Report to Our Community2007

EXPECT MORE FROM A LEADER
Report to Our Community2007
Mission
Meeting our community’s
growing health care needs
Norton Healthcare’s purpose is to
provide quality health care to all those
we serve, in a manner that responds
to the needs of our communities and
honors our faith heritage.
As a not-for-profit health care system, Norton Healthcare
The Norton Healthcare Board of Trustees announced in
exists to meet the growing needs of the communities we are
January 2007 a five-year commitment to spend an additional
Vision
privileged to serve in Metro Louisville, Southern Indiana,
$100 million to fight cancer in our region.The system also
We will be the region’s most
comprehensive, strongest and
preferred health care organization,
setting the standard for quality
and caring.
throughout Kentucky and beyond. In 2007, we did exactly that,
experienced strong growth across hospitals, service lines,
as our organization embarked on a new five-year strategic plan
physician offices and urgent care centers.This growth was
to expand health care services across the region.
highlighted by breaking ground on the new 127-bed
Our efforts received acclaim from local and national
Norton Brownsboro Hospital, scheduled to open in
organizations. Norton Healthcare was selected, for the third
summer 2009.
consecutive year, as one of the Top 25 Best Places to Work in
Additional growth plans include a new pediatric outpatient
The roof of Norton Medical Plaza at Old Brownsboro
Crossing provides a bird’s-eye view of the construction of
Norton Brownsboro Hospital, scheduled to open in 2009.
Values
Left to right: Donald H. Robinson, chairman, Board of
Kentucky; as KentuckianaWorks’ Outstanding Employer of the
center on the Norton Brownsboro campus, scheduled to open in
Trustees; Stephen A. Williams, president & chief executive
At Norton Healthcare, we will:
officer; and Russell F. Cox, executive vice president &
Year; as Business First’s Large Company of the Year; and as a
early 2010, and a new cancer radiation center, scheduled to open
•Respect every person
chief operating officer.
top-five finalist for the National Quality Forum’s prestigious
on our downtown campus in the fourth quarter of 2009.
National Quality Healthcare Award.Wade Mountz, president
We have never felt more optimistic about Norton Healthcare’s
emeritus of Norton Healthcare, was inducted into Modern
continuing growth and success.With your ongoing support,
Healthcare magazine’s Health Care Hall of Fame. Our online
we’re confident that we will do even more to meet your
Norton Quality Report, widely regarded as the nation’s most
health care needs.
•Set the standard for quality
and caring
•Continually improve care
and service
•Demonstrate stewardship
of resources
Donald H. Robinson
Chairman
Board of Trustees
comprehensive tool for openly reporting the quality and safety of
our patient care, grew to nearly 600 quality indicators.
And there were others: Kosair Children’s Hospital was awarded
•Accept accountability for results
Magnet designation for nursing excellence by the American
•Succeed with integrity
Nurses Credentialing Center. Norton Hospital and Norton
Our Faith History
Norton Healthcare’s faith history
includes founding organizations and
other faith communities: Episcopal
Church, United Methodist Church,
United Church of Christ, Presbyterian
Church and Roman Catholic Church.
Stephen A.Williams
President &
Chief Executive Officer
Suburban Hospital were honored by J.D. Power and Associates
for inpatient service excellence.
Our solid fiscal year in 2007 allowed us to contribute a
record $70.8 million “community dividend” to charitable care,
discounted services, community and professional education,
support for the University of Louisville School of Medicine and
Russell F. Cox
Executive Vice President &
Chief Operating Officer
other community services.We are proud that we provided free
or discounted health care services to nearly 61,000 uninsured
patients in 2007 – $58.6 million worth of care.
Philip Fitzgerald, M.D., Varese Hodge, R.N., and patient Nicholas Naiser of Louisville
Reaching into our community
Norton Healthcare board members, employees, physicians
and universities in 12 states. Since the formal establishment of its
and volunteers continued to be part of the essential fabric
workforce development office in July 2000, Norton Healthcare
of Louisville-area communities in 2007.
has helped some 8,000 employees and students enter or advance
in the health care field through a variety of progressive programs
Office of Church and Health Ministries
combining education with training.The innovative Norton
For more than a century, Norton Healthcare’s faith heritage has
Healthcare Scholars Program alone has provided forgivable loans
guided its mission of caring for the sick and injured. As a leader
to help more than 1,600 students earn health care-related degrees.
in promoting ministries to support congregational health and
Parish nurse Martha Streckfus, R.N., checks the blood
wellness, the Office of Church and Health Ministries offers
Supporting the U of L School of Medicine
pressure of a member of St. Marks United Church of
education, resources and services to assist parish/faith community
During the 2007-08 academic year, nearly 150 residents from the
Office of Church and Health Ministries provides education
nurses and others in improving the health of our community.
University of Louisville School of Medicine completed clinical
and resources to more than 100 faith communities with
In 2007, the Office of Church and Health Ministries served
rotations in pediatrics, surgery, obstetrics/gynecology, internal
active health and wellness programs.
more than 100 faith communities with active health and
medicine, psychiatry, orthopaedics, neurosurgery, emergency
wellness programs.
medicine, anesthesiology, gastroenterology and other specialties at
Christ in New Albany, Ind. The Norton Healthcare
Norton Healthcare facilities.These residency programs are part
Giving back to our community
of nearly $22 million in programmatic support that Norton
Norton Healthcare donated three acres of land in southwestern
Healthcare provided the U of L School of Medicine in 2007 –
Jefferson County to the Pleasure Ridge Park Fire Protection
support totaling some $119 million since 1998.
In October 2007, Janice White and her family moved into a
new Habitat for Humanity home in Louisville’s Shelby Park
neighborhood, south of the downtown medical campus. The
home was built by some 300 Norton Healthcare volunteers
on property the organization donated to Habitat.
Jonathan Roberts Photo
District.This gift will help bring fire protection services to the
Norton Healthcare employees and physicians are active
underserved Valley Station area via a new $3 million fire station
Kentucky Regional Poison Center
complex scheduled to open in January 2009.
The Kentucky Regional Poison Center of Kosair Children’s
Through Norton Healthcare’s 2007 Combined Giving
Hospital helps reduce illness and death from poisoning for
Campaign, employees and physicians demonstrated true
residents in the Metro Louisville area and throughout Kentucky.
community leadership by donating more than $863,000 to Metro
The center provides a toll-free telephone hot line, 24 hours a day,
United Way, the WHAS Crusade for Children, Fund for the Arts,
365 days a year, for emergencies, poison exposures and poison
Children’s Hospital Foundation, Norton Healthcare Foundation
information.The hot line, available to the public as well as health
and Kosair Charities.
professionals, received more than 70,000 calls in 2007.
volunteers with many community organizations, including
Habitat for Humanity. In 2007, Norton Healthcare
volunteers helped build a new two-story home for
Janice White and her family.
Workforce development
Norton Healthcare continued to reap the benefits of its locally
and nationally recognized workforce development programs,
designed to attract, develop and retain nurses and allied health
professionals.These efforts include partnerships with 60 colleges
Providing options, education
and resources
Stacy Hallahan, of Louisville, participated in a Louisville
Oncology clinical trial designed for women who may lose
bone density due to surgically induced early menopause.
John Hamm, M.D., director of research, and Sandra E.
Brooks, M.D., MBA, associate vice president, cancer
prevention and clinical research, Norton Cancer Institute,
examine and document blood samples for a clinical trial.
The Norton Healthcare Research Office (NHRO) continues
researchers for submitting projects to both the Institutional
its oversight of research conducted systemwide in Norton
Review Board and NHRO for approval. Additionally, the
Healthcare facilities. Research education, fiscal responsibility and
Clinical Trials Web page was redesigned to be more user-friendly
continued growth were priorities in 2007, as indicated by:
for patients and clinicians.
• Increased attendance in, and expansion of, the Gaining
Through these activities and more, NHRO continues to
Essentials About Research (G.E.A.R.) educational program
support researchers providing care in Norton Healthcare facilities,
• Participation of 28 individuals in the national research
create a research-friendly environment and protect the interests
certification examination through the Society of Clinical
of Norton Healthcare.
Research Associates
At the same time, the Norton Cancer Institute Clinical
• Formation of a Medical Research Advisory Council
Research Program placed 121 new adult oncology patients in
(MRAC), including medical staff, university and community clinical research trials, including phase I, II and III industry-
researchers, and administrators, to improve communication
sponsored studies, as well as trials resulting from affiliations with
with medical staff regarding research topics of interest
the National Surgical Adjuvant Breast and Bowel Project and the
• Continued participation in monthly Collaborative Research
Gynecologic Oncology Group. More than 380 active/follow-up
Group meetings to provide a venue for all downtown
patients were in various stages of study or enrollment in 2007.
medical facilities to discuss research topics of interest and,
Other program highlights from 2007 include:
when possible, to reduce redundant processes among
• Addition of research staff to provide full-time clinical
participating institutions
research associate coverage at seven Louisville Oncology
In 2007, 154 new research applications were submitted for
locations and a bio-repository research technician in
NHRO approval, increasing the number of active studies to
collaboration with surgical oncology
415 in the areas of cancer, pediatrics, orthopaedics and neurospine
• Implementation of standard quality assurance measures to care.There also were 3,821 research subject visits reviewed and
ensure the program’s regulatory, billing and financial
directed by NHRO billing and operations, a significant increase
compliance
of 600 visits over the previous year.
• Establishment of a new screening tool using Louisville
To further its goal of improving communication with
Oncology’s electronic medical record to document and track
researchers and research coordinators, NHRO developed a
a daily review and evaluation of nearly 3,900 patients for
research manual and made it available to all researchers as a
participation in clinical trials
guide to conducting research at Norton Healthcare facilities.
• Implementation of a new research database that includes a
The manual is available on the Clinical Trials page of
list of studies, regulatory information, patients’ visits and
NortonHealthcare.com as part of the guidance provided to
budget/invoicing capabilities
Giving help, hope and happiness
As a not-for-profit health care provider, Norton Healthcare relies
Children’s Hospital Foundation
on the generosity of the community to help support programs,
The Children’s Hospital Foundation works to raise funds for
hospital improvements, education and advocacy.
Kosair Children’s Hospital to ensure our community’s children
have access to quality health care when they need it most.
Norton Healthcare Foundation
Kosair Children’s is the only full-service, free-standing pediatric
The Norton Healthcare Foundation raises funds to support
hospital in Kentucky.
adult health care at Norton Hospital, Norton Audubon Hospital,
In 2007, the Children’s Hospital Foundation helped fund
Norton Suburban Hospital and the planned Norton Brownsboro
Kosair Children’s new 10-bed NICU on the third floor of
Megan Schanie, of Louisville, is a patient in the
Hospital, opening in 2009. Funding for new equipment, clinical
Norton Breast Health Program, supported by the
Norton Hospital. Part of a five-phase, $18.4 million renovation
facilities, programs and educational offerings makes a difference
and expansion project to increase the NICU’s capacity to 97 beds,
foundation helps purchase new equipment and supports
for more than 400,000 patients and their families each year.
the project enhances the unit’s family-centered and developmental
clinical programs, educational offerings and research
In 2007, the Norton Healthcare Foundation funded adult-
for adult patients and their families.
model of care.
service hospital projects such as the 6,600-square-foot Norton
The Children’s Hospital Foundation provided philanthropic
Heart and Vascular Center at Norton Audubon.The center offers
leadership to reach the $10.2 million goal to support the
stress testing, EKG testing, Holter monitoring, noninvasive
expansion and renovation of the imaging department.
vascular testing and cardiac catheterization services.
Kosair Children’s Hospital received a $3 million gift toward the
The foundation led an effort to establish the Marshall Women’s
goal from Kosair Charities.The project adds a second MRI and
Health & Education Center at Norton Suburban Hospital.
creates a state-of-the-art, 12-room sedation suite on the lower
Opening in summer 2008, the center will give women access to
level of Kosair Children’s.
personalized, comprehensive support, health and wellness classes
Eleven-year-old Michala Riggle’s mission to help her brother,
and resource materials. It also will assist in navigating Norton
Evan, and other children with autism began in 2007 when she
Suburban’s clinical services, like surgery, cardiac care, oncology,
started selling handmade beaded bracelets. Michala’s “Beading
gynecology, general and high-risk obstetrics and the Level III
to Beat Autism” campaign led to the Children’s Hospital
neonatal intensive care nursery.
intensive care unit at Kosair Children’s Hospital. The Children’s
Foundation establishing the Michala Riggle Autism Research &
A new neonatal continuing care nursery, constructed on the
Treatment Fund, which has raised more than $275,000 to support
Hospital Foundation raises funds for Kosair Children’s Hospital
second floor of Norton Suburban, provides additional beds and
autism research at Kosair Children’s.
to ensure children have access to quality health care when
space for patient care and family interaction. It was supported by
Funds raised by the foundation also helped support other
the Norton Healthcare Foundation through equipment purchases.
initiatives including pediatric cancer services through Norton
In addition, the foundation gave more than $763,000 in 2007
Cancer Institute, as well as transport, child life, surgery, critical
to fund Norton Cancer Institute outreach, prevention and
care, cardiovascular and trauma services.
Norton Healthcare Foundation. Funding from the
Devanaé Wright, R.N., checks on an infant in the neonatal
they need it most.
education services to address the high cancer incidence and death
rates in Jefferson County and Kentucky that far exceed national
averages.The foundation’s investment in resources aimed directly
at these statistics ultimately will help save thousands of lives.
Working to prevent diseases
and injuries
Norton Healthcare prides itself on its commitment to improving
In addition, Norton Heart Care and the American Heart
the community’s health by ensuring residents have convenient
Association teamed up to address high blood pressure among
access to screenings and programs that help prevent disease
African Americans in Louisville. In Kentucky, blood pressure rates
and injury.
among African Americans are more than 10 percent higher than
in other ethnic groups.The campaign’s goal is to screen more than
Sandra Stroud, lay health navigator, Norton Cancer
Institute, consults with Susie Wiggins, of Louisville, at a
during a Faith Walk co-sponsored by the Norton Healthcare
Office of Church and Health Ministries and Louisville Metro
Public Health & Wellness. In 2007, thousands of people
Jamie Rhodes Photo
consulted with nurses at events like this.
1,000 residents each year through 2010 and provide educational
To combat the high incidence of cancer in Kentucky,
events at area churches, businesses and civic organizations.
Norton Healthcare Office of Church and Health Ministries
Norton Cancer Institute Prevention & Early Detection Program
screening at Louisville Presbyterian Theological Seminary.
took screenings to the streets with a new $1 million Mobile
Children’s injury prevention
The Office of Church and Health Ministries sponsored
Prevention Center. It provides breast, cervix, prostate and
In 2007, more than 245 children were treated in the emergency
30 church health fairs and offered support and services to
colorectal cancer screenings and digital mammograms at various
department at Kosair Children’s Hospital after being injured while
more than 100 faith communities in 2007.
community locations several days a week.
walking or riding a bike. Kosair Children’s works to reduce these
Norton Cancer Institute offers screenings to eligible adults age
types of injuries by leading Safe Kids Louisville and Jefferson
40 and older. In 2007, it provided more than 900 screenings at
County, a program that conducts safety events at schools and in
various community locations. Comprehensive risk assessments
the community. In 2007, more than 15,000 third- through fifth-
and genetic counseling for those with family histories of cancer
graders throughout Kentucky participated in bike safety rodeos,
also are available.
one of the program’s most popular events. Other events included
Also in 2007, Norton Healthcare launched its smoke-free
Safe Kids Week, with summer safety activities, and a pedestrian
campuses policy. Smoking is no longer allowed on any
safety event in the fall.
Norton Healthcare campus.The initiative promotes a healthier
At the same time, the Children’s Hospital Foundation Office
environment and provides free smoking cessation classes on the
of Child Advocacy of Kosair Children’s Hospital advocates for
Norton Audubon, Norton Suburban and downtown campuses.
new, stronger safety legislation and provides education on issues
More than 150 people have enrolled in these classes since
and products that keep children safe. In 2007, child advocates
June 2007.
designated as child passenger technicians performed more than
health screenings and provided educational materials for
Beth Spalding, R.N., talks with Brenda Griffith, of Louisville,
Cancer prevention
540 car seat inspections at the Norton Healthcare Pavilion.
Heart and vascular disease prevention
Because cardiovascular disease remains the nation’s No. 1 killer,
Norton Healthcare offers weekly opportunities for heart and
vascular screenings at grocery stores and other convenient
locations in the community. In 2007, more than 9,000 cholesterol,
blood pressure and body-fat screenings were performed.
Tackling daunting statistics to
create a healthier tomorrow
Norton Cancer Institute is the leading provider of comprehensive
The Mobile Prevention Center’s goal is to reduce barriers to
cancer care in Kentucky and Southern Indiana. Its dedicated staff is
cancer screening services by working in collaboration with
responsible for treating approximately half of all cancer patients in
community leaders, the Louisville Metro Department of Public
the Louisville area. Patients treated at Norton Cancer Institute have
Health and Wellness and other organizations to improve cancer
higher five-year survival rates for selected cancers. Given the cancer
outcomes.The Cancer Prevention & Early Detection Program
incidence and mortality rates in Kentucky and Southern Indiana
works in conjunction with the Norton Cancer Institute Patient
exceed those of the rest of the nation, it is good to know there are
Navigator Program, Cancer Resource Centers and the Norton
survival rates than the national average, according to the
health care professionals devoted to turning these statistics around.
Healthcare Foundation to offer a full spectrum of cancer education
Kentucky Cancer Registry and National Cancer Data
The Norton Healthcare Board of Trustees announced in 2007
and support services.
a five-year commitment to spend an additional $100 million in
Norton Cancer Institute also is planning a new 14,400-square-
programs; advanced treatment options; and innovative
partnership with the community to fight cancer through the
foot, $9.7 million cancer radiation center on Norton Healthcare’s
medical research programs.
creation of Norton Cancer Institute and expansion of prevention,
downtown campus.The radiation center will feature the most
treatment and support services.
sophisticated technology available to provide radiation therapy
To meet the needs of its patients, in 2007 Norton Cancer
treatments for adults and children. It also will include an
Institute added additional medical, radiation and gynecological
education center and meditation garden.The pediatric section
oncologists to its staff. In July 2008, Stephanie Wagner, M.D., joined
of the center will be modeled after St. Jude’s new radiation center,
Norton Cancer Institute as the region’s only formally trained
with input from its radiation oncologists. Expected to open in late
neuro-oncologist, caring for adults and children with brain tumors.
2009, the radiation center will be built on the northwest corner
Corey Rothrock, M.D., became Kentucky’s second orthopaedic
of Floyd Street and Broadway.
oncologist, joining Peter Buecker, M.D., in providing care to
Norton Cancer Institute is a major center for clinical trials and
patients with bone cancers.
is consistently able to offer new therapies not available elsewhere
As part of its expanded vision, in early 2008 Norton Cancer
in the region.
Institute launched a $1 million Mobile Prevention Center, a
Together, these services work to create a comprehensive,
40-foot unit equipped with digital mammography, a clinical exam
multidisciplinary approach to cancer prevention, diagnosis and
breast exams, digital mammograms, Pap smears, prostate
room and small laboratory.The center’s staff reaches out to
advanced treatment, offering hope and peace of mind to
exams and PSA blood tests, and colon cancer testing kits.
underserved communities, businesses and churches throughout the
thousands each year.
Charles Smithson, of Louisville, battled lymphoma
with the help of Norton Cancer Institute. With higher
Base, Norton Cancer Institute provides a continuum of
care – expansive prevention, education and survivorship
Joann Smyzer, lay health navigator, Norton Cancer Institute,
welcomes Karen Allen, of Crestwood, to Norton Cancer
Institute’s Mobile Prevention Center, which offers clinical
Metro Louisville area by providing clinical breast exams, digital
mammograms, Pap smears, prostate exams and PSA blood tests,
and educational activities for lung and colon cancer prevention.
Helping our community
breathe a little easier
As a leading provider of cardiovascular and pulmonary services,
Old Brownsboro Crossing joined Norton Audubon Hospital
Norton Heart Care’s expansion of advanced heart and lung care
in offering leading-edge sleep testing equipment in the first
in 2007 improved our community’s ability to fight heart
accedited facilities in the region.
disease, the No. 1 killer of both men and women in Kentucky
Specialized training is the focus of the Norton Healthcare
and nationwide, and stroke, the No. 3 killer and a leading cause
Foundation School of Cardiovascular Technology, which became
of disability, according to the American Heart Association.
accredited by the Commission on Accreditation of Allied Health
Concentrating efforts in 2007 around heart attack management
Education Programs in 2007.The 18-month cardiovascular
factor for both heart attack and stroke. She now is in
and chest pain services, Norton Audubon Hospital developed a
technologist (CVT) training program is one of only four
control of her blood pressure, taking medication and
system to dramatically reduce door-to-balloon time for heart
hospital-based CVT programs in the country. Students specialize
attack patients. During the first three months of 2008, 100 percent
in echocardiology or invasive cardiology and spend clinical
of the hospital’s heart attack patients underwent angioplasty less
learning time in Norton Healthcare facilities.
than 90 minutes from arrival in the emergency department.
Norton Healthcare worked to improve patient outcomes
These strategies have been featured at the annual ACC National
in 2007 by offering a personal advocate to individuals with
Cardiovascular Data Registry Conference in Chicago and
suspicious lesions in their chests.The Thoracic Services Patient
published in Cardiology magazine.
Navigator Program was launched to provide patients with a
Beginning in 2007, Norton Heart Care brought state-of-the-
personal liaison to assist in navigating the health care system.The
art heart, vascular and pulmonary care “closer to home” for
navigator connects patients with the many resources available to
thousands of northeastern Jefferson County residents by offering
help with mounting co-pays, treatment and medication costs or
a full range of cardiovascular and pulmonary diagnostic services
barriers to getting treatment, such as transportation or language.
at the Norton Diagnostic Center at Old Brownsboro Crossing.
The navigator also educates patients about their disease process
Services include echocardiograms, noninvasive vascular
and plan of care. All services are free.
screenings, Holter monitoring, electrocardiograms, pulmonary
Finally, in 2007 Norton Healthcare was the presenting
function testing, nuclear medicine/stress testing and sleep
sponsor of the American Heart Association Kentuckiana Start!
medicine consultations. Norton Heart Care offers similar
Heart Walk.The Norton Healthcare team, with 458 registered
diagnostic services at Norton Healthcare hospitals and medical
walkers, was the largest group in the walk and raised the
centers throughout Louisville as well as in Bullitt County, Ky.,
second-largest amount by a company – more than $38,000.
While attending a church health fair, Sarah Wilson, of
Louisville, learned she had high blood pressure, a risk
sticking to a healthy diet and regular exercise.
Vilma Stasko, of Louisville, is monitored during a sleep study in
the new six-bed Norton Sleep Center at Norton Medical Plaza
at Old Brownsboro Crossing. Norton Audubon Hospital also
offers sleep testing in a state-of-the-art facility.
and Clarksville, Ind.
Specialized care for people with sleep disorders also became
available at Norton Medical Plaza at Old Brownsboro Crossing in
2007 when a six-bed Norton Sleep Center opened.The center at
Meeting women’s needs
at every stage of life
Norton Women’s Pavilion provides comprehensive health and
them roomier, and the newborn nursery was downsized because
wellness programs and services designed for women at each stage
the hospital adopted a “couplet care” concept, allowing babies and
of life. Although a leader in obstetrics, Norton Women’s Pavilion
new mothers to be cared for in the same room by the same nurse.
delivers much more than babies.With well-trained physicians in
Large, flat-screen monitors also were installed on a wall near the
gynecology, cancer and breast care, as well as a dedicated women’s
nurses’ station, making it easy for doctors and nurses to check
heart center and a variety of midlife services, Norton Women’s
patients’ vital signs and contractions.
Pavilion provides compassionate, personalized care for women
At the same time, plans began for renovation of operating room
including Circle of Hearts, a free series from Norton
of all ages.
suites dedicated to women’s surgeries at Norton Suburban
Women’s Heart Center that educates women about early
In 2007, the Norton Women’s Heart Center at Norton Suburban
Hospital.These specialized suites are scheduled to open in early
Hospital performed more than 1,500 cholesterol screenings, nearly
fall 2008.
3,900 blood pressure screenings and approximately 2,300 body-fat
Norton Women’s Pavilion also continued to expand its wide
analyses. In addition, representatives from the center spoke to more
range of services in 2007 for women in their midlife years.
than 800 people at various group presentations during the year,
These included:
providing vital resources and education.
• Minimally invasive treatment for pelvic organ prolapse,
The Norton Healthcare Foundation led an effort to establish the
including laparoscopy and the laparopscopic da Vinci
Marshall Women’s Health & Education Center at Norton Suburban
surgical system
Hospital.When it opens in summer 2008, it will provide women
• Bladder control treatment
access to personalized, comprehensive support, health and wellness
• Hormone replacement therapy assessments and counseling
information, resource materials and educational classes.
• Menopause management services
Norton Women’s Pavilion continued to lead the way in
• Nutritional and fitness counseling
maternity care for the region in 2007, delivering more than
• Psychological/sexual counseling
8,000 babies and providing specialized obstetric care for high-risk
In addition, obstetricians and gynecologists were on the
pregnancies and premature deliveries. Increasing need for
increase at Norton Healthcare in 2007. Norton Physician Services
maternity services was the catalyst for a renovation and expansion
practices grew to meet the needs of women requiring these
delivering more than 8,000 babies in 2007 and providing
of the birthing centers and mother/baby units at Norton Hospital
specialized services – a trend expected to continue into 2008 and
specialized care for high-risk pregnancies and deliveries.
and Norton Suburban Hospital.
beyond specifically through the addition of maternal-fetal
A $7.3 million renovation of the 36,000-square-foot women’s
medicine specialists.Together, with the neonatal intensive care
pavilion on the third floor of Norton Hospital took place in 2007.
unit, these subspecialists work with obstetricians and family
It includes 10 labor/delivery/recovery rooms, two operating rooms,
physicians to provide care for patients deemed at high risk from
a four-bed post-surgical recovery area, a five-bed triage area and 32
preconception through pregnancy, labor and delivery to ensure
private rooms. Existing patient rooms were reconfigured to make
the best possible experience for both mother and baby.
Monica Thomas, of Louisville, attends several educational
programs presented by Norton Women’s Pavilion,
signs and symptoms of heart disease, as well as accurate
diagnosis, treatment and risk factors.
Melissa Stinnett admires her newborn baby, Kayleann Price,
in the mother/baby unit at Norton Suburban Hospital. Norton
Women’s Pavilion is a leader in maternity care for the region,
Addressing patient care in
a comprehensive way
In 2007, Norton Healthcare brought comprehensive neuro-
Physicians through either Norton Back Center location, which
intervention to the community. A medical subspecialty that
provide comprehensive treatment of neck and back pain.
combines radiographic imaging and catheters to prevent,
At the same time, pain management services at Norton
diagnose and treat neurological conditions, neuro-intervention
Audubon worked in tandem with Norton Rehabilitation
remains at the forefront of preventive medicine.
Physicians, and similar services were enhanced at Norton
With the addition of Edgard Pereira, M.D., vascular and
Hospital. In 2007, Norton Healthcare also began planning for
interventional neurology, stroke patients now have a new resource
expansion of pain management services at Norton Suburban.
equipment at the Norton Rehabilitation Physicians office
to help them with early treatment and recovery. Dr. Pereira
Sometimes patients require spine surgery to most effectively
in Jeffersonville.
serves as medical director of the Norton Healthcare Stroke
address their pain and symptoms. In 2007, Norton Leatherman
Committee, provides on-call stroke coverage for Norton
Spine Center enhanced its reputation for world-renowned care,
Suburban and Norton Audubon hospitals, and shares on-call
as the two physician practices that operate cooperatively under
stroke coverage for Norton Hospital.
the Leatherman name – Spine Institute and Neurosurgical
Norton Healthcare neurology services were further solidified
Institute of Kentucky – found continued success. Hundreds
in 2007 when Neuroscience Associates relocated and realigned
of patients from across the globe sought the expertise and
themselves at Norton Audubon Hospital, providing patients at
consultations of the neurosurgeons and orthopaedic surgeons
Norton Audubon and Norton Suburban easier access to
at Norton Leatherman Spine Center.
neuroscience care.
Orthopaedic consultations not relating to the spine were
The path to recovery for stroke patients and others with
available at all Norton Healthcare adult-service hospitals in 2007,
neurological conditions ultimately may lead to orthopaedic and
including fracture care for all bones and major joints, such as
rehabilitative services. Norton Rehabilitation Physicians, a part of
hips, knees and ankles. Norton Ortho Trauma Care provides
Norton Community Medical Associates, experienced tremendous
injured patients access to physicians who are fellowship trained in
growth in 2007. Drs. Louie Williams and Jason Miller are
orthopaedic trauma care. It meets adolescent and adult patients’
physiatrists, or doctors who treat medical conditions that can
needs for orthopaedic consultation coinciding primarily with
cause pain or limit function.They provide a full spectrum of
emergency department visits.
As therapy after a boating accident, Cheryl Moody-Anderson,
of Greenville, Ind., strengthens her shoulder and back on
Manjari Motaparthi, M.D., Norton Neurology Services, studies
the brain scan of a stroke patient. Norton Healthcare provides
comprehensive orthopaedic and neuro/spine services and
state-of-the-art technology, such as biplane angiography for
care – from diagnosis to treatment and rehabilitation – to restore
stroke patients and minimally invasive spine fusion surgery.
maximum health and quality of life.Their rehabilitation
consultation services are available at acute care hospitals in
Louisville and Southern Indiana, and they serve as a central access
point for individuals with back pain or who need physical
rehabilitation. Patients can access Norton Rehabilitation
Caring with concern,
compassion and distinction
Kosair Children’s Hospital is Kentucky’s only full-service, free-
With the renovation, Kosair Children’s also is adding advanced
standing pediatric hospital serving more than 109,000 children
electronics to give patients input in creating their own MRI
each year from across Kentucky and Southern Indiana. It also is
experience, thereby increasing their comfort. By choosing a
the primary teaching facility for the University of Louisville
special card that is passed over a reader in the MRI suite, the room
School of Medicine’s Department of Pediatrics.
is transformed into a wonderland of the patient’s choosing with
In 2007, Kosair Children’s joined an elite group of children’s
sounds and images projected on the walls.Themes may include
hospitals when it was awarded Magnet designation from the
an underwater experience or a space adventure.
Kosair Children’s is expanding and renovating its imaging
American Nurses Credentialing Center. Magnet designation
In 2007 construction was completed on a new 10-bed neonatal
services area and adding a second MRI scanner to reduce
recognizes hospitals throughout the world for nursing excellence.
intensive care unit (NICU) on the third floor of Norton Hospital
Kosair Children’s is the only Magnet hospital in Louisville and one
as part of a five-phase, $18.4 million renovation and expansion
of only 20 Magnet-designated children’s hospitals in the country.
project to increase the capacity of the NICU to 97 beds and
Excellence in nursing practice is one of many qualities that set
update existing space in a developmental care model.
Kosair Children’s apart. Another is patient safety, evidenced by the
The unit provides a family-centered care environment, which
“Just for Kids” Critical Care Center celebrating 296 days with no
has been shown to improve short-term and long-term outcomes
incidents of catheter-associated bloodstream infections in 2007.
for premature and medically fragile infants.The Children’s
Catheter-associated bloodstream infections are the most common
Hospital Foundation is spearheading fundraising efforts to support
hospital-acquired infections in pediatric intensive care patients.
the project, with completion of all five phases expected by 2011.
Also in 2007, Kosair Children’s began construction to expand
Additionally, a new neonatal continuing care nursery opened
and renovate its imaging services.The Children’s Hospital
on the second floor of Norton Suburban Hospital in 2007.
Foundation provided philanthropic leadership to support the
It provides additional beds and space for patient and family
expansion and renovation of the imaging department. As part of
interaction and state-of-the-art equipment.
this $10.2 million effort, Kosair Children’s Hospital received a
Finally, in late 2007 and early 2008, physicians at
$3 million gift from Kosair Charities. The hospital is adding a
Kosair Children’s began using a tool to allow safer and more
Alton Roberts, Kosair Charities representative on
second MRI scanner and upgrading from four sedation rooms to
effective treatment of arrhythmias through ablation. A new
the region’s only pediatric trauma center, with access to the
the Norton Healthcare Board of Trustees, spends
a 12-room sedation suite. Currently, Kosair Children’s is the only
three-dimensional electrophysiology mapping system allows
“Just for Kids” Critical Care Center.
Kosair Charities signed a 20-year contract with
hospital in the city offering specialized pediatric radiology and
physicians to create a virtual reconstruction of a child’s heart.
Norton Healthcare pledging support of charity care
anesthesia support for children requiring sedation for long
Using these images, specialists have a much more accurate picture
and growth initiatives at Kosair Children’s Hospital.
procedures, like MRI and CT exams.This expansion will increase
of the healthy and abnormal heart tissues, something that cannot
available appointments for these procedures, reduce wait times and
be seen with routine electrocardiograms or imaging studies, such
ensure children do not have to travel to Cincinnati, Indianapolis or
as echocardiograms or cardiac catheterization.
Gage Richardson, of Prospect, underwent magnetic
resonance imaging (MRI) at Kosair Children’s Hospital.
wait times for children needing the procedure.
Darla York, R.N., talks with 10-year-old cancer patient
Alicia Brinegar, of Louisville. Kosair Children Hospital offers
the area’s only pediatric Cancer Care and Renal Center and
time with Evalina Capece of Louisville. In 2007,
Nashville for these procedures, keeping families close to home.
Breaking new ground to
benefit patients
New procedures and expansion of services were the hallmarks
For most patients, da Vinci procedures offer numerous
for Norton Healthcare’s surgical services in 2007.
potential benefits, including a shorter hospital stay, less pain, less
Deep brain stimulation (DBS) surgery, a procedure to relieve
risk of infection, less blood loss, less scarring, faster recovery and
uncontrolled movement in patients with Parkinson’s disease,
a quicker return to normal activities – all resulting in more
essential tremor disorder or dystonia, was performed for the
favorable outcomes.
first time at Norton Hospital.
A demonstrated track record of favorable outcomes was one
DBS surgery involves implanting electrodes in the patient’s
of the factors considered by the American Society for Metabolic
After having deep brain stimulation surgery (DBS), he
brain through one or two nickel-size holes in the skull.The
and Bariatric Surgery (ASMBS) when it designated Norton
now is able to walk unassisted.
electrodes are attached to thin leads that are burrowed under the
Suburban Hospital, in conjunction with Mark Shina, M.D., and
skin down the neck to the chest. The leads are attached to a
David Geller, M.D., an ASMBS Bariatric Surgery Center of
battery pack, called an IPG, which is implanted below the patient’s
Excellence in 2007. Norton Hospital, staffed by bariatric surgeons
collarbone in a separate surgery. The electrodes deliver impulses
Jeff Allen, M.D., and Jorge Rodriguez, M.D., received ASMBS
that block or override the abnormal brain activity that causes
Center of Excellence designation in 2006.
slow or uncontrolled movement and rigidity. After surgery, many
Both hospitals saw significant growth in their bariatric
patients are able to decrease their medications. The procedure also
programs in 2007; more than 750 surgical cases were performed
may hold promise as a treatment for other conditions.
at the two facilities combined. During the year, the program
In January 2005, the region’s first prostatectomy using the
enhanced its continuum of care with added medical weight
state-of-the-art da Vinci™ robotic surgical system was performed
management programs and nurse navigators to assist patients in
at Norton Hospital. Since then, the da Vinci has been used for
accessing resources and services.
other procedures, and in 2007, the number of robotic-assisted
Donald Coppersmith, of Elizabethtown, was confined to a
wheelchair for five years as a result of Parkinson’s disease.
Keith Miller, M.D.; Mohammad Aslam, CRNA; Jeff Allen, M.D.;
and Jennifer Lauder, surgical technician (left to right),
work as a team to provide bariatric surgical services.
gynecological surgeries, such as hysterectomies and ovarian tumor
removals, increased dramatically.
Procedures with the da Vinci system eliminate the need for
large abdominal incisions. Instead, smaller incisions are made, and
The Norton Bariatric Center offers informational weight loss
a laparoscope (a thin, flexible telescope) is inserted into the patient
surgery seminars, nutritional education and support services.
to transmit images to a nearby computer screen where they are
enlarged for surgeons to easily see the surgical area.
Growing to meet the needs
of our community
Norton Physician Services’ mission is to provide quality primary,
Southern Indiana, the surgeons keep office hours on the
specialty and urgent care to residents of Metro Louisville and
downtown medical campus and in northeastern Louisville
surrounding counties as well as Southern Indiana. During 2007
at Norton Medical Plaza at Old Brownsboro Crossing.
and the first half of 2008, the division experienced significant
Norton Physician Services remains committed to offering
growth in number of patients, expansion of locations and the
advanced specialty-care services to greater Louisville, Southern
addition of 46 employed medical providers. As a result,
Indiana and regional communities. In partnership with
Norton Physician Services grew to 226 employed medical
Norton Women’s Pavilion, the division expanded its maternal-
to high-risk obstetric and gynecologic services. Expecting
providers, by far the largest provider network in the region.
fetal medicine program, adding three new specialists –
her third child, Marshall has protein S deficiency/sickle cell
As patient volumes increase, the division anticipates adding
Drs.Thomas N.Tabb, Helen Y. How, and Vance Cuthrell –
more physicians to meet growing demand for services. In 2007,
to Norton Maternal-Fetal Medicine Specialists.They join
patient visits to Norton Healthcare physician practices and
Drs.Whitney E. Jamie and Verlee L. Fines in providing
Norton Immediate Care Centers totaled more than 643,000.
comprehensive high-risk care for babies and mothers before,
Through May 2008, trends project the number of visits to grow
during and after delivery.
by nearly 12 percent to roughly 720,000 visits for the year.
Plans for added growth will continue through 2008 as
Norton Physician Services acquired Louisville Primary Care
Norton Physician Services relocates two southwestern Jefferson
Center near downtown Louisville as well as Louisville East
County physician practices, Norton Medical Associates –
Primary Care on North Hurstbourne Parkway. Now known as
Southside and Women’s Specialists – Southwest, to the former
Norton Louisville Primary Care Center and Norton Community
Dillard’s center on Dixie Highway. This expansion and move
Medical Associates – Hurstbourne, respectively, Norton Physician
will allow patients access to primary care, obstetric/gynecologic
Services currently includes some 44 practice locations. Urgent
care and urgent care with the opening of an 11th Norton
care expanded to a total of 10 locations with the opening of
Immediate Care Center, all in one convenient location in
Norton Immediate Care Centers near Jeffersontown and in
southern Jefferson County.
the Highlands.
Norton Physician Services currently employs physicians in
Norton Healthcare continually seeks opportunities to offer
family medicine; general practice; internal medicine and
12,000-square-foot facility includes a Norton Immediate Care
additional services within various Norton physician practices.
pediatrics; as well as specialists in cardiothoracic surgery;
Center equipped with a full-service lab and X-ray equipment.
At more than 31,000 square feet, Norton Community Medical
endocrinology; geriatrics; maternal-fetal medicine; neurology;
Associates – Clarksville provides patients in Southern Indiana
obstetrics/gynecology; pediatric radiology; rehabilitation
access to diagnostic services and primary- and specialty-care
medicine; pain management; psychiatry; hospitalist care; and
physicians. Patients needing comprehensive upper extremity care,
hand, pediatric, trauma and general orthopaedics.
Tiffany Marshall, of Louisville, is under the care of Norton
Maternal-Fetal Medicine Specialists, physicians dedicated
trait, which can cause iron deficiency anemia, a risk factor
for slowed fetal growth and fetal oxygen deprivation.
Lesley A. Harris, M.D., examines Joey Rourke, of Louisville,
during a visit to Norton Community Medical Associates –
Tyler Retail Village in southeastern Jefferson County. The
for instance, now have access to the physicians with Louisville
Arm & Hand in Clarksville. In addition to seeing patients in
Donating time and energy
to help others
In 2007, more than 960 volunteers, including hundreds of teens,
• The Norton Healthcare Pavilion Auxiliary and its
unselfishly gave nearly 68,000 hours of service to Norton
30 members, through sales of books, jewelry and
Healthcare’s four hospitals. According to Independent Sector, the
personalized Christmas ornaments, helped with funding
leadership forum for charities, foundations and corporate giving
several projects, including a $10,000 donation to the Norton programs, the monetary value associated with one hour of
Healthcare Foundation toward the renovation of the
volunteerism in 2007 was $19.51.That means Norton Healthcare
Pavilion Chapel.
volunteers saved the organization more than $1.3 million in labor
• The Kosair Children’s Hospital Auxiliary donated $100,000 of Louisville Foundation to recognize individuals for
costs during the year.
from gift shop proceeds to the Children’s Hospital
community volunteer service. The 20-year-old pre-med
Volunteers provide a variety of valuable services to patients,
Foundation to support the hospital.
visitors and staff, like working in the gift shops, assisting with way-
• Balloon Angels, a volunteer group at Kosair Children’s,
finding, making comfortable blankets for patients, filing, creating
distributed Mylar balloons every Tuesday night to patients.
patient charts, delivering mail, staffing information desks, serving
• TWIGS of Kosair Children’s Hospital volunteers raised as Eucharistic ministers, rocking babies in the newborn
$62,000 to benefit Kosair Children’s Hospital, Norton
nurseries, distributing Jarrett’s Joy Cart gifts to pediatric cancer
Audubon Hospital and Norton Suburban Hospital by
patients, visiting patients as representatives of the Norton Prime
operating gift shops at Norton Audubon and Norton
Time program and serving coffee and soft drinks to visitors in
Suburban hospitals.
hospital waiting rooms.
• Festival of Trees & Lights and Children’s Hospital
Other 2007 highlights include:
Foundation car raffle volunteers raised more than $380,000
• Norton Audubon Hospital volunteers raised nearly $4,000 to benefit the neonatal intensive care unit (NICU) at
through fundraising efforts with Cardinal Uniforms.
Kosair Children’s Hospital.
• Norton Suburban Hospital volunteers coordinated a group
• American Girl Fashion Show volunteers raised more than
of volunteers from Northeast Christian Church to make $55,000 for the NICU at Kosair Children’s Hospital.
“Comfort Covers” for patients at Norton Suburban.
As a token of appreciation for their dedication and service,
• Norton Woman’s Board volunteers donated $50,000 in
Norton Healthcare invites volunteers to special employee events
proceeds from the Norton Hospital gift shop to the
and educational programs as well as an annual volunteer
Norton Healthcare Foundation to assist with the newborn
recognition event, and provides them with cafeteria meal coupons,
nursery renovation at Norton Hospital.
free parking on hospital campuses, a volunteer newsletter and free
Neil Gupta, of Prospect, is the youngest adult recipient
of the 2007 Bell Awards presented by the WLKY Spirit
student began volunteering at Norton Audubon Hospital
in 2004, when he was a student at St. Xavier High School.
Evelyn Owens and Holly Reifert, both of Louisville, are members
of the Northeast Christian Church Comfort Covers ministry,
providing comforting blankets for patients at Norton Suburban
Hospital.
visits to the Fitness Center of Norton Healthcare.
Our hospitals
2007 highlights
Kosair Children’s Hospital
Norton Audubon Hospital
Norton Suburban Hospital
Kentucky’s only full-service, free-standing children’s hospital:
Norton Audubon Hospital, a regional leader in heart care, primary
Norton Suburban Hospital, a health care cornerstone in eastern
Norton Brownsboro Hospital
Opening in 2009
•Awarded Magnet designation, making Kosair Children’s
care and emergency medicine, treating patients from Jefferson,
Jefferson County, focuses on cancer prevention, detection and
The new 127-bed acute care hospital, opening in late 2009, is the
Hospital the only Magnet hospital in Louisville and one of
Bullitt and surrounding counties:
treatment, as well as women’s services, including the state’s busiest
first new hospital to be built in Louisville in more than 20 years.
only 20 children’s hospitals in the country with this prestigious
•Opened the Norton Heart and Vascular Center at
birthing center and high-risk maternal-fetal medicine center:
It is adjacent to the 86,000-square-foot Norton Medical Plaza,
designation for nursing excellence
Norton Audubon Hospital, bringing stress testing, EKG testing,
•Named an American Society for Metabolic and Bariatric
which features a large primary care physician practice, a Norton
•Was one of only five hospitals in the country to test the
Holter monitoring, noninvasive vascular testing and cardiac Surgery (ASMBS) Bariatric Surgery Center of Excellence, in Immediate Care Center, Norton Diagnostic Center, Norton Sleep
INVOS cerebral/somatic oximeter, a device to help caregivers more quickly
catheterization services together in one central location
conjunction with surgeons Mark Shina, M.D., and David Geller, M.D.
Center, Louisville Oncology and many primary and specialty care physician offices.
detect and treat babies in distress in the neonatal intensive care unit (NICU)
• Opened a 6,500-square-foot center exclusively dedicated to vascular access • Completed a $2 million expansion of the NICU as part of the relocation of
The hospital will offer a wide range of inpatient, outpatient, diagnostic, orthopaedic,
• Added music therapy to the expressive therapies offered for children
services for kidney dialysis patients
30 Level II beds from Kosair Children’s Hospital, bringing Norton Suburban’s
cardiovascular and intensive care services.
during hospitalization
• Expanded cancer services and added a new Cancer Resource Center in
NICU capacity to 40 beds
Norton Brownsboro Hospital will be patient- and family-centered – all services
• Was among the first hospitals in the country to offer erythrocytapheresis
Audubon Medical Plaza West, providing information on cancer prevention
• Completed an $8 million modernization of the hospital’s physical plant,
and care will be focused on the individual needs of each patient and family, including:
(automated red blood cell exchange), a new treatment for sickle cell disease
and treatment as well as a variety of support services for patients and families
including replacing boilers, chillers, emergency generators and electrical
• Spacious, all-private patient rooms, each with large windows, a small refrigerator
that reduces the pain and stress a child may feel during transfusion
• Expanded orthopaedic and spine surgical services
switchgear to be more energy efficient
and a pull-out couch
®
• Installed the SpyGlass™ Direct Visualization System – one of only a handful in
• Open, airy design featuring abundant light and views of nature, promoting
beading and selling bracelets to raise funds for an autism study to be conducted Norton Hospital
the country – which allows direct visualization of the liver ducts and biliary
a healing environment
by physicians at Kosair Children’s Hospital and the University of Louisville Norton Hospital, a surgical specialty hospital and the center of the
system, offering an enhanced means of treating digestive tract disorders
• Easy-to-find inpatient and outpatient services
School of Medicine Department of Pediatrics
downtown Louisville Medical Center:
• Ground-floor parking
•Opened an endoscopic retrograde cholangiopancreatography • 24-hour emergency department
(ERCP) unit at the Norton Healthcare Pavilion to help
• Wireless Internet access throughout the hospital
diagnose and treat digestive tract disorders
The hospital will follow the Green Guide for Health Care, the health care
•Added physicians to Louisville Arm & Hand, a specialty practice industry’s best practices tool kit that integrates enhanced environmental and health
• Received national media attention when 11-year-old Michala Riggle began offering advanced upper-extremity care focusing on treatment of injuries to the principles into the planning, design, construction, operations and maintenance
shoulder, arm, hand and fingers
of new hospitals.
• Opened the Norton Parathyroid Center, offering patients access to the only surgeons in Kentucky who perform minimally invasive radioguided
parathyroidectomies
• Began offering TheraSphere, a state-of-the-art radiation treatment option for
patients with inoperable liver cancer
Achieving strong fiscal results and continued
investment in our organization, community
Norton Healthcare continued its solid fiscal performance
Highlights
in 2007 while investing heavily in the organization and the
• Posted a $79.6 million bottom line (operating income).This
communities it serves, consistent with its not-for-profit mission.
represents the fifth consecutive year that Norton Healthcare
Sound fiscal performance in 2007 allowed Norton Healthcare
has posted positive operating income.
to contribute a record $70.8 million “community dividend” to
• Contributed a record $70.8 million community dividend,
charitable care, discounted services, community and professional
a 5.3 percent increase from 2006.
education, support for the University of Louisville School of
• Recorded $3.4 billion in gross revenues and ended 2007
Medicine and other community programs and services. From
with $1.6 billion in total assets.
2003 to 2007, Norton Healthcare’s strong fiscal management has
• Improved net revenues to $1.18 billion, a $30 million
resulted in a total community dividend of nearly $323 million.
improvement (3 percent) from 2006. Since 1998, Norton
In 2007, free or discounted health care services were provided
Healthcare’s net revenues have grown from $417.9 million
to nearly 61,000 uninsured patients, representing some
to $1.18 billion, an increase of 182 percent.
$58.6 million worth of services provided – or more than
• Improved cash reserves to $588 million, a $48 million
$160,000 each day.
improvement from 2006.
System facilities, equipment and technology received
• Improved days cash on hand – a key indicator of an
$80 million in upgrades in 2007, part of $509 million in upgrades
organization’s financial strength – to 218 days.
since the organization doubled in size in September 1998.
• Recorded a record $22.2 million in private philanthropic
It is through investments such as these that Norton Healthcare is
support through the Children’s Hospital Foundation,
able to provide patient care more effectively and efficiently while
Norton Healthcare Foundation and Kosair Charities.
improving fiscal performance, resulting in additional resources to
reinvest in the organization and the communities it serves.
Norton Healthcare’s $22.5 million patient service margin –
from patient services provided in 2007 – represents the
fourth consecutive year that the organization has recorded
a positive margin.
Growing to meet future
health care needs
As the Louisville area’s leading health care system, Norton
• Eight operating room suites and two endoscopy suites, along
Healthcare is committed to providing quality health care for not
with private pre- and postoperative rooms.
only current residents but future residents throughout the region.
• Inpatient and outpatient surgery; intensive care; a full range of
By investing $80 million in capital expenditures in 2007, Norton
outpatient and diagnostic imaging services; cardiac and
Healthcare continued to expand its services, facilities, equipment
pulmonary diagnostic testing; orthopaedic care; inpatient
and technology across hospitals, service lines, physician offices,
rehabilitation services, including wound care and speech
urgent care centers and other areas.
therapy; and other services.
required for young children who must be sedated for
The most visible sign of the organization’s growth was the
• An open, airy design using natural light and patient views
long procedures like MRIs and CT scans. The hospital
September 2007 start of construction on the $146 million
of hospital gardens to add a comfortable, spa-like feel as
Norton Brownsboro Hospital at the Old Brownsboro Crossing
patients recover. Music therapy services will complement
demand for these services. Included in the expansion
development in northeastern Jefferson County. Norton
the relaxing, healing environment; and computer stations
are kid-friendly environments to help ease anxiety
Brownsboro is the first new hospital to be built in Louisville
throughout the hospital will be available for guest use. in more than two decades.
• A contemporary design for patient care areas to allow for
The five-story, 298,000-square-foot community hospital will
optimal interactions between the care team, patients and
employ about 300 staff – eventually reaching 500 – when it opens
family members.
in 2009. It will feature:
• An 8,700-square-foot courtyard and exterior garden on the • 127 total licensed beds, with 112 beds available when the
second-floor roof and an exterior similar to the adjacent hospital opens and 15 additional fifth-floor beds becoming
Norton Medical Plaza.
operational in 2011.The hospital will include a 16-bed
The Norton Healthcare Foundation is working to raise
intensive care unit featuring private rooms and two family
dollars and support for the development and vision of
overnight sleeping rooms.
Norton Brownsboro Hospital.
Kosair Children’s is the only hospital in Louisville offering
specialized pediatric radiology and anesthesia support
has recently upgraded and expanded its imaging and
sedation suites to keep up with the community’s
during procedures.
Construction of Norton Brownsboro Hospital, located in the
Old Brownsboro Crossing development in northeastern
Jefferson County, began in September 2007. The new
• A 24/7, 15,000-square-foot emergency room with 20 private
treatment rooms.
• Large, all-private patient rooms – about twice the size of
127-bed, $146 million hospital is scheduled to open in the
typical patient rooms (345 square feet) – with a unique layout
third or fourth quarter of 2009.
for convenience and comfort.
Expanding health care services
to meet increasing demand
To further complement its development at Old Brownsboro
This bold commitment to fight cancer also included an
Crossing, Norton Healthcare announced plans to build a
announcement to build a 14,400-square-foot, $9.7 million cancer
$33 million, 70,000-square-foot pediatric outpatient center on
radiation center on the downtown medical campus.The center
the Norton Brownsboro campus. Subject to state approval, the
will feature leading-edge technology to provide radiation therapy
center is scheduled to open in early 2010.The two-story facility
treatments for tumors in adult and pediatric patients. It will
will serve patients and families in Jefferson, Oldham, Shelby and
primarily serve residents of Jefferson County as well as Nelson,
adjacent counties, which have the area’s fastest-growing pediatric
Hardin, Bullitt, Oldham and surrounding counties in Kentucky,
on its Norton Brownsboro Hospital campus. Scheduled to
population. Key features:
along with patients in several Southern Indiana counties,
open in early 2010, the center will serve pediatric patients
• When it opens, the pediatric facility’s first floor will include
including Clark, Floyd, Harrison and Scott. The center is
a 15,000-square-foot, 24/7 emergency department with
tentatively scheduled to open in the fourth quarter of 2009.
Norton Healthcare announced plans to build a $33
million, 70,000-square-foot pediatric outpatient center
and families in Jefferson, Oldham, Shelby and adjacent
counties, which have the area’s fastest-growing pediatric
population.
13 treatment rooms and four sedation rooms; and a pediatric Significant growth in the Norton Physician Services division
diagnostic imaging center featuring CT, X-ray, fluoroscopy in 2007 included increased patient volumes, the opening of two
and ultrasound services.
new Norton Immediate Care Centers and the addition of 10 new
• Norton Healthcare plans to use additional space on the
physician practices and nearly 50 employed medical providers.
first floor and the entire second floor to expand services such
These enhancements and expansion of locations brought
as pediatric MRI, pediatric outpatient surgery and endoscopy.
important services to medically underserved areas of the
As building plans are refined and other services are identified,
community.
appropriate state approvals will be requested to add
these services.
Early in 2007, Norton Healthcare announced its five-year
To meet residents’ needs in fast-growing southeastern
Jefferson County, Norton Medical Associates and Norton
Immediate Care Center – Fern Creek moved to Cedar Springs
commitment of an additional $100 million to fight cancer in the
community and region through the creation of Norton Cancer
Institute. Since that time, additional cancer specialists have been
hired and new technology, facilities and outreach efforts were
Retail Center in July 2007. Norton Physician Services added
enhanced to take cancer screenings into the community,
nearly 50 employed medical providers in 2007 and early 2008.
particularly in areas with high cancer incidence and death rates.
Setting standards for others to follow
In 2007 and early 2008, Norton
•Top 25 Best
•Robert R. Goodin, M.D., member
• Norton Hospital
•Kosair Children’s Hospital •Norton Healthcare’s Enterprise
Healthcare received more than
Places to Work
of the Norton Healthcare Board (2007, 2006) and
awarded a 2007 Clean Air Program Management Office
100 honors and awards from
in Kentucky among
of Trustees, received the
Norton Suburban
Award from the National Air
received the 2007 Project
many local, regional and national
large employers, as Kentucky Hospital Association’s Hospital (2008,
Filtration Association, one of Management Office of the Year
organizations, illustrating the
ranked by the
Health Care Governance Award,
2007) recognized
only 13 organizations in the award, sponsored by the Center organization’s commitment to
Kentucky Society
recognizing outstanding
by J.D. Power and
country – and the only children’s for Business Practices (2007)
providing quality care and service
for Human
achievement in the area of
Associates
hospital – to receive this award
to its patients, employees and
Resource Management, for the
the community.
third consecutive year (2008,
governance leadership (2008)
(2007)
•Top 100 Integrated Health
excellence
•Most Wired Supply Chain
by Verispan, for the sixth
Innovator Award finalist,
consecutive year (2008, 2007, 2006, 2005, 2004, 2003)
Distinguished Hospital
ProgramSM for service
Care Systems, as ranked
2007, 2006)
•Business First emeritus of Norton
•Kosair Children’s Hospital
Excellence – Large •2008 Corporate Partner of recognizing excellence in
Healthcare, inducted into awarded Magnet designation
Company of
the Year by the National
Norton Healthcare’s integrated
the Health Care Hall of for nursing excellence from the the Year (2007)
Association of Women
delivery network (2007)
Fame, sponsored by
American Nurses Credentialing
Business Owners, Louisville
Modern Healthcare
Center (2007)
chapter (2008)
•Corporate
technology assessment by
Lucy Award,
ECRI, a nonprofit health
•Top-five finalist for the
sponsored by services research agency
National Quality Forum’s 2008
Project Women,
formerly known as the
National Quality Healthcare for the
Emergency Care Research
Award (2008)
organization’s Institute (2007)
• Wade Mountz, president magazine (2008)
•American Heart Association
•Outstanding Employer
Start! Fit-Friendly Company of the Year, as ranked by
(2007)
KentuckianaWorks, for the
third time in five years
(2007, 2005, 2003)
•Top 25 Connected Healthcare
Facilities, as ranked by Health
Imaging & IT (2007)
•Norton Cancer Institute
designated a Blue Distinction
Center for Complex and Rare
CancersSM by Anthem Blue
Cross and Blue Shield (2008)
Eagle Award of
•MediStar Governor’s Dignity of
Humanity Award presented to
the Norton Cancer Institute
Prevention & Early Detection
Program for improving availability
and/or access to health care
services for the region’s
underserved or vulnerable
populations (2008)
•Kentuckiana Minority Business Council’s 2007 Impact Award recognizing a company that has made a major, positive impact programs that support single-parent families and help these individuals
pursue higher education (2007)
on minority businesses in the •One of the top 100 Best
Kentuckiana area (2007)
Places to Work in IT, as ranked
by Computerworld (2008, 2007)
•Norton Healthcare recognized
for its best practice in
•NortonHealthcare.com
recognized as a national leader
in health care Web sites with
14 national awards (2007)
Norton Healthcare system
Trimble
Carroll
Greater Louisville
Oh
io
Clark
ver
Ri
KY
Oldham
Henry
Floyd
IN
Norton Medical Plaza
Harrison
Kosair Children’s Hospital
Louisville
Norton Brownsboro Hospital
2009
Norton Hospital/Norton Healthcare Pavilion
Shelby
Norton Suburban Hospital
Norton Audubon Hospital
Jefferson
Norton Physician Services Specialty Practices
CardioThoracic Surgery of Louisville
Children’s Orthopaedics of Louisville
Kentucky Children’s Radiologists
Louisville Arm & Hand
Luis M. Velasco, M.D. & Associates
Norton House Calls
Norton Inpatient Specialists
Norton Maternal-Fetal Medicine Specialists
Norton Neurology Services
Norton Ortho Trauma Care
Norton Psychiatric Center
Norton Rehabilitation Physicians
Women’s Specialists
Louisville Oncology
Outpatient center
Ohio Riv
Norton Community Medical Associates
Norton Medical Associates
er
Norton Immediate Care Centers
Spencer
Bullitt
Hardin County
Norton Healthcare
Board of Trustees
Gregory E. Mayes
Of Counsel
Middleton Reutlinger
CHAIR
Donald H. Robinson
Senior Vice President, Tax and Treasurer
Kindred Healthcare Inc.
Mary S. Moseley
President
Al J. Schneider Company
VICE CHAIR
Joseph A. Paradis III
Chief Executive Officer
Bramco LLC
Cheryl L. Balkenhol
Vice President & Chief Financial Officer
LJS/A&W Restaurants
Yum! Brands Inc.
Maria L. Bouvette
President & Chief Executive Officer
Porter Bancorp Inc.
T. Kevin Flanery
Vice President, National Public Affairs
Churchill Downs Inc.
Carolyn J. Gatz
Independent Consultant
Gatz & Associates LLC
Robert R. Goodin, M.D.
Cardiovascular Associates PSC (retired)
Craig D. Grant
Regional President
PNC Bank, Kentucky/Indiana
R.K. Guillaume
Kentucky Chairman Emeritus &
State Marketing Director (retired)
BB&T
Mitch Nichols
Vice President, Air Group Operations
UPS
Alton H. Roberts Jr.
Account Executive
Vernon Sales Promotion
G. Hunt Rounsavall
Manager
Dixie Real Properties Inc.
Rev. William J. Schultz
Pastor (retired)
Immanuel United Church of Christ
Stephen A. Williams
President & Chief Executive Officer
Norton Healthcare Inc.
Richard S. Wolf, M.D.
Medical Director (retired)
Kosair Children’s Hospital
Medical Staff
Leadership
System Medical Executive
Committee
PRESIDENT
Henry J. Walter, M.D.
Norton Audubon Hospital
Kevin J. Hable
Partner
Wyatt,Tarrant & Combs LLP
George Boatwright, M.D.
Norton Audubon Hospital
Maria Gerwing Hampton
Vice President &
Senior Branch Executive
Federal Reserve Bank of St. Louis
Louisville Branch
William Bradford, M.D.
Chair, System Credentials
Policy Committee &
Medical Director
Norton Audubon Hospital
Ronald Lehocky, M.D.
Roth, Lehocky, Katz, Belza, Abrams
and Newstadt
Stephen A. Cawood, M.D.
Norton Suburban Hospital
Mary Fallat, M.D.
Kosair Children’s Hospital
Philip D. Fitzgerald III, M.D.
Norton Audubon Hospital
Robert R. Goodin, M.D.
Cardiovascular Associates PSC (retired)
Board of Trustees Representative
Bill Haney, M.D.
Medical Director
Norton Suburban Hospital
Steven Heilman, M.D.
Norton Audubon Hospital
Alternate Delegate
Mary A. “Kitty” Henry, M.D.
Norton Hospital
Steven T. Hester, M.D.
Vice President, Medical Affairs
Norton Healthcare
Gregory Lee Juhl, M.D.
Norton Suburban Hospital
Paul Kelty, M.D.
Norton Hospital
Michael Nowacki, M.D.
Norton Hospital
Alternate Delegate
Robert W. Powell, M.D.
Medical Director
Norton Hospital
James Sublett, M.D.
Kosair Children’s Hospital
Alternate Delegate
Jeb Teichman, M.D.
Kosair Children’s Hospital
Kenneth Wilson, M.D.
Associate Vice President,
Clinical Affairs
Norton Healthcare
Stephen Wright, M.D.
Medical Director
Kosair Children’s Hospital
Division Medical
Staff Officers
Kosair Children’s Hospital
Mary Fallat, M.D.
President
James Sublett, M.D.
President-Elect
Norton Audubon Hospital
William R. Schmidt II, M.D.
President
Carlos Ramirez-Icaza, M.D.
President-Elect
Norton Hospital
Gerard Rabalais, M.D.
Kosair Children’s Hospital
Paul Kelty, M.D.
President
George H. Raque, M.D.
Norton Hospital
Robert Darnell, M.D.
President-Elect
Jonathan Reinstine, M.D.
Norton Suburban Hospital
William R. Schmidt II, M.D.
Norton Audubon Hospital
Gerard Siciliano, M.D.
Norton Suburban Hospital
Bennie Slucher, M.D.
Norton Suburban Hospital
Alternate Delegate
Norton Suburban Hospital
Gerard Siciliano, M.D.
President
Gregory Lee Juhl, M.D.
President-Elect
Children’s Hospital
Foundation
Board of Trustees
Keith Johnson
President & CEO
First Federal Savings Bank
Elizabethtown, Ky.
CHAIR
Tonii Rizzo
Senior Vice President
Abel Construction
Karen L. Keith
Partner
Napier Gault PLC
VICE CHAIR
William J. Ehrig
Senior Director, Government Relations
Yum! Brands Inc.
Wesley M. Beckner
Regional President
BB&T
R. Miles Lee Jr.
President
Alliance Cost Containment
Wayne Mortenson, DMD
President & Owner
Mortenson Family Dental
Nicole Mosely, ARNP
Civic Volunteer
Jackie Cain
President
TWIGS of
Kosair Children’s Hospital
Sean Muldoon
Vice President & General Manager
Preferred Marketing Solutions
Jack M. Combs Jr.
Senior Vice President
Commonwealth Bank & Trust
Paul Oberst
Vice President
Fifth Third Bank
Brannon Dixon
Market Manager
Wal-Mart
Ernest A. Sampson
President & CEO
KFG Enterprises Inc.
Jonathan E. Dubins
Pilot
UPS
Patrick Sartor
Vice President
PNC Bank
Bruce Dudley
Attorney
Wyatt,Tarrant & Combs LLP
Matt Schulte
President
Horizon InSight
Douglas J. Eighmey Jr.
President
Kosair Children’s Hospital &
Regional Market
Roger Shannon
Chief Financial Officer & Treasurer
Steel Technologies Inc.
Robert D. Evans
Project Manager
Actus Lend Lease
Fort Knox, Ky.
Amy Garlove, M.D.
Pediatrician
Children’s Health PLLC
G.J. Hart
President & CEO
Texas Roadhouse
Cindi Shrader
President
Kosair Children’s Hospital Auxiliary
Jack Sweeney
Senior Vice President
National City Bank
Peter Tevebaugh
Vice President & Director,
Business Strategy and Analysis
Brown-Forman Corp.
Charlotte S. Tharp
Vice President, Mission and Outreach
Norton Healthcare
James T. Crain III
Managing Member
ICS Management Group
Charlotte S. Tharp
Vice President, Mission and Outreach
Norton Healthcare
Debbie Ward
Service Team Leader
Southeast Christian Church
Lee K. Garlove
Attorney
Stites & Harbison
Holly Tompkins
Healthcare Specialist
Office Resources Inc.
Alyce Weixler
Vice President, Wealth Management Advisor
Merrill Lynch
Carina D. Graves
Vice President
Fifth Third Bank
Krista Ward
Director of Financial
Systems Development
Kindred Healthcare Inc.
Richard S. Wolf, M.D.
Retired Medical Director
Kosair Children’s Hospital
Karen Hale
Civic Volunteer
Doug York, CPA
President
Melhiser Endres Tucker CPAs
Norton Healthcare
Foundation Board of
Directors
CHAIR
Gary L. Stewart
Executive
Crowe Chizek and Company LLC
John Harryman
President
Norton Suburban Hospital &
North/East Market
Thomas A. Hoy
Attorney
Woodward, Hobson & Fulton LLP
Thomas D. Kmetz
President
Norton Audubon Hospital &
South/Central Market
Barbara Kramer
Civic Volunteer
Kevin S. Wardell
President
Norton Hospital & Regional Market
Derwin Webb
Attorney
Webb Law Offices
Lee Webb, CCIM
Owner
Alton Webb & Associates
Douglas A. Winkelhake
President
Norton Brownsboro Hospital
Norton Healthcare
Senior Executive
Management
VICE CHAIR
Charles S. Musson
Attorney
Rubin & Hays
Robert W. Moore Jr.
President
Colliers Harry K. Moore
James R. Allen, CFA
Chairman & CEO
Hilliard Lyons Inc.
Mark Mosley
President
First Kentucky Trust
Kathleen Bailey
President
Norton Woman’s Board
Ronald C. Oliver, Ph.D., BCC
Associate Vice President, Pastoral Care
Norton Healthcare
Justin Baker
Associate, Retail Properties
CBRE Louisville
Curtis L. Royce
Civic Volunteer
Michael W. Gough
Senior Vice President &
Chief Financial Officer
George Benton Sanders Jr.
Attorney
Stites & Harbison
Tracy E. Williams, R.N., M.S.
Senior Vice President &
System Chief Nursing Officer
Louis R. Straub II
Senior Vice President
JP Morgan Chase
Douglas J. Eighmey Jr.
President, Kosair Children’s Hospital &
Regional Market
Kathy Bernson
Partner
Bernson Integrated Communications
Denise Guess Clayton
Judge
Kentucky Court of Appeals
Stephen A. Williams
President &
Chief Executive Officer
Russell F. Cox
Executive Vice President &
Chief Operating Officer
Ginger L. Figg
President, Norton Physician Services
John D. Harryman
President, Norton Suburban Hospital
& North/East Market
Thomas D. Kmetz
President, Norton Audubon Hospital
& South/Central Market
Kevin S. Wardell
President, Norton Hospital &
Regional Market
Douglas A. Winkelhake
President
Norton Brownsboro Hospital
Robert B. Azar
Vice President & General Counsel
Joseph L. DeVenuto
Vice President, Information Services
& Chief Information Officer
Steven T. Hester, M.D., MBA
Vice President, Medical Affairs
Lynnie Meyer, MSN, R.N.
Chief Development Officer
EXPECT MORE FROM A LEADER
P.O. Box 35070 • Louisville, KY 40232-5070 • NortonHealthcare.com
Published July 2008 by Norton Healthcare Marketing and Communications. Rita Hayes and Steve Menaugh, editors and writers; David Miller, creative services director;
Mary Lou Fitzer, manager, creative services; Tammy Jones and Jen Stewart, copy editors. Photos by Nick Bonura (except where otherwise indicated). Call (502) 629-8070
for additional copies.
© Norton Healthcare 7/08 COR-2809