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A New Name. A New Day in Health Care.

2012 Annual Report

Our Mission To improve the health of our communities through healing, caring and teaching.

Our Vision Best outcome — every patient, every time.

You are aware that Iowa Health – Des Moines changed its name to UnityPoint Health – Des Moines. However, did you know this is much more than a name change? It represents our commitment to surround our patients with care that is coordinated among primary care physicians and specialists, hospitals and home health services. It is a focus that is consistent with our vision to provide the best outcome for every patient, every time. It is a patient-centered model of delivering care that focuses on coordinating a team around our patients to help them get well sooner and stay as healthy as possible. We think everyone can agree it’s better to be healthy at home than to be ill in the hospital. UnityPoint Health – Des Moines is building an organized system of health care right here in Central Iowa to meet the needs of our community. We are led by nearly 290 physicians and providers working in more than 50 UnityPoint Clinic locations. They are supported by our state-of-the-art UnityPoint Health – Des Moines hospitals and cancer center along with our home health care services, UnityPoint at Home. In the following pages, we want to share with you important information regarding our new brand promise and what the future of health care looks like for UnityPoint Health – Des Moines. In addition, we want to recap our accomplishments along with commitment to our community for 2012. A new day has come in health care. And, we are proud of our role within this transformation. We look forward to working with you and continuing our mission of improving the health of our community through healing, caring and teaching. Sincerely,

Eric Crowell President and CEO Toby Joseph and Eric Crowell

Burton ‘Toby’ Joseph Chair, Board of Directors 1

UnityPoint Health: How it All Started In 1993, UnityPoint Health got its start right here in Des Moines, when Iowa Methodist and Iowa Lutheran merged to form Iowa Health System. At the time, the merger created the state’s largest provider of hospital and health-related services. Since then, UnityPoint Health has grown to encompass eight major geographic regions in Iowa and Illinois. “The way we deliver health care is fundamentally changing,” said Eric Crowell, president and CEO of UnityPoint Health – Des Moines. “And as a result, a new name was needed to reflect our growth and our new way of providing care by putting the patient at the center of everything we do. Our team of doctors, specialists and home care providers are united in purpose to achieve best outcomes for our patients. Our new system name better expresses that.” The change to UnityPoint Health follows several years of innovation and discussions between the organization’s regions, board of directors, physician leadership and management teams regarding health care changes and how to best position the organization for the future.

Today, UnityPoint Health (UnityPoint Health – Des Moines’ parent company) is one of the nation’s most integrated health systems. Through relationships with more than 900 physicians and providers working in more than 280 UnityPoint Clinics, 29 hospitals in metropolitan and rural communities and home care services throughout its eight regions, UnityPoint Health provides care throughout Iowa and Illinois. The eight regions within UnityPoint Health (named for the largest city within that region) are: • Des Moines, IA • Cedar Rapids, IA • Dubuque, IA • Fort Dodge, IA

• Peoria, IL • The Quad Cities • Sioux City, IA • Waterloo, IA

“While the name of our organization will change to reflect our focus on integrated care coordination, UnityPoint Health and UnityPoint Health – Des Moines will continue to provide the highest quality of patient care available,” Crowell said. “It’s our mission and commitment to patients and families.”

The point of unity is you. The UnityPoint Health – Des Moines Family


Iowa Methodist Medical Center 1200 Pleasant Street | Des Moines, IA

Iowa Lutheran Hospital

700 East University Avenue | Des Moines, IA

Methodist West Hospital

1660 60th Street | West Des Moines, IA

Blank Children’s Hospital

1200 Pleasant Street | Des Moines, IA

The History of UnityPoint Health 2004 1993 Iowa Methodist Medical Center, Blank Children’s Hospital and Iowa Lutheran Hospital merge to create Iowa Health System, which would eventually become Iowa Health – Des Moines

Unity Health Care, which would later become Trinity Muscatine, affiliates with Trinity Regional Health System


Iowa Health System is rated one of the best-performing health care systems in the U.S.


Methodist Medical Center of Illinois joins Iowa Health System

Trinity Bettendorf opens in the Quad Cities as part of Trinity Regional Health System


Iowa Health Physicians becomes a part of Iowa Health System

Jones Regional Medical Center in Anamosa becomes a subsidiary of St. Luke’s Hospital in Cedar Rapids

1995 Iowa Health System grows outside of Central Iowa with the addition of St. Luke’s Methodist Hospital in Cedar Rapids and Allen Memorial Hospital in Waterloo


John Stoddard Cancer Center

The Centers for Medicare and Medicaid Services select Trinity Regional Medical Center and Trimark Physicians as one of the nation’s original Pioneer Accountable Care Organizations

1998 InTrust, which would become Iowa Health Home Care, was formed



St. Luke’s Region Medical Center in Sioux City joins Iowa Health System

1221 Pleasant Street | Des Moines, IA

Trinity Regional Medical Center in Fort Dodge, and Trinity Regional Health System in the Quad Cities join Iowa Health System

The Finley Hospital in Dubuque joins Iowa Health System

UnityPoint Clinic

1801 Birchwood Court | Johnston, IA

Iowa Health System launches HealthNet Connect, a 3,200-mile fiber optic network from Denver to Chicago, and e-Prescribe Iowa, the nation’s first statewide electronic prescribing program


Iowa Health Physicians and Clinics reorganizes, becomes the ninth senior affiliate of Iowa Health System Quincy Medical Group of Illinois joins Iowa Health System


Iowa Health System becomes

UnityPoint at Home

11333 Aurora Avenue | Urbandale, IA

UnityPoint Health Foundation 1415 Woodland | Des Moines, IA



Awards and Recognition

• Iowa Methodist Medical Center received Accreditation for Carotid Stenting from Intersocietal Accreditation Commission (IAC).

• Inaugural Patient Safety Award winner in the Hospital Associated Infections division, from the Iowa Healthcare Collaborative.

• Younker Rehabilitation at Iowa Methodist Medical Center was accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) for its Adolescent and Adult Rehabilitation Program.

• Iowa Lutheran Hospital was awarded a full three-year accreditation by Det Norske Veritas (DNV). • Department of Health and Human Services recognized Iowa Methodist Medical Center and Blank Children’s Hospital with Bronze Medal of Honor for Organ Donation. • Iowa Methodist Medical Center awarded Best Hospital in Business Record’s 2012 Best of Awards. Iowa Lutheran named runner-up. • Iowa Methodist Occupational Health & Wellness received a three-year “Outstanding” Quality Certifi cation from the National Association of Occupational Health Professionals (NAOHP).







UnityPoint Health – Des Moines at a Glance





2.2 million







Our Mission: Keep You Healthy In the new era of health care reform, hospitals will be reimbursed based on the quality of care they give, not the quantity. Makes sense, right? Unfortunately, the model of health care in place for decades rewards doctors and hospitals for the volume of patients seen and the number of treatments provided. At UnityPoint Health – Des Moines, our goal is to better coordinate care and focus on outcomes, not volume. There are a few ways we hope to accomplish this. Over the next few years, we hope to implement a model we’ve already test run.

• Iowa Methodist Medical Center received Level I Trauma Center Verifi cation — the only one in Central Iowa. • Blank Children’s Hospital Received Level II Trauma Center Verifi cation — only one of two in the state of Iowa. • Honored with the 2012 “Partner for Change” Award from Practice Greenhealth, a national membership organization for health care facilities committed to environmentally responsible operations.

First, we’ll work with UnityPoint physicians as they change the focus of their practices to preventive care and care coordination. When you’re discharged from our hospitals, we’ll do a better job of coordinating with all caregivers to ensure you have the support and information you need to complete your recovery process. We’ll educate you about proper self-care and better connect you with any follow-up care you may need. “To keep our patients healthy and eliminate unnecessary readmissions, we’re extending our mission of quality care into the community itself,” said Eric Crowell, president and CEO of UnityPoint Health – Des Moines. “We will be working closely with patients, with their physicians, with their churches and community groups and with public health organizations to create easier access and deliver a much more coordinated care experience. That’s the promise by which our new name will come to be known as.”

• Achieved Level 3 recognition from National Committee Quality Assurance for three Central Iowa UnityPoint Clinic locations for patient-centered medical home model. Thirteen sites are currently up and running as medical homes in Central Iowa. • Nine nurses representing our hospitals, clinics and home care services were honored as members of the 100 Great Iowa Nurses class of 2012.


Serving Our Community At UnityPoint Health – Des Moines, we are committed to improving the quality of life in our community. We serve those in need regardless of their ability to pay, and in 2012, we provided almost $53 million in community benefit, including charity care and uncompensated Medicaid care. Our comprehensive community benefit program includes community health education, community-based clinical services, medical education for physicians and other health care providers, behavioral health services, support for the Regional Child Protection Center, research and clinical trials, along with administration of a wide array of ongoing community health activities. The following figures represent aggregate financial data for UnityPoint Health – Des Moines, which includes Iowa Methodist, Iowa Lutheran, Methodist West, Blank Children’s Hospital, John Stoddard Cancer Center, UnityPoint Health Foundation and the Central Iowa region of UnityPoint Clinic.


2012 Total Community Benefit Programs $52,577,185

Even as a not-for-profi t organization, it is vital for UnityPoint Health – Des Moines to maintain fi nancial resources that allow for the acquisition of technology and supplies,

Charity Care


enabling us to provide the latest in care to our

Uncompensated Medicaid


patients. During 2012, UnityPoint Health –

Community Health Improvement


Health Professionals Education


Subsidized Health Services


Community Building Activities




Donations (cash in-kind)


Des Moines reinvested resources from prior years’ margins to acquire:

2012 Reinvestment $60,338,701

State-of-the-art equipment $10,689,117 Information Technology


Facility renovations


2012 Uncompensated Care $63,939,785

Cost of Uncompensated Medicare $52,206,580 Bad Debt (Cost)



Transforming Care: Building a Patient-Centered Medical Home Our physicians, hospitals and home care entities are leading a variety of care coordination innovations including Patient-Centered Medical Home, which help manage population health and coordinate care patients who need preventive screenings and extra care. Following is an overview of a Medical Home practice right here in Central Iowa and how it changed one man’s life. In the fall of 2010, when Dr. Dennis Bussey decided to create a patient-centered medical home at his practice, he and his associates analyzed every aspect of patient care. They discussed how phone calls were made. They examined the physical layout of the office. They looked at how they could coordinate follow-up care and track metrics, such as blood pressure and weight, across a group of patients. Then, they rolled up their sleeves.

Building the Foundation A total re-vamp of a business takes a lot of work. Dr. Bussey and his associates, from schedulers to nurses and fellow physicians, thought of every detail. • A new, open front office allows patients to chat with schedulers in an airy, pleasant environment. It’s more than just a nice touch. Tasked with reminder and follow-up calls, schedulers now play an active role in patient well-being. • Before-visit calls let patients verify their information, while after-visit follow-up calls ensure they come away from each appointment with a clear understanding of how best to care for their health. • Reminder calls tell patients when they need screenings and wellness appointments. • Co-location, a favorite word of Dr. Bussey’s, means nurses, physicians and clerical staff work from a central hub, resulting in coordination of care. Questions can be directed straight to the relevant person, meaning faster service. • Medication reconciliation takes place with every patient on each visit, ensuring safety and clarity about medications the patients should be taking. It took two and a half years to make all the changes, but now the foundation is strong. “We were living the change while we created it,” Dr. Bussey says. “Everybody in our office is now invested in each patient because they can interact with patients and feel responsible for their care.”


Cora Duncan, RN and Dennis Bussey, DO

Creating a Family A house is only as strong as the family who lives there. In addition to the multidisciplinary team of physicians, nurses, schedulers and other providers, the clinic is made up of patients. And, the goal of a patient-centered medical home is to improve the overall level of health and well-being among all the patients who come there. When she came on board in fall 2011, Cora Duncan, RN, care coordinator at UnityPoint Clinic Family Medicine at Grimes, loved what she saw. “They were focused on making it convenient for patients to receive all the care they need at one spot in the clinic, as well as guiding patients with health

concerns,” Duncan says. “It was very rewarding to become a part of this family, to work with patients with chronic illnesses and to guide their care over time. When you see patients improve, it’s amazing.” “We are actively reaching out to patients rather than waiting for them to schedule appointments or screenings,” Dr. Bussey says. “We actually have daily group huddles where we discuss which patients need follow-up care and who to reach out to this week. We take care of everyone, whether or not they’re in the office.”

Greg’s Story Sales professional Greg Wishmeyer weighed 330 pounds when he began investigating bariatric surgery in March 2012. His insurance company insisted he spend six months attempting weight loss under a physician’s guidance before surgery, so he turned to UnityPoint Clinic. “I found I had Type 2 diabetes and high cholesterol,” Greg says. “I told myself, ‘It’s mind over matter,’ and I committed to losing the weight.” Greg found the right place to help balance mind and matter. Working with a care coordinator at UnityPoint Clinic, he developed an eating plan and began walking — two miles a day at fi rst and up to 12 miles a day as he grew stronger. “They are like coaches for me,” Greg says of his providers at UnityPoint Clinic. “I do all the work myself, but Dr. Bussey and Cora follow up about what I’ve eaten, how I’m exercising and my mental state as I discipline myself to change my habits. I talk with them about things I wouldn’t tell my closest friends.”

Now, weighing about 200 pounds, Greg has energy to play with his 10-year-old son. He no longer needs bariatric surgery. “You change mentally when you lose weight,” Greg says. “I feel like I have my youth back.”


Medical Staff Leadership

UnityPoint Health – Des Moines Board of Directors Pictured left to right Front row:

Frank Marcovis, Mary Chapman, Lyle Simpson, Dede Gorsche

Medical Executive Committee Chief of Staff (Lutheran) Chief of Staff (Methodist) Vice Chief of Staff (Lutheran) Vice Chief of Staff (Methodist) Secretary/Treasurer (Lutheran) Secretary/Treasurer (Methodist) Credentials Co-Chair (Lutheran) Credentials Co-Chair (Methodist)

Michael Hurt, MD Eric Barp, DPM Charles Svensson, MD Open Anish Keshwani, MD Richard Sidwell, MD James Patten, MD Bruce James, MD

Department Chairs Psychiatry Pediatrics Family Medicine Medicine (Lutheran) Medicine (Methodist) Surgery (Lutheran) Surgery (Methodist) Women’s Health (Lutheran) Women’s Health (Methodist)

Kent Kunze, MD Richard Robus, MD Christopher Champion, DO Gregory Berry, DO Christina Taylor, MD Jamie Patel, DO Daniel Kollmorgen, MD Jerusa Kamala, MD Robert Casper, MD

Second row: Martha Willits, Jan Miller Straub

Rural Affiliates

Third row:

Rick Pertzborn, Rick McConnell, Bishop Michael Burk (Secretary), Brad Brody (Vice Chair), Burton ‘Toby’ Joseph (Chair), Eric Crowell (CEO)

Our affiliation with five rural hospitals helps to ensure access to high-quality health care throughout Central Iowa. Our rural affiliates include:

Back row:

Kent Henning, Eric Barp, DPM, Steven Herwig, DO, David Boarini, MD, Michael Hurt, MD

Clarke County Hospital – Osceola Greater Regional Medical Center – Creston Greene County Medical Center – Jefferson Guthrie County Hospital – Guthrie Center Story County Medical Center – Nevada

Not pictured: Kayleen Hornbook, DO, Pat McGoldrick, Mary O’Keefe, R. Lucia Riddle, Bruce Sherman, Bishop Julius Timble, Rich Willis (Treasurer)

01800-7 7/13

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2012 Annual Report from UnityPoint - Des Moines  

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