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Connections 2012 Community Benefit Report

Chris Lewis, MD, treating patients in our community and around the world


Contents CEO Letter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01 About UC Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02 Clinical Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04 Education.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06 Research. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08 Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Community. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Diversity.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Sustainability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Partnerships & Collaborations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Awards & Accomplishments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Locations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Community Benefit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

ON THE COVER

UC Health primary care physician Chris Lewis, MD, treats patients in our community and throughout the world. Dr. Lewis founded Village Life Outreach Project, a non-profit dedicated to providing health care in the remote villages of Tanzania. Participants in the program share what they’ve learned in local schools, building connections throughout the world. For more on Dr. Lewis and Village Life Outreach Project, see the Service section on page 11. For more stories like these, please visit our website at UCHealth.com


2012 Community Benefit Report 1

LETTER FROM OUR CEO

UC Health finds itself in the unique position of being both a new organization and one with a long and storied history, going back more than 190 years to the founding of University of Cincinnati Medical Center. Since forming in 2010, UC Health has experienced tremendous growth, increasing our number of physicians to more than 700 and our number of employees to 10,000, growing to 1.2 million patient encounters, and integrating other organizations including University of Cincinnati Physicians, Drake Center and now, Lindner Center of HOPE. In only two short years, UC Health has established a solid foundation of giving back to the community, creating connections and changing lives. We are proud to share these accomplishments with you through our inaugural community benefit report. We’ve continued to build and expand upon our original mission of providing life-changing, patient-centered medical care; driving innovation through groundbreaking research; and educating and inspiring the next generation of health care professionals. At the same time, we remain dedicated to our longstanding tradition of giving back to the community—connecting everything we do to make Greater Cincinnati stronger, healthier and more vibrant. We provide the best care by offering a highly-trained and deep bench of experts, a unique range of services and an unparalleled commitment to the community. This degree of specialized care is provided regardless of a patient’s ability to pay. We are the safety net hospital for our entire region—extending beyond Greater Cincinnati north to Dayton, west to Indianapolis, south to Lexington and Louisville, and east to West Virginia. But our contribution to the community is much wider than this. In this report, you’ll learn how UC Health connects with the communities where we serve and live; specifically, how our role as the area’s only academic medical center focused on clinical care, education and research helps to improve lives in our communities. These achievements are made possible by the dedicated physicians, nurses, clinicians and administrators who believe in the commitment to our region as a growing, thriving community for today and for the future. Sincerely,

James A. Kingsbury, FACHE President & CEO, UC Health


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ABOUT UC HEALTH

UC Health brings together the region’s top clinicians and researchers to provide worldclass care to our community. Continually recognized for excellence and backed by the academic strength of the University of Cincinnati, one of the nation’s top 25 public research universities, UC Health is revolutionizing how discoverydriven care is delivered. UC Health’s mission is to provide lifechanging, patient-centered medical care, to drive innovation through groundbreaking research and to educate and inspire the next generation of health care professionals—connecting three key elements into a powerful mission that drives our community forward. UC Health includes University of Cincinnati Medical Center, ranked one of the best hospitals in the region by US News & World Report; West Chester Hospital, the region’s newest hospital; Drake Center, Cincinnati’s premier provider of longterm acute care; University of Cincinnati Physicians, Cincinnati’s largest specialty practice group with more than 700 boardcertified clinicians and surgeons; Lindner Center of HOPE, the region’s leading mental health center; and the UC Cancer Institute, the UC Cardiovascular Institute, the UC Neuroscience Institute and the UC Diabetes and Metabolic Diseases Institute.


4 UC Health

Clinical Care On every front, UC Health provides life-changing, patient-centered medical care. The depth and breadth of our services is unparalleled. Through our scope of services, we are improving health care and thus improving the health of our region. Our patient-centered, multidisciplinary approach to health care means we have UC College of Medicine faculty, community physicians, residents, nurses and researchers all working together to provide top patient care at every level. Our approach helps attract top doctors from best-inclass organizations including The Mount Sinai Medical Center, University of Pittsburgh Medical Center, Johns Hopkins Medicine, Cleveland Clinic and the University of Michigan. This is in addition to the physicians from around the world that we’re training every day. UC Health offers patients several institutes and centers of excellence, which provide treatment for complex health problems. We’re also home to the area’s only Level 1 trauma center: University of Cincinnati Medical Center. Our trauma and emergency medicine teams stand ready when serious injuries and illnesses occur. UC Medical Center features a series of highlyKeith Wilson, MD, UC Health head and neck surgeon, performs innovative treatments at the Barrett Cancer Center.

specialized intensive care units dedicated to serious medical conditions such as strokes, heart attacks and premature newborns. If patients can’t come to us, we go to them. UC Health is home to Air Care, the region’s only hospital-based helicopter ambulance program featuring a flight physician and nurse.

700

Number of UC Health physicians; the largest number in our area.

As Cincinnati’s northern suburbs continue to thrive, we’ve expanded services at the region’s newest hospital: West Chester Hospital. We are frequently the first in Ohio to perform innovative procedures, for example: the first robotic gastric band surgery, the first in Cincinnati single-site robot-assisted gallbladder removal and the first full robot-assisted allograft nephrectomy. These innovations translate to less pain, shorter stays and faster recovery for patients.

Patient Case Study

John Cullen Mason police officer John Cullen suffered a traumatic brain injury while riding his bicycle and was airlifted to University of Cincinnati Medical Center. He underwent emergency surgery to relieve pressure on his brain. John spent 14 days in the Neuroscience Intensive Care Unit, after which he was transferred to Drake Center for inpatient and outpatient rehabilitation, including physical, occupational and speech therapies. He’s now back at work full time at the Mason Police Department and says, “I wish this never would have happened, but I’m glad University of Cincinnati Medical Center and Drake Center were here to get me through it.“


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Many of our services are setting the standard of excellence in health care. There are very few illnesses we’re unable to treat, which means patients can stay in their own homes, neighborhoods and communities. By not having to travel out of state for care, patients have access to their support network of family and friends, which can make the difference for a successful recovery. UC Health provides care throughout the recovery process—a full continuum of care—connecting patients with resources they need. From Air Care to trauma care to acute care, long-term acute care and outpatient care—we have the ability to manage the whole patient throughout the treatment process. Our services evolve to meet changing community needs—the UC Diabetes & Metabolic University of Cincinnati Medical Center is home to the area’s only adult Level 1 trauma center. Top: UC Health provides state-ofthe-art clinical care to its patients. Telestroke allows our specialists to remotely care for stroke patients at other hospitals. Please see page 17 for more.

Disease Institute at UC Medical Center is developing leading clinical care and research programs related to treating diabetes and obesity, which will affect one in four Cincinnatians. UC Medical Center also recently introduced the region’s only academic hematological malignancies and bone marrow transplant program. Additionally, West Chester Hospital launched a specialty in orthopaedics in response to increasing need for joint replacements. In January 2012, Cincinnati Magazine named 179 UC Health physicians as “Top Docs” in their field, representing 27 percent of the overall list. But it’s not just the quality of care where we excel—our patients feel welcomed, supported and listened to. As a result, we regularly receive top consumer preference awards. In fact, West Chester Hospital received the 2012 HealthGrades Outstanding Patient Experience Award, ranking it among the top 10 percent of hospitals nationally; while UC Medical Center once again was named one of the best hospitals in the region by US News & World Report. At UC Health, we’re constantly looking toward the future—looking for better approaches, life-changing treatments and a better way to serve our patients and the community.


6 UC Health

Education UC Health is supported by the academic strength of the University of Cincinnati, and our link to its College of Medicine is what makes us unique in the region. Our education mission has a tremendous positive impact on the community: we’re training the health care providers of tomorrow. If you receive care from a physician in Greater Cincinnati, there’s an excellent chance he or she received a portion of their training at UC Health or the UC College of Medicine. For instance, of the 750 area physicians named to Cincinnati Magazine’s 2013 Top Doctors list, 54 percent received all or a portion of their training at UC Health or the College of Medicine. Our combined mission and foundation as an academic medical center is a tremendous draw to high-quality medical students. Many physicians who complete their training here ultimately choose to practice in Greater Cincinnati. This creates a healthy pipeline of young physicians in the region. Kai Huang, MD, completed his residency at UC Medical Center and now practices with UC Physicians. He also sets aside time to precept, or mentor, residents at UC Medical Center.

LEADERS IN EMERGENCY MEDICINE TRAINING

We’ve made an immeasurable contribution to the field of emergency medicine and trauma care, establishing the first emergency medicine residency program in the nation in 1970. The medical residents we train go on to advance trauma care across the country and around the globe. Today, one third of top academic emergency department leaders in the country trained at UC Health, including emergency medicine leaders at University of Cincinnati Medical Center and West Chester Hospital.

MEETING GROWING DEMAND

In response to the predicted shortfall of health care providers, the College of Medicine has increased the number of resident and fellow physicians that it trains to more than 1,000 across all specialties. More than 600 of them are employed by and participate in patient care within the residency and fellowship training programs at UC Medical Center. As many of our graduates choose to stay and practice in our region, Greater Cincinnati is achieving a level of insulation from that predicted shortfall.

54%

of Cincinnati Magazine’s 2013 Top Doctors trained at UC Health or the College of Medicine.

INNOVATION IN EDUCATION

UC Health and the College of Medicine are innovative in the way we train the medical minds of tomorrow, with programs like first responder training and clerkship training. Both offerings provide first-year medical students with earlier exposure to real-world patient care.


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We take a holistic approach to medical education. In addition to traditional education partners, we work with the UC Department of Psychology and the UC College of Education, Criminal Justice and Human Services to help medical students and residents understand what drives patient behavior and how to more effectively educate patients to better care for themselves. UC medical students complete some of their training at Drake Center, making UC one of the few medical schools to include long-term acute and pulmonary care in the curriculum. UC’s CARE/Crawley Building offers 240,000 square feet of lab, research, teaching and library space.

As the health crisis of diabetes looms ever larger, we continue to work with patients, family

Top: Medical students learn patient care skills in UC’s Simulation Center.

this growing epidemic. UC College of Medicine graduate and current assistant professor Eric

members, care providers and physicians to provide tools, education and intervention to curb Warm, MD, is analyzing diabetes management in primary care practice. The findings are used to educate both patients and health care providers in providing life-changing results. In addition to educating the physicians who will provide care in our region for decades to come, we’re also populating clinical laboratories with biochemists and molecular biologists. This provides a deeper level of support for health care advances.

Case Study

Making Medical Students Stronger, Sooner Traditionally, medical students don’t see patients until their third year. In 2011, University of Cincinnati Medical Center and the UC College of Medicine changed that. Now first year students undergo first responder training. It’s not quite an EMT program, but they learn basic emergency care. This means more first responders are available in the community. We’re also partnering with the UC College of Medicine to implement a clerkship program. In this program, medical students spend time working with primary care physicians at UC Health and other hospitals. Seeing patients and providing care early in their training provides students with real-world knowledge. This education helps them better understand, absorb and apply the material they’re learning in the classroom. It also enables them to become better physicians.


Research Our success in research is closely tied to our 190-year association with the University of Cincinnati and the University of Cincinnati College of Medicine. We’re known for being the research institution in our region, conducting and supporting research that raises the level of care for the entire community—helping our patients get better faster, and laying the foundation for better and even more innovative treatments. UC Health offers patients access to the latest clinical trials, which turn science into treatment. Through the Phase 1 Experimental Therapeutics Program at the UC Cancer Institute, patients who have exhausted all other treatments have access to the latest experimental methods and medications. We’re the world’s leading institute for bipolar research, and we’re making advances in environmental health, including understanding how exposure to toxins creates disease and how to prevent those diseases. Our focus on research helps attract top physicians and specialists because UC Health C-STARS training simulation observation area.

provides them the opportunity to conduct and apply research. That results in innovations including new product lines, new medical devices, new drugs and new treatments that raise the bar for health care.

Case Study

Partnership with U.S. Military Providing care to wounded soldiers in the field is a critical requirement for the U.S. Military, and transporting patients suffering from concussive injuries is a particularly delicate problem: moving them at the wrong time may exacerbate the injury. UC Health is partnering with the U.S. Air Force in the C-STARS (Center for Sustainment of Trauma and Readiness Skills) program, which provides training for military medical personnel in the areas of trauma and critical care. This leading-edge program not only provides training but also creates researchbased strategies that save lives.


$37M

Donated by UC Health to Medical Research and Health Professions Education

NEW RESEARCH FRONTIERS – BEYOND THE LAB

We’re extending beyond traditional health care research to focus on behavioral care— partnering with the University of Cincinnati sociology and economics departments to better understand what motivates our eating habits, our lifestyle choices and our daily decisions. That understanding helps build a framework for better decision-making, which leads to healthier lives. Partnerships with the UC Colleges of Engineering and Applied Science and Design, Architecture, Art and Planning are addressing underlying causes of illnesses, improving health not just for individuals, but for the whole community. And we’re looking for more opportunities to collaborate and drive innovation every day.

FROM BENCH TO BEDSIDE: TRANSLATIONAL RESEARCH

UC Health physicians are also scientists. They focus on bench-to-bedside translational research, finding new ways to apply what we learn in the lab into bedside care for patients. This approach helps us achieve our mission of providing life-changing care. UC Health, Cincinnati Children’s Hospital Medical Center and Cincinnati Veterans Affairs Kim Seroogy, PhD, a scientist at UC, studies the link between Parkinson’s disease and depression. The UC Neuroscience Institute partners with the College of Medicine to advance care for patients with neurological conditions.

Medical Center are working with the University of Cincinnati to develop translational research advances. We are a key partner on a large grant from the National Institutes of Health to UC aimed at creating an “academic home” for clinical and translational science. The grant provides support for researchers and health-minded community agencies and engages community physicians in research. It has already spawned community programs focused on health issues facing minority populations. UC Health’s commitment and vision for research is a key component of the benefit that we provide to the community and to the broader world; we wouldn’t be who we are without it, and neither would the community we serve.


10 UC Health

Service A substantial part of what UC Health provides to the community is in fulfilling the role of caring for the region’s most vulnerable patients—providing life-changing, patient-centered care regardless of the patient’s ability to pay. It’s as much a part of who we are now as it was nearly 200 years ago. PROVIDING THE SAFETY NET FOR OUR COMMUNITY

Without access to health care, communities see a terrible exacerbation of crime, poverty and other societal ills that can be traced to poor health, including lack of access to psychiatric care. This makes safety net care an issue for the entire community. As University of Cincinnati Medical Center Vice President of Medical Affairs John Deledda, MD, says, “It would be devastating if we couldn’t provide this level of care. I don’t know where underserved patients would go.” UC Health believes in providing the best available care to everyone, in all situations, regardless Drake Center’s Skilled Nursing Unit combines expert physical therapy and nursing services to provide short-term care for specific patient populations. Top: Mercedes Falciglia, MD, an endocrinologist, helps educate patients about diabetes. UC Health formed the UC Diabetes & Metabolic Diseases Institute to combat this growing epidemic.

of their ability to pay. We empower and reward our physicians for focusing on the individual and making decisions based on what is truly best for that patient. We believe in our role of providing care for working families unable to afford health insurance, and are proud to provide it.

BUILDING THE QUALITY OF LIFE

Our role extends into the day-to-day challenges that affect the quality of life for everyone in our community. UC Health plays an integral role in this process, offering wellness programs, providing employment and improving the lives and livelihoods of families. The services we provide matter to hundreds of thousands of individuals every day.


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We’re also ahead of the national movement for an increased emphasis on preventive care. UC Medical Center, along with other UC Health sites, routinely provides screenings and other services at health fairs, community events, churches and skilled nursing centers. At UC Medical Center, the associates who donate their time outside of work to staff these events are known as the community ambassadors. These dedicated men and women participate in health screenings at dozens of events each year, including the Black Family Reunion and Cincy Cinco. Veer Patel, MD, helps counsel a patient at the internal medicine clinic at UC Medical Center. Rachel Foot, MD, a resident, observes the visit.

GLOBAL CITIZENS

UC Health physicians are passionate about helping others. They often engage in extraordinary efforts beyond their clinical practice. As a case in point, Village Life Outreach Project was founded by Chris Lewis, MD, a UC Health primary care physician. This non-profit has treated more than 10,000 patients in Tanzania, Africa, through its ongoing mission trips. In addition to providing health services internationally, it provides vital education in our community. Health care professionals who have participated in the program share what they’ve learned in 30 local schools, helping students of all ages become better, more well-rounded global citizens. The space for their Cincinnati-based headquarters was provided by an in-kind donation from UC Health. Our vision of community extends globally, providing life-changing care abroad in addition

$48M Donated by UC Health to Traditional Charity Care

to our local efforts. We’ve funded mission trips to Haiti following devastating earthquakes and other natural disasters. These efforts, led by Jordan Bonomo, MD, UC Health emergency medicine physician and Cincinnati Business Courier “40 Under 40” winner, included setting up medical stations and volunteering in local hospitals.

Case Study

Reducing Infant Mortality in Our Community Even today, infant mortality rates are a serious health problem in our community, and UC Health is on the front lines leading the fight to reduce them. We’re providing education and support for underserved mothers and their children, including pre-natal care, regular checkups and other health services that support healthy infants and children. This includes partnering with community health centers to provide critically needed equipment such as travel cribs for homeless mothers, providing a safe place to sleep for infants otherwise at a higher risk of suffocation.


12 UC Health

Community By definition, no one lives in a community alone—we rise together or sink together. Our vision is to ensure that we all rise, and to improve quality of life in our community through supporting the neighborhoods in which we live and work. We have a deep awareness of our responsibility, providing health care services no one else can—reaching out to the underserved and finding innovative ways to provide preventive services as well as access to follow up care. From partnering with local schools to participating in health fairs and hosting health education talks, from blood drives to providing meeting spaces and community wellness programs, we work side by side with our partners to build a stronger foundation for our region to grow and thrive. In 2012, West Chester Hospital hosted the second UC Health Safety and Wellness Festival. Approximately 800 people attended this informative and engaging event, which featured on-site health screenings as well as representation from 40 emergency medical services agencies, community organizations and businesses. West Chester Hospital’s Through a donation by West Chester Hospital, the Deerfield Township Fire Department unveiled its new pink fire truck in 2012. It’s covered in handwritten messages by breast cancer survivors and family members of those who lost their battle with cancer.

community health seminars are a big hit with local citizens. These monthly seminars have been drawing capacity crowds and rave reviews from attendees for the information they provide. Topics in the past year have included healthy aging, back pain, diabetes and women’s health, and the popular program continues to grow. Support groups are an important part of recovery for patients who’ve suffered lifechanging injuries or illnesses. We not only provide meeting space, but also publicize the groups so the people who need them find out about them. Groups for spinal cord injury, traumatic brain injury and stroke at Drake Center are just a few we help support.

Patient Case Study

Kelly Marsh, START Life Again Cincinnati resident Kelly Marsh had a hemorrhagic stroke at age 36. Emergency brain surgery at University of Cincinnati Medical Center saved her life, and she spent two weeks in the Neuroscience Intensive Care Unit followed by four weeks at Drake Center. Outpatient therapy helped Marsh to improve further, but she was determined to regain total independence. She wanted to travel with her husband, drive a car, read novels and exercise. The outpatient START stroke recovery program at Drake provided therapies and technologies that helped her advance her long-term recovery; she’s now accomplishing new goals every day thanks to START.


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$10M

Donated by UC Health to Community Health Improvement

NEW HOPE FOR STROKE SURVIVORS

One of the first of its kind in the country, Drake Center developed START—Stroke Team Assessment and Recovery Treatment—a program for stroke survivors who are passionate about a fuller recovery. In affiliation with the UC Neuroscience Institute and University of Cincinnati Medical Center, START begins with a two-hour assessment by seven clinical specialists to determine if additional resources, treatments or research studies might be helpful. This innovative program provides new hope for survivors months and even years after a stroke. START recently celebrated its 200th patient, with many more success stories to follow.

WELLNESS MATTERS

UC Health offers a variety of programs to encourage wellness in our community. Our specially outfitted Drake Center gym offers “Next Step,” a fitness program giving individuals continued use of therapy equipment as an alternative to community gyms with the goal of maintaining an optimal fitness level after discharge. A warm-water Aquatic Center, Pilates, Tai Chi and specialized exercise classes are also available to the community. The UC College of Medicine offers the Mini Medical College, an innovative program that The second annual UC Health Safety & Wellness Festival was held in October 2012 at the West Chester Hospital campus, and featured physician lectures, health screenings, demonstrations, games and an array of emergency response vehicles for all to enjoy. Top: Drake Center’s warm-water Aquatic Center offers individual and group therapies, and community wellness classes. A hydraulic movable floor helps ease access for certain patient populations.

raises awareness and educates interested community members on medical issues facing our society. UC Health faculty physicians lead many of these sessions. Nearly 200 people “graduate” from the Mini Medical College each year.

FORMING THE FOUNDATION

We’ve recently formed the UC Health Foundation to raise and distribute funds for health care-focused philanthropic projects, extending our ability to make a positive impact far into the future of our community by providing better access and availability to health care.


14 UC Health

Diversity UC Health believes diversity is a critical aspect of a successful and thriving organization that’s part of a healthy community. Reflecting the makeup of the community we serve not only creates opportunities and job growth, but also creates a sense of connection and unity. That benefits us all. UC Health believes in hiring the best and the brightest, and is recognized as a key developer of talent in the region. As a byproduct of our philosophy to recruit and retain top skilled diverse talent, our minority employee population hovers above 30 percent. According to the Greater Cincinnati Health Council, the average minority employee population for hospitals in our area is 15 percent. It’s another sign that UC Health is a pioneer in both clinical activities and business practices.

UC Health helps incubate diverse suppliers by hosting a weekly meeting where they can present their services and meet key decision makers from local companies.

OPENING DOORS IN UNPRECEDENTED WAYS

UC Health has awarded more than $150 million in contracts to minority- and women-owned businesses since implementing our supplier diversity program in 2005. Our bid process is open, competitive and inclusive. It’s also designed to ensure the best value, quality, safety and price which ultimately benefits our patients. We host a landmark weekly meeting for diverse suppliers, which averages 50 attendees and helps introduce local business owners to our bidding process as well as providing valuable access to executives from UC Health and other participating companies.

33%

Workforce diversity versus 15% for similarly sized health care systems.

Our supplier diversity program has won multiple awards, including the Corris Boyd Leadership Award from the Federation of American Hospitals, the Spirit of Diversity Award from the South Central Ohio Health Care Supplier Diversity Symposium and Contracting Professional of the Year from the Journal of Health Care Contracting. We’re honored by awards and accolades, but most proud of the positive impact we’ve had in fulfilling our vision for diversity in our organization, community, and world.

Case Study

Driving Success Implementing the Epic electronic health record system meant rapidly training a large team. Cincinnati-based Partners in Projects set up a multisite training facility on a short timeline; sourcing furniture from existing locations kept costs down and also contributed to sustainability efforts. Partners in Projects President & CEO Mark Wilson notes, “We’re working with people who care; they don’t treat us as a small vendor even though the scope of what we’re doing for them is small. They inspire us to do our best, to be there at the last minute, and to find a way to make it work.”


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Sustainability At UC Health, we believe that stewardship of the environment is important, and we support green initiatives through a wide range of programs. Beyond recycling e-waste, paper, toner cartridges, batteries and plastic, we’re implementing innovative ideas to reduce our carbon footprint. We’re also connecting sustainability with financial stewardship, cutting costs and reducing our environmental impact—a critical connection. ENERGY STAR CERTIFICATION

In 2011, West Chester Hospital became the only hospital in the state of Ohio and one of only 100 in the U.S. to earn ENERGY STAR certification from the U.S. Environmental Protection Agency. To qualify, a building must be in the top 25 percent of similar facilities for energy efficiency nationwide. It must also meet strict energy efficiency performance levels established by the EPA. West Chester Hospital was built from the ground up to be green, featuring energy-efficient UC Health has diverted more than 8.5 tons of plastic from landfills by participating in the “Greening the OR” initiative. Top: West Chester Hospital earned the U.S. Environmental Protection Agency’s (EPA’s) ENERGY STAR certification in 2011, the only hospital in Ohio to do so that year.

tankless water heaters and automated lighting controls. State-of-the-art heating and cooling systems automatically adjust for seasonal and weather-related temperature variations.

GREENING THE OR

“Greening the OR” is another initiative where UC Health is making a difference. The operating room generates up to 30 percent of a hospital’s total waste volume, so reducing that output matters. Through this innovative program, which recycles medical plastics and sterile packaging used in operating rooms, UC Health has diverted more than 8.5 tons of plastic from landfills. UC Health was recognized by the Cincinnati Business Courier as a finalist for the 2012 Green Business Awards for our leadership role in this program. More than 50 percent of our copy paper is now recycled, resulting in a tremendous impact on our carbon footprint. We’ve recycled more than 40,000 pounds of e-waste, 6,400 pounds of batteries and 1,500 pounds of plastics. Looking forward, we’re experimenting with new sustainability programs, including a reprocessing program for single-use devices and a trial of reusable plastic wrap.


16 UC Health

Partnerships & Collaborations UC Health develops strong relationships with widely varied organizations, from medical collaborations with Cincinnati Children’s Hospital Medical Center to exciting endeavors with community agencies and local schools. We’re constantly seeking new ways to have a positive impact through the connections we make. Our innovative collaboration with Cincinnati Children’s Hospital Medical Center is easing the transition to adult care for pediatric patients managing chronic conditions such as diabetes or cystic fibrosis. Medicine has traditionally viewed the patient’s life in two distinct segments: pediatric and adult. But that approach doesn’t account for the mental and emotional aspects of the sometimes challenging transition for patients coping with lifelong illnesses. This often results in patients discontinuing the care they need to maintain quality of life; UC Health and Cincinnati Children’s are working together to help them establish a sense of independence and provide the skills necessary to manage their chronic illness. More than 40 area organizations and businesses took part in our Safety and Wellness Festival at West Chester Hospital. Top: Medical personnel from the U.S. Air Force engage in simulated training activities at UC Medical Center as part of the C-STARS program.

We’ve partnered with Cincinnati Children’s and the University of Cincinnati College of Medicine to create the Cincinnati Cancer Center. This innovative collaboration is linking clinical research resources to advance cancer treatments. It puts shared infrastructure in place to provide the scientific and intellectual resources that will enable the three institutions to increase the scope of internationally significant research. With strokes, seconds count. UC Medical Center and the UC Neuroscience Institute have launched the UC Health Telestroke Network, the region’s only telemedicine partnership


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dedicated to stroke care. Telestroke robots feature two-way video, can securely transmit medical data and can be manipulated by our specialists to interact with referring physicians, nurses, patients and family members. This endeavor extends the expertise of our neurologists and emergency medicine physicians to regional partner hospitals. Beyond hospitals and higher education institutions, UC Health has partnered with the U.S. Air Force on the Center for Sustainment of Trauma and Readiness Skills (C-STARS) program. This program provides training to military medical personnel on caring for wounded soldiers while transporting them out of the field. UC Medical Center was chosen Athletes with the University of Cincinnati athletics department receive training and care from UC Health sports medicine specialists.

for this select program due to its reputation as a premier teaching facility. We’re also working with behavioral health agencies and counseling services to find primary medical homes for those who lack access to them. This ensures patients receive both the medical and socio-economic assistance they need to live productive lives. UC Health is proud to partner and collaborate with a variety of organizations, including the following: • American Cancer Society

• Shared Harvest

• American Heart Association

• The Community Foundation of West Chester/Liberty

• Cincinnati Cancer Center • Cincinnati Children’s Hospital Medical Center

• U.S. Air Force • United Way

• Cincinnati State Technical and Community College

• University of Cincinnati Athletic Department

• Department of Veterans Affairs

• University of Cincinnati College of Design, Art, Architecture and Planning (DAAP)

• Great Oaks Career Campuses • Greater Cincinnati Health Council • Hartwell Elementary School • Health Care Access Now • Lakota Local School District • Lincoln Heights Health Center • Matthew 25 Ministries • Queen City Links Women’s Health Fund

• University of Cincinnati Department of Economics • University of Cincinnati College of Engineering • University of Cincinnati College of Medicine • University of Cincinnati Department of Sociology


18 UC Health

Awards & Accomplishments UC HEALTH

• Received Spirit of Diversity Award from South Central Ohio Health Care Supplier Diversity Symposium • Received Federation of American Hospitals Corris Boyd Leadership and Diversity Award • Launched “Greening the OR” program to reduce surgical waste. 8.5 tons of waste diverted • Received multiple American College of Radiology accreditations, including: CT scanning, MRI, ultrasound, breast ultrasound, vascular imaging, digital mammography and nuclear medicine imaging

• Received the Get With The Guidelines® – Heart Failure Bronze Quality Achievement Award from the American Heart Association for efforts in improving the care of heart failure patients • Awarded Advanced Certification in Heart Failure Treatment by the Joint Commission. Met disease-specific care requirements for safe and successful inpatient to outpatient transitions of care • Ranked as one of the Best Regional Hospitals in Southwest Ohio/Northern Kentucky by U.S. News & World Report • Opened new 8th floor of hospital, adding approximately 60 beds to the hospital’s capacity • Debuted new EC145 helicopter

UNIVERSITY OF CINCINNATI MEDICAL CENTER

• Recognized as a Top 100 Cardiovascular Hospital by Solucient, a leading health care information content company • Barrett Cancer Center at University of Cincinnati Medical Center received three-year accreditation renewal and commendation from the American College of Surgeons (ACS) and its Commission on Cancer

• Named “2012 Large Business of the Year” by the Northeast Cincinnati Chamber of Commerce • Received the 2012 HealthGrades® Outstanding Patient Experience Award™ • Recognized as one of the nation’s “100 Best Hospitals for Spine Surgery for 2012–2013” by HealthGrades®. The only hospital in Greater Cincinnati to achieve such a distinction • Received Emergency Center of Excellence certification for Emergency Department—one of two in Ohio to receive this recognition

• First hospital in the tri-state region to receive Advanced Disease-Specific Care Certification for Ventricular Assist Device (VAD) by the Joint Commission • Designated a Premium Cardiac Specialty Center by UnitedHealth

WEST CHESTER HOSPITAL

• Relocated Psychiatry Services to nearby Deaconess Hospital under a lease agreement. Allowed for additional beds and new older adult psychiatry service • Unveiled new exhibit highlighting University of Cincinnati Medical Center’s near 200-year history, including medical advancements and breakthroughs • Launched telestroke program, partnering with West Chester Hospital and regional hospitals to enhance care for patients suffering from stroke

• Recognized by Butler County United Way as a Top 10 Contributing Company for outstanding support • Performed 1st Robotic-Assisted Gastric Band Placement in Ohio • Opened outpatient pharmacy and pharmacotherapy clinic • Received EPA ENERGY STAR Certification – one of fewer than 100 hospitals in the U.S. to earn the designation


2012 Community Benefit Report 19

DRAKE CENTER

• Received 2012 Skilled Nursing Facility Five Star Rating • Awarded Excellence in Dementia Care by Alzheimer’s Foundation of America. Bridgeway Pointe Assisted Living is the first in Ohio to receive this award • Press Ganey patient satisfaction scores consistently rank in the 90th percentile or higher • Introduced da Vinci® Si™ Surgical System for gynecologic, oncologic/ gynecologic, urologic, weight loss and general surgery • One of first hospitals in Cincinnati to perform Single-Site da Vinci Robotic Surgery for gallbladder removal

• Celebrated 200th patient in its START stroke recovery program, one of the first of its kind in the country for stroke survivors who are months or years post-stroke and passionate about a fuller recovery

UNIVERSITY OF CINCINNATI PHYSICIANS

• Recognized by Best Doctors in America, with 168 physicians ranked • Honored by Cincinnati Magazine, with 148 physicians named to its Top Doctors in Cincinnati list • Placed 57 physicians on the Top Doctors in America list by U.S. News & World Report

• Introduced Ekso, a bionic exoskeleton that helps spinal cord injury patients walk. Drake was the first in the region and 20th in the world to launch this service

Our Locations With the region’s only Level 1 trauma center located in the heart of Cincinnati, UC Health has long been a destination health care provider for our community. But UC Health is much more—we’re in every neighborhood throughout our community—from West Chester Hospital to many convenient UC Physicians offices throughout Greater Cincinnati, Northern Kentucky and Southeastern Indiana. We’re in your neighborhood, providing an unmatched level of expertise and patient care. University of Cincinnati Medical Center 234 Goodman Street Cincinnati, OH 45219 (513) 584-1000

Drake Center 151 West Galbraith Road Cincinnati, OH 45216 (513) 418-2500

University Pointe Surgical Hospital 7750 Discovery Drive West Chester, OH 45069 (513) 475-8300

West Chester Hospital 7700 University Drive West Chester, OH 45069 (513) 298-3000

Lindner Center of HOPE 4075 Old Western Row Road Mason, OH 45040 (513) 536-HOPE (4673)

University of Cincinnati Physicians Please see page 21 of this report for a comprehensive listing of locations. (513) 475-8000


20 UC Health

Community Benefit Traditional Charity Care

$48,243,494

Subsidized Health Services

$24,022,775

Unpaid Cost of Medicaid

$16,130,146

Health Professions Education

$37,288,647

Medical Research

$40,654

Community Health Improvement

$10,161,436

Community Building Activities

$473,432

Financial & In-Kind Contributions

$2,395,424

Total Benefits for the Community

$138,756,008

Patient Care

Education & Research

55% Traditional Charity Care

1% Medical Research

27% Subsidized Health Services Clinical services provided to the community despite a financial loss. Examples include OB services, renal dialysis, behavioral health, dental services and sexual assault nurse examiner.

99% Health Professions Education

18% Unpaid Cost of Medicaid These shortfalls exist when our hospitals receive payments that are less than the cost of caring for Medicaid patients.

Community Investment

78% Community Health Improvement Health fairs, clinics, seminars, health promotion and wellness programs, community calendars and newsletters. 4% Community Building Activities Economic development assistance, adopta-school efforts, advocacy of community health and support groups. 18% Financial & In-Kind Contributions Donation of equipment/medical supplies, in-kind donations of services and meeting room/space for community events and sponsorships of community events.


Inpatient and outpatient services available in the following communities:

Ohio Adams County Anderson Brown County Clifton Fairfield Forest Park Harper’s Point Hartwell Kenwood Kettering Mason Montgomery Mt. Auburn Red Bank Springdale Trenton West Chester Western Hills Wilmington Wyoming

Kentucky Florence Lexington Maysville Southgate

Indiana Aurora Batesville Greensburg Madison North Vernon Rushville


UCHealth.com


UC Health Community Benefit Report