2009 Community Benefit Report
Transcription
2009 Community Benefit Report
Munson Healthcare Community Benefit Report grateful patients Munson Healthcare Partners: Cheboygan Memorial Hospital*** Kalkaska Memorial Health Center** Mercy Hospital Cadillac*** Mercy Hospital Grayling*** Munson Home Health and Hospice* Munson Medical Center* Otsego Memorial Hospital*** Paul Oliver Memorial Hospital* West Shore Medical Center*** * Owned ** Managed *** Affiliated 3 Breathing Better in Cheboygan | Cheboygan Memorial Hospital Brian Dietz, Interim CEO | Sue Eno, Chair 4 ‘Zaidee Day’ | Kalkaska Memorial Health Center Jim Austin, CEO | John Siddall, DO, Chair 5 Senior Fit: Working Toward Health | Mercy Hospital Cadillac John MacLeod, CEO | Pamela Anderson, Chair 6 Access to Meds | Mercy Hospital Grayling Stephanie Reimer-Matuziak, CEO | Mike Dunkel, Chair 7 ‘God Bless Everyone Who Donates’ Munson Healthcare Regional Foundation Desiree Worthington, President | Paul Schmuckal, Chair 8 A Time to Mourn, and A Time to Play Tennis | Munson Hospice Janet Wolf, CEO | Jim Harris, Chair 9 Support for Free Clinics | Munson Medical Center Edwin Ness, CEO | Bob Sprunk, MD, Chair 11 Improving Quality of Life | Otsego Memorial Hospital Tom Lemon, CEO | Mary Sanders, Chair 12 Supporting Cancer Patients | Paul Oliver Memorial Hospital Jim Austin, CEO | Irene Nugent, Chair 13 Dental Surgery: Service from the Heart | West Shore Medical Center Burt Parks, CEO | Theodore Batzer, MD, Chair 14 Taking Stock of Community Health | Munson Healthcare 1 K. Douglas Deck, CEO | Thomas McIntyre, Chair Connection s Community Benefit Report Here to Help Letters arrive every day from people who want to tell us how grateful they are for the compassionate health care they’ve received. They mention the people who encouraged them, and the specific ways they were helped. For a Cheboygan man, it’s still being able to play his trumpet, despite chronic lung disease. For an East Jordan couple, it’s breathing easier after their financial burden was lifted while she battled brain cancer. For a Gaylord woman, it’s finding reassuring support from others as she learns to live with diabetes. Health care services go well beyond the walls of the eight nonprofit hospitals in the Munson Healthcare System. We’re strengthening communities through education, meeting basic needs, preventing disease, and supporting active lifestyles that improve the overall health of area residents. K. Douglas Deck President and CEO Munson Healthcare Thomas McIntyre Chair Munson Healthcare Board of Directors Our region continues to be a center of growth in Michigan. Many retirees choose northern Michigan for its beauty and high quality of life. A big draw is the excellent health care provided in each of the communities we serve. As the concentration of older residents grows, demand for health care services increases. Responding to growing health needs is why we’re here. The Munson Healthcare System contributed nearly $61 million last year in health care programs and education, as well as free, discounted, and unreimbursed services. On the following pages, you can read about some of the ways Munson Healthcare System hospitals are serving you, your family, and your neighbors. It is our mission, and our privilege, to provide that care. grateful patients Co n n e c t i ons 2 Cheboygan Memorial Hospital Breathing Better in Cheboygan People with lung disease have many issues to deal with. The Pulmonary Rehabilitation Support Group known as “Better Breathers” meets every Tuesday for a free hour-long class provided by Cheboygan Memorial Hospital. Staff Spotlight Name: Leslie Miller, BS, RRT, specializing in Pulmonary Rehabilitation and Respiratory Therapy Job: Works with people who have diminished lung capacity: “We teach them to manage their disease so it doesn’t manage them.” How she makes a difference: “Our hospital has been committed to reaching out to this group of patients. We’re one of the few in northern Michigan to offer a weekly program, and at no charge. We provide tons of information. We have 30 minutes of education followed by 30 minutes of exercise. They come even in the winter – weather is never a factor because this class is that important to them.” Some good news: “As of 2010, pulmonary rehabilitation becomes an officially recognized program paid for by Medicare and private insurers, just like cardiac rehabilitation.” Best part of job: “I’m just super excited about this group because I see the benefit. These are remarkable people. They know so much about their disease and are focused on teaching and helping each other through the good times and the bad times.” “We don’t see them in the Emergency Department anymore – we see them out in the community, even the ones on oxygen. With lung patients, it’s all about improving their quality of life even a little bit so they can go to their grandson’s basketball game instead of being stuck at home breathless. Education is the most powerful tool we have to accomplish that.” 3 Connection s ‘Still Singing Solos’ “I have attended Better Breathers for almost 10 years. The hospital and employees who volunteer their time should be richly commended for providing this valuable service. In my case, in my eighties, I can still sing solos and play the trumpet with less than 50 percent of my projected lung capacity. We learn to build up our muscles used in breathing to enable us to maximize the use of the available lungs that we have left. Leslie Miller and Eddie Robinson do an excellent job teaching breathing methods, nutrition, and proper ways to use medications so that we get the maximum effect. I believe this program extends and improves our quality of life. Thank you!” Bob Marshall Cheboygan Kalkaska Memorial Health Center ‘Zaidee Day’ With diabetes at epidemic levels, and heart disease the nation’s number one killer, regular screenings for high blood sugar and high blood pressure have never been more important. One Kalkaska Memorial Health Center (KMHC) nurse is making sure senior citizens know their numbers. Staff Spotlight Name: Zaidee Anderson, RN, Community Outreach Nurse Job: Visits about four senior meal sites each month to screen blood pressure, blood glucose, and hemoglobin. She also manages KMHC’s new Rural Health Clinic and Teen Health Corner. How she makes a difference: “I spend three to five minutes with each person. I can do a small piece of patient education in that time, which I really love. I’m not intimidating because I’m not in an office, so the people are really comfortable. Over time, they get so used to me, they really are like friends.” Best part of job: “I stay and have lunch, and people are much more receptive than if they were attending a lecture – it’s like sitting around the kitchen table. For me, it’s very fun because it is very people oriented.” Bonus benefit: “If one of my ‘regulars’ ends up at Kalkaska Memorial Health Center’s Emergency Department, they’ll tell the ED crew they know me. I don’t interfere with their care, but I will walk over to the ED because it’s good to see a familiar face when you’re in that situation.” ‘She Comes to Us’ Flora L. George and Zaidee Anderson, RN “Our group really looks forward to seeing Zaidee. Most of us are at an age when we need to keep track of our blood pressure. She is such a nice person. She talks to us and if she sees something that needs attention, she’ll lead us to get the help we need. She’ll say, ‘Oh, you need to get in to see your doctor.’ She comes to see us, so it saves us a trip to Kalkaska or Traverse City to have these screenings done.” Blanche Hogerheide South Boardman 6 Ways to Lower Your Blood Pressure High blood pressure damages your blood vessels, which raises your risk of stroke, kidney failure, heart disease, and heart attack. Because there are usually not any symptoms, it’s important to have your blood pressure checked regularly. 1 Don’t smoke cigarettes or use any tobacco product. 2 Lose weight if you’re overweight. 3 Exercise regularly. 4 Eat a healthy diet that includes lots of fruits and vegetables and is low in fat. 5 Limit your sodium, alcohol, and caffeine intake. 6 Try relaxation techniques. Ask your doctor for advice. Co n n e c t i ons 4 Mercy Hospital Cadillac Senior Fit: Working Toward Health “Senior Fit for the Management of Chronic Disease” began when Mercy Hospital Cadillac asked, “What is the biggest driver of health care costs and causes of death?” A community health needs assessment revealed that chronic disease related to cancer, stroke, and lung disease was the greatest health issue that contributed to high costs and mortality. Staff Spotlight Name: Jennifer Hrebec, Exercise Specialist How she makes a difference: “People are very excited when they start to see results. They tell me that I’m ‘magic.’ I remind them that they are the ones doing the work, I just give them the tools they need. Some are getting off their blood pressure medication and some are able to reduce the amount of insulin they take.” Best part of the job: “I’m very proud of all of my participants when they set goals and achieve them. They’re pretty surprised at what they’re able to do.” Getting Results 97% 94% 91% of all participants have seen improvements in their overall quality of life have experienced improved energy levels say they’re more flexible 75% 72% 50% say their daily pain has decreased have better control over their weight have participated in physical activity they were unable to do previously ‘Feeling Better’ Susie Mulkey of Cadillac joined Senior Fit the first day it was offered. “I was looking for an additional way to reduce life’s stresses when the Senior Fit Program just fell into my lap. What a great find. The exercise regimen involving machines, weights, and stretching has leveled out my stress and helped me rediscover muscle groups I haven’t felt in a while. The knowledgeable staff who set my personal performance goals and give great tips, the spa-like atmosphere, and the ability to increase my workout levels at my own pace keep me coming back. I feel better and I look better. Senior Fit is working for me and I hope others will avail themselves of this extremely beneficial program. It really serves a need in this community. I can’t thank you enough.” Susie Mulkey Cadillac 5 Connection s Mercy Hospital Grayling Access to Meds Mercy Hospital Grayling and other Munson Healthcare System hospitals work with pharmaceutical companies to obtain free medications for patients. The Medication Access Program is funded by 30 pharmaceutical companies and connects the uninsured with medications they need. Staff Spotlight Name: Bonnie Plonsky, Medication Access Program Coordinator Job: Connects low-income, uninsured patients at Mercy Hospital Grayling and at the AuSable Free Clinic with free medication. “People can do this online themselves, but it is confusing for some. They really appreciate having an advocate.” How she makes a difference: “Without us being here, some people would try to do without their medication and they would be in so much trouble medically. This program really helps keep people out of the Emergency Department, so I think it saves the system and taxpayers money in the end.” ‘One Help After Another’ “If it wasn’t for the Medication Access Program, I don’t know what I would have done. I’ve had diabetes for 15 years, and I’ve been without insurance for four years. I would say they have saved my life. Without medication, my blood sugar is out of whack and I am so tired, I just want to go to sleep. I could just see myself slipping into a coma. Until I went to the AuSable Free Clinic, I couldn’t get my blood sugar under control. They helped me understand what I needed to do. I’m able to get prescriptions for diabetes, thyroid, and blood pressure – they helped me with all of it. Now my blood pressure is perfect, my blood sugar is perfect, and my cholesterol is perfect. I couldn’t have done this well without their help. What impressed me so much is everyone there smiles; they all seem to be so happy to be there volunteering, even after they’ve worked all day.” Glenda Barker Mio Best part of day: “I’ll tell you, when I have a patient who has tears in their eyes because they are so happy to get their medications, my heart goes out to them and I feel like I really am helping the community. It’s been a really tough year for people and this is so needed. Eighty percent of the time, we are able to get their meds for them for free.” Glenda Barker and Bonnie Plonsky Current number of Medication Access Program clients at Mercy Hospital Grayling: Average number of medications per client: Average patient savings for each 3-month supply: Wholesale value of medications received to date: Highest medication savings for one patient: 158 6.5 $405 $358,718 $12,417 Co n n e c t i ons 6 Munson Healthcare Regional Foundation ‘God Bless Everyone Who Donates’ In August, Manda Colbeck of East Jordan learned she had brain cancer and had surgery the same day at Munson Medical Center. Within minutes of hearing his wife’s diagnosis, Gordon Colbeck was approached by Medical Social Worker Lise Kolinski. He didn’t think they needed financial help, but he kept Kolinski’s card. In November, Gordon lost his job when his company closed. Two weeks later, Manda, 38, needed a second brain surgery at Henry Ford Hospital in Detroit. Gordon called Kolinski for help. “The bills keep coming no matter what your life situation is,” Manda said. “At first we felt, ‘Oh, this is a hand-out,’ but Lise said not to think of it that way because this was never planned. It felt so good to know that there is a Foundation to raise money to help people. God bless everyone who donates to it. We never knew this was available. I won’t ever forget them, that’s for sure.” ‘An Outpouring of Love’ “I’m overwhelmed. It’s like an outpouring of love and generosity that has sustained us. We were going merrily on our way through life when the rug was pulled out from underneath us. These funds give you a chance to take a deep breath. They’re in your corner, and they just keep giving and giving and giving.” Gordon Colbeck East Jordan In FY 09, nearly $40,000 was dispensed by the Foundation to help meet patient needs, such as new bedding for an asthmatic infant, or a tank of propane fuel for a man trying to heat his home with small gas grill tanks. 7 Connection s $9,200 in gas cards was given to people who could not afford to get to or from the hospital. Lise Kolinski, Manda Colbeck, Gordon Colbeck Foundation Funds Meet Basic Needs Six of the 50 funds administered by the Munson Healthcare Regional Foundation are made available to Medical Social Work to disperse as needed. Patient needs funds are not used to cover medical expenses, but do help offset family bills and other expenses people experience during a medical crisis. “Just about the time you think ‘That’s the saddest story I’ve ever heard,’ another one comes along to top it,” said Medical Social Work Technician Becky Willsey. “Any of us could be one step away from these scenarios.” “We’ve all been touched by this economy and know someone whose income has been cut,” Kolinski said. “The needs have increased and other community resources have decreased. We are here to help this community.” One man given $20 for gas returned the next week with $30 to donate. “He said he always repays his debts with a little more added,” Kolinski said. “He closed the loop so another person could be helped down the line.” Munson Healthcare Regional Foundation is one of seven fundraising groups throughout the Munson Healthcare System supporting hospitals and patient services. Munson Home Health A Time to Mourn, and A Time to Play Tennis The Munson Hospice Bereavement Program has provided help and support to families dealing with a loss through death since 1985. Free bereavement services are available to anyone and include: • Individual, family, or group sessions in Benzie, Gaylord, and Traverse City • Family Summer Camp • Summer Tennis Camp • Art, Music, and Gardening Therapy • In-school services for youth Staff Spotlight Name: Patti Amalfitano, MSW, Munson Hospice Bereavement Coordinator; Barbara McIntyre, PhD, Art Therapy Coordinator Job: Provide bereavement services to families dealing with the loss of a loved one. How they help: Amalfitano and McIntyre work together in family sessions; McIntyre uses creative means to help children with their grief and heads community programs for youth; Amalfitano provides counseling to adults. Best part of job: “One of the most rewarding aspects of my position is seeing people who, despite the struggle, are able to move through their grief and, with time, arrive at a new sense of normalcy,” Amalfitano said. “When youth can grieve, they continue on a healthy path of human development and therefore develop into wonderful people,” McIntyre said. “I have seen this time and time again as many of the kids I worked with contact me years later.” ‘I Knew Someone Was Thinking of Me’ Robin Flannery and her three children – ages 12, 10, and 8 – began bereavement services after Aaron, her husband and their father, received care through Munson Hospice. Robin received grief support immediately following Aaron’s death in October 2006, and began counseling with Patti Amalfitano, Bereavement Coordinator. “Patti told me I could call or stop in anytime, and she meant it. Initially, my children were uncomfortable participating in Art Therapy, but this past summer they took part in the Tennis Camp and found that to be a great outlet for them. For me, the mailings that came monthly after my husband’s death, even though I didn’t always open them, were reassuring because I knew someone was still thinking of me.” Robin Flannery Grief Tips Grief and trauma are different. If your loss was sudden and unexpected, you may need to resolve the trauma before you work on your grief. Anniversaries, birthdays, and holidays are important times to honor the person who died. Attend to your physical needs of nutrition, rest, and exercise. Grief is a journey that involves physical, emotional, and spiritual healing. Remembering your loved one is a healthy part of grief. Strive for balance; laughter and tears are both a part of healing. Nature and the arts can help you heal. Grief is unique and has its own timeline. Traverse City Co n n e c t i ons 8 Munson Medical Center Support for Free Clinics Munson Medical Center collaborates with the Tra- verse Health Clinic by providing medications, in-kind donations, services, and staff support. Traverse Health Clinic is a nonprofit organization that helps people access health care services in Benzie, Grand Traverse, and Leelanau counties. It operates a free clinic in Traverse City that is a source of primary care for about 1,700 people, including Amy and Ron Whittaker. The Whittakers are both managers at their respective jobs. Despite good positions, neither has health insurance. When Ron started having symptoms of diabetes, he resisted seeing a physician because he could not afford an office visit. Eventually, Amy and Ron learned about Coalition Health Access Program (CHAP), a program operated by Traverse Health Clinic and comprised of about 450 health care providers who donate services to uninsured CHAP enrollees. By the time Ron sought help and was enrolled in CHAP, he was seriously ill and needed two days in the hospital to stabilize his blood sugar levels. He was told he would not have lived much longer if he’d not sought treatment. The Whittakers now receive their primary care and Ron’s follow-up diabetes care at Traverse Health Clinic. Of the 1,500 CHAP enrollees, about 1,000 receive services at the clinic; the rest are assigned to participating private practices in the three counties. The majority of CHAP clients are female and employed. 9 Connection s The Uninsured 23% 42% In the 11-county area served by Munson Healthcare and system hospitals, 23 percent of adults are without health care coverage. Nearly 42 percent of people with annual incomes less than $20,000 are uninsured; only 5 - 8 percent of those with incomes more than $50,000 lack insurance. 4.5% 11,000 Only 4.5 percent of children have no health care coverage, largely because of extended Medicaid eligibility; more than 37 percent of children in Michigan are covered by Medicaid. In the three-county area of Benzie, Grand Traverse, and Leelanau, 11,000 adults are uninsured. ‘A Place to Go’ “We were desperate and had nowhere else to turn. We could not have afforded the doctor visits or the monthly supplies Ron needed to keep his diabetes under control. We now have a place to go and someone to call. This family would no longer be together if it weren’t for CHAP. It’s keeping our family healthy and happy and whole.” Amy and Ron Whittaker Interlochen Traverse Health Clinic Staff Spotlight Name: Cathi Rhynard, PharmD, Munson Medical Center Free Clinics in Northern Michigan Job: As a Munson Medical Center pharmacist, Rhynard spends most of her time dispensing medications for hospitalized patients. One day a week, she works directly with clients in the Diabetes Clinic at Traverse Health Clinic. Munson Medical Center pays for her time to be there, one of several ways the hospital supports the clinic. How she’s making a difference: “We see patients who have difficulty controlling diabetes. I make therapeutic recommendations, adjust doses, and provide glucose monitors and strips so they can manage their disease. Often they’ve lost their job and lost control over their disease. This gives them back some sense of being in control. It’s nice to see the ones making progress month to month and improving their lives.” AuSable Free Clinic, Grayling Cadillac Community Free Clinic, Cadillac Manistee Area Community Clinic, Manistee Traverse Health Clinic, Traverse City Each of these clinics receives financial and inkind support from hospitals within the Munson Healthcare System. Physicians and hospital employees also volunteer their services at the clinics. Why she enjoys working at the clinic: “I love it, I do. You feel like you’re making an impact on people’s lives. Every week we have someone telling us how happy they are that we are here – they are grateful for any kind of help you can give them. It’s nice to know we’re performing a service for people who have no other options. It has definitely been a learning experience for me and has expanded my horizons.” Mary Ann Hoogerhyde, RN, volunteer Since April 2005, primary care practitioners, specialty physicians, chiropractors, dentists, optometrists, and Munson Healthcare facilities have provided more than $8 million in donated services through the CHAP program. In FY 08, Munson Healthcare donated more than $1 million in services to CHAP patients, including inpatient medical care, outpatient cardiac and rehab services, surgical services, Pain Clinic, Sleep Disorder Center, lab and radiology services, Infusion Clinic, and emergency and urgent care. Munson Medical Center donated $8,000 in medications to the clinic last year. Community volunteers provided 4,251 hours at the clinic in FY 2008. Co n n e c t i ons 10 Otsego Memorial Hospital Improving Quality of Life Otsego Memorial Hospital in Gaylord and all Munson Healthcare System hospitals offer active support groups for people with chronic disease. For many, it is the lifeline they need to regain their health. ‘You Can’t Do it Alone’ “Being diagnosed with diabetes is a little like grief – you’ve got all those stages to go through. You deny it at first, and then you get mad. When I met Eileen, I immediately fell in love with her – I thought, ‘This is the girl who’s going to help me get through this.’ God love her, she knows you’re human, she’s very compassionate and very understanding – I rely on her an awful lot. When I had to go on insulin, I cried. She said, ‘Peg, it’s normal.’ She was so sweet to me. I’m fairly convinced you cannot tackle diabetes by yourself – you have to be with other people who are going through it. I will be eternally grateful for the diabetes support group in Gaylord as well as the people in the group. There is life after diabetes.” Peg Metzger Gaylord Staff Spotlight Name: Eileen Mikus, MS, RD, CDE, Diabetes Program Coordinator Job: Meets with individuals newly diagnosed with diabetes, as well as long-term diabetes patients and diabetes support groups. “When you see people who’ve been successful, it’s great.” Why prevention is so important: “It’s really heartwrenching to hear someone say, ‘I wish I would have known earlier that I had diabetes.’ People don’t feel high blood sugar – you have to be tested. The rate of diabetes and obesity in northern Michigan is astonishing. We have a whole generation who’ve grown up basically moving their thumbs (on video game controllers). In these times, especially, people are wondering about their insurance coverage and what they’ll be charged. It’s terrible to see that we’re not more preventionoriented. Once you’ve lost your kidneys – they’re gone. Once your eyesight has been damaged, it might not be repaired. Diabetes is a devastating disease, but its negative effects can be prevented if you eat right and move more.” Why she can’t wait to get to work: “I get to know people and their families on a personal level. When I call them at home they are so appreciative that someone reached out to make sure they’re doing OK. At the end of the day, I feel like there’s still so much more to do. We’re just scraping the tip of the iceberg. I’m seeing more and more newly diagnosed people in their 30s and 40s with sky high blood sugar. We need to catch these people early – if we do, we can add decades to their life and improve the quality of their life.” 11 Connection s Paul Oliver Memorial Hospital ‘Team Lisa’: Supporting Cancer Patients It started with a telephone call. In March 2005, Lisa Trudell received the news that every woman dreads – she had breast cancer. Lisa, a nurse at Paul Oliver Memorial Hospital (POMH), quickly found her co-workers falling into step beside her as she began her cancer journey. POMH staff had already been exploring the formation of a team for the Benzie County American Cancer Society Relay for Life. “When cancer hit one of us, our co-worker, friend, and life spirit, we were mobilized to action and ‘Team Lisa’ was born,” said Donna Clarke, POMH Outpatient Services Director. “Lisa showed us what true courage and determination looked like.” Lisa shared her experiences, from the downside of chemotherapy to the relationships she formed riding with other survivors to Traverse City for treatment. “If she had a down day, we never knew it,” Clarke said. ‘They Are Just Good People’ “The people at Paul Oliver are incredible. They are just good people, professionally as well as personally.When I got cancer, everybody wanted to do something to help. Even people who didn’t know me well gave me tremendous support from day one. It was phenomenal. They would hug me, tell me to ‘hang tough’ or say ‘you’re looking good.’ They just knew what I needed. That’s how Paul Oliver is. It’s like a family here – better than family. Yesterday an elderly man brought his wife into the ER. He fell and couldn’t drive home, so our staff took him home and made sure he got up the steps into his house. That’s just one of the benefits of a smaller community.” Lisa Trudell Frankfort From the beginning, Team Lisa has been supported by POMH. The hospital annually purchases corporate sponsorship for the August event and provides a Survivors’ Breakfast in the Elberta Waterfront Park to kick off the Relay for Life. Thirty active members, comprised of hospital employees and volunteers, are committed to raising money for the local American Cancer Society, and to providing inspiration, hope, and community awareness about the importance of annual screening for breast cancer. The POMH team raised nearly $9,000 last year. The Team Lisa Flamingo Drill Team also made an appearance at the July 4th parade in Frankfort and Beulah, and actively sold “no flocking” insurance so homeowners could avoid waking up to a yard full of plastic pink flamingos. The team has held garden walks, labyrinth walks, and pancake breakfasts to raise funds and awareness. Lisa Trudell, RN; Donna Clarke, RN; Cindy Fant, RN; and Liz Dobrzynski, RN Co n n e c t i ons 12 West Shore Medical Center Dental Surgeries: Service from the Heart Providing dental care for special-needs patients requires a tender touch and a hospital with heart. Every Friday, West Shore Medical Center in Manistee opens one of its operating rooms to dentists who perform oral procedures on children and adults with special needs. Most of the patients have physical, mental, or medical conditions that make it impossible for them to receive dental care without general anesthesia, which requires a hospital setting. Many patients live in group homes and some have never received dental care. Procedures range from dental cleaning to extractions and restorations. West Shore Medical Center provides the surgical suite, a circulating nurse, an anesthesiologist, and recovery room staff. Last year, 121 dental surgeries were done at West Shore. The hospital works in conjunction with Michigan Community Dental Clinics of Manistee to provide dental services to low income and Medicaid patients throughout Michigan. West Shore Medical Center and Otsego Memorial Hospital in Gaylord both open their facilities to the program. “It is a community service,” said West Shore Operating Room Manager Lori Schumacher. “I think it is a nice gesture. These patients come from all over. They are the more medically complicated patients, and can be a challenge for our anesthesiologists.” Sue Verheek is a guardian for developmentally disabled residents in Manistee. About 20 of her clients have received dental services at West Shore. “I think it’s great that they do this,” she said. “Without the hospital, it wouldn’t be happening. It would be very difficult for our people to travel for this kind of service. They can’t tell us how uncomfortable they are, but we know it improves their physical health.” Ben Fishman, DDS ‘She Always Has a Smile’ Violet Frable’s daughter, Susanne, 55, recently underwent a 2 ½-hour dental surgery at West Shore Medical Center to have a cap replaced, fillings, extractions, and a cleaning. “They did a super job. It was quite a snowy day and they told me not to make the drive, they’d stay in touch by phone. They took such good care of her. She’s a happy girl and always has a smile. I’ve looked all over for this kind of service – it was a blessing and I’m just so pleased. I can’t say enough about the folks up there.” Violet Frable Midland 13 Connection s Munson Healthcare Taking Stock of Community Health Munson Healthcare conducted a Community Health Assessment in 2008 to identify health needs in the area and to determine the health status of northern Michigan residents. Key findings included: A growing concentration of older residents is requiring increased health services. Rates of obesity, high blood pressure, and diabetes have soared in the past 10 years; diabetes is occurring at younger ages. Heart disease remains the leading cause of death in the region, followed by cancer. An encouraging finding is that while the incidence of cancer is slightly higher in northern Michigan than the state average, the mortality rate from cancer is slightly lower. An increasing delay in seeking preventive care and residents limiting use of medication and health care services because of cost. Chronic disease and related risk factors are affecting a large portion of northern Michigan’s population. Rising poverty rates, rates of uninsured, reliance on Medicaid for coverage of infants and children, and more people reporting fair or poor health status highlight the need to strengthen safety net services, such as free clinics and programs that provide health care access to this significant and growing portion of the population. An increase in the number of college-educated people who need public services; a rising need among educational levels and socio-economic levels rarely seen before. Health Statistics 22% 78% 30% More than 22 percent of adults in northern Michigan smoke; 16 percent report binge drinking; 22 percent report no leisure time physical activity. More than 78 percent of adults don’t eat recommended amounts of fruit and vegetables. Thirty percent of adults have not seen a dentist in more than a year; an emerging trend is serious dental conditions that compromise overall health. Community Strengths First trimester prenatal care occurs in 86 percent of births; 82 percent of two year olds are fully immunized (both figures from 2006 are above the state average). A variety of maternal and child health indicators have improved over time, and the region is doing better than state averages in infant mortality rate, low birth rate, premature births, and breastfeeding. Total mortality rate for all ages in the 11-county area is significantly lower than state and national rates. Co n n e c t i ons 14 Munson Healthcare Community Benefit Report 2008 Munson Healthcare System Community Benefit What is Community Benefit? Unpaid Cost of Medicaid $9.4 M Unpaid Cost of Charity Care $6.9 M Programs/Services $13.9 M Community benefits are programs or activities that provide treatment or promote health and healing as a response to identified community needs and meet at least one of these objectives: Total $30.2 M • Improve access to health care service • Enhance the health of the community Other Significant Financial Contributions Unpaid Cost of Bad Debt $11.5 M Unpaid Cost of Medicare $19.1 M • Advance medical or health care knowledge • Relieve or reduce the burden of government or other community efforts Community Building Activities $102,446 Total $30.7 M Combined Financial Contributions: $60.9 M Cheboygan Memorial Hospital data not reflected in 2008 report. On the Front Cover Merrie Kirker of Traverse City has had multiple experiences as a patient at Munson Medical Center. After recovering from a second heart attack, she was hospitalized again last summer with serious injuries sustained in a motorcycle accident. “My cardiologist stopped by and just shook her head. I told her, ‘The good news is all my new parts have now been tested and work really well under extreme pressure. The bad news is I need more new parts.’ My care at Munson is always exceptional in every way – everyone there is wonderful and so kind. We are very blessed to have this amazing hospital in our community.” Community benefit munsonhealthcare.org 1105 Sixth Street, Traverse City, MI 49684