2012 Annual Report

Doing it Better Every Day

• Improving Our Processes

• New Procedures

• Capitalizing on Technology

• Introducing Specialized Services

• Fostering New Alliances

• Communicating Differently

• Planning For the Future

The Patient Experience These words are at the core of daily work at Southern Illinois Healthcare. When you or a loved one seek care at Memorial Hospital of Carbondale, Herrin Hospital or St. Joseph Memorial Hospital, or any of our outpatient facilities you should leave feeling confident that you were in the best hands.

The patient experience is about a ceaseless quest…finding a better way to do things. These goals

are achieved in part through the implementation of a Service Excellence Initiative that transcends

through the entire SIH system. Besides having the state-of-the-art equipment and excellent technical

skills, it takes

The people who are Southern Illinois Healthcare chose their profession to make a difference.

One Of THe aSpeCTS We are MOST prOud Of

at SIH is the constant focus on improving the quality of care

provided in our hospitals and physician offices. The 3,300

employees of SIH strive to make our Mission more than mere

words on paper but a reality for the patients.

A week rarely goes by without conversation in the national

media about the changes needed in health care. At SIH,

we understand the need to evolve to meet the needs of

our patients far into the future. This year, we developed working relationships with other hospitals

and physician groups to prepare for this new world. It is imperative for providers to work more

closely together for us to continue to be successful. Inside our hospital walls, our employees are

empowered at a higher level than ever before to help identify and improve the daily processes of care

for our patients. These collaborative endeavors will help SIH meet the challenges in our future.

This report also highlights several of the innovative and advanced technological procedures SIH

invested in this past year. We are always striving to implement new ways of caring for our patients to

ensure they can undergo treatment and recovery close to home.

Despite all of these improvements and changes, one basic principle that has never wavered is our

desire to care for all who need help. In FY 2012, SIH hospitals and physicians provided over $10

million in charity care for uninsured patients requiring financial assistance to accept medical services.

We also continue to work with a wide variety of other agencies with a shared vision to improve the

health and well-being for all of the patients we serve.

We appreciate the loyalty shown to us by our patients and we will continue to earn that trust. The

following pages highlight a few of the steps we have taken to grow and provide new and better

services to our patients, friends and families in southern Illinois.

Rex P. Budde Steven R. Sabens

President/CEO Chairman, Board of Trustees

D o i n g i t B e t t e r e v e r y Day

By Improving our Processes

exCellenCe IS SOMeTHIng SOuTHern

Illinois Healthcare strives for daily. Whether it

be in quality, service, or operations, the goal is

to provide the best care for patients. This quest

for excellence does not happen by magic. It

takes constant refining and a collaborative work

environment between administrators, staff and

physicians. That’s where the LEAN Process and

the Service Excellence Initiative (SEI) come

into play.

The two work hand in hand. LEAN is a method

of streamlining processes to eliminate waste in

the workflow. SEI then engages and empowers

all employees to work on these processes that

ultimately result in a better patient experience--

results that are expected by the community.

MeMOrIal HOSpITal Of CarbOndale

Small changes made a huge impact in

Memorial Hospital of Carbondale’s Emergency

Department. By reinventing the process,

employees applied simple, but impactful

changes that streamlined everything from

registration and labs to restocking supplies—

resulting in the reduction of the typical patient visit to 2 hours— half the normal wait time.

Since the implementation of these changes

patient satisfaction scores immediately rose to

the 95th percentile.

HerrIn HOSpITal

By increasing workforce efficiency and

reducing workplace injuries, Herrin Hospital was able to reduce their workers’ compensation rate by 30%—a success that Herrin Hospital owes to its injury-prevention program. These rate

reductions enable SIH to give back more money

to patient care.

ST. JOSepH MeMOrIal HOSpITal

At St. Joseph Memorial Hospital, physicians

recognized the benefit of the collaborative

implementation of LEAN and Service

Excellence. This year, St. Joseph was one of only six U.S. hospitals to receive a Best Place to Practice Award® by Press Ganey. This honor

is reserved for hospitals that garnered

exceptionally high marks from physicians,

placing SJMH in the 95th percentile. Achieving

such a high score for physician satisfaction

reflects St. Joseph Memorial Hospital’s

commitment to providing outstanding care.

By living the principles of SEI and LEAN, SIH has

made great strides in creating a more pleasant

experience for each patient, and also taping into

its greatest asset—the people of SIH!

Nurses in Herrin Hospital’s Emergency Department report daily on processes and results to Administrator Terrence Farrell and his leaders.


With New Procedures

Stopping esophageal Cancer in it Tracks

ST. JOSepH MeMOrIal HOSpITal has become the

master of same-day, endoscopic procedures for southern

Illinois, recently recognized by the American Society for

Gastrointestinal Endoscopy. While the unit specializes in the

day to day preventative colonoscopies, doctors also perform

advanced procedures, such as radiofrequency ablation.

Barrett’s esophagus is a pre-cancerous condition, caused by

chronic, long-term acid reflux. According to gastroenterologist

and medical director, Dr. Zahoor Makhdoom, “Using an

endoscope, we apply a burst of heat energy (radio waves)

to destroy the cancerous cells.” This energy, delivered via a

catheter to the esophagus, removes diseased tissue while

minimizing injury to healthy esophagus tissue.

Studies show that once removed, this tissue is typically

replaced by normal, healthy tissue within weeks.

daVinci Opens new doors

MeMOrIal HOSpITal Of

CarbOndale’S daVinci surgical

system made its debut in 2011, but the

arrival of urologic surgeon, Dr. Srinivas

Rajamahanty, offered a new procedure

for southern Illinois – prostate removal.

Using daVinci’s enhanced visualization

gives physicians a closer view and is an

extension of their technique. According to

Rajamahanty, “Technology is becoming so

much more advanced that robotic prostate

surgery is quickly becoming the standard

of care. In my mind, there is no doubt that

the results of robotic surgery are better for

the patient.”

repairing Holes in the Heart

dOIng THe JOb beTTer IS OfTen a

matter of adding physicians with special skills.

Dr. Prasanna Kumar, Prairie Heart Institute

interventional cardiologist, is one of those

specialists. His expertise in repairing tiny holes in the heart using less invasive methods is allowing patients to stay home rather than travel to St. Louis or Springfield.

“It’s a common disorder,” he says, adding that

one in four adults actually has either a patent

foramen ovale or a strial septal defect, the two

conditions commonly known as a hole in the

heart.

Kumar says the most common disorders, the

PFOs, are present because the wall between the

two upper chambers of the heart fails to form

correctly. In the womb and in infants, two ridges

of tissue separate the chambers, but allow blood

to flow from one to another. After birth when

the lungs are fully formed and functioning, these

ridges in the heart normally grow to meet, seal

together and form what is called the septum.

However, 25 percent of the time they don’t seal,

leaving a gap or hole in the septum, often as

small as a few millimeters. Usually, this condition

goes unnoticed.

“If it doesn’t bother anyone, we don’t do

anything, and often we don’t look for it unless a

patient is having trouble,” Kumar explains.

He says the holes are often identified after

unexplained strokes or bouts with severe

migraine headaches. Sometimes, pharmaceutical

treatments including blood thinners can be

used to treat symptoms. However, Kumar says

studies have shown the best treatment is to

close the hole—an option, that until recently

meant hospital stays in large cities.

“Now people no longer have to travel far for this

kind of advanced care,” he says. “They can have

great outcomes right here.”

Kumar says the procedure takes as little as

30 minutes.

“Patients can get up after a few hours of bed

rest and they’re back to their normal routine the

next day,” he explains. “It is a very, very quick

recovery time.”

The outcomes are fantastic, says Kumar,

who has performed a growing number of the

procedures in the catheterization laboratory at

Memorial Hospital of Carbondale.

“Research has shown that there is a 40 to 70

percent reduction in the risk of future strokes

when you close the holes,” he explains.

Physicians, physician assistants, and advanced practice nurses providing services at and admitting patients to Memorial Hospital of Carbondale, Herrin Hospital and St. Joseph Memorial Hospital are not employees of the hospital. Physicians, physician assistants, and advanced practice nurses exercise their own independent judgment regarding medical care and treatment and the hospital is not responsible for their actions.

Dave’s Story

daVe dunCan Had a feelIng that the day

would come, although he tried not to dwell on it.

“I knew the possibility was there, but I tried not

to think about it,” he said.

Even though he tried not to fret, “it” was still

there; the likelihood that he someday would be

facing prostate cancer. After all, his father had

suffered from the disease and his own primary

care physician had him on a “watch list” for

the disease for almost 10 years. With a family

history of the disease and knowing that nearly a

quarter million new cases of prostate cancer will

be diagnosed in the U.S. this year, Duncan had

cause for concern.

He underwent a prostate exam twice a year. A

test last summer indicated a higher-than-normal

PSA score, a measure of Prostate Specific

Antigen, which can indicate cancer. A referral to

a urologist for a biopsy led to the unwelcome,

but not unexpected news; prostate cancer.

Duncan had several options for treatment.

“I could have undergone chemotherapy or

radiation, could have had stents put in or I could

have it removed,” he recalled. “I know that those

people who have the treatments are not always

sure that the cancer is 100 percent gone. I knew

if the prostate was taken out, it would be gone,

so I decided at age 60, I didn’t need it anymore.”

He turned to urological surgeon Dr. Srinivas

Rajamahanty at the Center for Medical Arts

in Carbondale for the procedure. Even then,

Duncan had two choices for removal of his

prostate: traditional open surgery or an operation

utilizing the daVinci® surgical robot. Dr.

Rajamahanty is the only physician in southern

Illinois using the daVinci for urological surgeries,

including prostatectomy. After consultation with

the surgeon, Duncan chose the robotic option.

“Open surgery for prostate removal means

an incision from the belly button to the pubic

bone—about six inches—and long hospital stays

and recovery time,” Dr. Rajamahanty explains.

“The daVinci offers a lot of advantages over

that. It is a minimally invasive option, a type of

laparoscopic surgery.”

Additionally, the doctor says post-operative

recovery time is minimal. “We usually send

patients home the next day and they sometimes

can return to work in just a few days.”

Overall, with a skilled urological surgeon, the

daVinci improves all aspects of the surgical

experience. “The robot does not replace your

intuition as a surgeon or your knowledge,” Dr.

Rajamahanty explains. “It just helps you and you

can use it to your advantage for your patients.”

Duncan said the surgery was definitely better for

him.

“No surgery is easy, but this was the easiest choice,” he said, adding it wasn’t long after his operation that he, an avid outdoorsman, was back to hunting and fishing. In fact, just a few weeks after surgery he was catching fish on the lakes and rivers of Alabama.

“I would recommend this surgery,” he added.

“I’m back to just like before.”

Dr. Rajamahanty discusses prosate surgery with a patient.

New tools and technology often cause excitement in health care, because it ultimately means more efficiency and a better experience for the patient.

THe IMagIng deparTMenT at Herrin

Hospital is seeing benefits from a new digital

fluoroscopy unit, a form of x-ray that allows

surgeons to view deep structures of the body

in real time on a computer monitor. It helps

physicians evaluate a wide range of internal

functions and structures—especially in areas like

the intestines, stomach, bladder and the cardiac

muscle. Unlike regular x-ray, digital fluoroscopy

records a series of

images to a computer.

It yields a high

resolution digital image

that can be viewed

much like a movie of

what is happening

inside the body.


Capitalizing on Technology

big Things Come in Small packages— The axera access device

One SMall TOOl deCreaSeS discharge

times and improves efficiency in the Memorial

Hospital of Carbondale cardiac catheterization

lab. During a heart cath, doctors access heart

arteries via an opening in the femoral (leg) artery.

In the past this meant a four to six hour recovery

monitoring that access point. Using the new

Axera Access Device to ensure closure of the

artery, patients are now discharged within an

amazing 60 minutes of the procedure.

bIOneSS: The BIONESS (pictured above) uses electrodes to stimulate leg

or hand muscles through a portable, wireless device controlled by a remote

control unit. The device compliments traditional therapy so the patient can

see quicker results. This rehab tool uses repetitive movements that teach the

healthy parts of the brain to relearn things it has forgotten.

lITegaIT: Often used for patients of stroke or

other serious injury, the LiteGait can lift patients

to standing positions, help correct their posture,

reduce the weight they must carry, provide good

balance, and coordinate leg movement.

SaebOflex: The SaeboFlex is a mechanical

type of glove that positions the wrist and fingers

to extend and grasp objects voluntarily and is

used to help patients recover from a neurological

accident such as stroke.

Several other emerging technologies advance the level of care for SIH rehabilitation Services.

In THe unITed STaTeS, approximately 8 million people suffer from chronic wounds; many

stemming from the increase in the number of those suffering from diabetes. In 2012, Southern

Illinois Healthcare answered the call for this specialized scope of care. Built on a nationally renowned

program, Healogics, the Center for Wound Healing is located inside St. Joseph Memorial Hospital

in Murphysboro and on the campus of Herrin Hospital. The program is all about offering solutions to

healing persistent and sometimes debilitating wounds.

Physicians and other wound specialists concentrate their efforts by using a variety of clinical

treatments and support services. This multi-disciplinary approach, along with state-of-the-art therapies such as hyperbaric oxygen therapy allows patients to see amazing results.

Patients suffering with issues such as, venous ulcers, bed sores or poor circulation due to diabetes

can expect an individualized treatment plan that ultimately improves their quality of life.


Introducing Specialized Services

Doris’ Story

A terrible fall resulted in more than broken bones for Doris

Castleberry of Murphysboro. During her recovery, Doris

developed two bed sores, one on her heel, the other on her

lower back. “They were so painful—worse than my broken

hip,” she said. “I couldn’t walk.”

Confined to a wheelchair, Doris was referred to the new SIH

Center for Wound Healing in Murphysboro. “Her wounds

were very severe,” said Jennifer Sims, the Center’s program

director. But with an individualized plan, education and

patience, Doris was soon on the road to healing.

After four months, 82-year-old Doris is thrilled to be back up

and walking around. With help from the Wound Center team,

Doris made a full recovery. “My favorite thing to do now is to

go outside and enjoy the fresh air,” Doris said. “The people

at the Center for Wound Healing were such patient, nice

people,” said Doris. “I’d recommend them to anyone.”

The use of hyperbaric oxygen therapy is simple and painless. The dramatic effect it has on improving circulation to help wounds heal is quite remarkable.


Fostering New Alliances

new friends

Collaboration took on a

greater meaning in 2012

as SIH entered into two

new affiliation agreements

with Harrisburg Medical

Center in Harrisburg, IL and

Marshall Browning Hospital

in DuQuoin, IL. This team

approach allows patients

in these communities,

particularly those with complex medical needs, to benefit from better coordination of care

and services through an expanded pool of specialists. “The affiliations allow SIH to work closely with the two facilities identifying gaps in care and determining how we can best fill those gaps.” said SIH President and CEO

Rex Budde.

Shawnee alliance resource Centers

For older adults, the transition from an inpatient hospital stay back to the community

requires some coordination. Through SIH’s partnership with Shawnee Alliance, a division

of Shawnee Health Services and Development Corp, SIH is now utilizing the Bridge

Model; a social work based transitional care model designed for older adults. Bridge

provides transitional care through intensive care coordination that starts in the hospital

and continues after discharge to ensure a safe “landing.”

Committing to Heart Care

Prairie Cardiovascular Consultants (PCC) and Southern Illinois

Healthcare have long worked together to provide excellent

cardiovascular care to the residents of Southern Illinois. Both

organizations share common mission and values, believing that cardiac

patients benefit substantially by this collaboration. With that in mind,

PCC and SIH signed a Professional Services Agreement with the goal

of continuing evolution of heart services in, and expanding patient

access to, comprehensive and coordinated cardiovascular care.


Communicating Differently

According to a recent survey, 57% of consumers say “a hospital’s social media connections would strongly affect their decision to receive treatment.”

As the need for health information online

continues to grow, Southern Illinois Healthcare

is working to bring health care conversations to

patients — via social media.

The SIH Facebook page shares health resources,

myth busting facts, event photo galleries,

and even a joke or two from area doctors. Its

strength lies in the ability to quickly educate,

entertain and empower individuals to be

their own health care advocates. Personal

communication strengthens and preserves

relationships while providing a local health

resource for our communities online. For special

niche audiences, like childbirth, our Facebook

Birthing Center fan page creates an online

community, extending the patient experience

outside of hospital walls.

Improving the well being of the people in the

greater southern Illinois community has been a

longstanding priority for SIH and with YouTube,

Facebook and Twitter channels, healthy lifestyle

and disease prevention information are now

more accessible, personal and convenient.

Visit us Online:

D oi ng i t B e t t e r e v e r y Day

Planning For the Future

Sometimes life takes a wrong turn. Cancer

happens on its own timetable, not ours. At that

point, life as we know it is in upheaval. It is why

those of us who live in southern Illinois want

the best cancer care and services possible.

Quality, state-of-the-art care. Close to home. Convenient. Compassionate. That is the foundation for the SIH Hope Is Home fundraising campaign to build a new cancer center.

For far too long, many cancer patients and their

families have had the perception that they need

to travel long distances to receive the care they

require. That is a viewpoint we must – and

will – change with Hope Is Home. SIH has the

physicians, specialists, advanced technology,

expertise and nationally accredited care within

our healthcare system. With a new center,

patients and their families will greatly benefit

from having their providers under one roof.

Spearheaded by the SIH Foundation and a

volunteer committee that understands the

needs and benefits of the project, Hope is Home

continues to make strides every day towards our

$10 million fundraising goal.

Opportunities exist for one-time gifts or five year pledges. To become part of this facility that will save lives in southern Illinois, please visit www.sih.net/hopeishome.


Building Healthier Communities

COMMunITY benefITS prOgraMS

Medicare $46,576,644

Medicaid $19,985,154

Charity Care $10,304,486

SIH unreIMburSed SerVICeS (COST)

Community Health Improvement $ 802,246

grants, Contributions, Sponsorships $350,039

Community building activity $552,816

TOTAL $80,603,966

SIH Community Benefit efforts and initiatives reach patients and

communities throughout the southern 16 counties of Illinois.

SIH Community Benefits reaches beyond the boundaries of our hospitals’ walls and

enriches the health and well being of patients, children and their families in 16 counties.

Last year alone, SIH provided charity care to over 14,000 uninsured patients requiring

financial assistance in accessing medical services. Through the work in our hospitals,

clinics and our collaborative efforts with schools, health departments, churches and

other community partners, SIH impacts the lives of over 300,000 individuals on an

annual basis.

Fast Facts

research $75,391

Medical education $1,957,190

D oi ng a l l o f t h i s f o r yo u

Coordinated School Health

CATCH on to Health! reaches 15,000 students and

their families to help make physical activity and healthy

eating a part of their daily lives.

Health Ministry

Improves care coordination through the training and

support of 75 active Faith Community Nurses and Parish

Nurses in 50 church congregations and two faith-based

community agencies across a nine county region.

blood related Illness referral Service

Provides access for patients with HIV, Hepatitis, Sickle Cell

anemia or other blood-related illnesses. While these patients

received specialty care for these specific illnesses, their

primary care needs were not being met.

Medical legal partnership

Addresses the legal, financial and social needs

of patients and families required for them to

improve their health.

Oral Health access

Increases access to dental services

via a referral process through

SIH emergency physicians to

community partners providing care.

MissionWe are dedicated to improving the health and well-being of all of the people in the

communities we serve.

ValuesRespect

Recognizing and valuing the dignity and uniqueness of each person

IntegRItyAdhering to strong moral and ethical principles in all we do

compassIonResponding to the feelings and needs of each person

with kindness, concern and empathy

collaboRatIonCommunicating and working with others for the benefit of all

stewaRdshIpResponsibly using, preserving and enhancing our human and material

resources as a not for profit community controlled organization

accoUntabIlItyHolding ourselves and those around us responsible for living the Values and

achieving the Vision of Southern Illinois Healthcare

QUalItyStriving for excellence in all we do

2012 Annual Report

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