Cape Girardeau, Mo. - Saint Francis Medical Center

Cape Girardeau, Mo.
mission
is to provide a ministry of healing
and wellness inspired by its Christian philosophy and values.
the mission of saint francis healthcare system
philosophy and values
the dignity and worth of each person and strive to promote the rights
of our patients.
we respect
for all whom we serve.
Their needs of body, mind and spirit are our first priority.
we are dedicated to caring and compassion
we are committed to quality service
through continuous quality improvement,
teamwork and collaboration.
through an empowered workforce as a way of achieving healthcare
services that embrace our philosophy, values and mission.
we encourage innovation
and will work in a collaborative partnership with others
to help assure affordable and accessible services for all people of this region.
we believe in community stewardship
Contents
03Message from Our President and
Chief Executive Officer
04Medical Staff President’s Message
05Medical Partner Chair’s Message
07
Facilities Development
15 Technology in Action
21 Partnerships
25 Outreach
29 Community Benefits
33 Accreditations and Recognitions
37 Leadership
44 Medical Staff
Message from our PRESIDENT
AND chief executive officer
dear saint francis healthcare system family and friends ,
As the world of healthcare economics continues to evolve, Saint Francis Healthcare System is putting the pieces in place
to succeed regardless of the path taken by healthcare reform. The strategic plan approved by our Board and developed
with our medical staff focuses on providing exceptional patient care within a positive work environment, while generating
sustainable business growth.
Our upcoming “Building on Excellence” project, which you will read about later in this report, will upgrade a hospital
facility that has served us well since 1976. This investment accelerates our efforts to stay ahead of the curve and prepare
for the implementation of the Affordable Care Act. The new building will improve outcomes for our patients, along with
enhancing the entire patient experience.
Saint Francis’ growth has a significant economic impact on the residents of our region. Not only are we the largest
employer, but a considerable number of contract workers also support their families by working on construction and
expansion projects throughout our system. Cape Girardeau was one of only 15 metropolitan statistical areas that actually
grew during the current recession, and we are proud of the role we continue to take in that growth.
Our Board and Medical Staff continue to build on a vision that encourages investment in great people, new medical
technology and modern facilities. We look forward to your support as we maintain our commitment to providing the
highest quality of patient care.
Steven C. Bjelich, FACHE-D
President and Chief Executive Officer
Saint Francis Healthcare System
Message from our PRESIDENT AND chief executive officer
We have developed a very strong position in the primary care area, which is a critical component in the financial strength of
a healthcare system. Almost two-thirds of all primary care providers in Cape Girardeau are Saint Francis Medical Partners,
and their patients account for up to 80 percent of the area’s primary care patients. In addition to the primary care practices
directly affiliated with Saint Francis, we have created urgent care access through our Immediate Convenient Care locations
for patients who may not have an established physician relationship.
3
Medical Staff President’s Message
Just when we thought Saint Francis Healthcare System had reached the pinnacle of success, word comes
of further improvements to the Medical Center coming right around the corner. As with the recent
Heart Hospital Cancer Institute project, and the expansion and renovation of the Saint Francis
Emergency and Trauma Center (the region’s only Level III trauma center) and the Family BirthPlace,
Saint Francis leaders are calling upon the Medical Staff to provide significant input for the upcoming
“Building on Excellence” project.
This type of collaborative atmosphere is exactly what helps us create the positive healing
environment for which Saint Francis is known throughout the region. There is a reason why some
of the nation’s leading physicians find their way to Cape Girardeau – we enjoy a level of support
and partnership with the Saint Francis Board of Directors’ Quality Committee, Service
Excellence Committee and Leadership team that is simply second to none.
The $127 million “Building on Excellence” expansion project calls for a two-part construction
plan that features an Orthopedic and Neurosciences Center and a new Women and Children’s
Pavilion. Our patients benefit directly from investments in facilities and technology approved
by the Saint Francis Board of Directors, and the “Building on Excellence” project will further
enhance our ability to deliver exceptional outcomes.
The Medical Staff values this productive relationship as we work strategically to position the
organization for success in the evolving healthcare environment.
Charles Edward LaValle III, MD
Medical Staff President
4
Medical Partner Chair’s Message
Saint Francis Medical Partners continues to evolve into an efficient medical supporting structure
within the Saint Francis Healthcare System. What began as a loosely affiliated collection
of employed physicians now features a formal organizational structure with full administrative
support, enabling partner physicians to focus exclusively on the practice of medicine.
Verlene Luna, MHA, FACHE, is a key addition to the Medical Partners team. As the
organization’s administrator, she is responsible for the clinical, operational and financial
success of the Medical Partners. She supports directors as the leader of Physician Practice
Management Services and practice operations. She also provides practice management
support to directors and staff as needed.
Physician practices within the Medical Partners group now have a specified line of
communication and support within Saint Francis Healthcare System, and we are in
the process of reorganizing practices and leadership using the team concept.
These steps are the latest milestones in our effort to enhance the collaborative
relationship that exists between the Medical Partners and Saint Francis, a relationship
that benefits patients by removing many of the issues that come with practicing the
business of medicine in today’s fluid healthcare environment.
Michael R. Freeman, MD
Chair, Medical Partners Board of Directors
5
6
section title
Facilities Development
Building on Excellence – Master Facilities Plan 3
Continued Growth in Heart and Cancer Care
Growing Primary Care
Black River Medical Center
Family BirthPlace and Level III NICU
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7
Facilities Development
Building on Excellence – Master Facilities Plan 3
Saint Francis Medical Center set its sights on the future
with the announcement of its $127 million “Building
on Excellence” expansion project. Also called the Master
Facilities Plan 3, it encompasses a two-part construction
plan that features an Orthopedic and Neurosciences
Center, and a new Women and Children’s Pavilion.
The Ohlson Lavoie Collaborative architectural firm is
overseeing construction, which will begin late in 2012
and conclude in 2016. Saint Francis physicians, nurses
and staff are providing significant design input to help
ensure the most efficient use of space from a real-world,
patient care perspective. Our investment in quality and
commitment to providing the highest level of patient care
make this an exciting project for the medical community.
The Orthopedic and Neurosciences Center’s five-story
tower will include surgical and medical services, and
feature private rooms and a new main entrance on the
Medical Center’s south side. The Women and Children’s
Pavilion will stand on the northeast side of the Medical
Center, adjacent to the existing Family BirthPlace/
Level III Neonatal Intensive Care Unit (NICU).
Several features of the new facilities will positively impact
patient care:
• All private rooms will help control infection and
create more comfort, completing the Medical
Center’s transition to all an all-private room facility
• Dedicated areas and staff for orthopedics,
neurosciences, rehabilitation, surgical and medical
patients, and women and children’s services
• Family BirthPlace expansion will create
needed space for this growing service line
• Dedicated, updated patient elevators
• Patient-only corridors for improved
infection control and privacy
• Private NICU rooms, supporting best practices
in neonatology
Residents in our region already benefit from the
progressive technology and compassionate patient care
available at Saint Francis. The “Building on Excellence”
project, along with the expansions and additions
completed last year, will provide our physicians and
staff with the ability to deliver that care in an ideal
healing environment.
North expansion featuring Women and Children’s Pavilion
8
Continued Growth in Heart and Cancer Care
Saint Francis’ Heart Hospital Cancer Institute (HHCI)
marked the first anniversary of its opening in July,
completing a successful transition to bringing advanced
treatments and technology to fight coronary disease and
cancer under one roof.
anderson joins cape medical oncology
The physicians of Cape Cardiology Group moved their
practice to the Saint Francis Heart Hospital this year.
A trusted leader in heart health, Cape Cardiology Group
uses the powerful technology available at the HHCI to
provide comprehensive cardiovascular care to patients
throughout the region.
Cape Cardiology Group added three physicians this year
to meet the need for additional expertise and expanded
patient access.
Joseph C. Dwyer,
Sandra S.
Rebecca L. Smith,
MD, FACC
McCearley, MD
MD, FACC, FASE
Facilities Development
Scott A. Anderson, DO, medical
oncologist/hematologist, joined Cape
Medical Oncology as a Saint Francis
Medical Partner this year. After
spending the past two decades in
internal medicine, Anderson turned his focus to cancer
treatment, completing an oncology and hematology
fellowship at the University of Missouri Hospital and
Clinic in Colombia, Mo. Anderson previously trained
internal medicine residents and served as an assistant
professor of internal medicine at Kirksville College of
Osteopathic Medicine. Cape Medical Oncology partners
with the HHCI to provide patients with the highest
quality care.
cape cardiology group
9
vein and laser center
Saint Francis’ Vein and Laser Center has moved into its new space
in the Heart Hospital, creating additional convenience for patients.
John C. Wiggans, MD, FACS, thoracic and cardiovascular surgeon
at Saint Francis, provides advanced treatment and technology for
varicose veins, a condition that sometimes signals underlying issues
such as peripheral vascular disease.
Varicose veins begin to surface when valves within the vein no
longer pump blood effectively toward the heart. Wiggans utilizes
the revolutionary CoolTouch CTEV™ laser to close veins so blood
bypasses them and circulates to healthy veins.
Growing Primary Care
Cape Girardeau area residents now have access to a primary care
facility that offers the best of both worlds – Cape Primary Care’s
appointment-based services under the same roof as Immediate
Convenient Care’s walk-in access.
Facilities Development
Cape Primary Care physicians and nurse practitioners, from left to right:
Janna R. Crosnoe, MD; Erica E. Gibson, MD;
Kimberly A. Keser, DNP, APRN, FNP-BC;
Dolores J. McDowell, APRN, FNP-BC; Joy L. LeDoux-Johnson, MD
10
Located conveniently near the I-55 corridor on the corner of
Kingshighway Street and North Mount Auburn Road, this unique
facility places an array of primary care providers in one campus.
A Woman’s Life Family Healthcare’s nurse practitioners and
support staff joined Cape Primary Care in July, and the combined
practice began seeing patients in the new location July 2.
This new facility features enhanced electronic medical records
and X-ray capabilities, with convenient access to the powerful
resources of Saint Francis Medical Center just minutes away.
The scope of services available creates an uncommonly full range
of care for patients of all ages who walk through the doors seven
days per week, and as late as 7 pm Monday through Friday.
Becky Massey, RN, and Donald S. Piland, MD
Black River Medical Center
Residents of the Poplar Bluff area gained an alternative for inpatient hospitalization, urgent care and emergency
care with the June opening of Black River Medical Center. The three-bed hospital and emergency department is the
product of a partnership between Saint Francis Medical Center and the physicians of Poplar Bluff Medical Partners.
A group of 39 physicians formed Poplar Bluff Medical Partners in 1999 to provide high-quality affordable care for
local patients. Saint Francis is a partner in that organization, as well as the new hospital, located off Highways PP
and 67 on the Physicians Park campus.
The Black River emergency department serves as the starting point for many area patients in receiving healthcare.
Physicians Park Primary Care provides urgent care services, and experienced emergency physicians and staff are on
site to handle the department’s three treatment bays and one observation room.
Black River team members worked diligently with the leadership team from Saint Francis Medical Center to earn
accreditation from The Joint Commission on Accreditation of Healthcare Organizations. This rapid accreditation
signals the exceptional quality of care already available at Black River Medical Center.
Facilities Development
Black River offers emergency services, laboratory services, diagnostic capabilities, respiratory care, dietary services,
pharmacy and a number of other associated medical services. Its goal is to provide exceptional patient care that
exceeds national benchmarks, highlighted by a high nurse-to-patient ratio.
11
Lactation Consultant Vi Doyen, RNC, CLC, IBCLC, RLC
Perinatologist Dean G. Huffman, MD, and neonatologists Laura E. Al-Sayed, MD,
FAAP; Karlyle K. Christian-Ritter, MD, FAAP; and Alan R. Barnette, MD, FAAP
Family BirthPlace and Level III NICU
Saint Francis Medical Center’s Family BirthPlace has been welcoming little miracles into the world for more
than 10 years now. Area women are showing their trust in the level of care provided by delivering more babies
here than anywhere.
Facilities Development
Saint Francis began offering obstetrical services in 2001 after a 35-year absence, and the response has been
overwhelmingly positive – so much so that delivery numbers have more than doubled since 2005. The
Medical Center’s Level III Neonatal Intensive Care Unit (NICU) has experienced a proportionate increase in
patients, necessitating the addition of perinatologist Naomi L. Wahl, MD, FACOG, to Saint Francis Medical
Partners and Cape Perinatology Services this year.
12
“We are honored that parents entrust the care of their children to our team,” says Karlyle K. Christian-Ritter,
MD, FAAP, neonatologist at Saint Francis. “The ability for families to access our Level III NICU close to
home minimizes anxiety during a stressful period and aids in the healing process.”
Enhancing the physical space of the Family BirthPlace and Level III NICU will be major focuses of the
“Building on Excellence” expansion project with the addition of the Women and Children’s Pavilion.
Saint Francis Medical Center Transport Team, from left to right: Marie Corzine, MSN, RN, NNP-BC, C-NPT;
Chris MacKinnon, RRT; Lindsey Miesner, MSN, RN, NNP-BC; Vi Doyen, RNC, CLC, IBCLC, RLC; Alicia McDonald, RN;
Melissa Sullivan, CRT; Trish Griffith, RRT; Heather McHughs, MSN, RN, NNP-BC; Lisa Saur, RRT; Starr Wilson, RN;
Lindsey Roth, RN; Jenna Sharrock, RN; Kay Oehl, MSN, RN, NNP-BC.
transport team
The Saint Francis transport team is a specially
trained unit that brings the sickest newborns from
facilities throughout the region to the Medical
Center’s Level III NICU. The team includes a
transport nurse, neonatal nurse practitioner and
respiratory therapist.
Naomi L. Wahl, MD, FACOG
Perinatologist
Facilities Development
The team added a second ventilator to enable
transport of critically ill twins, which have become
more common with the increasing use of fertility
drugs. Infants travel in a mobile incubator that
includes a warmer to help babies maintain body
temperature, as well as monitors for blood pressure,
oxygen saturation and heart rate. About 100 babies
arrive at Saint Francis via the transport team each
year, accounting for approximately half of the
Level III NICU’s admissions.
In addition to the expertise
of our physician group, our
full-time team of specially
trained staff provides the
highest level of care for
these sick newborns.
13
TECHNOLOGY
IN ACTION
Anterior Hip Replacement and
Joint Revision Surgery
Tomosynthesis
Metabolic and Bariatric Surgery
Pain Management
section title
Computerized Physician Order Entry
15
Technology in Action
Anterior Hip Replacement
and Joint Revision Surgery
The addition of orthopedic surgeon Hamid Redjal, MD, to the
Center for Joint Replacement & Revision at Saint Francis is good
news for residents whose hip or knee joints are in need of a tune-up.
That includes both patients whose original joints and patients whose
replacement components are causing discomfort, thanks to Redjal’s
ability to perform revision joint replacement procedures.
“The fact is some of the older joints are just wearing out,” Redjal says.
“We have materials now that are better than they have ever been. People
are staying active and putting more years of stress on these components
than they were originally designed for.”
Redjal uses an anterior (front-side) approach to hip replacement
in which he accesses the joint between two muscles rather than
removing and reattaching a muscle. This minimally invasive
surgery features a small incision only 4 to 5 inches long,
compared to the much larger 10- to 12-inch incision
required with the traditional lateral or posterior entry.
section title
“Using the anterior approach, patients can proceed
with rehabilitation more quickly without having to
wait for the reattached muscle to heal,” Redjal explains.
“This results in significantly shorter hospital stays and
a rapid return to normal activity without restrictions.
The combination of this technique and the quality
of the newer implants also results in a lower risk
of dislocation.”
16
Hamid Redjal, MD
Orthopedic Surgeon
Tomosynthesis
Three-dimensional imaging generated by tomosynthesis
mammography technology is reducing the frequency of false
positive readings and the need for patient callbacks at Saint
Francis’ Womancare.
The Selenia® Dimensions® machine by Hologic® provides a
clearer view of the breast through overlapping tissue compared to
traditional 2-D mammogram images. Saint Francis is one of only
two facilities in the region to offer this technology.
“Radiologists can use this technology to scroll through layers of
breast in 1-mm slices,” says Olivia Aranha, MD, PhD, medical
oncologist/hematologist at Saint Francis.
“This viewing method allows for up to 15 percent better detection,”
agrees James Jonathan Borders, MD, radiologist at Saint
Francis. “We can see each tissue individually, along with
improved imaging for dense breast tissue.”
The superior 3-D images show the
inner structure of the breast without
the distortion and shadowing prevalent
with 2-D images.
Olivia Aranha, MD, PhD
Medical Oncologist/Hematologist
Radiologist James Jonathan Borders, MD
17
Metabolic and Bariatric Surgery
Patients who struggle with ongoing weight issues
have a new resource in Saint Francis’ Weight Loss
Solutions program. The surgery center offers three
weight-loss surgery options for those ready for a lasting
lifestyle change.
roux-en-y gastric bypass
weight-loss surgeries, this procedure uses a small portion
of the stomach and limits food intake. Food also bypasses
part of the intestines to reduce calorie absorption.
sleeve gastrectomy
“Weight loss surgery can be a life-changing event,” says
Ryan A. LeGrand, MD, a Cape Girardeau native who is
a bariatric and general surgeon at Saint Francis. “Patients
who experience the best results are the ones who choose to
make significant lifestyle changes to keep the weight off.”
– The most established of
– The surgeon creates a thin, vertical
sleeve of stomach and removes the remainder of the
stomach. This limits the amount of food the patient can
eat and helps them feel full sooner.
According to the Centers for Disease Control, the state
of Missouri faces one of the most severe challenges
with obesity in the nation. Its 30.3 percent adult obesity
prevalence places it among the 10 worst states in this
category. The CDC says medical costs for people who
are obese were $1,429 higher in 2008 than those of
normal weight.
Dr. LeGrand provides a free overview of Weight Loss
Solutions each month in the Saint Francis Conference
Center, generally on the first Thursday. His presentation
includes discussion of the three bariatric surgery options
offered through Weight Loss Solutions:
Technology in Action
gastric banding
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– Adjustable gastric banding reduces
the stomach’s capacity, helping the patient lose weight by
making them feel full faster and longer. It is the leastinvasive surgical option.
Weight loss surgery can
be a life-changing event.
Patients who experience the
best results are the ones who
choose to make significant
lifestyle changes to keep
the weight off.
Ryan A. LeGrand, MD
Bariatric Surgeon
Cape Girardeau
Surgical Clinic
Carmen N. Keith, MD, and Joel West Ray, MD, FACS
Pain Management
The Pain Management Center team at Saint Francis
Medical Center uses a variety of technological tools
to help people suffering from acute and chronic pain.
Saint Francis is the region’s only pain center accredited
by the American Academy of Pain Management, and
one of only two in the state.
“This accreditation means the Pain Management Center
has demonstrated its ability to deliver high-quality,
comprehensive care,” says Carmen N. Keith, MD,
medical director of pain management at Saint Francis.
nerve blocks
– Local anesthetic or steroids are effective in
radiofrequency lesioning
– This is a safe, proven means
of interrupting pain signals that run between the source of
pain and the brain. The procedure heats a small volume of
nerve tissue to interrupt pain signals from that specific area.
spinal cord stimulation
– Tiny electrical signals stimulate
the spinal cord and interfere with the transmission of pain
signals to the brain.
– Physicians implant
a small pump to administer doses of medication directly
to the spinal cord to block pain. This technique requires
much smaller doses of medication than oral or intravenous
methods, and patients may have few side effects and greater
pain relief.
Joel West Ray, MD, FACS, neurosurgeon at Saint Francis
and Cape Neurological Associates, is an innovator in
minimally invasive neurospine surgical procedures and
tools. These procedures require less time in the operating
room and dramatically shrink the average length of stay
in the hospital.
“We are able to generate superior results while minimizing
infection and readmission rates,” Dr. Ray states. “We have a
variety of practitioners who own expertise in different types
of pain management, and we are continually improving our
program.” Dr. Ray and Dr. Keith have focused on a campusbased approach to generate better patient outcomes,
specifically with neurosurgical cases.
Technology in Action
treating a variety of chronic pain conditions. Physicians also
may prescribe them for pain emergencies in adults, such as
postoperative pain or cancer-related pain.
intraspinal drug infusion therapy
19
Computerized Physician Order Entry
Computerized Physician Order Entry (CPOE) is a
federally mandated technology that allows physicians to
enter orders directly into a computer rather than writing
them by hand.
Saint Francis is in the process of implementing CPOE
as part of its ongoing commitment to patient safety
and satisfaction, quality improvement and regulatory
compliance. The system generates substantial safety
benefits for patients:
• Decreased delays in order completion
• Elimination of errors related to
illegible handwriting
• Reduced errors through built-in checks for
duplicate or incorrect doses or tests; the
system flags potential issues with drug
interactions, any known patient allergies,
even decimal-point inconsistencies
• Assistance in providing appropriate care via
patient-centered decision support
“We physicians have notoriously poor penmanship,
and the CPOE technology greatly reduces the
possibility of misunderstood orders,” says Matthew D.
Shepard, MD, hospitalist at Saint Francis. “The system
directly communicates orders from the medical staff
to the appropriate care departments, such as the
pharmacy or lab.”
The federal government has invested heavily in
encouraging hospital and clinical practices to adopt
meaningful use of healthcare information technology like
CPOE. Federal incentives covered about 30 percent of
Saint Francis’ costs of implementing this system.
Technology In Action
Matthew D. Shepard, MD, physician champion for CPOE
20
Partnerships
Physicians Alliance Surgery Center
New Saint Francis Medical Partners and Practices
Referral Services
section title
21
Partnerships
The unpredictable regulatory environment makes it more
challenging than ever for physicians to concentrate on the
patient-care aspect of their profession. As a result, more
individual providers and group practices are choosing to
team more closely with Saint Francis through partnership
and direct employment contracts.
Partnerships
Physicians Alliance
Surgery Center
22
Saint Francis and the physicians of Physicians Alliance
Surgery Center in Cape Girardeau have a joint ownership
agreement that relieves the physician owners of most
management issues. Physicians Alliance Surgery Center
provides ambulatory surgical services in ear, nose and
throat; general surgery; gynecology; ophthalmology;
orthopedics; and retinal specialties.
Saint Francis
Medical Partners
Members of the Medical Partners work under a direct
employment model with Saint Francis. This model
helps Saint Francis strengthen its position as a regional
healthcare leader, continually advancing patient care
through the introduction and development of innovative
treatments and technologies. Together, we help more
patients than ever receive treatment locally, which is an
important part of the healing process.
Three new medical practices and 13 physician partners
joined the Medical Partners in the past year, bringing the
group’s total to 136 providers and 30 practices covering
24 specialties.
New Partner Practices
• Cape ENT Group
• Charleston Family Care
• Sikeston Radiation Oncology
New Medical Partners – 2012
Scott A. Anderson, DO
Cape Medical Oncology
Chad Armstrong, DO
Emergency Medicine
D. Curtis Coonce,
MD, FACS
Cape ENT Group
Joseph C. Dwyer,
MD, FACC
Cape Cardiology Group
Samuel W. Ferreri, MD
Convenient Care
Justin D. Floyd, DO
Cape Medical Oncology
Brendon Gelford, MD
Emergency Medicine
Erica E. Gibson, MD
Cape Primary Care
Jesse D. Hoff, MD
Immediate Convenient Care
Jennifer C. Jiang, MD
Immediate Convenient Care
Carmen N. Keith, MD
Cape Pain Management
Kimberly A. Keser,
DNP, APRN, FNP-BC
Cape Primary Care
Michael Killen,
MD, FACEP
Emergency Medicine
Meera Krishnan, MD
Cape Hospitalist Group
R. Joe Leckie, DO
Emergency Services
Urooj Mansoor, MD
Cape Hospitalist Group
Sandra S. McCearley, MD
Cape Cardiology Group
Dolores J. McDowell,
APRN, FNP-BC
Cape Primary Care
Emily L. Militzer, MD
Sikeston Radiation
Oncology
Orlando V. Morejon, MD
Cape Trauma Specialists
Adam S. Morgan, MD
Cape ENT Group
Duc T. Nguyen, DO
Cape Cardiology Group
Robert L. Robbins, DO
Charleston Family Care
Ronald L. Robinson, MD
Immediate Convenient
Care – Perryville
Rebecca L. Smith,
MD, FACC, FASE
Cape Cardiology Group
Timothy N. Thomas, DO
Emergency Medicine
Naomi L. Wahl,
MD, FACOG
Cape Perinatology Services
Sandra Zakroff, MD
Jackson Family Care
Partnerships
Victoria E. Adjovu, MD
Cape Primary Care
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Referral Services Managers, from left to right: Mark Parker; Jim Lawrence, RN, MBA; Nicole Dirnberger; Wes Pruett; and Chad Clippard.
Referral Services
Partnerships
The Referral Services team plays an important role in
promoting the services and physicians of Saint Francis
Healthcare System. Referral Services Managers (RSMs)
nurture positive relationships with area referring
physicians by addressing issues, answering questions
and providing timely information about new services,
technology and medical expertise available at Saint Francis
Medical Center.
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Southeast Missouri State University alumni Wes Pruett
and Chad Clippard are the newest members of the
Referral Services team. Pruett brings more than 20 years
of pharmaceutical sales experience to his role in promoting
the Neurosciences and Surgery service lines. Clippard
worked in pharmaceutical sales for 11 years and educates
companies in the region on the services available at Saint
Francis, including the Occupational Medicine Clinic and
Wellness programs.
Jim Lawrence has been an RSM since the program began
in 2004. His primary service line responsibilities include
Emergency and Primary Care and the Consumer Call
Center. Mark Parker (Heart and Orthopedics) and Nicole
Dirnberger (Cancer, Women and Children) joined the
Referral Services team on the same day in 2008.
The program has become more sophisticated over time,
with RSMs addressing basic and specific position needs
within the region. They market to physicians, regional
hospitals and ambulatory surgical centers, and assist with
issues management, information services connectivity and
even consumer issues. The team sees more than 1,200
providers in its primary, secondary and tertiary markets,
and helps facilitate projects such as the Press Ganey
Physician Satisfaction Survey, Medical Partners events,
continuing medical education programs, and consumer
education and screening events.
Outreach
Occupational Medicine Clinic in
Immediate Convenient Care – Perryville
Sikeston Radiation Oncology
Sikeston Neurology
Emergency/Trauma Has a Partner in EMS
section title
Healthcare Reaching Far Past Cape
25
Outreach
Occupational Medicine Clinic
in Immediate Convenient Care –
Perryville
Saint Francis’ new Occupational Medicine Clinic, inside
Immediate Convenient Care – Perryville, offers an outreach
opportunity to businesses in the Perryville area to improve the
health of their workforce.
Occupational medicine physician Dennis J. Straubinger, DO,
MPH, MRO, and his team use an educational approach to
health and workplace safety, conducting evaluations and treating
work-related injuries. Their comprehensive services include fullservice programs, screenings and seminars that help prevent and
manage injury and illness.
The team provides a range of services, including DOT exams, Fitness
for Duty exams, physicals and drug screenings. Interventional pain
management services help improve a patient’s overall quality of life
through minimally invasive techniques. These techniques diagnose
and treat painful conditions without heavy reliance on medications.
Sikeston Radiation
Oncology
Outreach
Bethesda Cancer Center in Sikeston joined Saint
Francis Healthcare System this year under its new
name of Sikeston Radiation Oncology. The group’s
three radiation oncologists, Tapan Roy, MD, FACR;
Veena D. Divecha, MD; and Emily L. Militzer, MD,
continue to treat patients at the facility.
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The new ownership arrangement ensures
exceptional care for patients through access to
facilities, specialists and technology available at
Saint Francis’ Cancer Institute.
Sikeston Neurology
Saint Francis staff neurologists Andrew Godbey, MD,
MPH, and Jagannadha R. Avasarala, MD, PhD, also
see patients in Sikeston under the heading of Sikeston
Neurology Specialists. Dr. Godbey provides diagnosis
and treatment for disorders and injuries of the brain
and nervous system, while Dr. Avasarala specializes in
treatment of patients with multiple sclerosis (MS).
Emergency/Trauma Has a Partner in EMS
As the only state-designated Level III trauma center in
the region, the Saint Francis Emergency and Trauma
Center is a significant destination in the world of regional
emergency medical services (EMS).
One of the benefits of living in a more rural setting is the
quality of the personal relationships we can develop.
This is where our Emergency Department team excels.
We know the paramedics in the field, and they know us.
There is a secure feeling that comes with transferring
patient care in such a comfortable setting, and this
familiarity enhances the patient’s and family’s experience.
regional nurseries
Like the Emergency and Trauma Center, Saint Francis’
Level III Neonatal Intensive Care Unit (NICU) serves
as a regional hub for nurseries to send their sickest
and tiniest infants. Medical Center teams are active in
providing educational information and programs for
professional credit, as well as in-services on specific
procedures and topics.
These interactions help foster a collaborative atmosphere
in which regional providers feel free to contact a Saint
Francis NICU physician or neonatologist for input, even
just to ask a question.
These relationships begin at the grassroots level.
Rob Grayhek, MBS, BSN, RN, manager of Trauma
Services at Saint Francis, has chaired the regional
EMS committee for the past four years. He and the
Medical Center’s trauma team travel to communities
throughout the region to lead the Rural Trauma
Team Development Course. This course, presented to
regional hospital staffs and EMS agencies, details the
steps involved with caring for a trauma patient and the
subsequent transfer of that patient.
Outreach
Nationally affiliated ThinkFirst community education
programs reach about 5,000 students throughout our
region every year. ThinkFirst programs educate young
people about their personal vulnerability and the
importance of making safe choices to avoid head and
spinal cord injuries. For example, simply choosing to wear
a bicycle helmet can prevent an estimated 85 percent of
critical head and brain injuries, and 90 percent of diving
injuries occur in six feet of water or less.
27
Healthcare Reaching Far Past Cape
Saint Francis recognizes its responsibility as a regional healthcare provider beyond the immediate Cape Girardeau
area. The Medical Center brings its expertise to surrounding communities through the efforts of its Medical Staff and
management consulting relationships.
charleston
perryville
sikeston
• Charleston Family Care
• Cape Cardiology Group
• Wound clinic and vascular clinic
• Immediate Convenient Care
• Occupational medicine
• Cape Pain Management
• Cape Medical Oncology
• Cape Neurology Specialists
• Infusion outreach
• Cape Cardiology Group
farmington
• Cape Neurology Specialists
• Cape Spine & Neurosurgery
• Cape Thoracic &
Cardiovascular Surgery
• Cape Pain Management
Ste. Genevieve
poplar bluff
• Black River Medical Center
• Cape Spine & Neurosurgery
• Vascular clinic
• Ambulatory surgery center
• Diagnostics center
• 140,000-square-foot medical
office building
55
FARMINGTON
Murphysboro
57
Herrin
PERRYVILLE
Marion
Carbondale
MISSOURI
ILLINOIS
24
Anna
Cape Girardeau
57
Paducah
55
Outreach
CHARLESTON
SIKESTON
POPLAR BLUFF
KENTUCKY
New Madrid
28
ARKANSAS
55
24
TENNESSEE
Community Benefits
Pink Up Cape™ and Dig for Life
Coaches Clinic
Consumer Call Center
Business Health Summit
Surgical Site Infection Prevention
The Healthy Weigh
section title
Medical Minute
29
Community Benefits
Saint Francis Medical Center’s Pink Up Cape campaign, held
during National Breast Cancer Awareness Month in October,
continues to build momentum. The campaign raises awareness of
breast cancer and encourages women older than 40 to get annual
mammograms. A recently released study reinforces the notion that
screening mammography and breast self-exams both have value in
detecting cancer in women younger than 50.
In just its third year, Pink Up Cape already has spread beyond Cape
Girardeau to other communities in the Medical Center’s service area,
including Jackson and Poplar Bluff. Country music artist Candy
Coburn, who grew up in Dexter, Mo., contributed to the Pink Up
Cape effort by appearing at the kickoff event and performing her hit
song, “Pink Warrior.” Coburn’s grandmother battled breast cancer
for 10 years. Making its debut at the kickoff and a TV promotional
campaign was the Pink Up Cape Choir. Led by Brian Crisman of
Lynwood Baptist Church, the choir features nearly 80 singers from
three choirs in the Cape Girardeau area.
The Dig for Life program also focuses on breast cancer. It features
a series of fundraisers aimed at providing free mammograms to
patients who cannot otherwise afford them. Nearly 2,000 women
have received mammograms since the start of the program in
2000, including 420 in the past year alone. Saint Francis physicians
have confirmed eight cases of breast cancer as a direct result of
these free mammograms.
30
Former Southeast Missouri State University women’s volleyball
coach Cindy Gannon initiated the program following her mother’s
death from breast cancer. The campaign has expanded beyond
its original partnership with the volleyball team to include other
SEMO teams, as well as several area high schools and businesses.
Close to 40 businesses participated in Dig For Life last year, raising
approximately $78,000 for the program’s best year yet.
Coaches Clinic
Experts from across the country
present the latest information on
sports-related health issues such
as heat stress and concussions at
the Fall Coaches Clinic, offered
annually since 2005 by Saint
Francis Medical Center.
The primary goal for the Coaches Clinic is to raise
awareness of potentially dangerous conditions that
can occur on the playing field and what coaches can
do to minimize those risks. Close to 100 area coaches
take advantage of this opportunity each fall, hearing
from members of the Saint Francis Medical Staff and
national experts. Feedback from area coaches continues
to exceed program expectations.
Past speakers have included Christopher Nowinski of
the Sports Legacy Institute, which he co-founded in
response to medical research indicating brain trauma in
sports had become a public health crisis; and Jack Lengyel,
who became head football coach at Marshall University
following a 1970 plane crash that devastated the program.
Consumer Call Center
Saint Francis Medical Center recently launched its nursestaffed Consumer Call Center to help patients through
the decision-making process when they are unsure of
which physician would be appropriate for their needs.
The Consumer Call Center serves as a funnel for
consumers seeking primary or specialty care. People
new to the area or those without an existing physician
relationship are the most common users of the system.
Call Center nurses are able to narrow down the list of
potential physician matches by specialty, location, and
even the ability to accept specific insurance plans.
Business Health Summit
More than 100 regional business leaders gain a wealth of
information to benefit their organizations and employees
at the annual Business Health Summit. Since 2008,
this Saint Francis Medical Center Services to Business
program has provided information on health issues faced
by employers today.
Featured speakers offer unique perspectives on
organizational topics, while physicians from Saint Francis’
Occupational Medicine department provide detailed
updates for summit participants.
As a fully integrated occupational medicine program,
Services to Business helps employers control the costs of
workers’ compensation and medical services by reducing
the incidence and severity of workplace injuries. The
Business Health Summit is an extension of Saint Francis’
Occupational Health Services, helping regional businesses
become safer workplaces.
Courtney Jernigan, LPN, Physician Referral and Health Resource Representative
Surgical Site
Infection Prevention
Saint Francis Medical Center is taking a fun, proactive
approach to helping patients take responsibility for
preventing surgical site infections post-discharge with
a “Keep It Clean!” educational campaign. The initiative
strives to improve patient recovery and reduce the Medical
Center’s already-low readmission rate.
Surgeons at the Medical Center provide patients with
take-home materials that feature eye-catching, animated
renditions of five Saint Francis surgeons. “Keep It
Clean!” includes a DVD with short video clips that
feature the voiced-over animations of the surgeons. The
DVD describes preventive measures to avoid infection.
Preliminary results are showing infection rates are .8%,
down from 1.3%.
“Keep It Clean!” comes in response to Medicare’s new
system that encourages hospitals to make sure patients
receive the follow-up care and education they need to
reduce the number of costly readmissions.
Medical Minute
Medical Minute is a community
health education video resource
featuring Saint Francis Medical
Center physicians.
Originally introduced in 2000 as commentary from
a single physician, the Medical Minute franchise has
expanded to include two additional formats. Medical
Minute EXTRA, introduced in 2009, showcases a
conversation between a physician and their patient as they
discuss a specific health issue. The new Medical Minute
EXTRA One to One features conversations between two
collaborating physicians.
Medical Minute’s 12-year history includes more than 800
segments. The segments are available on the Saint Francis
website (www.sfmc.net) and YouTube channel, and air
regularly on three local television stations and three
Charter Media cable stations.
The Healthy Weigh
Community Benefits
The Healthy Weigh, Saint Francis Medical Center’s
medically supported weight-loss program, capped a
successful first year of operation by receiving the Gold
Standard Certificate from Health Management Resources
(HMR). The Healthy Weigh features diet programs
and meals from HMR, supported by expert nutritional,
medical and fitness resources at the Medical Center and
Fitness Plus, Saint Francis’ award-winning fitness facility.
32
Illustrated, from left to right: Jonathon K. Foley, MD, FACS;
Wendi M. Carns, MD, FACOG; Patrick R. Knight, MD;
David G. Yingling, MD; and Bruce A. Jones, MD, FACS.
The program offers a comprehensive approach to weight
loss that includes intensive lifestyle education and the
option of medical supervision for those with weightrelated medical conditions. In its first 17 months, the
Healthy Weigh helped 359 patients lose a total of 4,690
pounds. The program includes weekly lifestyle education
classes and midweek support from a health educator,
along with ongoing medical supervision as needed.
Accreditations
and Recognitions
HealthGrades® Ratings
Chest Pain Center Re-accreditation
American Heart Association
Fit-Friendly, Platinum
Best Places to Work in Healthcare
section title
33
Accreditations and Recognitions
HealthGrades ratings
Accreditations and Recognitions
HealthGrades®, the nation’s leading independent healthcare ratings organization, again listed Saint Francis Medical Center
among the nation’s elite in several categories. Saint Francis earned the HealthGrades Outstanding Patient Experience
Award™, the HealthGrades Orthopedic Surgery Excellence Award™, the HealthGrades Neurosurgery Excellence Award™
and the HealthGrades Vascular Surgery Excellence Award™.
34
Saint Francis ranked among the top 5 percent in the nation for Overall Orthopedic Services, the top 10 percent in the
nation for Outstanding Patient Experience and the top 10 percent in the nation for Vascular Surgery. The Medical Center
also is one of HealthGrades America’s 100 Best Hospitals for Orthopedic Surgery™ for the second year in a row.
Saint Francis earned 5-star ratings in the following categories:
• Overall Orthopedic Services
• Coronary Bypass Surgery
• Joint Replacement
• Coronary Interventional Procedures
• Spine Surgery
• Treatment of Heart Failure
• Total Knee Replacement
• Treatment of Respiratory Failure
• Hip Fracture Treatment
• Vascular Surgery
• Back and Neck Surgery (Spinal Fusion)
•
•
•
•
Carotid Surgery
Peripheral Vascular Bypass
Neurosurgery
Treatment of Stroke
American Heart Association
Fit-Friendly, Platinum
The American Heart Association (AHA) recognizes
employers when they create a culture of physical activity in the
workplace. Saint Francis Medical Center is proud to walk the
walk in this regard as a Platinum-level recipient of the AHA’s
Start! Fit-Friendly Companies program – the highest level of
recognition – for its progressive leadership in employee fitness.
Chest Pain Center
Re-accreditation
The Chest Pain Center at Saint Francis Medical
Center earned full Cycle III re-accreditation with PCI
(percutaneous coronary intervention) from the Society of
Chest Pain Centers (SCPC). That means its Chest Pain
Center is committed to providing high-quality cardiac care
to patients and has the resources available to do so.
This year’s review focused on topics such as Saint Francis’
relationship with the public and employees through
education initiatives, cooperation with regional EMS
companies, the ability to follow specific patient care
guidelines – all the way down to campus signage to help
visitors find the Emergency Department.
The program honors companies that demonstrate progressive
leadership in making the health and wellness of their
employees a priority. Saint Francis recorded a 64 percent
participation increase in its employee wellness program,
Healthy Rewards. Spouses also can participate in the
program, providing an opportunity for couples to support
each other.
Accreditations and recognitions
To earn this status, the Center had to meet or exceed
a wide range of stringent criteria, and then pass an onsite evaluation by a review team from the SCPC. The
organization’s quality improvement model builds on itself
through each three-year cycle, with eight key elements
required for each cycle accreditation.
Saint Francis earned Platinum Level recognition for fulfilling
the following requirements:
• Offers employees physical activity support
• Provides or increases healthy eating options
at the workplace
• Promotes a wellness culture
• Implements at least nine criteria as outlined
by the AHA in the areas of physical activity,
nutrition and culture
• Demonstrates measurable outcomes related
to workplace wellness
35
Chris Heiden, Outpatient Rehab Services, Service Tech
Gerald Seyer, Laundry and Linen, Laundry Tech
2008
2009
2010
2011
2012
Modern Healthcare magazine named Saint Francis
Medical Center one of its 100 Best Places to Work in
Healthcare for the fifth year in a row in 2012. Saint Francis
was one of only two Missouri facilities to make the list and
one of only nine nationally to make it five years in a row.
Karen Welker, RN, Pediatrics, CNIII (above)
Kay Coleson, Communications, Communications Operator (below)
“We all feel responsible for the patients and families
who walk through our doors, regardless of our job
descriptions,” says Chris Heiden, Service Tech at the
Medical Center. “Our culture of teamwork gives me a very
satisfying work experience, and I am proud to call myself a
member of the Saint Francis Family.”
As part of the selection process, randomly selected Saint
Francis employees answer survey questions that focus
on eight core topics, including work environment and
training, to name just two.
Saint Francis offers competitive wages and benefits to
attract and retain the brightest and most compassionate
individuals at every level of the organization.
36
Leadership
Teamwork Powers Saint Francis
Executive Team
Healthcare System Board
Health and Development Board
A Tenure of Dedication
section title
Medical Staff
37
Teamwork powers Saint Francis
The stories and images contained in this annual report tell the story of another remarkable year for Saint Francis Healthcare
System. We successfully transitioned into new or expanded facilities and the quality of our patient care services has never
been higher. Yet, the spotlight that shines on these accomplishments tends to obscure the primary reason for their existence.
There is no question that extraordinary teamwork forms the core of our success. Individuals and teams throughout the Saint
Francis Family consistently pull together to attain common goals and achieve uncommon results. Everyone has a role in
developing specific goals and objectives as they relate to our strategic plan, and that shared buy-in makes it easier for team
members to embrace the effort needed to focus on excellence.
Our Board recognizes the importance of teamwork and its role in providing the groundwork for the organization.
These dedicated individuals establish policy, solidify our commitment to high-quality patient care, develop our strategic
plan, and then hold us accountable for it. Our Executive Team – most of whom have been part of the Saint Francis Family
for more than 20 years – leads in the implementation of that strategic plan and maintains very high expectations for
the organization.
The successful August visit by The Joint Commission to Black River Medical Center in Poplar Bluff was a great example
of teamwork. The primary reason this new three-bed hospital, co-owned by Saint Francis, moved quickly toward Joint
Commission accreditation was the hard work of many of our leaders.
Leadership
The success of the team is not reliant on any one individual or group. We continue expanding our scope of services together,
and we refuse to rest on our laurels. We are a family, and it is in that atmosphere that our teamwork shines through.
38
Executive Team
left to right:
Leadership
Rick Essner, CHFM, EDAC, Director of Facilities Management; Steven C. Bjelich, FACHE-D, President and Chief Executive
Officer; Barbara W. Thompson, Vice President - Marketing and Referral Services; Jeannie Fadler, RN, Vice President Patient Care Services; Marilyn Curtis, MSA, Vice President - Professional Services; James A. Schell II, MD, MHA, FACP,
Vice President - Medical Affairs; Tony Balsano, Vice President - Finance
39
Leadership
Healthcare System Board
40
Members of the Saint Francis Healthcare System Board work collaboratively with the Executive Team on long-term
strategic development. The Board’s focus centers on positioning the organization to thrive in the evolving healthcare
environment. It is responsible for non-profit endeavors including Saint Francis Medical Center, Saint Francis Foundation,
Saint Francis Medical Partners, Immediate Convenient Care and Immediate Convenient Care in Perryville.
front row, left to right:
back row, left to right:
L. R. Roper Jr.; Michael C. Trueblood, MD; Dennis Vollink; John A. Layton, Secretary/Treasurer; William D. Stahr, MD
Leadership
Donald L. Kaverman; Maurice R. Sandfort; Steven C. Bjelich, FACHE-D, President and Chief Executive Officer;
Dennis Marchi, Chair; Clyde Nenniger, Vice Chair; Patricia L. Ray; Kevin A. Govero
41
Health and Development Board
Members of the Saint Francis Health Development Services Board are responsible for the organization’s for-profit
endeavors. The Board participates in strategic decisions aimed at expanding the System’s reach through partnerships
and joint ventures with physicians and facilities throughout the region. Those relationships include Physicians Alliance
Surgery Center; Doctors Express; Landmark Hospital of Cape Girardeau; Poplar Bluff Medical Partners; and
Black River Medical Center.
Leadership
front row, left to right:
42
Laura L. Younghouse; Dennis Marchi, Chair; Steven C. Bjelich, FACHE-D, President and Chief Executive Officer;
James H. Bollinger Jr., DDS
back row, left to right:
David Crader; Janet Esicar; John A. Layton; Harry E. Rediger; Steve Dirnberger
A Tenure of Dedication
Judy Wilferth is fond of
saying she learned the value of
being a visionary by watching
her late father, former Saint
Francis Hospital Board
President LaRoy Roper,
put together pieces of the
financial puzzle needed to move the campus to its current
west side location.
Wilferth has contributed her skills as a successful
businesswoman in several capacities over the years. She
retired from the Saint Francis Healthcare System Board
this year after 15 years of service, including 11 as secretarytreasurer. “I really had a feel for where we were financially,
and I was very happy to make the motion to approve the
‘Building on Excellence’ project,” she says. “I know the
organization is financially secure.”
Wilferth has transitioned to emeritus status with the
Healthcare System Board and moved to a new active
position on the Saint Francis Health Development
Board. She also previously served on the Saint Francis
Foundation Board.
She and her husband, Rock, are now setting their sights
on a new mission. The couple took their first service trip to
Swaziland this year to support their son, Jimmy, in his role
as president of Heart for Africa. This Christian nonprofit
organization provides services and hope for orphans and
vulnerable children in this South African nation.
In between, the Cash-Book Journal newspaper owner
educated himself on healthcare trends and came to one
inescapable conclusion: Saint Francis is a trendsetter
when it comes to thriving in this ever-changing and highly
competitive industry.
“I attended educational seminars with other Board
members, and many of the presenters were futurists,” he
says. “They would describe things to think about for the
future and, invariably, Saint Francis was already addressing
most of those issues. In my opinion, we were way ahead of
the curve – and we continue to be.”
Jones’ last meeting as a regular member of the Board
featured the vote to approve the upcoming “Building on
Excellence” project. It was an exciting and fitting end to his
tenure before transitioning to emeritus status and devoting
more time to Jones Heritage Farms, an all-natural endeavor
just north of Cape Girardeau.
“My time with Saint Francis was pleasant,” he says. “It
was much more than just going to Board meetings. It was
enjoyable to be associated with my fellow Board members.
There are a lot of good people, and they make some good
contributions to the healthcare field.”
Leadership
If past results are any indication, the people of Swaziland
are about to witness the passion of the Wilferth family in
full force.
When he stops to think about
it, the volume of change that
Gerald Jones witnessed in his
12 years of service on the
Saint Francis Healthcare
System Board of Directors is
astonishing. “I went from
having a thimbleful of knowledge about the healthcare field
when I started,” he jokes, “to having a thimbleful of
knowledge when I left.”
43
Medical Staff
allergy
active and associate
Janna M. Tuck, MD
cardiothoracic/
medical Staff
vascular surgery
44
dermatology
cardiology
Bryan S. Beck, MD
Steven J. Carr, MD
Joseph C. Dwyer, MD, FACC
Billy A. F. Hammond, MD, FACC
Gordon L. Haycraft, MD
Paul H. Holcomb Jr., MD,
FACC, FSCAI
William K. LaFoe, MD,
FACC, FSCAI
David A. Law, MD, FACC, FSCAI
Sandra S. McCearley, MD
Duc T. Nguyen, DO
Kenneth W. Retter, MD,
FACC, FSCAI
Rebecca L. Smith, MD,
FACC, FASE
Gabriel E. Soto, MD, PhD,
FACC, FHRS
Allen L. Spitler, MD, FACC
Clifford R. Talbert Jr., MD, FACC
Ann E. Behrend-Uhls, MD, FACOG
Edward M. Bender, MD, FACS
Wendi M. Carns, MD, FACOG
William C. Collyer, MD
J. Russell Felker, MD, FACS
Vincenzo Galati, DO
Gregg S. Hallman, MD, FACS
Joseph H. Jacob, MD,
FACOG, FACS
Bruce A. Jones, MD, FACS
Jessica H. Lemmons, MD, FACOG
Sara A. Meyer, MD
Ronald M. Richmond, MD, FACS
William Ray Silliman, MD
anesthesiology
David Babock, DO
Stephen M. Brennan, MD
C. Michele Decker, MD
Robert J. Gile, MD
Kurt Lancaster, DO
Eric M. Nelson, MD
Jason D. Oberle, MD
Cliff C. Peda, MD
Jeffrey S. Steele, MD
Marc E. Young, DO
da vinci® surgery
Edward M. Bender, MD, FACS
Bruce A. Jones, MD, FACS
William S. Tung, MD
John C. Wiggans, MD, FACS
Henry S. "Hal" Brown, MD
Charles M. "Chuck" Moon, MD
electrophysiology
Sandra S. McCearley, MD
Gabriel E. Soto, MD, PhD,
FACC, FHRS
emergency medicine
Chad L. Armstrong, DO
Lauren D. Blackwelder, MD
Samuel W. Ferreri, MD
Brendon Gelford, MD
M. Kevin Hammond, MD, FACEP
Jeffrey S. Hartman, MD
Michael Killen, MD, FACEP
R. Joe Leckie, DO
Charles H. Pancoast, MD
Steven D. Rothert, MD
David Schnur, DO
Teena L. Sharrock, MD
Timothy N. Thomas, DO
endocrinology
Darren M. Allcock, DO
Ahmad Z. Sheikh, MD, FACE,
ECNU, CCD
Wu Wen, MD, PhD
Phenu Zachariah, DO
endovascular neurosurgery
Louis P. Caragine Jr., MD,
PhD, FAANS
family practice
Kennett D. Asher, DO, CMD
R. Dan Bieser, DO, FAACP
David C. Boardman, DO
Jeffrey W. Childers, MD
Christopher M. Compton, MD
Janna R. Crosnoe, MD
Kenneth A. DeCoursey, MD
Timothy T. Duke, MD
Robert W. George, MD
Erica E. Gibson, MD
S. Kent Griffith, MD
Jesse D. Hoff, MD
Laura E. Holmes, MD
Ramiro Icaza, MD
Jennifer Jiang, MD
Mark C. Kasten, MD
Charles J. Lastrapes, DO
Lori A. Moyers, DO
James E. Palen, MD
J. Richard Palen, MD
Charles S. Pewitt, DO
Kenneth D. Phillips, MD
Robert L. Robbins, DO
Matthew B. Schumer, MD
Deanna M. Siemer, MD
R. Brent Voszler, MD
Michael C. Wulfers, MD, FAAFP
Sandra Zakroff, MD
gastroenterology
Matthew J. Coleman, MD
Dean A. Edwards, MD
Timothy J. Edwards, MD
Michael R. Freeman, MD
Rafid J. Hussein, DO
Louis Kouo, MD
Wilfred Lee, MD
Wilson P. Pais, MD, MBA,
FACP, FRCP
Horace L. Schneider, DO
general surgery
Kevin N. Bartow, MD
J. Thomas Critchlow, MD
Jonathon K. Foley, MD, FACS
Ryan A. LeGrand, MD
Joseph S. McCadams, MD
Frank H. McGinty, MD
John J. Moll Jr., MD, FACS
Ronald M. Richmond, MD, FACS
William Ray Silliman, MD
gynecologic oncology
Victoria E. Adjovu, MD
Sarah Aydt, MD, FAAP, FACP
Robert W. Dodson, MD
Michael T. Jedlinski, MD, FACP
Joy L. LeDoux-Johnson, MD
Deborah D. Price, DO, FACOI
Ronald L. Robinson, MD
John J. Russell, MD
Ira Scott Taylor, DO
Philip E. Tippen, MD
Jay D. Willey, MD
Joseph H. Jacob, MD,
FACOG, FACS
neonatology
Laura E. Al-Sayed, MD, FAAP
Alan R. Barnette, MD, FAAP
Karlyle K. Christian-Ritter,
MD, FAAP
hematology/oncology
Scott A. Anderson, DO
Olivia Aranha, MD, PhD
Justin D. Floyd, DO
Mark A. Meadors, DO
Carlos Robles, MD
Prem Sobti, MD
internal medicine
Frank W. Braxton, MD
Nuhad A. Kulaylat, MD
Karin L. Barnes, MD, FAAP
J. Christopher Bauer, MD
Ryan M. Davis, MD
Shahid A. Elahi, DO
Bindu Finnell, MD
William J. Fritsch Jr., MD
Nefretiti Garrison-North, MD
Meera Krishnan, MD
Urooj Mansoor, MD
Devika R. Nagaraj, MD
Kellie Rogers (Burns), DO
Matthew D. Shepard, MD
Reena A. Thomas, MD
Jagannadha R. Avasarala, MD, PhD
Abdul B. Chaudhari, MD
Robert E. Gardner Jr., MD
Robert E. Gardner Sr., MD
Andrew Godbey, MD, MPH
Aaron B. Koonce, DO
David Y. S. Lee, MD
Steven D. Mellies, DO
Randall L. Stahly, DO
Peter P. Jiang, MD
Brenna M. Keller, DO
Charles Edward LaValle III, MD
D. Matthew Shoemaker, DO
obstetrics/gynecology
Ann E. Behrend-Uhls, MD, FACOG
Wendi M. Carns, MD, FACOG
Paul W. Clarke, MD
Heather L. Cugini, MD
Michael J. Jessup, MD
Jessica H. Lemmons, MD, FACOG
Grant D. McWilliams, DO
Sara A. Meyer, MD
Eric G. Morton, DO
Jacob P. Pyeatte Jr., MD, FACOG
Chris R. Rosenquist, MD
Tami O. Williams, MD
Dianne S. Woolard, MD
neurology
neurosurgery
Louis P. Caragine Jr., MD,
PhD, FAANS
Kyle O. Colle, DO
Sonjay J. Fonn, DO
Scott R. Gibbs, MD
Franklin Hayward II, DO
Joel West Ray, MD, FACS
Brandon J. Scott, DO
Howard L. Smith, MD, JD
occupational medicine
Glen E. Cooper, DO, MPH, MRO
Dennis J. Straubinger, DO,
MPH, MRO
ophthalmology
Charles H. Cozean Jr., MD
Richard L. Kies, MD
John R. Kinder, MD
Todd James Lumsden, DO
Linn M. Mangano, MD
D. Shawn Parker, MD, FACS
David J. Westrich, MD, FACS
oral surgery
Steven R. Schoolman, DDS
J. L. Sheets, DDS
Medical Staff
nuclear medicine
Mark L. Gates, MD
Rajinder M. Gulati, MD
George A. Pjura, MD
infectious disease
nephrology
hospitalists
Paul J. Tolentino, MD, PhD
Kevin A. Vaught, MD, FACS
David G. Yingling, MD
45
Medical Partner
orthopedics
James M. Edwards, MD
Patrick R. Knight, MD
Rickey L. Lents, MD
R. August Ritter III, MD
Brian C. Schafer, MD
Andrew C. Trueblood, MD
Michael C. Trueblood, MD
otolaryngology
D. Curtis Coonce, MD, FACS
Christopher H. Jung, MD
Richard A. Martin, MD, FACS
Adam S. Morgan, MD
Walt A. Schroeder Jr., DO,
MD, FACS
Karen Yates, MD
pain management
Stephen M. Brennan, MD
Bernard C. Burns III, DO
A. B. Chaudhari, MD
Terry Cleaver, MD
Im S. Hong, MD
Carmen N. Keith, MD
Jason D. Oberle, MD
Christopher L. Reis, DO
Jeffrey S. Steele, MD
Andrew F. Walker, MD
pediatric ophthalmology
Linn M. Mangano, MD
Medical Staff
46
Jeffrey P. Appleman, DPM
Kathleen K. Appleman, DPM
Zenon M. Duda, DPM, FACFS
pediatrics
Sarah A. Aydt, MD, FAAP, FACP
Beverly L. Brown, MD, FAAP
Heather K. Dodson, MD, FAAP
James E. Hoffman, DO, FAAP
Joy L. LeDoux-Johnson, MD
Shylaja Nuguri, MD, PhD
Gary S. Olson, MD
John J. Russell, MD
perinatology
Dean G. Huffman, MD
Naomi L. Wahl, MD, FACOG
physiatry
Jimmy D. Bowen, MD,
FAAPMR, CSCS
Bernard C. Burns III, DO
Im S. Hong, MD
Heidi J. Hunter, MD
plastic & reconstructive surgery
David M. Deisher, MD
John S. Humphrey, MD
Gregory A. Tobin, MD
podiatry
pulmonary medicine
Bradley K. Bittle, MD, FCCP,
D-ABSM
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