2013 Annual Report

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AnnuAlRepoRt

Murray-Calloway County Hospital is a great hospital, but it is the people who work here every day who

make the real difference. Our team of over 900 employees makes a tremendous difference in the lives of our patients and their families. Not only do they use their clinical skills to diagnose and treat our patients, but they reflect our values compassion, confidentiality, honesty, positive attitudes, respect, and teamwork.

In this report to the community, you will see how MCCH is committed to providing exceptional care. During 2013, we continued to invest in our patients building on advances in technology, quality and safety to ensure our patients receive the finest care available. Whether it’s a new technique or advanced technology, if it will benefit patients, then you’ll find it at MCCH.

All of this is possible because of the support of our Board of Trustees, physicians and staff, and our donors. Thank you for choosing Murray-Calloway County Hospital as your healthcare provider of choice.

We encourage you to review our Annual Report, learn more about our not-for-profit hospital, and visit our website at www.MurrayHospital.org to find out more.

In Good Health,

Jerry PennerCEO of Murray-Calloway County Hospital

2013 Annual Report | 1

Delivering high quality and safe care is a major focus for Murray-Calloway

County Hospital. During 2013, quality measures and outcomes were monitored and departments were recognized for their focus on patient safety and quality.

Quality health care can be described as striving for and reaching excellent standards of care. It involves assessing the appropriateness of medical tests and treatments and measures to continually improve personal health care in all fields of medicine.

MCCH’s Laboratory Service Department completed a two-day inspection by the Commission on Laboratory Accreditation (COLA) in which they were graded on 350 standards including quality control, performance improvement, and proficiency testing.

The MCCH Ambulance Service was recognized as the Region One Provider of the Year by the Kentucky Ambulance Providers Association over 19 other providers.

MCCH’s Surgery Department scored 99% on Multiple Measures as part of the Surgical Care Improvement Project. The goals included effective, safe, efficient, patent-centered, equitable, and timely care. The measures are set to reduce the risks of infections, blood clots, and heart attacks in and around the time of the operation. The project monitors the antibiotic selection and duration of

treatment, surgical site preparation, and medications administered to reduce the risk of blood clots and heart attacks.

The Ultrasound Program also received re-accreditation during 2013.

To further advance patient care and outcomes, MCCH expanded its electronic medical record system and invested in renovations, new equipment and information technology.

Facility Upgrades also continued during 2013. Phase One of construction for the Hybrid Operating Room was completed. The Medical Arts Building received renovations in the commons area and in several office locations. Marshall County Family Medical also relocated to a new facility in Benton, and our pediatric rehabilitation rooms received kid-friendly facelifts. The improvements to the pediatric rooms included two large wall murals, one in the speech-language pathology room and one in the occupational and physical therapy rooms.

r e c o g n i z e d f o r q u a l i t y

guest satisfaction remained strong for Murray-Calloway County Hospital and compared to other hospitals, we continue to offer outstandingcustomer service. 90.4

2 | Murray-Calloway County Hospital

Murray-Calloway County Hospital’s Board of Trustees consists of 11 volunteer members, including the Mayor and Judge Executive. Additional representation is provided by the Chief of Staff, along with eight additional Trustees appointed by city and county government.

Chair • Mr. Steve OwensVice Chair • Yancey Watkins, PhDSecretary • Judge Executive Larry ElkinsTreasurer • Mr. Kenneth Darnell

Medical Staff President • Dr. Brian SwainPresident Elect • Dr. Matt PriceChief of Staff • Dr. Robin FloydChief of Surgery • Dr. David KoelschChief of Medicine • Dr. Richard Blalock

B o a r d o f t r u S t e e S

M e d i c a l S t a f f l e a d e r S h i p

Robin Floyd, MDTony PageLoretta JobsLisa Shoemaker

Carolyn MarcumBurton Young, DMDMayor Bill Wells


• One Acute Care Hospital (MCCH)• Center for Health & Wellness (Medical-Based Fitness Center)• Six Clinics in Two Counties• Home Health & Hospice Services• Regional Cancer Center• Spring Creek Healthcare Nursing & Rehabilitation Center• Center for Rehabilitation & Sports Medicine• Center for Sleep Studies • Medical Arts Building - Physician Offices

M c c h c a M p u S l o c a t i o n S

Primary Service Area Calloway County

Secondary Service Area Marshall County Graves County Trigg County Henry County, TN


M c c h S t a t i S t i c S


M c c h S t a t i S t i c S f i n a n c i a l S u M M a r y

Charity Care: $5.9 millionBad Debt: $6.9 million

Income Statement(shown in thousands)

Gross Patient Revenue ..................... $244,671

Net Patient Revenue ...........................$103,209*

Other Revenue ...................................... $2,282

Total Operation .................................... $105,491

Total Expenses ................................ $107,790

Less from Operations: ................... ($2.30 million)

Meaningful Use ..................................... $1.32 million

Loss from Operations .........................($980,000)

Days Cash on HandSeptember 2012 ................................... 77September 2013 ................................... 104

*Includes Bad Debt & Charity Care - $12.8 million


Recruiting and retaining outstanding physicians is extremely important for Murray Hospital and our patients. We continue in our recruiting efforts and in 2013, we welcomed two new specialists, Dr. Rachel Korson and Dr. Stephen Compton.

Dr. Rachel Korson NeurologistDr. Korson graduated with her medical degree from Loma Linda University School of Medicine in Loma Linda, CA, and completed a Fellowship in Sleep Medicine at Stanford University in Redwood City, CA. She finished her Neurology residency program at the University of Tennessee Health and Science Center in Memphis, TN.

Dr. Korson is Board Certified by the American Board of Psychiatry and Neurology and a member of the American Academy of Neurology and the American Academy of Sleep Medicine. Dr. Korson’s area of interest includes treating sleep disorders such as Obstructive Sleep Apnea, Narcolepsy, REM behavior disorder, and Restless Leg Syndrome. Dr. Korson is the Medical Director of the Center for Sleep Studies.

Dr. Stephen Compton Orthopaedic SurgeonDr. Compton graduated from Murray High School prior to graduating Murray State University Summa Cum Laude with a degree in Biology. He continued his education at the University of Louisville School of Medicine where he graduated Summa Cum Laude and received his medical degree. His orthopaedic surgery residency program was completed at the University of Iowa Hospitals and Clinic in Iowa City, IA. Dr. Compton joined the practice of Charette, Morgan and Compton Orthopaedics.

W e l c o M e o u r n e W e S t p h y S i c i a n S


t e c h n o l o g y

At Murray-Calloway County Hospital, we understand that investing in our community is important. In 2013, we added new technology throughout the facility.

Wireless EKG In an emergency, minutes matter and thanks to a donation received by Jeanne Mathis and Donna and Woody Herndon, the ambulance service at MCCH received four 12-lead EKG modems that allow the EMTs to gather important heart readings on a patient and send them ahead to the Emergency Department. The diagnostic reading allows the ED to see the severity of the cardiac situation and acts as an early intervention before the patient arrives.

Hybrid Operating Room The construction for the new Cath Lab/Hybrid OR allows MCCH to provide cardiac diagnostic capabilities and an operating room to care for patients that require various procedures. The Hybrid OR has diagnostic heart cath and vascular surgery capability. This is a $3.2 million investment.

T-System MCCH purchased the T-System, the most complete emergency department information system. The T-System is intuitively designed to match the emergency physician’s unique workflow while serving as a road map to patient care. T-Systems offer a variety of performance tools including: ePrescribe, referral management tools, and evidence-based information to enhance clinical decisions and more.

RF System for Surgery In June of 2013, MCCH became the first hospital in Kentucky to use the RF Assure Detection System. This system uses radio frequency (RF) energy to determine whether the surgical team has retrieved all sponges, gauze, and towels from a patient’s body at the conclusion of each procedure, and complements manual counts. A mat is placed under the patient and a 12-second scan with a wand is performed to identify if any remaining materials were left in the patient.

Urology Equipment & Monitors MCCH purchased new urology equipment and monitors to provide patients with the latest advancements in surgical techniques.

Laparoscopic Equipment for Surgery MCCH’s Surgery Department purchased additional laparoscopic equipment to meet demands and continue to provide high quality minimally invasive surgery options.

Vascular C-Arm A mobile image intensifier that includes the X-ray generator and image system on a portable imaging system (C-arm) and the workstation unit used to store and manipulate the images.


pediatric rehaBilitation

rehaBilitation ServiceS departMent

Volumes

Inpatient Volumes: consistent across KY (↓)

2011 Total Patient Admissions .................... 5,291*

2012 Total Patient Admissions .................... 4,884*

2013 Total Patient Admissions: ...............4,373 (↓11%)

Surgical Volumes

2011 ........................................................... 5,693

2012 .......................................................... 5,832

2013 .......................................................... 5,565 (↓5%)

Endoscopy Volumes

2011 ........................................................... 4,527

2012 .......................................................... 4,508

2013 .......................................................... 4,779 (↑6%)

*Includes admits from Geriatric Behavioral Unit (closed December 2012)203 in 2011 and 198 in 2012

Mcch aMBulance region one provider of the year


rehaBilitation ServiceS departMent

a c u l t u r e o f g i v i n g

Proceeds Earned in 2013Golf Tournament ................... $25,000Murray Half Marathon ......... $48,000Telethon .................................. $53,000Circle of Friends ................... $2,500Dillard’s Partnership Sale ... $3,700Large Donations ................... $125,000

Giving is fundamental to our work at Murray-Calloway County Hospital, whether the gift is time, money, knowledge or emotional support. Our staff and those who support us through partnerships and philanthropy wholeheartedly embrace a culture of giving to improve the lives of our patients and community.

The generous support of our donors and staff makes it possible for our hospital to successfully achieve our mission of improving the overall well-being of the people we serve.

After six years of planning and fundraising, the Murray-Calloway County Hospital Board of Trustees formally moved to proceed with the construction of the Anna Mae Owen Residential Hospice House. The $3.5 million project was fully funded by

more than 7,000 donors. The planned six-bed facility will be an acute care, inpatient facility designed to care for patients facing end-of-life scenarios. The future Residential Hospice House will be built to include private rooms with private baths, sleeping accommodations for family members, private patios, kitchen, family room and memory garden all in a homelike setting.

Thank you to our 2013 donors and those who participate in the Murray Half Marathon, Golf Tournament, and other fundraisers held each year to support our initiatives. We sincerely appreciate those who share our commitment to providing quality care. We extend our deepest gratitude to all our donors, including many employees and medical staff, who contribute in so many ways to the Murray Calloway Endowment for Healthcare.

Murray calloWay endoWMent for healthcare


Murray-Calloway County Hospital has been providing charity care to uninsured, low income and medically indigent patients for many years. Also, our employees are committed to promoting wellness and improving the health of our community. MCCH partners with many businesses, non-profits and area schools to focus on improving health. This past year, MCCH partnered with the American Cancer Society to host the Cancer Prevention Study on-site in which over 300 community members and employees participated.

We’re proud to offer so many outreach programs and healthy-living opportunities to help everyone who lives in our region.

Charity Care $5.9 millionMCCH’s policy is to provide medically necessary care to all patients regardless of their ability to pay. A minimum of 30% assistance is available for incomes up to 300% of the federal poverty level.

Bad Debt $6.9 millionSome individuals with incomes may not qualify for charity care. Even if covered by insurance, they may have high deductibles or limited benefits. Bad debt occurs when patients do not pay hospital charges for which payment was expected. The hospital works with patients to identify financial assistance eligibility and offers flexible payment plans.

Medicaid and Medicare LossesKentucky’s Medicaid program provides health coverage to qualifying individuals. In Kentucky, the Medicaid and Medicare programs pay the hospital an average of 85-95 cents for each dollar MCCH spends on care for Medicare recipients.

Community Benefit Activities $263,000In an effort to promote health, MCCH hosts and participates in free health fairs, screening events, and educational programs throughout the region. We partner with organizations to provide clinical training and education to advance the knowledge of those seeking healthcare careers, participate in research, and strive to improve access to quality of care.

c o M M u n i t y B e n e f i t


Health Fair/Major events

9 events

Total Community Screenings

3,374 Individuals • 7,459 Screenings (Adult only, includes Health Express stops)

Corporate Screenings

2,032 Individuals • 8,013 Screenings • 14 companies

At the Center for Health & Wellness

Support Group Attendance ............................365

Diabetes Self Mgt. Group Education ...........45

Smoking Cessation ............................................19

Health Education ................................................670

Youth Health Education ....................................1,168

High School Sports Physicals ........................542

Wellness Center Memberships

Scholarships (88% discount) ................................179

Total members .....................................................1,631

Total visits..............................................................104,061

Free Athlete memberships .............................62

Murray High School & Calloway County Schools

2 Athletic Trainers ..............................................$73,000

2 School Nurses .................................................$60,000

h e a l t h p r o M o t i o n S , h e a l t h e x p r e S S & W e l l n e S S


McDevitt, Hahs and Keys Society $750,000 - $999,999Anonymous Donor

Clark, Austin & Quertermous Society $100,000 - $249,999Mr. Kenneth OwenW.K. Kellogg Foundation

Benefactors: $40,000 - $59,999Anonymous DonorAnonymous DonorMr. John Parker and Mrs. Julia A. ParkerThe Hugh T. Carroll FamilyThe Murray Bank

Builders: $10,000 - $19,999Mr. Keith E. Bailey and Mrs. Janet BaileyMr. Bob Billington and Mrs. Jeannie H. BillingtonD.C. ElectricMr. Sid Easley and Mrs. Melissa EasleyMr. James D. Garrison and Mrs. Edith GarrisonGeotech Engineering & Testing, Inc.Heritage BankThe Michael Holton Family

Mr. Dan Hutson and Mrs. Sue H. HutsonInsurance Center of MurrayJohnson & JohnsonMarcum Engineering, LLCMcConnell Insurance AgencyMurray Anesthesia GroupMurray Hospital AuxiliaryPella Rolscreen FoundationPinnacle Construction, Inc.Mr. Walter Polly and Mrs. Margaret PollyPoplar Spring Baptist ChurchMr. Stuart Poston and Mrs. Donna PostonRadiology Associates of MurrayDr. Jack Rose and Mrs. Janice F. RoseMedical Arts PharmacyDr. Brinda SmithMr. Dwain TaylorMr. Gary Taylor and Mrs. Peggy TaylorMr. Tommye D Taylor and Mrs. Anna F. TaylorMr. Keith Travis and Mrs. Joan TravisDr. Richard F. Weaver and Dr. Janice F. WeaverWaburn & Brenda Wyatt Family - Stephanie; Kerry & Rachel; Terry & KimDr. Ruiza R. Yee and Mr. Sandy Yee

founderS Society of 1910

Mr. William Adams, III and Mrs. Jill AdamsDairy Queen, Mr. Hal Kemp and Mrs. Leslie KempMr. Timothy U. Allbritten and Mrs. Linda C. AllbrittenDr. Arthur Allen and Mrs. Sheila AllenDr. Tiche K. Allen and Mr. Jeffrey L. AllenAlmo Church of ChristAlpha Omicron Pi FoundationMr. Ron K. Arant and Mrs. Cheryl M. ArantMs. Margaret M. ArnoldMr. Tommy ArnoldMs. Bonnie BakerMr. Alan S. Barber and Mrs. Cassie BarberMr. Richard D. Bazzell and Mrs. Dana H. BazzellBB&TMr. Bradley Bloemer and Mrs. Ann Marie BloemerBlue and CompanyMr. David Boyd and Mrs. Sherri L. BoydMr. Earl E. Boyer and Mrs. Shelby J. BoyerMr. Rick W. Bray and Mrs. Melony D. BrayBridge Homecare PartnersMr. Donald Brittain and Mrs. Rene L. BrittainDr. David F. Bryson and Mrs. Jennifer S. BrysonMr. Steven W. Burford and Mrs. Susan BurfordMr. Thomas H. Busse and Mrs. Bonnie H. BusseC.A. Jones Management Group, LLCMr. William G. Call and Mrs. Brenda G. CallCalloway County Cooperative Extension OfficeMr. Bob L. Cavitt and Mrs. Linda J. CavittDr. Raymond J. Charette and Mrs. Diane CharetteMr. Ronald Churchill and Mrs. Ann Perry ChurchillMr. David Clark and Mrs. Jill B. ClarkCommunity Health Care PartnersMr. James CookMike, Whitney and Mae Carroll CooperDr. Jimmy E. Couch and Mrs. Sara A. Couch

Credit Bureau Systems INC.Dr. Richard H. Crouch and Mrs. Cheryl S. CrouchCyberonics, Inc.Dr. Tyrone L. Daniels and Mrs. Terry L. DanielsMr. Gary Darnell and Mrs. Diana McClain DarnellMs. Ruth DaughadayDavid Taylor Chrysler Dodge Jeep RamMr. Richard A. Davis and Mrs. Susan E. DavisMr. Michael C. Davison and Mrs. Kitty R. DavisonMr. Jeffery DeHaanMr. Robert DeHaan IIIMr. Joe Dick and Mrs. Linda DickMr. Danny Dick and Mrs. Sandra DickDr. David Eldredge and Mrs. Judy EldredgeJudge Executive Larry Elkins and Mrs. Janie ElkinsEmCare Emergency MedicineIn Memory of John K. EmersonEMS Management LLCEpilepsy Foundation of KentuckianaFamily Allergy & AsthmaMr. Richard FarrellFidalgo BayFirst Christian ChurchFirst Presbyterian ChurchFirst United Methodist ChurchMr. Ryan Flota and Mrs. Whitney FlotaDr. Robin M. Floyd and Mrs. Kamille E. FloydFNB BankMr. Tripp Furches and Mrs. Sharon W. FurchesMr. Don H. Futrell and Mrs. Debra P. FutrellMr. David C. Griffo and Mrs. Kimberely S. GriffoMr. Eddie C. Hale and Mrs. Darlene HaleMs. Courtney HarnessMr. Everett D. HartMr. James C. Hart

CareGivers$1,000 - $9,999


Hart Real Estate AccountMs. Rachel L. Haugh and Miss Ava ElliottMr. Robert W. Head and Mrs. Nita HeadMr. Clarence W. Herndon and Mrs. Donna R. HerndonHFR, INC.Ms. Betty L. HillHillard Lyons, INC.Mr. Charles M. Hoke and Mrs. Anne W. HokeMr. Rudy HollandDr. Tara HoustonMr. Ronnie G. Hubbard and Mrs. Mary S. HubbardHutson, Inc.Mr. Danny Hudspeth and Mrs. Regina HudspethImes-Miller Funeral HomeIndependence Foundation Inc.Interstate BatteriesJ.H. Churchill Funeral HomeDr. Herschel S. Jackson and Mrs. Karen M. JacksonMr. Joe Pat James and Mrs. Lola C. JamesJasmine Thai & SushiJim DeFew Custom Painting and Body ShopJL & Sons, LLCMr. John Johnson and Mrs. Christine D. JohnsonDr. Conrad H. Jones and Mrs. Evelyn L. JonesMr. Troy Joyce and Mrs. Jimmie R. JoyceJRA, Inc.KAPPA DepartmentKeller Williams Experience Realty, Loretta Jobs - Principal BrokerMrs. Molly KelleyDr. Prue Kelly and Mrs. Linda KellyKentucky Lake Moving and StorageKentucky Lake Oil Co., Inc.Kentucky Medical Services Foundation, Inc.Mr. David KingMs. Janet B. KirkDr. Kanchan Koirala and Dr. Regina PoudelKrogerLake Chem Community Federal Credit UnionLattimore, Black, Morgan & Cain, P. C.Legacy Oxygen and Home CareLiberty Cumberland Presbyterian ChurchDr. Gordy Loberger and Mrs. Ethelyn LobergerDr. Bob Lochte and Mrs. Kate LochteDr. Robert F. Long and Mrs. Patricia M. LongDr. Lal ManglaSheriff William E. Marcum and Mrs. Carolyn A. MarcumDr. Gary Marquardt and Mrs. Brenda K MarquardtMr. David Martin and Mrs. Janet MartinMr. Robert K. Martin and Mrs. Shirley MartinMs. Lynn MartinsonMs. Jeanne L. MathisMr. Christopher A. Mayfield and Mrs. Emily MayfieldMCCH Business OfficeMCCH Hospice DepartmentMCCH Spring Creek Health Care Bee Positive CommitteeMr. Johnny McDougal and Mrs. Charlotte McDougalMr. Richard D. McGee and Mrs. Belinda McGeeMr. Mark McLemore and Mrs. Linda McLemoreMedBenMs. Keena J. MillerMs. Judith MooreMr. Vernon Moore and Mrs. Janet HenryDr. Derek MorganMSU Accounting & Fiscal ServicesMSU Volleyball TeamMurray Convention and Visitors BureauMurray Electric SystemMurray Fast Pitch ClubMurray Medical AssociatesMurray Opthalmology AssociatesMurray State University Foundation, Inc.Murray-Calloway County Chamber of CommerceMr. Theodore Myre Jr.

Mr. Nagin G. Nathu and Mrs. Gopal J. NathuNew Life Christian Worship CenterMr. Rick Nance and Mrs. Anne NewberryMs. Vera L. NordhoffMr. Robert R. Olson and Mrs. Karen OlsonMr. Terence D. Olson and Mrs. Laura OlsonMr. Joe F. Orr and Mrs. Winelle P. OrrMr. Steven B. Owens and Mrs. Phyllis E. OwensPaducah Physiatric PartnersMr. Charles PangbornPark Place InternationalMr. Eric Rogers and Mrs. Christina RogersDr. Sandra W. ParksMr. Brady Parks and Mrs. Vicki ParksParkway Chrysler, Benton KYPeCo Products, LLCPeel & HollandPella CorporationMr. Jerome Penner III and Mrs. Jamie PennerPHI Air MedicalPrimary Care Medical CenterPro Wash of MurrayPurchase GastroenterologyR.T. Vanderbilt Company, Inc.Mr. Larry Ragsdale and Mrs. Cynthia Hussey-RagsdaleMr. Michael Randolph and Mrs. Carole RandolphMr. Joe Pat Ray and Mrs. Lisa Winters-RayMr. John E. Rebuck and Mrs. Jocelyn K. RebuckRegions BankMr. William Rogers and Mrs. Ruth RogersDr. Monte E. Rommelman and Mrs. Kimberly A. RommelmanRotary Club of MurrayDr. John M. SalleeMr. Gordan K. Sapp and Mrs. Barbara SappMs. Suzanne C. SeeleyMr. Warren Shropshire and Mrs. Virginia ShropshireSignet Health Corp.South Pleasant Grove U.M.W.St. John’s Episcopal ChurchMr. Mark B. SteadhamMr. Donald L. StoryDr. Richard Stout and Mrs. Lynn H. StoutMr. Dan K. Taylor and Mrs. Beverly G. TaylorMr. David M. Taylor and Mrs. Jennifer B. TaylorDr. Randy K. Taylor and Mrs. Lee A. TaylorThe Heart GroupMr. David D. Travis and Mrs. Vickie C. TravisMr. Don Travis and Mrs. Nancy T. TravisDr. John E. Tveite and Mrs. Pat TveiteUK College of MedicineUS BankDr. Richard Vonnahme and Mrs. Dee Dee VonnahmeW D Steel Construction Services, LLCMr. Todd Walker and Mrs. Sheila WalkerMr. Joe Ward and Mrs. Beth WardYancey and Jean WatkinsAnne and Mayor Bill WellsWest Kentucky Surgical, Inc.Westlake Financial Group, Inc.Mr. Joey Williams and Mrs. Pamela S. WilliamsMr. John R. Wilson and Mrs. Jamie M. WilsonDr. William E. WilsonMr. Kenneth W. Winters and Mrs. Shirley A. WintersWoodmen of the World, Lodge 592Woodmen of the World, Lodge 728Mr. Thomas M. Woods and Mrs. Dorothy J. WoodsMr. Daniel H. Wright and Mrs. Rebecca B. WrightMr. Chuck WynnDr. Leslie YatesMr. Chris YooMs. Jung J. YoonDr. Burton R. Young and Mrs. Cathy L. YoungMs. Janet K. Zweedyk

803 Poplar StreetMurray, KY 42071270.762.1100 • 1-800-342-MCCHwww.MurrayHospital.org

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@murrayhospital

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M i S S i o nTo be the leading partner in improving the overall well-being of the people we serve.

v i S i o nMCCH is a center of healthcare excellence that provides the highest quality of service and patient safety while delivering compassionate, patient-centered outcome based care. MCCH is fiscally responsible, an employer of choice, and a leader in philanthropic and educational growth of the region.

v a l u e SMoving forward with Compassion, Confidentiality and Honesty built on Positive Attitudes, Respect and Teamwork.

2013 Annual Report

Documents

quality health care

safe care

quality measures

timely care

exceptional care

personal health care

advance patient care

excellent standards