of the patients we serve. With focused purpose and consistent leadership, we’ll be here standing strong and tall, a refuge and resource for our community for generations to come.

TRACY NUCKOLLS, J.D.: A CAREER OF SERVICE, A MISSION TO MAKE A DIFFERENCE “One Child at a Time”

The office of TMC’s Executive Vice President and Chief Legal Counsel is filled with pictures of a dozen or so happy, smiling kids. Most of them are from other countries. Some of the pictures have letters attached. Who are they? They’re children from around the world who have been supported by Tracy Nuckolls and his wife, Linda, through different organizations. The couple has been sponsoring children for as long as he’s been associated with TMC – 35 years. “If you give one child an opportunity, you have a chance to change the world. The more kids you help, the more you can inspire change,” he said, with a twinkle in his eye. “That’s true of the TMC pediatric programs too. The more kids we can help, the better the Tucson community will be. Our children are our future, and if they don’t get good health care, the community cannot and will not prosper.” This long-held philosophy applies not only to children, but adults too. He’s tried to keep that laser-sharp focus as TMC’s executive vice president and chief legal officer. “Patients are always the most important, followed by their family and their caregivers. As long as you keep that at the forefront of everything you do, you do the right thing over time,” he said. That’s what he’s done day after day, year after year at TMC, and that’s why he’s OK with retiring in April 2013.

During his time here, he served under the leadership of five CEOs. “I’m taking my lead from Don Shropshire and Darrell Thrope. When they turned 65, they retired. I’ve always admired the approach of letting someone younger come in at that time,” he laughed. Nuckolls was an outside attorney when he signed on for his first TMC project in 1977. “During that time, we were growing from a 300-bed to a 650-bed facility. TMC had to justify the expansion because of a regulation program. It’s interesting that when I started working for TMC, I was tackling a building project, and I’m leaving at a time when we’re completing a very large building project on the west campus,” he said. “We’ll never be able to say that we’re the country’s largest single-story hospital again!”

MUCH ACCOMPLISHED IN 35 YEARS During his career, Nuckolls’ work helped TMC become a leader in forward thinking health care. His work created a large integrated delivery system in the 80’s and 90’s. He played an integral role in establishing La Posada retirement community in Green Valley. He was instrumental in bringing Palo Verde Behavioral Health on campus. He’s quick to not take full credit for any one accomplishment, though.

“In everything I did, I was part of a team. I’ve had the opportunity to work with some phenomenal people. We would identify a problem, come together, focus and find a solution.” Some projects offered opportunities for public praise. Other efforts were a piece of a complicated puzzle that was critical to a patient – but went without glory. He was equally comfortable in both roles. “The job is everything from these large projects, to finding a way to get a blood transfusion for an infant whose parents are refusing the care for the child during surgery. What’s more important? It’s not a question about what project is more important. They’re all important because they’re about the health care of the population of Tucson and Southern Arizona.”

THE CONCEPT OF A COMMUNITY HOSPITAL Nuckolls has taken the role of TMC as a nonprofit hospital very seriously throughout his career. “It means that your focus is all about the community. The responsibility to the underserved is a major part of it,” he said. “TMC has always focused on indigent care. We are right in the forefront of taking care of people who need to be cared for.” He describes TMC as a gem of Tucson, and

doesn’t hesitate for a second when asked what TMC’s biggest asset is. “It’s the people,” he said. “And it’s the people I’ll miss the most.” He wants to express how grateful he is to everyone who was so supportive during the course of his career.

“If you enjoy what you do, you don’t work a day in your life” In looking back at the decades he worked for TMC, this statement absolutely applies to him. “I have truly loved what I’ve done here,” he said. “It’s not just the projects, but the ‘why’ of the projects – the patients.” Were there tough days and challenging tasks? Absolutely. But Nuckolls said the TMC environment can change anyone’s perspective – almost instantly. “You can have a difficult day, but if you walk through TMC for Children, you realize that your day was not hard. You hear a chopper land over the Emergency Department, and you realize your day was not hard. You see new parents picking up their newborns, and you realize that everything you do – is worth it.”

CHARITABLE GIVING – AS IMPRESSIVE AS HIS CAREER True statement: Nuckoll’s father is a relative of Winston Churchill. “My father used to say, ‘Who you’re related to is not your claim

to fame. It’s what you do in life.’ ” The good work Nuckolls has done for TMC is only a fraction of what he contributes to this community. He’s a big supporter of the TMC Foundation, Children’s Miracle Network and TMC Hospice. He supports Gospel Rescue Mission. He spent time on the board of UApresents and currently sits on boards for Children’s Clinics and Community Partnership of Southern Arizona. He also belongs to the DM-50 group which supports Davis-Monthan Air Force Base, just to name a few. With these kinds of commitments, it’s a wonder how he finds time in the day for anything else. Nuckolls knows that long days equate to a life well lived. “Fifty years from now, no one is going to talk about the house you had, or how much money you had in your bank account. That’s not what really matters. What really matters is the impact you have on those around you, and the opportunity you provide to younger generations.” What best illustrates his philosophy on giving back? He laughs when he shares a line from Hello Dolly!: “Money, pardon the expression, is like manure. It’s not worth a thing unless it’s spread around, encouraging young things to grow.”

“She’s the support that makes it all work” Nuckolls, a Tucson native, met his wife Linda when they were freshmen at Cortez High School in Phoenix. Their first date wasn’t until their senior year, but their relationship blossomed quickly. They’ve been married 42 years, and have two sons, Darren and Brandon. Linda has a talent and a passion

for music, and taught at Desert Christian High School for many years. She survived a bout with cancer and became a volunteer at Peppi’s House. “TMC Hospice volunteers are remarkable people. To be able to help patients and their families through an experience like that – they’re angels,” he said.

WHAT’S NEXT? Once he retires, life will be far from slowing down. Nuckolls says he’ll be just as busy – but in different ways. He’s most excited about being able to spend time with his grandkids in Gilbert, Addy and Asher. “They run circles around me, but I love it!” he smiles. Next on his list of things he’s looking forward to? Being unhooked from what he calls his “electronic leash” – his cell phone. “I know it sounds crazy,” he said, “but to just be able to take a walk and not have to worry every waking hour about what’s going on at the hospital is going to be a nice change.” Traveling to places like Germany, where he spent a year of college, is also part of the plan, as well as attending the French Open and Australian Open. He’ll continue to read novels in German, and attend musical events. And he’ll do all of this with Linda. “Life is short. I’ve lost several friends who are younger than me. I really want to spend this time with my wife, and not have any competing priorities. If you spend your life working, and you look back and see that you haven’t had that time with family and friends, I think you shortchange yourself. I’ve never heard of anyone on their death bed saying ‘I wish I spent more time at the office.’ ”

LEADERSHIP PERSPECTIVE From left: Dr. Mike Probstfeld, Dr. Tom Harmon, Dr. Luis Leon, unidentified (not included in photo, but on the trip, Dr. John Pacanowski, Dr. Paul Yurkanin)

Mike Probstfeld, MD, TMC chief of staff

Last summer, after months of hard work and preparation, I set foot on the 14,410 foot summit of Mount Rainier and unfurled a special Tucson Medical Center flag to mark the accomplishment. I had set out on this quest with four TMC colleagues and through this experience, I learned a lot about goal setting and how we define success. When you are planning and training for something like summiting a mountain, you tend to focus on reaching the summit. Afterward, however, you realize that the most valuable and cherished part was the journey and the most important accomplishment was making it back down safely. After a 2 a.m. start, we approached the summit in darkness. The air was thin, our breathing was fast, and the going was slow and methodical – one foot in front of the other, with constant checks with our teammates. “How is everyone doing?” This is how we reached the summit at 7:30 a.m. I share this story because it is relevant to the work we do within our hospital. We set

ambitious goals – such as building a worldclass surgical tower, becoming a national leader in electronic medical record adoption or achieving best practice for numerous quality measures – and we work hard, step by measured step, every day to achieve our vision. And through the process, we have to consistently rely on the strengths of our team to keep our balance and avoid pitfalls. We now work in a new paradigm of health care delivery, one that relies on collaboration between physicians and hospitals to provide high quality and high value patient care. It is a partnership that did not exist in the past, one where we must work together as a team. We can take a lesson from the Navy Seals, who work together in units known as teams and achieve unparalleled success in every seemingly impossible task put before them. The Seals have a saying: “There is no ‘I’ in TEAM.” We can learn from them and together we can achieve the very best for our patients.

The electronic medical record allows us to measure outcomes, understand challenges and target areas for improvement in a way that was not available to us in the past. We can use the data from the EMR to help us better ourselves as physicians in ways we were never able to do before. We have always pushed ourselves to do the best things for our patients, and we assumed that we were achieving our goals. Now we have data to validate those assumptions. Another ambitious journey we embarked upon several years ago was the creation of the Orthopaedic and Surgical Tower (see story next page). When completed, Tucson residents will have access to one of the most modern, state-of-the-art surgical centers in the United States. We have taken measured steps to ensure that the technology, the floor plan, the processes and the services provided are best in class. This project reflects the new collaborative paradigm in health care I mentioned above and, ultimately, it is our patients who benefit.

As we reach a key milestone in the history of Tucson Medical Center, the opening of the Orthopaedic and Surgical Tower, we pause to reflect and to celebrate. It has been an incredible journey. But now we set our sights on the next goal, moving forward one step at a time. When my team and I reached the summit of Mount Rainier, the sunrise views were magnificent. Mount Saint Helens, with its top blown off, and Mount Adams greeted our party at daybreak. We unfurled our flag and savored our victory. That challenge has been realized, but our journey continues.

The past year has seen great progress toward completion of the Tucson Medical Center Orthopaedic and Surgical Tower, opening in spring 2013. It has been a massive project, costing more than $100 million, with a wide economic impact on the surrounding community.

TMC ORTHOPAEDIC AND SURGICAL TOWER – More than a building

“Being a community hospital, it was important to us to use as many Arizona contractors and local workers as possible,” said Richard Prevallet, vice president of Facilities for TMC. “To that end, more than 78 percent of the project was awarded to Tucson companies, with the rest being awarded to Arizona companies. At any one time, there have been anywhere from 100 to 375 workers on site.” The first floor will include a general lobby, support services and the medical offices and clinics of Tucson Orthopaedic Institute, an independent physician group. The second floor will house TMC’s Surgical Services, with 14 state-of-the-art operating rooms, including two hybrid rooms and integrated technology for all specialties, plus interventional suites, cystoscopy and a dedicated pediatric surgery area. The third floor is devoted to orthopaedic surgery with 10 operating rooms and a new education conference center. The building’s top floor features 40 private patient rooms designed for orthopaedic post-surgical care and acute therapies.

The flow of the design focuses on how patients arrive; how they are received; how they go to pre-op, surgery and post-op; and how they leave the area. The patient rooms have received comparable collaborative attention. Similar to TMC’s new pediatric rooms, the orthopaedic patient rooms are broken into three distinct zones (serving the patient, the family and the caregivers) to ensure quality of care and a positive patient experience.

This will be the only orthopaedic center of its kind in Southern Arizona. While the actual construction project was a daunting task, it may be argued that the work done behind the scenes in preparation for the move and operation of the tower has been an even greater accomplishment. TMC leadership understood early on that this project represented a unique opportunity to examine existing processes and find ways to be more effective and more efficient.

Work groups encompassing staff in areas throughout the hospital were formed to address these challenges and come up with working solutions. Everything from OR supplies to surgery scheduling to elevator etiquette has been diagramed, dissected and worked through alongside a complex moving plan that will allow the transition to go smoothly. “Staff in key areas around the hospital have worked hard to make not only the transition into the new tower smooth, but to also deeply question how we can do things better operationally once we are there. We have been able to zero in on our processes to assess what is not working, what can work better and how best to fix it,” said Linda Wojtowicz, senior vice president and chief operations officer at TMC. “While we are giving up our unique status as the country’s largest single story hospital, we are celebrating going up,” she said.

HOSPITALS COLLABORATE TO ASSESS COMMUNITY NEEDS The Affordable Care Act challenged hospitals across the country to proactively identify and address critical community health needs. What are Tucson’s greatest concerns in health care? Tucson Medical Center, Carondelet Health Network and The University of Arizona Health Network worked together to answer that question during 2012 by creating the Pima County Community Health Needs Assessment. The study identified the top health concern for Tucson as access to care – specifically, lack of insurance coverage, cuts in AHCCCS funding, limited coverage for behavioral health, and lack of access to funding for medications and primary care.

The assessment identified the key areas that require our focus and collaboration: • overcoming barriers that inhibit access to care • providing more mental and behavioral health services • increasing education and activities to reduce obesity and diabetes • addressing shortages in primary care providers

Many other factors, including poverty, offer ample room for improvement in the county’s overall health status. With the information from that report, TMC developed and is implementing a plan to address the key designated needs. TMC’s implementation strategy focuses on five key areas: access to care; cardiovascular health, diabetes and obesity; children’s safety; mental health; health technology and information exchange; and community care. For the full implementation plan, please visit www.tmcaz.com.

TMC PARTNERS WITH PIMA COUNTY, SOUTHERN ARIZONA COMMUNITY SPORTS TO BUILD INDOOR YOUTH SPORTS COMPLEX

Tucson Medical Center entered into a partnership to fund the construction of a new indoor sports facility at La Cholla and River Road. The 40,000-square-foot center, scheduled to open in mid-2013, will allow youth and adults to play basketball, volleyball and other athletic activities year-round.

“TMC’s mission expands far beyond the hospital walls. A recently completed community health needs assessment showed that cardiovascular disease, stroke and diabetes are among the top killers in our community and with the rising obesity rate, that will continue,” said Julia Strange, vice president, Community Benefit, Tucson Medical Center. “We wanted to impact that in a real way, and this is one way for us to do that.”

From left, Southern Arizona Community Sports Center Board Member, Gary Malis; Honorary Board Member, Coach Lute Olson; Founder and Chairman of the Southern Arizona Sports Center Don Tringali; and Pima County Supervisor Sharon Bronson broke ground on the indoor youth sports park in the summer of 2012.

University of Arizona Hall of Fame basketball coach Lute Olson attended the groundbreaking and spoke about the importance of the Southern Arizona Community Sports Center – which expands social and wellness opportunities throughout Pima County, but particularly serves youngsters in the northwest and nearby Flowing Wells area, where 67 percent of district school children qualify for free or reduced lunch.

“Believe me, there is nothing more needed in this community in my opinion than an indoor sports facility where kids can come play sports in a safe place,” Olson said. “This has been a wonderful thing and it is great to see all of the various people who have stepped up. It is great news that TMC is stepping up big time for this.” The project is a unique public/private partnership between Pima County and its partnering organizations, including Southern Arizona Community Sports and TMC. The project also has received substantial financial support from the Tucson Conquistadores and Sporting Chance Youth Basketball Inc.

PIMA COUNTY JOINS WITH TMC TO ATTRACT FUNDS FOR GRADUATE MEDICAL EDUCATION AND INDIGENT CARE

Pima County and Tucson Medical Center entered into a partnership to infuse as much as $11 million in new federal health care funds into the local economy.

EDUCATING PHYSICIANS, BUILDING COMMUNITY THROUGH GRADUATE MEDICAL EDUCATION

The initiative supports Pima County’s goal to strengthen community health and wellness and the broader goal to enhance economic development opportunities in the region. TMC was eligible for the federal funding for its ongoing physician training activities and its disproportionate share of indigent care.

Established in 1963, the Tucson Hospitals Medical Education Program conducts graduate and continuing medical education programs at Tucson Medical Center and throughout the greater Tucson community.

“In this time of increasingly limited resources, it only makes sense to bring as many community partners to the table as possible to meet the needs of local residents,” said Pima County Administrator Chuck Huckelberry. “TMC shares Pima County’s commitment to ensuring that those who need care receive it, while also creating a robust health care workforce.” Tucson Medical Center likewise appreciates the collaboration and commitment to create a sustainable hospital and medical community for Southern Arizona, said Judy Rich, president and CEO. “This investment will help us continue to address the critical physician shortage and access-to-care issues facing our community,” Rich said.

“We have more than 200 residents from the University of Arizona who come through TMC every year, under the auspices of THMEP,” said Dr. Robert Aaronson, who heads up the program. These programs include internal medicine, surgery, pediatrics and neurology, with smaller numbers from emergency medicine, family practice, orthopaedics, urology, vascular surgery and obstetrics-gynecology, and additional residency programs in podiatry and pharmacy, said Aaronson. “Many physicians at TMC and throughout our community are graduates of one or more of the residency programs participating at TMC, through THMEP.” Through THMEP, TMC is also a teaching facility for medical students from the University of Arizona, Midwestern University-Arizona College of Osteopathic

Medicine and A.T. Still University School of Osteopathic Medicine. THMEP also administers training at TMC for students in nurse practitioner, midwife and first assist programs from a variety of universities.

A FRESH START WITH LIFE-CHANGING SURGERY

Tucson resident Tina Contreras never imagined that, at age 52, she’d barely be able to walk some days. Years of wear and tear on her knee from playing sports finally took its toll. Her chronic knee pain started about 15 years ago.

It’s being done through a program facilitated by Tucson Medical Center. A multidisciplinary team provides free joint replacement surgery to underserved patients whose quality of life has been severely impacted by debilitating arthritis.

“I had arthroscopic surgery, but it didn’t fix the pain,” she said. “I’d get cortisone shots and feel great. And then about two or three days later, the pain was back. I’ve had knee pain for so long, I forgot what it’s like to live without it.”

The patients meet medical guidelines, as well as financial poverty guidelines. “These are low-income patients who don’t qualify for AHCCCS or Medicare, who don’t have insurance offered to them through their job or who can’t afford health insurance,” explained TMC orthopaedics manager Sandi Triplett. The idea behind the program was brought to TMC by orthopaedic surgeon Dr. Russell Cohen. He was inspired by a trip to Vietnam as part of “Operation Walk International,” a nonprofit organization that sends volunteer surgeons to developing countries to perform joint replacements. Dr. Cohen said. “I was very moved by the gratitude people showed. It’s a true honor to take care of those with no means to otherwise be helped. I wanted to help those in need who live in our community.”

When Contreras was diagnosed with stage 3 breast cancer in 2008, the knee surgery she so desperately needed took a back seat. By 2010, she was cancer-free; she became a grandma and now has two grandbabies who are the loves of her life. “My 2-year-old grandson grunts going up and down the stairs. I wondered why, until I realized it’s because it’s what he sees me do,” she laughed.

ORTHOPAEDIC CENTER

A total knee replacement was inevitable but not financial feasible for the self-employed contractor. But Contreras and five other patients from Southeastern Arizona got the knee or hip replacement surgery they so desperately needed, at no cost to them. A total joint replacement for them signifies a new life free of pain.

As part of the program, Dr. Cohen from Tucson Orthopaedic Institute and Dr. Luis Esparza from Old Pueblo Anesthesia donated their time and expertise. Hospitalist Dr. Sreelekha Susarla volunteered her time to care for patients after their surgery. TMC donated the space and nursing services.

Stryker Orthopedics provided the joints, and Gentiva provided free home health services that assisted these patients during their recovery. Today, Contreras walks up the stairs with relative ease and absolutely no grunting. “Each week I can feel the difference, and sometimes I feel so good that I forget that I even had a surgery,” she said. Since the surgery, she has lost 30 pounds and admits that many of her limitations at this point are more psychological than anything. “I take my grandbabies to the park twice a week, but now I can get up and walk around and play with them. I’m living a much more active lifestyle and I am extremely grateful to TMC for this,” she said.

MOVING TOWARD BETTER HEALTH Partnerships broaden TMC’s focus on wellness

In a year dominated by national health reform headlines, Tucson’s community hospital has taken action to increase opportunities for individuals to reform their personal health through diet, exercise and positive lifestyle choices. From an innovative employee wellness program to a new collaboration with the Canyon Ranch Institute, Tucson Medical Center is committed to helping people live healthier, longer, said Mary Atkinson, TMC’s wellness director. “Just offering opportunities, support and incentives has given many of our staff the motivation they needed to start their wellness journey,” she said. “These seemingly small steps are lowering our health care expenditures and helping our employees live healthier lives.”

TMC hosted Tucson’s first “Color Vibe” event in December 2012, raising $6,000 for Girls on the Run. Tucsonans of all ages showed up for this colorful event, many running their first 5k that day.

EMPLOYEE WELLNESS Last spring, the leadership at TMC noted that chronic diseases make up a disproportionate amount of money that the hospital spends on employee health care. So President and CEO Judy Rich issued a challenge: If employees could cut their health care costs by a halfmillion dollars, TMC would get an employee gym. To support the employees in this endeavor, the TMC Live Well initiative was developed by a multidisciplinary, collaborative team. Live Well, a robust program headed by a committee of staff members across the hospital, supports employees in living a healthier lifestyle through various fitness activities, programs and incentives. The initiative has been successful in a short amount of time. Employees have already cut health care costs by the half-million-dollar target, and more than 200 employees are participating in the pilot fitness challenge. The efforts were recognized with the Process and Leadership in Worksite Healthcare Promotion by the Wellness Council of Arizona and the National Partnership for Wellness. Note: The TMC Employee and Physician Gym is scheduled to be opened in the third quarter of 2013.

CANYON RANCH INSTITUTE

GIRLS ON THE RUN TMC and Girls on the Run of Tucson completed its fifth season with a generous grant from Aetna and the Aetna Foundation. With community partners that include the Pima County Bicycle and Pedestrian Program, Everyone Runs, Southern Arizona Roadrunners and Fleet Feet, this program with multiple national outlets is expanding its Tucson presence. Girls on the Run (GOTR) is a positive youth development program that combines an interactive curriculum and running to inspire self-respect and healthy lifestyles in 3rd-5th grade girls. “More than 675 girls have participated in Girls on the Run since the program started in Tucson two years ago,” said Atkinson, who is also a GOTR coach. “The support of Aetna and all of our community programs make this program possible.”

MAYOR’S TASK FORCE TMC participates in the Mayor’s Health and Wellness Task Force, launched in the fall of 2012. The goal is to help create a healthier community by improving access to healthy activities and healthy food, providing information about wellness, and mobilizing people into action. The group is focusing on events, programs and policies that promote healthy eating and physical activity. The task force introduced the Mayor’s TEAM (Together, Eat Well, Achieve, Move) and launched “Walk 100 Miles with the Mayor” to get the community moving.

TMC forged a relationship with Canyon Ranch Institute, to incorporate its Life Enhancement Program into the hospital’s community wellness offerings. The Canyon Ranch Institute Life Enhancement Program (CRI LEP) is an evidence-based, multidisciplinary program that transfers the best practices of Canyon Ranch to underserved communities to prevent, diagnose and address chronic diseases. The CRI LEP uses an integrative approach to health and is grounded in the best practices of health literacy. TMC’s LEP will be introduced to the community in 2013 with public classes held on the El Dorado Health Campus.

GROW 2B FIT TMC and Grow 2B Fit continue to work together to reduce the obesity epidemic in the community and improve the health of children and families through nutrition and exercise education. Says pediatrician Dr. Jessica Schultz, “We teach families how to grow to be fit and learn to be healthy.” The community coalition is committed to introducing and sustaining life-changing diet and exercise habits to those children most at risk for obesity.

PROMOTING HEALTHY LIVING

Healthy living begins with making healthy food choices

TMC continues to promote a culture of making healthy lifestyle choices through community education and prevention measures such as regular exercise and proper nutrition initiatives. Whether hosting a farmer’s market on the hospital campus or providing healthy meal options for the community’s senior population, TMC is making strides in preventive health care through nutritional measures.

THE EASTSIDE EL DORADO MEAL PROGRAM “It will be three years since we opened on April 26 of 2010,” said Dolores Capin, as she recalled how long the Eastside El Dorado Meal Program has been in its new facility next to TMC Senior Services at El Dorado Health Campus. Dolores is one of many longtime members of the Eastside program, a community service offered to qualified participants over the age of 60, providing access to healthy meals Monday through Friday for a minimal cost. The program served 300 people, preparing and serving 8,156 meals in 2012. The meals served in El Dorado’s onsite kitchen offer a number of nutritional choices. “The new facilities have provided opportunities to serve the community healthier meal options, such as the salad bar, that we were unable to offer previously,” said Linda Rumsey, program director of Catholic Social Services Nutrition Program. Of the 12 congregate meal programs facilitated by Pima Council on Aging, TMC’s El Dorado location is one

of two that offers this healthier option. Preparing meals is not the only benefit of the Eastside El Dorado Meal Program. Another program member and friend of Capin, Vincent Corrao, said, “We celebrate birthdays, attend various classes, play games and engage in activities outside of El Dorado. This program gives us an opportunity to meet new people and it feels very much like a family environment.” This particular congregate meal program was previously housed in an old city-owned firehouse that was outdated and began to lack the level of service required. “Tucson Medical Center really stepped in as a partner. Working with Catholic Social Services and the Pima Council on Aging, we figured out, with TMC’s assistance, how to keep this group of individuals together on the eastside and provide a new home for this congregate meal program,” said Debra Adams, chief operations officer, PCOA.

MOBILE MEALS OF TUCSON

MARKET ON THE MOVE

TMC is a major donor to Mobile Meals of Tucson Inc., a nonprofit volunteer program that supplies meals to homebound residents in Tucson. Many of the eligible participants in the Mobile Meals program have specific dietetic requirements. The TMC Cafeteria provides therapeutic meals that meet the residents’ diet prescriptions as part of their therapy. In 2012, TMC provided 12,174 meals, with plans to increase the support in 2013.

Tucson Medical Center hosted its first Market on the Move event in December 2012. Market on the Move, started by the nonprofit 3000 Club, provides fresh produce in a farmer’s market model to communities throughout the metropolitan Tucson and Phoenix areas.

COMMUNITY FOOD BANK OF SOUTHERN ARIZONA The Community Food Bank of Southern Arizona, through a variety of programs and initiatives, is committed to meeting the food need of people who are hungry in our community. TMC shares this commitment by facilitating donations of food and produce that would otherwise be discarded. In 2012, TMC gave 37,772 pounds of food equaling 25,181 meals to the Community Food Bank.

During the Market on the Move event on TMC’s campus, community members gifted a minimal donation to receive up to 60 pounds of fresh produce.

TMC HELPS FOSTER READING IN PEDIATRIC PATIENTS AND FAMILIES It is said that a truly great book should be read once in youth, again in maturity and once more in old age

Tucson Medical Center is well on its way to nurturing at least the first part of that journey. As a member of Reach Out and Read of Southern Arizona, TMC is committed to promoting early literacy and the importance of parents reading aloud in the community that it serves. As part of the Reach Out and Read program, TMC helps supply pediatric offices throughout Southern Arizona with books for young patients.

“Reach Out and Read is built on the knowledge that children who are read to love books, and children who love books have a head start in school,” explained Reach Out and Read manager Will Creamer.

Upon admission to Pediatrics or the Peds ICU, children get a coupon that allows them to select a book from a homemade bookcase located right outside the treehouse library in Pediatrics.

“Reading to infants and children is a gift of love, but also an important investment in the child’s development. TMC’s support of the Reach Out and Read program of Southern Arizona has provided multiple pediatric offices with books to share with their patients and families. The love of reading is a gift that gives for a lifetime,” added Dr. Mary Cochran, community pediatrician and longtime member of the TMC family.

The hospital began collecting and purchasing books at the beginning of the year, with benefactors that include many hospital physicians and staff.

In addition to contributing to the Reach Out and Read program, TMC launched Books for Kids in 2012, with support and encouragement from Dr. Catherine Cosentino, Dr. Cochran and many others. The program allows young patients and their siblings to pick out a book to take home.

Melissa Weisphal, manager of Pediatrics, said it seemed a disservice to have so many books in the library that never went home with children. “We thought, what’s the best thing, besides health, that we could send a child home with? Books were really the first thought that came to mind.”

HEALTHY LIVING CONNECTIONS CELEBRATING 5-YEAR MILESTONE OF GROWTH When it moved to the El Dorado Health Campus in 2007, TMC Senior Services had little in the way of public activities – just a core group of steadfast volunteers ready to help build a program. Before the move? No continuing educational lectures. No ongoing support groups for various needs. No health care resource center to provide reliable information. Five years later, in 2012, Healthy Living Connections, the programming umbrella for TMC Senior Services, recorded more than 150 educational classes and outreach events. Attendance topped 4,500 for the growing list of activities at the El Dorado campus during the past year. As TMC Senior Services marked its fifth anniversary at El Dorado, new programs and services continued to evolve for the community’s older adults, as described in the quarterly calendar with listings of old and new offerings.

Some of the most grateful clients are those served through the Alzheimer’s & Related Dementias Project, including participants in the ‘New to Memory Loss’ program – a new service opened during the past year in partnership with Encore Senior Living and Terri Waldman, MSW. A special introductory session, open to the public, is offered periodically for those dealing with new memory-related diagnoses in themselves or their loved ones. For those who are eligible, the session can lead into a six-week ‘New to Memory Loss’ Self Management Program. The concept of the new program began a couple of years ago when L’Don Sawyer, director of TMC Senior Services, was leading an Alzheimer’s activity group. A gentleman told her that he had just lost his job because of recent memory issues, and that discussion helped launch new support for those with a true early diagnosis.

“Thank you so much for having a class on memory loss,” wrote one woman whose husband had been struggling with his memory. “During the class he kept saying, ‘That’s me, I do that, I say that.’ My husband right away said he would like to take the workshop. It has helped him tremendously. I have my old husband back. He still has memory loss, but he understands.” The Alzheimer’s and Related Dementias Project is just one of many services provided. Today, Senior Services offers a variety of programs at the El Dorado Health Campus, 1400 N. Wilmot, including: • Healthy Living Connections

Resource Center • Medicare Counseling • Seniors Helping Seniors • Classes, Lectures, Seminars and more • Healthy Living Coaches • Elder Care Consultations • Support Groups • Eastside Congregate Meals Program

ARIZONA CONNECTED CARE In April of 2012, Tucson Medical Center became the only hospital in Southern Arizona participating in a new network of health care providers known as an accountable care organization (ACO). Authorized under the 2010 health care reform law, Arizona Connected Care is focused on bringing providers together and improving patient care through measurable improvements while controlling health care costs by keeping people healthier, longer. TMC President and CEO Judy Rich explained, “We believe this is the first step in changing health care and making it sustainable for our country. We know that there’s an imperative to change, and Arizona Connected Care will help us achieve that goal in Southern Arizona.”

SAN MIGUEL HIGH SCHOOL TMC is giving our community’s youth an opportunity to get valuable exposure working in health care. San Miguel High School, a private Catholic and Lasallian preparatory school that services families with limited financial resources, has a creative program that requires students to participate in the school’s corporate internships. The program places students in entry-level jobs in professional work environments, helping them earn monies towards their $9,000 annual tuition. “We thought it was a great way to support our community while also being able to give medical and clerical experience to deserving kids,” said Annette Carrapellucci, executive director, organizational development.

TMC SILVER MEDAL RECIPIENT IN ORGAN DONOR REGISTRY CHALLENGE In 2012 Tucson Medical Center was recognized as an Outstanding Medical Center for its support of the Donor Network of Arizona. Additionally, TMC was awarded a silver medal in the Hospital Organ Donor Registry Challenge. TMC competed with 54 other hospitals having at least 400 licensed beds. With more than 2,300 people waiting for organ transplants in Arizona, National Donate Life Month set the stage as a natural time to have this challenge, increasing awareness of the need for organ transplants and the need to register potential donors. TMC has helped to register a substantial portion of the 2 million Arizonans who are on the donor registry.

SENSORY INTEGRATION ROOM TMC’s Pediatric Emergency Department has a new sensory integration room designed to serve the community’s children experiencing the effects of substance abuse, or sensory disorders such as autism and ADHD. This state-of-the-art room provides a calming space to make a visit to the emergency room less uncomfortable and traumatic for children with these challenges. The sensory integration room came to TMC at the recommendation and support of the TMC Pediatric Family Advisory Council. This group meets once a month to develop actionable plans to improve facilities and care processes for pediatric patients, and includes TMC staff members, physicians and patient families.

TMC TAKES STEPS TO PRESERVE HISTORY

In 2012, three buildings on the TMC campus, including the Erickson House, were nominated for recognition on the National Register of Historic Places. Built in 1927, the home of Alfred and Anna Erickson was one of the first structures on the campus of what was then the Desert Sanatorium. These historic buildings – the Erickson House, the Patio Building and the Arizona Building – sit amidst a new $100 million construction investment in TMC’s infrastructure. The Erickson House is receiving more than $400,000 for exterior renovations to protect the adobe structure. “Even as we take steps to redevelop and modernize the campus, it remains important to us to honor the historic roots of this facility and preserve the unique sense of ‘place’ that is TMC,” said Richard Prevallet, vice president, Facilities and Construction.

LEAN: INSTILLING A CULTURE OF EXCELLENCE AND THE TOOLS TO DO IT

A new discharge lounge in the Emergency Department allows a nurse to spend quality, uninterrupted time educating patients before they are sent home. At the same time, it opens up a bed for another patient to get back into the department to see a provider. The new process comes out of an effort to bring Japanese manufacturing know-how to TMC. In an ongoing quest to better understand how to keep patients safe and ensure the best possible outcomes and experiences, TMC leadership began hearing about a methodology developed by Toyota Motor Corp. a half century ago. The Toyota Production System focuses on maximizing that which adds value for the customer, with everything else seen as waste to be eliminated. When these concepts came to the U.S. manufacturing in the 1970s, the term “lean” was coined to describe this nimble process.

Nurses and other staff members performing a “5S” in the Emergency Department. This effort at workplace organization (translated into English as sort, set in place, shine, standardize and sustain) is a basic techique in a Lean environment. Part of the goal includes getting rid of the clutter.

Over the past decade, health care organizations, such as Virginia Mason Medical Center in Seattle, have embraced lean and have seen sustainable, measurable improvements in patient outcomes and satisfaction. The concepts are straightforward – empower those closest to the work to make everyday improvements to their processes – but can be challenging to sustain over the long run. Essential to the effort is the support not only from the executive team but also

the board of trustees. Board chairwoman Louise Francesconi was president at Raytheon Missile Systems in Tucson when lean was implemented there in the 1990s and continues to this day. To initiate the work at the hospital last summer, the TMC Executive Team selected a group of seven staff members to form a core Lean Team. After undergoing its own training, the team began training a target team and working with the Emergency Department. The work is ongoing, but progress in terms of workplace organization and patient flow are already being seen. As the Lean Team goes from area to area (Surgical Services is next), staff learns to see the work through the eyes of the patient as well as a set of tools to improve the work. Leaders in the area learn to see the work from the eyes of their staff as well as tools to coach and engage staff to root out and eliminate waste. In this way, TMC can make the patient experience safer and more satisfying.

Find original post and slideshow at www.tmcazNEWS.com. Search for “bubbles.”

TMC CREATES COMFORT IN BUBBLE BATH

On one special Friday morning at TMC’s Papago Building, Tonya Swanson was gently hoisted off a gurney by a Hoyer lift and set into a warm bubble bath complete with soothing music, fresh-cut flowers and candlelight. Swanson, 42, was admitted to TMC as a result of complications from breast cancer. Her mother had been caring for her at home, where Swanson was bed-bound for months. “I’ve been waiting for quite some time to take a bath,” she told the half dozen people assembled to help her. When she was transferred from the acute-care unit to Peppi’s House, TMC’s inpatient hospice facility, Swanson expressed her wish to have a bath. Hospice staff jumped into action to make it happen.

“I can’t tell you how responsive everyone was,” said Amy Olson, RN. “We must have made 25 calls and not a single person said no. It was a true team effort.” Calls went out to Employee Health, which now occupies the Papago Building, to take over the bathroom with the appropriate equipment. “John Corbit, our plumber, got the water working and got hot water to the bathroom for us,” said TMC Hospice manager, Kelly Oursler, RN. “He picked flowers on the campus and put them in a vase in the bathroom. He came back when she asked for more time and added more hot water to the tub.”

Derrell Blair and Jim Wellman from Plant Services coordinated getting the bathroom cleaned and in working order. Housekeeper Maria Parra de Ruiz made sure the bathtub sparkled, added flowers to the bouquet and laid out a lace tablecloth. Transporters Tyrell Hinzman and Dean Sandvold provided a smooth ride to and from the building and a safe and comfortable transfer into and out of the tub. Hospice staff found bubbles, batterypowered candles and a fluffy pink towel. Swanson, formerly a nanny, was all smiles as she sank into the tub, the jet action creating an overflow of bubbles … and emotions.

BODYOLOGY – CHILDREN’S MUSEUM TUCSON

TMC continues to support health education at Children’s Museum Tucson in fun and engaging ways. Whether it’s Science Sundays or the new Bodyology health and wellness exhibit, TMC supported exhibits that reach young Tucson children at a time when learning is critical. Bodyology allows kids to touch, see, hear and play with larger-than-life body parts. Press the heart to hear the beat, move the lungs to make them breathe, touch the uvula at the back of the mouth to hear a burp and look at the humongous eye that blinks. And kids can even tuck themselves under the giant nose and look up and see what any child would expect to see – fake nasal hairs and boogers!

“Children’s Museum is thrilled with our partnership with TMC and the ability to bring our health and wellness exhibit to the community,” said Michael Luria, executive director. “Bodyology is a tremendously fun and engaging way to educate children and families about the importance of health and wellness from a very early age. We love the exhibit and are so grateful for our partnership with Tucson Medical Center, our lead funder for this important exhibit.”

TMC COMMUNITY AFFAIRS RECIPIENTS

As corporate citizens in the Southern Arizona community, Tucson Medical Center provides support to other nonprofit organizations serving the region. Last year, TMC provided more than $350,000 to these important community partners. Below is a list of some of the organizations receiving financial support from TMC.

Alzheimer’s Association America-Israel Friendship League American Cancer Society American Diabetes Association American Heart Association American Lung Association Arizona Theatre Company Arizona’s Children Association Autism Society Greater Tucson Bag It! Beat Cancer Boot Camp Big Brothers Big Sisters of Tucson Boys & Girls Clubs of Tucson Caregiver Consortium Casa de Los Niños Chicanos Por La Causa Child & Family Resources Children’s Museum Tucson Community Food Bank Connecting Tucson Copper Queen Community Hospital

Cyclovia Tucson Diaper Bank of Southern Arizona Educational Enrichment Foundation El Rio Health Center Foundation Emerge! Center Against Domestic Violence Epilepsy Foundation Arizona Father’s Day Council Fox Tucson Theatre Foundation Gamma Alpha Boule Girl Scouts of Southern Arizona Grow 2B Fit Handi-Dogs Handmaker Foundation Jewish Family & Children’s Services of Southern Arizona Juvenile Diabetes Research Foundation League of Women Voters of Greater Tucson Leukemia & Lymphoma Society Literacy Connects Lovin’ Life After 50 Marana Healthcare

March of Dimes Mobile Meals of Tucson Mothers Against Drunk Driving National Alliance on Mental Illness Old Fort Lowell Live-At Home Program Pima Council on Aging Reid Park Zoological Society Ronald McDonald House Charities Rotary Club of Tucson Foundation Salvation Army Sierra Vista Regional Health Center Foundation Southern Arizona AIDS Foundation Southern Arizona Network for Down Syndrome Southwestern School for Behavioral Health Studies Steven M. Gootter Foundation Susan G. Komen Race for the Cure, Southern Arizona Therapeutic Riding of Tucson TIHAN

Tu Nidito Tucson Conquistadores/Christina Taylor Green Golf Tournament Tucson Festival of Books Tucson Hispanic Chamber of Commerce Tucson Jewish Community Center Tucson Metropolitan Chamber of Commerce Tucson Regional Economic Opportunities Tucson Values Teachers Women’s Foundation of Southern Arizona YWCA of Tucson

COMMUNITY BENEFIT 2012

COMMUNITY BENEFIT TRENDS

2010

7.0%

Outreach & Education

$25.5

$3,368,000

47.1%

Uncompensated Care (Charity Care & Bad Debt)

$22,612,000

45.9% Unpaid Costs

$22,022,000

TOTAL OF $48,002,000 TMC will report more than $48 million in community benefit and charity care for 2012, or about 10.8 percent of net revenues. Last year, TMC reported a community benefit of 9.7 percent of net revenues. TMC calculates community benefit using standards endorsed by the American Hospital Association.

MILLION

PERCENT OF NET REVENUE

7.2%

2011

$38

MILLION 9.7%

2012

$48

MILLION 10.8%

WHAT MAKES UP THIS NUMBER? Unpaid Costs: TMC provides services to patients covered by AHCCCS and other public programs for low income people. This is the shortfall created when a facility receives payments that are less than the cost of caring for public-program beneficiaries. Uncompensated Cost of Care for Charity Care and Bad Debt: Charity care is free or discounted health services provided to people who can demonstrate that they do not have the means to pay the full cost of care and who meet the organization’s financial-assistance policy criteria. Bad debt consists of services for which the hospital anticipated but did not receive payment.

For purposes of community benefit reporting, charity care and bad debt are reported in terms of costs, not charges. For more information about TMC’s charity care policy, visit www.tmcaz.com. Outreach & Education: This figure includes community benefit programs and activities that provide treatment or promote health and healing as a response to identified community needs. These programs and activities help improve access to health care services, enhance the health of the community and advance medical knowledge.

DISCOUNTS FOR UNINSURED PATIENTS Self-pay patients who do not have health insurance are not in the same position as insurance companies to negotiate reduced rates. In an effort to address this disparity, TMC reduces a patient’s bill by half if the patient is without any insurance coverage. Depending on a patient’s income, other discounts may apply as part of the TMC Community Care program.

Number of Licensed Beds

TMC Auxiliary

Healthy Living Connections

631

Total Volunteer Hours:

Attendees in 2012 Classes/Event

Mom/Baby: 60

Neonatal Care ICU: 42 Pediatric: 44

Pediatric ICU: 12

Medical-Surgical: 364 ICU: 45

Psychiatric: 48

Inpatient Hospice: 16

86,220 hrs 45 full-time equivalent hours

Average number of volunteers working each day

4,533

Outreach Events & Educational Classes

152

Year to date

Volunteers Main Emergency Treatment Rooms

PEDS Emergency Treatment Rooms

Total Contributions:

$148,000 Breast Screening – $30,000

84,058

2012 total admissions:

31,990

adults, pediatrics and psychiatric Inpatient Surgeries – 9,356

Wheel Chairs – $10,000 We Honor Veterans – $5,000 LoveLights – $5,000 Art Program – $8,000 Shropshire Fund – $5,000 Cardiac Rehab – $5,000

Outpatient Surgeries – 12,492 Total Surgery Cases – 21,848 Babies Delivered – 5,588

Volunteer Hours

6,379

Remembrance Patio – $1,500 Epic Pagers for Surgery – $7,000

2012 Emergency Department visits:

Interventions Medicare Counseling

55 hours Alzheimer’s

1,733 hours Health Coach

209 hours Health Resource Center

97 hours

Seniors Helping Seniors in-hospital contacts

Sewing Group – $4,500

804 hours

The Teal Saguaro – $7,000

Seniors Helping Seniors community support (includes phone, in-person visits)

TMC Foundation – $60,000

1,008 hours

Other Notables – provided space to American Parkinson Disease Association and Eastside Congregate Meals Program

Report to Our Community / OnCenter

OnCenter. Our Community.

FROM THE VICE PRESIDENT & CHIEF DEVELOPMENT OFFICER Michael J. Duran, J.D.

It is with profound gratitude that we present this annual report, an opportunity to celebrate you – the people who share our vision, support our mission and trust us to fulfill our responsibilities as Southern Arizona’s community hospital. Loyal donor support is one of the hallmarks of TMC, and your generosity gives us the resources to improve and expand the way we care for patients and families throughout the year.

In 2012, we completed the Block by Block, Miracles Happen! Pediatric Campaign that expanded TMC for Children. Thanks to you, we are able to partner with families and caregivers throughout Southern Arizona, and enhance our specialized care for children at every stage of their lives. The TMC Foundation funded 380 mammograms for women in the community who otherwise might have gone without them. TMC’s Breast Health Program has provided more than 5,900 mammograms for uninsured women in our community since 1998. TMC for Women received an additional boost as the beneficiary of our annual TMC Foundation Gala. The proceeds have supported TMC’s da Vinci Surgical Program, the Breast Health Program, education and outreach. We also celebrated the 25th anniversary of the dedicated women-only surgery unit, The Joel M. Childers, M.D., Women’s Surgery Center. Today, advancements in women’s gynecological health continue with a lecture series that bears the name of Dr. Childers. TMC has a long history of addressing the unique health needs of women in our community and continues its tradition of innovation.

We established the Erickson Legacy Society last year. It is named after TMC’s first legacy donor, Mrs. Anna Erickson, whose vision, generosity and spirit of philanthropy led to the creation of a new, much-needed community hospital in 1943. In honoring legacy giving, we are able to recognize and thank donors during their lifetime for gifts they intend to make as a bequest or lifetime gift to the TMC Foundation. In a time when we hear about so much uncertainty regarding the future of health care in our country, our strong forecast, along with your support, allows us to remain optimistic. TMC continues to focus on strengthening those values that set us apart: community, dedication, compassion and integrity. Thank you for investing in your community hospital as we pave the way for the health care needs of the next generation. We are grateful for your support of TMC – past, present and future – and celebrate that generosity within these pages.

FROM THE TMC FOUNDATION CHAIRWOMAN Anne Fulton-Cavett, J.D.

In reflecting back on all that Tucson Medical Center has accomplished over the past year, I continue to be amazed at the competency of the medical care and the technologic achievements within the walls of the hospital. But I am equally impressed by what happens beyond the northwest corner of Grant and Craycroft. We cherish our role as Southern Arizona’s community hospital, and our outreach efforts are evidence of how we embrace this enormous responsibility. Our focus remains on the patients who come to us in a time of need for compassionate medical care. But we know that sponsoring events and providing services that enhance community members’ quality of life exemplifies our commitment to the people of Southern Arizona. Whether it’s giving new parents or grandparents peace of mind by educating them on car seat safety, fitting a child with a bike helmet that may prevent a future head injury, or securing free swim lessons for a child whose family can’t afford them, dedicated TMC employees, volunteers, and donors are making a positive impact every day.

As these children grow, we’re concerned about their emotional well-being as well. Girls on the Run, an after-school running program funded through the generous support of Aetna, encourages a positive self image and fosters solid self-esteem. A desire to do better for families who have a lengthy stay at TMC during a medical crisis prompted the creation of a volunteer-driven resale boutique that provides basic needs to these families and raises money for the hospital. We are invested in this community, for this community. We truly are leaders well beyond the hospital’s walls, and I thank you for your philanthropic support in helping us carry out our mission.

30 Education (37%) Block by Block, Miracles Happen! Campaign (21%) Women (13%) General Purpose (10%) Children (8%) Hospice (6%) Other (5%)

Individuals (54%)

Corporation (28%)

Foundation (11%) Other (7%)

USE OF FUNDS

SOURCES OF FUNDS

GRANTS AWARDED BY TMC FOUNDATION In 2012, the TMC Foundation made grants to Tucson Medical Center to support TMC's charitable mission of improving the health and quality of life in our community.

60% 22% 18%

TMC for Children, Pediatric Expansion Project

SOURCES OF FUNDS/DATA

Children’s Services

Other Cancer • Cardiac • Childers • Education • Friends of Cardiac Rehab Hospice • Imaging • Neurology • Respiratory • Senior Services • Unrestricted

Dr. Gayle Dean

THE THOMAS R. BROWN FOUNDATIONS SUPPORTS INNOVATIVE TECHNOLOGY AT TMC

A gift from the Thomas R. Brown Foundations helped Tucson Medical Center purchase a second da Vinci robot so that more patients can experience the phenomenal benefits of minimally-invasive, high-tech surgery. “We were impressed by how much this equipment could improve surgical outcomes through superior surgical procedures and greatly reduced recovery times for patients. We believe our gift will enable consistently better patient experiences, both in terms of quality of care and overall cost,” said Sarah Smallhouse, president, Thomas R. Brown Foundations. “This was an exceptional gift made with a sense of gratitude for the many years members of the Brown family have been cared for at the hospital, and in honor of significant service by several of the Brown Foundation trustees individually.” The advantages of the da Vinci surgical system are extraordinary and truly lifechanging, especially in Women’s Services. Surgeons at TMC use the da Vinci to perform more gynecological procedures than most hospitals. In fact, the robot was used for 482 gynecological procedures in 2012.

Hysterectomies accounted for 430 of these. Dr. Gayle Dean of Genesis OB/GYN is also the department chair for Women’s Services at TMC. “A second da Vinci is a great asset to have. It allows us to continue to provide the right care at the right time, which is what we strive to do at TMC. As physicians, we always want to provide the best care for our patients. Not only are we able to visualize things better with the da Vinci, but we’re able to do more complicated surgeries, and get patients back to their lives faster without the lengthy recovery time that is typically standard following major surgery.” As patients become more informed about the benefits of minimally-invasive surgery, its popularity is expected to surge. TMC’s advanced robotics program will continue to emphasize physician collaboration, crossspecialty training and a rigorous educational program that ensures highly skilled doctors and successful outcomes.

BECOMING A LEGACY DONOR One Family’s Inspiration

“We both acknowledge the impact TMC had on my life, and on our life,” Dr. Harris said. “To this day, when I see a mother waiting in the surgery lobby, I think to myself, ‘that used to be me.’ We are blessed to be able to give back. We want to do something for other families who find themselves in the situation I was in.”

Don’t ask Dr. Gail Harris how many children she has. It’s a question she never really knows how to answer. An attempt to explain her situation often leads her down a heartbreaking road. She and her husband, Dr. Roger Fox, have a blended family. He had a boy and a girl. She had two boys. The impetus for a gift made to TMC was based on the life of one of them. Dr. Harris came to Tucson in 1972 with her first husband, Bill Harris, and their two babies. He was a doctoral student at the University of Arizona. They were just settling into their new

life when their rambunctious 2-year-old, Billy, was diagnosed with terminal brain cancer. “Suddenly, we were at Tucson Medical Center day and night for three months while he was in the ICU,” Dr. Harris said. “Our life just got turned upside down. The diagnosis went from bad to worse.” Billy endured three brain surgeries, one of which left him cortically blind with mental retardation. He was given only six months to live.

but we were losing the hope that someday we could financially dig ourselves out of this,” she said. “I don’t know who, but someone at TMC decided to put Billy on ‘teaching bed status,’ meaning the hospital wouldn’t charge us for his care if other medical professionals could learn from his case. To this day, I am so grateful for that. If that didn’t happen, we would have had seven-figures’ worth of medical expenses that we wouldn’t have been able to pay.”

“We were strangers in this town. We knew no one, and we didn’t have two nickels to rub together. Not only were we losing our child,

Amazingly, Billy exceeded expectations, and lived a fulfilling life with his parents and younger brother Chris. Billy passed away when

he was 17. A few years later, Bill died as well. As Dr. Harris reflects on her life as the mother of a boy with a major medical crisis, she recalls TMC as being a tender, compassionate and merciful place at a time when she was young, scared and isolated. “It wasn’t about the physical presence – the building and the equipment – it was about the human spirit,” she said. TMC made such an impact on her life that she and Dr. Roger Fox decided to make TMC the sole recipient of their charitable remainder trust. In doing so, they became part of the Erickson Legacy Society.

LEGACY DONORS NOW RECOGNIZED THROUGH INAUGURAL ERICKSON SOCIETY In 1943, Tucson Medical Center began with a single act of philanthropy. Mrs. Anna Erickson generously donated the land and buildings of the Desert Sanatorium to the Tucson community, creating a new nonprofit community hospital. The tradition of giving is now honored with the inaugural Erickson Legacy Society, established to recognize and thank donors during their lifetime for gifts they intend to make as a bequest or lifetime gift to the TMC Foundation. The society is named in honor of TMC’s first legacy donor, Mrs. Erickson. An extraordinary patient experience prompted legacy donors Bill and Diana Bergen to support TMC. “I received excellent care here in the past and that helped me become familiar with what the organization is all about,” said Bill. “The fact that it’s a nonprofit and gives back to the community is very important to me.” The element of giving back is paramount to Diana as well: “I agree with everything TMC has done. I agree with what they’re doing for children and I am especially proud to be involved with an organization that takes care of those who can’t take care of themselves.”

“To be able to recognize and honor our inaugural legacy donors in the name of Mrs. Anna Erickson is truly remarkable,” said Michael Duran, vice president and chief development officer. “We value their partnership and desire to help our community. The society honors TMC’s roots, and for generations to come, will cherish what these legacy donors have made possible for this community. These gifts will provide for the future financial security of Tucson Medical Center and help ensure its patients will continue to receive the highest quality of care.” For further information about charitable gift plans to the TMC Foundation that can generate income and offer tax savings, contact Julie Wolfe-Beadle at (520) 324-3411.

MISSION ACCOMPLISHED!

Pediatric capital campaign complete; TMC Foundation grateful for community support

When the TMC Foundation started the Block by Block, Miracles Happen! Pediatric Capital Campaign in 2009, it did so with a lofty goal: raise $12.5 million for the renovation and expansion of TMC’s pediatric wing. The colorful new TMC for Children unit has been finished and operational since June 2011, with state-of-the-art equipment and a welcoming environment for infants, children and adolescents. Behind the scenes, the leadership committee for the campaign worked diligently to raise the remaining balance for the project. With about $1 million to go, they rolled up their sleeves, and with help from the William and Mary Ross Foundation, completed the campaign. “We want to express our heartfelt thanks to everyone who contributed,” said TMC Vice President and Chief Development Officer Michael Duran. “We feel fortunate to have the support of those who share our passion of delivering the best care to TMC children.” “Thank you, Tucson!”

Kim Bourn, who chaired the pediatric capital campaign, said completing the campaign was a true team effort that required immense dedication by TMC staff, administration and volunteers who worked with the board and community leaders. At the heart of this accomplishment: the people we serve. “Steadfast support from our community results in enhanced pediatric services and programs for our patients and their families,” said Bourn. “TMC for Children is a familycentered medical center that now has an aesthetically pleasing environment with contemporary technology that is adored and appreciated by all.” That sentiment is shared by Dr. Moira Richards, TMC’s medical director for Children’s Services. She said the completion of the campaign reinforces the community’s support of the excellent services TMC

provides to children in Southern Arizona. The biggest benefit for these families, she said, is having all of the resources they need for pediatric care – in one cohesive place. “We have babies who start their lives in the NICU. We can offer them the continued support of a strong pediatric program that includes pediatric therapies and child life specialists. We have the gamut of what’s offered for a community pediatric medical center,” she said. TMC’s ability to partner with these families through their children’s lives is what appealed to TMC Foundation donors Tom and Linda Grissom. “I’m so impressed with not only what they do for babies, but older kids as well. The sense of fulfillment we get from being a part of this is phenomenal,” said Linda.

Tom added, “I continue to be impressed by the number of resources available to people in this community from TMC, and all the work TMC does to make people aware these resources exist.”

National Award: TMC for Children was awarded the Healthcare Environment Award from The Center for Healthcare Design, recognizing excellence in new or renovated healthcare facility design. Hobbs+Black Associates were the architects for that project.

FUNDRAISING FOCUS

Walmart and Sam’s Club associates raise record-breaking funds for Children’s Miracle Network

Miracles happen every day. And every day is a new opportunity to raise money for local children in need. That’s the philosophy at Walmart and Sam’s Club stores across the country. It’s a mission that spreads like wildfire among associates, and even became a true passion for some – because they know that every dollar donated to Children’s Miracle Network makes a difference. At stores in Southern Arizona, remarkable fund-raising efforts happen year-round. “We’ve seen firsthand the good work TMC does with the support of CMN. Helping raise money for CMN is just the right thing to do, and it’s why we’ve chosen it to be our major focus of fundraising,” said Walmart District Manager Rick Velasco. That laser-sharp focus has led to some impressive numbers. Walmart/Sam’s Club associates from at least 18 stores across Southern Arizona raised a record-breaking $429,742 for TMC for Children during a sixweek campaign. The store at Speedway and Kolb raised more than $82,000 alone – the second-highest amount raised among all the Walmart and Sam’s Club stores in the country!

So, what’s their recipe for success in raising money during a down economy? They start with themselves, and they keep it fun. Associates raise money by holding cookouts, organizing bake sales or even selling bottles of water. They ask customers at each register if they’d like to donate. “We get the community involved one dollar at a time. It really makes your heart large to know that we can help children,” said Walmart associate Betsy Gardo. For a little extra motivation, just add some competition. Stores will often challenge other stores to out-raise them. The rivalry creates a spirited atmosphere and a contagious drive among associates who are devoted to making a difference. TMC for Children and the Children’s Miracle Network said thank you to Walmart and Sam’s Club associates during a celebration held at the Speedway and Kolb Walmart store. At the event, associates got a chance to make a personal connection with the impact of their efforts. The Carter family told them about the nightmare they experienced when their 3-year-old daughter

Solaine developed encephalitis. “In about three or four days, she had lost the ability to move and to speak. When your child is almost dead, and you have no idea why, and what the recovery will be if any – it was a very dark time for us,” explained a tearful Paul Carter. His eyes light up and a smile emerges when he talks about how TMC for Children made all the difference for his daughter. Pediatric Outpatient Therapy stayed open during the holidays just to provide therapy to little Solaine. “The team at TMC was remarkable. They realized how important it was to get her started in therapy right away,” he said. Solaine had to learn how to walk and talk all over again. Fast-forward nine years, and she now plays tennis for her middle school. Solaine is an honor roll student, rides her horse in competitions, and even gives back by volunteering in TMC’s Pediatric Outpatient Therapy. “We never would have gotten to this spot without companies like Walmart,” Carter said. “Solaine is the perfect example of the Children’s Miracle Network and how miracles do happen.”

NEW PARTNERS FOR CHILDREN’S MIRACLE NETWORK RADIOTHON 94.9 MIXfm’s Bobby Rich Morning Mix teams up with TMC for Children

“A dream come true.” That’s how TMC’s director of development for Children’s Miracle Network, Erika Grasse, described the new radio partners. “TMC for Children is incredibly fortunate to have the support of 94.9 MIXfm’s Morning Mix with Bobby Rich, Greg Curtis and Mrs. Grant,” she said. “They share our passion and our vision in providing the very best for Southern Arizona’s children.” But if you ask Bobby Rich, he’ll insist – he’s the lucky one. “When I came to Tucson more than 20 years ago, I was familiar with the life-saving and life-improving work CMN does for children,” he said. “I believe in it, and I believe in TMC for Children. Our partnership is truly a perfect match because our missions are all aligned: helping our community, doing the right thing, and making a difference. That’s what MIXfm listeners are all about.” Greg Curtis credits TMC physicians and staff with helping his wife and him through a terrifying health scare involving their young daughter. Madeline was just 15 months old when she suddenly got very sick, became dehydrated, and eventually started having seizures. “She was in the PICU for a week over Christmas time,” he said. “It was a very scary time for us, but the staff was phenomenal. I can’t say enough good things about the quality of care Madeline received, and the peace of mind we had as her parents. After that experience, I knew I wanted to be involved with Children’s Miracle Network. The radio partnership is the perfect way for me to do that.”

The partnership is also personal for Mrs. Grant, whose daughter MacKenzie was rushed to TMC’s Pediatric Emergency Department after being stabbed in the eye with a pencil in her fifth grade class. “When I answered my phone and heard the words, ‘your child has been in an accident,’ my mind went blank. I panicked,” she recalled. “With all the thoughts swirling in my head about what might happen, and knowing that I needed to keep my emotions in check for her sake, I remember one thing was certain: which hospital to take her to. “The physicians at TMC examined her and ran a series of tests. She needed surgery, but they reassured me everything was going to be OK. And it was. Having her in the hands of good people who were going to make her better – made me feel better.” MacKenzie’s vision has actually improved since before the accident. The collaboration among MIXfm, Children’s Miracle Network and TMC for Children, she noted, is a natural fit: “We look at TMC as Tucson’s hospital. We consider ourselves Tucson’s radio station. We are both involved in the community and are committed to bettering Tucson.” For the Radiothon, the crew powered on like soldiers – broadcasting live out of the TMC Cafeteria for two solid days following their 3 a.m. wakeup calls. It sounds rough, but, believe it or not, having to start their day in the middle of the night was the easy part. “The biggest challenge for me during those two days,” said Curtis, “was trying to adequately relay how much good is happening inside that hospital.”

“I knew it was going to be a difficult couple of days, but I wasn’t prepared for how emotionally draining it would be,” Rich said. “We met so many remarkable families who had been through so much with their children. As they shared their experiences, it was impossible not to empathize with them. I was amazed at their strength and in awe of their resilience. We are honored to have the opportunity to know them and share their stories on the radio. And, when things got overwhelming for us, we were propelled by TMC’s employees. They are like a big family, and we instantly felt like we were part of that family.” The Radiothon raised more than $213,000. Every dollar raised will sustain safety education programs, purchase life-saving equipment, and help deserving TMC families throughout Southern Arizona. The trio stresses that their commitment is ongoing. “It’s not just about a two-day event,” said Mrs. Grant. “It’s about raising money for TMC for Children throughout the year and helping more people understand the scope of good work that’s done at TMC.”

Mrs. Grant, Bobby Rich and Greg Curtis of 94.9 MIXfm

The TMC Foundation Gala was a mod, groovy, out-of-sight success to support TMC for Women as local businesses, physician groups and friends of TMC stepped back into the 1960s! The October event drew 725 guests – the largest Gala turnout to date – plus an impressive showing of sponsorship support from businesses across Southern Arizona, including top sponsors Old Pueblo Anesthesia and Radiology Ltd. The event raised $270,000. Kristin Ashdown and Susan Rogers, volunteer co-chairs, expressed their gratitude: “Our heartfelt thanks to everyone who helped make this possible. We are so humbled by the support of the community.” The money raised will help fund the purchase of medical equipment such as the da Vinci Surgical System, which allows physicians to perform complex procedures through a few tiny incisions and get patients back to their lives faster. The donations

also will provide educational outreach for the community and for physicians and staff who specialize in women’s care. Finally, the money will allow TMC to continue providing services such as the TMC Breast Health Program, which has covered more than 5,800 mammograms for uninsured women in our community since 1998. In lieu of guest gifts, the TMC Foundation provided free screening mammograms to 70 women in the community. TMC recognizes that women have a unique set of needs, and that they respond to care differently than men do. TMC has a long history of caring for women; 2012 marked the 25th anniversary of the dedicated womenonly surgery unit, the Joel M. Childers, M.D., Women’s Surgical Center. The dedicated facility provides an intimate, private and safe environment where women are surrounded by understanding, specialized staff.

LEN AND DORIS CORIS

BOB AND SANDY MAXFIELD

ALAN AND HOPE GREEN

“We believe in the healing power of art, and it is our vision to enhance the environment of TMC with paintings, graphics and sculpture. We hope that our gifts will comfort and benefit patients young and old as well as their families and friends who visit them during a stressful time. We strongly support TMC’s mission and hope that others will be inspired to follow our example and donate and/or bequeath part of their fine art collections to further the goal of healing through art at TMC.”

“Raising dollars in this economy has become increasingly difficult, as there are many organizations in the community that are worthy causes and have many needs. Our most important factor in philanthropic giving is our relationship with the professional staff at the TMC Foundation. Their stewardship of our gifts and ability to keep us informed about the current health care needs of our community continues to deepen our ties with TMC. We are proud of our history with Southern Arizona’s community hospital, and look forward to fostering that relationship for years to come.”

“Our bequest follows our hearts – to give back so that Tucson Medical Center can continue giving to the community. It is uncomfortable to think about our mortality. Dealing with our will was a daunting task we knew had to be done. But we hesitated – for 20 years. It wasn’t until we attended a lecture at TMC about financial health that we began to embrace these issues. It enlightened us and encouraged us to take action. The TMC Foundation became our friends and our support network. They helped us navigate through the intimidating process, and within a matter of months we had peace of mind that our plan for the future was established. We feel fortunate to have TMC in our community and it will always remain our hospital of choice. Thank you, TMC.”

CANCHOLA FAMILY HONORS LATE FATHER JOSÉ with comforting new “Family Room” at TMC

New dads, grandparents, siblings and relatives have a comfortable space to regroup at TMC’s Mother/Baby Unit, thanks to the sons and daughters of José and Carmen Canchola. “I think about all our families – relieved about mom’s safe delivery and basking in the joy of the new addition – and how they’ll now have this wonderful place, thanks to the generosity of the Canchola family members who wanted to honor their late father,” said Michael Duran, vice president and Chief Development Officer, TMC Foundation. The new space is marked by a plaque that honors the gift from José and Carmen Canchola and family. “We think about how much our dad loved us and how excited he was when a new child or grandchild was born,” said Roger Canchola, president and CEO, Arcos De Oro. “Childbirth is all about families and it seemed natural that this be the site to honor our father.” The room, he said, is also a way to honor his father’s long-time support of health care services in Southern Arizona, including co-founding the Ronald McDonald House in Tucson. “We’re going to continue giving back to the community as part of the legacy that my dad started.”

José Canchola, who passed away in 2008, was the first Hispanic member of the New York Stock Exchange. In addition to owning eight McDonald’s restaurants, he fulfilled a lifelong dream of being involved in professional baseball and became a co-owner of the Arizona Diamondbacks. His sons continue the McDonald’s franchises and remain active owners with the Diamondbacks.

The room is getting plenty of use. Millie Scott, a payroll clerk, said it came in handy when she welcomed her first grandson. She said her family used the room to give her daughter a little space and to let her have some private time with visitors. “The view was beautiful and the room was very comfortable. It was a very nice place to gather,” she said.

His interest in civics led him to serve as mayor of Nogales in 1993 and 1994. He also served on many local and national civic and business boards, including the Tucson Airport Authority and Tucson Electric Power.

Patricia Wagner, a nurse in the Mother/Baby Unit, said that anecdote is a common one. “People use it all the time. It’s very cozy and more like a family room instead of being hospital-y,” she said.

Another one of his sons, Bob Canchola, noted with a smile that as someone who had two children born at TMC, he knows a thing or two about how new dads feel. He said the room is an appropriate legacy for his father, given the important role family played in his life.

The room also gives a nod to one of José Canchola’s best known community events: an annual Christmas party in Nogales where more than 50,000 children have been helped over the years. Photos taken at the annual benefit, including a photo of José and Carmen at the last benefit he attended, adorn the wall.

The new space is tastefully decorated in warm tones, with expansive windows that offer guests a view of a beautifully landscaped courtyard shaded by magnolia trees and decorated with sculpture. The room not only provides a comfortable space for family members to give mom some private time in those new precious hours, but is aesthetically focused on creating a healing environment.

A COMMITMENT THROUGH COURTYARDS The Estes Family Courtyard

For long-time philanthropists Shirley and Bill Estes, giving back has always been the right thing to do. “We always felt this community was so good to us that, in turn, we needed to share with the community,” said Shirley.

The Estes Family Courtyard is on the north end of the Mother/Baby Unit, which she noted is “the perfect place for women, children and their visitors to be able to go outside and take a break from being inside hospital walls.”

The family has deep roots in Tucson. Bill was a long-time and very successful homebuilder before he passed away in 2009 and Shirley remains committed to continuing the philanthropic work that has become a cornerstone of her family’s beliefs. “When Michael Duran, TMC Foundation vice president and Chief Development Officer, suggested we sponsor a courtyard, I knew in my heart it was perfect,” she said. “I have always appreciated that TMC has such beautiful courtyards, so it just made sense to me.”

That idea served as the inspiration for landscape architect Karen Cesare, who is also a personal friend of the Estes family. She created the design for the courtyard with laboring mothers in mind, noting that “we wanted to create a nice place for these women to walk outside that was still within the hospital.” The walking path is a modified figure eight, which represents the circle of life, and allows the path to be as long as the space allows. “Research has shown that people enjoy walking in loops rather than walking in a straight line,” Cesare explained. Concrete

was chosen since it’s easy to stroll on and easy to roll an IV pole on. But getting the concrete into the courtyard created a bit of a challenge. “We had to pump it over the roof of the hospital!” she said. “It’s worth it, though, because it’s a durable, smooth surface that will stand the test of time.” The enormous, beautiful pine tree that takes center stage provides much-needed shade, but its huge surface roots posed another problem once construction started. “We were very careful not to damage the tree, so we created a little rise in the concrete – almost like a little bridge – that will preserve the tree and its roots and make the path a little more interesting,” she said. Carved stone spheres add to a beautiful and soothing environment. Everything in the space has been strategically placed to create a calm, serene atmosphere. “My hope is

that every unborn child whose mom walks through there is born healthy and leads a wonderful life,” Cesare said. It’s a hope shared by the Estes family – a family who is an important part of Tucson’s rich history. This dedication etches their name in a hospital that, like the family, focuses on serving the community. Shirley added, “I have no doubt Bill would be 100 percent behind my decision to do this. He spent a lot of time in TMC when he was sick and was always given great care. We’ve never gone to any other hospital than TMC. He would be saying ‘yes, we absolutely need to do this for TMC.’”

THE TEAL SAGUARO

TMC Auxiliary’s new resale boutique

“The rule of thumb is if you haven’t used it for a year, get rid of it,” said TMC Volunteer Services coordinator Christel Pettengill. That pile of unwanted things that are still in fashion and still in pretty good shape can find a new home at The Teal Saguaro, the TMC Auxiliary’s resale boutique. Bargain shoppers who love to stumble upon little treasures are invited to check out the welcoming new emporium, located in the medical park south of TMC at 5395 E. Erickson. There are fabulous deals on secondhand merchandise including clothing and household items, plus a special children’s section that features clothing, toys, books and movies. The boutique provides one response to a longstanding need: How do we care for families who are pulled from their everyday lives during a health crisis?

“Many families leave their home with just the clothing on their back, and are not prepared to stay at the hospital for an extended period of time,” explained Hope Thomas, director, Volunteer Services and Community Programs. “Patients who came in through the Emergency Department and needed to have their clothes cut off would end up leaving the hospital in a gown or old scrubs. We want to do better for these patients and their families. That’s where The Teal Saguaro comes in.” TMC staff members can offer vouchers good at The Teal Saguaro that allow patients and their families to shop for gently used clothing at no cost. As Pettengill noted, “It’s part of our commitment to providing community care.” The boutique also serves as an easy-access resource center for families in need of free booster seats, bike helmets, smoke alarms, and other home safety products.

Whether you are donating or shopping at The Teal Saguaro, it is something you can truly feel good about. Not only does it help the community and TMC’s patients, but donors can get a tax write-off. Karen Simonic is one of about a dozen women on the all-volunteer staff. “People should help support The Teal Saguaro because all of the proceeds go right back to TMC, and TMC is a wonderful hospital.” “One of the many neat things about The Teal Saguaro is that literally everything is donated. And every bit of it helps our patients,” said Thomas. Sales will increase the annual Auxiliary gift to the Foundation by more than $50,000 each year.

For volunteer Shayne Kee, the experience is about more than just organizing, pricing and cleaning the donated items. “I really look forward to spending time with a great group of women,” she said. “It’s social, it’s fun and it serves a great purpose.” Above photo, left to right: Ruth Hannley, Nancy Lynn, Karen Simonic, Shayne Kee

VEST IT UP!

A new model for drowning prevention

Arizona has a long history of child waterrelated incidents and remains second only to Florida in the highest number of pediatric drowning fatalities in the country. The sad reality is that many of these children drown before their 4th birthday. Statistics show children in the 1-4 year age group had the largest percentage of drowning deaths. Older kids are not immune; there was an increase in the number of children who drowned in the 5-9 year age group as well. The real punch-in-the-gut is this: 94 percent of child drowning fatalities were identified as preventable. TMC for Children and Kohl’s Cares® are committed to spreading

awareness about water safety, in hopes of reducing these heartbreaking numbers. Educating parents and children and arming them with the tools to be successful are key. This partnership and the Vest It Up! program provide 550 Tucson area kids with free swim lessons and life-saving personal floatation devices (PFDs) year-round at local YMCA pools. Swim lessons are offered at dates, times and locations that allow families some flexibility.

County, noted that this convenience for families will help the program succeed. “Parents are busy, and the cost of swim lessons can be an issue,” she said. “Vest it Up! addresses both of these issues, while adding additional layers of protection to keep children safe around water. It will have a huge impact on the community – not just the families who will directly benefit from it, but families who learn about the program and decide that now is the time to make their children safer around water.”

Tracy Koslowski, an executive board member for the Drowning Prevention Coalition of Arizona and the chair for Safe Kids Pima

The combination of swim lessons and PFDs is helping to keep Southern Arizona children safer in and around water.

Always remember the ABCs of Water Safety: - Adult Supervision - Barriers - Classes

2012 EVENT ROUND UP

2012 Desert Toyota of Tucson Rock ‘N Rodeo More than 600 friends of TMC Hospice channeled their inner cowboy or cowgirl at the 15th anniversary of the Desert Toyota of Tucson Rock ‘N Rodeo. The March 17 event wrangled up folks to enjoy a gourmet buffet, line dancing, gaming and a silent auction at the JW Marriott Starr Pass. The Western-themed affair has grown to be the largest fundraiser for TMC Hospice, generating more than $196,000 at the most recent event to benefit patients and families needing hospice care. Through the community’s generosity, TMC Hospice can continue providing much-needed emergency funds and therapies often not covered by insurance that improve the quality of life for patients as they transition to the final phase of their lives.

Surgeons vs. Chefs Pumpkin Carving Contest benefiting TMC for Children In a battle of the blades, surgeons from Tucson Orthopaedic Institute faced off against chefs from local restaurants for the third annual Surgeons vs. Chefs Pumpkin Carving Contest at Embassy Suites Tucson-Paloma Village. The October 25 event was as much a competition about precision as it was creativity. On the culinary side, the establishments included Embassy Suites Tucson-Paloma Village, Fleming’s Prime Steakhouse and Wine Bar, BRIO Tuscan Grille, Shlomo and Vito’s New York Delicatessen, Acacia Fine Foods and Cocktails, Loews Ventana Canyon, Hilton El Conquistador, Westin La Paloma and DoubleTree. Dr. Eric Anctil took home the honors for Best Overall Surgeon. The evening raised more than $3,300 for TMC for Children, Children’s Miracle Network.

Hook-N-Slice Golf Tournament benefiting Children’s Miracle Network TMC for Children hosted the 23rd annual employee Hook-N-Slice Golf Tournament at the Hilton El Conquistador Golf Resort on November 9. The tournament is an employee favorite that grows every year as evidenced by the more than 240 players who participated. A round of 18 holes was capped off with lunch and a reception in which tournament and raffle prize winners were announced. The tourney raised a record-setting $46,000 for Children’s Miracle Network. The funds will support life-saving equipment and many health, wellness and safety programs for the children of Southern Arizona.

5301 East Grant Road

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Tucson, Arizona 85712

Choose Well

Report to Our Community / OnCenter 2012 520.327.5461 • www.tmcaz.com