70 years of quality medical care Our Main

Transcription

Celebrating
70 years of quality medical care
Our Main Campus expansion
Expanded services for our patients
Greetings from the Chairman
Welcome to the inaugural edition of Inside Springfield Clinic, a closer look at
Springfield Clinic, its people and its progress.
For the past 70 years, Springfield Clinic has been committed to the advancement
of quality healthcare in Central Illinois. Dating back to its origin in 1939, the
Clinic has continually introduced innovative new tools, equipment, facilities and
services to better care for patients.
We have recently completed a three-year, $40 million expansion and renovation
of our Main Campus facility in Springfield. Both the new 4-story, 115,000 square
foot West Building and the remodeled East Building are fully operational. These physical enhancements have been popular with
physicians, staff and most importantly, our patients. We encourage you to visit, if you have not done so already.
Springfield Clinic’s Electronic Health Record (EHR) system is fully operational in each physician office throughout our entire service
network. This achievement places us among the top 4% of clinics in the nation to have successfully implemented a project of this
magnitude. Our EHR is once again demonstrating that technology improves and enhances the efficiency, service and continuity of
care we deliver to our patients.
Of course, our commitment to excellent service and clinical quality has never been stronger. We hope that by exceeding our patients’
expectations, we will continue on the same path of growth and success our organization has experienced these past seventy years.
In closing, I want to acknowledge our physicians and staff for their commitment to excellence, our business associates for their support
in the delivery of high quality health care and most importantly, our patients and their families for their continued confidence and
loyalty. Working together, we can improve the quality of health and life in Central Illinois.
This publication is made possible through the generous support of our suppliers, contractors and vendors. We hope you enjoy the
insider’s look at Springfield Clinic, as well as their contributions to this effort. Please let us know your thoughts about future issues and
the topics that interest you most. Your opinion, as always, is important to us. Thank you again.
Sincerely,
William D. Putman, MD
Chairman, Board of Directors
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INSIDE SPRINGFIELD CLINIC
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TABLE OF CONTENTS
70 Years of Quality Medical Care
Springfield Clinic:
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Carlinville
Acorn Medical Associates
101 McCasland Avenue
Carlinville, IL 62626
Decatur
Family Medical Care
of Decatur
1770 E. Lake Shore Drive
Suite 105
Decatur, IL 62521
Hillsboro
Hillsboro Medical
Associates
1250 E. Tremont
Hillsboro, IL 62049
Jacksonville
Jacksonville Family
Health Care
610 N. Westgate
Jacksonville, IL 62650
Midwest Occupational
Health Associates
(MOHA) - Jacksonville
901 West Morton Avenue,
Suite 16A
Springfield Clinic
Jacksonville
1600 West Walnut
A Look Back in History
Springfield
Springfield Clinic Main Campus East
1025 South 6th Street
Springfield, IL 62703
Springfield Clinic Main Campus West
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Our Main Campus Expansion
Springfield Clinic’s
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Main Campus Expansion
Springfield Clinic 1st
800 North 1st Street
Springfield Clinic Wabash
2200 Wabash Avenue
Midwest Occupational
Health Associates
(MOHA)
775 Engineering Drive
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O’Shea Builders: Unique Challenges in
Medical Facility Planning and Building
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Springfield Clinic Celebrates
New Expansion
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Putting the Finishing Touch on Springfield
Clinic’s Vision
Expanded Services for our Patients
Advance Medical Directives
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Springfield Family
Practice Center
1100 Centre West Drive
Springfield Pediatric &
Adolescent Center
2532 Farragut
Springfield Clinic at St.
John’s Pavilion
301 North 8th Street
Lincoln
Lincoln Health Care
Specialists
311 8th Street
Lincoln, IL 62656
Springfield Clinic The Center for
Plastic Surgery
2901 Greenbriar Drive
Sherman
Sherman Family Practice
400 St. John’s Drive
Sherman, IL 62684
Springfield Clinic at
Memorial Medical Center
/ St. John’s Hospital
701 North 1st Street /
800 E. Carpenter
Taylorville
Springfield Clinic
Taylorville
600 N. Main
Taylorville, IL 62568
A Personal Reflection
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Administrative Team
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Board of Directors
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Solutions for Success:
Overcoming Today’s Challenges
in Oncology
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The Personal Side of Clinical Research
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Scrubbing In: A Day at the Ambulatory
Surgery & Endoscopy Center
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Better Health Care through Technology:
the Electronic Health Record System
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Leading the Way in Digital Imaging
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Who Ya Gonna Call? Telenurse:
Springfield Clinic’s 24-Hour a Day,
7-Day a Week Patient Help Line
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Physician Directory
Inside Springfield Clinic magazine is designed and published by Custom Publishers Group.
To advertise or to publish your own corporate publication, please call Gary Wright: (502) 721-7599.
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Springfield Clinic: A Look Back in
HISTORY
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SPRINGFIELD CLINIC
Springfield Clinic’s first office at 421 South 6th.
training at Cook County Hospital in Chicago. He opened a
solo practice, specializing in Obstetrics & Gynecology, in his
hometown of Springfield. The year was 1935.
Dr. James Graham, a Springfield native, completed medical school
Dr. Richard F. Herndon, a member of the prominent
at the University of Illinois College of Medicine in Chicago in
department store family, completed his medical training at
1930. After studying two years in New York, he completed his
Rush Medical College in Chicago. His Springfield-based
residency training in Boston City Hospital and in 1934, returned
solo practice had been established in the early 1930’s, but by
to Springfield to establish a private surgical practice.
1937, he was contemplating the relocation and expansion of
his practice.
Dr. A.R. Eveloff moved to Springfield in 1935, following the
completion of a residency in Pediatrics at St. Louis Children’s
Convinced that the future of medicine lay in the practice
Hospital, and began a solo practice in Pediatrics. He and Dr.
of sub-specialties, and with a shared spirit of innovation,
Graham discovered a common interest in a developing a group
these five visionary physicians agreed to join forces. By
practice and the two quickly became friends.
spring of 1939, the partnership agreement had been written
and the group had a plan to build a new, 24-room medical
Dr. B. Lyman Stewart, a graduate of Northwestern University
office building. On November 1, 1939, the partnership,
Medical School and trained Urologist, rented office space from
which would eventually become known as Springfield Clinic,
an older group of physicians in Springfield. Upon hearing of a
officially opened its doors at 421 South 6th Street.
possible group being formed by Graham and Eveloff, Stewart
expressed an interest in being part of their venture.
The medical “group” employed three original staff members:
a receptionist / stenographer, a nurse who had previously
Dr. E. Harold Ennis, also a native of Springfield, attended
worked with Dr. Ennis and a former bank teller to serve as
medical school at Northwestern University and completed
business manager.
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Just two years later, the partnership expanded for the first
time, recruiting a local Internist to join the group practice.
But the growth of the practice was temporarily suspended,
as four of the five partners left to serve in World War II. Dr.
Herndon, the oldest of the group, had served in WWI and
stayed behind to maintain the practice. The Herndon family
cancelled the rent during their service and held the lease open
for the partners until their return. In the interim, Dr. Hurie,
another local physician, joined the group.
Dr. Herndon’s recommendation paid off. By 1951, adequate
funds had been accrued to finance a new, larger facility to the
south, just on the fringe of the downtown business district.
Thankfully, all four servicemen returned home safely in 1945;
The spacious new medical office, located at 1025 South 7th
however, Dr. Stewart chose to stay in Los Angeles after the war.
Street, accommodated the growing number of partners to
With the team back in full force, the practice grew quickly and
the organization, as well as the expanded radiology and lab
the organization prospered.
services offered.
In 1947, a mere eight years after its start, 12 exam rooms were
Attracted by Springfield Clinic’s innovative approach to medical
added and more space for lab and x-ray services were created.
care, numerous physicians joined the organization during this
Dr. Herndon, the senior partner of the group, fostered the
period. Several new sub-specialties, including Rheumatology,
idea of a shared savings fund, which could be used for future
Orthopaedics, Thoracic Surgery, Ophthalmology and
expansion of the practice. Each partner agreed.
Otorhinolaryngology (ENT), among others, were added.
By the end of the decade, rapid growth
prompted the acquisition of neighboring
properties to accommodate additional
parking
and
building
expansion.
The growing physical operation was
accompanied by a re-organization of the
administrative function, the creation of
a more sophisticated accounting system
and the development of what could be
considered the forerunner of today’s
HMO. New office at 1025 South 7th.
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In 1967, Springfield Clinic completed a massive 3-story expansion.
The next decade in Springfield Clinic history ushered in
find itself in repeatedly as it continued to grow. Neighboring
continued growth and technological advancement. Specialties,
property was purchased and homes were razed to accommodate
including Cardiology, Hematology & Oncology, Neurology,
a 1961 expansion. and Dermatology were introduced and other specialties, like
Surgery, diversified into further sub-specialties, specifically
In 1963, the Clinic’s first Administrator, Francis Wenzel,
Colon & Rectal Surgery. New services, including Physical
retired and was succeeded by John W. Montgomery, whose
Therapy, were established.
pioneering spirit introduced computers into the operation and
whose tenacity re-launched the Clinic’s satellite operations
By the early 1960’s, Springfield Clinic’s partnership had grown
network that had met with resistance twenty years prior. to approximately twenty-five physicians and it was commonly
believed by doctors in the area that Springfield Clinic was
In 1967, Springfield Clinic completed a massive, 3-story
“going somewhere.” The unprecedented expansion of staff
expansion, which today still serves as the east side of the Main
resulted in cramped working space and a lack of parking for
Campus East Building on 7th Street.
patients; a situation Springfield Clinic would continue to
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Springfield Clinic’s success continued to attract well-trained and
talented physicians and surgeons to its partnership throughout
the 1970’s. New specialties, including Nephrology, were added
to its clinical offerings and an official Family Practice department
was finally created.
As many others in the Illinois medical community did,
Springfield Clinic partners recognized a decline in medical
school graduates interested in pursing a general medicine
practice, and an even greater migration of medical professionals
to larger, more attractive urban areas.
Springfield Clinic’s physicians played an integral role in
the establishment of Southern Illinois University School of
Medicine. Many Springfield Clinic partners assumed teaching
roles and served as Associate Professors and Clinical Professors
at the school. At one point, Springfield Clinic’s original building at 421 South
6th Street was used to house the medical school’s library.
J. Michael Maynard, a native West Virginian, replaced the
retiring John Montgomery as Springfield Clinic’s Chief
Administrator in 1987. By the end of the decade, Springfield
The next ten years, as many others before them, were marked
Clinic managed eight satellite locations and had engaged in the
with considerable growth. By the end of the 1980’s, number
third major expansion of its Main Campus facility on South 7th
of physicians in Springfield Clinic’s partnership surpassed fifty.
Street. The $14 million dollar project added space for 20 new
Many of the physicians recruited during this time period serve
physicians, expanded Physical Therapy Services and state-of the
as the leadership of the organization today.
art CAT-scan equipment.
Educational symposiums and seminars were held to support the
Further refinements were made to the administrative structure
continuing medical education of Springfield Clinic medical staff
and management of the organization. In 1988, a uniform
and referring physicians, many years before the State of Illinois
dress code, id badges and time clocks were introduced to
recognized the need for regular clinical updates. Springfield
support the standardization of operations between, buildings,
Clinic’s physicians also sponsored a popular Medical Bulletin
specialties and providers.
for many years.
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In 1990, a 2-story
expansion was added.
Pre-expansion
Illinois Region. Offices in Hillsboro, Jacksonville, Lincoln,
Decatur and Taylorville were established during this time.
Springfield Clinic’s leadership was quick to recognize the value
of an internal referral network, particularly in light of the
Advancements in technology created greater opportunity for
expanding popularity of HMOs in the commercial insurance
outpatient surgical procedures and in 1994, Springfield Clinic
marketplace and the mounting importance of communications
opened its Ambulatory Surgery Center, the first freestanding
between family physician and specialist.
surgical center in Central Illinois.
For a decade or more, Springfield Clinic’s partnership grew
Major enhancements to the Clinic’s computer and billing
dramatically, as it strategically merged with well-established
systems loaded the spring for the technology boom the
smaller group practices throughout Springfield and the Central
organization would experience.
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The first nine years of the new millennium will undoubtedly
be remembered for the number of projects completed, the
level of technology achieved and the speed at which they were
implemented. Technology at Springfield Clinic took a giant leap forward
with the full implementation of an integrated Electronic
Health Record system in 2008. The project, which took
years of planning and implementation, completely replaced
traditional paper charts and revolutionized the delivery and
quality of health care in Central Illinois. The accomplishment
placed Springfield Clinic among the top 4% of multi-specialty
clinics in the country to have successfully implemented a
Springfield Clinic today.
comprehensive electronic health record system.
Medical Clinic, Taylorville Medical Associates and various
Improved technology in imaging led to the addition of a 16-slice
specialty outreach locations in the community. A similar project
CT, the first digital fluoroscopy unit, Nuclear Medicine, PACS,
in Lincoln is underway.
an image management system, digital mammography, a 3.0
tesla MRI and digital x-ray at each and every Springfield Clinic
Ever committed to serving the needs of its patients, Springfield
location. Clinic continued its focus on the quality and service. For the
In an effort to provide its patients with therapies from the
accreditation possible through AAAHC, the Association for
leading edge of medical science, Springfield Clinic formally
Accreditation in Ambulatory Health Care. A Learning Center
created a Research Department in 2003. Springfield Clinic
was established and formal service training initiatives were
physicians have served as investigators on more than 270
implemented for all staffing levels.
7th consecutive audit, Springfield Clinic received the highest
trials to date and have been nationally recognized for their
participation in ground-breaking medical research.
On July 1, 2008, Randall Bryant, the Clinic’s Chief Financial
Officer, assumed a new role as Springfield Clinic’s CEO,
Major construction projects resulted in more than 300,000
following the retirement of J. Michael Maynard, who provided
square feet of new medical office space for Springfield Clinic
more than twenty years of service to Springfield Clinic as its
physicians and staff. Springfield Clinic 1st, completed in the
Chief Executive Officer.
spring of 2006, brought specialists, particularly surgeons, under
the same roof and in proximity to both Springfield’s hospitals.
Through mergers, recruitment and retention of high quality
health care professionals Springfield Clinic has reached
A $40 million expansion and renovation of Springfield
unprecedented numbers. In just 70 years, the number of
Clinic’s Main Campus was completed in fall of 2008, further
Springfield Clinic partners has grown from five to more than
consolidating specialty groups and providing room for
130. Springfield Clinic’s mission, to provide the highest quality
additional growth. The construction also included an expansion
health care in Central Illinois, is today the focus of nearly 200
of the Ambulatory Surgery and Endoscopy Center which
physicians and surgeons, approximately 80 mid-level providers
currently consists of five full surgical suites and four endocsopy
and more than 1600 employees.
procedure rooms. Springfield Clinic providers offer care in nearly 40 medical
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A new 40,000 square foot medical office building in Taylorville,
specialties and serve patients through its network of 20 medical
opened in summer 2009, consolidated Christian County
offices and specialty outreach locations throughout the region.
A Personal
Reflection
During a recent visit to Springfield Clinic, Elsie Hinds,
considered to be the only living nurse from the founding
partner’s group, shared a few of her memories from the early
days at Springfield Clinic:
“I graduated from St. John’s School of Nursing in 1945 and
went to work at the hospital in the OB/GYN department. I
stayed there for two years, but the hours were long and I really
wanted a job where I could have holidays off,” she began.
In May 1947, she accepted a nursing position with Dr. Harold
Ennis, a handsome and successful doctor whose OB/GYN
practice had grown quickly after his return from WWII. Elsie’s
primary role was assisting Dr. Ennis with exams in the office.
“We had quite a few patients and it was always busy,” she
reflected, “but we rarely worked late. Dr. Ennis was a wonderful
family man and he always wanted to get home at the end of
the day.”
According to Elsie, the staff worked hard, but knew how to have
fun as well. “It must have been the early 1950’s,” she reflected,
“and my husband and I lived on North 9th Street. I invited the
other nurses over for a pot luck and gift exchange, so I guess you
can say I hosted Springfield Clinic’s first staff Christmas Party
in my apartment.”
The camaraderie between the nurses was supported by the
doctors too. Elsie added, “The doctors always respected us and
treated us well. They would order in pizzas from Gabatoni’s for
lunch or after a particularly long day, they would treat us to a
bottle of wine. They were all great to work for.”
“I left in 1952 to raise my own family,” recalled Elsie. “On my
last day, Dr. Ennis brought me to the new building, gave me a
tour and told me I would always be welcome here.” The “new
building” was the first construction at 1025 South 7th Street,
Springfield Clinic’s current Main Campus location.
For the next eleven years, as Elsie’s own family grew, she
continued to fill in for her fellow staff members at Springfield
Clinic. “I didn’t drive, so the janitor would pick me up and
bring me to work.” In 1963, Elsie returned to Springfield
Clinic on a full-time basis and continued to do so through the
mid 1980’s.
The list of physicians she recalled was a virtual Who’s Who of
Springfield Clinic history. “I remember so many of them…Dr.
Power, he was from Michigan, Dr. Cunningham, Dr. Dilts
and Dr. Hurie. Of course, I remember Dr. Manson and Dr.
Spangler. I did Dr. Manson’s daughter’s OB check and was
the first to tell him she was expecting twins. Sure enough, there
were twins!”
When asked what memories
are most special to her, Elsie
responded, “I really enjoyed
my patients and the people
I worked with. Some of my
patients are still around and I
love seeing them.” Elsie makes
a point to stay connected with
her former co-workers, like
Carolyn Schroeder, currently
a receptionist in the Internal
Medicine Department at the
Clinic’s Main Campus. “Carolyn and I worked together back
in the 1960’s and we still stay in touch. She’s like a member of
my family now.”
Despite the fact Elsie has been retired for more than twenty
years, she has fond memories of Springfield Clinic and remains
a loyal patient. “It has completely changed since I was here, but
this is still the best place to come for medical care. The doctors
here are great.”
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Springfield Clinic
A major city sewer
line was relocated
in Fall 2006 to
make way for
the expansion.
Main Campus,
including buildings
and parking,
will cover nearly
9 acres.
Demolition begins.
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Representatives of Springfield
Clinic’s Board of Directors and
Building Committee officially
break ground.
Springfield Mayor Tim Davlin
and J. Michael Maynard, CEO,
exchange congratulations at
the March 1, 2007 ceremony.
By late spring,
excavation was
complete.
Springfield Clinic
The West Building
foundation was poured.
Next step - lots of steel!
In total,
2500 yards
of concrete were
poured – the equivalent
of a sidewalk six
miles long.
...and lots of concrete!
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There were as many
workers ON THE JOB
at one time as there
are members in the
Illinois House of
Representatives
Construction over 6th
created a temporary street
closure in Fall 2007.
With winter on the
way, work shifted to
the building interior.
Springfield Mayor Tim Davlin and J. Michael
Maynard, CEO, exchange congratulations at
the March 1, 2007 ceremony
98,000 bricks
were used – laid
end to end, they
would span
18 miles
Brick and glass work
continued throughout
spring and summer
of 2008.
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Springfield Clinic
Finishing touches included
clean windows...
caping
... and lands
The building team
celebrates at the
Dedication Ceremony
on November 15, 2008.
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A patient enjoys the
building’s abundant
natural lighting.
Final adjustments are
made to the new ASC/GI
recovery bays.
Springfield Mayor Tim Davlin and J. Michael
Maynard, CEO, exchange congratulations at
the March 1, 2007 ceremony
In all, $40 million
dollars was invested
in the Main Campus
expansion and
renovation project
Project finished!
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Springfield Clinic
Today’s view from
the original (1952)
Main Campus
construction site.
Blue lighting washed the
6th Street arch in honor
of World Diabetes Day.
Sixteen trades
were involved in the
construction, which
took about 90,000
man hours
Main Campus in full bloom
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Unique Challenges in
Medical Facility Planning
and Building
Hanging a “Clinic Is Closed”
sign, even for just a few
hours, was never an option for
Springfield, Illinois-based Harold
O’Shea Builders during the
120,000-square-foot expansion
project at the Springfield
Clinic’s main campus.
Maintaining the same open hours and patient
service level seemed like lofty and perhaps
unattainable goals for this complex medical
facility construction plan. But it was nothing
new for O’Shea Builders. A collaborative
and adaptable work style along with extensive
experience constructing healthcare facilities
resulted in completing the project on time.
“Many
healthcare
construction
projects
are renovations inside an existing facility
or construction of a new building in close
proximity to the original facility, often in
heavily
populated
areas
that
include
commercial and residential properties,” says
Mike O’Shea, Project Executive of O’Shea
Builders. “Springfield Clinic involved all of
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these variables plus the challenges of ensuring continuous
O’Shea Builders worked closely with Springfield Clinic to
operations, keeping patients safe, and meeting the special
develop and implement interim safety measures that would
requirements of medical equipment. We had our work cut out
eliminate or minimize environmental impact on patients and
for us but knew we were comfortable with our experience.” staff and interference with patient care. Dust, noise, debris
and fumes are among potential life-threatening problems for
Keeping Springfield Clinic open and patients safe
patients and employees with health vulnerabilities. O’Shea
O’Shea Builders’ construction operations needed to blend with
Builders and the clinic planned the exact location of dust
the flurry of patient service activity and support operations,
walls, set ground rules on the use of high-powered equipment,
including maintenance, supply, receiving and janitorial services.
and specified exactly when, where and how construction
Careful planning and tactful timing helped prevent disruption
crews would move about the building. “The O’Shea team
to patients, employees and overall operations. spent a significant amount of time planning the renovation
and expansion phases that allowed the Springfield Clinic to
“Medical building projects demand a great deal of pre-
continue normal operations during the construction,” says
construction planning to address safety issues and logistical
Randy Bryant, Chief Executive Officer of Springfield Clinic. complexities that include parking, material storage, crane
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location, temporary offices, tool storage and site access,” says
Expanding and renovating with limited space
Todd Missel, Project Manager at O’Shea Builders. “Proper
Springfield Clinic’s physical location presented its own unique
planning is what really made the difference in keeping the clinic
challenges. The clinic is near downtown Springfield and
in full operation throughout construction.”
surrounded by commercial buildings. The construction plan
called for a new three-story section to be built over a one-way
fence posts,” says Tom Fitch, O’Shea Builders’ Project Pre-
northbound major arterial roadway carrying heavy traffic to
Construction Director. “Between the H piling we installed
the downtown area. This section would connect to a large
timber lagging before we excavated to basement elevation to
building on a lot bookended by that northbound street and
retain the soil and foundation of the small clinic office. We used
a southbound street carrying equally heavy traffic away from
a similar solution at another side of the building to protect the
the city.
existing roadway and underground utilities during the basement
excavation.” Additional challenges included efforts to avoid disrupting
working businesses next door, particularly the chiropractic
“O’Shea Builders offered several significant logistical solutions
clinic located in a century-old home just 15 feet from the
and cost-saving measures,” says Bryant. “One among several
property line. Springfield Clinic’s new building was positioned
examples was a creative solution to utility relocations that saved
at that property line to maximize space for future parking and
considerable project cost and time.” unloading. O’Shea Builders installed an earth retention system
to prevent settlement and damage to the chiropractic office
Medical equipment guides design and
when excavating 12 feet into the natural ground water table to
construction priorities
build the new basement.
Selection of equipment and furniture typically follows design
and construction. However, in healthcare clinic or hospital
“We considered several options and went with the soldier
projects, the equipment takes center stage. The precise type of
pile and lagging wall solution, a combination of drilled
equipment, such as a magnetic resonance imaging (MRI) unit or
concrete shafts with steel H piling that acted as underground
computed tomography (CT) scanner, determines the physical
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space, the room design and layout, and the
Intestinal rooms that feed from the central
furniture. O’Shea Builders collaborated with
mechanical room
Springfield Clinic staff, equipment vendors
and purchasing agents to design effective
temporary and permanent rooms based on
the equipment’s functioning requirements.
“To the casual observer, many rooms in a
medical facility seem rather simple,” Missel
says. “They are square or rectangular, painted
a single color and sparsely furnished. Some
rooms have a lot of equipment, others have
more open space. What people don’t see is
the complexity behind the walls, above the
ceilings and under the floors.”
Each piece of medical equipment has specific
installation, operational and environmental
requirements that can affect the entire room,
including elements not visible to the eye.
Missel cited the following solutions that the
O’Shea Builders’ design team developed for
some of Springfield Clinic’s most challenging
operational and equipment needs:
• Sophisticated humidity and temperature
controls in the operating room provide
proper ventilation
Keys to success
O’Shea Builders count experience and
the ability to work flexibly in the midst
of exacting details and schedules as keys
to their success in constructing medical
facilities. The company managed more
than 100 people from various trades while
working feverishly over a 16-month period
to meet project expectations.
Much credit for the success has been attributed
to the active partnership between O’Shea
Builders and Springfield Clinic that enabled
the clinic to maintain operations at an optimum
level throughout the project. “Springfield
Clinic made us feel like a true partner in
the entire process,” Missel says. “Clinic staff
wanted our input when making decisions and
• A recessed structure on the new building’s
encouraged us to work with the end users,
fourth floor to accommodate the ENT
such as nurses, doctors and maintenance
department’s sound booths
staff. This close working relationship helped
• A 36-inch breaching vent for the boiler
room that vents three new boilers in the
basement all the way to the roof
• A quenching vent for the existing MRI
machine built under the second floor of the
new building
• Structural supports and bracing to protect
us to really understand how the spaces would
function at the Springfield Clinic.” “O’Shea Builders played a key role in
facilitating communication among the City of
Springfield, the architects, subcontractors, and
the Springfield Clinic that kept the project
on track and within budget,” says Bryant. the operating room boom monitors and
“Considering the scale and complexity of this
medical equipment
project, we benefited greatly from partnering
• The entire medical gas system for oxygen,
with a builder that served as a construction
nitrogen and air delivered to the recovery
manager, general contractor, and construction
rooms, operating rooms and Gastro
design consultant.”
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Springfield Clinic
celebrates new expansion
Clinic’s dazzling gateway adds to city’s landscape
In a city that is no stranger to landmark buildings, Springfield,
“In a city known for its rich history and strong tourism
Ill., has yet another building making an impact on the city’s
industry, the new expansion provides a sense of destination,”
landscape: Springfield Clinic. Spanning four busy northbound
said Joe Mynhier, AIA, ACHA, executive director at BSA
lanes over Sixth Street, the clinic’s new three-story bridge
LifeStructures, who served as principal in charge.
building acts as a gateway from the city’s southside to the heart
of downtown. The glass-clad structure reflects the changing
Challenges overcome
colors of the sky, the hustle and bustle of the city and the
Linking an existing building to a new one by way of a glass bridge
growth of the physician-owned clinic.
building—and doing it all in a partially landlocked setting—
presented unique challenges for BSA LifeStructures, which
Springfield Clinic, established in 1939, is one of the state’s
provided architectural, system and civil engineering services;
largest medical providers, offering the services of 195 physicians
Hanson Professional Services, which provided surveying, civil
in multiple specialties. This project marks the facility’s third
and structural engineering services; and Maregatti Interiors,
expansion since it opened its doors in 1952.
which provided interior design services. BSA LifeStructures
gathered input from physicians during the design process,
First envisioned by Springfield Clinic CEO Mike Maynard, the
which allowed the designers to more fully understand the
three-story-tall bridge is suspended more than 17 feet above the
physicians’ needs, the requirements posed by their equipment,
four northbound lanes of Sixth Street at Scarritt Street. The
and the most efficient layouts for their offices and exam rooms.
bridge structure, which houses offices, conference rooms and
an employee lounge, connects the new four-story medical office
The design team learned that it needed to reduce noise coming
tower to the existing clinic, which accommodates a wide variety
from traffic, figure out how to support the bridge structure, and
of medical specialties, such as radiology, oncology, prompt
overcome vibrations and other factors that can interfere with
care, family practice, internal medicine and its own ambulatory
sensitive medical equipment, such as Lasik lasers and an MRI.
surgical center.
“We like to solve these types of problems,” said Michael Billig,
The new 116,000-square-foot expansion accommodates 38
PE, senior project engineer at BSA LifeStructures. “To make a
physicians with several different medical specialties, a retail
facility better is the essence of what we do as a firm.”
optical shop and a café for staff and patrons. Complete in
August 2008, the expansion allows patients to receive medical
BSA LifeStructures and Hanson Professional Services used a
care within an integrated facility without having to step
complex structural system to span 85 feet with thick concrete
outdoors. The newly expanded parking lot provides even more
slabs to mitigate floor vibration and absorb sound.
convenience to patients.
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Keeping the existing facility operational during the
Hanson Professional Services Inc., headquartered in
construction phase was a challenge for the design team
Springfield, Ill., completed the structural engineering
and Harold O’Shea Builders, the local construction
design
manager. For example, the imaging of an MRI can be
overcoming many unique challenges that required
affected by the movement of large pieces of metal. With
considerable coordination with the architect, general
that in mind, the design team designed the elevator and
contractor and steel fabricator.
for
the
Springfield
Clinic
expansion,
stairs and coordinated construction equipment to avoid
interference with the MRI during and after construction.
Perhaps the most critical challenge was the aggressive
In addition, the MRI facility’s original construction was
construction schedule. To accommodate the clinic’s
not designed to support additional floors above it. So the
desired occupancy date, the structural steel for the
team used an open, one-story steel truss that spans over
project was ordered within the first six weeks of
the MRI facility, and acts as a structural system that helps
the structural design process. Building information
carry the weight of the three-story bridge building.
modeling software was used to model, design and
draw structural systems in the allotted time frame.
Interior design highlights
Such a dramatic exterior deserves an equally eye-catching
Another complex task was the structural design for
interior. Created by Maregatti Interiors, the interior
15,000 square feet of air rights over Sixth Street, a
design features natural tones and an open floor plan to
major roadway in the city. The three-story office/
create a welcoming space.
bridge area over Sixth Street connects the new and
existing Springfield Clinic facilities. Many structural
The most striking characteristic of the interior is its
design factors for the office/bridge area were carefully
curvilinear design. Unlike linear design, which has
considered, including floor vibrations, exterior glass
straight hallways and sharp corners, curvilinear design
wall movement analysis, and floor framing for
creates a feeling of fluid movement throughout a facility.
restricted depths. A long-span, composite-steel joist
This feeling of flow is especially important in a health
system was selected as the best solution for the space.
care setting, which should take every opportunity to
put patients and their caregivers at ease. In the new
The final major challenge was the structural design
Springfield Clinic, curvilinear design is not only visually
of the four-story tower structure added to the existing
pleasing—it also helps clinic visitors and workers more
Springfield Clinic facility. Tower structure design
easily find their way from one area to another. The
included the layout of structural steel to minimize
interiors also incorporate a significant amount of natural
possible electromagnetic wave interference over an
light. existing MRI facility. The structural design for the
tower uses a 14-foot-deep story truss over the existing
“As Springfield Clinic’s partner through the design
MRI and concrete walls to supplement the building’s
process, we worked together to create a space that feels
lateral load resisting system.
welcoming and comfortable,” said Jennifer Worley,
IIDA, LEED AP, senior interior designer at Maregatti
By the numbers: Springfield Clinic expansion
Interiors. “The design team achieved this through
• $31,302,100: construction cost of expansion
flowing architecture, use of materials and a variety of
• 116,000: square footage of expansion
color inspired by prairie landscapes.”
• 280,000: total square footage of Springfield Clinic’s
campus
“We continue to hear people comment on how beautiful
• 16,575: square footage of new bridge structure
the building is and how it has exceeded expectations,” said
• 1952: year Springfield Clinic was first built
Mark Abbey, AIA, BSA LifeStructures senior architect on
• 85: feet of bridge expanse over street
this project. “That’s exciting and very rewarding.”
• 38: number of physicians housed in new facility
• 17’3”: feet of clearance between road and bridge
• 4: lanes of traffic over which bridge hangs
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Putting the Finishing Touch on
Springfield Clinic’s Vision
It’s no surprise that Fritsch Custom Finishes was the
learned a great deal about what to expect on a particular job and
subcontractor selected to complete the interior finish work for
how to prepare our crews.”
Springfield Clinic’s Main Campus Expansion Project. Fritsch
has been recognized as an industry leader in interior and
The clinic’s expansion plan was two-fold. Phase one called for
exterior finishing throughout Central Illinois and the St. Louis
a complete remodel of the first and second floors of the existing
area for over 75 years. building’s interior. With a great deal of effort and attention to
detail, Fritsch crews removed all of the existing wallcovering
“It’s a great fit,” says Wen Fritsch, president. “Springfield
and prepared the substrate. According to Wen Fritsch, this can
Clinic is deeply committed to this community, just as we are,
be a difficult, tedious and messy process which is best managed
and we are proud and honored to have been a part of this
by professionals. Phase two of the project focused on the new
exciting project.”
construction. In the new addition, Fritsch completed the
Fritsch began their portion of the project in July 2007 with
vinyl wallcoverings.
drywall finishing, painted all exposed wall surfaces and applied
Harold O’Shea Builders serving as the general contractor. Wen
Fritsch said he knew from the beginning that with the team
Fritsch says that sometimes finish work can be overlooked
they had assembled the project would be delivered on time and
on a commercial project, but well-applied paint, trim and
100% complete by the deadline. The scheduled completion
wallcoverings can make all the difference in the end result. The
date was July 2008 – less than one year from start to finish –
end result for Springfield Clinic? “Nothing short of amazing,”
and, although Fritsch had worked with O’Shea and Springfield
according to Fritsch.
Clinic off-and-on for many years, he could tell that this project
was going to be different. When all was said and done, with a staff of 14-15 workers
on-site each day, Fritsch invested over 12,000 man hours,
When working in a healthcare environment, construction
finished more than 300,000 square feet of drywall, applied over
crews must take special precautions, and Fritsch’s crew was
2,000 gallons of paint and covered 4,400 square feet of wall
no exception. The Fritsch team is well-trained to handle
space with vinyl.
many different working environments and is very conscious
of cleanliness, no matter who the client is. Additionally, in
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Fritsch says, “Because we are experts at what we do, we are
a healthcare atmosphere, special attention must be paid to
able to take on projects of this size, and we can bring them
make sure that medical surfaces are not contaminated and that
in on-time and on-budget. It’s a testament to our company’s
contracted employees are aware of HIPPA laws.
strong history and our commitment to excellence.”
“We have a fantastic team of finishing specialists,” Fritsch says. Fritsch was founded in 1930 by Harry F. Fritsch in Springfield.
“We take great pride in our quality of work and the expertise of
Initially a home-based painting contractor, the company
our employees. We’ve been doing this since 1930, and we’ve
expanded gradually in size and its scope of work. Now Fritsch is
a union shop performing commercial and residential painting,
What’s next for Fritsch? Phase three of the Springfield Clinic
wallcovering, drywall, plaster, and exterior insulation finish
project, of course. Fritsch has once again been selected to work
systems throughout Central Illinois and the metropolitan St.
with O’Shea to remodel the remaining third and fourth floors
Louis area.
of the original clinic building. This final phase of the project is
scheduled to begin in the fall of 2008.
And Fritsch continues to give back. On their most recent
non-gratis project, Fritsch provided the materials and labor to
“This has been a great experience for our entire team,” Fritsch
construct a new shower facility for the Abe Lincoln Council,
says. “Soon, physicians, employees and patients will fill the new
Boy Scouts of America at Camp Bunn in Macoupin County.
areas of the clinic, and we can all take great pride in knowing
Fritsch has also restored intricate plaster and painting detail to
that the work we did will benefit Springfield and Central
Springfield’s Old State Capitol and has repaired and restored
Illinois for years to come. numerous churches of all faiths throughout Central Illinois. Fifty percent of the work Fritsch does is residential, and they
“We thank the clinic’s staff and its patients for their undying
are proud to boast that they are one of the few contractors that
patience as we worked to complete this important project. offer authentic Venetian plaster techniques. Fritsch also houses
And we send heartfelt congratulations to the architects,
a resident artist with an extensive portfolio of faux finishes and
designers, workers, Harold O’Shea Builders, the City of
custom artwork for both commercial and residential clients.
Springfield and, most of all, to Springfield Clinic for having
the foresight and fortitude to make this happen in our
“We continue to grow our business as the needs of our clients
community – job well done!”
continue to grow,” says Fritsch. “It’s important that we stay
competitive and that we maintain the quality of service our
For more information about Fritsch Custom Finishes, go to:
clients have come to expect from Fritsch Custom Finishes.”
www.FritschCustomFinishes.com.
SPRINGFIELD CLINIC
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Serving Residential, Commercial
and Industrial Clients
• Licensed Professional Engineering Design Firm
• Capital Development Board Pre-Qualified
• Offering Asbestos Support Services
• Demolition and Scrap Management
• Site Investigations and Corrective Action
• Petroleum & Chemical Spill Response
• Flow Proportional Waste Water Monitoring
Courtice Grason
Because Quality Costs Less
9 N. Hamilton • Sullivan, IL 61951
217-254-4988 Mobile • 217-728-4860 Office
www.courticegrason.com
SPRINGFIELD CLINIC
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Advance Medical Directives
By Paul Bown and Jeffery M. Wilday
Brown, Hay & Stephens, LLP, Springfield, IL
Advance medical directives are important legal planning tools
health care decisions in the event the person executing the
that allow a competent adult to make decisions about the health
document becomes incapacitated. It also addresses end-of-
care treatment he or she should (or should not) receive in the
life decisions, health care decisions in general, and, in some
event of incapacity. The most common advance directives
states, decisions regarding organ donation. In most states,
include Living Wills, Health Care Powers of Attorney, and Do
these documents only come into play when the individual
Not Resuscitate (“DNR”) Orders. These documents should be
is not capable of communicating decisions competently. In
made a part of a patient’s medical record.
that circumstance, a health care provider may take direction
from the individual’s appointed agent. For example, if a
LIVING WILL
person is in an automobile accident and arrives at the hospital
A Living Will is a directive as to whether death-delaying
unconscious, the health care providers will perform life-
procedures should be implemented in the event of a terminal
saving, emergency procedures on such individual. No agent
condition or permanent unconsciousness. No agent is
or consent is required. However, there may be other non-
nominated to make decisions in a Living Will. Rather, the
emergency procedures, such as reconstructive plastic surgery,
document is considered a declaration of intention. In the
that would be medically optimal to perform at a time when
optimal situation, a Living Will is not the only advance
the victim is unable to give consent. Through a Health Care
directive executed by an individual since end-of-life decisions
Power of Attorney, these procedures could be authorized
are not the only health care decisions an individual may need
by the unconscious automobile accident victim’s designated
to make. A person lacking decisional capacity still may need
agent.
routine medical care or placement.
DNR ORDERS
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HEALTH CARE POWER OF ATTORNEY
A DNR Order is a request not to have cardiopulmonary
A Health Care Power of Attorney designates an agent to make
resuscitation performed on a patient in the event his heart
stops or if the patient stops breathing. A DNR Order is put
other words, a physician may still act as agent for his parent,
in the patient’s medical chart by his physician at the patient’s
as long as they are not directions providing for the parent’s
request. Absent instruction to the contrary, medical personnel
medical care.
will take all available measures to aid a patient whose heart
has stopped or who has stopped breathing. DNR Orders are
ADVANCE DIRECTIVES: NOT JUST FOR THE
accepted by physicians and hospitals in all states.
ELDERLY OR TERMINALLY ILL
A common misperception is that advance directives are only
PORTABILITY
appropriate for the elderly or persons who are critically ill. In
While all states recognize both the Living Will and Health
fact, some of the most well-known court cases have involved
Care Power of Attorney, the laws in each state vary in terms
younger individuals, such as Karen Ann Quinlan, Nancy
of format, terminology and the scope of decision-making
Cruzan, and most recently, Terri Schiavo.
authority. A common question is whether an advance directive
made and executed in one state will be valid in another. Most
In February of 1990, Terri Schiavo collapsed at home and
states do recognize out-of-state advance directives as long as the
her brain was oxygen-deprived for several minutes. She was
directive meets the legal requirements of the state where the
left severely brain-damaged. Though she was able to breathe
document was executed or in the state where treatment is being
independently and maintain a heart beat and blood pressure,
sought. Even if an advance directive is deficient in meeting
she was not capable of eating or drinking. Her nutrition
the technicalities of a given state’s law, the importance of the
and hydration were provided by feeding tube. In 1998, Ms.
directive should not be discounted, given that it is written
Schiavo’s husband petitioned a Florida court to remove the
evidence of the patient’s wishes.
feeding tube. This petition was strongly opposed by Ms.
Schiavo’s parents, and a legal battle spanning eight years ensued.
ADVANCE DIRECTIVES AND
HEALTH CARE PROVIDERS
A major issue in the legal proceedings was whether Ms.
If a patient has executed an advance directive, such as a Health
Schiavo had ever expressed her wishes regarding end-of-life
Care Power of Attorney, and the patient later becomes incapable
treatment. Because there was conflicting testimony from
of making decisions, a health care provider is directed to comply
numerous witnesses and no written direction from Ms. Schiavo,
with the decisions of the agent designated in the document. the court was left to decide this life-or-death issue. In the end,
If, for whatever reason, the health care provider is unable to
the most important decision of this young woman’s life was
comply with the decisions made by the agent, the provider
made by a Judge rather than by a friend or family member. In
should immediately notify the agent so that arrangements can
the absence of a clear, written statement of her wishes regarding
be made to transfer the patient to another health care provider
end-of-life treatment, Ms. Schiavo’s feeding tube was removed,
who is able to comply.
and she died in March of 2005 without ever having made her
express wishes known. Any health care provider relying in good faith on an agent’s
decisions will be protected as though having dealt directly with
CONCLUSION
the principal/patient. Similarly, an agent who acts in good faith
Advance directives satisfy multiple purposes. They allow
on behalf of the patient and in accordance with the health care
an individual to express his preferences prior to a medical
agency will not be subject to liability for his decisions.
emergency. They give medical personnel direction. Finally,
they may take some of the stress off of a patient’s family when
In most states, the laws governing Health Care Powers of
difficult decisions must be made. An accident or serious illness
Attorney limit the ability of a health care provider to act as
can occur at any time, but an individual’s wishes are more likely
agent for an individual pursuant to such a document. This
to be carried out if he or she has taken measures to put them in
limitation does not apply to health care professionals who are
writing, in the form of advance written directives.
not providing health care services to the patient/principal. In
SPRINGFIELD CLINIC
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Robert A. Stuart, Jr.
J. Patrick Joyce, Jr.
Eric L. Grenzebach
Jeffery M. Wilday
Paul Bown
Almon A. Manson, Jr.
Dwight H. O’Keefe
BROWN, HAY &
STEPHENS, LLP
LEGAL COUNSEL
Brown, Hay & Stephens, LLP has roots dating back to 1828 and is recognized as the
Donald R. Tracy
oldest law firm in Illinois. Over the course of its history, the firm has protected the
Emmet A. Fairfield
rights and interests of healthcare providers in Illinois. Physicians, medical groups,
Denise M. Druhot
Harvey M. Stephens
James W. Bruner
hospitals and professional medical associations benefit from the firm’s legal counsel
and representation for transactions and litigation across a broad range of healthcare
legal issues.
• Medical malpractice defense
Lorilea Buerkett
• Risk management
Amy K. Schmidt
• Antitrust litigation
Thomas Schanzle-Haskins
• Regulatory compliance
• Peer review, disciplinary hearing defense
Hugh F. Drake
• Licensing and certification
Roland R. Cross
• Medical staff issues
Claire A. Manning
• Insurance defense
Daniel K. Wright
Charles Y. Davis
Erica L. Riplinger
Alison K. Hayden
Matthew D. Dougherty
Harvey B. Stephens
Edward J. Cunningham
Charles A. Chapin
Saul L. Morse
B usiness L aw
C ivil L itigation
C reditors ’ R ights , B anking and F inance L aw
E ducation and G overnment L aw
E nergy and M ineral L aw
F amily L aw and E lder L aw
H ealthcare L aw
L abor and E mployment L aw
R eal E state and E nvironmental L aw
T rusts and E states
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205 S. Fifth Street, Suite 700
Phone: (217) 544-8491
Fax: (217) 544-9609
Springfield Clinic
Administrative Team
Randall A. Bryant
Chief Executive Officer
As Chief Executive Officer, Bryant
is responsible for Springfield Clinic’s
performance, compliance and operations.
He leads the administrative team and
reports directly to the board of directors.
He joined Springfield Clinic, LLP in 1988 and served as the
Clinic’s Chief Financial Officer before being appointed to his
current position in July, 2008. As CFO, Bryant supervised the
successful restructure of numerous financial systems and played
an integral role in several Springfield Clinic building projects,
including the recent expansion of the group’s Main Campus. Prior to joining Springfield Clinic, Bryant served as Director of
Corporate Finance for Memorial Health System in Springfield,
Illinois and before that, worked in public accounting and
healthcare finance.
Bryant is a native of Decatur, Illinois. He earned a Bachelor
of Science degree in Accounting from Illinois State University
in 1979 and obtained his Certified Public Accounting license
in 1981.
James Hewitt
Chief Information Officer
Hewitt joined Springfield Clinic as the
organization’s Chief Information Officer
in 2007 and immediately began preparing
for the implementation of a comprehensive
Electronic Health Record (EHR) system.
Hewitt’s IT team successfully implemented the TouchWorks
EHR application in phases at every medical office throughout
Springfield Clinic’s network. Their “mini-bang” implementation
strategy received national recognition and the completion of
the project placed Springfield Clinic among the top 4% of
multi-specialty clinics in the nation to have accomplished a
comprehensive EHR implementation.
Born and raised in Hillsboro, Illinois, Hewitt migrated to the
Chicago area, where he helped develop healthcare and financial
systems for several companies. Prior to joining Springfield
Clinic, he served as Chief Information Officer at Allscripts, the
leading provider of Electronic Health Record systems in the
United States.
His connections and influence in the software industry have
fostered exciting new partnerships and possibilities for Springfield
Clinic. Hewitt serves on multiple healthcare technology advisory
panels and most recently co-founded Jardogs, a software
development subsidiary of Springfield Clinic. 44
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Mark J. Kuhn
Chief Administrative Officer
Kuhn joined the Administrative staff at
Springfield Clinic as its Chief Managed
Care Officer in 1998. In 2002, he was
named Chief Administrative Officer, with
additional responsibilities for Marketing,
Occupational Medicine and ancillary divisions including
Audiology, Laboratory, Physical Therapy and Radiology.
During his tenure with Springfield Clinic, Kuhn has played
an integral role in the development of key strategic business
initiatives and alliances. His achievements include the successful
expansion of ancillary services, the formation of the Clinic’s
Occupational Medicine division and the development of
favorable relationships with managed care organizations,
including a partnership with Health Alliance.
An Iowa native, Kuhn graduated from Loras College in
Dubuque, Iowa with a Bachelor of Science degree in Biology
and Minor in Business Administration. Immediately following,
he attended University of Iowa, in Iowa City, where he earned
his Masters degree in Health Care Administration (MHA).
Prior to Springfield Clinic, Kuhn’s healthcare experience
included 12 years with Lake Forest Hospital and its affiliated
medical groups in Lake Forest, Illinois. Alan Nerone, CPA
Chief Financial Officer
Nerone joined Springfield Clinic in June,
2008 as the organization’s Chief Financial
Officer. As such, he is responsible for
the development and implementation of
all financial procedures, policies, internal
controls, strategic financial planning, purchasing and facilities
management.
A Pawnee, Illinois native, Nerone offers more than eighteen
years experience working with and for health care organizations
in Central Illinois. Most recently, he served as the Chief
Financial Officer for Pekin Hospital in Pekin, Illinois.
Nerone is a member of the Healthcare Financial Management
Association (HFMA) and is a past Board Member and President
of HFMA’s McMahon-Illini Chapter.
He is a Certified Public Accountant and holds a Bachelor of Arts
Degree from University of Illinois Springfield in Accountancy.
Carolyn Otten, CPA
Chief Human Resources Officer
Otten has been a member of the Springfield
Clinic team since October 2002. Her
current responsibilities include Education
& Learning, Recruitment and Human
Resources.
Her passion for and commitment to customer service excellence
has led to the implementation of a comprehensive clinicwide customer service initiative. Otten is committed to
the organization’s overall service philosophy to provide an
experience that improves, enhances, and extends the quality
of life for Springfield Clinic patients. In addition, she has
been intimately involved in the planning of renovation and
expansion projects represented at Springfield Clinic 1st , Main
Campus, Taylorville and Lincoln operating locations.
She was born and raised in Springfield, Illinois and attended
University of Illinois Springfield where she earned a Bachelor of
Arts degree in Accountancy. She is a licensed Certified Public
Accountant, in the State of Illinois. Prior to joining Springfield
Clinic she had a successful career in public accounting.
Mary Stewart, RN
Chief Clinical Officer
Stewart has been a member of the
Springfield Clinic administrative team
since 2001 as the Chief Clinical Officer.
She is responsible for clinical services
and oversees departments that include:
Research, Quality Management, Clinical Support, TeleNurse,
TeleCommunications, and the Ambulatory Surgery &
Endoscopy Center. Her passion is the delivery of quality
healthcare to each and every patient at Springfield Clinic.
She was born in Highland, Illinois, but has called Springfield
her home since she was a child. She is a graduate of St. John’s
College of Nursing and earned a Bachelor of Science in Nursing
from St. Francis College in Joliet. She is a Registered Nurse
licensed in the state of Illinois.
Stewart led the successful expansion of the Clinic’s Ambulatory
Surgery and Endoscopy Center, overseeing the facility’s growth
from two to nine rooms and the addition of anesthesia services.
Her achievements include the successful formation of the
Springfield Clinic’s Research Department in 2003 and the
creation of the Hospital Medicine division in early 2006.
Stewart offers many years of nursing experience, having
previously served as a surgical nurse at Springfield Clinic and
the manager of St. John’s Hospital’s Surgical Unit prior to
returning to the Clinic in 2001.
J. Michael Maynard
J. Michael Maynard retired on June 30,
2008, after serving more than 20 years as
the Chief Executive Officer of Springfield
Clinic. In addition to enjoying travel,
photography and fly fishing, he currently
provides strategic planning consultation
to healthcare organizations throughout
the country and is the author of Ushuaia:
Finding the Balance.
Without question, Mr. Maynard’s
dedication and his ability to inspire
others helped propel Springfield Clinic
to its present level of achievement. In
honor of his service to the organization,
Springfield Clinic proudly displays the
following tribute to him:
Great leaders are often characterized by their
vision for the future, moral character to guide the
way and ability to inspire others to join the cause.
No other individual exemplifies this definition
of a leader more then J. Michael Maynard,
Springfield Clinic’s Chief Executive Officer from
1987 to 2008.
For more than 20 years, Mr. Maynard has led
Springfield Clinic to its place as one of the most
progressive and successful multi-specialty
medical clinics in our nation.
We honor Mr. Maynard, on the occasion of his retirement,
for this achievement as well as for his commitment to high quality health
care and his passionate pursuit of excellence. His goal, to transform the delivery of
health care, for the better, has indelibly changed the medical landscape in Springfield
and Central Illinois.
SPRINGFIELD CLINIC
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David R. Hoelzer, MD – Endocrinology
Chief Medical Officer
For more than 10 years, Dr. David Hoelzer has served
as Springfield Clinic’s medical director and, in a 2008
reorganization, was named Chief Medical Officer.
He has served in many leadership roles, including
Chairman of the Board of Directors. Currently he
also serves as chairman of the Administrative Quality
Management Committee. Dr. Hoelzer has been a specialist in Endocrinology
since joining Springfield Clinic in 1985. Hailing
from Manhasset, New York, he attended St. Louis
University School of Medicine in St. Louis, Missouri
where he also completed a residency in Internal
Medicine. He received his fellowship training in
Endocrinology and Metabolism at Washington
University in St. Louis.
He is board certified in Internal Medicine as well as
Endocrinology and Metabolism. He has as special
interest in the treatment of type-1 diabetes. Dr.
Hoelzer is a member of the American Association
of Clinical Endocrinologists, American Diabetes
Association, Illinois State Medical Society and
Sangamon County Medical Society.
Lynne D. Barkmeier, MD – Vascular Surgery
Medical Director
Dr. Lynne Barkmeier, a native of Columbus,
Nebraska, earned her medical degree from Creighton
University in Omaha, Nebraska. At Creighton,
she completed a General Surgery residency then
relocated to Springfield, Illinois for a fellowship
in Vascular Surgery at SIU School of Medicine.
Upon completion, Dr. Barkmeier joined the staff of
SIU, practicing there for nine years, before entering
private practice for three. She joined Springfield
Clinic in 2000.
She maintains board certification in Vascular
Surgery and is a Fellow in the American College
of Surgeons. Dr. Barkmeier is a member of the
Sangamon County Medical Society and Illinois
State Medical Society.
Dr. Barkmeier was recently named medical
director for Springfield Clinic and as such,
provides input to the Quality Management and
Peer Review Committee.
Robert F. Mulch, MD – Family Medicine
Medical Director
Robert F. Mulch, MD is a Family Medicine specialist
at Hillsboro Medical Center, a division of Springfield
Clinic, in Hillsboro, Illinois. He has practiced
medicine in that community since 1980 and became
affiliated with Springfield Clinic as the result of
merger in 1989.
Born in Quincy, Illinois, Dr. Mulch attended
Rush Medical College in Chicago, Illinois. He
successfully completed his Family Practice residency
at Riverside Methodist Hospital in Columbus, Ohio.
He maintains current board certification from the
American Board of Family Medicine and is a Fellow
in the American Academy of Family Practice. He
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is a member of the American College of Physician
Executives, Illinois State Medical Society and
Montgomery County Medical Society.
In addition to his role as one of the organization’s
medical directors, Dr. Mulch serves as an advisor
to the Quality Management and Peer Review
Committee and a member on the Information
Technology Committee. He championed the
selection and implementation of the Clinic’s highly
successful Electronic Health Record System and
continues to offer leadership in the technology arena
as chairman of the Clinical Informatics Committee.
Springfield Clinic
Board of Directors
BOARD CHAIRMAN
Obstetrics & Gynecology
William D. Putman, MD is a board-certified
specialist in Obstetrics & Gynecology, with interest
in gynecologic surgery. A native of Peoria, Illinois, he
earned a medical degree from Creighton University
in Omaha, Nebraska then returned to Illinois to
complete his Residency in OB/GYN at SIU School
of Medicine in Springfield.
He joined Springfield Clinic in 1989, immediately
following completion of his training at SIU. As an
active partner, he has served four terms, for a total
of twelve years, on Springfield Clinic’s Board of
Directors and has presided as its chairman twice.
For the past 20 years, Dr. Putman has worked to
improve the quality of care delivered at Springfield
Clinic and throughout central Illinois. He currently
chairs Springfield Clinic’s Quality Management and
Peer Review Committee, serves on the Board of
Directors of Memorial Health System and contributes
as a member of their Quality and Safety Management
Committee. Dr. Putman is a member of the American College of
Obstetrics and Gynecology, the American College
of Physician Executives and several other specialty
organizations.
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CURRENT BOARD MEMBERS
Beth Ann Bergman, MD
Plastic & Reconstructive Surgery
Dr. Bergman, a native of Chicago, earned
her medical degree from SIU School of
Medicine in Springfield, Illinois, before
attending University of North Carolina
in Chapel Hill for a residency in General
Surgery. She then returned to Springfield’s SIU School of
Medicine, where she completed a fellowship in Plastic and
Reconstructive Surgery including additional training in
Microsurgery, Burn and Hand Surgery.
She joined Springfield Clinic’s The Center for Plastic Surgery
in 1993, immediately following her training. Bergman is board
certified by the American Board for Plastic Surgery, performing
Plastic and Reconstructive Surgery, with a special emphasis
on breast surgery, including augmentation, reduction, and
reconstruction, as well as facial and body cosmetic surgery.
Dr. Bergman is a prominent partner at Springfield Clinic,
currently serving on both the Board of Directors and the
Board’s Executive Committee. In addition, she currently
chairs the Information Technology Committee and serves on
the Quality Management and Peer Review Committee. She
is a member of the American Society of Plastic Surgeons, the
American College of Surgeons, the Sangamon County Medical
Society and the Illinois State Medical Society.
Geoffrey A. Bland, MD
Family Medicine
Born in Rochford, England, Dr. Bland
earned a medical degree and completed his
residency at Dalhousie University School
of Medicine in Halifax, Nova Scotia. He
is certified in Family Medicine by The
College of Family Physicians of Canada.
He started a private medical practice in Springfield in 1980;
over the next several years this developed into a four person
group, at which time he founded the Wabash Family Practice
Center. In 1985 his original group merged with Springfield
Clinic. He provides comprehensive medical care for family
members of all ages.
Dr. Bland serves as chairman of the Business Development and
Marketing Committee and is currently serving in his 5th term
on Springfield Clinic’s Board of Directors.
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Tomasz W. Borowiecki, MD
Orthopaedic Surgery
Dr. Borowiecki is a 13-year veteran of
Springfield Clinic’s Department of
Orthopaedic Surgery, located at Springfield
Clinic 1st. Prior to joining Springfield
Clinic in 1996, Dr. Borowiecki served as an
Orthopaedic Surgeon at Tinker Air Force Base in Oklahoma
City, Oklahoma for four years.
Originally from the Milwaukee, Wisconsin area, Dr Borowiecki
attended the Medical College of Wisconsin where he earned
his medical degree. Dr. Borowiecki completed his Orthopaedic
Surgery residency at SIU School of Medicine in 1992 and
achieved the status of Chief Resident in Orthopaedic Surgery.
He is currently board certified by the American Board of
Orthopaedic Surgery. As a partner at Springfield Clinic, he has served on numerous
committees and currently chairs the Operations Committee and
the Ancillary Services Committees, in addition to his seat on
Springfield Clinic’s Board of Directors.
James K. Fullerton, MD
General Surgery
James K. Fullerton, MD is a board-certified
general surgeon, with special interests in
laparoscopic surgery, surgical endoscopy and
ERCP. A native of Janesville, Wisconsin,
Dr. Fullerton attended the Medical College
of Wisconsin in Milwaukee, where he received his medical
degree. He was named Chief Resident in 2004 during the
completion of his General Surgery residency at SIU School of
Medicine in Springfield.
Immediately following, Dr. Fullerton joined Springfield Clinic’s
Department of General Surgery and practiced briefly until his
acceptance at University of Louisville in Louisville, Kentucky.
During his leave of absence, Dr. Fullerton completed an
Endoscopy and Interventional ERCP Fellowship, and returned
to practice in the Clinic’s Department of General Surgery in
2006.
Dr. Fullerton was elected to the Board of Directors in 2009 and
currently serves on the Ambulatory Surgery Committee and as
Department Chairman for Springfield Clinic’s Department
of General Surgery. His memberships include the Society of
American Gastrointestinal Endoscopic Surgeons (SAGES), the
American Hepato-Pancreato-Biliary Association (AHPBA), as
well as the Sangamon County Medical Society and Illinois State
Medical Society.
Mark Kuhnke, MD
General Surgery
Dr. Kuhnke, a native of Johnston City,
Illinois, attended medical school at SIU
School of Medicine in Springfield, Illinois.
He served his internship and residency
at SIU affiliated hospitals in Springfield,
serving as Chief Resident in 1985-1986. During his residency,
Dr. Kuhnke was elected to Alpha Omega Alpha, the national
medical honor society. He launched his surgical career in 1986,
maintaining an active private surgical practice until the 2004
merger with Springfield Clinic. His special interests include
laparoscopic and cancer surgery.
He is a board certified general surgeon and a fellow in the
American College of Surgeons. He previously served as the
president of the Illinois Chapter of the American College of
Surgeons. His current memberships include the American
Society of Colon & Rectal Surgeons, the Midwest Surgical
Society, the Illinois Surgical Society, the Illinois State Medical
Society and the Sangamon County Medical Society. Dr.
Kuhnke is also an Associate Clinical Professor at SIU School
of Medicine’s Department of Surgery. He serves as the vicechairman of the Memorial Medical Center Department of
Surgery and is a past-chairman of the St. John’s Hospital
Department of Surgery.
Currently, Dr. Kuhnke serves as the Chairman of Springfield
Clinic’s Managed Care Committee and as a member on the
Quality Management and Peer Review Committee, in addition
to his role on the Board of Directors.
Mark T. McKay, MD
Family Medicine
Mark McKay, MD was born in Dubuque,
Iowa and attended medical school at
the University of Iowa in Iowa City. He
completed his Family Medicine residency
at the Baptist Medical Center in Kansas
City, Missouri. As a board certified Family Medicine specialist, Dr. McKay
provides care to patients of all ages with specific interest in
pediatric and newborn care. He is a member of the American
Academy of Family Physicians, the Illinois Academy of Family
Physicians, the Sangamon County Medical Society and the
Illinois State Medical Society.
Dr. McKay joined the family medicine group at Wabash
Medical Center in September of 1997. In addition to service
on the Board of Directors, he leads the Finance Committee as
chairman and serves on both the Investment Sub-Committee
and the Information Technology Committee.
Kenneth R. Sagins, MD
Internal Medicine / Pediatrics
As an Internal Medicine / Pediatrics
specialist, Kenneth R. Sagins, MD is the
only current member of the Board of
Directors representing Springfield Clinic’s
satellite network. His office, Lincoln Health
Care Specialists, is located in Lincoln, Illinois.
Dr. Sagins, a native of Detroit, Michigan, came to Springfield
as a student at SIU School of Medicine. There, he earned
his medical degree, completed his internship and finished a
residency in Internal Medicine / Pediatrics. He is certified
by both the American Board of Internal Medicine and the
American Board of Pediatrics. His practice includes the
evaluation and treatment of illnesses in adults, as well as in
pediatric and adolescent patients.
Upon completion of his medical training, Dr. Sagins
joined Springfield Clinic in 1997. His leadership has been
demonstrated through service as both member and chair of
numerous committees. He was elected to the Board of Directors
in 2006 and currently also serves on the Board’s Executive
Committee.
Dr. Sagins is a member of the American College of Physician
Executives, as well as a member in the American Academy of
Pediatrics, American College of Physicians and the American
Medical Association.
John D. Zander, MD
Colon & Rectal Surgery
John D. Zander, MD is a board-certified
specialist in Colon & Rectal Surgery, with
emphasis on Colonoscopy and Anal-Rectal
disease. A native of Boston, Massachusetts,
Dr. Zander earned his medical degree from
Emory University School of Medicine in Atlanta, Georgia.
In 1980, he performed a General Surgery residency at the
University of South Florida in Tampa which was immediately
followed by the successful completion of a Colon & Rectal
Surgery residency at Michigan State University / Ferguson
Clinic in Grand Rapids, Michigan. He is also certified in
General Surgery by the American Board of Surgery.
He joined Springfield Clinic in 1981, immediately following
completion of his training. He is one of the newest members
elected to the Board of Directors. He currently serves as a
member of the Clinic’s Building Committee and chairs the
Insurance Committee.
Dr. Zander is a member of the American Society of Surgery,
American Society of Colon & Rectal Surgeons, Illinois State
Medical Society and Sangamon County Medical Society.
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PAST TERM BOARD MEMBERS
Ernest E. Ertmoed, MD
Obstetrics & Gynecology
For more than 20 years, Dr. Ertmoed
has been a member of Springfield Clinic’s
Department of Obstetrics & Gynecology.
A Pekin, Illinois native, and graduate
of Northwestern University School of
Medicine in Chicago, Illinois, he chose Springfield to complete
his internship and residency at SIU School of Medicine.
After several years in private practice, he joined Springfield Clinic
in 1987. He is board certified in Obstetrics & Gynecology and
continues to practice both. He is a member of the Sangamon
County Medical Society and the Illinois State Medical Society.
Dr. Ertmoed has served two terms on the Board of Directors,
most recently from 2005 to 2008. His efforts as a board
member contributed significantly to Springfield Clinic’s latest
expansion and technological progress.
Mark D. Greatting, MD
Orthopaedic Surgery
Born in Belleville, Illinois, Dr. Greatting
received nearly all his medical education
and training at SIU School of Medicine
in Springfield, Illinois, including his
medical degree, internship and residency
in Orthopaedic Surgery. He attended Mayo Graduate School
of Medicine in Rochester, Minnesota to complete a fellowship
in hand surgery.
His Orthopaedic Surgery practice focuses primarily on the
treatment and rehabilitation of hand and upper extremity
problems. He maintains board certification in Orthopaedic
Surgery and has a certificate of added qualification in Hand
Surgery. Both certifications are issued through the American
Board of Orthopaedic Surgery.
After three years of practice at SIU School of Medicine, Dr.
Greatting joined Springfield Clinic. Since that time, he has
been an integral member of the physician leadership team,
serving on the Clinic’s Building Committee, Operations
Committee and just recently, the Board of Directors (2003 –
2008). His vision and commitment to the organization have
helped propel Springfield Clinic to its current status in the
medical community.
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Barbara A. Mulch, MD
Internal Medicine
Barbara A. Mulch, MD is a board-certified
specialist in Internal Medicine, practicing
at Hillsboro Medicine Center, a division of
Springfield Clinic. Dr. Mulch, a Chicago
native, earned her medical degree from
University of Illinois at Chicago in 1977 and completed her
Internal Medicine residency at Ohio State University College
of Medicine in Columbus three years later.
She and her husband, Robert Mulch MD, established Hillsboro
Medical Center, a private practice, immediately following her
medical training in 1980. In 1989, Hillsboro Medical Center
merged with Springfield Clinic. Since that time, Dr. Mulch
has served on numerous committees, including her current
membership on the Information Technology Committee.
She served two consecutive terms on the Board of Directors
between 1999 and 2004 and a single term from 2006 to 2008.
She played a vital role in the selection and implementation of
Springfield Clinic’s comprehensive Electronic Health Record
(EHR) system. In addition, she serves as the regional medical
director for Health Alliance Medical Plan.
Dr. Mulch is a fellow in the American College of Physicians and
is a member of the Montgomery County Medical Society and
Illinois State Medical Society.
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Solutions for Success:
Overcoming Today’s Challenges in Oncology
In regards to all the challenges physicians face daily, from
optimizing cash flow to ensuring proper patient care, managing
the specialty of oncology in a practice or in a multispecialty
setting has become increasingly complex. This is especially true
with the shifting reimbursement rules and rapidly changing
clinical environment. In recent months, oncologists across the
country have felt significant market pressure resulting from the
recent pharmaceutical label and reimbursement changes. The
high cost of oncology drugs paired with the financial challenges
that patients face poses a significant threat to oncology practices
and clinics. With all the challenges involved in managing an oncology
department or independent practice, what solutions are
available?
US Oncology works closely with physicians, manufacturers and
payers to identify and deliver innovative services that enhance
patient access to advanced cancer care. Special knowledge is
required to address issues unique to cancer care, including drug
pricing, complicated reimbursement rules and the growing
number of oral chemotherapies. Through its physician services
offerings, US Oncology provides highly specialized business and
clinical resources to support oncologists and their practice staff
and address these issues in a manner that often delivers savings
and improved profitability. Oncology Pharmaceutical Services (OPS), a service of US
Oncology, offers a solution to address the special needs in
the market by providing powerful network drug contracting
and services that extend beyond drug procurement. Through
its unique business model, OPS offers the oncology-specific
expertise of consultant pharmacists as a complement to its drug
purchasing and distribution services. With an understanding
that the oncology team determines the focus of the support
provided, these business savvy consultant pharmacists work
with staff to find clinical and operational areas of improvement. Benefits of the OPS solution include enhanced charge capture,
inventory management, and access to billing and clinical
educational resources.
Oncology Expertise Complemented
with Business Knowledge
On average, each oncologist spends about $2 million on drugs
annually to treat patients. The drug purchasing function has
historically been a key driver of an oncology department’s
financial performance. With decreasing profit margins in
oncology therapeutics, shopping for low drug pricing can be less
productive than it was in the past; especially when time can be
better spent on enhancing patient care. 52
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At
Springfield
Clinic,
evidence-based
medicine
and
compassionate patient care are enhanced by innovation and
technology. The clinic has gained its leadership position by
focusing on creating the greatest value for its constituents,
especially the patients. OPS is committed to supporting the
goals of Springfield Clinic by providing best-in-class cancer
care pharmaceutical services to the oncology team. An OPS
the associated financial implications. Often, difficult decisions
consultant pharmacist works closely with the staff to address
must be made, including turning away indigent patients due to
key areas of improvement within both the clinical and business
the practice’s inability to operate with additional bad debt or
operations. Some of the areas in which OPS is working
losing patient capacity due to increasing office responsibilities
with Springfield Clinic include: helping with compliance to
placed on staff as they spend an increasing amount of their time
federal standards for admixture processes through training
on reimbursement matters.
and validation of admixture staff; providing consultation
in development of admixture procedures; and assisting in
navigating the complexities of the oncology reimbursement
environment through educational webcasts. In addition,
the OPS pharmacist has worked with clinic staff to establish
The Key to Oncology Practice Reimbursement.
process improvements that have resulted in modest, but not
To assist community oncology practices as they face the
insignificant, financial gains.
challenges associated with a complex and ever-changing
Like Springfield Clinic, many other multispecialty clinics and
Oncology Reimbursement Services (ORS), an oncology-
practices across the country have positively benefited from the
focused billing and reimbursement service.
reimbursement environment, US Oncology now offers
OPS solution. Whether it be clinical education opportunities,
marketing resources, or patient assistance support, OPS is
ORS leverages the proven processes used with over 1,000 oncology
able to provide every staff member with tools and resources
providers in more than 325 sites of service across the nation and
to address their specific needs. The oncology pharmacist is
provides services to cover every aspect of the reimbursement
ultimately a resource to the practice and focuses on projects –
hurdle: a comprehensive revenue cycle management program, a
big and small – important to the overall success of the oncology
full curriculum of oncology billing and coding education, and a
department or practice. One physician affiliated with OPS had
resource for accessing patient assistance programs.
this to say about the business relationship between his practice
staff and the OPS pharmacist:
“It’s been a valuable relationship, not
just in the value of dollars and cents;
our consultant pharmacist is one of the
team.” – Physician
The ORS practice management system was specifically
designed to meet the complex needs of oncologists. This
technology solution supports both front and back office
business functions within an integrated revenue cycle
model, providing a smooth integration from practice staff
responsibilities to ORS staff responsibilities.
Facing the Challenges of Declining Reimbursement
Valuable billing and coding education is also made available to
Before the MMA, the CMS ruling on Erythropoietin
practice staff to help them effectively manage reimbursement
Stimulating Agents (ESA), and numerous other recent
issues and fully understand and comply with ever-changing
regulatory and reimbursement changes, a primary concern
coding and reimbursement-related guidelines. This increased
of community oncology practices was treating patients. The
knowledge of reimbursement regulations and policies at all
costs associated with treatment were of less concern since high
levels – federal, state, and payer specific – leads to improved
drug margins helped cover cash flow issues associated with
overall coding, billing, and operational efficiencies.
claim denials and payer issues. Even bad debt resulting from
patients who were unable to afford the costly drugs could
quickly be written off without making a major impact in the
In response to the struggles faced by both practice and patient
practice’s financial stability.
when the patient is under- or non-insured, the ORS Patient
But things have changed.
Assistance Support team experts work to obtain assistance for
qualifying patients through foundation grants or free drug
In today’s environment, many oncology practices are quickly
replacement programs. In 2007, the ORS Patient Assistance
finding that while their primary focus continues to be providing
Support team secured over $14 million in funding for qualifying
quality cancer care, they must now balance treatment plans with
cancer patients being treated at practices affiliated with US
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Oncology. One financial counselor had this to say about the ORS
Patient Assistance Support:
”What a great week this has been. You
have helped with 4 patients and over
$27,000 in help! UNBELIEVABLE !!!!!”
– Patient Financial Counselor from an
Ohio oncology practice
Growth of Oral Oncology Therapies Increases
Complexity of Patient Care
Today oral drugs make up 35% of the oncology pharmaceutical
pipeline. As oral oncology therapies become more commonplace,
the number of challenges associated with orals also increases.
Traditionally, patients have received oncology treatments
intravenously, spending hours in an infusion chair monitored
closely by oncology nurses. With the introduction of oral oncology
therapies, practices have to deal with the complex insurance
verification process, help patients find financial assistance for these
costly drugs, and monitor patient adherence, all while the patient is
now at home for weeks in between appointments.
Alternatively, some practices may not realize the extra time and
attention to adherence that is necessary when handing a patient a
prescription to fill on their own. What happens after the patient
leaves is often unknown until the next appointment when the
practice staff finds out their patient may not have even started
therapy due to cost or confusion.
Oncology Expertise… Enhancing the
Care of Cancer Patients
In order to relieve the burden placed on practices, OncologyRx
Care Advantage, a national oral oncology pharmacy, was developed
by US Oncology. Care Advantage brings clinical oncology expertise
to the delivery and management of oral therapies associated with
cancer care.
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“Thanks to you, patients don’t go
without their meds.”
– Financial Coordinator from a South Carolina
oncology practice
This innovative specialty pharmacy was designed with
oncologists’ input to meet the needs of practices and their
patients. As the single source for all patients’ oral oncology
prescription needs, Care Advantage focuses on reducing practice
workload and optimizing patient care.
“I just want you to know how thankful I
am for your assistance…I am sincerely
grateful you are on my team.”
– Recent patient receiving oral oncology prescription
from Care Advantage
The service provided by Care Advantage is unique in that
it offers a team of cancer care experts – the Cancer Care
Team. This experienced team includes oncology pharmacists,
The Right Knowledge, the Right Support
oncology-certified nurses, patient access coordinators, pharmacy
With the rapidly changing environment in oncology, physicians
technicians and customer service representatives. These
will continue to encounter challenges trying to maintain
professionals provide oncology expertise that is founded upon
viable business while delivering the best care to their patients. years of cancer care delivery and clinical research within US
Leveraging resources that offer the right expertise has become
Oncology’s network of affiliated oncology practices.
increasingly important. Through US Oncology, diverse
Benefits of using Care Advantage include patients receiving
performance in many key areas including:
service offerings are available to enhance practice and clinic
ongoing, proactive calls on a weekly basis from the Care
Advantage nurses. These oncology-trained nurses provide
patient education, confirm adherence to the prescribed therapy,
• Powerful network drug contracting and the support of
oncology-trained pharmacists
and report patient side affects back to the prescribing office.
• Comprehensive billing and revenue cycle management
Another valuable aspect of the service is the expertise of Patient
• Clinical oncology expertise in delivery and management of
customized for the complexity of cancer care
Access Coordinators (PACs) who provide insurance verification
oral therapies associated with cancer care
and financial assistance support when needed. With the
high cost of these cancer care medications, it is common
With US Oncology, physicians and their staff can access support
that a patient is unable to pay co-pays or may fall into the
in the areas most relevant to them, allowing them to fully focus
Medicare Part D donut hole. The PACs work with a variety
on providing patients with the advanced care they need.
of foundations to obtain financial assistance for patients. Since
2007 Care Advantage has secured over $9 million in patient
If you are interested in learning more about the services
assistance for patients in need.
offered by US Oncology, please contact 866-216-5053 or visit
www.opspharmacist.com for more information.
Both patients and practice staff provide feedback to illustrate
the extended service Care Advantage provides:
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The Personal Side of
Clinical Research
Each year, hundreds of individuals --- cancer patients, arthritis sufferers, and others with treatable
illnesses and diseases volunteer to help doctors improve prevention, detection and treatment of
diseases through participation in clinical trials at Springfield Clinic. These trials rely heavily on
medical data collected from the study participants; data which then becomes part of a much larger
national sample.
Study results, once amalgamated with data from other enrolling sites, can be nameless and
faceless, but at Springfield Clinic, researchers work hard to ensure that trial participants are more
than just another number…
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and get everything done. Everyone has been so helpful through
the whole process. We’ve wanted for nothing.” Mr. Wilson
added, “They’ve treated me real good.”
At home, the Wilson’s tend to the family’s dairy farm, where
they grow corn, soy beans, canola and watermelon. “I’ve tried
growing just about everything,” he adds. “The farm has been
my life.”
As a self-described “pretty ornery guy,” Mr. Wilson has been
popular among research staffers. “I call him Mr. Kentucky. He’s
one of the best story tellers I think I’ve ever met,” commented
Peggy Carter from Springfield Clinic’s Research staff. “Some of
them get pretty…hmm…colorful, but you can tell by the smile
on his face that he really enjoys those memories.”
Mr. Wilson is nearing the completion of his trial participation.
After a four-year battle with cancer, he remains hopeful for a
All the Way from Fancy Farm
The trip from Fancy Farm, Kentucky to Springfield, Illinois
takes Bernard Wilson and his family members more than four
hours, but he is convinced it’s worth it. The 60-year-old farmer
cure. Like other study participants, if his blood work shows
improvement, he will continue to receive the drug as long as it is
effective. He adds, “I’ve been through all the available therapies.
I hope this one works.”
from Western Kentucky travels to Springfield Clinic every three
weeks to participate in a Bristol-Myers Squibb prostate cancer
research study, which he hopes will eradicate, or at least slow,
the spread of his cancer.
Mr. Wilson was diagnosed with prostate cancer nearly four
years ago, shortly after the birth of his first grandchild. “My
dad always had a high PSA,” he said, “so I wasn’t concerned. I
held out being tested until after the baby was born.” Following
surgery to remove his prostate, a bone scan uncovered a
suspicious spot. Since that time, Mr. Wilson has undergone a
series of adjuvant therapies which have proven ineffective.
Then, through his resources at MD Anderson in Houston, he
learned about a new trial also being conducted at Springfield
Clinic. “I was figuring on going to Houston, but when they
told me I could come here to Springfield and get the same
treatment, I was in.” He was the first applicant screened for
the Springfield Clinic Phase I/II trial and was accepted into the
program immediately.
His support group always includes Wanda, his wife, and a
team of close friends and relatives. They’re happy to make the
journey. Mrs. Wilson added, “We come up here to one place
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Looking for
Answers
“They just amazed me.” That was Pat Sale’s impression as
to .01, the lowest detectable level. While his initial response to
he arrived at Springfield Clinic to participate in a Phase I/II
the treatment was positive, a few months later, Pat’s PSA began
clinical trial. “I’ve been to big medical centers before and they
to rise and his doctors in St. Louis determined his cancer was
ask your name, hand you the paperwork and shuffle you off
non-hormone responsive. By August of 2008, his cancer had
to your treatment. On my first day, Peggy from the Research
returned in full force.
Department was waiting for me at the front door and personally
escorted me through the entire process. That’s what it’s all
about --- taking care of patients.”
“I went to the Internet first for information about the disease
and any new treatments available.” Through the help of a
friend, Pat eventually found hope at world-renowned cancer
Mr. Sale, or Pat as he insists, is a prostate cancer patient
research and treatment center, MD Anderson in Houston,
currently receiving experimental cancer therapy at Springfield
Texas. The same Bristol-Myers Squibb study at MD Anderson
Clinic as part of a national clinical trial sponsored by Bristol-
was enrolling prostate cancer patients for active treatment, but
Myers Squibb (BMS). So how did this St. Louis businessman
by the time Pat inquired, all openings had been filled.
end up at Springfield Clinic for his cancer care?
Research specialists at MD Anderson were quick to review
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Pat’s journey began with his first cancer diagnosis in 2007. “My
the other participating sites and asked Pat if he was anywhere
prostate felt a little funny and my doctor in St. Louis thought
near Springfield, Illinois. Pat thought to himself, “Springfield
it could be an infection,” recounted Pat. Antibiotic treatment
Illinois?” He smiled and added, “When I saw names like MD
had little effect on the lump, so his physician recommended a
Anderson, Duke University, and University of Chicago that
biopsy. It turned out to be Stage 4 prostate cancer, which had
were involved in this study, I just couldn’t believe it. I didn’t
metastasized to his ribcage. expect Springfield Clinic to be of this caliber.”
His treatment included chemotherapy, in addition to a hormone
Springfield Clinic serves as one of only five sites across the
therapy being tested as part of a clinical trial. Pat’s PSA, a
country enrolling patients in the BMS study. Peggy Carter,
screening test which can help detect the presence of cancer, fell
LPN, CCRP (Certified Clinical Research Professional), serves
as the lead coordinator on the trial. “Each site was allowed
only five participants, so slots were at a premium. I had two
excellent candidates and only one remaining slot. It was
impossible to choose one over the other, so I convinced BristolMyers to allow our site another opening so both patients could
receive treatment,” noted Peggy. Her extra effort left a lasting
impression on Pat Sale. He stated, “Peggy’s terrific. She and so
many others have gone the extra step to make my care possible.”
As for his clinical care, Pat added, “The doctor had a whole
different attitude. We spent a lot of time together and he was
really interested in my life.” He continued, “I’ve only been
here three times and the receptionists know me by name. At
Springfield Clinic, I feel like they really care about me.”
Pat’s current treatment protocol includes six rounds of
chemotherapy in combination with Dasatinib, a daily pill
already FDA approved for the treatment of Chronic Myloid
Leukemia (CML). A rigorous schedule of blood work is required
to monitor how the agents move through his bloodstream.
Springfield Clinic’s Research team values the contribution of
study participants. “Mr. Sale has invested so much personal
time in this trial. We’re indebted to him and others like him, to
help us discover new treatments.”
With expected completion of his trial treatment soon, Pat
Did You Know?
remains hopeful. “I don’t expect this to be the cure-all, but if a
useful treatment comes out of this, I’ll have the satisfaction of
knowing I helped create more options for other prostate cancer
patients. It will be really gratifying if this drug makes it to the
market and can save others’ lives. As I see it, somebody had to
do a trial to test the treatments we have today. It’s a no-brainer.
I encourage everyone who has the opportunity, to participate
in clinical trials.
If Pat’s response to the experimental therapy is positive,
Bristol-Myers will supply him with the drug as long as it is
effective. Pat adds, “It’s been a long journey. I started by
looking for an answer for myself and now think more about
• Springfield Clinic Research Department was established
in 2003
• The department currently manages more than 40 active
studies
• More than 40 Springfield Clinic physicians participate in
research efforts
• Springfield Clinic doctors have participated in excess of
270 trials to date
• Five members of the Springfield Clinic Research team
have achieved certification as a certified clinical research
associate through the Society of Clinical Research
Associates (SOCRA)
doing it for others.” SPRINGFIELD CLINIC
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Scrubbing In:
A Day at the Ambulatory Surgery &
Endoscopy Center
It’s 5:00 a.m. and Mary, the first staff member to arrive, makes her way through the dark and silent
halls, switching on lights and checking patient monitors in preparation for another busy day. Within
minutes, locker rooms are buzzing with activity, as staff members slip into scrubs and make their
way to their work areas. The mood is light and friendly as members of this highly skilled team
prepare for the imminent arrival of patients and surgeons.
On this day, Dr. Beth Bergman, a specialist in Plastic & Reconstructive Surgery enters the surgery
hallway and greets the team. She studies the case board and reviews her schedule for the day
before scrubbing in. Her first patient, already anesthetized, has been fully prepped. Once gowned
and gloved, Dr. Bergman leads the team in a “time out,” one final confirmation of the patient, the
procedure and their game plan. By 6:00 a.m., the surgery is underway.
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So starts a typical morning at Springfield Clinic’s Ambulatory
Surgery and Endoscopy Center (ASC / EC). Throughout
the day, a steady flow of patients make their way through
admitting, the procedure area and recovery, and within just a
few hours, will leave with family or friends to recuperate in the
comfort and convenience of their own homes. On any given
day, about 35 endoscopy procedures and 35 surgical cases are
performed by Springfield Clinic physicians and surgeons here.
When the Ambulatory Surgery /Endoscopy Center opened in
1994, it was the first free-standing facility of its kind in Central
Illinois. Designed to accommodate procedures too complex
for the physician office setting, but not requiring hospital
admission, the facility offered a more convenient, private and
affordable alternative to traditional surgical environments.
Today, more than 1700 surgical procedures can be performed;
Anterior Cruciate Ligament (ACL) Reconstruction, hernia
repair, gallbladder removal and cataract surgery are just a few of
the cases performed regularly. Dr. Bergman performs nearly twenty different surgical
procedures, like face lifts, tummy tucks and breast reconstruction
at the facility. “My patients love the ASC,” noted Dr. Bergman.
“They rave about the experience --- the convenience of parking,
the cleanliness of the facility and most of all, the friendliness
of the staff. My practice involves a considerable amount of
cosmetic surgery, and privacy is a concern for many of my
patients. The ASC staff does an exceptional job of making them
feel less anxious.”
A 2008 expansion and remodel of the Ambulatory Surgery /
Endoscopy Center made for greater physician access to surgical
suites and improved accommodations for patients. Today, the
Did You Know?
In Ambulatory Surgery
• Since its opening in April of 1994, nearly 57,000 cases
have been completed
• The most common procedure is cataract surgery
• Last year, more than 6500 surgeries were performed
In Endoscopy
• Since opening in February of 2003, more than 41,000
cases have been done
• Last year, more than 8300 procedures were performed
• Colonoscopy is the most common procedure
facility offers five fully equipped operating rooms and four
endoscopy procedure rooms with the same equipment found in
modern hospital settings. waiting room. A special children’s waiting area called the Kiddie
In addition to the expansion of surgical areas, the
Corral, completed in February 2009, signaled the end of the
accommodations for attending family members and loved
two year metamorphosis. “The changes have been positive for
ones were dramatically improved. “It has been an amazing
everyone,” said Forrest. “The staff has a great attitude, doctors
transformation,” noted Ginny Forrest, RN, the director of the
want to work here and our patients have a great experience.”
Ambulatory Surgery and Endoscopy Center. “Our patients
really like the addition of television in the admit areas and their
The numbers speak for themselves. In patient satisfaction
families enjoy the larger waiting area, access to our food services
surveys, Springfield Clinic’s Ambulatory Surgery / Endoscopy
and the freedom to move about the clinic campus.”
Center has been rated “excellent” by 99% of respondents every
month for the past two years. Dr. Bergman added, “The ASC
Family members can also enjoy using their computer while
is an awesome facility. I’m so grateful that my patients and I
they wait on their loved one with the availability of WIFI in the
have access to it.”
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Better Health Care through Technology:
Springfield Clinic’s EHR
Back in 2006, with more than 800,000 annual patient encounters, generating in excess of one
million transcription notes and 500,000 prescriptions, a robust electronic health record was
considered the only real solution to improve patient care, increase efficiency and position
Springfield Clinic for the future.
Little more than three years after the decision to implement a comprehensive Electronic Health
Record system at Springfield Clinic, the paper charts are gone, medical records rooms are being
repurposed and the environment has been spared the impact of millions of medical documents
produced on paper each year. And, an office visit at Springfield Clinic has been forever changed.
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Did You Know?
• Springfield Clinic’s document imaging system
holds more than 40 MILLION documents. Laid
end to end, they would span the distance
between Springfield, Illinois and Baghdad, Iraq
How it happened
Early in the process, Clinic physicians opted for a full-feature
implementation of TouchWorks by AllScripts, the leading provider of
Electronic Health Record systems in the United States. An implementation
strategy was designed to convert medical offices to the new system in
phases over a two-year period. These phases, coined “mini-bangs” by
Springfield Clinic’s Chief Information Officer, Jim Hewitt, delivered
• During the EHR rollout, 23 files rooms were
cleared. That process reclaimed in excess of
145,000 square feet of space, approximately
30,000 square feet more than the entire Main
Campus expansion created!
• 850 shelving units were donated to local not-forprofit organizations throughout Central Illinois.
a conversion “package” to each site, including infrastructure setup,
equipment delivery, training and on-site support.
Provider compliance initially concerned the EHR implementation team,
particularly considering the documented failure of other clinics’ efforts
at “big bang” implementations; however, Springfield Clinic’s strategy
provided the support physicians and staff members needed throughout
the conversion process. And, the anxiety of being “chartless” was quickly
replaced with enthusiasm once physicians discovered the impressive
functionality the system offered.
The “mini-bang” strategy proved successful and clinical users embraced
the EHR system. Today, medical information for all Springfield Clinic
patients is stored in a single, secure, electronic repository. Physicians and
staff utilize mobile tablets, modified laptop computers if you will, that
contain digital records and images, which allow provider and patient to
view medical information together in a more meaningful way.
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dramatically changed the availability of pertinent clinical
information at the point of care.” Mulch continues, “The
system gives us the tools to provide a more meaningful office
visit, more thorough diagnosis, safer treatment and ultimately,
a better patient experience. Our patients are excited about the
technology and feel more confident in the care they receive.”
Springfield Clinic’s Chief Executive Officer, Randy Bryant,
added, “We’ve experienced benefits much sooner than imagined.
We’re offering state-of-the-art medical services and improving
standards of care. We’re enhancing the patient experience,
Recent studies indicate that Springfield Clinic’s successful
comprehensive implementation places the group among the top
4% of multi-specialty clinics in the nation to have reached this
level of achievement.
“Our EHR system has done everything we expected and more,”
said Robert Mulch, MD, who practices family medicine at
Springfield Clinic’s Hillsboro office and serves as Associate
Medical Director and EHR Physician Champion. “We have
Congratulations
Springfield Clinic for
your continued success.
BREWER TRANSCRIPTION SERVICES
Serving the Springfield Clinic for over 10 Years
416 Tecumseh Trail • Springfield, IL 62711
(217) 793-3475 • (217) 793-1344 Fax
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providing better clinical outcomes, improving patient safety and
lowering overall costs.”
The EHR decision certainly didn’t hinge on environmental
factors, but Hewitt admits the move to the electronic system
has helped make Springfield Clinic more “green” than ever
before. “In addition to the many other benefits, we’ve reduced
the impact Springfield Clinic has on our environment and that
not only benefits our patients, but it helps our world.”
We would like to thank
all the sponsors for
making our educational
publication possible.
Please Support
Our Advertisers.
360
Brewer Transcription
Brown, Hays & Stephens, atty
BSA Lifestructures
Consolidated Communications
Courtice/Grason
Custom Publisher’s Group, Inc.
Drinker, Biddle & Reath, LLP
EL Pruitt
Express Personnel Service
Fritsch Custom Finishes
Hanson Professional Services
Harold O’Shea Builders
Health Alliance Medical Plans
McKesson Medical-Surgical
Memorial Medical Center
Merrill Lynch
Midwest Office Supply
Quest Diagnostics
Selvaggio Steel
St. Johns Hospital
Three Sixty Designs, LLC
US Oncology
SPRINGFIELD CLINIC
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Leading the Way in
Digital Imaging
Case #1:
Male patient presents with non-specific
symptoms: some mild chest pain and shortness of
breath. Following examination, his physician schedules a
CT of the chest, clearly indicating a pulmonary embolism,
a common, but potentially deadly disease. Patient is
admitted to the hospital and given blood thinners. A life
is saved.
Case #2:
Elderly patient complains of confusion and
unsteady gait and shows no history of injury. An MRI
of the brain shows a subdural hematoma; a bleed in the
brain. Surgery is performed and patient returns to her
normal state. A life is saved.
Case #3:
Female patient, age 42, undergoes routine
screening mammogram. Suspicious mass is identified,
a biopsy is performed and patient is diagnosed with
Stage I infiltrating ductile carcinoma; breast cancer. Her
medical team collaborates on treatment, which includes
lumpectomy and adjuvant therapy. A life is saved.
No, these aren’t scenes from a prime time medical
drama; they are life-saving treatments made
possible through the use of sophisticated digital
imaging equipment at Springfield Clinic.
If diagnostic imaging isn’t part of your regular vocabulary, think of it as the 21st century’s version
of the x-ray. Remarkable images, many of them in full color and three dimensions, accompanied by
equally impressive software tools, are now available to help doctors diagnose and treat illnesses
with greater confidence and accuracy.
“Our goal is to provide the best possible imaging technology to our patients,” said Frana Evans,
Director of Radiology at Springfield Clinic. “Better images improve the quality of the diagnosis, the
treatment and ultimately the patient’s outcome. Imaging technology is saving lives every day by
helping our doctors identify problems earlier and enabling them to monitor patients more closely.”
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Providing the best possible imaging technology is no easy
job these days. According to Evans, the investment in the
equipment, and the infrastructure to support it, has meant
an investment of millions of dollars. “The equipment just
keeps getting better. Today’s equipment produces better
quality images with higher resolution and offers more image
manipulation and reconstruction options.”
In just the past ten years, Springfield Clinic has installed more
than 20 imaging upgrades, including a 16-slice CT, Nuclear
Medicine services, full field digital mammography, and digital
x-ray in nearly all its facilities throughout Central Illinois.
Scheduled to come online in summer of 2009 is the area’s most
advanced 3.0 Tesla MRI unit at Springfield Clinic 1st.
While many of these innovations improve the quality and
quantity of the images produced, it is their digital acquisition
that has proven most valuable to physicians and patients at
Springfield Clinic. Digital images, like any other electronic file,
can be securely stored, retrieved, shared and viewed in multiple
places by multiple people.
Couple this with a provider’s network-wide access to the
images through Springfield Clinic’s state-of-the-art Electronic
Health Record (EHR) system and the ability to communicate
with other doctors, and more importantly, to patients, is
tremendously enhanced.
For instance, doctors at Hillsboro Medical Center, a division of
Springfield Clinic, can see their patient’s x-rays minutes after
the images are captured, often before the patient has driven
back home. Providers at the Orthopaedic and Podiatry Acute
Injury Clinic can order an x-ray and share images with the
patient on the portable EHR tablet just minutes later. “Thankfully, the days of transporting oversized films between
physician offices are gone, added Evans. “Sure, we can still
produce film from the digital images, but the electronic process
is much more efficient and effective.”
Portability can also improve outcomes for patients requiring
immediate treatment. “A patient arrived at Prompt Care
complaining of abdominal pain and a quick CT determined
he was suffering with appendicitis,” noted Evans. “Our system
allows shared access with medical staff at area hospitals;
essentially, the patient’s CT images were ready for the surgeon
before the patient arrived at the OR.”
Sarah Phillips, MD, a Prompt Care physician added, “Digital
x-ray has allowed us to transmit images to the hospital for STAT
interpretations. I can directly admit my patients from Prompt
Care and save them a redundant visit to the hospital’s emergency
room. That saves critical treatment time and of course, saves the
patient money.”
In addition to the advantages digital imaging offers patients
and their physicians, it gives radiologists, the interpreters of the
images, tremendous latitude to examine and compare images.
“It hasn’t been that long ago that radiologists interpreted x-ray
films with a magnifying glass,” commented Evans. “Imaging
software not only captures and stores higher quality images it
gives radiologists more tools than ever before.”
Comparison is one of the key advantages for cancer patients
whose images may reflect if a lesion is new or has changed.
Karen Hoelzer, MD, a Springfield Clinic oncologist specializing
in the treatment of breast cancer, noted, “Most of the patients
in my practice have already had a diagnosis of breast cancer. So
long as breast tissue remains present, all of them are at increased
risk for a recurrence or a new cancer. Regular follow-up imaging
is critical for early detection and ultimately, their survival.”
Springfield Clinic’s Department of Radiology is rigorously
inspected for compliance with health and safety regulations,
is fully licensed by the state and is accredited in multiple
areas by the American College of Radiology (ACR), American
Institute of Ultrasound in Medicine (AIUM), and Intrasocietal
Commission for the Accreditation of Vascular Laboratories
(ICAVL). Radiologists and technologists, depending on
their area of expertise, are all board certified by accrediting
organizations, and many hold additional credentials in multiple
specialty areas.
Did You Know?
• More than 103,000 total exams were performed at
Springfield Clinic facilities in 2008. Of those, 10,723 were
mammograms.
• The magnet in Springfield Clinic’s new 3.0 tesla MRI
unit is powerful enough to pull cars off the street!
Fortunately, the magnet is self-shielded and the unit
is surrounded by concrete and wire mesh, making it
completely safe.
• A 16-slice CT scanner creates an image of tissue
approximately 0.625 mm thick, slightly thinner than a
standard sheet of copy paper.
• More than one-half million digital images are captured
in Springfield Clinic’s PACS system each month. If each
image were printed to a standard sheet of x-ray film, the
combined weight of all 500,000 would be equivalent to
three fully grown African elephants!
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Who Ya Gonna Call?
TeleNurse:
Springfield Clinic’s 24-hour a day, 7-day a week patient help line
Think the emergency room has drama? Just spend a day with the staff of TeleNurse, Springfield
Clinic’s 24-hour a day, 7-day a week patient help line. With peaks which can exceed 350 inbound
calls daily, TeleNurse staff members never know what the next call may bring.
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Each day, the highly trained and dedicated nursing staff
manages patient concerns ranging from routine colds and fevers
to crushing chest pain. They make certain that during each
phone encounter the caller’s needs are identified and the patient
is directed to the appropriate level of care.
medical protocols, the nurses gather pertinent information,
formulate a nursing assessment, and then talk patients through
the recommended guidelines. The process may sound simple,
but it takes experience and intuition to respond appropriately
to the situation.
TeleNurse has provided health consultation free of charge to
Springfield Clinic patients since it was established in 1995.
TeleNurse Director, Patty Anders, was one of two employees
with the program since its launch. “I walked in to a picnic table
and two protocol books. We started taking calls for 70 doctors
and things got busy quickly.”
“One day, I received a call from an elderly woman looking to
establish care with a new doctor. She was vague, but eventually
admitted she felt like her heart was beating irregularly. I just
sensed the situation was more serious than she was letting on
and I switched gears from a new patient call to triage,” recalled
Patty. “I urged her to go to the hospital, but she insisted on
keeping a hair appointment she had that afternoon. It took
some doing, but I finally got her to agree that immediate
medical attention was more important than a hairdo. Several
Today, TeleNurse provides triage services for nearly 300
physicians and advanced practitioners. Utilizing computerized
“... she had followed my advice and
upon arrival in the ER, was taken into
emergency surgery to install a pacemaker.
She thanked me for saving her life.”
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weeks later, the woman called back. She had followed my advice
and upon arrival in the ER, was taken into emergency surgery to
install a pacemaker. She thanked me for saving her life.”
TeleNurse staff members each possess at least 3-5 years
experience in nursing and come from a wide range of nursing
specialty backgrounds including home health, emergency room,
office and hospital nursing. This experience better equips them
for the unexpected nature of their calls and special training
helps them draw out pertinent information from the caller
and pick up on key words to identify symptoms. It takes
superior listening skills, a comforting voice, and sometimes,
a sense of humor. TeleNurse staff members admit that lack of closure is one of
the drawbacks of their work. Concern and compassion for the
patient isn’t something they easily dismiss. “I go home and
rotate my patients through my head --- especially if I’ve had
an emergency situation. My work is very personal to me. It’s
who I am.”
Of course, many patients do follow up with phone calls or notes
to thank the nurses for their advice. “The letters are very special
to each of us,” noted Anders. “I keep them to remind me why
we’re here.”
“An older man called one evening and seemed very anxious
to establish care with a primary care doctor. When I told
him it may be three to four weeks before I could schedule a
new patient visit, he seemed a little frustrated.” The veteran
TeleNurse team member continued, “I was concerned that he
may have more serious health issues than he was letting on, so
I kept asking questions. He eventually confided that he had
a new lady friend and needed a prescription for Viagra right
away. He chuckled (so did I) and in the end, he decided his new
relationship was worth the wait.”
Every TeleNurse will tell you its difficult not to become
emotionally involved, especially with callers who have a serious
illness or condition. “You’re right there with them. You can
visualize their problem and feel their pain. It can be tough, but
you take care of them, hang up, compose yourself and get ready
for the next call, added Rita Stiltz, a TeleNurse manager.”
While most calls are easily managed with the unit’s medical
protocols, some situations need the quick thinking and kindness
of compassionate individuals. Katie Kaufman, TeleNurse
Coordinator, shared a perfect example. “It was a cold and
rainy Saturday night about 6:30,” she recalled, “and I was
talking to a new mother whose baby had been discharged
from the hospital earlier that day. The baby’s fever spiked to
103.5° and I recommended the mom return her to the hospital
immediately.” The young mother, with no car and no family or
friends to drive, prepared herself and the baby to walk to the
bus stop and catch the next bus. Katie continued, “I couldn’t
let her take that sick baby out in the weather, so we all pitched
in some money, prepaid the cab company and got the two of
them to the hospital. I never told her where the money came
from and we never heard from her again, but I know we did
the right thing.”
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Did You Know?
• TeleNurse staff members take first line call for
nearly 300 doctors and mid-level providers!
• In 2008, TeleNurse handled 52,500 triage calls
• The busiest time of year is flu season
• The peak call time is Saturday between
10am to 4pm
• Several members of the TeleNurse staff have
more than 35 years experience in nursing
Carlinville • Acorn Medical Associates
Julie A. Fleischer, MD
Pediatrics
Elizabeth E. O’Brien, MD
Internal Medicine
Hollie A. Yoder, FNP-BC
Family Medicine
Decatur • Family Medical Center of Decatur
John P. DiMondo, MD
Family Medicine
Dennis O. Heim, MD
Family Medicine
Helen B. Kennedy, FNP-BC
Family Medicine
Jennifer A. Rigdon, FNP-BC
Family Medicine
Kurt J. Heimbrecht, MD
Family Medicine
Dennis J. Rademacher, MD
Family Medicine
Robert F. Mulch, MD
Family Medicine
Melody S. Schniepp, MD
Family Medicine
Hillsboro • Hillsboro Medical Associates
Douglas M. Byers, MD
Family Medicine
Barbara A. Mulch, MD
Internal Medicine
JACKSONVILLE • Jacksonville Family Health Care
Shawn M. Fry, MD
Family Medicine
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John L. Malcott, MD
Family Medicine
Amber N. Drumeller, FNP-BC
Family Medicine
Michael W. King, PA-C
Family Medicine
Lynne M. Hutchison, FNP-BC
Family Medicine
JACKSONVILLE • Midwest Occupational Health Associates (MOHA)
Robert L. Gordon, MD, MSPH
Occupational Medicine
Jane M. Kamp, FNP-BC
Occupational Medicine
JACKSONVILLE • Springfield Clinic Jacksonville
Michael N. Fenner, MD
General Surgery
Darr W. Leutz, MD
Orthopaedic Surgery & Sports Medicine
LINCOLN • Lincoln Health Care Specialists
Dennis M. Carroll, MD
Family Medicine
Melissa L. Cox, MD
Med / Peds
Kristen M. Green-Morrow, MD
OB / GYN
Jill Utley, MD
Med / Peds
Sharon L. Draper, FNP-BC
Family Medicine
Maria E. Rexroad, FNP-BC
Family Medicine
Kenneth R. Sagins, MD
Med / Peds
Don A. Sielaff, MD
OB / GYN
SHERMAN • Sherman Family Practice
Letty Drapiza, MD
Family Medicine
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TAYLORVILLE • Springfield Clinic Taylorville
Rick Del Valle, MD
Internal Medicine
Yaser B. Freij, MD
Pediatrics
Pavi S. Gill, MD
Internal Medicine
David J. Kiel, MD
Family Medicine
Wayne L. Manson, MD
General Surgery
Roger McClintock, MD
Med / Peds
M.B. Prabhu, MD
Internal Medicine / Pulmonary Diseases
Sandra J. Brummet, FNP-BC
Internal Medicine
Kimberly A. Earl, FNP-BC
Family Medicine
Karen M. Manson, FNP-BC
Internal Medicine
Patricia A. Schneider, FNP-BC
Med / Peds
Kimberly V. Turner, FNP-BC
Pediatrics
Elvia A. Washington, FNP-BC
Med / Peds
Heidi L. Klemm-Glatz, CRNA
Janet C. McChristy, CRNA
SPRINGFIELD • Main Campus East • Anesthesiology
T. Neil Rooke, MD
Christopher D. Ryan, MD
Jeff P. Thompson, MD
Rebecca S. Murphy, CRNA
Patricia J. Pikesh, CRNA
Neil L. Thompson, CRNA
SPRINGFIELD • Main Campus East • Family Medicine
Stefan P. Kozak, MD
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Steven J. Lewis, MD
Jennifer Western, MD
Randy L. Western, MD
Dennis D. Yap, MD
SPRINGFIELD • Main Campus East • Hematology & Oncology
Mary E. Bretscher, MD
Karen L. Hoelzer, MD
Scott A. Mink, MD
Diana S. Willadsen, MD
Carla J. Daniels, AOCNP
Stephen T. Randag, MD
Gary G. Shull, MD
Andrew K. Guardia, PA-C
SPRINGFIELD • Main Campus East • Internal Medicine
Timothy G. Drake, MD
Vladimir A. Lytchakov, MD
Cathy L. McAfee, MD
Pramila Venigalla, MD
Neville White, MD
Laura J. Amidon, FNP-BC
SPRINGFIELD • Main Campus East • Prompt Care (also located at Springfield Clinic Wabash)
Mary K. Campbell, MD
Larry H. Elkins, MD
Sarah C. Phillips, MD
Ragini L. Sharma, MD
Kim E. Wyatt, MD
Lynette Y. Zills, MD
Brandon Landsverk, PA-C
Marilyn S. Robins, ACNP-BC
Agnes A. Wood, MD
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SPRINGFIELD • Main Campus West • Allergy, Asthma & Immunology
Renu C. Govindaiah, MD
Dareen D. Siri, MD
SPRINGFIELD • Main Campus West • Dermatology
Cassandra Claman, MD
Sarah M. Dietrich, MD
Colleen Langer, PA-C
Linda J. Read, FNP-BC
Judith P. Knox, MD
A. Katherine Stealey, MD
SPRINGFIELD • Main Campus West • Endocrinology
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Kevin D. Hazard, MD
David R. Hoelzer, MD
Pamela S. Brodt, ACNP-BC
Kathy S. Smith, FNP-BC
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Sufyan Said, MD
Lynn M. Speck, MD
Jadwiga M. Wesly, MD
SPRINGFIELD • Main Campus West • Gastroenterology
Alec Chan-Pong, MD
Sailaja Cheruku, MD
Mark A. Harrison, MD
Peter J. Karras, MD, PhD
Robert G. Mosley, MD
William L. Peterson, MD
Richard L. Smith, MD
Heather C. Ey, FNP-BC
Richard M. Foster, FNP-BC
Paul E. Houk, PA-C
SPRINGFIELD • Main Campus West • Gynecology
Randolph Wm. Roller, MD
SPRINGFIELD • Main Campus West • Optometry
Kim B. Krager, OD
Gaylan W. Moushon, OD
Robin B. Valenti, OD
SPRINGFIELD • Main Campus West • Ophthalmology
Patrick J. Butler, MD
David B. Krah, MD
John E. Kwedar, MD
Eric P. Lohse, MD
Randal J. Peterson, MD
Amish R. Purohit, MD
Grant W. Su, MD
Matthew J. Thompson, MD
Vinita M. Solomon, OD
Dale J. Swetlishnoff, OD
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SPRINGFIELD • Main Campus West • Otolaryngology (ENT)
Robert E. Finch, MD
Sarah S. Fowler, MD
Maurya E. Hofner, PA-C
Beth A. Phelps, ACNP-BC
Philip Garcia, MD
Xinyan Huang, MD, PhD
SPRINGFIELD • Main Campus West • Audiology
Behavioral Health
Christine M. Bitzer, MS
Barbara J. Wolfson,
LCPC, MBA
Michael R. Larson, MS
Charles E. Swain, PhD
SPRINGFIELD • Springfield Clinic 1st • Cardiology
Adeeb Ahmed, MD
Thomas B. Cahill, Jr., MD
Donald L. Yakel, MD
Tasha Schuette, PA-C
Vaskar Mukerji, MD
SPRINGFIELD • Springfield Clinic 1st • Chiropractic
Windie C. McKay, DC
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Michael Davin, LMT
John E. Nester, MD
Soliman A. Soliman, MD
SPRINGFIELD • Springfield Clinic 1st • Colon & Rectal Surgery
Anthony Firilas, MD
Peter M.C. Hofmann, MD
James W. Thiele, MD
John D. Zander, MD
SPRINGFIELD • Springfield Clinic 1st • General Surgery
James K. Fullerton, MD
Max D. Hammer, MD
Orlando J. Icaza, MD
Mark Kuhnke, MD
Donald S. Ross, MD
John R. Trost, MD
Keith A. Wichterman, MD
Jennifer S. Bradley, PA-C
Kristofer J. Mitchell, MD
SPRINGFIELD • Springfield Clinic 1st • Gynecologic Oncology
John C. Shaffer, MD
SPRINGFIELD • Springfield Clinic 1st • Neurological Surgery
Margaret MacGregor, MD
Brian K. Russell, MD
Sally A. Vespa, PA-C
SPRINGFIELD • Springfield Clinic 1st • Neurology
Cecile E. Becker, MD
Claude J. Fortin, MD
David A. Gelber, MD
Koteswara Narla, MD
Denise K. Mears, FNP-BC
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SPRINGFIELD • Springfield Clinic 1st • Obstetrics & Gynecology
Heather N. Beal, MD
Cheryl L. Brown, MD
Richard T. Eden, MD
Ernest E. Ertmoed, MD
Tammie A. Klein, MD
Toni M. Quinn, MD
Pamela J. Rundle, MD
Donna J. Sweetland, MD
J. Michael Zinzilieta, MD
Robin J. Hickman, FNP-BC
Jennifer Jenkins, FNP-BC
Carol S. Weidler, WHNP
SPRINGFIELD • Springfield Clinic 1st • Orthopaedics & Sports Medicine
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Daniel M. Adair, MD
Tomasz W. Borowiecki, MD
Mark D. Greatting, MD
Diane C. Hillard-Sembell, MD
William D. Payne, MD
Stephen J. Pineda, MD
Jeff A. Schopp, MD
G. Brett Western, MD
Brett W. Wolters, MD
Christopher E. Wottowa, MD
Erika A. Lukac, PA-C
Jennifer R. Nichelson, FNP-BC
David W. Purves, PA-C
Robert E. Whitman, PA-C
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SPRINGFIELD • Springfield Clinic 1st • Podiatry
R. Mitchell Parker, DPM
Marten J. Sikorski, DPM
SPRINGFIELD • Springfield Clinic 1st • Rheumatology
Jason P. Guthrie, MD
Jeffrey R. Horvath, MD
Michael A. Pick, MD
Mark A. Stern, MD
SPRINGFIELD • Springfield Clinic 1st • Urology
Thomas E. Baron, MD
David C. Lieber, MD
David A. Roszhart, MD
William C. Severino, MD
Susan E. Nelson, CUNP
SPRINGFIELD • Springfield Clinic 1st • Vascular Surgery
Lynne D. Barkmeier, MD
Andrew D. Lambert, MD
Stephen M. Ryan, MD
Stacey A. Graven, ACNP-BC
SPRINGFIELD • Springfield Clinic 1st • Physical Therapy
Judy M. Limper, PT
Tania K. McKahin, PT
Jennifer K. Wilham, PT
Linda A. Williams, PT
Jamie F. Yording, PT
SPRINGFIELD CLINIC
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SPRINGFIELD • Springfield Clinic Wabash • Family Medicine
Bryan J. Albracht, DO
Geoffrey A. Bland, MD
Michael L. Brewer, MD
Daniel E. Lanzotti, MD
Mark T. McKay, MD
Scott A. Morton, MD
Larry M. Sapetti, MD
James R. Stegeman, MD
Marissa Cowell, PA-C
Theresa M. Durbin, PA-C
Carol M. Harper, PA-C
Julie C. Hart, FNP-BC
Mindy L. Hazard, FNP-BC
Jennifer A. Hendricks, FNP-BC
Brenda Merrill, FNP-BC
Leanne M. Novar, FNP-BC
Mindy M. Sanders, PA-C
Terri Stephens, FNP-BC
Connie Esslinger, FNP-BC
Sandra Hudgins-Brewer, FNP-BC
Melinda M. Vance, FNP-BC
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SPRINGFIELD • Springfield Clinic Wabash • Pediatric Dermatology
Joseph D. Conlon, MD
SPRINGFIELD • Springfield Clinic Wabash • Pediatrics
Raymond L. Castaldo, MD
Terry L. Jones, MD
Veronica G. Savage, MD
Beth A. Steh, MD
Valerie A. Klunick, CPNP
Tracy A. Purseglove, CPNP
SPRINGFIELD • Midwest Occupational Health Associates (MOHA) • Occupational Medicine
Jeffrey A. Brower, MD
Gregory E. Clem, MD
Molly J. Baur, ACNP-BC
Sandra K. Elliott, COHN-S
Jennifer F. Frank, FNP-BC
SPRINGFIELD • Springfield Family Practice Center • Family Medicine
Jennifer E. Richards, MD
Kim Y. Schoenburg, MD
Stuart A. Yaffe, MD
Debra S. Garner, FNP-BC
Ann Marie Self, FNP-BC
SPRINGFIELD CLINIC
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SPRINGFIELD • Springfield Pediatric & Adolescent Center • Pediatrics
Christopher B. Ehrlich, MD
Misty M. Phillips, MD
Susan M. Soler, MD
Stephen E. Wallace, MD
Penny S. Fricke, FNP-BC
SPRINGFIELD • The Pavilion • Infectious Diseases & Foreign Travel Medicine
Donald R. Graham, MD
Douglas R. Leigh, MD
Praveen K. Mullangi, MD
Steven D. O’Marro, MD
SPRINGFIELD • The Pavilion • Nephrology
Sabrina G. Bessette, MD
Merry C. Downer, MD
SPRINGFIELD • The Pavilion • Pulmonary Diseases & Sleep Medicine
Jon Mann, MD
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Samir Patel, MD
Elinor Amy Berry, PA-C
Charlene G. Shallow, FNP-BC
Stephanie E. Wojtowicz, MD
SPRINGFIELD • The Center for Plastic Surgery • Plastic & Reconstructive Surgery
Beth Ann Bergman, MD
Richard E. Brown, MD
Raj K. Sinha, MD
SPRINGFIELD • Memorial Medical Center / St. John’s Hospital • Hospital Medicine
Chintan J. Amin, MD
Rajesh G. Govindaiah, MD
Susan M. O’Neal, DO
Charity Kincade, FNP-BC
Murty S. Renduchintala, MD
Carlinville
Lincoln
Springfield
Acorn Medical Associates
101 McCasland Avenue
Carlinville, IL 62626
Lincoln Health Care Specialists
311 8th Street
Lincoln, IL 62656
Decatur
Sherman
Family Medical Care of Decatur
1770 E. Lake Shore Drive - Suite 105
Decatur, IL 62521
Sherman Family Practice
400 St. John’s Drive
Sherman, IL 62684
Springfield Clinic - Main Campus East
Springfield Clinic - Main Campus West
Hillsboro
Taylorville
Hillsboro Medical Associates
1250 E. Tremont
Hillsboro, IL 62049
Jacksonville
Jacksonville Family Health Care
610 N. Westgate
Midwest Occupational Health
Associates (MOHA) - Jacksonville
901 West Morton Avenue, Ste 16A
Springfield Clinic Jacksonville
1600 West Walnut
VISIT US AT:
www.springfieldclinic.com
Springfield Clinic Taylorville
600 N. Main
Taylorville, IL 62568
Springfield Clinic 1st
800 North 1st Street
Springfield Clinic Wabash
2200 Wabash Avenue
Midwest Occupational Health Associates
(MOHA)
775 Engineering Drive
Springfield Family Practice Center
1100 Centre West Drive
Springfield Pediatric & Adolescent Center
2532 Farragut
Springfield Clinic at St. John’s Pavilion
301 North 8th Street
Springfield Clinic - The Center for
Plastic Surgery
2901 Greenbriar Drive
Springfield Clinic at Memorial
Medical Center / St. John’s Hospital
701 North 1st Street / 800 E. Carpenter
SPRINGFIELD CLINIC
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SPRINGFIELD CLINIC
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PO Box 19248
Springfield, IL 62794-9248
PRSRT STD
US POSTAGE
PAID
LOUISVILLE KY
PERMIT #1477

70 years of quality medical care Our Main

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