Southwest General Building For Your Future

2011 Annual Report
Southwest General Building For Your Future
Over the past years, it has been my honor to provide you updates
on Southwest General’s growth, accomplishments, technology
advancements and our mission of caring for patients. It is with great
pleasure in this year’s Annual Report that I update you on Southwest
General’s “Building For Your Future” expansion project.
This year signals the beginning of a new era at Southwest General as we
expand and grow to meet future needs for health care in the community. Phase One
will include the creation of a new, expanded Emergency Room (ER), development
of a new Critical Care Unit and construction of an underground parking garage on
the north side of campus. Phase Two will include the creation of a new patient bed
tower with 96 private patient rooms, renovation of the current patient rooms into
private rooms and creation of a new main entrance for the hospital.
Despite the hard hats, fences, construction workers and equipment, we can’t
emphasize enough to our patients and community members that we remain open
for patient care and uphold the highest standards of quality of care throughout
the duration of construction.
To assist in keeping community members and patients informed on project
updates and developments, the hospital has created a special construction website
at www.swgeneralnews.com/Construction. Please use it for information on
our construction.
Solidifying our quality of emergency services, Southwest General was named
a HealthGrades 2012 Emergency Medicine Excellence Award winner, the
only hospital on the west side of Cuyahoga County, for a third consecutive year.
Additionally, Southwest General’s ER was ranked among the top five percent in
the nation.
hospital clinical performance. Hitting the target in all key patient service areas is
a resounding endorsement of the quality care Southwest General provides to our
patients and community members.
Competing Northeast Ohio Hospitals Join CliniSync Initiative
Leaders from the Community Health Collaborative, LLC (CHC)—Parma
General, EMH Healthcare and Southwest General—and the Ohio Health
Information Partnership (The Partnership) signed an agreement in late 2011 to
participate in CliniSync, Ohio’s statewide Health Information Exchange created
by The Partnership. Through CliniSync, hospitals and other health care providers
connected will have secure access to their patients’ clinical results in real time.
The electronic flow of medical information can make a difference in how a patient
is treated, and the outcome of that treatment. This will enhance the continuum of
care as providers can electronically share critical health information to facilitate
optimum care and treatment for their patients. We are proud to be part of this
life-saving initiative.
2011 Ends Strong
Quality Rating
During the past few years, we have undeniably pushed our way through the
ever-increasing challenges of the health care market. However, at Southwest
General, we ended 2011 strong as you will see in our community benefit and
financial information on pages 12 and 14. By assuring that we deliver safe, effective
and efficient care, we have been able to remain cost effective and perform well
financially so that we can afford to invest in the future.
As a team, we will continue to work diligently to position ourselves as a top
provider of quality care in the Greater Cleveland market and respond efficiently to
the demands of an ever-changing market. Thank you for your ongoing support.
In 2011, Southwest General received Thomson Reuters prestigious 100
Top Hospitals® Award for a sixth consecutive year—seven times overall. The
100 Top Hospitals® Award is based on highly effective performance across the
entire organization and recognizes hospitals that achieve the highest national
score based on the hospital’s combined rank on ten separate measures of
Thomas A. Selden, FACHE
President and CEO
Our Mission:
HEALTH is our passion.
QUALITY is our focus.
COMPASSION is our way.
• Southwest General’s Brunswick
Medical Center and 24-hour
Emergency Room provides easy
access to medical care for family
members of all ages as well as
state-of-the-art technology for
prompt, efficient diagnosis and
treatment.
On Our Cover:
•A
n artist’s rendering shows how Southwest General will look after completion of a planned two-phase, $128 million
expansion project. The new facility will help Southwest General to continue providing outstanding quality, personalized
health care services to residents of the surrounding communities.
•T
o learn more, visit www.swgeneralnews.com/Construction.
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Southwest General Building a Local and National Reputation
Award-Winning Emergency Care
Nationally Recognized for Quality Care
In 2011, Southwest General was named a 100 Top Hospitals award
winner by Thomson Reuters for the sixth consecutive year. The award is
based on highly effective performance across the entire organization. “Hitting
the target in all key patient service areas is a resounding endorsement of
the quality care Southwest General provides to our patients and community
members,” said Thomas A. Selden, president and CEO of Southwest
General.
HealthGrades, the nation’s leading independent source of
physician information and hospital quality ratings, recognized
Southwest General with their Emergency Medicine Excellence
Award for the second consecutive year in 2011. Southwest General was the
only west side hospital in Cuyahoga County to receive this national ranking.
HealthGrades recognized Southwest General with the award again in 2012.
Achieving the Gold Standard in Heart Failure Treatment
University Hospitals (UH) Seidman Cancer Center at Southwest General
was re-accredited in 2011, receiving “Three Year Accreditation with
Commendation” from the Commission on Cancer (CoC) of the American
College of Surgeons. This accreditation recognizes the comprehensive,
quality cancer care provided by Southwest General.
®
Recognized Among the Best in Cancer Care
Southwest General was named a Heart Failure Gold Quality
Achievement Award recipient in 2011. This award from the American Heart
Association recognizes excellence in the treatment of patients with heart
failure by adhering to proven guidelines that improve outcomes, prevent
future hospitalizations and prolong life.
Breast Center Earns National Recognition
Heart Failure and Primary Stroke Center Recertifications
The Breast Center at Southwest General was named a Breast Imaging
Center of Excellence by the American College of Radiology. This designation
means that the Center’s physicians, technologists and other personnel have
received enhanced training in the latest procedures and techniques. For
patients, it means that they will receive an exceptional level of care from
experienced professionals, using advanced diagnostic and state-of-the art
imaging equipment.
Southwest General again earned The Joint Commission Heart Failure
Certification and Joint Commission Primary Stroke Center Certification
for its dedication to, and continuous compliance with, the national standards
for health care quality and safety in the areas of heart failure and stroke. These
recertifications mean that Southwest General is a hospital where patients can
expect excellent outcomes from treatment.
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• Pictured from left to right: Leroy McCreary – chairman, Southwest General Health Center Board of Trustees, and trustee, Southwest Community Health System Board of Trustees; Thomas P.
Perciak – mayor, City of Strongsville, and Mighty Oak Award winner; Vasu Pandrangi, MD – chairman, Southwest Community Health System Board of Trustees; Carl McLaughlin – vice chairman,
Southwest Community Health Foundation Board of Trustees; and Thomas A. Selden – president and CEO, Southwest General. • Pictured from left to right: Marti Bauschka, chief nursing officer, with
Mary Ellen Campobasso and Jennifer Frost, Florence Nightingale Award winners, and Thomas A. Selden, president and CEO. • Mary Ann Freas, CFO of the Year Award winner. • Kelly Linson, vice
president and chief accounting officer, Future Financial Leaders Award winner. • Jill Barber, director of Managed Care Operations and Revenue Integrity, Future Financial Leaders Award winner.
Honoring Nursing Excellence
A Plain Dealer Top Workplace
Southwest General recognized Mary Ellen Campobasso and Jennifer
Frost as 2011 recipients of the Nightingale Award for Nursing Excellence.
Additionally, Jennifer received the 2011 Faces of Care Award sponsored
by Cleveland Magazine and the Greater Cleveland Nurses Association. Both
nurses were recognized for their dedication, passion and the superior level of
care that they provide to patients every day.
For the second year in a row, The Plain Dealer recognized Southwest
General as a Top Workplace in the Greater Cleveland area. The award is
based on a survey of employee opinions about six areas of the workplace,
including Strategic Direction, Execution (ability to communicate and get work
done), Career Opportunities, Quality of Managers, and Pay and Benefits.
National Recognition for Stroke Patient Outcomes
Mayor Thomas P. Perciak of Strongsville received Southwest General’s
prestigious Mighty Oak Award in 2011. The award recognizes an individual
with at least 10 years of service who has made a significant contribution to
Southwest General.
Mighty Oak Award Winner
The American Heart Association/American Stroke Association honored
Southwest General with their Get With the Guidelines® Silver Plus
Achievement Award in 2011. This award recognizes expertise in treating
stroke patients and delivering vital care quickly. Southwest General has
earned the Gold Plus Quality Achievement Award in 2012.
Chief Financial Officer of the Year
Crain’s Cleveland Business named Southwest General’s Chief Financial
Officer and Senior Vice President Mary Ann Freas its CFO of the Year for
Non-Profit/Healthcare Institutions. Mary Ann’s expert financial leadership
has helped to position Southwest General for continued growth and
development in the years ahead.
Top Doctors, Top Hospital
More than 30 physicians on Southwest General’s Medical Staff were
recognized on the 2011 Cleveland Magazine “Best Doctors” list. The
dedication and skill of these physicians—and all physicians on Southwest
General’s Medical Staff—have helped Southwest General to be nationallyrecognized for quality care.
Award-Winning Financial Leaders
Kelly Linson, vice president and chief accounting officer, and Jill Barber,
director of Managed Care Operations and Revenue Integrity, received the
Healthcare Financial Management Association’s first Future Financial Leaders
Award. This award recognizes future leaders who deliver innovative and
exemplary performance resulting in organizational performance improvement.
One of the Best
Southwest General received the NorthCoast 99 Award from the
Employers Resource Council for the ninth consecutive year in 2011. This
award recognizes the 99 best places to work in Northeast Ohio.
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Building a Reputation for Quality Thanks to
Our Dedicated Employees, Medical Staff and Volunteers
• A Star is Born! Frank Star (third from
left), a stroke survivor who received
treatment and completed rehabilitation
at Southwest General, ran his first 5K
race at the 30th Annual Old Oak Run in
2011, less than one year after his stroke.
Frank is pictured with (left to right)
Bob Shumar, physical therapy assistant;
HeatherWatters, physical therapist; and
Dave Saunders, athletic trainer.
Southwest General Building Healthier Communities
Helping People Live Healthier Lives
Healthy Heart Screenings for Medina County Employees
Old Oak Run Celebrates 30 Years!
Southwest General’s Healthy Heart for Her and Healthy Heart for Him
screening programs are now helping Medina County employees live healthier
lives. In 2011, Southwest General began providing the screenings to Medina
County employees to help them understand more about their hearts and take
charge of their heart health.
For the past 30 years, Southwest General’s 5K run and one-mile walk has
brought together thousands of runners and walkers dedicated to restoring
and maintaining their physical well-being. The Old Oak Run is a springtime
tradition and is hosted by the Sports Medicine Department and LifeWorks of
Southwest General.
Home Health Visit Program
Gatekeeper Program Receives Grant
Recovering at home is beneficial for patients. That’s why Southwest
General provides individualized, quality care in the privacy of a patient’s home.
This service is available by physician referral for patients who are temporarily
homebound, to help them recover from illness or injury, or permanently
homebound due to illness or disability. Also through Home Health Services,
a Newborn Home Visit program helps moms learn how to take care of their
new infants.
The Gatekeeper Program trains volunteers who have regular contact
with the community, such as postal workers, police officers and firefighters,
to be aware of older adults who may need assistance and refer them to the
Gatekeeper Program. Once a senior is referred, a registered nurse and a
social worker pay an in-home visit to evaluate the patient. In 2011, Southwest
General received a $6,000 grant to help support the Gatekeeper Program.
The grant was awarded by Credit First National Association and Bridgestone
Americas Trust Fund.
Physician Presentations in Your Community
New Physicians Join Medical Staff
Throughout the year, physicians on Southwest General’s Medical Staff
share ways to improve health, information about the latest medical techniques
and technology, and answers to health care questions. The presentations are
free and are held at convenient locations in the community.
To continue meeting the health care needs of the communities it serves,
Southwest General welcomed more than 40 physicians to the Medical Staff
in 2011. These physicians represent a broad spectrum of practice areas, from
primary care through a range of specialties.
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Offering Advanced Treatments
and Technologies to Improve the Quality of Life
Southwest General Building New Services to Serve You Better
Memory Clinic Now Available
Breathe Easier With New Pulmonary Hypertension Center
For individuals experiencing memory loss, or those with a family history
of cognitive impairment, Southwest General’s new Memory Clinic offers a
comprehensive evaluation and diagnosis from a multidisciplinary team of
experts. Approximately half of the cases of mild cognitive impairment can be
halted from progression with appropriate interventions.
Patients who have trouble breathing or who are tired all the time may
have Pulmonary Hypertension, abnormally high blood pressure in the arteries
of the lungs. At the Pulmonary Hypertension Center, patients meet with a
board-certified cardiologist, have a six-minute walk test, undergo diagnostic
testing and schedule a follow-up appointment to discuss the test findings.
The goal of the Pulmonary Hypertension Center is to help control symptoms
and improve the quality of life for patients.
Pelvic Floor Physical Therapy
Nearly one-third of all women in the U.S. are affected by a pelvic floor
disorder in their lifetime. Southwest General offers a comprehensive Pelvic
Physical Therapy program staffed by experienced physical therapists who
have been specially trained to treat the pelvic floor.
Lung Nodule Center Launched
Coughing all the time may be a symptom of a lung nodule or “spot
on the lung.” Identifying lung nodules and starting medical intervention
quickly reduces or eliminates complications. At the Lung Nodule Center,
patients will receive a same-day appointment to meet with a boardcertified cardiothoracic surgeon, undergo diagnostic testing, make followup appointments and, if necessary, schedule surgery.
Care for Weekend Warriors and Serious Athletes
Southwest General’s Sports Medicine Clinic offers expert care for
athletes of all ages and skill levels. Sports Medicine team members
include a board-certified orthopedic surgeon, certified athletic trainers and
experienced physical therapists. Team members help athletes get back in the
game by providing a personalized program to meet their individual needs.
8
• Signing the Community Health Collaborative-CliniSync agreement are (seated, left to right): Dan Paoletti, chief executive officer of
the Ohio Health Information Partnership and Frank Lordeman, president and CEO of the Community Health Collaborative, supported
by (standing, left to right): Donald Sheldon, MD, president and CEO of EMH Healthcare; Terri Rini Barber, chief information officer,
Southwest General Health System; Barry Franklin, executive vice president and chief financial officer, Parma Community General
Hospital; Charlotte Wray, chief clinical and information officer, EMH Healthcare; and Thomas A. Selden, FACHE, president and chief
executive officer, Southwest General Health System.
Southwest General Building for the Future of Health Care
Electronic Medical Records Enhance Patient Safety
Nurse Coaches Help Patients At Home
Southwest General is at the forefront of Electronic Medical Record
implementation. This technology helps physicians and health care
professionals access patient information and hospital reports more quickly
and improve coordination of care for patients.
Southwest General’s new Transition Coach Program is designed to
reduce the hospital readmission rate of heart failure patients. Registered
nurses talk with patients before discharge and follow up with a home visit
within 24 to 48 hours. They check to make sure patients are taking medicine
properly, give suggestions on dietary changes if necessary, let patients know
what symptoms to be aware of and answer any questions. Additionally, they
ensure that patients have a follow-up appointment with their doctor and
transportation. The nurses follow up the visit with three to four phone calls
over the next 30 days.
Community Health Collaborative
Putting New Initiatives in Place
to Improve Health Care
In 2011, Southwest General, EMH Healthcare and Parma Community
General Hospital formed the Community Health Collaborative (CHC) to
individually and collectively strengthen the participating hospital systems and
enable them to better meet the changes in today’s health care environment.
The CHC will provide member hospitals with higher levels of efficiency and
effectiveness by allowing them to work together to address some of the most
important challenges faced by all health care providers today. Additionally, the
CHC is working with physicians and other providers throughout the region to
assist them in strengthening their practices.
Participating hospital systems are able to remain a strong and independent
force in their respective communities. Each system will continue to maintain
existing relationships with other health care entities.
In November 2011, CHC leaders signed an agreement to participate in
CliniSync, Ohio’s statewide health information exchange created by the Ohio
Health Information Partnership. Hospitals and other health care providers
connected to CliniSync will have secure access to their patients’ clinical results
in real time. This will enhance the continuum of care as providers electronically
share critical health information to facilitate optimum care and treatment for
their patients.
Transition to Practice Study Helps New Nurses
Southwest General was one of 68 hospitals in Ohio and the only one
in Greater Cleveland chosen to take part in the Transition to Practice Study.
Sponsored by the National Council of State Boards of Nursing, the study
calls for newly licensed nurses to be assigned mentors to guide them through
the first several months of adjusting to the clinical setting. The ultimate goal
of the study is to improve safety and patient outcomes, as bridging the gap
between an academic setting and hands-on nursing can benefit both new
nurses and patients.
11
Southwest General Building a Strong Network of Community Support
Health Connection
Southwest General provides many services to benefit
residents of its taxing district and help assure that their
health needs are met. These services include:
Physician referral and health information phone service, staffed by a
registered nurse.
Community Emergency Medical Services (EMS)
Medication Disposal Program
Emergency Medical Services are provided at IX-Center functions, fairs and
other community events.
Allows residents of the Health Center’s taxing district to drop off unused
medication at Southwest General for appropriate disposal.
Community Nurse Program
Neighborhood Care Center
Provides health screenings and educational programs to community members
in convenient neighborhood locations, such as recreation and senior centers,
libraries and local meeting places.
Designed to strengthen the quality of life by providing primary health care
services at no cost for qualified residents of the Health Center’s taxing district.
School Health Program
EMS Education Program
Provides school nurses for the Berea City School District. Nurses provide
basic first aid, medication assistance, control of communicable diseases and
state-mandated health screenings.
Initial certification for Basic Emergency Medical Technicians (EMTs) and
continuing education for paramedics, EMTs and 911 dispatchers, including
educational requirements to maintain certification for the state of Ohio. Programs
are provided at both the Health Center and local fire stations.
Sponsorships/donations
Southwest General proudly supports United Way, the American Heart
Association, Susan G. Komen for the Cure® and many other local and national
organizations involved in community health and wellness activities.
EMS Medical Control
Emergency Medical Technicians must function under the direction of a medical
director/physician. They follow written patient care protocols and “act” for
the physician in the field. Southwest General provides medical control for the
following departments:
- Cleveland Hopkins Int’l Airport
- Brook Park Fire
- Berea Fire
- Middleburg Hts. Fire
- NASA Glenn Research Center at Lewis Field
- Hinckley Twp. Fire
- Brunswick Fire
- Strongsville Fire
- Brunswick Hills Twp. Fire
- Olmsted Falls Fire
- Columbia Twp. Fire
Van Transportation
Free van transportation for residents in Southwest General’s taxing district
who are unable to provide their own transportation to doctor appointments, tests
and other clinical services at Southwest General.
Community Benefit Overview
Gatekeeper Program
Trains community workers who are in contact with older adults to identify
at-risk elderly and call the Gatekeeper Office to make a referral. Upon referral, an
in-home evaluation is performed by a registered nurse and social worker. A plan of
care is then developed with patient input, services are coordinated, and patients
receive follow-up care and assistance.
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(In thousands)
Charity Care
Medicaid Shortfall
Health Improvement/Education Services
Subsidized Health Services
$
$
$
$
2011
4,682
5,467
2,256
3,039
$
$
$
$
2010
5,668
4,803
2,112
4,576
Total Community Benefit
$
15,444
$
17,159
Other Considerations
Medicare Shortfall
Bad Debt
$
$
15,937
4,126
$
$
14,170
4,004
Continually Reaching Out to Make Life Better
Southwest General Building a Financially Strong Community Hospital
Consolidated Summary of Revenues and Expenses
Years ended Dec. 31, 2011 and 2010
(In thousands)
2011
$ 274,831
$
9,719
$ 284,550
Consolidated Revenue
Net revenue from patient services
Revenue from other operations
Total revenue
Consolidated Expenses
Salaries, wages and benefits
Other expenses
Total expenses
2010
$ 268,488
$ 10,576
$ 279,064
Southwest General Building Strong Leadership
Southwest Community
Health System
Board of Trustees
Vasu Pandrangi, MD
Southwest General
Health Center
Board of Trustees
Leroy McCreary
Southwest Community
Health Foundation
Board of Trustees
Michael A. Cogan
Southwest General
Health Center
Executive Team
Thomas A. Selden, FACHE
Alan C. Budney
Cynthia V. Schulz
Carl McLaughlin
Terri Rini Barber
Thomas A. Selden
Thomas A. Selden
Thomas A. Selden
Betty M. Nagy
Lowell E. Walker
George G. Szeretvai
Michael D. Kalinich, Sr.
Samuel E. Ake
Duane O. Boyer
Mary Ann Freas
James R. Bastian
Adrian Maldonado
Patricia A. Boenker
Kelly Linson
David Bortolotto
James E. Davis
Ann Marie Donegan
Yvonne Fulimeni
Thomas Greenlee
Melvin C. Grills
Donald E. Hagen, Ed.D.
Mary S. Hastings
Mel A. Hauser
Henry R. Heidecker
R. Terry Krivak
David A. Lambros
Ronald L. Leach
G. Mervin Ault
Michael K. Baach
Robert T. Bennett
Babu M. Eapen, MD
James R. Bastian
William H. Beyer
William J. Harr, Jr.
Dale R. Finley
Ruth Hagen
Victor T. Geraci
Roy E. Klein
Thomas J. O’Donnell
Thomas P. Perciak
Albert Matyas
Chairman
Vice Chairman
President & CEO
Secretary
$ 138,031
$ 129,660
$ 267,691
$
Income (Loss) from Operations (Revenue Less Expenses)
Non-Operating Gains
Tax levy fund, investment (loss) income and other sources
$
Total income (losses) available for working capital,
equipment purchases, building renovation and expansion
and for expanding services to the community
Southwest General Health Center Key Operational Statistics
Acute Days*
Skilled Nursing and Acute Rehab Unit Days
Mental Health and Geropsychiatry Unit Days
Admissions*
Average Length of Stay* (days)
Observation Patients/Extended Recovery
Outpatient Surgical Cases
Emergency Trauma Center/Urgicare Visits
Referred Outpatient Visits
Home Health Admissions
Deliveries
$
16,859
1,339
18,198
59,425
7,743
8,266
13,674
4.33
4,921
12,270
107,663
332,934
2,004
1,128
$ 134,821
$ 132,171
$ 266,992
$ 12,072
$
7,849
$ 19,921
258,848
7,524
6,264
13,840
4.25
5,030
11,618
107,124
325,686
1,956
9
9
2
*Does not include The Skilled Nursing Unit, Acute Rehab Unit, Mental Health Unit, Geropsychiarty Unit or newborns.
The consolidated financial statements of Southwest Community Health System have been audited by Ernst & Young certified public accountants. The
financial information on this page has been summarized from such financial statements. Copies of the financial statements, with the independent auditor’s
report, are available for inspection at the Office of the President.
Assistant Secretary
Assistant Treasurer
Chairman Emeritus
Leroy McCreary
Dennis M. Mozser
David P. Muhek
Chairman Emeritus
Kulbir S. Pannu, MD
Anne L. Pennock
Anthony A. Ripepi, Jr.
Richard A. Salvatore
James C. Schneider, DDS
Trilok C. Sharma, MD
Duke Southworth
Stanley J. Trupo
Alan E. Wheaton
Donald E. Williams
Chairman
Vice Chairman
President & CEO
Secretary
Assistant Secretary
Treasurer
VP, SWGHC Medical Staff
Mary Alice Frank
Richard Hanson
Deborah Lewis Hiller
George M. Humphrey III
Trustee Emeritus
Ronald L. Leach
David P. Muhek
Chairman Emeritus
Ferdinand M. Plecha, MD
President, SWGHC Medical
Staff
Vice Chairman
President & CEO
Secretary
Treasurer
Trustee Emeritus
Chairman Emeritus
President & CEO
VP, Support Services &
Chief Information Officer
Martha Bauschka
VP, Patient Care Services &
Chief Nursing Officer
Sr. VP, Chief Financial Officer
VP, Chief Accounting Officer
VP, Ambulatory Operations &
Business Development
Marilyn McNamara, MD
VP, Medical Affairs
Judith Murphy
VP, Human Resources
Bradley W. Rauh
VP, Physician Strategies
Bobbie Simmerman
Executive Director, Foundation
James C. Paponetti
L.C. Rao, MD
Ron Warzel
Edward C. White, MD
Richard W. Pogue
Joy Roller
Trilok C. Sharma, MD
Paul G. Tait
Gino L. Ventresca, DDS
Donald E. Williams
Chairman Emeritus
Raymond J. Wohl
In Memoriam:
It was with great sadness that the
Southwest General community marked the
passing in 2011 of Ruth Amelia Harding.
Chairman Emeritus
Dean W. Van Dress
14
Chairman
15
Southwest General Health Center
18697 Bagley Road
Middleburg Heights, Ohio 44130-3497
NON-PROFIT ORG.
U.S. POSTAGE
PAID
CLEVELAND, OHIO
PERMIT NO. 1702
Want to know more about how we’re building for your future?
Visit www.swgeneralnews.com/Construction or call 440-816-5050.