2007 Community Benefit Report
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DELIVERING ON PROMISES At University Health Care System, we do more than communicate our mission to serve this community – we live it each and every day. For nearly 200 years, our unwavering commitment has bred pride that runs deep within our employees, physicians, volunteers and board members and manifests itself in exceptional medical care at the bedside and community support far beyond what is expected. As a community not-for-proﬁt, University’s core responsibility is to deliver high-quality health care to people in the communities we serve and inspire our talented team of professionals to reach beyond the hospital to help improve the health status of our residents. I am extremely pleased to report that 2007 was another exceptional year for University Health Care System. We continue to be recognized as a leader in clinical quality and patient satisfaction, and were recently recognized by the Georgia Medical Care Foundation as the No. 1 hospital among 28 hospitals of comparable size. University Hospital currently scores among the top 10 percent of hospitals in the country in many areas of clinical quality and patient satisfaction. We continue to benchmark with the top 10 percent of hospitals with a goal of consistently ranking in the 90th percentile in all areas. During a year when our economy showed an unpredictability we had not seen in some time, it was more important than ever to stay focused on our core responsibility of providing high-quality care while ensuring that the organization remained ﬁnancially strong for generations to come. We accomplished this goal and ended the year with a positive bottom line that will be reinvested into the latest technology, facilities and community beneﬁt programs. As you read this report, I hope you will share our pride in the efforts of your community hospital to serve the region with world-class care. It is a pleasure to serve a supportive community that shares our enthusiasm and caring spirit.
J. Larry Read, President/CEO University Health Care System
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PARTNERS IN HEALTH
Some of the region’s most-respected business leaders and physicians volunteer their time and talents by serving on University’s governing boards. These dedicated professionals spend untold hours away from their families and personal careers to help ensure that University remains on the forefront of health care delivery. Their foresight and passion for serving the needs of the CSRA should not go unrecognized.
In 2007, Levi W. Hill III received the Georgia Hospital Association’s highest recognition, the Distinguished Service Award. Mr. Hill has given University Health Care System continuous service since 1979 on multiple governing boards and since 2006 as Chair Emeritus of University Health Services, Inc.
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RICHMOND COUNTY HOSPITAL AUTHORITY, UNIVERSITY HEALTH, INC. AND UNIVERSITY HEALTH RESOURCES, INC. Front from left: Louis Mulherin III, Levi W. Hill IV, J. Brewster Given, Betty Beard, Haskell Toporek, William J. Badger, The Rev. Clyde Hill Sr. and John S. Markwalter. Back from left: Mac A. Bowman, M.D., Gregory L. Gay, M.D., Hugh L. Hamilton Jr., R. Lee Smith Jr., Quincy L. Robertson, Randolph R. Smith, M.D. and Jeffrey L. Foreman. Not pictured: Lynn M. Tucker, M.D., A Bleakley Chandler, M.D., Benjamin L. Rucker, M.D. and Warren A. Daniel.
2007 AFFILIATED BOARD MEMBERSHIP RICHMOND COUNTY HOSPITAL AUTHORITY Mac A. Bowman, M.D., Chairman Louis Mulherin III, Vice Chairman Hugh L. Hamilton Jr., Secretary Jeffrey L. Foreman A. Bleakley Chandler Jr., M.D. The Rev. Clyde Hill Sr. William J. Badger Betty Beard Quincy L. Robertson UNIVERSITY HEALTH, INC. Randolph R. Smith, M.D., Chairman Quincy L. Robertson, Secretary J. Brewster Given Benjamin L. Rucker, M.D. Gregory L. Gay, M.D. Mac A. Bowman, M.D. Warren A. Daniel R. Lee Smith Jr. Levi W. Hill IV John S. Markwalter William J. Badger J. Larry Read, ex ofﬁcio UNIVERSITY HEALTH SERVICES, INC. R. Lee Smith Jr., Chairman Brian J. Marks, Secretary Gerald E. Matheis Randy W. Cooper, M.D. The Rev. Clyde Hill Sr. Louis Mulherin III Michael S. Holman, M.D. James W. Smith Jr. Warren A. Daniel Hugh Hamilton Levi W. Hill III, Chairman Emeritus J. Larry Read, ex ofﬁcio
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UNIVERSITY HEALTH SERVICES, INC. AND UNIVERSITY EXTENDED CARE, INC. Seated from left: R. Lee Smith Jr., Brian J. Marks, Gerald E. Matheis and The Rev. Clyde Hill Sr. Standing from left: Warren A. Daniel, Randy W. Cooper, M.D., Hugh L. Hamilton Jr. and Louis Mulherin III. Not pictured: Michael S. Holman, M.D. and James W. Smith Jr.
UNIVERSITY EXTENDED CARE, INC. Gerald E. Matheis, Chairman The Rev. Clyde Hill Sr., Secretary R. Lee Smith Jr. James W. Smith Jr. Randy W. Cooper, M.D. Louis Mulherin III Michael S. Holman, M.D. Brian J. Marks Warren A. Daniel Hugh L. Hamilton Jr. J. Larry Read, ex ofﬁcio UNIVERSITY HEALTH RESOURCES, INC. Haskell D. Toporek, Chairman John S. Markwalter, Secretary Jeffrey L. Foreman Randolph R. Smith, M.D. Levi W. Hill IV Quincy L. Robertson Lynn M. Tucker, M.D. The Rev. Clyde Hill Sr. J. Larry Read, ex ofﬁcio
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Going beyond what is expected in the traditional care setting is what sets University apart. Our staff continuously looks for ways to ﬁll voids in the current care system.
AUGUSTA’S FIRST PALLIATIVE CARE UNIT Introduced in 2007, University’s Palliative Care Unit, the ﬁrst inpatient unit in Augusta, is ﬁlling a tremendous need in our community. Through daily interdisciplinary rounds, caregivers focus on quality of life and relief of suffering for our chronic, acute patients. Active communication with the patient and family helps establish goals that include discharge plans to return home to be with their families.
EMERGENCY CARE TRANSITION A new Emergency Department physician team was introduced in 2007 that immediately focused on taking quality and efﬁciency of our emergency care to the next level. They are making headway in several areas as indicated by high scores when benchmarked against peer emergency departments across the country. University’s Emergency Department is the busiest in the CSRA and is consistently ranked “Most Preferred” by the National Research Corporation’s Consumer Market Guide. In an emergency, people trust University with their care. And now, they can do this with added assurance.
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BEDSIDE READING PROGRAM In cooperation with the March of Dimes, the Special Care Nursery introduced a library and encouragement system for reading to our frailest newborns in the Special Care Nursery while they grow strong enough to go home.
EXCELLENCE IN NURSING REAFFIRMED University’s Magnet designation was reevaluated and approved in 2007, reafﬁrming the hospital’s status as the only Magnet hospital in Augusta. Magnet, a certiﬁcation nursing programs receive from the American Nurses Credentialing Center after a stringent application process and review, is the highest honor attainable by nursing programs. University’s Magnet committee leaders helped host the 2007 international Magnet conference in Atlanta.
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LEADING THE STATE IN CLINICAL QUALITY
Nothing is more important than ensuring that our patients receive the highest quality of care attainable. It takes a multidisciplinary team of physicians and staff working in concert to achieve success when your goal is to be among the top 10 percent of hospitals in the country. In 2007, these initiatives reached an unprecedented level of success, reaping amazing beneďŹ ts for our patients. We were recognized at the state and national levels with leadership awards among our hospital peers, and, most importantly, by our community. Some of these honors include: s /F THE STATES HOSPITALS WITH MORE THAN BEDS 5NIVERSITY WAS RANKED .O IN CLINICAL QUALITY BY THE 'EORGIA Medical Care Foundation, the quality improvement organization for the centers for Medicare and Medicaid Services. i University Hospitalâ€™s Appropriateness of Care Score is 92.9 percent, compared to the stateâ€™s average of 81.6 percent and the national average of 84.5 percent. In fact, University ranks the same as the state of New Hampshire, which has the highest score in the country. i University has been asked by the Georgia Hospital Association to help lead an initiative to improve quality in all the stateâ€™s hospitals. s 5NIVERSITY WAS AWARDED A COVETED .ATIONAL 6(! ,EADERSHIP !WARD FOR STRIDES IN TREATING CONGESTIVE HEART failure. s ! 6(! 'EORGIA ,EADERSHIP !WARD RECOGNIZED 5NIVERSITYS INNOVATIVE APPROACH TO REDUCING NOSOCOMIAL BLOOD stream infections. s 4HE .ATIONAL 2ESEARCH #ORPORATION RANKED 5NIVERSITY .O IN THE !UGUSTA -ETROPOLITAN 3TATISTICAL !REA IN THE area of Quality/Safety. s 5 NIVERSITY CONTINUED ITS -ENTOR (OSPITAL OUTREACH EFFORTS FOR THE )NSTITUTE FOR (EALTHCARE )MPROVEMENT )() Hospitals across the country requested information on how University Hospitalâ€™s approach to two major quality initiatives improved patient outcomes. University is a Mentor Hospital for the IHI in the areas of Preventing Ventilator Assisted Pneumonia and Deploying Rapid Response Teams, two areas that gained widespread attention last year. As a Mentor Hospital, University volunteered to provide support, advice, clinical expertise and tips to hospitals seeking help with their implementation efforts. Hospitals working together to improve quality is a win-win situation for patients and hospitals.
More than 600 physicians, representing almost every medical and surgical specialty, enjoy medical staff privileges at University Hospital. These dedicated practitioners not only deliver skilled and compassionate care, they serve on Universityâ€™s governing boards, executive councils, medical staff committees and task forces. As 2007 medical staff president, cardiologist William E. Callaghan, M.D., continued the focus on physician collaboration to maximize clinical quality. These forward-thinking, change-oriented physicians embrace excellence and are mobilized for continuous improvements in care.
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AWARDS AND RECOGNITION
Accolades arenâ€™t everything, but often these recognitions are the result of many employees, physicians, volunteers and board members coming together to create better models of health care delivery. And sometimes, there are individuals who quietly and humbly make a tremendous difference in the lives of patients and our community.
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OTHER AWARDS OF NOTE THIS YEAR INCLUDE THE FOLLOWING: s THE NATIONAL RESEARCH CORPORATION (NRC) named University Health Care System a clear winner of the Consumer Choice Award for 2007-08. This is the ninth consecutive year University has been recognized for best overall quality and image in the Augusta area. The Consumer Choice Award is based on an independent survey of consumers conducted by NRC to recognize the most preferred hospitals in metropolitan areas across the country. University was also a clear leader, scoring signiďŹ cantly higher than any other area hospital, in 29 OF CATEGORIES s UNIVERSITY CONTINUED ITS INTENSE CUSTOMER satisfaction focus while transitioning to the new Hospital Consumer Assessment of Health Plans Survey (#!(03 FOR ADULT INPATIENTS 3TRIVING TO CONSISTENTLY score in the 90th percentile, the nursing staff launched an aggressive education and communication initiative to remind employees to â€œThink 10 â€“ Excellence Alwaysâ€? with every interaction with every patient and family member. s UNIVERSITY RECEIVED A VHA GEORGIA LEADERSHIP AWARD FOR WELLNESS WORKS, our employee wellness program. The program, which helps employees improve their health by overcoming modiďŹ able risk factors, has received interest from employers across the CSRA interested in pursuing the same beneďŹ t program for their employees. s OUR VASCULAR LAB gained re-accreditation until 2010 in all ďŹ ve areas of testing. This lab is a particular area of pride â€“ it is the only lab in Georgia, South Carolina and North Carolina to earn this accreditation. Fewer than 2 percent of all vascular labs in the nation have gained this distinction. s JACOB HARPER, a registered nurse in Open Heart Recovery, was named the CSRA nurse of the year at the annual Spirit of Nursing banquet. s UNIVERSITY HOSPITALâ€™S PURCHASING DEPARTMENT was recognized as an industry leader in Healthcare Purchasing News, naming the department to the â€œMaterials Management Honor Roll.â€? The writer credited University with developing a â€œshort-term plan to solve immediate supply chain needs, but with long-term implications patterned after the best practices of the grocery and retail industries.â€? This is another example of University ďŹ nding innovative ways to streamline operations and reduce costs while improving patient quality. s UNIVERSITYâ€™S CORPORATE COMMUNICATIONS DEPARTMENT RECEIVED A TOTAL OF AWARDS IN n NINE LOCAL REGIONAL AND NATIONAL n FROM NOTED AUTHORITIES IN THE MARKETING AND COMMUNICATIONS lELD
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Measuring the Commitment
Our community benefit report is not a spreadsheet of numbers â€“ it is a story about real people. Behind every community benefit number is a person in need of lifesaving medication, a critical procedure or a comforting touch. The benefits provided by community not-for-profit hospitals are indispensable and unique. Following models championed by VHA and the Catholic Hospital Association, University introduced a standardized method for capturing the value and reporting on activities that qualify as community benefit initiatives. We were pleased, but not surprised, to learn through this process that University provides more resources to support qualifying community benefit programs than estimated in the past. The reporting of costs associated with the provision of community benefit services was still voluntary in 2007.
University is a significant contributor to Lamar Medical Center and Belle Terrace Health and Wellness Center, two thriving community clinics.
University’s total cost of uncompensated care delivered with no local funding was $17.4 million, an increase of $600,000 over 2006. This figure includes our costs for the following services: • $14,819,290 for inpatient and outpatient services for indigent and charity patients • $ 1,649,152 to HELP SUPPORT the Lamar Medical Center and Belle Terrace Health and Wellness Center. Included in this figure are funds to open a third community clinic to serve the Druid Park area, support of St. Vincent DePaul Clinic for the homeless and prescription drugs to the people served by these clinics. • $248,404 for Project Access, a program administered by the Richmond County Medical Society that helps meet the needs of people who cannot afford medical care and do not qualify for federal subsidies. Founded in 2001, the program relies on the coordinated volunteer efforts of area hospitals, government agencies and participating physicians. University Hospital provides funds to help sustain this community benefit initiative. Almost every physician who practices at University donates time to see patients for Project Access. • $656,336 for disease management. Having congestive heart failure, asthma or other chronic illnesses can be a frightening experience that can leave a person and his or her family with many questions. University reaches out through coordinated programs to help them manage their disease and improve their quality of life. These programs help patients who suffer from the following chronic conditions: • Congestive Heart Failure. This program served 300 patients last year. Initial examinations, a weekly heart failure clinic, a dedicated 24-hour congestive heart failure line and regular calls from University HealthService Center nurses help patients maintain a more active lifestyle and enhance their overall quality of life. • Asthma/COPD. This program served 226 patients who suffer from asthma or chronic obstructive pulmonary disease (COPD). The staff offers medication management, education and smoking cessation if applicable. Routine follow-up care is scheduled to assist patients in better managing their disease process and improving their quality of life. • Retroviral Disease (HIV). Last year, this program helped people with HIV/AIDS meet their physical and emotional needs by providing comprehensive HIV medical care and access to social services to more than 490 patients. A part-time pharmacy technician helps patients apply for assistance from drug manufacturers and state drug-assistance programs. The program works in partnership with the Richmond County Health Department and refers patients to agencies that provide housing, clothing, furniture and food as well as dental, nutrition and psychological services.
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COMMITMENT TO COMMUNITY HEALTH
More than 11,000 people participated in University’s free community outreach programs in 2007. Whether it’s prenatal education, cardiovascular screenings or early detection of cancer, we listen to area residents’ requests for information and develop programming to serve identiﬁed needs. These programs included: COMMUNITY EDUCATION. 1,950 people took part in monthly physician-led education programs on a variety of medical topics. Physicians from several different specialties made presentations to capacity crowds on conditions experienced from infancy into the senior years. Physicians interacted with the attendees, answering questions and offering guidance that helped participants take a more proactive and prepared approach to their medical care and wellness. SCREENINGS. PEOPLE TOOK EARLY DETECTION TO heart by participating in University’s free screenings. They included: s Heart Month Health Fairs. More than 1,450 area residents attended one of three Heart Month Health Fairs University sponsored in partnership with area Dillard’s stores and WRDW News 12 during February. Participants received free blood pressure readings, glucose testing and lipid proﬁles, as well as heart health information. More than 70 percent of the PEOPLE WHO REQUESTED LIPID PROlLES HAD RESULTS placing them at risk for cardiovascular disease. s Prostate Speciﬁc Antigen (PSA) screenings. 1,685 men received free PSA blood tests at four CSRA Lowe’s stores in partnership with News
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Channel 6, and 105 of those screened in September were referred to a physician for follow-up because of abnormal results. s WJBF Expo. University was major a sponsor of the local ABC afﬁliate’s health and wellness fair at the James Brown Arena in October. For the more than 4,500 attendees from across the CSRA, University offered complete lipid proﬁles, blood sugar and bone density testing, body mass index and body fat calculations, physician referrals and other health information. s Skin cancer screenings. Dermatologists who practice at University donated their time to screen 78 people for skin cancer in May. SPECIAL EVENTS. 5,800 people attended Universitysponsored special events in 2007 that promote health and wellness. They included: s Cancer Survivors’ Day. 400 people attended our annual Cancer Survivors Day luncheon in June at the Doubletree Hotel Augusta and were inspired by author and motivational speaker Florence Littauer. s Back-to-School Festival. This annual event cosponsored by the Columbia County Board of Education attracted more than 700 students and
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their parents to Evans High School in August. The festival helps prepare families for the upcoming school year by providing pertinent school and health information. s Diabetes Expo. Last yearâ€™s 21st annual expo attracted 500 men and women of all ages. This popular event in November included diabetes testing, information, education and cooking demonstrations to assist people with diabetes and their families with better management. This chronic disease plagues record numbers of people in our region. s Breast Cancer Awareness Month. An estimated 2,200 people attended University Health Care Foundationâ€™s Miracle Mile Walk and other breast cancer awareness community education events in October. The seventh annual walk held at Augusta #OMMON RAISED MORE THAN TO BENElT Universityâ€™s Breast Health Center, to include free mammograms for women who lack the ďŹ nancial resources or insurance usually required to access this potentially lifesaving screening. WEB SITE. Record numbers of people turned to Universityâ€™s revamped Web site, www.universityhealth. org, for health information in 2007. The site, easily one of the most robust and active local sites, logged NEARLY MILLION HITS n AN AVERAGE OF MILLION PER month. For the year, there were 1.9 million visits averaging more than 9 1/2 minutes. Users were able to pre-register for an admission or procedure, research a disease or condition, learn about medical procedures, get information about University-sponsored events and screenings and get driving directions and maps to University facilities. EATING WELL WITH KIM. University and WRDW News 12 continued its popular Eating Well with Kim segment on Midday at noon each Monday, Wednesday and Friday with host Tom Campbell and University Registered Dietitian and CertiďŹ ed Diabetes Educator Kim Beavers. We ended 2007 with more than 4,000 subscribers enrolled in the programâ€™s recipe club. HEALTHSERVICE CENTER. Universityâ€™s HealthService Center, which includes ASK-A-NURSE, celebrated 16 years of service by logging more 156,000 calls in 2007 from people throughout the region that had medical questions, needed help ďŹ nding a physician or were seeking other health-related assistance. These tele-health registered nurses are available 24 hours a day, seven days a week.
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BREAST HEALTH. University continued its ďŹ ght against breast cancer through the Breast Health Center that offers the following services to women in the CSRA: s Breast Health Center. The staff of the areaâ€™s ďŹ rst and only comprehensive Breast Health Center had more than 12,000 patient encounters in 2007. This includes free mammograms for more than 500 underserved women in our community. This is made possible through the support of the Foundation, the Volunteer Board of University Health and a $50,000 grant from funds raised by the sale of Georgia license plates supporting breast cancer outreach. s The areaâ€™s only Mobile Mammography Unit. This unit hits the road almost every weekday visiting employers, community centers, hospitals, health departments and area Dillardâ€™s stores within a 25-county radius of University Hospital. More than 4,000 mammograms were performed on the unit in 2007, and 15 breast cancers were discovered. The unit offers convenience, the greatest barrier to women getting this potentially lifesaving test. s Buddy Check 6. University Hospital, Dillardâ€™s and WJBF News Channel 6 continued the ďŹ ght against breast cancer through the Buddy Check 6 program. The program provides education materials and programming that stress the importance of early detection of breast cancer and encourage regular breast self-exams.
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IMPROVING ALL STAGES OF LIFE
The nationally recognized Brandon Wilde Life Care Community looked to the future in 2007 with strategic planning for a major expansion. BRANDON WILDE encourages people to live as independently and actively as they wish, secure in the knowledge that additional support and services are available should they need them. In addition to independent living, Brandon Wilde offers assisted living and skilled nursing care, including Alzheimerâ€™s and dementia care, in its licensed health center. KENTWOOD. Longtime employee Nancy Powell was promoted in 2007 to administrator of this extended care facility where the staff strive to make residents feel at home and part of an extended family during their stay. This facility offers residents the choice of maintaining an independent lifestyle with assistance available for daily activities such as bathing, grooming, dressing and medication supervision. People who have more serious health needs and require the structured supervision of a nursing home are cared for by registered nurses, licensed practical nurses and patient care aides in three adjacent skilled nursing wings. Improvements to the facility last year include exterior repaving, lighting and landscaping for the safety and beneďŹ t of visitors. WESTWOOD. Universityâ€™s Westwood facility offers residents a comfortable environment designed to enhance their self-image and preserve their personal dignity. Westwoodâ€™s separate Alzheimerâ€™s Unit allows caregivers to speciďŹ cally focus their care plans and group activities on the special needs of these patients. The primary goal of new administrator Keith Austin is to maintain patientsâ€™ present level of function and try to improve the ability of patients and families to assist with the routine daily care in a controlled setting. UNIVERSITY HOME HEALTH. U.S. Rep. Gresham Barrett, R-S.C., visited the home of a University Home Health patient to see the beneďŹ t of home care services and talk with advocates about looming Medicare cuts to home health agencies that could threaten access to services. â€œI fully support this program, and Iâ€™ve seen the successes. I saw it today,â€? Mr. Barrett said. Nurses with University Private Duty Nursing and Home Health made VISITS TO PATIENTS IN
Richard J. Kisner, a health care executive with more than 25 years of progressive management experience in continuing care organizations, was named president of the nationally acclaimed Brandon Wilde Life Care Community. Mr. Kisner, who comes to Brandon Wilde from Honey Hill Care Center, a 150-bed skilled nursing facility in Norwalk, Conn., replaced Brandon Wildeâ€™s first president, Rosie Messer.
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University works cooperatively with area schools to train the future’s health care professionals.
TEACHING TOMORROW’S CAREGIVERS
University makes signiﬁcant commitments of time and resources to local technical schools and colleges to ensure we are educating and training the health care professionals that will be needed in the future. We also work cooperatively with students and graduates through scholarship programs, internships and mentoring.
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University trains the regionâ€™s leading Allied Health professionals in the ďŹ elds of radiography, dietetics and cardiovascular technology. In 2007, University invested nearly $1 million in these University-based programs that are highly respected across the country. Students in these programs consistently excel on their licensing and certiďŹ cation exams and receive employment offers from the nationâ€™s leading health care providers. s (!229 4 (!20%2 *2 -$ 3#(//, /&