2015 Annual Report - Johnson Memorial Hospital
Transcription
2015 Annual Report - Johnson Memorial Hospital
Table of Contents 3 4 5 6 7 8 9 10 11 12 13 14 15 16 18 19 20 22 24 About Us Our Mission,Vision, and Core Values A Letter from our Chairman of the Board and President/CEO Johnson Memorial Hospital Finance Report Medical Staff Medical Staff Scholarship Program Fund Development Marketing and Community Outreach Karen Davis Krzynowek Infusion Center Advanced Wound Care Advancing Quality at Johnson Memorial Medical Center High Reliability Community Health Needs Assessment and Community Benefit Pastoral Care Auxiliary The Year in Review Board of Directors, Administration, & Medical Staff Johnson Memorial Hospital Joins Trinity Health –New England Stafford and Enfield Campuses About Us Nestled in Northern Connecticut, Johnson Memorial Medical Center is a fully integrated hospital system that employs about 1,000 staff members from the surrounding communities. Johnson Memorial Medical Center is the non-profit parent company of Johnson Memorial Hospital, which is based in Stafford Springs with outpatient departments in Enfield– the Evergreen Health Care Center, which offers long-term care, short-term rehabilitation and recovery, and Home & Community Health Services, a home health and hospice care agency. Stafford Campus Johnson Memorial Medical Center’s Stafford Campus is the home to Johnson Memorial Hospital and Evergreen Health Care Center. Johnson Memorial Hospital is licensed for 92 beds and has a recently upgraded emergency department to address any form of acute care need in the community. Evergreen Health Care Center is Johnson’s Medicare/ Medicaid certified skilled nursing and rehabilitation facility. Evergreen is a 180-bed facility complete with two long-term care units and a short-term rehabilitation unit. Enfield Campus The Johnson Surgery and Outpatient Services Center, Johnson Memorial Hospital Cancer Center, and the Advanced Wound Center reside on Johnson Memorial Medical Center’s Enfield Campus. Johnson Memorial Hospital provides same day surgical services, diagnostic imaging, and laboratory services at Johnson Surgery and Outpatient Services Center. The Johnson Memorial Hospital Cancer Center provides local residents convenient access to a range of cancer care services, ranging from radiation therapy to medical oncology. The Advanced Wound Center offers expert care for difficult wounds. Its team of physicians, nurses, dietitians, and other staff are specially trained in wound care evaluation and treatment. Home & Community Health Services is also located in Enfield. Other outpatient services around the Enfield Campus include Sleep Laboratory, Cardiac Rehabilitation, and Physical Medicine and Rehabilitation. 2015 ANNUAL REPORT 3 Our Mission,Vision, and Core Values Our Mission Johnson Memorial Medical Center is the local primary health care resource for nearby communities in north central Connecticut and Western Massachusetts. It seeks to improve the health status of the community through readily accessible emergency care, lifespan health care services, and wellness education in a warm, caring environment. Our Vision Johnson Memorial Medical Center will be the region’s health care provider and employer of choice, serving our communities with personalized care and compassion while ensuring clinical excellence, teamwork, operating efficiency, and financial stability. Our Core Values.... Accessibility Commitment Compassion Efficiency Strong Integrity Service Excellence A Letter from our Chairman of the Board and President/CEO 2015 was a transitional year for Johnson Memorial Medical Center (“JMMC”). In the past year, we have experienced changes to prepare for our partnership with Saint Francis Care and Trinity Health–New England. The implementation of new policies and procedures and extensive capital improvements to both our Stafford Springs and Enfield campuses continued through 2015. The Board of Directors and Executive Leadership Team have worked closely with the JMMC employees and medical staff to ensure that the highest quality care is provided to its patients at all JMMC locations. In conjunction with our partner, Saint Francis Care, we have been able to ensure our patients the right care, at the right time, in the right place. Since January 2015, examples of our capital improvements and upgrades have been: conversion to EPIC (electronic medical records), ICD-10 (billing implementation), affiliations with new anesthesiology and radiology groups, and contacts for tele-neurology, urology, and collaborated efforts with Trinity Health–New England. It is our responsibility to provide our community the best care that has become expected from JMMC. We continue to enhance your experience and welcome feedback through patient satisfaction surveys, ensuring that patients and family members receive their expectations of the highest quality care. However, the most important component of ensuring quality, and safe healthcare services continues to be around the High Reliability program at JMMC – “Safety Starts with Me.” We closed our year with a pivotal transition into the second largest Catholic health system in the country, Trinity Health–New England. Along with Saint Francis Hospital, Mount Sinai Rehabilitation Hospital, Sisters of Providence Health System, and its acute care hospital Mercy Health, and shortly St. Mary’s Hospital, we will continue to serve the people of northern Connecticut as a vital healthcare resource. We couldn’t be more pleased to cement our relationship with Trinity Health–New England and continue to provide high-quality, high-value healthcare for our community. “A Stronger Us. A Healthier You.” On behalf of the Board of Directors, Executive Leadership Team, Medical Staff, employees and volunteers, thank you for helping make this organization what it is today. We are privileged to have you as part of our family. We look forward to an exciting and successful 2016. Patrick Mahon Chairman of the Board Stuart E. Rosenberg President/Chief Executive Officer, Johnson Memorial Medical Center 2015 ANNUAL REPORT 5 Johnson Memorial Hospital Johnson Memorial Hospital is a general, acute-care facility offering a comprehensive span of inpatient and outpatient services to the residents of north central Connecticut and neighboring Massachusetts towns. It includes medical and surgical care, obstetrics, mental health, emergency and intensive care, oncology, rehabilitation, pain management, and more. The Hospital achieved the maximum award for its quality of care from The Joint Commission, which accredits healthcare organizations. It is also accredited by the College of American Pathologists, the American Association of Blood Banks, and the American College of Radiology Mammography Accreditation Program. 6 JOHNSON MEMORIAL MEDICAL CENTER Finance Report The 2015 Fiscal Year was one of great promise and accomplishment, but also one of very significant financial challenges. Our overarching goal during the year was the completion of the truly enormous amount of work necessary to complete the bankruptcy process and prepare JMMC for its merger with Saint Francis Hospital Medical Center and Trinity Health. Combined with those requirements, we had extensive regulatory reviews, facility upgrades, and physical plant improvements, the key planning for the EPIC medical records system, the preparation for the sale of Evergreen Health Care Center, and a host of other issues. Such goals require massive amounts of management and administrative efforts. They absorb portions of time and energy of our key managers, even as they continue their efforts to increase the efficiency of our operations and sustain the improved level of financial performance achieved in the 2014 Fiscal Year. In spite of the truly determined efforts of the staff at all levels of JMMC, these tasks have proved daunting for two major reasons. First, the complex nature of the coming together of JMMC/Saint Francis/Trinity and the concomitant bankruptcy and sale of Evergreen Health Care Center have required outside legal and accounting services at a level that has been exceedingly difficult to accommodate financially. During the 2015 Fiscal Year, those costs ran $3,298,000. Moreover, even though their purpose was to establish a secure future for JMMC, prevailing accounting and audit rules required that those consultant fees be fully expensed and incurred. On the positive side, the bankruptcy and sale of Evergreen Health Care Center have resulted in a reduction of our mortgage and legacy creditor debt of $25.1 million. These reductions are necessary to our merger plans and the future security of JMMC, but they are not allowed to be shown as income on our financial reports for 2015. JMMC Financial Data for Annual Report 2015 Compared to FY14 000’s Consolidated 2015 Net Income (loss) 2014 Net Income (loss) $4,795 $ 836 Change from Year to Year $3,959 Earnings Before Interest Taxes Depreciation and Amortization FY 2015 EBITDA FY 2014 EBITDA $2,197 $4,766 Change from Year to Year $2,569 Capital Expenditures FY 2015 FY 2014 $1,760 $1,828 Cash & Cash Equivalents On Hand FY 2015 FY 2014 $1,737 $1,467 James M. Makuch Chairman, Finance Committee Vice Chairman, Board of Directors Second, Governor Malloy, in attempting to deal with a fiscal exigency with the State of CT budget, has ordered a series of actions that have resulted in increased costs and, at the same time, reduced revenues for Connecticut Hospitals. These actions resulted in a net negative effect on 2015 JMMC finances for $964,000. These actions also negatively affected Saint Francis Care and put new burdens on their finances, even as they have been doing so much to support our operations and the upcoming merger transactions. The net result is that we experienced an accounting loss of $4,795,000 for the 2015 Fiscal Year.That, standing alone, is disheartening, but seen as the entry fee for our financial and debt restructuring, and our entry into the Saint Francis/Trinity systems, it is a major and truly significant positive accomplishment. Moreover, it has been achieved under the very challenging circumstances by the efforts of so many at JMMC, Saint Francis/Trinity, and at our legal and accounting consultant firms. 2015 ANNUAL REPORT 7 Medical Staff The Medical Staff at Johnson Memorial Hospital deserve much credit over the past year which has brought significant change to our institution. Throughout previous tumultuous years, the Staff have remained intact and maintained a positive outlook while delivering exceptional care to our patients. This is my first of a two- year term as Medical Staff President and it has been exciting to see such positivity and enthusiasm as the Staff has embraced various challenges, such as the training and utilization of EPIC, our new health information technology platform. Other outstanding aspects of the Medical Staff include ongoing participation in the Medical Staff Scholarship program, as well as sponsorship and involvement in the annual JMMC Medical Staff Golf Tournament. The Medical Staff has shown consistent commitment to providing quality care to our patients, obtaining training in High Reliability. As a group, the Medical Executive Committee (MEC) has moved quality and patient safety to high on the agenda of each monthly meeting. In addition, Patient Satisfaction Scores are routinely analyzed to look for areas in which the Staff can improve and upward trends in patient satisfaction continue. Jeffrey Thompsen, M.D. President of Medical Staff from 2015-Present 8 JOHNSON MEMORIAL MEDICAL CENTER In addition to the MEC, other committees are placing a high premium on quality and safety. The Physician Quality Improvement Committee (PQIC) is comprised of Medical Staff as well as other administrative professionals and works with the MEC to promote Staff accountability, peer-review, as well as assessment of patient satisfaction. Working with Patty Jagoe, a nurse navigator model was created to improve the quality of discharge care with special attention to congestive heart failure (CHF), which represents a considerable amount of our patient population. We instituted a policy of phone calls to the patients and family after discharge to address any needs that may exist. This has resulted in a tremendous increase in patient satisfaction. As we continue to form a coalition with Saint Francis Hospital & Medical Center and Mercy Medical Center under Trinity, it is our goal to work together with the Medical Staff at these fine institutions to promote our common goal of delivering exceptional care to our patients. Medical Staff Scholarship Program L-R: Jeffrey Thompsen, MD, President, JMMC Medical Staff; Andy Lietz, Child of Employee; Samantha Salvador, Somers High School; Kyla Pokorny, Enfield High School; Calvin Wentworth, Stafford High School: Emily Breen, Ellington High School; Allison Dufour, Previous Recipient; Samia Hussein, Adult Volunteer; and Marwah Habbaub, Teen Volunteer. Recipient not pictured: Tiffany Tran, Tolland High School. Johnson Memorial Medical Center’s Medical Staff has been awarding scholarships since 2003. The funds were originally gifted to local high school students from five towns; Ellington, Enfield, Somers, Stafford, and Tolland. However, the Medical Staff Scholarship Program has since expanded. The program now includes not only graduating seniors from these towns, but students from parochial and vocational/technical schools outside the local community, previous recipients, children of JMMC staff members, JMMC employees, and volunteers who are pursuing studies in Health or Human Services related fields. The scholarships are funded by the Medical Staff and the Johnson Memorial Medical Center Golf Classic. This past June, nine exemplary recipients were honored at an award ceremony and reception before the quarterly Medical Staff meeting. This scholarship program creates, maintains, and strengthens ties to the communities we serve, while the gifts are an investment in the future of the next generation. 2015 ANNUAL REPORT 9 Fund Development Over the years, Fund Development, now led by the Committee on Philanthropy, has been a trusted partner with those in our community to ensure that excellence in healthcare is available close to home.We do this by supporting patient programs, continuing education, medical equipment purchases, and capital expansion at Johnson Memorial Medical Center. We have been very fortunate to partner with hundreds of donors and organizations who understand our commitment and responsibility to provide the best care possible to those seeking medical services on our campuses. We are able to provide this support through the stewardship of your philanthropic dollars. In the year since our last report, the focus of our efforts has shifted from fundraising to preserving and building upon the trust so many of you have given us. This was accomplished by actively “telling the story of the new Johnson” with regard to the acquisition of Johnson by Trinity Health–New England, debt restructuring, and the many positive accomplishments this organization has achieved. Phil Tartsinis Chairman, Fund Development Committee As you have undoubtedly read, this special alliance preserves a critical community asset, allowing us to continue providing high-quality, compassionate healthcare to the community, as well as contributing over 130 million dollars to the local economy. The Committee on Philanthropy sincerely thanks the many businesses and organizations that welcomed us to share our story with their employees. Keeping the community well-informed on the acquisition process, as well as on patient safety, new high reliability process and facility upgrades, was our highest priority this year. It is important to note gifts given to Johnson Memorial Medical Center and its subsidiaries will continue to support our community and will be used in accordance with donors’ wishes. Gifts received throughout the year were used to support operations, provide assistance to financially challenged patients, expand patient services, purchase new patient-related equipment, and/or support our Medical Staff’s scholarship program. As you will note in the chart below, gifts to JMMC this Fiscal year totaled $471,000 as compared to $276,000 the year prior.This is remarkable, and a true testament to our communities ongoing faith in our organization, even during our debt restructuring process! In August of 2015, Johnson Memorial Medical Center and its Medical Staff hosted the sold-out JMMC Golf Classic with special guest, Jim Calhoun, NCAA National Champion Coach and Hall of Famer. Golfers enjoyed meeting new friends from the community, Mercy Medical Center, Sisters of Providence, and our partners from Trinity Health–New England. Close to $100,000 was raised and several clinical equipment purchase options are under final review. We launched the new Fund Development website, Instagram account, as well as dedicated new equipment for the Nirenberg Center for Women and Infants received through the generosity of Kate and Thom Vaghini and Family. The Hospital’s Emergency Medical Services room in the Emergency Department was also rededicated with benefactors, Alan and Terry Silver, after improvements to the suite were complete. Fund Development also serves as the liaison to the Johnson Memorial Hospital Auxiliary to whom we express our sincere gratitude. We salute your loyalty and steadfast support to the Hospital. On behalf of our Board of Director’s, the Committee on Philanthropy, JMH Auxiliary, and our Fund Development Team, a sincere Thank You! The hospital’s healthcare leaders and the community we serve applaud the generosity of all those who supported JMMC this past year. Your support is vital to our organization in providing quality care here at our community hospital. Thank you, again, for your commitment, support, and trust. 10 JOHNSON MEMORIAL MEDICAL CENTER Marketing and Community Outreach Johnson Memorial Medical Center continued on the path of strengthening its community outreach program by providing educational lectures, clinical programs, and clinics to the community. This year with collaboration from the Saint Francis Care health promotion department, we were able to host programs in a wider market than in previous years. Current and updated outreach activities are found on the home page of our website jmmc.com. Our website continues to serve as an information portal achieving continuous new traffic every day. Frequently updated the website strives to bring real time current events and news to the community. The website has been an instrumental piece in establishing our brand and marketing our services. Over the year, we’ve continued to build relationships with local media and organizations to help strengthen our visibility to the surrounding communities. Our ads have appeared in The Reminder (Connecticut and Massachusetts), The Journal Inquirer, North Central News, Go Local, and The Republican media outlets. Our ads have also appeared in several non-media platforms, including local churches and senior center bulletins. In addition to an increase in print ads, JMMC increased its presence on TV, radio, and billboard advertisements. These initiatives, along with the continuation of providing safe, timely, and quality care to our patients, have led to an increase in our market share. Regaining and rebuilding the trust of our patients was at the forefront of our messaging fiscal year 2015. On January 1, 2016 JMMC and its existing entities announced the signing of the final agreement which officially transferred JMMC assets to Trinity Health–New England. Johnson is the fourth hospital to join Trinity Health–New England, the new regional health ministry; Saint Francis Hospital and Medical Center, Mount Sinai Rehabilitation Hospital, Sisters of Providence Health System, and its affiliate Mercy Health. I would like to thank the Marketing Committee members who have served during the past year, assisted in the transition, and contributed to the commitment of bringing JMMC to its mission of quality healthcare for our region. Kevin Sullivan Chairman, Marketing and Community Outreach Committee 2015 ANNUAL REPORT 11 Karen Davis Krzynowek Infusion Center This has been an exciting transitional year for the Patient Care Services Division. This year our focus began to evolve in preparation for the transition to Trinity Health and becoming part of the Trinity Health–New England Regional Health Ministry. The focus on population health has expanded our scope to include services both inside the hospital walls, as well as outside and into the communities we serve. This was highlighted by several key activities this year beginning with our cancer program. The Cancer Program underwent a very successful triennial survey by the American College of Surgeons, Commission on Cancer, and received a full 3-year accreditation with Commendation at the Gold level. Patricia Jagoe, RN, MSN, CNOR Assistant Vice President, Patient Care 12 JOHNSON MEMORIAL MEDICAL CENTER In addition, seven commendations for exceeding accreditation standards in all eligible areas, which included clinical trials, cancer registrar education, public reporting of outcomes, pathology protocols, nursing care, data quality, and data submission and accuracy, were awarded. The Commission was very complimentary about the initiatives undertaken by the Cancer Center staff in the areas of psychosocial distress assessment and patient navigation. These initiatives were a focus during 2015, and helped to ensure that each new chemotherapy patient was assessed at the beginning of and throughout their treatment cycle. Accomplishments in these two areas include the Patient Advocate and Practice Nurse Coordinator, who review and address any concerns patients have and assist them in addressing any barriers they may have to successful treatment. The Commission also acknowledged the Cancer Center for their innovation in patient education. A separate and distinct pre-chemotherapy educational visit with an oncology nurse was implemented so patients could learn about planned treatment and ask questions prior to their first actual chemotherapy visit. At this visit, information is also provided about the many services and resources available through the support services at the Center. In addition to the Center’s commitment to the patients they treat, the program is also committed to addressing cancer concerns in the greater community. Throughout the year, the Outreach Committees held a number of educational and screening events. Understanding that lung cancer is one of the top cancer diagnoses in our community, the Cancer Program made this a focus in 2015. Together with the JMH Cardiopulmonary department, smoking cessation classes were held in Enfield to encourage community members to quit smoking. The Cancer Center worked together with Radiology Associates of Hartford to hold a free Lung Cancer Screening event in Enfield, which successfully screened 26 heavy smokers for lung cancer who would otherwise not undergo screening. The Cardiac and Pulmonary Rehabilitation clinic located at 139 Hazard Avenue started plans to relocate and expand this fast-growing service to a larger space located at 15 Palomba Drive. This service, overseen by a medical director and experienced cardiac nursing staff, will feature state-of-the-art cardiac rehabilitation equipment and services, as well as introduce a new service for chronic health issues such as congestive heart failure and chronic obstructive pulmonary disease. This relocation is scheduled for early winter 2016. Electronic Medical Record - (“EPIC”) - On the inpatient side and soon to be expanded to the ambulatory areas, a new electronic medical record was implemented on October 1, 2015. This successful implementation of EPIC allows all healthcare providers and ancillary services to provide seamless care to patients by having access to one medical record with the goal of moving toward a paperless medical chart. Appointments, billing, and data collection are enhanced by this technology, making it easier for patients and physician offices to access the hospital and clinic system, enhances revenue and expense management, and allows real-time data to improve quality and efficiency. Advanced Wound Center During Fiscal Year 2015, the Advanced Wound Center (the “Center”) saw improvements in several areas, and is on track to see continued improvements in 2016. A new department manager, Russell Newman, joined the Center in July. Russell is a seasoned Program Director from Healogics, who came to Johnson from Saint Clare’s Hospital Center for Wound Care and Hyperbaric Medicine in Dover, NJ. During the third and fourth quarters of 2015, the staff began its transition to a new vision, clinical practice guidelines, and policies and procedures. Parallel to the implementation of EPIC, the Center implemented a new Electronic Medical Record, which assists in tracking patient outcomes, focuses providers on clinical pathways, and assists in proper billing and coding practices. From a patient satisfaction and clinical care perspective, the Advanced Wound Center continues to exceed benchmarks. On October 7, 2015, the Center initiated the distribution of Press Ganey Surveys, and the feedback received to date has been positive and notes exceptional treatment by our Providers, and Clinical and Office staff. Our physician panel also exceeded expectations with regard to healing rates, in which 88% of all wounds healed across all etiologies. In addition, the Center experienced an increase in average patient census during FY2015. The Advanced Wound Center is looking forward to the future, and its fourth year of operation. Areas of focus in 2016 include: • Active recruiting of a Podiatrist to join the provider panel. • Expanded training for the Clinical Nurse Manager and Registered Nurse. • Increased collaboration with the Vascular Physicians in the region to help reduce the number of amputations required and improve the overall quality of life for our patients. • Re-establish an educational program with Home & Community Health Services staff to provide improved wound care services in the local community. Ian S.Tucker, M.D., FAAFP Vice President, Medical Affairs We fully expect to continue to increase patient census, and improve our conversion of patients into Hyperbaric Oxygen therapy. 2015 ANNUAL REPORT 13 Advancing Quality at Johnson Memorial Medical Center Johnson Memorial Medical Center has achieved tremendous improvement with a number of performance measures. JMMC is on point to becoming a top community performer by providing the best value and quality to our patients and families. Hospitals have inherent risk due to the nature and complexity of our work. Over the past year, JMMC achieved its goal for high reliability in patient safety. Safety Starts with Me training provided tools necessary for a patient focused safe environment. Over 94% of hospital employees and 99% of the Medical Staff have completed training. Karl P. Kamyk, MBA, BS, RT (R) (CT) Assistant Vice President, Ancillary Services, Quality/Risk Management 14 JOHNSON MEMORIAL MEDICAL CENTER There have been NO patient state reportable or sentinel events in CY 2015. There have been no Stage III, IV, or unstageable hospital acquired pressure ulcers (HAC) in CY 2015. We completed significant facility infrastructure improvements supporting successful regulatory surveys to include DPH, CMS, and Joint Commission. Our Patient Satisfaction rates as reported by Press Ganey for “Overall Rating of Emergency Department Care” have a favorable mean percentile rank of 90%. A CMS program to reduce hospital acquired conditions (HAC) placed 1% of Medicare payments at risk for all hospitals. Our multidisciplinary approach to care resulted in NO CMS penalty/payment for FY 2016. Our Cancer Care program has been awarded a 3-year accreditation with commendation at the gold level by the Commission of the American College of Surgeons. Our CMS 30 day All-Cause Unplanned Readmissions for AMI, Heart Failure (HF), and Pneumonia (PN) are lower than national rates. In 2016, Johnson Memorial will continue to focus on effective, safe, efficient, and patient centered care to populations we serve. High Reliability Johnson Memorial Medical Center has implemented a system-wide initiative – High Reliability. High Reliability will provide exciting opportunities for JMMC to improve quality and safety for our patients, families, and each other. High Reliability began within the aviation and nuclear power industries. Like hospitals, these complex environments have numerous processes and technologies, always at risk for error. One mistake could have serious consequences. Busy emergency departments, medication dispensing, and surgical procedures all pose risk and speak to our complex work environments. Therefore, High Reliability will provide JMMC with all the tools for continuous improvement using innovation and creativity. High Reliability will teach us to use checks, counter checks, and redundancy to avoid errors and prevent undesirable outcomes. As JMMC embarks on our High Reliability journey, our focus is on maintaining sensitivity to operations. Hospital leadership attends morning safety huddles to encourage reporting of errors, problems, and events. We thank those who express safety concerns and share opportunities for improvement. The Leadership team members then communicate this information to their respective staffs. Sixteen members from a variety of disciplines, including physicians, have committed to learning the High Reliability safety tools. Employees will have the opportunity to learn and understand what the High Reliability initiative is all about through training sessions taught by JMMC’s very own instructors. Our colleagues, in turn, will facilitate High Reliability training programs so each employee can CHAMP: Communicate Clearly, Handoff Effectively, Attention to Detail, Mentor Each Other with 200% Accountability, and Practice and Accept a Questioning Attitude. SAFETY STARTS WITH ME Community Health Needs Assessment and Community Benefit Community benefit programs are programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. During the 2015 fiscal year, Johnson Memorial Medical Center continued and created several community benefit programs to educate the community on the health topics identified through the 2013 Community Health Needs Assessment. The community health needs identified through the 2013 assessment process included: obesity, diabetes, behavioral health, substance abuse/alcoholism, and heart failure. An Implementation Plan was designed to address those needs with activities that align with Johnson Memorial Hospital’s mission, vision, and values. The goal of these programs is to increase access to healthcare and improve community health through education and prevention services. These programs were centered on speaking engagements by healthcare professionals, preventive health screenings, and health fairs. In addition to providing our own community benefit programs, JMMC 16 JOHNSON MEMORIAL MEDICAL CENTER also allows groups such as Nar-Anon to hold support programs in our facilities. JMMC is currently working on its 2016 Community Health Needs Assessment, and going forward, will continue building its community benefit program based on the needs of the community. In addition to providing numerous community benefit services, Johnson Memorial Medical Center also provided community benefits in the form of Charity Care and Medicaid Shortfall. Charity Care is defined as free or discounted healthcare services provided to those who cannot afford to pay, but meet the entities financial assistance policy criteria. Charity Care is reported in terms of costs, not charges. Medicaid Shortfall includes unpaid costs of public programs for low-income persons. These include the shortfall created when a facility receives payments that are less than the cost-of-caring for program beneficiaries. In fiscal year 2015, JMMC provided $ 90,101 of Charity Care and $ 5,724,495 in Medicaid Shortfall to the community. Community Benefit Services Community Health Education • Ask the Therapist/Therapy Consultation • Balance Class Assessment • Broken Sleep: An Overview of Sleep Apnea • Caring for Your Aging Parent: The Coming Crisis • Child Birth Education • Dementia and Memory Loss • Domestic Violence • Drug Abuse in the Elderly • Eating Healthy on a Budget • Exercise and Your Heart • Exercise for Arthritis • Fall Preventions Courses • Healthy Heart Education • How to Cope with Difficult People • How to Maintain Your Brain • Introduction to Mindfulness Based Stress Reduction • Identifying and Treating Foot Maladies • Knee and Hip Pain • Living with COPD • Men’s Health: Ask the Doctor • Nutrition Education • New Year’s Resolutions: Happy, Healthy, and Wise • Pacing and Energy Conservation • Rehab After Joint Replacement • Safety in Your Home • Smoking Cessation Program • Strokes and the Importance of Calling 911 • Substance Abuse Education • Support Caregivers with Loved Ones with Dementia • Tips for Caring for Someone with Dementia • Using Humor to Improve Your Life • What to Expect When You Come to the ER as a Senior? • Winter Skin Care Community Based Clinical Programs Preventive Screenings • Blood Pressure • Flu Clinics • Foot Screenings • Lung Cancer Screenings • Memory Screenings • Skin Screenings • Stroke Screenings Health Care Support Services • Art Therapy • Better Breather’s Club • Bereavement Support Groups • Cancer Support Groups and Services • Dementia Support Services • Diabetes Support Services Other Health Improvement Services • Financial and In-Kind Donations • Food Drives • Health Fairs • Student Programs Pastoral Care Reverend Carol Mento is in her second year at JMMC servicing as the Interfaith Chaplain. Her ministry demonstrates JMMC’s commitment to holistic patient-centered care, which recognizes the interdependence of the patient’s mind, body, and spirit. Because each patient is embedded in a web of social connection, Chaplain Carol’s primary role is to provide emotional and spiritual support to patients, their families, and staff. She joins with other members of the medical team to provide quality care for our patients. Medical staff often make referrals to Chaplain Carol when a patient is feeling anxious, discouraged, or lonely, receives a new diagnosis, is facing a difficult medical decision, is grieving, or is struggling with the question “Why.” Chaplain Carol also makes daily routine rounds throughout the hospital visiting patients and their families, ministering to people of all faiths or no faith. This past year, Carol provided spiritual support through over 1,000 bedside visits. In 2015, Chaplain Carol collaborated with Fund Development by offering blessings at donor recognition and dedication events. She joined the EHCC staff to celebrate the organization’s 25th Anniversary with opening prayer at the Kick-Off event, and a blessing for EHCC staff at the closing Staff Recognition event. Working with 18 JOHNSON MEMORIAL MEDICAL CENTER Volunteer Services, Carol helped train the seven Eucharistic Ministers who volunteer at the hospital. They visited approximately 1,380 Roman Catholic patients to administer the sacrament of communion in 2015. The chaplain’s ministry continued to reach into the community through the 3rd Annual Service of Remembrance, the Annual Community Clergy Appreciation Luncheon, and Carol’s participation in the Stafford Springs Clergy Association. She also facilitated workshops on Mindfulness Based Stress Reduction at the Somers and Stafford Springs Senior Centers. Chaplain Carol is an ordained minister in the United Church of Christ with more than 2,000 hours of clinical training in chaplaincy. In 2013, she completed her chaplain residency at Saint Francis Hospital and Medical Center, and previously served as a chaplain in hospitals in both New Hampshire and Massachusetts. Chaplain Carol also serves on JMMC’s Ethics Committee and Palliative Care Committee. Auxiliary Founded in 1913, the Johnson Memorial Hospital Auxiliary remains dedicated to the well-being and health of their family, friends, and neighbors. As healthcare transforms to better meet the needs of patients and communities, Auxilians and volunteers continue to play a strategically critical role in supporting that evolution. Our Auxilians are citizen volunteers who have a common concern for the health of their communities, and have a common commitment to the goals of the Hospital.These volunteers have joined forces in a collective effort to assist the Hospital in the delivery of top quality healthcare.To support this mission, the Auxiliary works diligently to raise awareness and needed funding for the Hospital. The Auxiliary empowers its mission through fundraising events held throughout the year, and by sponsoring special events, a newly formed scholarship program, and more. In addition, the Auxiliary runs the Hospital’s Gift Shop, which is located on its first floor. Staffed by volunteers, the Gift Shop provides substantial financial support to the Hospital.Through the Auxiliary’s efforts, Johnson Memorial Hospital has been able to upgrade medical equipment, which supports the Medical Center’s commitment to be a technologically advanced hospital. In September of 2014, the Auxiliary announced their commitment to a three-year pledge of $150,000 in support of Women’s Health Services. Our members had a productive year and through a variety of programs and events, which includes the 20th Annual Women’s Golf Tournament, our first installment of $50,000 has successfully been met. The Auxiliary would like to express our steadfast support of and gratitude to Stuart E. Rosenberg, President & CEO, and the Leadership Team for their commitment and attention to providing a high-quality continuum of care for our community. We know the challenges being faced in healthcare and we recognize their commitment. We are privileged to continue the work of the original Ladies’ Aid Society formed 102 years ago, and I would like to thank my fellow Auxilians for their dedication. Our work is far from over, and we welcome you to join our special group where you, too, can make a difference. Please visit our new website at www.auxiliaryjmh.com to learn more. JMH Volunteers In Fiscal Year 2015, the volunteers at Johnson Memorial Hospital, worked more than 16,700 hours, which was a 2.3% increase over the previous year. Our volunteers consisted of 80 adults and 65 teens.These volunteers play a vital role in the Hospital’s daily operations as our volunteers helped out in 25 of the hospital’s departments. Our patients and staff benefit greatly from the generosity of these individuals who contribute their time and talents to help make our caring and compassionate organization exceptional.The volunteers benefit by helping others and experiencing the healthcare field first hand.The total economic value of their contribution is in excess of $385,000. Charlotte L. Kulas President, Auxiliary To learn more about becoming a volunteer, please contact the Hospital at 860-684-8216. 2015 ANNUAL REPORT 19 The Year in Review December 2014 February 2015 The Johnson Memorial Medical Center Medical Staff hosted its annual Children’s Holiday Party for children of JMMC employees and physicians. As always, the Holiday party was a blast! Senior Management and the JMMC Dietary Department prepared breakfast while the children enjoyed face painting, a music show, and meeting Santa Claus. On February 6th, JMMC employees participated in the American Heart Association’s “Go Red for Women” movement to help raise awareness for women’s heart health. October 2014 Johnson Memorial Medical Center implemented a system wide initiative – High Reliability. High Reliability provided exciting opportunities for JMMC to improve quality and safety for our patients, families, and each other. JMH was among a select group of hospitals and transplant centers nationwide recognized by the US Department of Health and Human Services for conducting activities that promote enrollment in state organ donor registries. JMH's awareness and registry campaigns educated staff, patients, visitors, and community members on the critical need for organ, eye, and tissue donors and thereby increased the number of potential donors on the state’s donor registry. December April 2015 February In spirit of National Volunteer Week, and to show appreciation for the support that volunteers offer Johnson Memorial Hospital, the annual Johnson Memorial Hospital Adult Volunteer Appreciation Dinner was held in April.The dinner was organized by Pat Lake, Director,Volunteer Services and was attended by staff members, senior managers, Board members, and dozens of volunteers. Following dinner, Stuart E. Rosenberg, President/CEO, JMMC thanked volunteers and distributed awards to the 2015 Volunteer Milestone Recipients. November 2014 Evergreen Health Care Center held a Veteran's Day ceremony to honor and thank its residents who served in the United States Armed Forces. State Senator Tony Guglielmo, Stafford; First Selectman Richard Shuck; State Representative Kurt Vail, and Father Martin Jones were in attendance to speak and offer their thanks to the Veterans. January January 2015 November 20 JOHNSON MEMORIAL MEDICAL CENTER Johnson Memorial Medical Center announced the approval of an Asset Purchase Agreement with Saint Francis Care (the parent company of Saint Francis Hospital and Medical Center, Mount Sinai Rehabilitation Hospital, and its other providers). April May 2015 Martha Barnes, RN; Robert Cilley, RN, CCM; Karen Doig, RN; and Sarah Schultz, RN were nominated for the “Nightingale Awards for Excellence in Nursing." The Nightingale Awards are Connecticut's largest statewide nursing recognition program. In celebration of Nurses Week, Patricia Jagoe, Assistant Vice President, Patient Care Services and Jeffrey Thompsen, M.D., President, JMH Medical Staff delivered gourmet gift baskets to each unit in our health network. May Martha Barnes, RN Evergreen Health Care Center continued its 25th Anniversary celebration by hosting an outdoor concert and cookout event for the public. The event featured free food, live music, and entertainment for children of all ages. Robert Cilley, RN, CCM June June 2015 The Johnson Memorial Hospital Auxiliary held their Annual Women’s Golf Tournament at Grassmere Country Club in Enfield CT. Proceeds from the tournament were dedicated towards the Auxiliary’s 3 year, $150,000 pledge in support of Women’s Health Services. Johnson Memorial Medical Center staff teamed up with Saint Francis Care employees to volunteer at the Saint Francis Care Food Tent during the annual Traveler’s Championship PGA event. Karen Doig, RN July 2015 Sarah Schultz, RN Evergreen Health Care Center celebrated its 25th Anniversary with residents and their families by hosting an ice cream social event. After a fun day of reminiscing about past employees and residents, Kurt Vail, State Representative presented JMMC with a State Proclamation to congratulate EHCC on 25 years of excellent service to the community. June August 2015 August Johnson Memorial Medical Center and Woodland Anesthesiology Associates, P.C. entered a partnership to provide 24 hour certified registered nurse anesthetist (CRNA) coverage to Johnson Memorial Hospital. Having a larger CHNA support team on site 24 hours a day allows JMH to treat patients more efficiency and with a higher quality of care. The 2015 JMMC Golf Classic with Medical Staff was held at Ellington Ridge Country Club in Ellington, CT. This event was extremely successful! The proceeds for this event benefit patient related equipment purchases and the Medical Staff Scholarship Program. September 2015 The Johnson Memorial Hospital Cancer Center held its Annual Survivorship Program for cancer survivors and their families. The spotlight has on strategies for ongoing cancer survivorship issues with focus on lymphoma and breast cancer. 2015 ANNUAL REPORT 21 Johnson Memorial Medical Center, Inc. Board of Directors OFFICERS Patrick Mahon Chairman James Makuch Vice Chairman David J. O’Connor Treasurer Evelyne A. Parizek Secretary DIRECTORS David Bittner Christopher M. Dadlez Cathryn-Jean Fleming, Esq R. Christopher Hartley Joseph Ianello, M.D. John Kearney Michael P. Krol Patrick Mahon James Makuch Younus F. Masih, M.D. David J. O’Connor Evelyne A. Parizek John Patton John Rodis, M.D. Kevin Sullivan Phil Tartsinis COMMUNITY MEMBERS Ronald Albert, D.M.D. Tammy Arute Timothy M. Barry Jerold S. Bell, D.V.M. Carmela Brennan Brian Cassidy Jordan Chatis Francis W. Devlin, Jr. Richard Dewey Gary Elwell Peter J. Falk Fred Hall Gregory Heirenman Joseph Introvigne, Sr Joyce Keating Daniel Keune William Kirkpatrick C.G. “Bud” Knorr John T Larabee Steven P Lefebvre Thomas Mazzoli Carolyn McCaffrey, Esq William McCloskey, Sr Martha McLeod Rev. Hector Mendez Richard Moore William Morrison John A. O’Keefe, III Howard Orr Edward J. Palomba John Panciera Linda Perry James W. Persano Alexandra Pifer David Pinney Mark A. Polek Joan Posocco Deborah Roncari Thaddeus Satkowski Alan Silver Daniel Tarbell Earle W. Tarbell Melissa Testa, Esq Lawrence Tracey Ronald J. Trevena Sharon A. Uhlman Kristen E. Winters, D.P.M. Janet Nirenberg The Honorable Edward J. O’Connell Jerry Parizek, II Rodney Pierce Hamline C. Wilson, Jr DIRECTORS EMERITUS Jeffrey Thompsen, M.D. President James A. Baum Richard P. Dobson, Sr Charles Masterson Charles McKeen John B. Mitchell John D. Mordasky 22 JOHNSON MEMORIAL MEDICAL CENTER ADMINISTRATION Stuart E. Rosenberg President/Chief Executive Officer John T. Grish Chief Financial Officer Thomas Gutner Administrator, Evergreen Health Care Center Patricia Jagoe, RN, MSN, CNOR Assistant Vice President, Patient Care Services Karl Kamyk, MBA, BS, RT (R) (CT) Assistant Vice President, Ancillary Services Donna Megliola Assistant Vice President, Human Resources Ian S. Tucker, MD, FAAFP Vice President, Medical Affairs Johnson Memorial Medical Center Medical Staff OFFICERS Robert Dudek, M.D. Vice President DEPARTMENT OF ANESTHESIOLOGY James J.Brakoniecki, M.D. Chairperson Sivasenthil Arumugam, M.D. John T. Barnett, M.D. James J. Brakoniecki, M.D. Victor E. Camacho, M.D. Leo M. Contois, M.D. Paul H. Cooke, M.D. John G. D'Alessio, M.D. Adam M. Debin, D.O. Craig Dennen, M.D. Adam A. Gallucci, M.D. Kenneth T. Gutierrez, M.D. Robert E. Herreria, M.D. Gwendolyn M. Moraski, M.D. Franklin I. Rosenberg. M.D. Mark A. Spencer, M.D. Leo I. Stemp, M.D. Saadia Zafar, M.D. Roxanne F. Zarmsky, M.D. DEPARTMENT OF EMERGENCY MEDICINE David H. Herr, M.D. Chairperson Matthew W. Barr, M.D. Peter A. Cuniowski, M.D. Enoch O. Darko, M.D. Robert G. Dinwoodie, D.O. Orland E. Donald, M.D. Mark R. Dziedzic, M.D John R. Garbarino, M.D. Thomas J. Gilmore, M.D. Max A. Goldstein, M.D. David H. Herr, M.D David P. John, M.D. Neil T. Moynihan, M.D. Christopher J. Mozdzanowski, D.O. Gregory L. Shangold, M.D. Stanley J. Stutz, M.D. Michael J. Tocci, M.D. DEPARTMENT OF FAMILY MEDICINE & PEDIATRICS William Waldman, M.D. Chairperson Robert D. Carlson, M.D. Barbara A. Clay, NNP Timothy A. Fignar, M.D. Jackie P. Garrett, M.D Loretta J. Pilagin, M.D. Tammy L. Sears-Langevin, NNP John H. Senechal, M.D. Ian S. Tucker, M.D. William J. Waldman, M.D. Michael E.Yencho, M.D. DEPARTMENT OF MEDICINE Timothy R. Silvis, M.D. Chairperson Swathi Rachoor, M.D. Additional Medicine Rep Kathleen M. Abbott, M.D. Marat I. Abdullin, M.D. Syed S. Ali, M.D. George D. Anastasio, M.D. Balaji Athreya, M.D. Krishnan Babu, M.D. Sudeep Bansal, M.D. Gerald M. Bayona, M.D. Edward H. Benjamin, M.D. Helaine Bertsch, M.D. Syed F. Bilgrami, M.D. Adam M. Boruchov, M.D. Timothy S. Boyd, M.D. Gregory L. Braden, M.D. Susan F. Burroughs, M.D. Michael S. Butensky, M.D. Joseph A. Cappa, M.D. David M. Chaletsky, M.D. Donna M. Cipolla, M.D. Louis S. Competiello, M.D. Harry A. Conte, M.D. Shaji P. Daniel, M.D. Asha Dhamija, M.D. Arley F. Diaz, M.D. Herbert J. DiMeola, M.D. Alessia C. Donadio, M.D. Robert J. Dowsett, M.D. Michael M. Einstein, M.D. Michael Erdil, M.D. Georges-Elie Fares, M.D. Thomas A. Feldman, M.D. Jeffrey S. Gelwan, M.D. Michael J. Germain, M.D. Lawrence M. Glaubiger, M.D. Michael J. Golioto, M.D. Madhavi Gorusu, M.D. Barbara A. Greco, M.D. John M. Hanna, M.D. Stephen H. Hauser, M.D. Theodore R. Hartenstein, M.D. Joseph L. Ianello, M.D. Lauren A. Ibrahim, M.D. Jonathan L. Israel, M.D. Shiba P. Jhawar, M.D. Kevin S. Jo, M.D. Maria E. Johnson, M.D. Praveen Joseph, M.D. Michael S. Karasik, M.D. Roy A. Jr. Kellerman, M.D. Surendra Khera, M.D. Susan Y. Kim, M.D. Krzysztof L. Kopec, M.D. Michael M. Krinsky, M.D. Daniel L. Landry, D.O. Kenneth A. Leopold, M.D. Lewis I. Levenson,M.D. Theodore L. Loewenthal, M.D. Hemant Magoo, M.D. Raja S. Manne, M.D. Younus F. Masih, M.D. James E. Mazo, M.D. Mohanakrishnan Menon, M.D. Joseph F. Mitchel, D.O. Jigisha P. Morosky, M.D. Jeffrey G. Mulhern, M.D. Edgar R. Naut, M.D. Jeffry L. Nestler, M.D. Michael H. O'Shea, M.D. John J. Osowski, M.D. Dushyant B. Parikh, M.D. Mahendra S, Patel, M.D. Anthony E. Poindexter, M.D. Ira A. Pollack, M.D. David M. Poppel, M.D. Susan N. Rabinowe, M.D. Swathi Rachoor, M.D. Zia U. Rahman, M.D. Joerg Rathmann, M.D. Carolyn M. Ray, M.D. Maria C. Renna, M.D. Nelza I. Rivera-Competiello, M.D. Eytan M. Rubinstien, M.D. Kiran Sachdev, M.D. Myrla L. Sajo, M.D. Andrew L. Salner, M.D. Michael A. Selden, M.D. Darshan J. Shah, M.D. Paul A. Shapiro, M.D. Richard M. Shoup, M.D. Timothy R. Silvis, M.D. Desh R. Sindwani, M.D. Gagandeep Singh, M.D. Arthur H. Skalski, M.D. Jonathan Slater, M.D. Richard Slater, M.D. Michelle V. Smedley, M.D. Cheryl A. Smith, M.D. Jose A. Soriano, M.D. Jonathan R. Sporn, M.D. Noah H. Starkey, M.D. Colin T. Swales, M.D. Jeffrey P. Thompsen, M.D. Jaykumar R. Thumar, M.D. Ashish,Verma M.D. Jeffrey S. Weiser, M.D. Jonathan B. Williamson, M.D. Ulysses S. Wu, M.D. Jiuming Ye, M.D. Stephen B.Yuan, M.D. DEPARTMENT OF PATHOLOGY Jihong Tang, M.D. Chairperson Matthew J. Curran, M.D. John V. Scholes, M.D. Jihong Tang, M.D. DEPARTMENT OF PSYCHIATRY Carlos Enciso – Chaves Chairperson Thordur S. Agustsson, D.O Kenneth A. Colby, Ph.D. Carlos A. Enciso-Chaves, M.D. Farid Force, M.D. Luis R. Gonzalez, M.D. Jeffrey H. Gottlieb, M.D. Nina S. Jacobs, M.D. Carol M. Kagel, Ed.D Steven A. Kagel, Ph.D. Stephen Lawrence, Ph.D. Muhammad I. Munawar, M.D. Mohammad A. Shamsi, M.D. Juan B. Sosa, M.D. Malina T.Yotova, M.D. DEPARTMENT OF RADIOLOGY Anal Patel, M.D. Chairperson Sungkee S. Ahn, M.D. Janet L. Amundson, M.D. Swapnil Bagade, M.D. Erik R. Bee, M.D. Michael C. Biondi, M.D. John E. Ditzenberger, M.D. Tiffany L. Dube, M.D. Steven W. Feick, M.D. Robert S. Feld, M.D. Michael I. Firestone, M.D. Clifford B. Freling, M.D. Jonathan D. Getz, M.D. Scott A. Glasser, M.D Corey E. Golding, M.D Curtis S., Hammerman, M.D. Ruth J., Holliday, D.O. David S. Jacobs, M.D. Pupinder S. Jaswal, M.D. Amy H. Martin, M.D. Sean J. McKeon, M.D. Peter A. Morrison, M.D. Erinn K. Noeth, M.D. Anal Patel, M.D. Robert F. Perez, M.D. Anthony F. Posteraro III, M.D. Michelle J. Romero, M.D. Joseph C. Sala, D.O. Armando A. Saltiel, M.D. Ethiopia Teferra, M.D. Michael T. Twohig, M.D. David T.Vanson, M.D. DEPARTMENT OF SURGERY Robert Dudek, M.D. Chairperson Alfredo Arbulu, M.D. Additional Surgery Rep Ronald J. Albert, D.M.D. Tamil R. Anban, M.D. Alfredo A., Arbulu, M.D. Michael, Aron, M.D. Michael P., Bernstein,M.D. Smita J., Bhagat, M.D. Justin R., Bloom, D.M.D. Carmine J., Ciccarelli, M.D. Constantinos A., Constantinou, M.D. Miri Daly, APRN, D.N.P. Kevin Dinowitz, M.D. Robert P. Dudek, M.D. Andrew J. Epstein, M.D. James M. Feeney, M.D. Reinaldo Figueroa, M.D. Padmalatha Gurram, M.D. Pamela Haskins, CNM Jeremy C. Hwang, M.D. Clinton A. Jambor, M.D. Colleen J. Jambor, M.D. Mary Beth Janicki, M.D. David J. Jeng, M.D. Thomas V. Johnson, D.P.M. Christina A. Kabbash, M.D. Vasilios D. Karabinis, M.D. Susan Y. Kim, M.D. Jay A. Kimmel, M.D. Michael M. Krinsky, M.D. Lyndon B. Lee, M.D. Donna M. Lowney, CNM Kimberly A. Lucey, M.D. Robert E. Marra, D.P.M. Richard T. Martin, M.D. Christopher M. Morosky, M.D Michael F. Morosky, M.D. Peter E. Pascal, M.D. Renee Prince, M.D. Robert A. Rossetti, D.M.D., M.D Karianne Silverman, M.D. Steven R. Squillace, O.D. Robert D. Tatoian, D.P.M. Robert S. Thorsen, M.D. Walter P. Trymbulak Jr., M.D., Ph.D. Laura C.Vander Poel, D.P.M Edward J. White, M.D. Rebecca M. Wiesner, D.P.M Lenora S. Williams, M.D. Jeffrey C. Wint, M.D. Kristen E. Winters, D.P.M. Bruce I. Wintman, M.D. Mark G. Wolf, M.D. 2015 ANNUAL REPORT 23 Johnson Memorial Hospital Joins Trinity Health–New England Leaders of Johnson Memorial Medical Center and Trinity Health–New England sign documents to bring Johnson into the regional health ministry. Picture (L-R Front Row) Christopher M. Dadlez, president and CEO, Trinity Health–New England; Patrick Mahon, chairman of the board, JMMC; Stuart E. Rosenberg, president, JMMC (Back Row L-R) Kevin Sullivan, chairman, Marketing and Community Outreach Committee; David O’Connor, treasurer of the board; JMMC & Phil Tartsinis, chairman, Fund Development Committee.