annual report - Southern Illinois Healthcare

ANNUAL
REPORT
2014
A MESSAGE FROM
OUR CEO, REX BUDDE
Never before has there been a time to embrace change as a means of overcoming the challenges and
embracing the opportunities to deliver the highest quality healthcare to southern Illinois. Between new
and emerging technologies, new options regarding insuring their families, and the need to address
ongoing chronic care and an aging population, those we serve face options that are seemingly endless.
While navigating the winds of change, we at Southern Illinois Healthcare remain proud of our continued
mission to improve the health and well-being of all of the people in the communities we serve. As a
healthcare system, we work hard every day to meet this need in spite of ever growing challenges. As
we look back on the past year, we celebrate the many contributions of our dedicated staff and talented
providers to the people of this region. With multiple medical options for your healthcare, the SIH team
has defined itself with unique approaches and expertise that can only be found locally, only at SIH.
Rex Budde
Steve Sabens
President & CEO
SIH Board of Trustees Chair
BOARD OF TRUSTEES
Steve Sabens, Chair
Terrence Glennon, MD
RETIRED CARBONDALE COMMUNITY HIGH SCHOOL SUPERINTENDENT
PHYSIATRIST, RIC AND SIH PARTNERSHIP
W. Eugene Basanta, Vice Chair
Morton Levine
PROFESSOR, SIU SCHOOL OF LAW
PARTNER, BARNETT AND LEVINE, CPA'S
Marlene Simpson, Secretary
Debra McMorrow
HERRIN CITY CLERK
PRESIDENT AND CEO, LEARNING SERVICES
Michael W. Absher
Bob Mees
CHAIRMAN, WATERMARK AUTOMOTIVE GROUP OF COMPANIES
PRESIDENT EMERITUS, JOHN A LOGAN COLLEGE
Harold Bardo
George O'Neil
DIRECTOR, SIU MED-PREP
RETIRED EXECUTIVE DIRECTOR, SHAWNEE HEALTH SERVICE
Rex Budde
Marsha Ryan, MD
PRESIDENT AND CEO, SOUTHERN ILLINOIS HEALTHCARE
GENERAL SURGEON
CHAIRPERSON, SIH FOUNDATION BOARD OF TRUSTEES
Kathleen Fralish
RETIRED PRESIDENT AND FOUNDER,
CENTER FOR COMPREHENSIVE SERVICES
ANNUAL REPORT 2014
TABLE OF CONTENTS
SIH Medical Group
2
BJC Collaborative
3
SIH Cancer Institute
4
New Life
6
SIH Brain & Spine Institute
7
Prairie Heart Institute
8
Imaging Services
10
Orthopaedic Bone & Joint Center
10
Swing Bed
11
Office of Clinical Research
12
Quality Health Partners
12
Patient Portal
13
SIH Foundation
14
Community Benefits
18
Economic Impact
21
ANNUAL REPORT 2014
1
SIH MEDICAL GROUP
SIH MEDICAL GROUP
Center for Medical Arts
SOUTHERN ILLINOIS MEDICAL CARE ANNOUNCES NEW NAME
Over the past seven years, SIMS has grown in size and in sophistication. Over time, it
also outgrew its name. What began as a simple label for a handful of providers has
evolved into an organization with over 200 providers and over 450 employees. An
organization that today provides quality breadth of healthcare available nowhere
else in the region, one that allows skilled staff and excellent physicians to perform
at the highest levels.
A new name, SIH Medical Group, reflects the growing list of new providers who
have come to the region to expand local access to specialty services.
At SIH Medical Group, the vision is nothing short of being the region’s best
medical practice—where the highest level of quality healthcare is not simply a
goal, but a daily expectation. SIH Medical Group is a brand unique to the way of
practicing medicine and delivering care. It’s about you, it’s about the patients and
it’s about southern Illinois.
Advanced Laparoscopic
General & Bariatric Surgery
Allergy/Immunology
Audiology
Breast Surgery
Cardiothoracic Surgery
Center for Wound Healing
Colorectal Surgery
Emergency Medicine
Family Medicine
Gastroenterology & Hepatology
General Surgery
Geriatrics
Gynecology & Gynecologic Surgery
Hematology & Oncology
Hospitalist
Infectious Disease
2
Internal Medicine
Interventional Pain Management
Nephrology
Neurology
Neurosurgery
Occupational Medicine
Orthopedics
Otolaryngology
Palliative Care
Pathology
Pediatrics
Plastic & Reconstructive Surgery
Podiatry
Prompt Care
Pulmonary & Critical Care Medicine
Surgical Oncology
Urology
ANNUAL REPORT 2014
The New Name in Exceptional Care
SIH MEDICAL GROUP
Scan the QR code to read more
about SIH Medical Group
BJC COLLABORATIVE
SANDRA VAN TREASE, GROUP PRESIDENT OF BJC HEALTHCARE
AND REX BUDDE, PRESIDENT & CEO OF SIH
SIH JOINS THE BJC COLLABORATIVE
September 10, 2013, SIH announced a deepened relationship with
one of the nation’s most respected healthcare organizations—
BJC HealthCare. SIH was invited to join the BJC Collaborative,
a partnership among healthcare systems throughout Illinois,
Missouri and Eastern Kansas.
BJC HealthCare in St. Louis, MO, Memorial Health System in
Springfield, IL, Saint Luke’s Health System in Kansas City, MO
and CoxHealth in Springfield, MO founded the Collaborative in
October 2012 to improve the quality and efficiency of patient
care in this broader region. Blessing Health System in Quincy, IL
joined in May 2013. SIH became the sixth Collaborative partner
to join the group since its inception.
While remaining independent, BJC Collaborative members
work together to improve access to and quality of medical
care for patients, create additional efficiencies to benefit our
communities, achieve savings and lower healthcare costs.
A significant benefit of the BJC Collaborative is enhanced
access to St. Louis healthcare resources, where SIH patients are
frequently referred for specialized medical care or treatment.
“SIH has taken a bold step in the rapidly changing face
of healthcare and aligned itself with an excellent group of
healthcare providers,” said SIH President and CEO Rex Budde.
“This relationship is powerful. It provides SIH with access to
the shared expertise of the Collaborative partners to work
together on population health management and adapt to
changes coming out of managed care.”
The BJC Collaborative also offers SIH the opportunity to participate
in multiple existing initiatives, to the benefit of SIH and the communities it serves. Those initiatives include:
Population Health Management: Population health information and
assessment, physician recruitment and engagement strategies,
including Accountable Care Organizations and medical home
development
Clinical and Service Quality: Performance improvement, staff
development and training, including eLearning, management and
leadership development, clinical skills training, clinical decision
support, safety event reporting and emergency preparedness
Capital Asset Management: Supply chain relationships, facilities
design, clinical engineering, technology evaluation, energy
conservation and facilities management
Financial Services: Capital resource evaluation analysis, treasury
options, revenue cycle, business intelligence and actuarial
expertise
Information Systems and Technology: Meaningful use of health IT,
data center management, data warehousing, software applications, hardware configurations and emerging technologies,
data security and patient confidentiality
BJC COLLABORATIVE
Scan the QR code to watch Rex Budde, Steve Sabens, and
Sandra Van Trease speak at the BJC Collaborative press conference
from September 10, 2013.
ANNUAL REPORT 2014
3
SIH CANCER INSTITUTE
SIH CANCER INSTITUTE
GROWING A
CANCER CENTER
“We can always do better. Our region and families deserve better.
And this comprehensive cancer center provides us with the opportunity to do just that.
I promise you. We are going to do this right.” — Rex Budde, PRESIDENT & CEO OF SIH
BREAKING GROUND
What an exciting time for southern Illinoisans as SIH and a gathering of
nearly 400 people witnessed the ground breaking at the physical location
of the new SIH Cancer Institute in Carterville.
The months of planning, discussions and fundraising had now become
a tangible moment of progress. People could feel the energy in the air.
What has been worked on for so long is now becoming a reality.
“We can always do better. Our region and families deserve better.
And this comprehensive cancer center provides us with the opportunity
to do just that,” said SIH President and CEO, Rex Budde. “I promise you.
We are going to do this right.”
CANCER CENTER GROUND BREAKING
October 2013
4
ANNUAL REPORT 2014
ELEMENTS OF THE CANCER CENTER
Comprehensive Care Under One Roof
Radiation Oncology
Medical Oncology
Surgical & Specialty Clinic
Infusion Center
Cancer Rehabilitation
Pharmacy
Patient Navigation
Cancer Registry
Resource Center
Boutique
Healthy Cafe
Chapel
Education
Support Groups/Services
Complementary Therapy
Administration
SIH CANCER INSTITUTE
Artist's rendering.
INSPIRING HOPE THROUGH ART
The cancer center design is infused with nature. Hoping cancer patients
can draw strength from the southern Illinois earth, its elements and its
beauty, the center features environmentally-friendly resources.
One invaluable resource is the talent of many artists in this region. Since
this project is being built by the people, for the people of southern Illinois,
local artists were invited to learn about the cancer center and given an
opportunity to use their talents to inspire hope for cancer patients. We
were overwhelmed by the level of interest. With a generous donation, we
were able to offer several opportunities for artists to showcase their work.
CAMERON SMITH
RAISE THE BEAM
Raising a cancer center requires raising the support and excitement within
our community. Throughout February, a ceremonial 22ft steel beam, part
of the infrastructure at the new cancer center, was transported to the SIH
hospitals for signatures and messages of pride, strength and reflection.
The final stop was at the SIU Salukis Go Pink basketball game, honoring
those who’ve battled the disease.
After gathering thousands of signatures and messages across the
community, the beam was raised and put in its permanent home in the
new comprehensive cancer center on February 27th.
“This beam will be a placed in a location where all cancer patients and
caregivers will pass under it. We wanted this to be a symbol of strength
that all of us at SIH work for. It also represents all that the community
has given to their friends and family members; and the strength and
support they need through their journey.” —Jennifer Badiu, SIH System
Cancer Care Services Director.
Cameron Smith of the Douglas School Art Place in Murphysboro, IL
displays his glass work.
SIGNING THE BEAM
George Kao, MD and Rex Budde, President & CEO of SIH
RAISE THE BEAM VIDEO
Scan the QR code to watch the video of the beam being raised
at the new SIH cancer center
ANNUAL REPORT 2014
5
NEW LIFE
JUSTIN WISEMAN
Resident of Elderado, IL.
GAINING WEIGHT, LOSING HOPE
In 2011, weighing nearly 600 pounds, 26 year old Justin Wiseman thought his life was over before it even
began. He had been overweight his entire life. At the age of 6, he weighed 100 pounds. Even back then,
he understood he wasn’t like everyone else. (Playing on the teeter totter was no fun for him because
he was always at the bottom.) By the age of 26, he suffered on a daily basis because of his weight. He
endured severe type 2 diabetes, high blood pressure, sleep apnea, joint pain, emotional distress and
cirrhosis of the liver. He was practically home bound. There were so many things he wanted to do, but
his weight always held him back.
New Life Weight Loss Center
received the Metabolic & Bariatric
Surgery Accreditation & Quality
Improvement Program in April of
2013. They are the only MBSAQIP
accredited Bariatric Surgery
Center in a geographic region
that stretches from southeast
Missouri to central Kentucky. New
Life Weight Loss Center offers
the only comprehensive bariatric
program in the area.
6
GAINING COURAGE,
LOSING WEIGHT
400 POUNDS LIGHTER &
ON TOP OF THE WORLD
One day, Justin watched a documentary on television
of a morbidly obese woman who had died during the
filming of the documentary. She was so overweight;
she required a special casket and a crane to lift it. “In
that moment, I knew I had to turn my life around. I
couldn’t let that be the end to my story. But I also
knew that I was the only person who could make
that change happen,” said Justin.
He found the courage to make an appointment
with Dr. Naresh Ahuja at New Life Weight Loss
Center at Herrin Hospital, only to be told that Dr.
Ahuja couldn’t perform surgery on him because
his BMI was too high, which elevated surgical risks.
Dr. Ahuja told Justin he had to lose at least 100
pounds before he could perform surgery. Justin
was devastated and ready to throw in the towel.
But through the encouragement of his mother, Dr.
Ahuja and the staff at New Life Weight Loss Center,
Justin successfully lost 130 pounds.
Through this tough period, Justin created a ‘Live
It’ list. It had the same concept of a ‘Bucket List,’
except it was a list of all the things he wanted to
live for and accomplish. “During this time when I
had to lose weight on my own, I was tormented by
my hunger. I had to put my mind on other things,
so I created a ‘Live It’ list. This list not only got me
through my cravings, but it opened my eyes to see
how much I needed to live my life,” Justin said.
On January 16, 2012, Dr. Ahuja performed gastric
sleeve surgery on Justin. That day changed Justin’s
life forever. He lives life to the fullest and never
looks back. He worked so hard to fulfill this accomplishment, but knows that he couldn’t have done
it alone. Dr. Ahuja and the whole New Life Weight
Loss Center staff were beside him every step of
the way, from follow up appointments to support
groups sponsored by New Life
Today, Justin has lost over 400 pounds. He now
wants to lead a support group and has dreams
of working with bariatric surgery patients or the
morbidly obese population.
Every day, Justin adds to his “Live It” list and
every day, he’s marking accomplishments off. His
number one goal in life right now is to help others.
“I want to get my story out there to help people.
I want them to know they’re not alone and that
there is hope. It was a difficult road, but if I can do
it, anyone can.”
ANNUAL REPORT 2014
JUSTIN'S NEW LIFE COMMERCIAL
Scan the QR code to watch the Only SIH
commercial about Justin's journey with
New Life.
SIH BRAIN & SPINE INSTITUTE
INTRODUCING THE SIH BRAIN & SPINE INSTITUTE
What used to be Trinity Neuroscience Institute was rebranded as the
SIH Brain & Spine Institute. All of the brain and spine needs are now under
one roof. The collaborative approach includes a team of neurosurgeons,
neurologists, interventional pain physicians, physiatrists, nurse navigators,
rehabilitation professionals and other advanced practitioners.
Nurse navigators were added to support the provider team by previewing
treatments and answering questions with the patient while communicating
the patient status in real time with the referring physician.
Nurse Navigators at the SIH Brain & Spine Institute use a web-based
software, Priority Consult, to conduct patient intake, triage and navigation.
THIS INVOLVES:
• Collection of treatment information
• Coordinating physician review of the medical history
• Providing patient education
• Facilitating triage and scheduling with spine specialists
The nurse navigator supports the provider team by previewing treatments and answering questions with the patient while communicating
the patient status in real time with the referring physician.
As a patient advocate, the nurse navigators create and coordinate
critical linkages between the clinical, administrative and any other
elements of care, adding value to each step in the process and enhancing
the effectiveness of each treatment. By using SIH Brain & Spine Institute, the
physician will help the patient receive timely treatment, save staff time in
coordinating additional patient care, be kept informed with progress reports
and enhance the patient experience by leveraging these valuable services.
ANNUAL REPORT 2014
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PRAIRIE HEART INSTITUTE
DR. DANIEL CORREA DE SA
Cardial Electrophysiologist
DR. VARADENDRA PANCHAMUKHI, DR. SON P. LE & DR. RAED AL-DALLOW
Prairie Interventional Cardiologists
HEART RHYTHM SERVICES
PRAIRIE VASCULAR SERVICES
Prairie Heart Institute Southern Illinois Healthcare reached a
great milestone when heart rhythm specialist, Dr. Daniel Correa
de Sa joined Prairie in 2013.
It’s estimated that some three million adults in the US are
diagnosed with atrial fibrillation, the most common of all the
arrhythmias and the most common cause of stroke. Afib, as it is
often called, creates a disorganized “flutter” of the heart muscle.
Patients in southern Illinois were regularly sent to Springfield
for treatment of this disease.
“For SIH to understand the need for electrophysiology
services in the region and support it is admirable,” said Tony
Capuano, system director of cardiovascular services. “For a
150-bed hospital we’re demonstrating services a 500-bed
hospital would provide. Cardiovascular services in southern
Illinois just became extremely comprehensive.”
Services began in July 2013 and have been very successful.
“Being able to start a cardiac ablations program at the hospital
significantly improves the quality of life and increases survival
rates for arrhythmias,” said Dr. Correa.
Medicine is constantly evolving with more innovative techniques
and less invasive, yet more complex procedures. In the world of
treating vascular disease, Prairie Vascular Services has brought
southern Illinois patients this very thing.
Vascular surgery was once the primary course of treatment
for diseases such as peripheral arterial disease, aortic aneurysms
and carotid arterial disease—all blood flow problems outside
the heart. But many vascular procedures can now happen
under mild sedation, in the outpatient catheterization lab at
Memorial Hospital of Carbondale. Patients find the experience
much more pleasant and less frightening.
The program is more than that, however. Prairie Vascular
Services provides comprehensive evaluation and diagnosis
by vascular specialists who then collaborate with the primary
care physician.
“Many systems are affected by vascular disease, making
accurate diagnosis, treatment and management essential,”
said Al-Dallow.
Through Prairie Vascular Services, patients get a comprehensive diagnostic work-up. With that information, specialists
work with patients and their doctor to give them a better
understanding of the vascular disease process, treatment
options and available management protocols.
“Our patients appreciate the ability to recover
quickly from the procedure, the very short hospital
stay, and their ability to return to work within a
couple of days.”
— Dr. Raed Al-Dallow, INTERVENTIONAL CARDIOLOGIST
8
ANNUAL REPORT 2014
CONNIE HARVEY
Connie Harvey, a resident of Marion, IL, playing basketball with her daughter.
CONNIE WILL NOT BE DEFEATED
The last eight years have been a struggle for Connie. But she defines the word “survivor.” She’s battled breast cancer, lung
cancer and skin cancer…and won. But, affects of chemo and treatment had compromised some of her vessels in her legs.
Walking became a horrible chore.
Independence is something Connie values. The pain in her legs made it difficult to even get through the grocery store.
“I’d map out my trip to the grocery store. My legs would allow for four to five minutes to get in and get what I needed before
I had to sit. I’m only 61 and I refuse to use one of those scooters!”
Connie’s constant leg pain was due to peripheral arterial disease (PAD). PAD is a blood-flow issue to the legs or peripherals.
If left untreated, it can eventually lead to amputation. People with diabetes or heart disease are especially at risk.
To fix the problem, her first and second approach was a surgical procedure at Paducah, but with blood-clotting difficulty,
the attempts were a failure.
TIME FOR A NEW SOLUTION
CONNIE JUMPS FOR JOY
Prairie Vascular Services in Carbondale is a specialized area of
Prairie Heart Institute dealing with vessels outside the heart.
Dr. Raed Al-Dallow had a complex, yet minimally invasive way
to increase blood flow to Connie’s legs.
“She had severe blockage in her lower aorta leading to the
arteries in her legs. And because of previous health issues, the
procedure was quite difficult,” remarked Al-Dallow.
But for Connie the minimally invasive approach was
surprising, “I couldn’t believe it. It was so easy. I was awake
through the entire thing!”
Now she feels better than she did at 51. “I asked Dr. Al-Dallow,
‘Can I jump on a trampoline? Can I play basketball with my
grandkids?’ He said ‘Yes!’”
She has no intention of staying down. She’ll be visiting her
daughter in Tennessee and intends to walk all through Dollywood. If that wasn’t enough, Connie is determined to challenge
her children and grandchildren to a basketball match.
“I’m not taking this sitting down,” she says. “I’m afraid if I
were to allow people to help me do the normal everyday things,
it would mean that I’m giving up. I don’t give up.”
CONNIE’S STORY
Scan the QR code to read more of Connie’s story.
ANNUAL REPORT 2014
9
IMAGING SERVICES
ALL NEW 3T MRI
Located at Memorial Hospital of Carbondale.
CENTRALIZED SCHEDULING
3T MRI
This year also heralded centralized scheduling for diagnostic
imaging provided by Imaging Services. One number, 855.457.0100,
is all that is needed to schedule X-rays, CT Scans, MRIs, Ultrasound and other diagnostic testing at eight locations.
The new number offers quicker access, greater flexibility
and better convenience for physicians and office staff.
In April of 2013, the region’s first and only 3T MRI (Magnetic
Resonance Imaging) became operational at Memorial Hospital
of Carbondale—bringing the most powerful magnet clinically
available to the people of southern Illinois. The 3T MRI delivers
crisp, high-quality images permitting more accurate diagnoses.
Additionally, the new MRI offers a more comfortable imaging
experience, boasting a more spacious opening and a shorter
magnet design.
The number serves the following locations:
• Memorial Hospital of Carbondale
• Herrin Hospital
• St. Joseph Memorial Hospital
• Center for Medical Arts
• Logan Primary Care Herrin
• Logan Primary Care West Frankfort
• Miners Memorial Health Center
• Benton Professional Building
Patients may also use the number to reschedule or move
the location of an imaging appointment.
ORTHOPAEDIC BONE & JOINT CENTER
July 2013 brought the opening of The Orthopaedic Bone & Joint
Center at Herrin Hospital. The Orthopaedic Bone & Joint Center
is host to Joint Camp, the only Joint Commission-accredited
program for hip and knee replacement within a 100-mile radius.
Since the opening of the Orthopaedic Bone & Joint Center,
over 290 hip and knee surgeries have been performed. The
13-bed unit also houses a gym for recovering patients to work
with Rehabilitation Institute of Chicago-trained therapists.
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ANNUAL REPORT 2014
REGIONS FIRST & ONLY 3T MRI
Scan the QR code to read more about the region’s
only 3T MRI.
SWING BED
SWING BED SUCCESS
The Swing Bed program began at St. Joseph Memorial Hospital in
November 2013. They experienced strong success with 63 patient
admissions in April and are now up to their 100th admission.
The program is a short-term skilled nursing and rehabilitation
program that allows the patient the additional care needed
to recover after a debilitating illness or surgery while staying
closer to home.
In many cases, patients are not ready to return home after
a hospital stay, they need more time to strengthen and heal
before they can step back into the routine of independent living.
The Swing Bed program offers the benefit of highly skilled
healthcare professionals from diverse fields that work together
as a team. The team follows a written plan of care to help each
patient achieve and maintain an optimum level of independent
functioning.
“Many patients had never heard of the Swing Bed program
in advance of it's introduction. Patients are providing good
feedback in how they were cared for and assisted through
their recovery process” said John Brothers, Administrator. “The
families are engaged by our multidisciplinary team which helps
them to become a part of the recovery process.”
Examples of conditions benefiting from the
Swing Bed Program include:
• Recovery from major surgery
• A major accident
• Stroke
• Pain management
• Wounds which are not healing or
need special care
• Nutritional therapy
• IV therapy or antibiotics
• Rehabilitation therapy:
physical, occupational, speech or respiratory
“Many patients had never heard of the Swing Bed program
in advance of it's introduction. Patients are providing good
feedback in how they were cared for and assisted through
their recovery process. The families are engaged by our
multidisciplinary team which helps them to become a part
of the recovery process.” — John Brothers, VP/ADMINISTRATOR
ANNUAL REPORT 2014
11
OFFICE OF CLINICAL RESEARCH
SIH OFFICE OF CLINICAL RESEARCH
Institutional Review Board meeting
Hospital systems that conduct research help provide comprehensive care to patients. Plus, it gives physicians the ability to
contribute to the scientific body of knowledge and promote
medical innovation.
Conducting clinical research is an exciting endeavor, yet it
is a complex process that varies considerably from study to
study. Collaborating with SIH staff and physicians is necessary
to maintain the integrity and the conduct of the study. In addition, in order to do research, hospitals and clinicians must stay
in compliance with federal and international human research
protections regulations.
The SIH Office of Clinical Research is the liaison between
all the moving parts: patients, investigators, the sponsors and
the overseeing research body, the SIH Institutional Review
Board (IRB).
In just a short year, the SIH Office of Clinical Research has
not only met, but exceeded expectations in managing a variety
of clinical trials. In fact, the team successfully initiated six new
clinical trials in the specialties of neurology, oncology, infectious
disease, cardiology and peripheral arterial disease last year.
The SIH Office of Clinical Research is housed at The Place at
University Mall in Carbondale and is actively enrolling patients
in a variety of these clinical trials.
If you are interested in learning more about the various trials
that are currently underway, contact System Clinical Research
Coordinator, Christy Kampe at 618.457.5200, extension 67037.
QUALITY HEALTH PARTNERS
QUALITY HEALTH PARTNERS OF SOUTHERN ILLINOIS
It was an exciting and successful year for Quality Health Partners of Southern Illinois (QHP).
QHP represents a collaboration of physicians and hospitals in southern Illinois seeking to
improve access and quality of care for those they serve. Participating providers and staff
succeeded in achieving “clinical integration” status. By becoming clinically integrated, QHP
has proven the ability to measurably improve the quality of patient care in southern Illinois.
These measurements are available to all QHP providers and staff through the Patient Registry.
This registry was released this year to monitor clinical performance for all attributed patients
according to quality standards and targets determined by the QHP Clinical Committee and
Board of Managers.
During the year, Physician Hospital Organization (PHO) agreement negotiations began
with Health Alliance. After eight months of proposals and counter-proposals, Quality Health
Partners and Health Alliance agreed to terms on a 33-month PHO agreement that became
effective April 1, 2014.
Physician leadership in QHP has been significant and vital to its early success. In 2012
Dr. Marci Moore-Connelley became QHP’s initial Chief Medical Officer. As chair person of the
Clinical Committee, Dr. Moore-Connelley along with the Interim Board of Managers and Clinical
Committee oversaw the successful development of many aspects of the clinical integration
process and PHO agreement negotiations. In early 2014, Dr. Moore-Connelley accepted the
opportunity to be Southern Illinois Healthcare’s next Chief Medical Officer and passed the reins of
QHP’s Chief Medical Officer to a long standing and very active participant, Dr. Kevin Oestmann.
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ANNUAL REPORT 2014
DR. KEVIN OESTMANN
QHP Chief Medical Officer
PATIENT PORTAL
WHAT IS MEANINGFUL USE?
STAGES OF MEANINGFUL USE
Meaningful use is using certified electronic health record (EHR) technology to:
• Improve quality, safety, efficiency, and reduce health disparities
• Engage patients and family
• Improve care coordination and public health
• Maintain privacy and security of patient health information
Meaningful use sets specific objectives that hospitals and physicians must achieve
to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs.
WHAT IS A PATIENT PORTAL?
Whether you call it NextMd, Webview, Medfusion, or simply Patient Portal, all of
these applications serve as powerful engagement tools with the ultimate goal of
improving patient outcomes.
A Patient Portal is a secure online website that gives patients convenient 24-hour
access to personal health information from anywhere with an Internet connection.
Using a secure username and password, patients can:
• Access medical records including: medications, immunizations, and test results
• View hospital discharge instructions to help patients take better care of themselves
or loved ones
• Correspond online with providers and practices
• Request appointments and receive appointment reminders
Stage 1
2011 - 2012
DATA CAPTURE
AND SHARING
Stage 2
2014
ADVANCE CLINICAL
PROCESSES
THE LINK BETWEEN PATIENT PORTAL
AND THE MEANINGFUL USE OF HEALTH INFORMATION
Effective implementation of a Patient Portal helps SIH attest to several engagement requirements of stage 2 meaningful use:
• Clinical summaries
• Patient-specific education resources
• Secure electronic messaging
• Timely access to health information
• Reminders for preventive and follow-up care
The Patient Portal also has great potential for meeting emerging requirements in
stage 3 meaningful use that are expected to focus on self-management and shared
management of healthcare. The Patient Portals can be used to assist in the patients
self-management tasks, through tools for interactive monitoring and coaching.
Stage 3
2016
IMPROVED
OUTCOMES
SUCCESS STORY
It was a Saturday morning when Kenneth Robinson realized he only had one blood
pressure pill left in his bottle; he began to worry how he was going to make it
through until Monday morning without his medication. Then he remembered he
had signed up for the patient portal at Center for Medical Arts, and he thought if
he could get the request in while he was thinking about it that maybe he could get
his prescription filled first thing Monday morning without having to wait on hold to
speak with a nurse. He used the patient portal and went on about his day.
An hour later his phone rang, it was his pharmacy calling to let him know that
his prescription was ready for pick up. Kenneth was amazed that not only did
his request get read, but it also was executed so quickly. Little did he know that
his doctor, Ana Migone, MD, was working on charts early Saturday morning and
happened to see his request come through the portal. She was able to easily
e-prescribe his medication and go about her day.
“The organization continually invests in technology that empowers patient’s involvement in
their healthcare as well as leads to improved patient satisfaction regarding timely access to their
important health information.” — Marcia Matthias, CORPORATE DIRECTOR HEALTH INFORMATION
ANNUAL REPORT 2014
13
The SIH FOUNDATION was established in 2010 to receive funds on
behalf of Memorial Hospital of Carbondale, Herrin Hospital, St. Joseph
Memorial Hospital and the SIH Medical Group. Funds raised are used
to enhance and support the SIH mission of being “dedicated to the
health and well being of all the people in the communities we serve.”
Like healthcare institutions everywhere, SIH must look beyond its
traditional sources of support to supplement revenue with private
contributions in order to maintain the level of medical excellence the
people of southern Illinois deserve.
CHARITABLE GIFTS THROUGH THE SIH FOUNDATION HELP:
• Provide funding for capital improvements to best serve ever-changing healthcare needs
• Supply equipment and resources to enhance services and operational excellence
• Fund SIH community service programs
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ANNUAL REPORT 2014
GLENN & JO POSHARD
Glenn & Jo at the future location of the SIH Cancer Institute.
GLENN & JO POSHARD
As is true for so many families, cancer is all too familiar to Glenn
and Jo Poshard. Although several years have passed, their
experience with the disease and its impact on their loved ones
remain fresh today. Those memories provided the motivation
behind their commitment to the SIH Hope is Home campaign
to build a dedicated cancer center in southern Illinois.
Jo Poshard reflected on her first-hand experiences during
a tour of the center now under construction in Carterville.
“There’s so much fear associated with this disease. My mother
had colon cancer and both my sisters had breast cancer. When
I think back to when my mother underwent treatment 20 years
ago, I remember many, many cold waiting rooms, unfriendly
surroundings and a frightening environment. When I think of
this facility (the SIH cancer center), it is so patient-friendly
and warm; it takes away a lot of the fear that people have to
go through. It will make it so much easier for families to bear
this burden and seek refuge in a place that offers fantastic
quality, is close to home, and is family and patient friendly.”
Glenn echoed Jo’s sentiments. He noted SIH set the bar
high with the cancer center construction, in particular with the
attention to detail regarding the patient experience.
“Southern Illinois has higher than average cancer rates for
many different reasons. The fact that patients can get such
coordinated care in one place and not run around to a doctor
here and a clinic there is a tremendous asset. This center is
truly coordinated and articulated with patient care in mind
and that resounded with me and my family.”
Glenn and Jo Poshard's story echoes the similar message
of many of the generous 1,200 donors who have given to the
Hope is Home campaign to date.
To learn more about the effort or to give a gift, please
contact: Tanna Morgan at 618.457.5200, extension 67843.
“Southern Illinois has higher than average cancer rates for many different reasons. The fact that patients
can get such coordinated care in one place and not run around to a doctor here and a clinic there is a
tremendous asset. This center is truly coordinated and articulated with patient care in mind and that
resounded with me and my family.” — Glenn Poshard, PHD
ANNUAL REPORT 2014
15
SIH FOUNDATION
2014 ANNUAL SIH FOUNDATION DINNER GALA
595 guests were in attendance at the sold out event.
ANNUAL SIH FOUNDATION DINNER GALA
1200
dono r s to d ate
595
2014 gala
at te n d a n c e
$103,000
raised
The SIH Foundation Dinner Gala is held annually in the spring
and this year’s event proved to be a tremendous success thanks
to the many volunteers and those in attendance. Once again,
the southern Illinois community came together to celebrate
the ongoing efforts of the SIH Foundation and its Hope is
Home campaign which is raising the funds to build a new
comprehensive cancer center.
This facility, already under construction due to the generosity
of over 1200 donors to date, will provide cancer treatment
that will allow patients and their families to stay close to home
while being treated. A ‘sold out’ 595 were in attendance and
$103,000 was raised towards the effort to fund the outdoor
healing garden in the new cancer center. Due to the generosity
of so many at the Gala, patients needing to undergo cancer
treatment here in the region will be able to do so in a serene
and peaceful environment.
REX BUDDE
SIH President & CEO Rex Budde speaks to a sold out crowd at the Gala.
GLENN & JO POSHARD
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ANNUAL REPORT 2014
JENNIFER MILLER-LOUW PRESENTING TO
RAJINDER GOLATI, MD AND LAURIE PLEIMANN
SLICE OF LIFE GOLF OUTING
215
g o l f e rs
43
g ateway
p g a p ro s
$54,000
raised
“This is the best golf event in southern Illinois all year,”
comments echoed by many participating in the annual
SIH Foundation Slice of Life Golf Tournament. This
year, 215 golfers paired with 43 Gateway PGA Pros,
competed in two flights while raising over $54,000
toward the Hope is Home campaign to fund the SIH
cancer center under construction. With the help of
a great planning committee and substantial support
from many corporate sponsors, the SIH Slice of Life
is a must for both high and low handicappers who
want to improve the health of southern Illinoisans.
Along with the day of golf, ‘Slice’ is kicked off with a
fun-filled banquet the evening before that included
a successful live and silent auction.
A TEAM OF GOLFERS AT SLICE OF LIFE
BLACKOUT CANCER GAME
$56,065
raised
For the third year, the SIH Foundation has partnered with SIU Athletics and Learfield Sports to
raise awareness and funds to further the Hope is
Home campaign with the annual Black Out Cancer
football game.
The impact of this partnership is seen in Benjamin,
a 12-year-old grade school student from Elverado
School. This local community came together to
help Benjamin carry on his love for football and SIU
by raising funds to have his name on the back of a
special jersey worn by an SIU Football player at the
Black Out game. Ben lived out this dream. Huston
Walker, a SIU Football player, wore Ben’s name
on the back of his jersey and then presented Ben
with this jersey after the close of the game. Ben is
recovering from a cancerous brain tumor.
SIH Foundation was involved as the benefactor
of the proceeds from generous supporters who all
bid for a similar chance to outfit the entire team in
the special Black Out jersey. Thanks to the many
who participated, the Black Out Cancer football
game raised over $56,065, all of which is going to
the Hope is Home Campaign.
BENJAMIN LIVES OUT HIS DREAM
12-year-old cancer survivor Benjamin with Saluki Huston Walker.
SIH FOUNDATION RECEIVES $56,065
Mike McElroy and Mario Moccia present SIH's Woody Thorne
with a check for the Hope is Home Campaign.
ANNUAL REPORT 2014
17
COMMUNITY BENEFITS
As a not-for-profit healthcare organization, responding to the health needs of our communities, especially to those most
vulnerable, is central to the mission of SIH. To do so, SIH strives to have a clear understanding of community health needs and
uses a deliberate approach for addressing them. The importance of assessing community health needs and developing an
implementation strategy to address selected needs was reinforced by the Patient Protection and Affordable Care Act. Providing
the highest quality of care to patients, irrespective of their ability to pay, is what drives the SIH team everyday.
Staff with the experience of community benefit professionals, and expertise from the field of public health assess community
health needs and collaborate with partners to develop effective strategies for improving health in our communities.
HEALTH MINISTRY
SIH’s Health Ministry improves the health and wellness of people through collaborating with faith communities. Emphasizing wholeness of body, mind and spirit,
health ministry programs offer health promotion and education activities, advocacy
and referral and caring spiritual support.
SIH provides training, resources and mentorship to over 60 faith communities and
faith based community agencies in nine counties. Over 4,000 contacts are made each
year by Faith Community Nurses/Parish Nurses, Spiritual Homebound Visitors and
Health Ministry teams, helping people understand the important relationship between
faith and health. Faith Community Nurses/Parish Nurses significantly contribute to
health promotion and the management of chronic health conditions throughout
southern Illinois. Our commitment to Health Ministry helps southern Illinois residents
achieve wholeness of body, mind and spirit and to live fuller, longer, healthier lives.
Walk To Jerusalem
One example of how SIH assisted the faith community is through a program to
improve fitness. From March to June the congregation of the First Presbyterian
Church in Marion traveled a total of 6,787 miles as a church family. Where were they
going? They were on a “Walk to Jerusalem” striving to become more physically and
spiritually fit. A Challenge Grant from SIH Community Benefits provided funds for
pedometers for the congregation. Each day members logged their miles and time
spent in physical and spiritual activities. Along the way they experienced unexpected
blessings and spent memorable Saturday mornings walking with church family
through nature as spring was awakening the earth. They journeyed closer to God
and made important lifestyle changes along the way. And…they not only arrived in
Jerusalem…they traveled 446 miles beyond it!
CHAPEL WINDOW AT
ST. JOSEPH MEMORIAL HOSPITAL
COORDINATED SCHOOL HEALTH
SIH’s Coordinated School Health program is working to reduce the growth of childhood
obesity and improve the overall health and well-being of children and adolescents.
Each school year, Community Benefits Department staff work with classroom and
physical education teachers, food service providers, administrators, wellness teams
and families to implement a Coordinated Approach To Child Health (CATCH).
Through the evidence-based Center for Disease Control and Prevention’s model,
schools focus on increasing the amount of time kids are up, moving and active
during P.E. class time, offer healthful lunches and smart snacks, and incorporate
many health topics into classroom lessons.
Students enjoy the games and lessons while gaining awareness of how activity
and nutrition affect the human body and its movements. CATCH schools continually
exceed the goal of students being moderately or vigorously active at least half of P.E.
class time. This past year students also got to “Experience the Rainbow of Health”
as they learned about the many different colors of fruits and vegetables and the
benefits of eating a variety of fruits and vegetables each day. Pre and post tests
of student’s knowledge after participating in the interactive lessons showed they
gained valuable information.
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ANNUAL REPORT 2014
CATCH PARTICIPANTS
Two student participants in the CATCH program.
COMMUNITY BENEFITS
Regional efforts are coordinated by the steering committee
and implemented at the local level through Healthy Communities
Coalitions. Coalition members and action teams engage their
own communities to conduct activities while advancing the
overall mission of the broader HSIDN.
Sustainability Through Policy, Systems and Environmental Changes
The Network has grown into a strong collaborative effort
of community organizations successfully leveraging resources
to improve health in the Illinois Delta region. Most recently
the network pooled approximately $1 million in funds from an
IDPH Community Transformation Grant for We Choose Health
Southernmost Illinois.
Together the Healthy Communities initiative has facilitated:
• Smoke-free multi-unit housing policies at 64 locations
(over 987 housing units)
• Smoke-free public places at 62 locations such as
parks, ball fields, and recreation complexes
HEALTHY COMMUNITIES
SIH’s Healthy Communities initiative is directed at improving
the overall health and well-being of the community. Through
strong collaborative efforts, the capacity to tackle health issues
in our area is greatly increased.
In partnership with local health departments in the 15 southern
counties and Healthy Communities Coalitions, area health
centers, SIUC's Center for Rural Health and Social Development
and others interested in improving the health of their communities, SIH works to promote a safe, healthy and sustainable
community through the Healthy Southern Illinois Delta Network
(HSIDN). Efforts include improving access to healthcare services,
promoting preventive screenings to detect disease early when
it is more treatable, preventing and controlling obesity related
disease, reducing tobacco use and eliminating exposure to
secondhand smoke.
• Worksite wellness policies adopted at 127 sites
• 80+ schools engaged in coordinated school
health initiatives
“The success of the network is a direct result of the regional
planning approach supported by active engagement of those
representatives interested in improving the health of their
communities,” states Diane Land, SIH Community Benefits
Manager. “The Healthy Communities initiative has established
strong relationships that will propel progress in the region.”
When talking about the HSIDN multi-county coalition and
their regional strategic plan, Land says “We’ve had a larger
impact than we could have had individually or competing
against each other. By having all partners represent the same
message, it resonates with community members, giving the
region its own sustainable identity."
MEDICAL LEGAL PARTNERSHIP OF SOUTHERN ILLINOIS
Medical Legal Partnership of Southern Illinois is a collaborative
effort between Southern Illinois Healthcare and Land of Lincoln
Legal Assistance Foundation to assist low-income patients in
improving their health by alleviating the legal stressors in their
lives. This is done by attorneys and paralegals partnering with
the person’s healthcare provider to find real solutions to legal
problems. The medical-legal partnership approach presents a
compelling opportunity to leverage existing health and legal
resources in order to reduce health disparities and create a
new standard of care for vulnerable people.
Debbie's Story
Debbie, a low-income single mother, was unfocused and
teary-eyed as her oncologist talked to her about her upcoming
surgery for stage-four colon cancer. She interrupted her doctor
and said, “I just can't focus on this until I know my children will
be taken care of if it doesn't work out.”
Debbie's oncologist practices in a medical group linked to
the MLPSI. The oncologist called in the attorney team to discuss Debbie's concerns with her. With Debbie's major surgery
just days away, the attorney prepared a short-term agreement
granting guardianship over Debbie's children to her best friend
if she did not survive the procedure. The existence of the
agreement greatly eased Debbie's mind. After the surgery was
successful, the attorney met with Debbie again to prepare a
last will and testament that more fully took up her concerns.
She could not have afforded such legal assistance without
MLPSI. Having these legal issues resolved allowed her to
focus her energy where it was needed—overcoming cancer
and getting well. The partnership's advocate also helped her
apply for social security disability benefits.
Cases such as Debbie's are the heart and soul of medical
legal partnerships. With 137 hospitals, 145 healthcare centers,
and 108 legal aid organizations using MLPs, this nationwide
movement is transforming healthcare by making “legal care”
a component of holistic, patient-centered care. Through MLPs,
patients can receive services and advocacy; organizations
can initiate and enforce policy changes; and legislators and
other key stakeholders can be educated on the connection
between law and health. MLPs can vary in the type and level
of services offered, but all are interactive, participatory and
integrated; they are not merely a system of referrals between
medical and legal providers.
ANNUAL REPORT 2014
19
CHARITY
MEDICARE
MEDICAID
COMMUNITY BUILDING
ACTIVITIES
COMMUNITY HEALTH
IMPROVEMENT
GRANTS, SPONSORSHIPS
& CONTRIBUTIONS
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ANNUAL REPORT 2014
CAPITAL SPENDING
PAYROLL
GOODS & SERVICES
ANNUAL REPORT 2014
21
Mission
WE ARE DEDICATED TO IMPROVING
THE HEALTH AND WELL-BEING OF
ALL OF THE PEOPLE IN THE COMMUNITIES WE SERVE.
Values
RESPECT
RECOGNIZING AND VALUING THE DIGNITY
AND UNIQUENESS OF EACH PERSON
INTEGRITY
ADHERING TO STRONG MORAL AND ETHICAL
PRINCIPLES IN ALL WE DO
COMPASSION
RESPONDING TO THE FEELINGS AND NEEDS OF EACH PERSON
WITH KINDNESS, CONCERN AND EMPATHY
COLLABORATION
COMMUNICATING AND WORKING WITH OTHERS
FOR THE BENEFIT OF ALL
STEWARDSHIP
RESPONSIBLY USING, PRESERVING AND ENHANCING
OUR HUMAN AND MATERIAL RESOURCES
AS A NOT FOR PROFIT COMMUNITY CONTROLLED ORGANIZATION
ACCOUNTABILITY
HOLDING OURSELVES AND THOSE AROUND US RESPONSIBLE
FOR LIVING THE VALUES AND ACHIEVING THE VISION
OF SOUTHERN ILLINOIS HEALTHCARE
QUALITY
STRIVING FOR EXCELLENCE
IN ALL WE DO