Southwest General Health Center

Southwest General Health Center
18697 Bagley Road
Middleburg Heights, Ohio 44130-3497
SOUTHWEST
TODAY
2014 ANNUAL REPORT EDITION
THE FUTURE OF HEALING
For Our Communities
Southwest General is committed to bringing its community members educational opportunities, screenings and free support groups. For a complete
listing of these opportunities as well as for information on physicians, programs and services, please visit swgeneral.com. Additionally, for information
about special programs for both members and nonmembers of LifeWorks of Southwest General, the hospital’s premier health and fitness center, visit
lifeworksfitness.net. You also can check them out on Facebook by searching “LifeWorks of Southwest General Hospital” on facebook.com.
A Proud Legacy
Since its founding nearly 95 years ago, Southwest General has been committed to supporting our community’s health
and wellness through innovative programs and services, advanced technology, state-of-the-art facilities and a strong
community partnership.
In 2014, our Building for Your Future expansion project significantly changed the face of our Main Campus. After several years
of intensive planning, design and construction, our striking new facility now juts from the original hospital structure toward
Bagley Road.
From the top three floors of private patient rooms down to the Parker Hannifin Corporation Critical Care Unit and the
new Emergency Room, the facility is fully equipped to provide high-quality, efficient medical care. Equally important,
it offers a calm, healing environment with beautiful vistas of the Metroparks, open-air balconies and sunrooms for
relaxation, and unique nature-themed artwork—all of which contribute to a better patient and family experience.
A Look Ahead
Now that we have transitioned to the new building, we are underway with the next phase of our master facility plan.
Over the next year and a half, we will convert the existing semi-private patient rooms to private rooms.
Additionally, thanks to a significant donation from the Harding Family Charitable Trust, we have renovated Southwest
General’s Coronary Care Unit (formerly known as The Harding Center) into a totally rebuilt Critical Care Unit. The newly
renovated Critical Care Unit, now known as The Harding Center for Critical Care, began treating patients in March 2015.
As the health care market continues to undergo unprecedented change and increasing complexity, we will continue
to focus on meeting the challenges ahead so that we can provide you with the very best care. This includes finding new
ways to offer the advanced technology and procedures in areas such as cardiac care, oncology and surgery that you
would find at any major medical center right here, close to your home.
To this end, you will see in this Annual Report that 2014 was a very productive year for Southwest General. In addition to
opening the new building, we introduced many new services and technology. Examples include the Southwest General
Regional Spine and Pain Management Center (page 7) as well as an outpatient procedure to relieve pain from varicose
veins (page 6) and an implant to expand treatment options for chronic pain patients (page 8).
TO OUR
COMMUNITY
Investing in Our Future
In a period when, nationally, hospitals are struggling, we ended 2014 fiscally strong as you will see from our
community benefit and financial information (pages 16 and 18). By delivering safe, effective and efficient care, we have
been able to remain cost effective and perform well financially so that we can continue to invest in the hospital’s future
and support the health and wellness of our communities. Moving forward, we will continue to work diligently to remain
positioned as a top provider of quality care in the Greater Cleveland market.
We are proud of what we have accomplished in the past 95 years, and we look forward to what we can accomplish in
the future as we continue to work collaboratively with the communities we serve.
Thank you for your ongoing support. Here’s to the next 95 years!
Thomas A. Selden, FACHE
President and CEO
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THE FUTURE OF HEALING
Southwest General’s Building for Your Future Expansion Project has helped position
the hospital to meet the growing needs of the surrounding communities.
The new Emergency Room (ER) is sized to accommodate the increased demand from the community for emergency
care. It is fully equipped to help provide high quality, efficient emergency medical care for day-to-day needs as well as
for large emergent events.
The new Parker Hannifin Corporation Critical Care Unit is located directly above the new ER and features specially
trained staff, state-of-the-art technology and warm, spacious rooms to help provide patients and families with
outstanding quality care.
Patients’ desire for more private space has been met with the addition of 96 private patient rooms in the new
Pandrangi Tower. Beautiful vistas of the Metroparks, open-air balconies and sunrooms provide unique areas for patients
S H A P I N G O U R H O S P I TA L F O R
THE FUTURE
More than 34 years ago, two up-and-coming young
since 2007. “This institution has helped me by
medical professionals met at work in the halls of a St. Louis,
advancing my career. We wanted to make this gift to
As of late April 2015, the hospital’s existing semi-private rooms are being renovated and converted to private rooms.
Missouri children’s hospital. Their romance flourished, and
help shape the hospital for the future”.
The entire scope of Southwest General’s expansion project is scheduled for completion in mid-2016.
the couple—Vasu Pandrangi, MD, a board-certified plastic
Southwest General’s new Pandrangi Tower has
surgeon on the Medical Staff at Southwest General, and Lisa
transformed the way care is delivered at the hospital.
Pandrangi, a registered nurse—continues enthusiastically
Patients can now recuperate in one of 96 private
working in an environment they love: the hospital setting.
patient rooms. Each room is filled with light and
When the Pandrangis thought about how they might make
features plenty of space for both patient and family
a lasting impact, giving a $3 million gift that benefited
members. By making the single-patient room setting
Southwest General—their hospital for nearly three decades—
the norm, people benefit from a better care experience,
seemed the obvious choice. After all, the couple has deep ties
quality of care, more privacy and a better overall
to the community, both through their medical practice and
environment in which to heal.
by raising their four children, Bharani, Tera, Adam and Alex, in
In addition to keeping busy with their medical practice,
nearby Westlake, Ohio.
Dr. Vasu and Lisa Pandrangi enjoy a close relationship
“We made this gift to advance innovative care and the quality
with their adult children. The family likes sharing good
of care at Southwest General,” says Dr. Pandrangi, chairman of
times, including planning trips and traveling together.
the Southwest Community Health System board of trustees
In fact, 2014 has involved a number of personal
and visitors.
milestones for the couple. Their oldest daughter was
A 40,000-square-foot Emergency Room (ER):
opened in Jan. 2014
S o u t h w e s t G e n e r a l ’s
B u i l d i n g f o r Yo u r F u t u r e
Expansion Project
The 24-bed Parker Hannifin Corporation
Critical Care Unit: opened in April 2014
Pandrangi Tower, a patient bed tower
with 96 private patient rooms: opened in Oct. 2014
A 250-car underground parking structure:
opened in Oct. 2014
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married and gave birth to a baby girl. Additionally, the
Pandrangi’s celebrated their 30th wedding anniversary
and traveled to Russia to mark the occasion.
“A lot of travel is in our future, and we’re loving getting
to see and hold our first grandchild,” says Lisa.
Southwest General would like to thank the Pandrangi
family for their generous $3 million contribution to the
Touch the Future capital campaign and for their
commitment to the future of health and wellness in the
communities we serve.
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M A N A G E Y O U R H E A LT H
M O R E E A S I LY
N E W O U T PAT I E N T P R O C E D U R E
R E L I E V E S PA I N F R O M V A R I C O S E V E I N S
Most people look forward to the end of the workday, but Kim Rizk dreaded it. Her 40-minute
commute home meant the soreness in her legs, which she ignored all day, was now front and
H a p p y F i r s t A n n i v e r s a r y, M y H e a l t h !
center.
“That was always the time of day when I’d think, ‘Here comes the pain again‘,” recalls Kim, a
full-time registered nurse and busy mom of two boys. “My legs were tired and achy, and they
throbbed and burned. The veins in my legs would bulge and itch.”
You shop online. You bank online. Now, you can manage your health online, too.
Kim knew the source of her problem: varicose veins that ran down the inside of her legs, on her
In 2014, Southwest General’s MyHealth marked one year of operation. MyHealth gives
individuals secure, online access to portions of their hospital-based electronic medical
record anywhere, anytime—and it ‘s free!
From a computer, tablet or smartphone, you can enjoy the convenience of using
Southwest General’s MyHealth to:
thighs and behind her calves. Years earlier she underwent a procedure to remove spider veins,
Ferdinand Plecha, MD
a milder form of varicose veins, and learned the veins in her legs were weak. Varicose veins
Vascular Surgery
occur when the valves in the veins are too weak or damaged to push blood upward to the
heart. The blood flows backward and pools in the veins. This backed-up blood causes veins to swell, bulge, twist and raise
above the surface of the skin. Varicose and spider veins are common conditions that affect as many as 40 million Americans,
especially women.
- View lab results online rather than waiting for them in the mail
Although they’re unsightly, most people manage day to day with varicose veins. Sometimes, though, the pain gets to be
- Access radiology and pathology reports
too much. Despite elevating her legs, wearing compression stockings and other self-care practices, Kim had enough of
- Maintain your health record in one place and view information on:
her painful situation. She decided to try Southwest General’s new, minimally invasive procedure called endovenous laser
therapy (EVLT). Initially offered at Southwest General in 2014, EVLT treats the veins that run along the inside of the leg from
- Allergies
the groin to the ankle, which was the situation for Kim. The outpatient procedure uses radiofrequency, or laser energy, to
- Immunizations
heat up the inside of the vein and close it off, thereby allowing healthy veins around the closed vein to take over the normal
- Medications
flow of blood.
- Surgeries/procedures
- Discharge instructions after a hospital stay or visit to the Emergency Room
“EVLT has a success rate of more than 98 percent,” explains Ferdinand Plecha, MD, a board-certified vascular surgeon on the
Medical Staff at Southwest General. “It allows us to find the source of the problem and determine which veins are causing
- Download health records to share with doctors
- View upcoming Southwest General health care appointments
- Update your personal contact information
For Kim, EVLT has helped her live her life more fully by eliminating the pain so she could focus on other priorities. “It’s led me
- Find a physician
to make other changes in my life in areas that I want to improve,” she says.
- Learn about Southwest General health education, events and screenings to improve your health and wellness
- Pay your bill
the pain.”
To learn more about Southwest General’s Heart & Vascular Institute, and its peripheral vascular procedures and EVLT,
call 1-877-SWG-BEAT (794-2328).
Southwest General’s MyHealth also can be used—with appropriate
permissions—to manage the care of family members, such as an
elderly parent or a child, so you have the information you need to
make informed decisions about your loved one’s care. To learn
more, visit swgeneral.com/myhealth, or call Health Connection
at 440-816-5050.
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Southwest General
Heart & Vascular Institute
6
I N T R O D U C I N G S O U T H W E S T G E N E R A L’ S
R E G I O N A L S P I N E A N D PA I N
MANAGEMENT CENTER
Opened in 2014, Southwest General’s Regional Spine and Pain Management Center specializes
in the evaluation, diagnosis and treatment of pain. This includes both acute and chronic pain
from a variety of illnesses or injuries such as cancer, surgery, metabolic disorders, immune system
Bradley Blackburn, MD
Rishi Goel, MD
David Ryan, MD
Interventional Radiology
Neurosurgery
Pain Management
disorders, musculoskeletal disorders, nerve damage and more.
The Center, under the medical direction of David Ryan, MD, a board-certified pain management
specialist, provides a broad range of treatments to minimize pain, improve function and enhance
a person’s quality of life. Treatment techniques may range from use of appropriate medications to
nerve blocks, spinal injections and other interventional procedures.
Additionally, the Center supports a multidisciplinary approach to care and can coordinate other
services as needed—such as physical and psychological therapy—to provide a comprehensive,
individualized treatment plan for patients.
The center is conveniently located at 18780 Bagley Road, across from the hospital’s Main
Campus. Patients who are interested in scheduling an appointment may call the Center during
the following hours:
Monday:
Tuesday:
Wednesday:
Thursday:
Friday:
9 a.m.-7:30 p.m.
9 a.m-11:30 a.m.
9 a.m.-4 p.m.
9 a.m.-4 p.m.
9 a.m.-noon
For more information on the Center, call 440-816-2850 or visit swgeneral.com/
swmedgroup/pain-management.
N E W T E C H N O L O G Y E X P A N D S T R E AT M E N T
O P T I O N S F O R C H R O N I C PA I N
( M R I - C O M P AT I B L E S P I N A L C O R D S T I M U L AT O R )
In spring 2014, physicians on the Medical Staff at Southwest General began offering patients the option to have
implanted a new spinal cord stimulator that is MRI-compatible. Drs. Bradley Blackburn, Rishi Goel and David Ryan,
explain this new advancement and its significance.
WHY IS OFFERING PATIENTS AN MRI-COMPATIBLE SPINAL CORD STIMULATOR
SIGNIFICANT?
“This new, FDA-approved device is a significant development for patients who suffer from more generalized and persistent
pain that can come with age and degenerative conditions such as failed back surgery syndrome, spinal stenosis, arthritis and
degenerative disc disease,” explains Bradley Blackburn, MD, a board-certified interventional radiologist on the Medical Staff at
Southwest General. “As neurostimulation therapy continues to be a mainstay for treatment of chronic pain, the introduction of
an MRI-compatible spinal cord stimulator will ensure that patients have access to the diagnostic tools and testing needed to
quickly identify any potential serious health conditions.”
HOW DOES THE SPINAL CORD STIMULATOR WORK?
“The neurostimulation device treats certain conditions and pain by sending electrical pulses to a specific nerve. It is implanted
under the skin with electrical wires leading to the spinal cord region. It is a non-invasive, outpatient surgical procedure, which
allows us to not only treat patients’ chronic pain but also provide them with the chance to undergo MRI procedures safely
without the need to have the stimulator removed,” says Rishi Goel, MD, a neurosurgeon on the Medical Staff at Southwest
General. “It has been found that there are no significant side effects to the stimulator, and most individuals are a candidate for
the procedure.”
WHY IS IT IMPORTANT THAT PATIENTS BE ABLE TO UNDERGO AN MRI SCAN?
“MRI scans are an important diagnostic tool, allowing us to view highly detailed images of joints, muscles, blood vessels,
tumors, internal organs and more,” says David Ryan, MD, a board-certified pain management physician on the Medical Staff at
Southwest General. “For patients suffering from chronic pain who have the MRI-compatible spinal cord stimulator implanted,
we will be able to detect any harmful health conditions safely and efficiently, without the need for them to undergo a surgical
procedure to have the device removed. And, in general, the requirement for a future diagnostic MRI in this patient population
approaches 100 percent.”
For more information on the new MRI-compatible spinal cord stimulators, call Health Connection at 440-816-5050.
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8
SPECIAL AWARDS
S O U T H W E S T G E N E R A L S E T T H E S TA N D A R D F O R E X C E L L E N C E I N 2 0 1 4 .
NORTHCOAST 99 AWARD WINNER
Southwest General is proud to have been named a NorthCoast 99 award recipient for the
eleventh time. This designation, given by the Employer’s Resource Council, recognizes the 99 best
places to work in Northeast Ohio—from Sandusky to Ashtabula.
A TOP WORKPLACE
HEART AND STROKE CARE RECOGNITION
Southwest General has received the American Heart Association/American Stroke Association’s
Get With The Guidelines® Stroke Gold Plus Quality Achievement Award and is recognized on
the Target: Stroke Honor Roll. These recognitions mean that Southwest General has achieved
85 percent or higher adherence to all Get With The Guidelines ® Stroke Performance Achievement
indicators for 24 consecutive months, and more than half of all Southwest General patients receive
tPA within an hour of arrival. Additionally, Southwest General is certified by The Joint Commission
as a Primary Stroke Center and also has been awarded The Joint Commission Heart Failure Certification.
TOP PERFORMER ON KEY QUALITY MEASURES
Southwest General was named, for a fifth consecutive year, to “The Plain Dealer Top Workplaces”
list of the best places to work in Northeast Ohio. To be named a Top Workplace 2014, employees were
asked to complete a short, confidential survey asking their opinion on critical elements of the workplace
that included: direction, execution, connection, career, work, managers, pay and benefits, and engagement.
Southwest General has been named a 2013 Top Performer on Key Quality Measures by The Joint
Commission—the leading accreditor of health care organizations in America. Southwest
General is one of the only 712 hospitals nationwide to achive the Top Performer distinction for the
past two consecutive years. The hospital is recognized for attaining and sustaining excellence in
accountability measure performance for heart attack, heart failure, pneumonia and surgical care.
A M O N G T H E N AT I O N ’ S B E S T F O R K N E E R E P L A C E M E N T S U R G E R Y
O N E O F T H E N AT I O N ’ S 9 7 B E S T H O S P I T I A L S F O R J O I N T R E P L A C E M E N T S
Consumer Reports® named Southwest General one of the highest-rated hospitals in the nation
for knee replacement surgery. The ratings are part of an effort to help consumers make informed
decisions about their health care by comparing hospital performance. The new hospital surgery ratings
mark the first time Consumer Reports has rated hospitals on how well patients fare during and after
elective surgery, including hip and knee replacement.
Southwest General was the ONLY Cuyahoga County hospital to be named to the Centers for Medicare
& Medicaid Services (CMS) list of the 97 health care facilities where patients tended to have the
lowest rate of complications following joint replacement surgery.
BLUE DISTINCTION CENTER FOR CARDIAC CARE®
E X C E L L E N C E I N P AT I E N T S A F E T Y
2 0 1 4
Designed to rate how well hospitals protect patients from accidents, errors, injuries and
infections, the latest Hospital Safety Score Report again honored Southwest General with
an ‘A’—its top grade in patient safety. The Hospital Safety Score Report is compiled under the
guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group,
an independent industry watchdog.
A H I G H E R S TA N D A R D O F C A R E F O R H E A R T AT TA C K P AT I E N T S
The American College of Cardiology (ACC) Foundation’s NCDR® Action Registry® - Get With
The Guidelines (GWTG) Platinum Achievement Award recognizes Southwest General’s
commitment and success in implementing a higher standard of care for heart attack
patients. It signifies that Southwest has reached an aggressive goal of treating these patients to
specific levels of care as outlined by the ACC/American Heart Association (AHA) clinical guidelines and
recommendations.
Southwest General has been recognized as a Blue Distinction Center for Cardiac Care®. Facilities with this
recognition have demonstrated a commitment to quality care, resulting in better overall outcomes for cardiac
patients.
BLUE DISTINCTION CENTER FOR KNEE AND HIP REPLACEMENT®
Southwest General’s Orthopedic Joint Center has been recognized as a Blue Distinction Center for
Knee and Hip Replacement, reflecting its demonstrated commitment to providing quality care and better
overall outcomes for knee and hip replacement surgery.
TM
WOMEN’S CHOICE AWARD
Southwest General’s Heart & Vascular Institute received the Women’s Choice Award as
one of America’s Best Hospitals in Heart Care. As the collective voice of female consumers, the
Women’s Choice Award provides women with recommendations they can trust, from other women.
The Women’s Choice Award is based on robust criteria, which considers patient satisfaction, clinical
excellence and what women really want when it comes to treatment and a quality hospital experience.
The America’s Best Hospitals for Heart Care award signifies that Southwest General has met a stringent
set of standards for heart care, and this distinction allows women to make an informed decision about
where to go for themselves or their family members.
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T H O M A S A . S E L D E N N A M E D O H A’ S 2 014
DONALD R. NEWKIRK AWARD RECIPIENT
We would like to congratulate Southwest General’s president and CEO,
Thomas A. Selden, FACHE, for being named the 2014 Donald R. Newkirk
Award recipient. The Donald R. Newkirk Award recognizes an individual who
has made a significant lifetime contribution to the health care field in Ohio.
The award is the Ohio Hospital Association’s (OHA) highest honor and bears
the name of the individual who led the OHA for more than 27 years. Mr. Selden
has provided leadership in Ohio and Greater Cleveland for more than 24 years.
He served on the board of trustees and the executive committee for OHA
for 15 years.
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NURSING EXCELLENCE
Kathy Vick, RN
Laurie Pfahler, RN
1 South Acute Rehab
Community Nurse Program
Debra Byron, RN
Behavioral Health Center
To honor the nursing staff at Southwest General, members of the hospital’s Medical Staff, Executive Team
and support staff took time during the 2014 National Nurses’ Week to say thank you and recognize a few
individuals for their outstanding commitment to the field of nursing and Southwest General. Kathy Vick, RN,
1 South Acute Rehab, and Laurie Pfahler, RN, Community Nurse Program, were named the 2014 recipients of
Southwest General’s Florence Nightingale Award for Nursing Excellence. Kathy and Laurie were nominated
by nursing colleagues as individuals who demonstrate characteristics attributed to Florence Nightingale in her
dedication to the service of humanity. The winners are chosen based on their commitment to excellence in
patient care, ongoing professional development and their strong advocacy for patients and their families.
SOUTHWEST GENERAL JOINS
NORTHERN OHIO TRAUMA SYSTEM
In 2014, Southwest General signed an agreement to join
the Northern Ohio Trauma System (NOTS), a collaboration
between MetroHealth and Cleveland Clinic, to ensure trauma
patients get to the right place for their care. Studies have
reinforced that the regionalization of trauma care saves more
lives in Northeast Ohio.
Under NOTS, the most serious trauma patients are treated in
Additionally, Debra Byron, RN, Oakview Behavioral Health Center, received a 2014 Faces of Care Award.
the area’s only adult Level I trauma center at MetroHealth and
Sponsored by The Greater Cleveland Nurses Association, the Faces of Care event honors nurses all over Cleveland
Northeast Ohio’s only Level II trauma centers at Cleveland
who are making a difference.
Clinic’s Fairview and Hillcrest Hospitals. The addition of
Southwest General to NOTS brings another level of trauma
care to patients through Southwest General’s Level III trauma
center.
“Southwest General is pleased to be a part of the Northern
B R A D L E Y W. R A U H A P P O I N T E D
A S C H I E F O P E R AT I N G O F F I C E R
In Oct. 2014, Bradley W. Rauh was appointed as chief operating officer of Southwest General.
Rauh is a seasoned executive with nearly 23 years of senior-level health care operations
experience. Rauh has responsibility for the areas of Physician Strategies, Patient Care Services,
Patient Safety and Quality, and Marketing and Business Development.
Ohio Trauma System, which we believe will support the
delivery of safe, efficient trauma care for residents of the
“
Southwest General is
pleased to be a part
of the Northern Ohio
Trauma System, which
we believe will support
the delivery of safe,
efficient trauma care
for residents of the
communities we serve.
“
– Marilyn McNamara, MD
vice president, Medical Affairs,
Southwest General
communities we serve,” says Marilyn McNamara, MD,
vice president, Medical Affairs, Southwest General. “
Data released in 2013 demonstrates that NOTS has saved
Southwest General already works closely with MetroHealth
more than 640 lives and improved the mortality rate by
in coordination of trauma care cases. This new partnership
40 percent since the collaboration began in 2010.
will help us continue to improve the trauma care system
and also will enhance education for our Emergency
Medical Services providers, physicians and nurses as well as
Bradley W. Rauh
11
Chief Operating Officer
community members.”
12
SUPPORTING OUR EMS PROVIDERS
A D VA N C E D T E C H N O L O G Y A N D T R A I N I N G F O R PA R A M E D I C S
Saving the lives of heart attack victims requires teamwork. “From the moment you have symptoms of a heart attack,
every second counts,” says former Strongsville Fire Chief, Jeff Branic. “The longer the heart is deprived of oxygen the more
damage is done, and the more irreversible it becomes. The key to sucessful treatment is to get medical intervention as
quickly as possible.”
Today, local paramedics routinely perform lifesaving procedures in the field that once could be done only in an Emergency
Room (ER). In 2014, Emergency Medical Services (EMS) in Strongsville and six other communities under the medical
control of Southwest General were among only 22 EMS providers in Ohio—and only 207 nationally—to receive the
American Heart Association’s Mission: Lifeline Award in recognition of their timely treatment of patients
in cardiac arrest.
“Southwest General always has had a strong relationship with area Fire Departments,” Chief Branic says. “They are very
“The national benchmark is to get the patient to the Cath Lab within 90 minutes of the emergency call,” Matyas says. “Our average
proactive as far as providing education and training for our paramedics. Also, Southwest General is fortunate to have
time is closer to 60 minutes, which is an achievement that we’re very proud of.”
high-quality people serving as paramedics in its service area. The hospital and the local EMS squads work closely
together as a seamless unit that goes into action the moment we get an emergency call to give each patient the best
A RECOGNIZED TEAM
chance for a successful outcome.”
According to Matyas, The Mission: Lifeline Awards, were the result of the collaboration between Southwest General and the local
TIME IS MUSCLE AND BRAIN
paramedic teams it oversees. Along with the Berea, Brook Park, Brunswick, Brunswick Hills, Columbia Station, Middleburg Heights,
According to Chief Branic, “heart attack” is a broad term that encompasses a variety of conditions. One of those serious
Center and Cleveland Hopkins International Airport.
Olmsted Falls and Strongsville communities, Southwest General also has medical control over the EMS for NASA’s Glenn Research
conditions is an “ST segment elevated myocardial infarction (STEMI)”—a blockage in a vessel of the heart due to a blood clot.
To become a paramedic in Ohio, a person must successfully complete a training program and pass an exam to become certified to
When paramedics diagnose this condition, a “Code STEMI” is called, and the coronary care team at Southwest General
practice. “Then the real education begins,” Chief Branic says. “Paramedics are required to take continuing education. Southwest General
gets ready to act quickly when the patient arrives. A STEMI patient is delivered directly to the hospital’s Cardiac
does an excellent job of providing training opportunities and coordinating all of the paramedic units under its medical control so
Catheterization Laboratory—or Cath Lab—where imaging is done to identify and treat the blocked artery as quickly as
that they are operating under the same protocols and have the proper knowledge and skills. The physicians at the hospital trust the
possible, minimizing the extent of damage to the heart.
paramedics to begin lifesaving procedures, so it’s important that everybody in the process is working together.”
“Time and information are key to minimizing damage to the heart muscle as well as to the brain,” says Albert Matyas, vice
Along with advanced training methods, Southwest General also has invested in the latest technology for paramedics and for its ER.
president, Ambulatory Operations & Business Development at Southwest General.
“We want to be sure that the people in our service area get the best care possible, even before they get to the hospital,” Matyas says.
“Southwest General does an excellent job
of providing training opportunities and
coordinating all of the paramedic units under
its medical control so that they are operating
under the same protocols and have the proper
knowledge and skills.”
- Former Strongsville Fire Chief, Jeff Branic
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T H E F U T U R E O F T E C H N O L O G Y. H E R E T O D A Y.
In 2014, Southwest General equipped its local EMS squads with the LUCAS™ Chest
Compression System, a new mechanical CPR device. The LUCAS™ Chest Compression System
is a safe and efficient tool that standardizes chest compressions in accordance with the latest
scientific guidelines. It provides the same quality for all patients and over time, independent
of transport conditions, rescuer fatigue or variability in the experience level of the caregiver.
By doing this, it frees up rescuers to focus on other life-saving tasks and helps to improve a
patient’s chance for a successful outcome.
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COMMUNITY BENEFITS
C O M M U N I T Y N U R S E P R O G R A M : Provides health screenings and educational
programs to community members of all ages. Services are provided in convenient neighborhood
locations such as recreation and senior centers, libraries and local meeting places.
E M E R G E N C Y M E D I C A L S E R V I C E S ( E M S ) : Emergency Medical Services are provided at
IX-Center functions, fairs and other community events.
E M S E D U C AT I O N P R O G R A M : Certification education for paramedics, Emergency Medical
Technicians (EMTs) and 9-1-1 dispatchers, including educational requirements to maintain certification
for the state of Ohio and National Registry; accreditation for Homeland Security and County Training
Academy for Citizens Emergency Response Training as well as American Heart Association accreditation
to provide Basic Life Support, Advanced Cardiac Life Support, Pediatric Advanced Life Support and
Internal Trauma Life Support courses for professionals and community members. Education is provided
at the hospital, community venues and local fire stations.
E M S M E D I C A L C O N T R O L : Emergency Medical Technicians (EMTs) must function under the
direction of a medical director/physician. They follow written patient care protocols and “act” on behalf of the
S O U T H W E S T G E N E R A L H E A LT H C E N T E R
COMMUNITY BENEFIT
20142013
physician in the field. Southwest General provides medical control for the following departments: Cleveland
(IN THOUSANDS)
Hopkins Int’l Airport, Burke Lakefront Airport, Berea Fire, NASA Glenn Research Center at Lewis Field,
Brunswick Fire/Dispatchers, Brunswick Hills Twp. Fire, Columbia Twp. Fire, Brook Park Fire, Middleburg Hts. Fire,
Charity Care
$3,519
$6,694
Strongsville Fire/Dispatchers, and Olmsted Falls Fire.
Medicaid Shortfall
$11,550
$7,667
Health Improvements and Education Services
$1,996
$2,322
Subsidized Health Services
$1,410
$1,862
Total Community Benefit
$18,475
$18,545
Medicare Shortfall
$18,483
$16,417
Bad Debt
$3,966
$3,043
G E R I AT R I C A S S E S S M E N T / E L D E R E V A L U AT I O N P R O G R A M : An
outpatient assessment program that evaluates the various dimensions that impact an older adult’s life
and that affect physical and psychological functioning. The program emphasizes involvement of family
and other caregivers in comprehensive assessment and treatment plans for an elderly loved one.
H E A LT H C O N N E C T I O N : Free physician referral and health information phone service,
staffed by a registered nurse.
M E D I C AT I O N D I S P O S A L P R O G R A M : Allows residents to drop off unused medication
at Southwest General for appropriate disposal, keeping water sources cleaner.
S P O N S O R S H I P S / D O N AT I O N S : Southwest General proudly supports United Way, the
American Heart Association, the American Cancer Society’s Relay for Life, and many other local and
national organizations involved in community health and wellness activities.
S C H O O L H E A LT H P R O G R A M : Provides school nurses for the Berea City School
District. Nurses provide basic first aid, medication assistance, control of communicable diseases and
V A N T R A N S P O R TAT I O N : Free van transportation is provided for residents of Berea, Brook Park,
state-mandated health screenings.
Columbia Township, Middleburg Heights, Olmsted Falls, Strongsville and Brunswick who are unable
to provide their own transportation to doctor appointments, tests and other clinical services at Southwest
General’s Main Campus and off-site buildings.
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16
Southwest Community Health System
Consolidated Summary of Revenues and Expenses (In Thousands)
2014
2013
Consolidated Revenue
Net revenue from patient services
Revenue from other operations
Total revenue
$ 309,239
$ 11,586
$ 320,825
$ 293,800
$ 12,108
$ 305,908
Consolidated Expenses
Salaries, wages and benefits
Other expenses
Total expenses
$ 150,761
$ 158,820
$ 309,581
$ 149,529
$ 143,855
$ 293,384
Income (Loss) from Operations (Revenue Less Expenses)
$
11,244
$
12,524
Non-Operating Gains
Tax levy fund, investment (loss) income and other sources
$
9,827
$
8,591
$
21,071
$
21,115
Years ended December 31, 2014 and 2013
S O U T H W E S T C O M M U N I T Y H E A LT H S Y S T E M
Total income (losses) available for working capital,
equipment purchases, building renovation and expansion
and for expanding services to the community
Southwest General Health Center
Key Operational Statistics
Years ended December 31, 2014 and 2013
Acute Days*
Skilled Nursing and Acute Rehab Unit Days
Mental Health and Geropsychiatry Unit Days
Admissions*
Average Length of Stay* (days)
Observation Patients/Extended Recovery
Outpatient Surgical Cases
Emergency Trauma Center/Urgicare Visits
Referred Outpatient Visits
Home Health Admissions
Deliveries
2014
2013
60,738
6,883
8,608
14,236
4.26
7,100
11,896
104,673
329,609
1,841
1,056
60,121
7,063
8,969
14,136
4.24
6,179
12,498
102,211
340,422
1,863
981
*Does not include The Skilled Nursing unit, Acute Rehab unit, Mental Health unit, Geropsychiatry unit or newborns
The consolidated financial statements of the System have been audited by Ernst & Young certified public accountants. The financial information on this page
has been summarized from such financial statements. Copies of the financial statements, with the independent auditor’s report, are available for inspection at
the Office of the President.
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18
BEHIND THE SCENES
SOUTHWEST GENERAL WOULD LIKE TO RECOGNIZE
A N D T H A N K M E M B E R S O F T H E 2 0 1 4 B O A R D S O F T R U S T E E S.
SOUTHWEST
Vasu Pandrangi, MD
Chairman
Alan C. Budney
Vice Chairman
Thomas A. Selden, FACHE
President & CEO
David Bortolotto
Secretary
Michael D. Kalinich, Sr.
Assistant Secretary
James R. Bastian
Treasurer
Eileen M. Herold
Assistant Treasurer
Cheryl Banaszak
Wayne E. Brassell
James E. Davis
Trustee Emeritus
Yvonne Fulimeni
Thomas Greenlee
Melvin C. Grills
Donald E. Hagen, Ed.D.
Henry R. Heidecker
Robert C. Helmer, JD, PhD
SOUTHWEST
COMMUNITY
H E A LT H
F O U N D AT I O N
BOARD OF
TRUSTEES
19
Neal M. Jamison
David R. Knowles
Thomas Kronholz, DDS
David A. Lambros
Thomas W. Laub
Ronald L. Leach
Chairman Emeritus
Leroy McCreary
Trustee Emeritus
David P. Muhek
Chairman Emeritus
Kulbir S. Pannu, MD
Anne L. Pennock
Kevin T. Roberts
Anthony A. Ripepi, Jr.
Richard A. Salvatore
James C. Schneider, DDS
Trilok C. Sharma, MD
Duke Southworth
David Thurau
Alan E. Wheaton
Donald E. Williams
Chairman Emeritus
Carl K. McLaughlin
Chairman
Brett C. Hazard
Vice Chairman
Thomas A. Selden, FACHE
President & CEO
Diane Baker
Secretary
Michael H. Novak
Treasurer
James R. Bastian
Nico A. Bolzan
Debbie Brassell
Michael F. Deucher, MD
Mark J. Elliott
GENERAL
H E A LT H C E N T E R
EXECUTIVE
TEAM
SOUTHWEST
Thomas A. Selden, FACHE
President & CEO
Terri Rini Barber
VP, Support Services &
Chief Information Officer
Martha Bauschka, RN, MSN
VP, Patient Care Services
& Chief Nursing Officer
Mary Ann Freas
Sr. VP, Chief Financial Officer
Kelly Linson
VP, Chief Accounting Officer
Albert Matyas
VP, Ambulatory Operations
& Business Development
Marilyn McNamara, MD
VP, Medical Affairs
Judith Murphy
VP, Human Resources
Bradley W. Rauh
Chief Operating Officer
Bobbie Simmerman
Executive Director, Foundation
COMMUNITY
H E A LT H
SYSTEM
BOARD OF
IN MEMORIAM
TRUSTEES
It was with great sadness that the Southwest General community marked the passing
in 2014 of Robert T. Bennett, William H. Beyer, Duane O. Boyer and Deborah Lewis Hiller.
Dale R. Finley
Honorary
Brad Fischer
Victor T. Geraci
William G. Murphy
Thomas P. Perciak
Chairman Emeritus
L.C. Rao, MD
Susan O. Scheutzow
George G. Szeretvai
Ronald J. Warzel
Edward C. White, MD
Cynthia V. Schulz
Chairman
Thomas A. Selden, FACHE
President & CEO
Samuel E. Ake
Secretary
Adrian Maldonado
Treasurer
G. Mervin Ault
Michael K. Baach
James R. Bastian
Babu M. Eapen, MD
VP, SWGHC Medical Staff
Mary Alice Frank
Mel A. Hauser
R. Terry Krivak
Ronald L. Leach
Leroy McCreary
Chairman Emeritus
David P. Muhek
Chairman Emeritus
Ferdinand M. Plecha, MD
President, SWGHC Medical Staff
Richard W. Pogue
Trilok C. Sharma, MD
Paul G. Tait
Donald E. Williams
Chairman Emeritus
Lowell E. Walker
Raymond J. Wohl
Cindy Zelis, MD
SOUTHWEST
GENERAL
H E A LT H C E N T E R
BOARD OF
TRUSTEES
20
A tremendous response from individuals and corporate donors for the Southwest Community Health
Thousands Attend Community Open Houses
Foundation’s Touch the Future capital campaign has benefited one of Cuyahoga County’s largest
construction projects in recent history.
On Saturday, Jan. 11, and Oct. 11, 2014, more than 3,300 community members attended open house celebrations for
the new Emergency Room and Pandrangi Tower, respectively. Attendees toured the facilities and had the chance to
When initiated, the capital campaign’s goal was to raise more than $7.5 million. We are excited to
participate in fun and educational activities for the whole family.
announce that this goal has been met, with more than $8.3 million raised. Our many thanks to you,
our community members, donors, trustees, Medical Staff, employees and volunteers, not only for your
generous contributions but also for your commitment to the future of this hospital.
Thank you to all who attended!