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2012 www.pcrmc.com PCRMC Community Benefit Report An annual report highlighting the community benefit from Phelps County Regional Medical Center Board of Trustees: Tom Bahr Jo Ann Brand-Hoertel, RN Albert Crump Jr. Ted Day John Park, PhD John Denbo Chief Executive Officer Ellis Hawkins SVP, Chief Operating Officer Don James, D.O. SVP of Medical Affairs, Chief Medical Officer Edward Clayton SVP of Finance, Chief Financial Officer Production: Graphic Designer Sarah Wilson Marketing Coordinator Writer Somer Overshon Marketing Communications Specialist Writer Lindsey Dunstedter Public Relations Specialist 2 Community Benefit Report What makes Phelps County Regional Medical Center unique is that we provide a perfect blend of world-class innovative technology and home-town community values. While we offer the most advanced services and care, the heart of our organization continues to focus on the very foundation that started it all: our friends and neighbors in the community. What is Community Benefit? Without community investment we would lose the essence of who we are, where we came from and the reason we exist—to serve others. Serving others remains the basis of our organization, a mission that originated back in 1950 when service-minded people and groups in the Rolla area set out to create a space where everyone who needed medical care had a place to go for treatment. Community benefit refers to We have grown substantially since we opened our doors on March 9, 1951, but the principles that founded our organization remain the same. Those principles are deeply rooted in the continuing tradition of giving back and investing in our communities. Our history is rich with philanthropy, and we honor our ancestors by doing exactly what they did some 63 years ago—by giving back and investing in the people and community we believe in and who inspire us every day. includes the following: Sincerely, programs or activities that provide treatment and/or promote health and healing as a response to identified community needs. This >> Charity & Other Uncompensated Care >> Community Outreach Services >> Health Professionals Education & Placement >> Donations to Community Groups John Denbo, Chief Executive Officer 3 Sustainable Growth A Look Back at PCRMC’s History by Somer Overshon A Hospital Created For The Community Phelps County Regional Medical Center’s rich historical background began in 1949 as a grassroots effort among residents in Rolla and the surrounding communities. A medical facility was needed in the community, so area residents and organizations in Rolla stepped up to make that happen. Through philanthropic efforts by community businesses and area residents, construction of the Phelps County Memorial Hospital, as it was called in the early years, was completed on ground donated by the Rolla Lions Club and opened to the public in March 1951. The new hospital was reportedly completed at $1,000,000, which included $400,000 raised by a county-wide bond issue in 1948, more than $200,000 received from the federal government, and a county-wide drive to collect funds from 4 Community Benefit Report local residents. As a result of donations from local people, an additional $25,000 was contributed towards the construction of the hospital. The Rolla Daily News said about the donations, “Many people contributed enough money to equip an entire room [in the new hospital]. Others gave larger or smaller amounts.” Prior to Phelps County Memorial Hospital’s opening, there was no other hospital facility located in the area. Therefore, the undertaking of a new hospital was a community effort, and once completed, was a symbol of pride for the community. Upon opening, the Rolla Daily News reported, “Its [Phelps County Memorial Hospital] completion represents a long-cherished hope of many hundreds of persons of the county. It stands today as a tribute to hard work and sacrifice on the part of persons with enough civic pride and enough interest in health and welfare for themselves and their fellows to work “PCRMC has grown from a small, rural hospital to the world-class facility it is today” and fight for such a facility.” Phelps County Memorial Hospital opened with 63 beds, including 15 bassinets for infants, 2 surgery rooms, 2 obstetrical rooms, a big kitchen, a laundry area and a variety of other facilities to make it a complete, allinclusive medical center. In 1951, the new hospital was, according to the Rolla Daily News, “one of the finest medical centers to be built in the Midwest in recent years.” A staff of 65 employees, including 12 registered nurses, 14 practical nurses and 9 referring physicians from the surrounding counties provided care to the hospital’s first patients. A Focus On Growth and Healthcare Excellence Throughout the 1970’s and 1980’s, several expansion projects were initiated, including a large $14.5 million renovation project in February 1979 that transformed the hospital from a small healthcare center to the primary referral center in south central 5 6 Alma Johnson, Director of Nurses, UMR’s Triangle Fraternity members, Mike The hospital received a stress testing demonstrates the new Aloe Explosion Kinsella, Bob Durbin and Bill Nichols, clear instrument from the Terry Harbaugh Proof Infant Incubator that donated by the brush from the area behind the new Memorial Fund, the hospital’s Auxiliary the hospital Auxiliary in 1958. extended care wing of the hospital in 1974. and Theta Tau fraternity in 1976. Community Benefit Report Missouri. At that time, the hospital’s Board of of the medical center, was completed in Trustees authorized the hospital to change 2007. The new building added six levels and its name to Phelps County Regional Medical approximately 120,000 square feet to the Center (PCRMC) to reflect its growth and new PCRMC campus. The MOB provided additional healthcare role in its regional communities. physician suites and patient services, including The completion of the extensive the ambulatory surgery unit, outpatient remodeling of PCRMC and the attractiveness medical imaging, the comprehensive breast of the Rolla-area community brought new center, outpatient rehabilitation, lab and opportunities for physicians and specialists to pharmacy services. join the medical staff. PCRMC has grown from a small, rural By the late 1980’s and early 1990’s, hospital to the world-class facility it is today, PCRMC made numerous advancements in employing a staff of over 1,600 and licensed its commitment to bring quality services and for 242 patient beds. PCRMC offers an array healthcare to the residents of south central of diagnostic and medical services as well Missouri. In 1988, the hospital continued to as several physician specialty services. In broaden its ability to serve area residents by addition to the main Rolla campus, the opening a skilled nursing facility. By late 1990, PCRMC Physicians Group also has clinics in another renovation project was in progress, Cuba, Rolla, Salem, St. James, Vienna and and plans were underway for an $18 million Waynesville. construction project to enhance and expand PCRMC prides itself on community service emergency, obstetrical and outpatient and investment and offers programs and services for area residents. activities to the community that promotes World-Class Healthcare Facility The completion of the Medical Office educational resources for the public. Areas of community benefit include charity and/or uncompensated care, community outreach Building (MOB), located on the grounds of services, health professional education and PCRMC and adjacent to the north entrance community group donations. 7 by Somer Overshon Handmade From the Heart The volunteers in the Auxiliary and Volunteer Services Department (AVS) at PCRMC offer assistance to patients, visitors and staff throughout the hospital and Medical Office Building (MOB) every day. The AVS also generates a high amount of annual revenue to support the hospital’s mission, and in 2012 generously donated $110,635 to PCRMC projects and initiatives. “We give back monetary funds to hospital supported projects and we are proud of that,” says Tina Pridgeon, Director AVS. “However, why we exist is not just about the money. Most importantly, we are here to make sure our patients have a positive experience.” Pridgeon says many of the AVS’s contributions are done behind the scenes where volunteers make hand-crafted items for patients in the hospital. The AVS Department has a sewing room equipped with several sewing machines where many of the volunteers work five days a week creating pillows, teddy bears, stuffed mice, pediatric surgery caps, newborn baby caps, heart monitors and wheelchair pockets. The work is 8 Community Benefit Report Items Made in 2012: • 2,384 Pillows • 270 Teddy Bears • 513 Heart Monitors • 50 Stuffed Mice • 600 Pediatric Surgery Caps • 513 Newborn Baby Caps • 5 Wheelchair Pockets mainly completed at the hospital where the AVS Department stocks the needed yarns, fabrics and sewing supplies. “Many of our volunteers lend their creative talents to crocheting and sewing special items for our patients,” says Pridgeon. “The handmade items let our patients know how much we care about them.” The handsewn items are distributed to nursing stations and other designated areas of the hospital and given out to patients. The AVS also creates handmade cards for patients who are admitted to the hospital during the holidays. The Patient Card Committee consists of volunteers who donate time creating handmade cards. The cards are delivered by the Guest Relations Department to the patient rooms along with handmade tray favors. “A hospital stay on a holiday is not ideal, and we want our patients to know that we are thinking of them and their families during times when they would rather be at home,” says Pridgeon. 9 Pridgeon says the volunteers’ dedication to PCRMC patients is truly world-class. “Our AVS mission is ‘Always caring, always sharing,’ and we maintain that attitude of goodwill in everything we do,” she says. Pridgeon says the volunteers’ commitment to donating their time to PCRMC is priceless, and many of them come in at their scheduled times rain or shine, even during holidays. “I am thankful for our volunteers and their contributions to making our patients’ experiences positive. Their caring attitudes and one-on-one interactions brighten our patients’ days,” says Pridgeon. To learn more about volunteer opportunities at PCRMC, please contact Tina Pridgeon, Director of Auxiliary and Volunteer Services at 573-458-7939 or tpridgeon@ pcrmc.com. 2012 Statistics 28,631 Total hours volunteered during 2012 by the Auxiliary Volunteer Services 10 1,550 Total hours served through PCRMC’s VolunTEEN program. 36 VolunTEENs assisted with escorting, greeting, the hospitality cart, clerical duties, mailings and Take A Stand lemonade stands. Community Benefit Report 8,326 $110,635 Total patients visited by PCRMC’s chaplains and volunteer chaplains. Between 7 volunteer chaplains, they provided 119 hours of service. Total contribution for various PCRMC projects by Auxiliary and Volunteer Services. Phelps Regional Health Care Foundation: Funding the Greatest Good Phelps Regional Health Care Foundation is the dedicated philanthropic arm of PCRMC that provides support for critical medical services in the community it serves. The Foundation supports and assists the mission of PCRMC by striving to provide every resident in our community the opportunity for optimal health through access to world-class, patient-centered healthcare delivered safely, efficiently and effectively, close to home. Total Amount Given in 2012 $854.04 $79,390.63 $1,722.01 $3,783.50 $2,574.98 $18,105.56 $34,661.69 $1,946.00 $71,382.44 $363,019.97 $6,891.06 $48,316.04 $8,449.32 Delbert Day Cancer Institute ‐ $363,019.97 Abbie Darnell Fund ‐ $1,722.01 Greatest Needs Fund ‐ $48,316.04 Baby Steps Fund ‐ $2,574.98 Guardian Angel Fund ‐ $71,382.44 Breast Center Mammography Fund ‐ $6,891.06 Heart‐2‐Heart Fund ‐ $34,661.69 Hospice Fund ‐ $18,105.56 Joy of Caring Cancer Fund ‐ $79,390.63 Jay Crump, DO Medical Scholarship Fund ‐ $8,449.32 Nurses are Special Fund ‐ $1,946.00 Patient Transportation Fund ‐ $3,783.50 Pediatric Dental Fund ‐ $854.04 11 Living History Program at PCRMC by Lindsey Dunstedter The Living History Program was implemented at Phelps County Regional Medical Center because caring for patients goes beyond the physical; patients need to know their lives and their stories matter. The program gives patients an opportunity to communicate their life story to a PCRMC employee who then writes the story as a keepsake for the patients and their families. “The employees who complete the Living History Program writing class take so much joy in being able to correspond with patients on a level they were not able to before,” said Tania Lambert, Guest Relations Manager and primary implementer of the program at PCRMC. The program offers immediate benefits for the patient and the family that receives the story, but a less obvious benefit is the catharsis experienced by the healthcare team involved in the care of the patient participating in the Living History Program. “The experience really resonates with the physicians, nurses and staff who are able to see our patients outside of their immedi- 12 Community Benefit Report ate healthcare needs – as people who have lived an exciting and full life and deserve to have that story communicated. Patients are people who have experienced so much in their lives, and as healthcare personnel we learn from knowing more about those life experiences,” said Lambert. The Living History Program uses life stories to positively impact the patient experience. At PCRMC, the patient experience is at the heart of everything the employees do. All patients are so much more than their medical history; each patient is an individual person with a unique personality and history that deserves to be recognized and honored. “The program really provides another layer to the experience we can offer patients while at PCRMC,” said Lambert. “Listening to our patients and having the ability to communicate their life stories is a true honor. We become a more active participant because the Living History Program helps strengthen patient care and the emotional connection with our patients.” Don James, DO, SVP/Chief Medical Officer at PCRMC, is a major supporter of the Living History Program. “Quality patient care starts with building relationships, and building relationships with patients starts by making sure each patient feels important,” said Dr. James. “They are real people, with feelings and a life outside of the hospital. The Living History Program validates their importance.” To learn more about the Living History Program at PCRMC, please contact Tania Lambert at 573-458-7616. 13 PCRMC Provides GRACE with Thanksgiving Meals for Local Families by Lindsey Dunstedter GRACE (Greater Rolla Charitable Enterprise) provides food every Thanksgiving to ensure that needy families are able to enjoy the traditional fixings of the holidays. However, there was one major problem this year: the previous donations that provided the turkeys in years past fell through at the last minute. The families signed up for GRACE were going to be receiving a box of food to prepare their meals, but there would be no turkey on their table this year. “We were all losing sleep over it,” said Ira Entsminger, Board Member and Volunteer for GRACE. “We secured 12 turkeys, but we needed 70 more turkeys to cover the families signed up. We did not know if we were going to be able to pull it off this year.” Then Entsminger went to pick up food boxes at Phelps County Regional Medical Center from Debbie Cook, Organizational Development & Community Health Education. Cook is the team leader for PCRMC’s Spirit of Service Team that had just wrapped up their second annual fall giving project, A Box of Thanks Giv- 14 Community Benefit Report ing, to collect Thanksgiving food items for area families in need. Food items were collected through donations from PCRMC employees, physicians and volunteers and then given to GRACE for distribution. Entsminger and Tina Davis, Ex- with 70 turkeys and enough eggs and butter for all the families that had not yet been adopted by individuals or churches. “Everyone deserves a proper meal, especially during the holidays. PCRMC helped make that happen for all of the families signed “Everyone deserves a proper meal, especially during the holidays. PCRMC helped make that happen for all of the families signed up with GRACE this year” ecutive Director for GRACE, came to pick up 63 boxes of food and 22 boxes of miscellaneous food items for the families signed up through GRACE for a complete Thanksgiving meal, minus the turkey. “When I got to PCRMC with Tina, I was told by the hospital that they would be donating the turkeys and side items we still needed to make the Thanksgiving meal complete,” said Entsminger. “I almost fell over when they told me; I felt like a huge weight had been lifted from my shoulders because I knew every single family that signed up for assistance would have the Thanksgiving dinner they deserved.” The next day, PCRMC provided GRACE up with GRACE this year,” said Entsminger. “PCRMC really came together with the Spirit of Service food boxes and the turkeys to provide for those in our community that would not have had any Thanksgiving otherwise. It was a true blessing.” 15 Every Drop Tells A Story by Lindsey Dunstedter PCRMC Awarded for Most Blood Donors in 2012 The Community Blood Center of the Donors - Hospital Category.” During 2012, Ozarks (CBCO) recognized PCRMC for blood PCRMC hosted six blood drives, one every drive efforts during its annual volunteer 59 days, and had the most donors from any recognition luncheon. The CBCO was hospital receiving blood from the CBCO. founded in 1995 with the goal of always Kent Davis, Director of Plant Opera- ensuring that area hospitals have all the tions at PCRMC, accepted the award on blood they need to save lives. PCRMC has behalf of the hospital and its team of Blood been a steady supporter of the CBCO and Donor Ambassadors. The Blood Donor Am- prides itself on the constant willingness bassadors are a group of hospital employ- of employees and the local community to ees who volunteer their time to help make selflessly donate blood to help others in the hospital’s blood drives a success. “I took on the responsibility of the co- need. Over 200 volunteers from hospitals, churches, schools 2006 when I realized we could be reaching and businesses across the more potential and existing donors to bet- CBCO’s 38-county service area ter support our community if we stream- were present at the luncheon lined our efforts,” said Davis. “I put together and had the opportunity to a terrific group of blood drive volunteers, hear stories of lives that were called Ambassadors, and they help ensure saved because of their hard work and dedi- that every donor has the best experience cation. possible while donating at PCRMC.” PCRMC was awarded for “Most Blood 16 ordinator of the blood drives at PCRMC in Community Benefit Report One out of every seven people admit- Photo by Sarah Wilson ted to the hospital will require blood. The public hears most about the need for blood donations after catastrophic events, but blood transfusions occur everyday for babies in the NICU and for patients undergoing cancer treatments or life-threatening operations. Every five minutes someone in the Ozarks requires a transfusion, and one donation can potentially save three lives. Davis said that donating blood is one of the best ways people can help change the lives of others in the community. “I have been a blood donor for years, and the cause is near and dear to my heart,” said Davis. “What better way to support the community then giving the gift of life?” For more information about the CBCO or blood donation, please visit: www.cbco.org. 17 Connecting the Dots Empowering Patients Through Support and Knowledge by Lindsey Dunstedter Healthcare can be a confusing and overwhelming “Advocating for the patient is the experience, especially when number one thing I do. I am here to inform, facing a cancer diagnosis. find out answers and provide emotional Phelps County Regional Medi- support to patients. When facing a cancer cal Center created a full-time diagnosis, there are so many questions, and Nurse Navigator position to I am there to help find out the answers,” help breast cancer patients navigate the of- said Walter. “This is not a 9-5 job; a cancer tentimes confusing healthcare landscape. diagnosis is frightening, and those fears Nurse Navigators are patient advocates are not quieted just because it is outside that help empower patients to take control of hospital hours. If a patient needs to talk, of their health outcomes. she has my cell phone number, and I can Patient Advocacy Carol Walter, MSN, RN, is the Nurse Navigator at PCRMC and says it is an honor to be involved in the care of breast cancer patients from pre-diagnosis to survivor- 18 treatment of a breast cancer patient. help ease her concerns right then and have a course of action planned by the next morning.” World-Class Cancer Care Walter is one member of the nationally ship. Patient advocacy is at the heart of the accredited cancer services team at PCRMC position, and Walter acts as a liaison for the that is involved in the care of breast cancer patient by being the direct line to the many patients. Depending on the course of treat- health care professionals involved in the ment, the patient will see radiation oncolo- Community Benefit Report Photo by Sarah Wilson gists or medical oncologists and sometimes which Nurse Navigator Walter is a member. both concurrently. However, there are so The committee is a multidisciplinary team many additional cancer services available at PCRMC that meets quarterly to discuss outside of treatment. In addition to the new diagnoses of cancers and innovative Nurse Navigator, the cancer services team treatment options. The Cancer Committee also provides a nurse researcher for can- also ensures that PCRMC’s standards for cer patients. The nurse researcher helps cancer care are met. By participating in the determine whether patients are eligible to Cancer Committee, PCRMC is able to par- participate in clinical trials. Other support ticipate in clinical trials right here in Rolla. included with the cancer care services at Healthcare professionals involved with PCRMC includes a breast cancer support cancer services also attend a weekly cancer group, physical rehabilitation, a genetic conference to pool resources and discuss counselor, the lymphedema care clinic, cases. a social worker and dietary support and counseling. Advanced Technologies Each breast cancer patient’s case is PCRMC is on the cutting-edge of also reviewed by the Cancer Committee of technology, and the advanced technology 19 can mean an earlier diagnosis of cancer. to Denbo, whose family had no history of When asked if the emergence of much breast cancer. Denbo said that Walter was younger women diagnosed with cancer is a tremendous support system for her while because of improved screening capabilities she underwent a double mastectomy and or just an increase in cancer in the general months of chemotherapy at the PCRMC population, Walter said “Both. Technology Bond Clinic. Walter was a stabilizing pres- has advanced to a point that we are able ence throughout the entire process and to find some cancers earlier, but we are is still a support to Denbo, who is now in finding a higher prevalence of cancer in remission and an active participant in the younger women. One of the reasons we Survivorship Program at PCRMC. are able to diagnosis and treat the cancer earlier is because women are being more moment in my life. At 32, I was in no way proactive and diligent with doing monthly prepared to deal with breast cancer. She self-breast exams and doing their yearly went to all my appointments, checked on mammograms. The earlier the diagnosis, me after surgery and just made sure I had the better the opportunity for long-term all the information I needed,” said Denbo. health outcomes.” “It was like having a knowledgeable best A Survivor’s Story Jennifer Denbo, 32 year old wife, and mother to young children Kaylee and Sophie, found a lump while doing a monthly self-breast exam. After a mammogram and a lumpectomy, Denbo found out she tested friend holding my hand through the stressful process of being diagnosed to survivorship. She is more than a Nurse Navigator to me; she is a friend.” PCRMC Survivorship Program The Survivorship Program at PCRMC positive for triple negative breast cancer. was created as a next step after the breast Triple negative breast cancer is a particu- cancer patient finishes treatment. The larly aggressive form of cancer and can be program focuses on individualized sup- difficult to treat. port, care, empowerment and advocacy The news came as a complete shock 20 “Carol helped me through the hardest Community Benefit Report to ensure the best possible outcomes for the patient. The patient has better long-term vorship service. The portal provides a reliable health outcomes when there is a constant care link between the survivor and the healthcare provider and a survivorship program in place. team that allows the patients access to all their The Survivorship Program at PCRMC monitors treatments, labs and health information from the patients and reminds them about their anywhere. The portal also shows the recom- follow-up visits. mended follow-up plan customized by the “I am still very involved in the care of patient’s healthcare team. All the patient’s “Cancer is scary and healthcare can be confusing, and as a Nurse Navigator I make sure the patient does not fall through the cracks.” breast cancer patients after they finish their information is available on the portal in one treatments and are survivors! Having cancer is location to share with physicians and family if a full-time job, and survivorship and knowing the patient decides to grant access. what to do next is almost a part-time job,” said “I am proud to be the Nurse Navigator at Walter. “Survivors have to stay very focused PCRMC,” said Walter. “The position is very new and involved with their healthcare for years to to most hospitals, and it is a blessing to have stay healthy. As a Nurse Navigator, my primary the service available in our community. Cancer role, even in survivorship, is to advocate for is scary and healthcare can be confusing, and the patients and guide them through the as a Nurse Navigator I make sure the patient healthcare system. That is one reason I am so does not fall through the cracks. There are so excited about the new patient portal; it is a many barriers - language, knowledge, finan- great way for patients to access all their health cial and insurance – and I am here to remove information in one location.” those barriers and advocate for the patient Patient Portal Provides Access The patient portal is a new resource for breast cancer patients as an additional survi- every step of the way.” To learn more about Carol Walter and the Nurse Navigator position at PCRMC, please call 573-458-7164. 21 by Somer Overshon Providing Access to Healthcare for Everyone PCRMC Senior Vice President/Chief Financial Officer, Ed Clayton, says PCRMC’s bad debt expense has steadily risen since 2000, from $6 million per year to $27.8 million in 2012. “PCRMCs bad debt expense has increased almost 5 times what it was in 2000,” says Clayton, “while revenue is only 2.4 times what it was in 2000.” Clayton says PCRMC is not alone in the rise of bad debt expense: other healthcare providers have seen their bad debt expense numbers grow exponentially over the last decade as well. “The bad debt at PCRMC is a consequence of the number of patients who are un-insured and under-insured,” he says. “These numbers are significant due to the PCRMC BAD DEBT EXPENSE 35,000,000 30,000,000 25,000,000 20,000,000 Series1 Series2 15,000,000 10,000,000 5,000,000 0 2000 22 Community Benefit Report 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 changes in healthcare reform because healthcare facilities are not getting reimbursed for the services they provide.” According to Clayton, PCRMC is unique from other healthcare providers because the organization is providing amost $28 million dollars of uncompensated care to the community. “PCRMC prides itself on providing world-class care to patients whether or not they have insurance,” Clayton says. “Currently, PCRMC is not compensated for 13-14% of the services provided. Our physicians see all types of patients regardless of their ability to pay; other healthcare providers can limit medical access to patients that are un-insured or have Medicaid.” PCRMC assumes the expense of uncompensated care and continues to invest in its Physicians Group for the benefit of the patients in its local communities. “We know offering access to world-class healthcare to our patients, neighbors and friends is the right thing to do, and we will continue to provide that care,” says Clayton. 23 Relay For Life Honoring those touched by cancer by Somer Overshon Phelps County Regional Medical Center received the honor of being a top-fundraiser for the American Cancer Society’s (ACS) Relay For Life event in 2012. The PCRMC team raised $17,866 and was recognized at the annual ACS luncheon as the third-highest fundraiser in Southwest Missouri, which consisted of 36 counties and 721 teams. Phelps County held its Relay For Life event on Saturday, August 18, 2012, at Lions Club Park in Rolla. PCRMC was one of 25 teams that participated in Phelps County and was the 24 Community Benefit Report top fundraising team. Medical oncologists, Joe Bond, DO, Ruth Ann Nevils, MD, and Christiane Zoghbi, MD, Family Practice physicians, Cathy Bond, DO, and Marino Parra, MD, along with 28 PCRMC team members attended the event. “From start to finish we are here for our patients in their fight against cancer,” said Dr. Zoghbi. “We are proud to participate in Relay For Life and are honored to walk alongside our area survivors and caregivers.” The PCRMC team consists of physicians, staff and community supporters who participate to fight back against cancer. Most participants have personal reasons for Relaying, but the dominant and shared reason is because everyone has been touched by cancer in some way. “Two of my aunts passed away because of cancer,” says Sarah Wilson, Marketing Coordinator and PCRMC Team Captain. “I walk in their memory and to honor others who continue to fight.” Samra Norris, Office Coordinator/Radiation Oncology, Relays because she says, “I’m a survivor.” For Sarah Robinson, Community Relations Coordinator/Acute Rehab, Relay For Life is a way to “stand up against a disease that doesn’t discriminate and touches everyone.” Ashley Miller, the ACS Community Manager for the High Plains Division, is amazed at how much the PCRMC team was able to fundraise. “The amount PCRMC fundraised in 2012 is unbelievable,” she says. “Every time I think about their dedication it makes me cry. We are so fortunate to have them as part of our team.” Miller, a cancer survivor as well, attends PCRMC team meetings and offers support throughout the year and at the actual event. While fundraising over $17,000 is a phenomenal accomplishment, the PCRMC team is not done. “We hope to raise more in 2013,” says Wilson. “We have a great group of people participating and a truly generous community living in the Phelps County area. We are dedicated to the fight and will continue to support cancer patients through Relay.” For more information about the PCRMC Relay For Life team, please contact Sarah Wilson at sawilson@pcrmc.com or 573-458-7608. Quote Possibly 25 Free Mammogram Campaign by Somer Overshon Benefits Area Women 26 In observance of National Breast Cancer month in October, PCRMC offered free mammography screenings to residents in the community. The hospital budgeted for 60 women to participate, which is the equivalent to $24,000 worth of gratis service from the Comprehensive Breast Center, and 54 area women took advantage of the program. Financial burden and fear are common reasons women delay getting their recommended yearly mammogram starting at age 40. “Some people simply cannot afford the fee to have a yearly mammogram,” says Helen Litz, Coordinator of the Comprehensive Breast Center. “We want to get the message out that there are financial options available for our patients, and we can help ease those concerns. We never want people to feel like they cannot get screened because of their finances.” Litz says fear is another reason women defer getting their annual mammogram. “Patients are so afraid that they will have cancer and so they put their screenings off,” Community Benefit Report says Litz. “It is important to find breast cancer early; the survival rates are good for women who are diagnosed with breast cancer in the early stages. I always tell people not to let fear hinder their health.” The free mammography program was a collaborative effort among many hospital departments. PCRMC Radiologist Edward Downey, DO, volunteered to read the mammogram results, and Palmaris Imaging donated the reading technologies for the day. The women were treated to gifts like carnations, cookies, and pens donated by several departments including Administration, Marketing and the Phelps Regional Health Care Foundation. “There is no investment more important than your health,” says Brenda Hughes, Administrative Director of Acute Services. “Education is empowering, and we are honored to help women take control of their breast health by offering this service to the community.” Photo by Sarah Wilson 27 Community Support Phelps County Regional Medical Center groups the community support it provides into the following four categories. FINANCIAL ASSISTANCE & CHARITY CARE • Free or Reduced Healthcare at PCRMC • PCRMC’s Breast Center Mammography Fund • Community Care Clinic: Phelps County • PCRMC’s Joy of Caring Cancer Fund COMMUNITY OUTREACH • Back to School Supplies: Phelps County, St. James, Pulaski County • Chamber Membership: Cuba, Rolla, Salem, St. James, Steelville & Waynesville/ St. Robert • Christmas in the Park • EMS Day • Free books for Kindergartners & Third Graders (Rolla, St. Robert, Waynesville, St. Patrick, and Lutheran School Districts) • G.R.A.C.E. • Healthy Baby Extravaganza • Heart-2-Heart • KMST (National Public Radio) • Missouri Veterans Home • Christmas Parades: Rolla, St. James & Waynesville • St. Pat’s Parade • St. James Grape & Fall Festival Parade • PCCAN - Take a Stand sponsor • PCRMC’s Free Car Seat Checks • PCRMC’s Community Education Classes • PCRMC’s Disaster Readiness Truck & Trailer • PCRMC Speaker’s Bureau • PCRMC’s Support Groups: Alzheimer’s Support Group Breastfeeding Support Group Cancer Support Group Diabetes Support Group Mental Health Support Group Parkinson’s Support Group Smoking Cessation Support Group • PCRMC’s Transportation Program • Rolla Ladies Night Out • Rolla Nutrition Site • Rolla Public School District’s Athletic Program (ambulance on-site) • United Way • Vienna Health Fair EDUCATION • Champions of Rolla Education (C.O.R.E.) • East Central College • Kirksville College of Osteopathic Medicine • Lincoln University • Mid-Mo Area Health Education Center (AHEC) • Rolla Daily News - Newspapers in Education • Rolla Technical College • Rolla Technical Institute • Texas County Technical College • University of Missouri - Columbia DONATIONS TO COMMUNITY GROUPS • American Cancer Society Relay For Life: Crawford County, Phelps County & Pulaski County • Armed Services YMCA • Boys & Girls Town - Great Circle • Camp David • Celebration of Nations • Children’s Miracle Network • Hope Alliance of Missouri • March of Dimes • Maries County Fair • Mid-MO Credit Union • Miners In Space • Missouri S&T Athletics • Missouri S&T Booster Club • Missouri Veterans Home • National Day of Prayer • Ozark Actors Theater • Pregnancy Resource Center of Rolla • Phelps County Fair • Presbyterian Manor Good Sam Fund • Prevention Consultants • Retired Senior Volunteer Program (RSVP) • Rolla Athletic Booster Club • Rolla Band Boosters • Rolla FFA • Rolla High School • Rolla Kiwanis Club • Rolla Lions Club • Rolla Presbyterian Manor • Rolla Rotary Clubs • Rotary Club of Pulaski County • Russell House • St. James Grape & Fall Festival • St. James Lions • USO - Ft. Leonard Wood While this report captures the majority of programs that PCRMC sponsored or supported in 2012, some may have been inadvertently omitted. 28 Community Benefit Report CHARITY & OTHER UNCOMPENSATED CARE $24,701,735 Includes the cost of providing care to persons who cannot afford to pay and the shortfall between the cost of providing care to Medicaid patients and the payments received from the government. COMMUNITY OUTREACH SERVICES $681,865 Includes activities to improve community health and other services that benefit the community. Examples include community health and education, health screenings, support groups, transportation services and support for free clinics HEALTH PROFESSIONALS EDUCATION & PLACEMENT $2,443,295 Includes the cost of recruiting physicians, nurses and other clinical professionals into the community, plus the cost of supporting healthcare educational programs (i.e. nursing schools, technical colleges, etc.) DONATIONS TO COMMUNITY GROUPS $311,417 Includes cash, in-kind donations and fundraising costs that support community organizations and other community programs. Examples include United Way and the American Cancer Society Relay For Life. TOTAL COMMUNITY BENEFIT $28,138,312 29 Payor Mix Commercial 34% Medicare 45% Uninsured 6% Medicaid 15% I N PAT I E N T D AY S O U T PAT I E N T V I S I T S E M E R G E N C Y D E PA R T M E N T V I S I T S SURGERIES BIRTHS 30 Community Benefit Report 33,633 190,500 36,842 5,442 835 Inpatient Admissions: An overnight stay in the hospital Inpatient Days: Total number of days spent in the hospital. Outpatient Visits: Patients who come for same-day treatment. Emergency Department Visits: Includes ambulance calls and patient walk-ins. Maries Medical Clinic Maries Forest City Family Practice Phelps County Regional Medical Center Pulaski Medical Clinic Crawford Bond Clinic Pulaski Phelps Dent Medical Clinic Dent PCRMC Service Area Crawford • Dent • Maries • Phelps • Pulaski • Texas Phelps County Regional Medical Center, located in Rolla, is one of Missouri’s leading regional referral centers, serving over 200,000 residents in South Central Missouri. PCRMC Texas is a non-tax supported, county-owned 242 bed hospital. It has more than 1,600 employees, 100 plus physicians and a five-member elected board. Inpatient Maries 2.8% Texas 3.8% Crawford 7.6% Outpatient Other Maries 5.0% Texas 3.4% 3.3% Other 10.3% Phelps 50.8% Crawford 6.3% Phelps 59.9% Dent 7.7% Dent 10.3% Pulaski 14.4% Pulaski 14.4% 31 Mission To provide every resident in our community the opportunity for optimal health through access to world-class, patientcentered healthcare delivered safely, efficiently and effectively, close to home. PHELPS COUNTY REGIONAL MEDICAL CENTER 1000 W. Tenth Street • Rolla, MO 65401 w w w . p c r m c . c o m