Health Kentucky 2014 - Amazon Web Services

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HealthKentucky
2014
A Report on Medical Research, Innovation, Life Sciences, Facilities and Healthcare Providers
A Special Advertising Report Published by
Permit #327
Lebanon Junction
KY 40150
201 E. Main St. Ste. 1402, Lexington KY 40507
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Family
Tree
Family
Family
Tree
Tree
of Health-Related Companies
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of Health-Related
a ed Compan
of Health-Related
esCompaniesCompanies
A Healthcare Network For Business
Development, Leadership and Education
Open Access Healthcare, PSC
6th edition
6 h ed on 6th edition 6th edition
Optical Dynamics Corp.
Kentucky Medical Group Management Association
NetGain Technologies Nimbus
Open Access Healthcare, PSC
Optical
OpenDynamics
Access Healthcare,
Corp.
PSC
Optical Dynamics Corp.
Kawinkadinc,
Inc. Management
Nazareth
HomeKentucky
HFMA Kentucky Chapter
New Age Pulmonary
ServicesGroup
Korrect Optical
Kentucky
Medical Group Nimbus
Management
Kentucky
Association
Medical
Management
Association
Medical Group
Association
NetGain Technologies
NetGain
Technologies
Nimbus
Family Tree 6 h Edition
NewKentucky
Age
Enterprises
Hospital
NetQuestServices
Health
Enterprises
Network
Kentuckiana
Magazine
Kawinkadinc,
Inc.
Inc.
Kawinkadinc,
Inc. Woman
Nazareth
Home
HFMA
Nazareth
Chapter
HomeOptical
HFMAHealthy
Kentucky
Chapter
HFMA
Kentucky
Chapter
New Age Pulmonary
ServicesNorton
New
Age Pulmonary
Korrect
OpticalKawinkadinc,
Korrect
Korrect
Optical
Nursing Station,
Inc.Enterprises
Neighborhood
Net Tango, Inc.
Group
Marketing
Gerimed
Kosair
Children's
AgeHouse
Enterprises
New
Age
Norton Hospital
NetQuest
Norton
HospitalMagazine
NetQuest
Health
Enterprises
Network
Health
Enterprises
Network
HealthNine
Enterprises
Network
KentuckianaNew
Healthy
Woman
Kentuckiana
Healthy
Woman Magazine
Kentuckiana
Healthy
WomanHospital
Magazine
Norton
Brownsboro
Hospital
Norton
Healthcare
New
Hope
Services
Gwin
Steinmetz
&
Baird
Growth Services
Kentucky
REC
Nursing
Station,
Inc.
Nursing
Station,
Inc.
Neighborhood House
Neighborhood
House
Net
Tango,
Inc.
Net
Tango,
Inc.
Group
Marketing
Marketing
Kosair Children's Hospital
KosairNine
Children's
HospitalGerimed Group
KosairNine
Children's
HospitalGerimed Group Nine MarketingPLLC Gerimed
Nephrology Associates
of Kentuckiana
Medical
Center
Cardiologists
Medassist,
Inc.
Get
Smart
Benefits& /Baird
AFLAC
ClubServices
Louisville
Kid's&Korner
Norton Brownsboro Hospital
Norton
Brownsboro
Hospital
Norton
Healthcare
New Hope
Norton
Healthcare
New
Hope
Services
Gwin Steinmetz
& Baird
GwinServices
Steinmetz
Baird
PLLC Growth
Gwin
Steinmetz
PLLCGilda's
Growth
Services
Growth
Kentucky
REC Services
Kentucky
RECPLLC
Kentucky
REC
Women's
and Kosair
Children’s
Hospital
MetaCyte
Lab, LLC
MDofficeManager,
LLC
Nephrology Associates ofNorton
Kentuckiana
Nephrology
Associates
of Kentuckiana
Genesis
ElderCare
Physician
Circle Registry
Medical
Center
Cardiologists
MedicalBusiness
Center
Cardiologists
Inc. Smart
Medassist,
Inc.
Get
Benefits
/ AFLAC
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Smart
Benefits
/ AFLAC Gilda's
Get
Smart
Benefits
/ AFLAC Services
Gilda's
Club
Louisville
Club
Louisville
Gilda's ClubFull
Louisville
Kid's KornerMedassist,
Kid's Korner
Kid's Korner
National
Kidney
Foundation
of Kentucky
Mountjoy
Bressler
Medical
Anesthesiologists,
Greater
Louisville
Inc.
FacilityOne
Norton Women's and Kosair Children’s
Norton
Hospital
Women's
andMetaCyte
Kosair
Children’s
Goulds Services
Discount Medical
BusinessHospital
Lab, LLC
MDofficeManager,
MetaCyte
Business
LLC Lab,
LLC Center
MDofficeManager,
LLCPSC
Genesis
ElderCare
Physician
Services
Genesis
ElderCare
Physician Services
Genesis
ElderCare
Physician
Full
Circle Registry
Full
Circle Registry
Full Circle
Registry
StackWave
LLC of Kentucky
Northeast
HighfieldofOpen
MRI
MedVenture
TechnologyPSC
Corporation
Medical Solutions
National Kidney
Foundation
National Kidney
Foundation
Gaddie
Eye Center
Greater
Louisville
Medical Medical
Society Family
Allergy & Asthma
Mountjoy
Bressler Kentucky
Medical Center
Mountjoy
Anesthesiologists,
Bressler
Medical
Anesthesiologists,
PSC Inc.FacilityOne
Greater
Louisville
Inc. Center
Greater Louisville
Greater
Louisville
FacilityOne
FacilityOne
Goulds
Discount
Medical
Goulds
Discount
Medical Inc.
Goulds Discount
Seven
CountiesHighfield
Services
Norton Audubon
Hospital
New West Northeast
MedX12,
Inc. Technology
MedResearch
Inc.
MedTrackAlert
StackWave LLC
StackWave
LLC Open MRI
Faulkner
Healthcare
Real Estate
Northeast
Highfield
Open MRI
Freedom
Communications
Kentucky
BioAlliance
MedVenture
Technology
Corporation
MedVenture
Corporation
Medical
Solutions
Medical
Solutions
Gaddie Eye Center
Greater Louisville
Gaddie
Medical
Eye Center
Society Greater
Family Louisville
Allergy
Gaddie
& Medical
Asthma
Eye Center
Society Greater
Family Louisville
Allergy & Asthma
Medical Society Family Allergy
& Asthma
Schneider
DeMuth
Advertising,
Inc.
Norton
Suburban
Hospital
Medical
News
Med-Dyne
My
Private
MD
Frost Brown Todd LLC
Seven Counties Services
Seven Counties
ServicesHospital
Business
Transfers
Acquisitions
Norton Audubon
NortonInc.
Audubon Hospital
New West
New West MedX12,
MedX12, Inc.
MedResearch Inc.
MedTrackAlert
Inc.
MedTrackAlert
Kentucky
Center
forReal
Better
Faulkner
Healthcare
Estate Freedom
FaulknerCommunications
Healthcare Real Estate Fortune
Faulkner
Healthcare
Real& Estate
Freedom
Communications
Freedom
Communications
Kentucky
BioAllianceMedResearch
Kentucky
BioAlliance
Kentucky
BioAlliance
Bone
&
Joint
Health
Schaefer
General
Contracting
Services Norton Suburban
Neuro Technology
M. Joseph
Middleton
Reutlinger
MedAssets
FTIBrown
HealthcareLLC
Schneider DeMuth Advertising, Inc. Schneider
DeMuth
Advertising,
Foundation
for a Healthy
Kentucky
Norton
Suburban
HospitalInc.
Hospital
Frost-Arnett
Medical News
Med-Dyne
MedicalCenter
My
News
Private
MD Med-Dyne
My
Private
MD
Frost
BrownCenter
Todd
LLC
Frost
BrownCenter
Todd
LLC
Frost
Fortune
Business
Transfers
& Acquisitions
Fortune
BusinessTodd
Transfers & Acquisitions
Fortune Business
Transfers
& Acquisitions
Kentucky
for Better
Kentucky
for Better
Kentucky
for Better
Medical
Kentucky
Bone &Multiplex,
Joint Health
Bone & Joint
Health
Bone &World
JointTrade
HealthCenter
Sister Cities
of Schaefer
Louisville,General
Inc.
Superior Van
& Mobility
NeuroTek, M. Joseph
Medical
Inc.
MedaStat
Family
Schaefer General Contracting
Services
Services
Falls CityFrost-Arnett
Family Dentistry
NeuroContracting
Technology
Neuro Technology
Frazier
Rehabilitation
InstituteKentucky
M. Joseph
Middleton Reutlinger
Middleton
Reutlinger
MedAssets
MedAssets
FTI Healthcare
FTI
FoundationFTI
forHealthcare
a Healthy Kentucky Foundation
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aHealth
Healthy Kentucky
Foundation
for a Healthy
Frost-Arnett
Frost-Arnett
LLC
Medical
Medical
Kaplan
Barron
Pediatric
Group
Kentucky
World
Trade
Center
Kentucky
World
Trade
Center
Enhancement
Professionals
Susan
G. Cities
Komen/Louisville
Centers,
Micro
Supply
Company,
Mountjoy
Sister Cities of Louisville, Inc.
Sister
ofMobility
Louisville, Inc. SportsSuperior
Superior
Van &
Van & Mobility
Elmcroft
Senior
Living
First
Management
Services,
Inc. Falls
NeuroTek,
NeuroTek,
Medical Multiplex, Inc.
Medical
Multiplex,
MedaStat
Inc. Inc.
MedaStat Frazier Rehabilitation
Family
Family
Family
City Rehabilitation
Family Dentistry
City
Family
Dentistry
City Family
Dentistry
Institute Falls
Frazier
Institute Falls
Frazier
Rehabilitation
Institute
Inc.
Chilton
Medley
LLC
LLC
Kosair
MedicalGroup
Center
Health
Health
Kaplan
Barron
Pediatric
Group
Kaplan Health
Barron Pediatric Group
KaplanChildren's
Barron Pediatric
Sterling
MedicalProfessionals
Consultants, LLC
Spatial Data
Integrations, Inc.
Medical
Business
Associates
Sports
Enhancement
Sports Enhancement
Professionals
Susan G. Komen/Louisville
Susan
G. Komen/Louisville
Excservices,
Inc.
CMD
aSenior
division
of FetterGroup
Centers,
Centers, Inc.
Centers, Inc. Fetter
Micro Supply Company, Inc.
Micro
Supply
Company,
Inc.
Mountjoy
Mountjoy First Management Services,
Elmcroft
Senior
Living
Elmcroft
Living
Elmcroft
Senior
Living
First
Management
Services,
First
Management
Services,
Inc.
Medical
Claim
Inc.
Inc. Ear Nose & Throat
Inc.
Chilton Medley
Chilton
Medley
Kentuckiana
Kosair
Children's
MedicalSolutions
Center Kosair Children's
Medical Center Kosair
Children's
Medical Center
Sullivan
College
Scheu &Inc.
Kniss
Relief
Management
Training
Sterling Medical Consultants, LLC Sterling
Spatial
Medical
DataUniversity
Consultants,
Integrations,
LLC
Inc. of Pharmacy
Spatial Data Integrations,
DeLor
ElderServe, Inc.
Maddox
Hovious
& Dickens
PLC Excservices,
Medical Business
Associates
Medical
Business
Associates
Excservices,
Inc. of FetterGroupFultz
Excservices,
Inc. of
Inc.
Fetter CMD a division of FetterGroupFetter
CMD a division
Fetter
CMD a division
FetterGroup
Medical
Claim
Medical
Claim
Kleinert
Kutz
Hand
Care
Center
Kentuckiana
Ear
Nose & Throat
Kentuckiana Ear
Nose & Throat
Kentuckiana Ear Nose & Throat
Soteriaof
Imaging
ServicesUniversity
Synersource,
Inc.
SeaCollege
Long
Medical
Systems
MedPro
MedicalRelief
Imaging
Sullivan University College
Pharmacy
Sullivan
of Pharmacy
Scheu
& Kniss
Scheu
& Kniss
Relief
DEY, Inc.
EastElderServe,
Louisville
Pediatrics
Electronic
Health PlansInc.
Management
Training Solutions
Management
TrainingInternational
Solutions
DeLor PLCFultz
DeLor
DeLor
Inc. & Dickens
Inc. & Dickens
ElderServe,
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Maddox Hovious
Maddox
Hovious
PLC
Services,
LLC
Kleinert
Kutz Hand
Care Center
Kleinert Kutz Hand
Care Center KentuckyOne
Kleinert KutzHealth
Hand CareKentuckianaWorks
Center
Healthcare
Affiliates Sea
Senior Care,
Inc.
Systemax
MediVoxx
Soteria Imaging Services
Soteria
Imaging
Services
Synersource,
Inc.Corporation
Synersource,
SeaSouthwood
Long Medical
Systems
Long
Medical
Systems
MedPro
MedPro
DMB,
Inc.
Epilepsy
Foundation
of Kentuckiana
Medical
ImagingInc.
International
Medical
Imaging
International MD2U
Inc. East
DEY,Electronic
Inc.
DEY, Inc.
East Louisville Pediatrics
East Health
Louisville
Pediatrics DEY,Electronic
Louisville
Pediatrics
Electronic
Plans
Health
Plans
Health
Plans
Edvice2Go
Services,
Services,
Jewish Hospital
& St. Mary's
HealthCare
KentuckyOne
Health
KentuckyOne
Health
KentuckianaWorks
KentuckianaWorks
KentuckianaWorks
Strothman
&
Company,
PSC,
CPA
StatCare
Pharmacy
Strata
Space
LLC
LLC
LLC
Medical Resources
Group
Southwood Healthcare Affiliates
Southwood
Systemax
Healthcare
Corporation
Affiliates
Senior
Systemax
Care,Corporation
Inc.
Senior Care, Inc.
Deyta,
EnviroDerm
Pharmaceuticals
MediVoxx
MD2U
MediVoxx
MD2U
DMB, Inc. Epilepsy
DMB, Inc.
DMB, Inc.
Inc.
Epilepsy Foundation of Kentuckiana Epilepsy
Foundation of Kentuckiana
Foundation
of Kentuckiana
Edvice2Go
Edvice2Go
Edvice2Go
Journey
& St.Healthcare
Mary's HealthCare
Jewish Hospital & St. Mary's HealthCare
JewishMedical
HospitalRecruiters
& St. Mary's HealthCare
Sleep
MedicinePSC,
Specialists
SHPS,
Inc.
Supplies
Over
Seas Jewish Hospital
Managed
Strothman & Company,SpectraCase,
PSC, CPA Inc.
Strothman
& Company,
CPA
StatCare
Pharmacy
StatCare
Pharmacy
Strata
Space LLC
Strata
Space
LLC
Day
by Day
ElderCare Solutions
EPI Corporation
Medical
Resources
Group
Medical
Resources
GroupDevelopment
Deyta, Inc. EnviroDerm
Deyta,
Inc.
Deyta,
Inc.Nutrition
EnviroDerm Pharmaceuticals
EnviroDerm Pharmaceuticals
Pharmaceuticals
Jefferson
County
Medical Society
Journey Medical
Recruiters
Journey
MedicalLLC
Recruiters
Journey
Medical
Recruiters
Spencerian
Stites
Harbison PLLC
Spaid Nursing
Service
SHOT
Medical
Dental Business
Consultants,
SpectraCase, Inc.
Sleep Medicine
SpectraCase,
Specialists
Inc.College
SleepSHPS,
Medicine
Inc.&Specialists
Supplies Over
SHPS,
SeasInc.
Supplies
Over Seas
Dinsmore
& Shohl,
LLC
Eckman Freeman
Eldercare4families
Managed
Healthcare
Development Managed
Healthcare
Development
by Day
Nutrition
by Day
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Day by Day
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ElderCare Solutions EPI Corporation
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Corporation
ElderCare
SolutionsDay
EPI
Corporation
Jefferson
Community
&
Technical
College
ZirMed
Jefferson County
MedicalComprehensive
Society Jefferson
County
Medical Society Jefferson County Medical Society
Stoll Keenon
Ogden
PLLC
Sheltowee
Ambulance
Louisville
Care MS
Center
Stites
& Harbison
PLLC
&StatCare
HarbisonAir
PLLC
Spencerian College
Spencerian
College LLC Stites
Spaid Nursing Service
Spaid
NursingBusiness
Service
SHOT
SHOT
Dynamic
Marketing
Strategies
LLC
Darob
Medical
Services
Medical
Dental
Consultants,
Medical
LLC
Dental Business Consultants,
LLC
& Shohl, LLC
Dinsmore
& Shohl,
LLC
Dinsmore
& Shohl,
LLC
Eckman Freeman Eldercare4families
Eckman FreemanDinsmore
Eldercare4families
Eckman
Freeman
Eldercare4families
Jewish
Hospital
& St. Mary's
HealthCare
Zip Express
Jefferson Community
& Technical
College
Jefferson
Community
& Technical College
Jefferson
Community
& Technical
CollegeFoundation
Sav-Tek LLC
Systems
Design
Group
Spalding
University
LifeScience
Logistics
LiteMS
Source
ZirMed
Stoll Keenon Ogden PLLC
Stoll
Keenon
Ogden
PLLC
Sheltowee LLC ZirMed
StatCare Air Ambulance
Sheltowee
StatCare
Air Ambulance
Delta
of Kentucky,
Deming, Malone,
& Services
Ostroff
Louisville
Comprehensive
Care MS Center
Louisville
Comprehensive
Care
CenterInc. Dynamic Marketing Strategies LLC Dynamic Marketing
Darob Medical
Strategies
Services
LLC Dynamic
Marketing
DarobLivesay
Medical
Strategies
LLC
DarobDental
Medical
Services Inc.
Medical
Institute
for Lean
Systems
Interim Foundation
Healthcare
Devices
York
Companies,
Inc.
Software
Jewish
Hospital
&
St.
Mary's
HealthCare
Jewish
Foundation
Hospital
&
St.
Mary's
HealthCare
Jewish
Foundation
Hospital
&
St.
Mary's
HealthCare
Louisville
Clinical
Trials Lite Source
Lab Partners
Zip Express
ZipSystems
ExpressDesign Group
Sav-Tek
Sav-Tek
Systems Design Group Spalding University
SpaldingLogistics
University Lite Source
Medical
& Inc.
Dupont
Diagnostic
Imaging
LifeScience
LifeScience
Logistics
Inc.
Inc. Deming, Malone, Livesay & Ostroff Deming, Malone,
Solutions
Delta Livesay
Dental of& Kentucky,
Inc.
Delta Livesay
Dental
of& Kentucky,
Dental of Danehy
Kentucky,
Ostroff Deming,
Malone,
Ostroff Inc. DaltonDelta
Medical
Medical
Associates
Registry
InVisionHR
Group, Inc.
R.H. Clarkson Financial Service, Inc.
Ambulance
Institute for Lean Systems
Interim
Institute
Healthcare
for Lean&Systems
Interim
Institute
Healthcare
for LeanInternational
Systems Performance
Interim Healthcare
Devices
Devices
Laughlin
Millea
Luckett
Farley
D
York Companies, Inc.
YorkYellow
Companies,
Inc.
Software
Software
DearWatch
Inc.Danehy & D &Dalton
Louisville Clinical Trials
Lab Partners
Louisville
Clinical
Trials
Lab
Partners
of Solutions
Louisville
Dalton
Medical Imaging
Danehy & Dupont
Dalton
Medical Imaging
Danehy &
Dupont Diagnostic Imaging
Dupont
Diagnostic
Diagnostic
Hillman Architecture
Consulting Medical Crotty
Solutions
Medical Sales
InRegistry
Every Language
Innovative
Productivity,
Inc.
RCGroup,
Cancer
Centers
of Kentuckiana
Retina
Vitreous
Associates
Associates Services,
Associates
International Performance
RegistryLouisville
International Performance
International
Performance
Registry
InVisionHR
InVisionHR
InVisionHR
R.H. Clarkson Financial
Service,
Inc. R.H.
Clarkson Financial
Service,
Inc.Resource Center
Group,
Inc.
Inc.
Yellow Ambulance
Yellow
Ambulance
Dorton Inc.
Laughlin Millea
Laughlin Millea
Luckett & Farley
Luckett & Farley
D & D DearWatch Inc.
D & D Dean
DInc.
&D
Xerxes, Inc.
DearWatch Inc.
DearWatch
LoganArchitecture
Lavelle
Cardiology
of Louisville
of Louisville
Critical
Care
Specialists,
Hillman
Architecture In Every Language
Hillman
Consulting
Consulting
Consulting
Inspire
Integrity
Healthcare
Services
Robert
H.
Clarkson
Insurance
Rehab
Management
Services,
Inc.
Crotty
Medical
Sales
Crotty
Medical
Sales
Crotty
Medical
SalesInc.
Innovative Productivity,
In EveryMedical
Language
Inc. GroupInnovative Productivity,
In Every Language
Inc.
Innovative Productivity, Inc.
Hunt Insurance
RC Cancer Centers of Kentuckiana RCRetina
CancerVitreous
CentersResource
of Kentuckiana
Center
Retina Vitreous Resource Center
Services,
Services,
Services,
Demand
Louisville
Louisville
WarrenXerxes,
Technology
Dean DortonMedical,
Dean Dorton
Dean Dorton
and
WealthManagement
Xerxes, Inc.
Inc. Inc.
Inc. InterlockCritical
Inc.
Inc.
HomeCare
Health
Solutions,
LLC
Strategies,
Inc.
Logan Lavelle
Logan Integrity
Lavelle
Cardiology
Cardiology Integrity Healthcare Inspire
Industries
Reed
Weitkamp
& Vice
Hill
Rives Development
Associates
Care Specialists,
Inc.
Critical Care Specialists,
Inc. ConfiCare
Critical
Specialists,
Inc.
Inspire
Inspire
Services
Services
Integrity
Healthcare
Services
Luken
& Associates
Robert H. Clarkson Insurance
Robert
H. ClarksonSchell
Insurance
Rehab
Management
Services,
Inc.PLLC
RehabRiver
Management
Services,
Inc.
Inc.
Hunt Insurance
Insurance HealthcareMedical,
MedicalHunt
Group
Medical
Group
Capital,
Wells Warren
Fargo Insurance
Services
Demand
Demand
Medical,
Medical,
LaBaugh & Associates
Medical Case Mgmt Demand
Warren Technology Inc.
Technology
Inc.
and
Center forHome
Orthotic
andSolutions,
ProstheticLLC
Care
CareSolutions,
Network LLC
IQS
LLC
Raven
NewWealthManagement
Media &Associates
Marketing
Rx
Sales
ConfiCareIndustries
Home Health Solutions,
LLC
ConfiCare Home Health
ConfiCare
Health
Strategies,
Strategies,
Strategies,
Inc.and WealthManagement
Inc.
Inc.Research
Interlock
Industries
Interlock
Industries
Interlock
Reed Weitkamp Schell & Vice PLLC Reed
River
Weitkamp
HillCareersSchell
Rives &Development
Vice PLLC Associates
River Hill
Rives Development
Luken & Associates
Luken & Associates Inc.
Inc.
Inc.
Woodward
& Fulton
LLP
L&
N Federal
Capital,
Capital,
Wells Fargo Insurance Services
Wells
Fargo Hobson
Insurance
Services
LaBaughAssociates,
& Associates
Medical
Case Mgmt
& Associates
Medical
CaseCredit
MgmtUnion
Associates
Christianand
Care
Communities
Image
Optical
Quantum
International
Rehabilitation
PSC
and Prosthetic
Center for Orthotic
Prosthetic
Care
Center Community
for Orthotic Medical
and Prosthetic
Care
Care
Network Center for Orthotic Care
Network Care
Care
Network
IQS LaBaugh
Research
IQS Research
IQS
Research
LLC Careers
LLC
Rx Sales Careers
Rx
Sales
Raven New Media & Marketing
Raven
New Media & Marketing
Corporation
Winston
&
Company
Benefits,
Inc.
Laboratory
Supply
Company
Woodward Hobson & Fulton LLP
Woodward Hobson & Fulton LLP
L & NImage
Federal
Credit Union
L & NImage
Federal
Credit Union
CyberKnife
Associates
of Louisville,
LLC
Consulting
Isopure
Ready Electric
Company PSC
Community
Associates Comprehensive
Community
Associates
Community
Medical
Associates
Christian
Care
Communities
ChristianMedical
Care Communities
ChristianMedical
Care
Communities
Optical
Optical
Image
Optical
Quantum International
Quantum International
Rehabilitation Associates, PSC
Rehabilitation
Associates,
Lifescan
of
HGS,
Inc.
Quilogy National
Workshop,
theCorporation
creative
workplace
Louisville
Metro
Public
Health
Corporation
Louisville
Winston & Company Benefits, Inc. Winston
& Company
Benefits,
Inc.
Laboratory
Supply Company
Laboratory
Supply
Company
Colliers Harry
K. Mooreof Louisville,
CreativeLLC
Alliance
Health Services
iGate
Healthcare Headquarters
Reis
Sources,
LLC
CyberKnife
Associates
of Louisville, CyberKnife
LLC Caritas
Associates
of Louisville, LLC
CyberKnife
Associates
Comprehensive
Consulting
Comprehensive
Consulting
Comprehensive
Consulting
Isopure
Isopure
Isopure
& Wellness
Department
Ready Electric Company
Ready
Electric
Company
Hilliard
Lyons
Lifescan of
Lifescan of
HGS, Inc.
HGS, Inc.
HGS,
Inc.
Mixworkplace
Corporation
Quilogy
National
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LouHIE
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Public
Health
Louisville
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Health
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CT
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Technologies
Promed, Inc.
Procura
Health
Louisville RxCrossroads
Louisville
Colliers
Harry
K. Moore
Alliance
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K.
Moore
Alliance
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Creative
Alliance
Caritas Health
Services
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Health
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Health
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Home Care
Healthcare Headquarters
Healthcare
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Reis Sources, LLC
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Resources,
Inc.
Harrison
Medical
Inc.
Hilliard Lyons
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Whip Mix Corporation
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Catalyst
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Logan's
Healthcare
Promed, Inc. Procura Health
Promed,
Inc.
Procura Health
RxCrossroads
RxCrossroads
Leading Home Care
Leading Home Care
Foundation
Preferred
Healthy
Days Ahead,
KelleyHarrison Medical
Linen Systems Harrison Medical Inc.
Resources,
Inc. Company
Resources,
Inc.
Wunderlin
Inc.
Harrison
MedicalInc.
Inc.
Work-A-Haulix, LLC
Work-A-Haulix,
LLC
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Compdent
Commonwealth
Computer
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ResCare,
Inc.
S.
C.E.& S. Catalyst
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Catalyst
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Inc. Days
HeartCare
LLC
Foundation
Foundation
Foundation
L&D
Mail
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Preferred
Wellspring
WRE
Realty,
LLC
Healthy
Days
Ahead,
Inc.
Healthy
Days
Ahead,
Inc.
Healthy
Ahead,
Inc.
Kelley
Kelley
Kelley
Linen Systems
Linen Systems
Wunderlin Company
Wunderlin Company
Center
Community
Health
Charities of
Kentucky
Presbyterian
Homes
Marketing
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Compdent
Compdent
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Commonwealth Computer RecyclingCommonwealth
Computer Recycling
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Computer
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Preferred Medical Supply
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Construction
Construction Inc
ResCare,
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ResCare, Inc.Inc
PHIA
for
and Services
of KY
Solutions
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Henderman,
Jessee
PLLC
Whittenberg
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Hosparus,
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Hosparus,
Inc. & Company,
HeartCare LLC
HeartCare
LLC
L&D Mail
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L&D LifeTouch
Mail
Masters
Spinal
Wellspring
Wellspring
WRE Realty, LLC
WRE
Realty, Construction
LLC
CU -ofLouisville
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Magazine
Technologies
CenterCharities of Kentucky
CenterCharities
Center
Community Health Charities of Kentucky
Community Health
Community Health
Kentucky
Medical
Presbyterian Homes
Presbyterian Homes
Care
PHIA
for
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JesseeHealth
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Cardinal
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Forms,
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Patient Account Services
CU - Louisville
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Medical
Medical
Care
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Care
Kentucky
Hospital
Association
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& Rose,
PSC
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HIMSS
Kentucky
Bluegrass
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Parallon
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Webster University
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University
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Medical
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Henry Vogt Machine Co. H + H Radiology
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Business
Forms, Inc.
Craig Business Forms, Inc.Camelot Healthcare
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Forms,
Inc.
Patient Account Services
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Services
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Management
Blutera
Blutera
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KentuckyHospital Association
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Visiting
Association
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HEAR
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Tech
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Open
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PSC
Psychological
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Specialty
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Specialty Center
Camelot
Healthcare
Specialty Center
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Medical
Development Corp.
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Kentucky
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Healthcare
Center
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PSC
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Clarkson
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Healthcare
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Center for
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Center for
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Center for Healthcare
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Preferred
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Kiely,
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Hospital
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Group,
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UniStar
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Health
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BioBurdorf
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Health
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Health
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Services, Inc.
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Security Inc.
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Kentuckiana
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Enterprises
Health Solutions
HomeLine,Nursing
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American
FamilyBryant,
Orthodontics,
Inc.
Altman Consulting
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Lasky
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Lasky
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Medical Venture
Inc. Service On-Site
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Inc.
ARGI Financial
TriaxTriathlon
Media Group
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Group
Service
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Inc.
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Inc. Inc.
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Enterprises
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Harshaw Kentucky
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Advanced
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Concepts
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Insurance
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Association
Associates
in Obstetrics
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Anchorage Angels
Anchorage
Angels& Gynecology
Anchorage
Angels& Gynecology
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AspectHeart
Software,
Inc.
Mody
Medical
Enterprises
Medical Software
Associates
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Corporation
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Health
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Allscripts Healthcare Solutions
Anthem Blue
Cross &Heart
Blue Shield
Amgen, Inc.
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Services, Inc.
Arison Insurance
Services, Inc.
Arison Insurance Services, Inc.
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American Heart Association
American
Association
Primary
Care
Center
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Medical
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Medical
Associates
Enterprises
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Associates
The Oliver Group
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Advanced Orthopedic Physical Therapy
BB&T
Insurance
Services,
Inc.
BKD,
LLP
Allscripts
Healthcare
Solutions
Allscripts
Healthcare
Solutions
Allscripts
Healthcare
Solutions
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Solutions
Bank & Trust Company
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Peak 10 Data Center Solutions Republic
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Institute
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Meet Our Cha r
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Hea hKY2014S ng esJess ndd 2
®
®
10 3 14 3 17 PM
®
10/3/14 3:18 PM
(859) 231-8780 | www.mmlk.com
Lexington, Kentucky 40507
201 East Main Street, Suite 900
in the healthcare business, you can’t afford slip-ups.
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Estate Planning
Litigation
Real Estate
Healthcare Regulation
Government Access
Bankruptcy Law
HealthKentucky
2014
CONTENTS
4
2
12
The Lane Report’s 2014 Health Kentucky
16
20
8
Health Care Updates
30
4
8
10
12
16
20
22
Health Enterprises Network
Norton Healthcare
UK HealthCare
University of Louisville Research
KentuckyOne Health
LifePoint Hospitals
TeamHealth Integrated Services
Cover Story
24
High Tech Tools, Old-Fashioned Touch
Wellness Updates
28
29
30
What is Glycemic Index?
Inflammation and iet
11 Simple Steps Toward Better
Nutrition and Better Health
Hospitals
32
Kentucky’s Hospitals
lanereport.com
10/3/14 4:24 PM
22
10
24
From The Publisher
The Lane eport’s Health Kentucky
provides information about the diversity
of the state’s health care industry; the
high quality of medical services, facilities,
training, and research that are available;
and how the health of Kentuckians will
be transformed as care providers conform
Ed Lane
to new healthcare regulations.
Kentucky also benefits f om the significant economic impact
and employment opportunities medical services provide the state’s
economy and its citizens.
This ear’s Health Kentucky contains on page four an overview
of an August 2014 healthcare study underwritten by the Health
Enterprises Network.
Changes in healthcare are rapidly transforming the scope
and quality of medical services in Kentucky. The top benefi
of better healthcare will hopefully be a higher quality of life
for all Kentuckians.
– Ed Lane
32
28
HealthKentucky
2014
The Lane eport’s Health Kentucky 2014 is a special advertising
publication published by Lane Communications Group. Health
Kentucky is also published digitally at lanereport.com.
Publisher and Executive Editor:
Editorial Director:
Associate Editor:
Special Publications Editor:
Associate Publishers:
Creative Director:
Design:
Treasurer:
Executive Administrator:
Printing and Pre-press:
Ed Lane
Mark Green
Karen Baird
Lorie Hailey
Richard Kelly
Donna Hodsdon
Jessica Merriman
Paul Blodgett, PJB Marketing
Jeromie Kirk
Sarah Herbener
Publishers Printing Co.
©2014 Lane Communications Group
No part of this magazine may be reprinted without the permission
of the publisher. Colleges, universities, state agencies and other
advertisers are responsible for the accuracy of their content.
201 East Main Street, Lexington, Kentucky 40507
(859) 244-3500
Lanereport.com
Medical Technology Improves Kentucky’s Health and Economy
3
10/3/14 5:07 PM
Promotes Healthcare Cluster
Healthcare employs nearly one in six metro Louisville workers, more than
any other category. This key business cluster includes insurance companies,
hospitals, provider groups, health-related information technology, benefit
managers and processors, medical device manufacturers, wellness, elder care,
and professional specialty service providers. To provide focused support for ongoing growth and economic development, the leaders of Louisville’s health-related
economy created Health Enterprises Network.
HEN’s regional mission is to champion expansion of the health-related economy and Louisville Metro’s recognition as a global center of excellence for health
business, research, education and investment.
Louisville is the 42nd largest metro in the United States with a population of
1.25 million and a labor force of over 643,000. It generated $54.4 billion in commerce in 2012 with a per capita real GDP of $43,500. National per capita real
GDP averages $45,604. Louisville metro’s economy lost more than 58,000 jobs
between June 2007 and February 2010 as a result of the Great Recession, but in the
four-plus years since has recovered all those losses and added another 37,000 jobs.
The metro’s largest employer is United Parcel Service, and Louisville is home to
international restaurant companies including Yum! Brands, Papa Johns, and Texas
Roadhouse. However, six of Louisville’s 10 largest individual employers are in of
the healthcare sector, whose leading member is Humana. Norton Healthcare and
KentuckyOne Health are top fi e employers also.
Manufacturing is the second largest industry by employment in the region with
nearly 12 percent. Growth is driven by the auto industry, specifically Ford and
Toyota vehicle assembly plants, as well as appliance manufacturing expansion by
General Electric.
Louisville metro has nearly 3,900 health-related establishments, making up
almost 15 percent of all businesses. Collectively, they employ over 100,000
persons with an annual payroll topping $3.8 billion. All major components of
Louisville’s healthcare industry have posted growth since 2006.
n (Figure 1) Average annual pay in the Health Care and Social Assistance
category locally is $41,295. Construction ($46,321) and Real Estate ($39,454)
provide similar average compensation.
The th ee highest paying sectors are:
• Management of Companies & Enterprises ($100,181)
• Finance & Insurance ($67,384) and
• Mining ($53,939).
Louisville Healthcare Fellows. From left: Kevin Rapp, vice president,
strategy and business development, Visionware; Stuart Williams, division
chief, Bioficial Heart; Nate Raque, senior financial analyst, Kindred
Healthcare; Brian Veeneman, attorney, Hall Render; John Jennings,
assistant vice president of midwest operations and chief technology
officer, Trinity Video Communications; Jeff Hollon, vice president, BB&T
Insurance Services Inc.; Jennifer Thomas, assurance senior manager,
Mountjoy Chilton Medley; Kara Sedoris, instructor, James Graham Brown
Cancer Center, University of Louisville; Greg Wright, business development
director, Kelley Construction; Michael P. Muldoon, executive director,
Health Enterprises Network; Tony Miranda, senior vice president and
chief compliance officer, Elmcroft Senior Living; and Laman A. Gray Jr.,
executive and medical director, Cardiovascular Innovation Institute (CII).
4
lanereport.com
10/3/14 3:18 PM
Special Advertising Report
n (Figures 4, 5) The University of Louisville had 123 grants from the National
Institutes of Health totaling over $47 million in 2013. Grant numbers were steady,
but UofL dropped in nationwide NIH rankings from 76 in 2004 to 83 in 2013. In
comparison, the University of Kentucky has 231 grants totaling over $77 million
and ranks 53rd.
n (Figures 2, 3) Healthcare accounts for 16.3 percent of the Louisville area’s jobs. Th
sector increased 19.3 percent between 2003 and 2012. Louisville-based Humana
and Kindred are two of the 23 Fortune 1000 headquarters of health-related
companies in the 12 comparison metros. Nashville hosts six major headquarters,
while Cincinnati and Columbus each contain four. Six publicly traded healthcare
companies reside in Louisville with a total market value of over $36 billion.
n (Figure 6) Private sector research and development in Louisville ranked last
among similar metros in private research and development in 2006 and has experienced only marginal increases. Louisville has seen growth in the previously nonexistent pharmaceutical industry with four new establishments and has maintained
the same number of medical device companies. Louisville lags in small business
technology grants (13) totaling $5.8 million, ranking in the middle of comparison
metros and behind Lexington’s $8.1 million.
Figure 7:
8: Health Care and Social Assistance Industry
Per Capita Revenues, 2007
USA
Lexington
Nashville
Dayton
Birmingham
Indianapolis
Louisville
Richmond
Columbus
Memphis
Jacksonville
Cincinnati
Raleigh
$5,532
$7,498
$6,898
$6,880
$6,795
$6,584
$6,210
$5,839
$5,801
$5,741
$5,661
$5,626
$4,732
0
1000
2000
3000
4000
5000
6000
7000
8000
Source: 2007 Economic Census
n (Figure 7) The Louisville metro ranks above the national average in health
care and social assistance revenue with $6,210 per capita and near the center
of comparison metros whose per capita healthcare revenues are from $4,732
to $7,498.
• Revenue is increasing in three sectors: Ambulatory Care; General Medical &
Surgical Hospitals; and Nursing & Residential Care Facilities. Louisville metro
ranks near the top among the comparison metros for Nursing & Residential Care
Facilities and in the middle for Hospital and Ambulatory Care.
5
10/3/14 3:18 PM
Healthcare Payroll & Employment
Figure 8:
9: General Medical & Surgical Hospitals
Per Capita Revenues, 2007
USA
Lexington
Birmingham
Nashville
Indianapolis
Dayton
Louisville
Richmond
Cincinnati
Jacksonville
Memphis
Columbus
Raleigh
$2,180
$3,342
$3,040
$2,983
$2,806
$2,791
$2,441
$2,328
$2,273
$2,190
$2,168
$2,092
$1,585
0
500
1000
1500
2000
2500
3000
3500
4000
Source: 2007 Economic Census
n (Figure 8) Hospital revenue per capita is $2,441, ambulatory care revenue
is $2,413, and nursing care facility revenue is $682. Notably, hospital expenses
per capita are $2,406, an increase of 2.16 percent from 2004 to 2012, suggesting
hospital margins have decreased over time.
• Hospital and Ambulatory Care revenues increased by 9.3-10.2 percent from
2002 to 2007. Nursing & Residential Care Facilities revenues experienced a surge
of 24.9 percent.
Figure 9:
• Louisville metro annual Health Care and Social Assistance payroll exceeds $3.5
billion and is the largest sector, employing 84,962 people. Manufacturing, the second largest sector, has a payroll of $3.2 billion and employs 62,528 people.
• Louisville’s healthcare sector was immune to the most recent recession, according to the Brookings Institution, experiencing 4 percent job growth both during
the recession and current recovery. Only the leisure and hospital industry grew
faster with a net 10.7 percent employment growth.
• All health sector job categories are experiencing growth with the leaders being
Home Health Aides (64 percent), Lab Technicians/Medical Diagnostics (42 percent),
and Physical Therapists (35 pe cent)/Physical Therapist Assistants (40 pe cent).
• Health Care and Social Assistance Industry per capita payroll in metro Louisville is $2,803, an increase of 8.6 percent from 2002 to 2012 but placing the
Louisville metro in the lower half of similar metros.
• Relative to similar metros, the Louisville metro has fewer internists (-75 percent), massage therapists (-62 percent), and home health aides (-61 percent). However, metro Louisville has a surplus of therapists and medical assistants – in excess
of 90 percent more than similar metros.
• Chiropractors (-26 percent), optometrists (-17 percent) and dentists (-14 percent) are under compensated relative to the average in similar metro areas. However,
therapists receive the greatest location premiums with the top three being physical
therapists (21 percent), podiatrists (20 percent), and other therapists (19 percent).
Healthcare Research and Development
Figure 11:
11: Total Expenses Adjusted per Inpatient Day
Figure 10:
US Community Hospitals by MSA, 2012
USA
Indianapolis
Cincinnati
Columbus
Dayton
Lexington
Nashville
Richmond
Birmingham
Raleigh
Jacksonville
Louisville
Memphis
$2,089
$2,995
$2,730
$2,647
$2,500
$2,320
$2,279
$2,240
Figure 12:
$1,953
$1,935
$1,935
$1,871
$1,745
0
500
1000
1500
2000
2500
3000
Source: US Census Bureau and American Hospital Association Hospital Statistics, 2014
n (Figures 9, 10) Inpatient days per capita across all metros increased 69 percent
from 0.74 in 2002 to 1.25 in 2012. Louisville metro’s 1.29 inpatient days per capita
is higher than the similar metros average. Significantl , hospital expenses per inpatient day increased 252 percent from 2004 to 2012 to $1,871.
6
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10/3/14 3:18 PM
n (Figures 11, 12) The Louisville metro ranks in the bottom half of similar
metro areas for healthcare research and development. Louisville contains 37
scientific research & development establishments while similar metros have from 31
to 176 establishments with an average of 70. Louisville has 2.96 scientific research
establishments per 100,000 residents compared to a national average of 5.55 per
100,000 residents.
• However, the metro area increased the number of pharmaceutical & medical
manufacturing establishments from zero in 2004 to four in 2012. Similar metro
areas have an average of seven.
• Themedical equipment and supplies industry employs 1,036 at 35 establishments,
which is near the median of similar metro areas. Average annual pay in this sector is
$55,927, situating Louisville above the $51,413 average among similar metros.
Figure 13:
The e is substitution away from higher skilled labor (physicians, researchers) toward
lower skilled labor (therapist, home health aides), some of it due to the Louisville
metro’s below average education levels and income per capita. Among Louisville
region residents 25 and older, 26.5 are college educated versus 29.1 percent for the
United States and 32.1 percent for other similar metros.
0
5,000
10,000
15,000
20,000
Recommendations
n (Figure 13) The University of Louisville received 123 National Institutes of
Health grants in 2013 totaling over $47 million – more than the University of
Tennessee ($33.8 million), but less than the University of Cincinnati ($65 million)
and University of Kentucky ($77 million). UofL scholars have published 5,964
medical articles, while the median among similar metro areas is 7,109 articles.
Summary
The Louisville metro healthcare service sector continues to grow. Established
hospital networks such as Norton Healthcare Inc. and Baptist Health have made
capital improvements reaching the suburban areas, and the nursing industry ranks
second among similar metropolitan areas in establishments, revenue and pay.
Louisville still lags in research and development.
However, there is a growing
pharmaceutical sector that
was previously non-existent.
The University of Louisville
continues making progress in
publicly funded research.
The largest areas of growth
are
in non-physician healthMichael Muldoon (left) is Executive Director of
related services – therapists
HEN and Joe Steier is Chairman of the Board
of HEN and also CEO of Signature HealthCARE. and home health aides have
experienced the largest increases in job growth and wages. Compared to similar metros, Louisville’s healthsector generates similar levels of revenue but carries payrolls in the lower quartile.
To improve educational attainment of the labor force and increase payrolls and
productivity in its healthcare sector, Louisville Metro should continue supporting the
55,000 Degree Initiative (55000degrees.org/). UofL has new undergraduate degrees
in public health and an MBA with a health concentration at the graduate level.
The Louisville Metro should build on its strong Nursing Facilities sector, which
ranks second among similar metropolitan areas.
Additional tax incentives for medical research and manufacturing establishments
could bolster the underdeveloped research and development sector. Increased grant
writing training is likely needed.
Louisville should identify the reasons its new pharmaceutical companies decided
to locate in the metro to encourage growth in private research.
Editor’s Note:
The Health Enterprises Network (HEN) is a statewide health network focused
on business development, leadership and education. Examples of health-related
businesses include health insurance companies, hospitals, health services providers, health-related information technology companies, health benefits companies,
medical device manufacturers, and professional service providers. The HEN’s
mission is to champion and foster the growth of the health-related economy of the
region and support the vision that the Louisville metro be recognized as a center of
excellence for health-related business, research, education, and investment.
The Health Enterprises Network (HEN) Economic Research Study (August 2014)
was produced by Megan Hardy, an undergraduate student, and Jose Fernandez,
Ph.D., both of the University of Louisville. The information presented is edited
to provide an overview of Louisville’s health-related economy for Health Kentucky
readers. A full copy of the report is available to HEN members by contacting Piper
Clark, HEN communications manager, at [email protected].
7
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Norton Healthcare
Norton Women’s and Kosair Children’s Hospital
Norton Healthcare
Creates Women’s and
Children’s Hospital
Photo by Jamie Rhodes
After two years of extensive renovations, the new
Norton Women’s and Kosair Children’s Hospital —
formerly Norton Suburban Hospital — is set
to become Louisville’s first and Kentucky’s only
hospital of its kind, with completion expected in
December 2014.
The full-service,
373-bed hospital and
surrounding medical campus in St.
Matthews features
a
family-centered
healing environment
for women and children at every stage of
life, while also continuing to provide
emergency, inpatient
and outpatient care
for men. As part of
the faith-based, notfor-profit Norton
Charlotte Ipsan, RNC,
Healthcare system,
MSN, NNP-BC, chief
the facility offer
administrative officer,
a mind, body and
Norton Women’s and
Kosair Children’s Hospital spirit approach to all
8
aspects of care, incorporating many new offerings n A new 16-bed Cressman Critical Care
not found anywhere else in the region.
Center for adults
“More than 6,500 members of our community have n Designated beds for migraine treatment
taken part in forums, focus groups and one-on-one n A new inpatient cancer unit
discussions to help ensure the right things are offe ed n A 40-bed neonatal intensive care unit
in the right ways,” said Charlotte Ipsan, RNC, n A 14-bed pediatric inpatient unit
MSN, NNP-BC, chief administrative offic , Norton n Diagnostic imaging and testing for children
Women’s and Kosair Children’s
Hospital. “Norton Healthcare is
bringing together our community’s vision and national best
practices to create a best-in-class
hospital for families.”
The redesigned hospital
features all private rooms
and many specialized services,
including:
n Pediatric emergency services
n A bone health program for
preteens to adults
n A heart and vascular center
n A breast health center,
including 3-D mammography
n New and renovated
operating rooms for children
Neonatal intensive care unit
and adults
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10/3/14 3:18 PM
The Best in Pediatric Care
Mother/baby room
The WHAS Crusade for Children Pediatric Unit is
staffed around the clock by physicians and nurses specially trained to care for children and adolescents. Features of the unit include all private rooms, interactive
TV in each room, child life services, a playroom and pet
therapy. A Level III neonatal intensive care unit is home
to advanced technology, physicians, nurses and other
caregivers with expertise in giving newborns the best
possible start in life. Pediatric emergency services are
available 24/7 for children and adolescents to age 18.
A New Model of Care
The hospital incorporates best practices in p ocess
design and facility planning, improved wayfindin
for patients and visitors, and easy access to support
services such as pastoral care, outpatient services and
a retail pharmacy.
n The only hospital in entucky with a built-in
hydrotherapy tub, providing soothing water
immersion to relieve pain during labor
n Expanded and redesigned neonatal intensive care
unit, labor and delivery rooms, mother/baby rooms
and postpartum care
n Family-centered heart care program focusing
on preventive strategies and encouraging healthier
lifestyles for men and women
n Pursuing status as a Baby-Friendly Hospital,
offering the best le el of care for infant feeding
n Convening authority for the Eating Disorders
Coalition of Kentuckiana
n Partnership with Joseph’s Salon & Spa to
offer in-hospital spa services to new moms and
cancer patients
n Variety of on-campus physician practices for
men, women and children
n Couplet care and kangaroo care to promote
mother-baby bonding
This new focus and hospital renovation will
enable the specialists of Norton Healthcare and
Kosair Children’s Hospital to provide the highest
level of quality patient care in a state-of-the-art facility
serving the needs of our community, state and region.
Photo by Dean Lavenson
Integrative medicine brings patient and practitioner together in a dynamic partnership dedicated to
optimizing health and healing. This approach focuses
on the whole person, recognizing that the subtle interactions of mind, body, spirit and community have
a direct impact on vitality and well-being.
Rather than managing disease, integrative medicine works to optimize health and treat the whole
person instead of treating symptoms. Integrative, or
complementary, therapies are used alongside mainstream medicine, not as replacements or alternatives,
and may include nutrition, acupuncture, stress reduction, therapeutic touch, mindfulness training, guided
imagery, yoga and tai chi.
Integrative therapies also will be a focus for migraine suffe ers needing inpatient care. The hospital
will have six beds dedicated for patients experiencing
headache pain that is not responding to outpatient
treatment. The rooms will be designed to minimize
light and sound, and alternative therapies will be used
to help with chronic pain.
Healing Through
Integrative Medicine
Fifth-floor garden and labyrinth
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UK HealthCare
UK Markey
Cancer Center:
B. Mark Evers, MD, was named
director of the UK Markey
Cancer Center in 2009.
UK HealthCare achieved one
of his top goals last year when
the Markey Cancer Center
was designated a National
Cancer Institute cancer center.
The distinction signifies
national excellence in clinical
care and research.
Last summer, a crowd of hundreds gathered in
University of Kentucky Chandler Hospital Pavilion
A to celebrate a long-awaited special announcement
– the unveiling of the UK Markey Cancer Center
as the state’s first and only National Cancer Institutedesignated cancer center.
The designation was the culmination of years
of tireless work by the faculty and staff of Markey
and its supporting service lines and colleges – all
10
Making a
Diffe ence
guided by Director Dr. Mark Evers, who came to
UK in 2009 with the vision of propelling Markey to
NCI designation.
“Even before earning the NCI designation,
we’d already taken extraordinary steps in the past
few years in terms of combating cancer incidence
and mortality through preventative measures, treatments and research,” Evers said. “But having the
support and approval of the NCI has already made
a huge impact in terms of both research and our
clinical care.”
Patient Care
As the word spread about Markey’s NCI designation, clinicians and staff experienced an increase in
the patient population in almost every clinical area.
With such an increase in patient volume – and
variety – Evers and his team have also stepped up
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10/3/14 3:18 PM
recruitment, seeking out the best cancer specialists
in their fields.
Markey’s already robust roster of specialists now
includes a bevy of new team members added in the
past year, including:
n Four medical oncologists
n Th ee hematology and blood and marrow
transplantation specialists
n Th ee surgical oncologists
n Two genitourinary cancer surgeons
n Two oral and maxillofacial surgeons
n A specialist in oncofertility, a new program
for the cancer center
Cancer Research
Markey landed a major established research team
in metabolomics last year, who brought with them
more than $18 million dollars in funding. One of
the major focuses of the team’s work is to develop
early diagnostic approaches for lung cancer based on
metabolism markers.
Over the past two years, Markey has increased its
funding from the NCI by 27 percent and from other
National Institutes of Health divisions by 16 percent.
Since the end of calendar year 2012, Markey’s total
research funding from both peer-reviewed and nonpeer-reviewed sources has increased by $7.3 million.
Moving forward, Evers notes that his team will
continue to seek out new clinician-scientists who
have experience in clinical trials and early phase drug
development, with the goal of significantly increasing
the number of patients who participate in trials.
Another emerging field of research for Markey is
Jennifer Bradley leads the Jin Shin Jyutsu program at the UK Markey Cancer Center. The program
uses gentle, healing touch to help relieve symptoms associated with cancer treatment. Markey
offers several services, including a dietitian, financial counselors and social workers to make
sure all of a patient’s needs are met.
molecular epidemiology, the study of potential
genetic and environmental risk factors for disease
identified at the molecular level, which has the
potential for great impact in Appalachia.
Markey’s Reach
Across the State
Though based in Lexington, Markey also strives
to provide access to top-notch cancer care across the
The UK Markey Cancer Center campus is home to some of the most advanced treatments available
anywhere. Markey patients have some of the highest survival rates in the region.
state and beyond through the Markey Cancer Center
Affiliat Network. The Affiliat Network is a group
of healthcare facilities that provide high-quality
cancer services and programs in their communities
with the support and guidance of the UK Markey
Cancer Center, allowing patients to receive their care
closer to home. The network currently comprises 12
hospitals across the state of Kentucky.
The Future
of Cancer Care
NCI designations are renewable every fi e years,
and Evers hopes that Markey’s next application will
be for comprehensive status. Currently, 41 of the 68
total NCI-designated cancer centers in the country
hold a comprehensive cancer center status.
To reach that level, Markey has a long to-do list,
including increasing cancer-related funding, accruing more patients into clinical trials (including
pushing these trials out into the state via the affiliat
network), and maintaining and increasing focus on
Appalachian Kentucky.
“Our progress in the past year has been
spectacular, but we can – and should – do more,”
Evers said. “As the only NCI-designated cancer
center in Kentucky, it’s our responsibility to be the
leader in cancer care and to always seek out new
ways to improve rates of cancer incidence and death
in the state. Earning a comprehensive cancer center
designation from the NCI will be another big step
in that direction.”
11
10/3/14 3:18 PM
University of Louisville Health Sciences
Accepting Our Mission:
How Uof L
is Addressing Kentucky’s
Critical Health Challenges
One of the most significant ways to
create better lives is to improve people’s
health. Th ough research, education and
clinical care, UofL reaches into communities all across Kentucky to address vital health concerns that result in the state
ranking among the lowest in terms of the
health of its citizens.
“Our mandate from the Higher Education
Reform Act requires that our work be for
the betterment of the people of Kentucky,”
said James R. Ramsey, PhD, president of
12
the University of Louisville. “Our faculty,
staff and students work tirelessly to make
that occur. Our researchers in the health
fields continue to seek answers to some of
our most troubling health problems, like
heart disease, cancer, HIV, diabetes and
other illnesses. At the same time, we are
educating the next generation of health
care workers and disseminating new
knowledge throughout the state, so that we
can make Kentucky an even better place
to live.”
University of Louisville President
James R. Ramsey.
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10/3/14 3:18 PM
Weighty Issues
In 2012, more than 29 million people in the
United States suffe ed from diabetes, and that number continues to grow. In Kentucky, 1 in 10 residents
have been diagnosed with diabetes, while more go
undiagnosed. Since its creation in 2008, UofL’s Diabetes and Obesity Center has sought ways to address
the profound effect these diseases have on people’s
health and quality of life.
“We approach diabetes and obesity not as individual disease states, but as pieces of a larger, more
comprehensive puzzle,” said Aruni Bhatnagar, MD,
center director and the Smith and Lucille Gibson
Chair in Medicine. “Thus, our researchers are working to understand diabetes and obesity as the outcomes of a more comprehensive dysfunction that
profoundly affects all major organs and increases the
risk of developing heart disease and cancer.”
Diabetes and Obesity Center scientists have “made
significant gains in our understanding of diabetes
and obesity,” said David L. Dunn, MD, PhD, executive vice president for health affairs. “They have revealed an entirely new mechanism to regulate glucose
sensitivity and a new avenue for preventing obesity.
They also have increased understanding of how en-
zymes that regulate glucose metabolism contribute to
secondary diabetic complications, such as heart
failure and the narrowing of blood vessels.”
The center’s ultimate goal, Bhatnagar said, is to
discover new means for preventing and treating
diabetes and obesity. To this end, the center recently received a fi e-year $11.25 million Center of
Biomedical Research Excellence (COBRE) grant
from the National Institute of General Medical
Sciences, its second since the center’s inception.
The need for new prevention methods and treatments grows daily, Bhatnagar said. “Diabetes and
obesity are the most significant health threats of our
age. Over 90 million people in the United States are
obese, while 18 million adults are living with type 2
diabetes. These epidemics are rapidly eroding recent
gains in longevity.
“Diabetes doubles the risk of cardiovascular
disease. In fact, an astonishing 60 ‒ 70 percent of
diabetic patients die of heart disease,” Bhatnagar
said. “Our team is making discoveries every day that
provide better understanding of the link between
cardiovascular disease and diabetes and obesity. The
more comprehensive our understanding of these
conditions, the closer we come to developing an
effecti e strategy for treatment and prevention.”
Dr. Aruni Bhatnagar works to prevent and better
treat diabetes, which is the leading cause of
blindness, kidney failure and amputations.
Dr. David L. Dunn talks about the Diabetes and Obesity Center, which recently received more than $34 million to study the bodily mechanism
involved with diabetes and obesity.
13
10/3/14 3:18 PM
University of Louisville Health Sciences
UofL Medical students participating in
the Kentucky Area Health Education Centers
(AHEC) gain a full understanding of the health
care needs of people who reside in an
underserved community.
Rural Medicine
14
“Thebest way to get a doctor to a rural area is to get a
medical student from a rural area.” Theprogram funnels students from small towns who want to study
family medicine back to their small towns.
Jessup says the program was fast-paced but
manageable. In fact, Jessup was able to find the time
to get married during her time in the RMAT program.
Jessup rejects the label of a pioneer and gives the
credit to others. “I would consider all the faculty and
staff who envisioned the program as the trailblazers,”
she said. She views herself as just another kid who
dreamed of becoming a doctor, and hopes that more
medical students will follow in her footsteps at UofL.
Two students are taking part in the RMAT program,
and Crump says several future students expressed an
interest in the program.
The RMAT program is the newest tool in UofL’s
effo t to bring health care to rural communities. In
1974, UofL helped found the Kentucky Area Health
Education Centers. A national program begun
in 1971, the aim is to bring health care education
services, providers and students to medically underserved areas of the Commonwealth. The program
gives people of those areas access to health care they
might otherwise not have, while students receive
medical training they might not otherwise gain.
Judging by the UofL School of Medicine Class of
2013, the program is working: 31 percent of class
members said they plan to practice in an underserved area, and 83 percent will volunteer in free
clinics for the underserved.
Implementation of the Affo dable Care Act and
the establishment of the Kentucky health care exchange have resulted in more than a quarter million
people in the Commonwealth acquiring insurance.
This significant reduction in the uninsured does not
guarantee access to a physician. In fact, Kentucky is
predicted to have a shortage of some 3,000 physicians by 2020. This shortage is especially prevalent
in rural areas.
In 2011, the University of Louisville School
of Medicine began the Rural Medical Accelerated
Track (RMAT) to address these concerns. In May,
Ashley Jessup became the first graduate of the
program, which enables students to finish medical
school in three years, reducing cost and time commitments for rural students who plan to open practices in small towns in Kentucky. Proponents of the
RMAT hope that successes like Jessup’s will place
additional doctors where they are needed most.
William Crump, MD, associate dean of the UofL
School of Medicine, says that outcome is likely. He
stressed that “placing one more physician in a county
may move it from being an underserved to an adequately served county.” Crump says the RMAT program will definitely help reduce Kentucky’s shortage
of healthcare providers in rural areas. In his opinion,
Ashley Jessup, left, recently graduated from
the UofL School of Medicine’s Rural Medical
Accelerated Track, which is designed to help
ease the physician shortage in rural areas of the
state. Here Jessup poses with Dean Toni Ganzel.
UofL medical students work one-on-one with physician mentors including Dr. Brent Wright, a UofL
School of Medicine alumnus, in AHEC programs across Kentucky.
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10/3/14 3:18 PM
Cardinal represents pediatrics satellite locations throughout the Commonwealth of Kentucky and Southern Indiana Region.
Keeping Kentucky
Kids Healthy
Children are our gateway to the future. The faculty
and staff of the UofL Department of Pediatrics are
expanding their effo ts to guarantee that the future is
healthy throughout Kentucky. Th ough the creation
of a pediatric network, children will have a medical
home for routine visits, and specialty care. Additionally, students and residents who will make their future
careers caring for children will have new educational
and training opportunities.
“Healthcare reform has placed a greater emphasis
on primary care, where providers can promote health
and safety,” said Gerald Rabalais, MD, chairman,
Doctors with the UofL Department of Pediatrics
see patients across the state for the simplest
things, like well-child checkups, to the most
complex, such as cardiovascular surgery.
UofL Department
Clarksville, Indiana of Pediatrics. “Pediatric
 programs
Ashland, Kentucky runway to influence attitudes
 Glasgow,about
Kentuckyprevention and
Evansville, Indiana
 Bowling Green, Kentucky
 Henderson, Kentucky
healthy
lifestyle.”
like ours
may
be
the
best
place
to
achieve
success
Jasper, Indiana
 Campbellsville, Kentucky
 Lebanon, Kentucky
Jeffersonville, Indiana
 Carrollton, Kentucky
 Madisonville, Kentucky
Providing care to children
throughout the state also
with healthcare
reform, since we have the
longest
 Murray, Kentucky
Madison, Indiana
 Corbin, Kentucky
 New Albany, Indiana
 Elizabethtown, Kentucky
 Owensboro, Kentucky
is
key
to
a
bright
future
for
Kentucky.
Thedepartment
 Frankfort, Kentucky
 Paducah, Kentucky
 Ft. Knox, Kentucky
will expand its Campbellsville, Ky., practice later this
summer, partnering with Taylor Regional Hospital to
open a satellite office in Columbia, y.
Recently, Sheila Guelda, MD, founder of
Springhurst Kids’ Doc on North Hurstbourne Lane
in Louisville, joined the pediatric faculty. Guelda
graduated from the UofL School of Medicine in 1980
and completed a pediatric residency at UofL in 1983.
“We think this partnership will be mutually beneficial to the university and to Dr. Guelda and her
patients,” said Gilbert Liu, MD, UofL Pediatrics division chief. “Thiswill improve patient access to UofL
pediatric specialists’ expertise and creates learning opportunities for our trainees. Dr. Guelda benefits from
the university’s latest innovations in medical care,
teaching and research.”
In addition to the typical care that comes with
taking a child to a pediatrician, UofL Pediatrics’ services also include social work, psychology, dental care,
home health, speech therapy, WIC nutrition services,
and legal counseling. “We think an arrangement that
offers ‘one-stop shopping’ for multiple health care
providers will be good for all our patients,” Liu said.
Historically, trainees spent time in community
pediatric practices, but these practices may struggle
to host students because of changes in the healthcare
landscape. With the expansion of sites, the uncertainty regarding training sites should be eliminated. “It is
part of our educational mission to expand primary
care opportunities,” Rabalais said.
Created & designed by:
Dianna K. Stover
UofL Pediatric Chairman’s Office
09/12/13
Left top: UofL pediatricians, such as
Dr. Maria Nota, join with community physicians
and families, so children throughout the region
may receive the preventive and acute care
they need.
Left bottom: UofL pediatricians work with
families to understand how various influences
impact the health of children. Here Dr. Faye
Jones discusses healthy habits with a family.
15
10/3/14 3:19 PM
KentuckyOne Health
Dedicated to Building
a Healthier Kentucky
We’ve got you covered.
Continuing Care Hospital
Saint Joseph London
Flaget Memorial Hospital
Saint Joseph Martin
Frazier Rehab Institute
Saint Joseph Mount Sterling
James Graham Brown Cancer Center
Sts. Mary & Elizabeth Hospital
Jewish Hospital
University of Louisville Hospital
Jewish Hospital Shelbyville
Women’s Hospital Saint Joseph East
Medical Center Jewish East
Medical Center Jewish Northeast
Medical Center Jewish South
Medical Center Jewish Southwest
Our Lady of Peace
Saint Joseph Berea
Saint Joseph East
Saint Joseph Hospital
Saint Joseph Jessamine
KentuckyOne Health 200 Abraham Flexner Way, Louisville, KY 40202 KentuckyOneHealth.org
16
lanereport.com
10/3/14 3:19 PM
Our Purpose is to Heal
KentuckyOne has continued to evolve and
grow as we welcomed the University of Louisville
Hospital and the James Graham Brown Cancer
Center into our system in 2013. Our shared
Ruth W. Brinkley,
President and CEO
KentuckyOne Health
commitment to improve the health of the people
of the Commonwealth positions us to contribute to
this important goal in new and creative ways.
We have chosen to express this commitment through
a new statement of purpose:
Our Identity: We are a
comprehensive health system
strengthened by our Catholic,
Jewish and academic heritages
and inspired by our shared values.
Our Purpose: To bring wellness,
healing and hope to all, including
the underserved.
Our Future:
To transform
the health of
communities,
Ranked One of the Best
Hospitals by US News
Robert M. Hewett
Board Chairperson
KentuckyOne Health
About KentuckyOne Health
KentuckyOne Health, the largest and most comprehensive health system in the
Commonwealth, has more than 200 locations including hospitals, physician groups, clinics,
primary care centers, specialty institutes and home health agencies in Kentucky and southern
Indiana. KentuckyOne Health is dedicated to bringing wellness, healing and hope to all,
including the underserved. The system is made up of the former Jewish Hospital & St.
Mary’s HealthCare and Saint Joseph Health System, along with the University of
Louisville Hospital and James Graham Brown Cancer Center. KentuckyOne Health is
proud of and strengthened by its Catholic, Jewish and academic heritages.
KentuckyOne Health Board of Directors
Michael Ades
Lexington, KY
David Fennell
Louisville, KY
Mary Evans Sias, PhD
Frankfort, KY
Louann Atlas
Louisville, KY
Robert M. Hewett,
Board Chair
Lexington, KY
John D. Stewart, II, MD
Board Observer
Lexington, KY
Miller Hoffma
Mt. Sterling, KY
Gerald Temes, MD
Louisville, KY
Robert C. Hughes, MD
Murray, KY
Louis Waterman
Board Observer
Louisville, KY
Valerie Briones-Pryor, MD
Louisville, KY
Ruth Brinkley,
Ex-Offic
Louisville, KY
Jane Burks
Louisville, KY
Martha Jones
Lexington, KY
Jane J. Chiles
Lexington, KY
Robert W. Rounsavall, III
Louisville, KY
David L. Dunn, MD, PhD
Louisville, KY
Michael Rowan
Englewood, CO
Richard Schultz
Prospect, KY
care delivery and the health care professions so that
individuals and families can enjoy the best of health
and wellbeing.
It is no secret that Kentucky faces significanthealth
challenges compared to other states. KentuckyOne
stands ready to collaborate with many partners
across the Commonwealth to meet those challenges.
This report to the community gives us confidence
that many good things are happening and the future
we hope for is on the way. We hope you will agree.
We remain committed to the important work of
bringing wellness, healing and hope to all.
Sr. Liz Wendeln,
Consultant
Louisville, KY
Russell Williams, MD
Louisville, KY
Jewish Hospital, part of KentuckyOne
Health, has been ranked as one of the best
hospitals for 2014-15 for pulmonology by U.S.
News & World Report. The annual U.S. News
Best Hospitals rankings, now
in their 25th year, recognize
hospitals that excel in treating
the most challenging patients.
“We pride ourselves in the
level of care we provide to
patients,” said Joseph Gilene,
president, Jewish Hospital and
downtown market leader. “Recognition by U.S.
News & World Report is evidence of hard work
and dedication of our pulmonary care teams.”
For 2014-15, U.S. News evaluated hospitals
in 16 adult specialties and ranked the top 50
in most of the specialties. Just three percent of
the nearly 5,000 hospitals that were analyzed
for Best Hospitals 2014-15 earned national
ranking in even one specialty.
U.S. News also recognizes hospitals that
perform nearly at the level of their nationally
ranked peers and represent
valuable regional sources of
quality care.
In addition to the best
hospital in pulmonology
award, Jewish Hospital
was recognized as a Best
Hospital for cardiology and
heart care, while James Graham Brown Cancer
Center, also a part of KentuckyOne Health, was
recognized as a Best Hospital in cancer care.
17
10/3/14 5:04 PM
KentuckyOne Health
K
KentuckyOne Health
Heart disease is the number one killer in America, and according to the American Heart Association, heart
disease and stroke
fornumber
25 percent
of all
deaths and
in Kentucky.
theHeart
often-devastating
Heart account
disease is the
one killer
in America,
according toTreating
the American
Association, hearteffects
diseaseo
account
for 25 percent
of all deaths
Kentucky.
Treating
the often-devastating
effects ofand
heartVascular
disease and
heart diseaseand
andstroke
stroke
in Kentucky
is critical
andinlife
saving.
KentuckyOne
Health Heart
stroke in Kentucky is critical and life saving. KentuckyOne Health Heart and Vascular Care provides the region’s most
Care provides
the region’s most comprehensive heart care with expertise that is unique in the region.
comprehensive heart care with expertise that is unique in the region.
KentuckyOne Health was first in the state to per- replacement without traditional
open-heart surgery for patients with mitral regurgitation (MR),
KentuckyOne Health was first in the state to perform heart
open-heart surgery and while the
form heart transplants and open heart surgery, firs
a condition where the heart’s mitral valve leaflets do not close
transplants and open heart surgery, first with transcatheter
heartventricular
is beating, assist
therefore
avoiding tightly, causing blood to leak into the heart’s left atrium. This
with transcatheter aortic
valvevalve
replacement,
first with
aortic
replacement,
first with
devices
cardiopulmonary
bypass.
It is the can lead to advanced heart failure. The procedure allows docventricular assist devices
(mechanicalpumps
pumps that
(mechanical
thatimimprove
blood flow) and
first with
only
valve
replacement
option
for tors to use catheter-based technology to repair the mitral valve
prove blood fl w) and MitraClip
first with MitraClip
procedure.
procedure.
patients with severe aortic stenosis without the need for patients to undergo cardiopulmonary
who are not well enough to undergo bypass.
ADVANCED HEART PROCEDURES
ADVANCED HEART
open-heart
surgery. heart
Learn more about advances in heart care at KentuckyOneBy performing the region’s mosttraditional
technologically
advanced
PROCEDURES
the MitraClip
proce- Health.org/heart.
procedures, KentuckyOne HealthSimilarly,
gives Kentuckians
a second
By performing thechance
region’satmost
dure offers
an alternative
openlife. technologically
Many of these advanced
procedures
offertotreatment toKentuckyOne
patients whoHealth
would otherwise
be out
options.
advanced heart procedures,
heart surgery
forofpatients
with mi- EXPANDING ACCESS TO CARE
For chance
example,
transcatheter
valve replacement
gives Kentuckians a second
at life.
Many of aortic
tral regurgitation
(MR), a(TAVR)
condition Health care providers across the country are focused on proactively improving their patients’ overall health.
is anoffer
alternative
severe
(also
these advanced procedures
treatmentfortopatients
patients with
where
the aortic
heart’s stenosis
mitral valve
leaflet
One way that KentuckyOne Health is working toward its
known
as
narrowing
of
the
aortic
valve
in
the
heart)
who
are
who would otherwise be out of options.
do not close tightly, causing blood
mission
to bring wellness, healing and hope to all is through
not
well
enough
to
undergo
open-heart
surgery.
For example, transcatheter aortic valve replace- to leak into the heart’s left atrium.
the
expansion
of its primary care network. According to
During
the
TAVR
procedure,
a
biological
valve
is
inserted
ment (TAVR) is an alternative for patients with severe
This can lead to advanced heart failresearch
published
by the American College of Physicians, a
KentuckyOne Health through a catheter and implanted within a diseased aortic
aortic stenosis (also known as narrowing of the aortic ure. The procedure allows doctors
strong
primary
care
system improves quality of life, longevity,
offers the region’s valve. The procedure allows for valve replacement without
valve in the heart) who are not well enough to un- to use catheter-based technology to repair the
EXPANDING
ACCESS
TO CARE
disease prevention
and chronic disease
care. A strong
primary
most technologically traditional open-heart surgery and while the heart is beating,
dergo open-heart surgery.
mitral valve without the need for patients to undergo
care
system
also
lowers
health
care
costs
by
reducing
hospital
therefore
avoiding
cardiopulmonary
bypass.
It
is
the
only
valve
advanced heart
During the TAVR procedure, a biological valve is cardiopulmonary bypass.
Health care providers across the country are
stays and emergency room visits.
procedures, which replacement option for patients with severe aortic stenosis who
inserted through a catheter and implanted within a
Learn more about advances in heart care at focused on proactively improving their patients’
Kentucky, however, is facing a significant physician shortage.
often give patients a are not well enough to undergo traditional open-heart surgery.
diseased aortic valve. The procedure allows for valve KentuckyOne- Health.org/heart.
More than halfoverall
of thehealth.
commonwealth is medically underserved,
Similarly, the MitraClip procedure offers an alternative to
second chance at life.
KentuckyOne Health
offers the region’s
most technologically
advanced heart
procedures, which
often give patients a
second chance at life.
18
lanereport.com
2 I KENTUCKY
10/3/14 3:19 PM
t
),
.
d,
and the need for health care providers will continue to grow in
the future.
VIRTUAL HEALTH CARE SERVICE
Non-traditional
methods
traditional
KentuckyOne Health
has expanded access to care
One way that
KentuckyOne Health
is workingthat complement
for patients
all areas of Kentucky
through Kentuctoward its mission
to bringare
wellness,
healing
providers
helping
toand
overcome
thisinshortage
and making
kyOne Anywhere
Care, (website:
KentuckyOneAnyhope to all is through
the to
expansion
of itswithout
primary visiting
it easier
get care
an emergency
room
or
whereCare.org,) phone: 855-356-8054, a virtual health
care network. According to research published by the
waiting until an illness advances.
care service, and a partnership with select Walgreens
American College of Physicians, a strong primary care
KentuckyOne
has expanded
access
to careandfor
Healthcare Clinics
in Louisville
Southern Indiana.
system improves quality
of life, longevity,Health
disease prepatients
in
all
areas
of
Kentucky
through
KentuckyOne
KentuckyOne Anywhere Care provides convevention and chronic disease care. A strong primary
nient and cost-effecti e access to urgent care without
care system alsoAnywhere
lowers health Care,
care costswebsite:
by reducingKentuckyOneAnywhereCare.org,
leaving
home care
by consulting
a medical
profeshospital stays and
emergency
room visits.
phone:
855-356-8054,
a virtual
health
service,with
and
a
sional over the phone or by web camera, 24 hours
Kentucky, however, is facing a significant physipartnership with select Walgreens Healthcare Clinics in
cian shortage. More than half of the commonwealth a day, seven days a week and within 30 minutes of
Louisville
Southern
Indiana.
the request.
is medically underserved,
Heartand
disease
is the number
KentuckyOne
Anywhere
one killer in America, and according to the American Care provides convenient and
Heart Association,
heart disease and
stroketo
account
cost-effective
access
urgentTELEHEALTH
care without leaving
home
by
CARE
CLINICS
for 25 percent of
all deaths in Kentucky.
the professional over the phone or by
consulting
with a Treating
medical
KentuckyOne Health also is working to fill the
often-devastating effects of heart disease and stroke
web camera, 24 hours a day, seven
daysby ausing
week
and within
gaps
in care
telehealth
technology.30
Th ough
in Kentucky is critical and life saving. KentuckyOne
minutes
of
the
request.
grants
from
the
Foundation
for
a
Healthy
Kentucky
Health Heart and Vascular Care provides the region’s
most comprehensive heart care with expertise that is and the federal government’s Social Innovation Fund,
KentuckyOne Health established telehealth primary
unique in the region.
Theneed for health
care providTELEHEALTH
CARE
CLINICS
care clinics in Powell and Wolfe counties, the areas
ers will continueKentuckyOne
to grow in the future.
Health also is working
to fill the gaps in care by
with some of the worst health statistics in the state.
using telehealth technology. Through
grants
the access
FounThese facilities
providefrom
additional
to specialty
VIRTUALdation
HEALTH
for a Healthy Kentucky
and
the
federal
government’s
care and minimize the need for patients to travel to
CARE SERVICE
see a specialist. Health established
Social Innovation Fund, KentuckyOne
overall and
healthWolfe
of a population
is directly
Non-traditional
methods
that
complement
telehealth primary care clinics inThePowell
counties,
traditional providers are helping to overcome this linked to the strength of its primary health care
the areas with some of the worst health statistics in the state.
system. Improving access to primary care services
shortage and making it easier to get care without
These facilities provide additional access to specialty care and
visiting an emergency room or waiting until an is an important, critical step toward creating a
to travel
to see a specialist.
healthier
Kentucky.
illness advances.minimize the need for patients
The overall health Special
of a population
is directly linked t
Advertising Report
strength of its primary health care system. Improving a
primary care services is an important, critical step towa
ing a healthier Kentucky. n
A virtual health care service
as well as telehealth technology
have expanded KentuckOne
Health’s reach to underserved
areas of the Commonwealth.
The KentuckyOne
Anywhere Care service
provides online video
or telephone access
to interact with a
prescription-writing
medical professional
in 30 minutes or less
from home, at work or
while traveling anywhere
in Kentucky.
19
10/3/14 5:04 PM
LifePoint Hospitals
Making
Communities
Healthier
in Kentucky
LifePoint is committed to Making Communities Healthier
across our network of more than 60 hospital campuses nationwide. In the state of Kentucky our nine hospitals are more than
just healthcare providers. Each facility is an integral thread in the
fabric of community life, a key local employer and a centerpiece
of business development. We are proud to provide quality care
close to home while contributing significantly to the economic
success of our communities.
LifePoint Hospitals in Kentucky –
By the numbers in 2013
Employ more than 3,800 employees
annual payroll of more than $222 million
n Invested more than $20 million in their facilities
n
n Total
20
LifePoint Affiliated
Hospitals in Kentucky
Bluegrass Community Hospital
in Versailles
Bourbon Community Hospital
in Paris
Clark Regional Medical Center
in Winchester
Georgetown Community Hospital
in Georgetown
Jackson Purchase Medical Center
in Mayfield
Lake Cumberland Regional Hospital
in Somerset
Logan Memorial Hospital
in Russellville
Meadowview Regional Medical Center
in Maysville
Spring View Hospital
in Lebanon
lanereport.com
10/3/14 3:19 PM
About LifePoint Hospitals
• Founded in 1999
• Focuses on non-urban
communities
About
LifePoint Hospitals
• 65 hospital campusesninFounded
20 states
in 1999
n Focuses
on non-urban
communities
• Is the sole community
hospital
in the
majority
n 65 hospital campuses in 20 states
of its markets
n Is the sole community hospital in
• 34,000+ employees the
majority of its markets
• Approximately 3,400n 34,000+
physicianemployees
relationships
n
Approximately 3,400 physician
relationships
For 15 years, LifePoint Hospitals has been committed
to providing the best possible care to non-urban
communities across the United States. We want
to be our communities’ first and best choice for
quality healthcare.
For 15 years, LifePoint Hospitals has been committed to providing
At
localcare
community
involvement
is atacross
the the
the LifePoint,
best possible
to non-urban
communities
United of
States.
want to be
communities’
first and
best
center
ourWe
philosophy
ofour
care.
Each LifePoint
hospital
for quality healthcare.
ischoice
a community
hospital, dedicated first and foremost to
serving
the healthcare
needsinvolvement
of its community.
At LifePoint,
local community
is at the center of
our philosophy of care. Each LifePoint hospital is a community
hospital, dedicated
foremost
servingemployers,
the healthcare
LifePoint
hospitalsfirst
areand
among
the tolargest
needs of its community.
taxpayers, and businesses within their communities.
We
believe
that aarehealthy
makes
for a taxpayers,
healthy
LifePoint
hospitals
among hospital
the largest
employers,
and businessesand
within
their communities.
Werole
believe
community,
we recognize
the crucial
a that a
healthy hospital makes for a healthy community, and we recognize
hospital
plays in supporting the economic health and
the crucial role a hospital plays in supporting the economic
development
of the community.
health and development
of the community.
We want
LifePoint
hospital
to be
where where
people
We
wantevery
every
LifePoint
hospital
tothe
beplace
the place
choose to come for healthcare; physicians want to practice and
people
choose
come for healthcare; physicians want
employees
want totowork.
to practice and employees want to work.
www.LifepointHospitals.com
www.LifepointHospitals.com
330
Brentwood, TN
TN 37027
37027
330 Seven
Seven Springs
Springs Way
Way • Brentwood,
21
10/3/14 3:19 PM
TeamHealth
One Team.
Multiple Services.
Patient-Centric Care.
THIS is TeamHealth Integrated Services
Teamwork.
Timing.
Results.
22
lanereport.com
10/3/14 3:19 PM
TeamHealth is the nation’s leader in providing
comprehensive and streamlined hospitalbased physician services. Our fully integrated,
patient-centric care model ensures effecti e
management within each specialty, in transitions between specialties, and after discharge.
By effecti ely integrating all aspects of the
patient care continuum, TeamHealth helps
hospitals achieve never-before-realized levels of
clinical, operational, and financial performance.
Medical Call Center
Urgent Care Centers
Patient Entry
to Hospital
Urgent CareEntry
Centers
Patient
Medical Call Center
Patient Entry
to Hospital
Urgent Care
Care Centers
Urgent
n Acute
CareCenters
Surgery.
Medical Call
Call Center
Center
Medical
OB/GYN Hospitalist
Acute Care Surgery
Orthopaedic Hospitalist
Anesthesia
Hospital Medicine
Emergency Medicine
Medicine
Emergency
Hospital Medicine
Anesthesia
Acute CareMedicine
Surgery
Emergency
Medicine
Emergency
OB/GYN
Hospitalist
Hospital
Medicine
Hospital Medicine
Hospital
Experience
Hospital
Experience
Experience
Hospital
Anesthesia
Anesthesia
Orthopaedic
Hospitalist
Acute Care
Care Surgery
Surgery
Acute
OB/GYN Hospitalist
Hospitalist
OB/GYN
TeamHealth implements the
structure and protocols that
will allow your hospital to
accept and appropriately treat
THIS is Who We• Are
all emergent
general surgery
Anesthesia. TeamHealth
Anesthesia
focuses
Service lines operating as separate entities can patient, including transfers.
on physician-led perioperative leadership that
be financially inefficien for hospitals, as well as n OB / GYN Hospitalist. Our OB/GYN hoscombines
clinical “best practice” protocols
confusing and frustrating for patients,
physicians,
pitalists work in-house. 24/7/365, to cover emerwith
proven,
operating room
and administrators. An expert in the continuummetric-driven
gent patients,
manage allfocuses
patients during labor,
•
Anesthesia.
TeamHealth
Anesthesia
management
to deliver
enhance
patientpatients.
care,
of care, TeamHealth breaks down
silos across strategies
and
triage
and
all
unassigned
on
physician-led
perioperative
leadership that
service lines to deliver integrated
healthcare
safety,
and surgeon
satisfaction.
services from the time a patient enters
the hospital,
combines
clinical “best practice” protocols
When Our
your operating
clinical
service
line
throughout the patient’s hospital
experience,
and
• with
Orthopaedic
Hospitalist.
dedicated
orthopaedic
proven,
metric-driven
room
goals are aligned, everyone rows
into the post-discharge period.
Coordination
surgeons provide
ED
management
strategies
tocoverage,
enhance
patient care,
in thecall
same
direction. evaluating
across the entire hospital enterprise
leadspatients,
to
emergent
safety,
and surgeon performing
satisfaction.surgeries as
increased patient satisfaction, improved quality,
needed, and providing follow-up care and in-house
and a more profitable eturn on investment.
• Orthopaedic
consults. Hospitalist. Our dedicated orthopaedic
surgeons provide ED call coverage, evaluating
Our integrated services include:
• emergent
Acute Carepatients,
Surgery. TeamHealth
implements
performing surgeries
as
n Emergency Medicine. We’ve helped hunthe
structure
and
protocols
that
will
allow
your
needed, and providing follow-up care and in-house
dreds of hospitals achieve and often exceed their
hospital to accept and appropriately treat all
consults.
clinical, operational, and financial
goals. Our
general surgery patients, including
vast national resources, talent,emergent
and technology
•
Acute
Care
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transfers.
combine to help TeamHealth lead
all other hosthe
structure
pital-based ED providers in client satisfaction. and protocols that will allow your
• hospital
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OB/GYN hospitalists
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treat all work
n Hospital Medicine. TeamHealth Hospital
in-house, 24/7/365,
to cover
emergent
patients,
emergent
general
surgery
patients,
including
Medicine is one of the nation’s leading providers
manage
patients during labor, and triage and
transfers.
of hospitalist and intensivist services,
usingall
datadeliver
all
unassigned
patients.
driven and experience-based resources to achieve
•
OB/GYN
Hospitalist.
Our
OB/GYN hospitalists work
high levels of patient satisfaction and readmis•
Urgent
Care
Centers.
TeamHealth
works patients,
in-house,
24/7/365,
to
cover
emergent
sion rates that are below the national average.
collaboratively
with
hospitals
to
urgent
manage
all fopatients during labor,develop
and triage
and
n Anesthesia. TeamHealth
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care
centers
that
help
fi
ll
an
important
role
in
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deliver
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patient
care
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• Urgent
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with proven, metric-driven
operating
room
hospital
care.
collaboratively
management strategies to enhance patient care, with hospitals to develop urgent
safety, and surgeon satisfaction.care centers that help fill an important role in the
patient
care continuum for both pre- and postn Orthopaedic Hospitalist.
Our dedicated
orthopaedic surgeons provide ED
call coverage,
hospital
care.
evaluating emergent patients, performing
surgeries as needed, and providing follow-up
care and in-house consults.
Medical Call Center
Urgent Care Centers
Outpatient
Management
Urgent
Care Centers
Outpatient
Medical Call Center
Outpatient
Management
Urgent Care
Care Centers
Centers
Urgent
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Call Center
Center
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• Medical Call Center. TeamHealth Medical Call
n Urgent
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TeamHealth
works of 24-hour nur
Center
is the premier
provider
collaboratively
developlines
urgentfor more than 4,
triagewith
andhospitals
nursetoadvice
care centers that help fill an important role in
providers across the country. Hospitals can a
the patient
care continuum
for TeamHealth
both pre-and Medical Call
• Medical
Center.
use care.
thisCall
service
for post-discharge
calls to mo
post-hospital
Center
is
the
premier
provider
of
24-hour
nurs
patient compliance and help reduce avoidable
triage
and
nurse
advice
lines
for
more
than
4,
readmissions.
providers across the country. Hospitals can al
use this service for post-discharge calls to mo
THIS
is What
We and
Do help reduce avoidable
patient
compliance
readmissions.
• Remove traditional silos (but provide an expe
leader in every specialty)
THIS
is What We Do
• Focus on clinical efficacy of patient care
o Improve
communication
• Remove
traditional
silos (butamong
provide an exper
providers
leader
in every specialty)
o Facilitate transfer of knowledge
• Focus on clinical efficacy of patient care
• oAchieve
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synergies
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•
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partners
• Invest in IT to ensure tracking and reporting o
quality and service metrics
800.818.1498 | teamhealth.com
23
10/3/14 3:19 PM
Health Technology
High Tech Tools,
Old-Fashioned Touch
Telemedicine’s priorities are increased
provider-patient contact and better outcomes
By Josh Shepherd
One of Kentucky’s latest
telemedicine products is
Anywhere Care, which
KentuckyOne Health launched
Nov. 1. It gives users aroundthe-clock access to doctors
and nurse practitioners for
medical diagnosis, treatment
planning from any Internetconnected computer with a
web-cam and microphone.
It costs $35 per use.
In 1956, the movie “Forbidden Planet” introduced audiences to Robby the Robot. A triumph of
special effects for that time period, the self-ambulating
robot gave the world some of the most enduring popculture images of how technology may one day be
applied to serve people’s needs.
Perhaps, though, a more prophetic vision of the
use of robotic technology in contemporary healthcare
may be seen in a 1976 movie, “Logan’s Run.” One of
its critical scenes depicts a plastic surgeon operating
24
a machine equipped with robotic arms and surgical
instruments designed to perform various types of
enhancement surgeries.
The machinery was huge and clunky, but the idea
of applying imaging and robotic technology as an
extension and enhancement of a medical provider’s
skills was visionary for its time.
In a very real sense, the real world application of
“robot” technology in contemporary healthcare has
matched or even exceeded the vision of science fi -
tion. When it works best, the ever newer technology
allows more frequent and better contact between providers and the patients who need their expertise – with
participants quickly and naturally focusing on their
human interaction rather than the high-touch process.
Visitors to the Kentucky Clinic in Lexington are, by
now, so familiar with the self-propelled courier robots,
Bot-1 and Bot-2, traveling their pre-programmed paths
between the medical lab and the old Chandler Medical
Center that they rarely draw much notice.
lanereport.com
10/3/14 3:19 PM
Medical Robots and
Cart-Based Telemedicine
In 2007, the then-Owensboro Medical Health
System – now simply Owensboro Health – in collaboration with Dr. Kerri Remmel, chief of the University of Louisville’s Neurology Department, was one of
the first hospitals in Kentucky to experiment with an
exciting new application for robot technology.
The hospital was facing a crisis, said Dr. Robert
Knight, director of the OH Emergency Services
Department. One of its two staff neurologists had
accepted a new position, which left the hospital
short-handed in a critical specialty. Meanwhile, a new
interventional treatment called thrombolytics was
being introduced for acute stroke patients.
“The e are plenty of good outcomes that arise from
this treatment, but there are also plenty of potentially
bad outcomes because it involves increased bleeding
during the procedure,” Knight said. As ED director,
he preferred to have access to a specialist for a consult
before performing thrombolysis. “It was impossible
for our one remaining staff neurologist to be on call
24-7 to advise us.”
Remmel and UofL offe ed
OMHS a solution. UofL was
interested in the clinical applications of robot technology,
particularly with outreach to
partner hospitals. They offe ed
to purchase an RP-7 robot developed by In-Touch Health, a
company in California.
“This was a no brainer
for us. UofL was buying the
equipment and giving it to
us with no risk. What we
got out of it was round-theclock access to a specialist at a
time when we needed them,”
Knight said.
The RP-7 robot, which is
still being marketed, is outfitted with a high-definitio
video screen that projects an
image of the doctor’s face and
a moveable video camera on
the top of the video screen.
Remmel can control its
camera and move the robot down halls and into rooms
using a laptop or tablet computer in her Louisville office, Knight said. It has an electronic stethoscope and
attachments on the machine that allowed for two-way
conversations – in privacy if necessary – between Remmel and ED doctors or the patient in Owensboro.
“In the first few years we had it, we used that robot
a lot,” Knight said. “It ‘rounded’ on patients admitted
by the neurologist when our on-staff neurologist was
off. We used it for consults with Dr. Remmel in the
emergency department, and the robot was also used to
monitor premature newborns in our neonatal unit.”
Patient response was uniformly positive. Usually
after a few moments, patients and doctors reported
that the technology “disappeared.”
“We got no patient push back whatsoever about
the unit,” he said. In fact, one unexpected benefit to
the patient was in cases when they would be transferred to Louisville. Patients had already established
a familiar relationship with Remmel through the machine. “They had seen and talked with her on screen;
they knew her. In all the time that we really used the
robot, it worked well for us.
Owensboro Health’s use of the robot declined
after its successful recruitment of new neurologists,
decreasing the need for direct access to the UofL Neurology department.
“Our new facility has allowed us to increase our
medical staffin and brought with it new specialists we
didn’t have before,” Knight said, referring to the $385
million, 477-bed medical center that opened in June.
Owensboro Health photo
In many hospital pharmacies, robots perform
service like an elaborate vending machine. They store,
organize and track all the medications that a hospital
keeps in stock, use bar-code readers to fill prescriptions,
and even prepare the night cart for inpatient distribution. When not engaged in an order, the robots are also
programmed to monitor expiration dates and properly
dispense with out-of-date pharmaceuticals.
On billboards in most of Kentucky’s larger cities,
hospitals frequently buy advertising space to promote
their acquisition of da Vinci Surgical Robot Systems.
Since 1999, when Intuitive Surgical Inc. of Sunnyvale,
Calif., first introduced the da Vinci surgical robot, its
use has exploded across the country. The stationary
system was designed to enhance minimally invasive
cardiac surgery by combining high-definition imaging and specialized microsurgical tools that can reach
places within the body a surgeon’s hands can’t.
Since its introduction, da Vinci surgical systems
have been adapted to perform a wide array of minimally invasive procedures, decreasing disruptions that
complicate treatments and healing for kidney and
bladder disorders, cancer treatments and more.
The technology is now almost a decade old and the
machines themselves very similar to that classical conception of science-fiction-type robots. Their functions
are more refined and precise, but they are still only elaborate devices designed to relieve medical professionals
of tedious functions or to extend a surgeon’s skills.
Healthcare reform effo ts have fueled the
development of what can best be described as medical
outreach technology.
Owensboro Health uses the ROBOT-Rx®
and MedCarousel® system to automate
most of the tasks at its medical center
inpatient medications pharmacy such as
storage, dispensing, returning, restocking
and crediting of bar-coded, unit-doses.
However, he said, this type of robot still could be
useful in a smaller community hospital that has less
access to specialists – or even primary care doctors.
Ultimately, the robot proved useful for the outreach function it could perform in the absence of a
local specialist much more so than for the fact that
it moved on its own and acted very similar to robots
seen in science fiction
A diminished use of the robot in recent years
reflects new developments in how medical programs
are approaching the advances in broadband connections and shared information in communication and
imaging technology.
“Robots are very sexy technology,” said Rob
Sprang, director of the University of Kentucky’s
Telehealth Program. “However, when you consider
the time it takes to guide a robot from one patient
room to another, it doesn’t seem to be a very productive use of a physician’s time.”
While less suggestive of the human form, newer
cart-based telemedicine devices perform the same
function as a robot. The diffe ence is its components
are wheeled around on site manually rather than
driven remotely by a motor.
25
10/3/14 3:19 PM
Health Technology
KentuckyOne Health photo
A doctor with KentuckyOne Anywhere
Care conducts a practice interaction with
a patient. The program implemented Nov.
1 gives users around-the-clock access to
doctors and nurse practitioners for medical
diagnosis, treatment planning from any
Internet-connected computer with a web-cam
and microphone. Anywhere Care providers
can prescribe non-controlled substances
and refer patients for a follow-up clinic visit
or to an emergency department.
26
nications, to deliver services to an industry that was in
desperate need of secure communication solutions.”
The Health Information and Patient Privacy Act
that required stringent security protocols to protect
patient information didn’t bother the company. It had
been producing secure communication in top-secret
circles for nearly two decades, Jennings said.
“The e are so many areas in broadband communications that are not secure. We encountered situations
in which healthcare providers were conferring about
University of Louisville photo
Sprang has been involved with the development
of telemedicine since its inception in the mid-1990s.
In those early days, components were as large, clunky
and fitfully reliable as their early science fiction counterparts. The technology held telemedicine systems
back. In the last seven years, the technology has not
only improved dramatically, it has gotten cheaper and
more reliable.
“Where we used to be proud to handle the transfer
of megabytes of information, the technology is handling gigabytes and terabytes today. Also, when you
turn something on, you know it’s going to work,”
Sprang said.
Companies with a background in secure videoconferencing are finding new markets with telemedicine.
One of the new businesses to explore this frontier is
Trinity Audiovisual Systems, based in Louisville.
Trinity began life as a secure video-communications company with lucrative federal government and
law enforcement contracts. In an age in which it is
becoming increasingly difficult to maintain top-se et
communications, Trinity emerged as a market leader
in the field
John Jennings, chief technology office and assistant vice president of Trinity’s Midwest operations,
said the company recognized three years ago that it
needed to diversify and found the healthcare industry
was a natural fit
“Healthcare is becoming a shared technology industry,” Jennings said, “but it needs a secure environment
for such things as electronic health records and private
communications among healthcare providers, their patients and in consult with other doctors. It was logical
for Trinity, a company specializing in secure commu-
Via an In Touch medical robot, Dr. Kerri
Remmel, on display screen, consults with
Dr. Robert Knight, standing beside bed, chief
of emergency medicine at Owensboro
Health, and a patient in Owensboro.
patients using Skype. Internet social media platforms
are not even remotely secure platforms,” he said.
Two years ago, Trinity introduced its own
portable telemedicine platform. Its engineers and
designers conferred with a client concerning their
needs and created a portable platform that a hospital
staff person can move easily from one hospital bed
to another.
“These days, we’re not being asked so much for
devices as much as we are being asked for secure software systems that can be uploaded to a laptop, tablet
or even a smart phone,” Jennings said. “We can work
with any kind of endpoint device.”
“I have seen fully automated robots that do much
the same thing as a telemedicine platform, but I have
also seen price tags of nearly $100,000. Portable units
tend to run much cheaper,” Jennings said.
Even In-Touch – the leader in robot technology –
has developed a manual version of its RP-7 telemedicine robot.
Trinity is finding that the market for their products is more with long-term-care facilities and homecare companies than hospitals. The pilot project that
led Trinity to more fully develop its telemedicine
service came with a contract between it and Signature HealthCARE, the progressive Louisville-based
company that runs several long-term-care facilities.
Buyers are leaning toward telemedicine carts with a
mounted video screen, high-resolution cameras and
microphones, and a fi ed tablet or laptop device and
other related acute-care peripherals. Systems are getting to the point where patients and doctors can have
direct remote encounters at the workplace, in the
home, at a long-term-care center, or even in another
doctor’s offic
Regional and community hospitals are looking
at portable telemedicine units as a way to connect
patients with specialists without forcing either party
to travel to see each other.
Virtual Urgent Care
Underscoring Jennings’ comments about the rising demand for secure software rather than hardware,
KentuckyOne Health is launching its new Anywhere
Care service this month.
lanereport.com
10/3/14 3:19 PM
Anywhere Care allows Kentuckians to get in contact with a healthcare provider by phone or by web
camera 24 hours a day, seven days a week, including
when they are away from home.
Thoughin its earliest stages of implementation, the
Anywhere Care service takes telemedicine to the next
logical evolutionary step. People experiencing a sudden illness no longer need to go to a clinic, emergency
room or physician’s offic to consult a physician. Via
a toll-free number, they can schedule a phone call or
video chat on their computer or tablet.
Anywhere Care participant patients will be explaining
their symptoms with a primary care physician or nurse
practitioner within 30 minutes of their call, according
to KentuckyOne Health, the state’s largest care system
with more than 200 locations and 15,000 employees.
Furthermore, the practitioner being consulted can prescribe medications (with the exception of controlled
substances) or recommend over-the-counter treatments.
Patients pay directly for the telemedicine consult,
which is $35. Health insurance is not billed for Anywhere Care services, but the simple flat rate is cheaper
for the patient than an ER visit or a visit to an urgent
care clinic. If symptoms warrant, the practitioner will
refer patients for a follow-up visit to a clinic.
KentuckyOne’s Anywhere Care service is the result
of a partnership between the Kentucky healthcare fir
and Carena Inc., a Seattle-based telemedicine company.
KentuckyOne Health also recently launched
special telehealth clinics in Wolfe and Powell counties equipped to let patients there have videoconference visits with remote doctors and practitioners.
Other Future Directions
If the direction of medical reform continues along
the path blazed for it in the Affo dable Care Act, then
Sprang said remote patient monitoring may be one
of the bright futures for applied medical technology.
“We are moving to a place in a reformed system of
healthcare where we no longer wait until a patient gets
sick and then care for them, but to actually try and
keep patients from getting sick,” he said.
The vast improvements in Bluetooth and Internetbased communication that have fueled the rapid development of telemedicine are enabling hospitals to
introduce advanced patient monitoring systems in
their intensive care units.
Owensboro Health announced in October that its
32 ICU beds would receive 24/7 remote monitoring
from the Christ Hospital Critical Connections program, which is based in Cincinnati. The service does
not replace ICU staffing but it does use a powerful
in-room video monitoring system to detect changes
in skin color or eye movement or other warning signs
of a potentially fatal event.
Another example of applied patient monitoring systems involves a study conducted in North Carolina with
some 700 patients who, in a 90-day period, accounted
for an inordinate number of inpatient stays at a hospital.
Thesepatients, Sprang said, had a tendency to resist
altering their behaviors to improve their health. Th
hospital conducting the study outfitted participants’
homes with a cellular or Bluetooth-based communication hub that linked to a patient-monitoring station at
the hospital. The home hub connected to an ordinary
bathroom scale, a blood pressure cuff and a pulse oximetry device to monitor a patient’s progress after an
inpatient hospital stay.
Dr. Alex Abou-Chebl, on display screen,
director of neurointerventional services
with the University of Louisville School of
Medicine, interacts with a patient remotely
via an In Touch medical robot.
Each day, participants would use the connected
devices and staff at the remote monitoring station
would review the results. If there were warning signs –
an abnormal weight increase, a rise in blood pressure
– a provider called the home and to ask the person if
they had been engaging in behaviors that contributed
to their poor health.
The hub remained with the patients 90 days, and
their hospital re-admissions rate dropped 65 percent
below the norm. Thiswas only one study, but application of basic telemedicine technology “seemed to have
a positive result with people,” Sprang said.
It suggests one future direction for medical
technology could be a “virtual” return to the ageold home visit doctors conducted in the days
before there were even telephone lines strung across
the landscape. Technology has made an incredible
impact on the quality and efficienc of care, but
at its heart, the circuitry is all about creating more
effecti e human connections.
The McClelland Team
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10/3/14 3:19 PM
10/2/14 2:11 PM
Wellness
What is Glycemic Index?
By Molly Kimball, RD, CSSD
Eatright.org Academy of Nutrition
and Dietetics
Theglycemic index, simply put, is a measure of how
quickly a food causes our blood sugar levels to rise.
The measure ranks food on a scale of 0 to 100.
Foods with a high glycemic index (GI) are quickly
digested and absorbed, causing a rapid rise in blood
sugar. These foods that rank high on the GI scale are
You still need to choose healthy foods from all fi e
food groups.
Diets centered on mostly low-GI foods can make it
easier to achieve and maintain a healthy weight, since
these foods keep us feeling fuller, longer. Low-GI diets
have also been shown to improve insulin resistance,
and lower glucose, cholesterol and triglyceride levels
in people with type 2 diabetes.
One exception to the recommendation of a mostly
low-GI diet is after intense or prolonged exercise.
Consuming high glycemic foods
can actually be more beneficia
for muscle recovery, since they’re
rapidly digested.
Glycemic Index: An
Imperfect System,
but Useful Tool
often — but not always — high in processed carbohydrates and sugars. Pretzels, for example, have a glycemic index of 83; and a baked potato without the
skin clocks in at 98.
Meanwhile, foods with a low GI are digested and
absorbed at a slower rate, and, subsequently, cause a
slower rise in blood sugar levels. Theseare typically rich
in fibe , protein and/or fat. Examples of these include
apples with a glycemic index of 28, Greek-style
yogurt at 11, and peanuts at 7. Keep in mind
that a low GI doesn’t mean a food is
high in nutrients.
28
A food’s GI ranking only
applies when a food is consumed
on an empty stomach without
any other type of food. As anyone
who’s ever eaten food knows, this isn’t always how we
eat. Sure, a bag of pretzels may be a stand-alone snack,
but how often do we eat just a plain potato with
nothing else?
Add a lean steak or a piece of salmon, a side of
broccoli and a salad with vinaigrette, and the protein,
fiber and fat will all serve to lower the glycemic index.
In addition, the glycemic index doesn’t take into
account how much we’re actually consuming. Th
GI value of a food is determined by giving people a
serving of the food that contains 50 grams of carbohydrate minus the fibe , then measuring the effect on
their blood glucose levels over the next two hours.
A serving of 50 grams of carbohydrate in one sitting is reasonable for a food like rice, which has 53
grams of carbs per cup. But for beets, a GI ranking
of 64 is a little misleading. Since beets have just 13
grams of carbs per cup, we would need to consume
nearly 4 cups of beets in order to cause that spike in
blood sugar levels.
An Alternative to Glycemic Index
Glycemic load (GL) is a formula that corrects for potentially misleading GI
by combining portion size and
GI into one number. Th
carbohydrate content
of the actual serving
is multiplied by the
food’s GI, then that
number is divided by 100.
So for a cup of beets, the GL
would be: 13 times 64 = 832
divided by 100 = a GL of 8.3.
As a frame of reference, a GL
higher than 20 is considered high, between 11 and 19 is considered
moderate, and 10 or less is
considered low.
The bottom line: Even
though the glycemic index
isn’t a perfect system, it can be a
useful tool to identify lower-glycemic foods that are
often more nutrient-dense, as well as what foods are
higher in refined carboh drates.
lanereport.com
10/3/14 3:19 PM
Inflammation and iet
By Marisa Moore, MBA, RDN, LD
Eatright.org Academy of Nutrition
and Dietetics
Inflammation is a protective process you are probably more familiar with than you think. It’s the body’s
method of healing itself in response to an injury or
exposure to a harmful substance. This is useful when,
for example, skin is healing from a cut; however,
inflammation is not always beneficia
Chronic (or ongoing) inflammation occurs when
the immune system attacks the body’s healthy cells
leading to autoimmune diseases such as rheumatoid arthritis, states of immune deficiency including
Crohn’s disease or skin conditions including psoriasis.
Underlying chronic inflammation also may play a role
in heart disease, diabetes and Alzheimer’s disease.
Evidence supporting the impact of specific foods
on inflammation in the body is limited. We know
that some foods have the capacity to suppress infla mation, but it’s unclear how often and how much
is needed for this benefit. Though there’s promising
research for the impact of foods such as fatty fish
berries and tart cherry juice, but beware of anything
touted as an anti-inflammato y miracle.
Eating to Reduce Inflammation
Luckily, eating with reduced inflammation in mind
may be easier than you think.
n Let fruits and vegetables make up at least half
your plate at meals.
n Opt for plant-based sources of protein including
beans, nuts and seeds.
n Choose whole grains instead of refined ones.
Give up white rice and replace it with brown, black or
wild rice; whole oats or barley for cream of wheat; and
whole-wheat bread instead of white.
n Pick heart-healthy fats as opposed to not so
healthy ones. Olive oil, avocados, nuts and seeds are a
few delicious choices.
n Choose fatty fish such as salmon, sardines and anchovies to get a heart-healthy dose of omega-3 fatty acids.
n Season your meals with fresh herbs and spices.
They pack a fl orful and antioxidant-rich punch.
Though diet is important, it’s not the only factor.
Quality and duration of sleep and other lifestyle factors can have a direct impact on inflammation
Overall, to avoid issues with chronic inflammation
make it your mission to achieve a healthy diet,
maintain a healthy weight, get adequate sleep and
engage in regular physical activity.
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10/3/14 3:19 PM
Wellness
11 Simple Steps
Toward Better Nutrition
and Better Health
n Watch Portion Sizes
Do you know if you’re eating the
proper portion size? Get out the measuring cups and see how close your
portions are to the recommended serving size. Using smaller plates, bowls
and glasses can help you keep portions
under control. Use half of your plate
for vegetables, a quarter for grains and
a quarter for lean meat or protein.
To complete the meal, add a glass of
fat-free or low-fat milk and a serving
of fruit for dessert.
The e’s no mystery to having a
healthy lifestyle or to steadily improving the quality of your health, your
family’s or that of your employees. It
does require keeping in mind and following good health practices.
Making and maintaining progress
includes understanding that perfect
adherence does not happen and not
allowing normal missteps to derail the
larger process.
Here is a list of food, nutrition
and exercise tips that contribute to a
healthy lifestyle:
n Eat Breakfast
The e’s no better way to start your morning than
with a healthy breakfast, and the key to a good breakfast is balance. Include lean protein, whole grains
and fruits and vegetables. Try oatmeal cooked with
low-fat milk, sliced almonds and berries, or crust-less
quiche with mixed veggies, low-fat cheese and a slice
of whole-wheat toast. Find more quick breakfast ideas
for when you’ve hit the snooze button too many times.
n Drink More Water
Our bodies depend on water to regulate
temperature, transport nutrients and oxygen to cells,
carry away waste products and more. For generally healthy people who live in temperate climates,
the Dietary Reference Intakes from the Institute
of Medicine recommend a total daily beverage
intake of 13 cups for men and 9 cups for women.
n Be Active
Regular physical activity lowers blood pressure and helps your body control
stress and weight. Start by doing what exercise you
can for at least 10 minutes at a time. Children and
teens should get 60 or more minutes of physical activity per day, and adults should get two hours and
30 minutes per week. You don’t have to hit the gym
— take a walk after dinner or play a game of catch
or basketball.
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We are saving more lives and saving them faster than at any time in our 60+ years.
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10/3/14 5:02 PM
n Dine Out without Ditching Your Goals
You can dine at a restaurant and stick to your
healthy eating plan! The key is to plan ahead, ask
questions and choose foods carefully. Thinkabout nutritious items you can add to your plate — fruits, veggies, lean meat, poultry or fish — and look for grilled,
baked, broiled or steamed items.
n Fix Healthy Snacks
Healthy snacks can sustain your energy levels
between meals. Whenever possible, make your
snacks “combination snacks,” including lean protein, healthy fats, fiber or carbohydrates. Try low-fat
yogurt with fruit, whole-grain crackers with lowfat cheese, or a small portion of nuts with an apple
or banana.
n Make Half Your Plate
Fruits and Vegetables
Fruits and veggies add color, fla or and texture
plus vitamins, minerals and fiber to your plate. Make
2 cups of fruit and 2½ cups of vegetables your daily
goal. Don’t let winter stop you from enjoying produce. It might be harder to find fresh options, but
frozen and canned are great alternatives.
cholesterol or simply eat better, consult the experts!
Registered dietitians can help you by providing
sound, easy-to-follow personalized nutrition advice
and put you on the path to losing weight, eating well
and reducing your risk of chronic disease.
n Get to Know Food Labels
Ever wonder about the diffe ence between “reduced
fat” and “low fat? ” Or does “calorie free” on a label
really mean no calories? The Food and Drug Administration has strict guidelines on how these food label
terms can be used. Here are some of the most common
claims seen on food packages and what they mean.
n Consult an RD
Whether you want to lose weight, lower your
n Follow Food Safety Guidelines
The Centers for Disease Control and Prevention
estimates that roughly one in six Americans gets
sick from foodborne disease each year. Reduce
your chances of getting sick by practicing
proper hand washing. Separate raw meat,
poultry and seafood from ready-to-eat
foods like bread and vegetables. Use a food thermometer to make sure food is properly cooked. Refrigerate food quickly at a proper temperature to slow
bacteria growth.
n Get Cooking
Cooking at home can be healthy, rewarding and
cost-effecti e. Resolve to learn some cooking and
kitchen basics, like how to dice an onion or how to
store herbs and spices. People who on their stove at
home, including at least some raw ingredients, are
more satisfied and healthie .
10/3/14 4:22 PM
Kentucky Hospitals
Kentucky’s 96 Hospitals Ranked
by Number of Beds in Operation
Facility
Acute
Beds
Psych
Beds
Total
Beds in
Operation
Facility
Acute
Beds
Psych
Beds
Total
Beds in
Operation
Norton/Kosair Children’s Hospital
Norton Healthcare Pav
University of Kentucky Hospital St Elizabeth Edgewood Baptist Health Louisville Kings Daughters Medical Center Norton Suburban Hospital Central Baptist Hospital University Of Louisville Hospital Jewish Hospital & St Mary’s Healthcare Owensboro Medical Health System The edical Center At Bowling Green Baptist Health Paducah Saint Joseph Hospital Hazard ARH Regional Medical Center Norton Audubon Hospital Lake Cumberland Regional Hospital Hardin Memorial Hospital Our Lady of Peace Pikeville Medical Center Greenview Regional Hospital Baptist Health Corbin Western State Hospital Lourdes Hospital Our Lady of Bellefonte Hospital 859 569 450 468 401 373 383 376 412 415 285 349 433 188 432 231 270 0
221 211 162 0
286 158 46 0
44 22 27 0
0
20 20 12 24 0
0
100 0
34 15 396 0
0
44 495 45 32 905 569 494 490 428 373 383 396 432 427 309 349 433 288 432 265 285 396 221 211 206 495 331 190 620
569
491
490
428
351
344
329
320
312
309
292
292
288
278
265
253
243
221
211
206
205
203
190
Saint Joseph East Methodist Hospital T J Samson Community Hospital Saints Mary And Elizabeth Hospital Eastern State Hospital UKHealthCare Good Samaritan Hospital
Baptist Health Madisonville St Elizabeth Florence Highlands Regional Medical Center Jennie Stuart Medical Center St Claire Medical Center Ephraim McDowell Reg Medical Ctr Harlan ARH Hospital Rivendell Behavioral Health Services Frankfort Regional Medical Center Pineville Community Hospital Saint Joseph Hospital London St Elizabeth Ft Thomas Norton Brownsboro Hospital Central State Hospital Lincoln Trail Behavioral Health System Murray Calloway County Hospital Williamson ARH Hospital Cumberland Hall Middlesboro ARH Hospital 217 184 180 298 0
150 348 131 154 194 119 159 120 0
173 120 120 245 127 0
0
128 113 0
96 0
8
0
0
323 31 22 22 12 0
20 38 30 125 0
0
0
0
0
192 111 0
0
97 0
217 192 180 298 323 181 370 153 166 194 139 197 150 125 173 120 120 245 127 192 111 128 113 97 96 187
184
180
173
168
160
156
153
139
139
139
135
125
125
124
120
120
119
117
112
111
110
98
97
96
Above: Central Baptist Hospital, Lexington
Right: Lourdes Hospital – Paducah
32
lanereport.com
10/3/14 3:19 PM
Facility
Acute
Beds
Psych
Beds
Total
Beds in
Operation
Jackson Purchase Medical Center Baptist Health LaGrange Muhlenberg Community Hospital Ridge Behavioral Health System Taylor Regional Hospital Th ee Rivers Medical Center Whitesburg ARH Hospital The rook Hospital Meadowview Regional Medical Center River Valley Behavioral Health The rook Hospital Dupont Spring View Hospital Twin Lakes Regional Medical Center Westlake Regional Hospital Baptist Health Richmond Paul B Hall Regional Medical Center Kentucky Correctional Psychiatric Ctr Memorial Hospital
Harrison Memorial Hospital Bourbon Community Hospital Georgetown Community Hospital Kentucky River Medical Center Clark Regional Medical Center Logan Memorial Hospital Fleming County Hospital 107 90 90 0
90 71 90 0
100 0
0
75 75 49 105 72 0
63 61 33 75 55
54 75 52 0
0
0
90 0
19 0
86 0
80 76 0
0
25 0
0
7
0
0
25 0
0
0
0
0
107 90 90 90 90 90 90 86 100 80 76 7
75 74 105 72 97 63 61
58 75 55 54 75 52 93
90
90
90
90
90
90
86
85
80
76
75
75
74
73
72
65
63
61
58
58
55
54
53
52
Psych
Beds
Total
Beds in
Operation
Parkway Regional Hospital 50 Shriners Hospital for Children 50 Monroe County Medical Center 49 Crittenden Health System 48 Jewish Hospital Shelbyville 70 Clinton County Hospital 42 St Joseph Mount Sterling Hosp 42 Flaget Memorial Hospital 52 Northkey Community Care Intensive Serv 0 Bluegrass Community Hospital 25 Cumberland County Hospital 25 Ephraim McDowell Fort Logan Hospital 25 The ames B Haggin Memorial Hospital 25 Jane Todd Crawford Memorial Hospital 25 Knox County Hospital 25 Marcum And Wallace Memorial Hospital 25 Russell County Hospital 25 Saint Joseph Berea 25 Wayne County Hospital 25 Casey County Hospital 24 Rockcastle Hospital 26 Nicholas County Hospital 16 0
0
0
0
0
0
0
0
51 0
0
0
0
10 0
0
0
0
0
0
0
0
50 50 49 48 70 42 42 52 51 25 25 25 25 35 25 25 25 25 25 24 26 16 50
50
49
48
47
42
42
40
34
25
25
25
25
25
25
25
25
25
25
24
20
16
State Total 2,966
16,900
14,073
Facility
Acute
Beds
13,934
Source: Kentucky Cabinet for Health and Family Services, Office of ealth Policy,
2013 Annual Hospital Utilization and Services Report
Above left: Norton/Kosair Children’s Hospital – Louisville
Above right: UK Medical Complex – Lexington
Right: Eastern State Hospital – Lexington
10/3/14 5:02 PM
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www.oriusa.com | 502-589-8400
©2014 Steelcase Inc. All rights reserved. Trademarks used herein are the property of Steelcase Inc. or of their respective owners.
©2014 Steelcase Inc. All rights reserved. Trademarks used herein are the property of Steelcase Inc. or of their respective owners.
10/3/14 3:17 PM

Health Kentucky 2014 - Amazon Web Services

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