annual report 2014
Transcription
annual report 2014
A N N UA L R E P O RT 2 01 4 2 CONTENTS About Memorial Health 5 Message from the president and CEO Our role as a safety net provider 6 8 10 Population health management services 12 Quality and safety 14 Financial highlights 18 Our key services 20 Medical education 30 Growing our regional network 32 Memorial Health Foundation 34 Memorial Health in the news 36 Memorial Health leadership 44 Board of directors 45 Snapshot of our total community benefit 3 MISSION With compassion, we heal, teach, and discover. VISION We will be the healthcare system of choice by demonstrating excellence in everything we do. VALUES Safety, Trust, Respect, World-Class, Enjoyment, My Memorial 4 ABOUT MEMORIAL HEALTH Memorial Health is an award-winning healthcare system that serves a 35-county area in southeast Georgia and southern South Carolina. The flagship of our system, Memorial University Medical Center (MUMC), is a 654-bed nonprofit Aiken academic medical center. Orangeburg Barnwell Richmond Bamberg We first opened our doors in 1955 as a 300-bed facility called Memorial Jenkins The hospital was dedicated Charleston Screven Johnson as a living memorial to our Emanuel nation’s war dead. Laurens Wheeler Jasper Bryan Chatham Tattnall Liberty Jeff Davis Beaufort Evans Toombs Telfair healthcare provider in the Effingham Bulloch Candler Treutlen ery Montgom Dodge and most comprehensive region. We are the only Level I Colleton Hampton Washington Hospital of Chatham County. Today, MUMC is the largest Allendale Burke Jefferson Dorchester Memorial Health Service Area Long Appling Primary Ben Hill trauma center in south Georgia Coffee Wayne Bacon McIntosh Pierce and one of only five in the entire Glynn Atkinson children’s hospital and the only Peripheral Camden Clinch Tertiary Brantley Ware state. We house the region’s only Secondary Charlton Extended Level III neonatal intensive care nursery. In addition, MUMC is a regional referral center for cardiac care, cancer care, trauma, pediatrics, high-risk obstetrics, and neonatology. Memorial University Medical Center is the only major teaching and research hospital in the region. We offer six physician residency programs and serve as the Savannah campus of Mercer University School of Medicine. Our services have earned local, regional, and national accolades. We take pride in being forward-thinking and proactive in healthcare public policy. Our motto is “Experience Excellence,” and we work hard every day to provide excellence in care, technology, and service for our patients and community. 5 MESSAGE FROM THE PRESIDENT AND CEO Memorial Health experienced a year of growth and renovation in 2014. We broke ground for major expansions of our emergency and trauma services, as well as our medical school and residency programs. We added more beds to our Heart & Vascular Institute and our Level III neonatal intensive care nursery. We also began planning and fundraising for our new children’s hospital. These infrastructure updates are necessary to meet the growing needs of our community. They are also part of our five-year strategic plan. The year 2014 marked the second year of our five-year plan, which focuses on these pillars of excellence – safety, quality and service, people and relationships, education and research, and affordability. The plan includes seven organizational goals: • Provide safe, reliable, patient and family centered care • Partner with physicians • Be the employer of choice • Create a regional integrated network • Achieve a 2-percent margin • Advance our educational mission • Invest in our infrastructure We maintained our focus on partnerships and creating an integrated network. We believe a strong regional network will help us coordinate patient care among different providers and operate more efficiently by creating joint purchasing and servicing agreements. By working together, we can improve patient care and reduce costs. We formed partnerships with HealthSouth, AppleCare, CVS, and Landmark Hospital of Savannah (a long-term acute-care hospital). In addition, we continued our partnerships with Novant Health and regional hospitals. I’m proud that we stayed true to our strategic plan while also navigating the changing waters of the healthcare industry. The Affordable Care Act, electronic medical records, Ebola preparations, and changes in government reimbursement are just a few of the issues we dealt with in 2014. Throughout everything, our top priorities are caring for our community’s overall health and ensuring that every person we serve has an opportunity to Experience Excellence. This is possible thanks to our dedicated Team Members, the support of our physicians, and the vision of our Board of Directors. Sincerely, Margaret “Maggie” Gill President and Chief Executive Officer 6 7 OUR ROLE AS A SAFETY NET PROVIDER Memorial Health is part of the Chatham County Safety Net Planning Council. This organization provides healthcare for vulnerable populations in our county, including uninsured and underinsured citizens. We were a founding member of the council in 2004 and have been actively involved every year since. In 2013 (the most recent data available), Memorial Health provided $5,000 to support the operational needs of the Chatham County Safety Net Planning Council and $80,000 to fund the salary and expenses of a care navigator for uninsured and underinsured patients. In 2013, Memorial Health also provided cash donations to the following safety net organizations: • $375,000 to J.C. Lewis Primary Health Care Center to support its respite care program. The J.C. Lewis Primary Health Care Center is a federally qualified community healthcare center that provides care for Savannah’s homeless and near-homeless population. It offers medical care, dental care, shelter and housing referrals, a prisoner re-entry program, 24-hour respite care, and behavioral health counseling. • $125,000 to Community Health Mission to support clinic operations. Community Health Mission is a volunteer-based, nonprofit primary care facility serving uninsured adults who work or live in Chatham County, who are not enrolled in Medicaid or Medicare, and whose income is at or below 200 percent of federal poverty guidelines. It provides free medical care for those who qualify. • $70,000 to MedBank Foundation Inc. for prescription assistance services. MedBank is a private nonprofit organization offering prescription assistance to low-income patients of area health providers. MedBank obtains medications at no cost to patients through programs offered by drug manufacturers. In 2013, MedBank provided more than $7.8 million in free medications to people in need in our community. • $3,000 to Safe Kids Savannah to support Safe Kids Savannah’s safety events. Memorial also provides one full-time Team Member for Safe Kids Savannah’s community education and outreach. Safe Kids Savannah is a coalition of organizations and individuals working to prevent accidental childhood injuries and deaths. It is a member of Safe Kids Worldwide, a network of more than 600 coalitions. • $74,700 in grants to community organizations. Grants were given to AMBUCS, American Red Cross, Brain Injury Association of Georgia, Georgia Medical Society, Leukemia & Lymphoma Society, March of Dimes, NAACP Freedom Fund, the National Multiple Sclerosis Society, Ronald McDonald House, Susan G. Komen for the Cure®, Pooler Lions Club, Union Mission, United Way of the Coastal Empire, and the Wounded Warrior Project. Alison Huffman, Safe Kids Savannah coordinator, performs a car seat safety check for a local family. 8 9 SNAPSHOT OF OUR TOTAL COMMUNITY BENEFIT Memorial Health cares for every person who comes through our doors, regardless of his or her ability to pay. We also contribute to numerous programs that improve the overall health of the community. Our community benefit for 2013 (the most recent data available) breaks down as follows: Financial Assistance: Charity and Indigent Care Cost $29,792,622 Free or discounted health services provided to patients unable to pay for all or a portion of their care. Unreimbursed Care Cost (Government Shortfalls) $4,939,512 Financial loss resulting from treating patients with Medicaid and Medicare, because we are reimbursed less than it costs to provide the care. Health Professionals Education $15,813,456 Memorial Health invests heavily in programs to educate healthcare professionals and to alleviate the physician shortage in rural Georgia. Cash and In-Kind Contributions $1,471,379 Includes contributions to J.C. Lewis Primary Health Care Center, Community Health Mission, the MedBank Foundation, the March of Dimes, the American Cancer Society, the Violence Intervention Program, and others. Cash donations are highlighted on page 8 in the safety net information. Community Health Improvement Services $1,276,975 Community health fairs, disease prevention education, safety services, Hispanic/Latino outreach, and patient assistance programs. Community-Building Activities $88,577 Economic development, coalition building, workforce development, and environmental improvements. Clinical Research 10 $531,876 Community Benefit Total $53,914,397 Bad Debt Write-Off $41,274,528 In addition to treating patients who do not have the means to pay for their care, hospitals write off the bad debt of services for people who were expected to pay, but who did not because of an unwillingness or inability to do so. Total Assistance Provided to the Community $95,188,925 Community Benefit Summary: $53,914,397 Note: Bad Debt $41.3 Million Community-Building $88,600 Community Health Improvement $1.3 Million Cash/In-Kind Donations $1.5 Million Charity Care $29.8 Million Education $15.8 Million Research $531,900 Government Shortfalls $4.9 Million 11 POPULATION HEALTH MANAGEMENT SERVICES Memorial Health is committed to improving our community’s overall health. We are doing this through an initiative called “population health management.” The goals of population health management are to make healthcare more efficient, reduce the cost of care, and keep patients healthy. This is achieved by proactively identifying and closing gaps in care. For example, if a patient has diabetes, he must be diligent about monitoring his blood sugar, eating a healthy diet, and meeting with his physician. Failure to manage the condition can lead to serious, life-threatening complications. Memorial Health implemented the following systems to assist with population health management. • Care Coordinators – We’ve hired five nurses to work as designated care coordinators in several of our primary care practices. They meet with patients who have chronic health issues that put them at high risk for hospitalization. Care coordinators provide ongoing education to help the patient manage his condition. They also work with the patient’s physician to avoid duplicate tests and services. In 2014, our care coordinator program made national headlines when it was featured in a report on National Public Radio that was shared on 60 media outlets nationwide. You can read more about it on page 36. • Employer Analytics – Our managed care network, Memorial Health Partners, works with several local employers to provide robust healthcare analytics software. The software can identify patients at high risk for hospitalization and put them in touch with a care coordinator. Our employer analytics software can help employers see where their healthcare dollars are being spent, then use those dollars more effectively by introducing wellness programs or incentives to improve employee health. Memorial Health used the analytics platform for its own employee health plan and saw noticeable benefits, including better coordinated care, a healthier workforce, increased productivity, and decreased utilization of unnecessary/duplicate services. • Medical Home – By the end of 2014, six of Memorial Health’s primary care physician practices had earned National Committee for Quality Assurance certification as Level 3 Patient-Centered Medical Homes. The patient-centered medical home concept changes the way we view primary care. The doctor and patient work together with the patient’s family to create a partnership focused on disease prevention. Ultimately, this improves patient health and reduces overall healthcare costs. 12 GET COVERED, STAY COVERED REGISTER The Health Insurance Marketplace J.C. Lewis Primary Health Care Center 912-721-6726 Open enrollment ends February 15. Online: healthcare.gov By Phone: 800-318-2596 By Appointment: Curtis V. Cooper Primary Health Care Center 912-527-1000 Memorial Health placed this advertisement inside Chatham Area Transit buses running throughout Savannah. Bill Lucas Insurance 912-756-6686 Affordable Care Act Enrollment Assistance Too often, people do not seek the primary healthcare they need because they do not have health insurance. In 2014, Memorial Health encouraged every member of the community to get covered and stay covered during the Affordable Care Act’s (ACA) open enrollment period. Memorial Health provided free online and on-site enrollment assistance for the ACA, Georgia PeachCare for Kids, and Right from the Start Medicaid. We also assisted with and were proponents of Savannah Mayor Edna Jackson’s Savannah Campaign for Healthy Kids, a program that advocates for health insurance for all children. Gulfstream Children’s Wellness Program and Center In May 2014, Gulfstream Aerospace Corporation made a $1-million donation to The Children’s Hospital at Memorial University Medical Center to benefit our children’s wellness services. According to a 2012 community report, one in three children in Chatham County, Georgia, is obese. The goal of the newly named Gulfstream Children's Wellness Program and Center is to provide obesity education and prevention resources. The program works with providers, educators, and school cafeteria managers to teach children about healthy eating, exercise, and weight management. Safe Kids Savannah Bill Lee, vice president of The Children’s Hospital at MUMC; Mark Bennett, senior manager of community investments for Gulfstream; and Brittany Lightsey, Gulfstream Children’s Wellness Program and Center dietitian, prepare to serve a healthy lunch to students at a Savannah elementary school. In October 2014, Safe Kids Georgia recognized Memorial University Medical Center as the 2014 Outstanding Lead Agency for its leadership of Safe Kids Savannah. Safe Kids Savannah works to prevent accidental childhood injuries and deaths by providing community education. The award was based on Safe Kids Savannah’s 2013 work, which included coordinating 164 educational events, conducting 378 car seat safety checks, distributing 2,531 pieces of children’s safety equipment, and directly reaching 23,914 people in our region. Pictured at the Safe Kids Georgia awards banquet are Debby Neel, director of system wellness and health; Bill Lee, vice president of The Children’s Hospital at MUMC; Beverly Losman, director of Safe Kids Georgia; and Alison Huffman, Safe Kids Savannah coordinator. 13 QUALITY AND SAFETY Safety is a core value at Memorial Health. From our ongoing quality improvement projects, to our annual required training, safety is ingrained in everything that we do. In order to provide the safest care, we must listen to our patients and value their opinions. That’s why we’ve adopted patient and family centered care (PFCC) as our model of care. The core concepts of PFCC are: • Dignity and respect – healthcare providers honor the family’s choices and respect their decisions. • Information sharing – healthcare providers communicate with patients and families in a timely, complete, and accurate manner. • Participation – patients and families are encouraged to participate in care and decision-making. • Collaboration – healthcare leaders work with patients and families to constantly improve the level of care. We participate in national programs that measure the quality of our care. These programs address how well we provide evidence-based care that has been proven to result in the best outcome for the patient. The information below reflects our “appropriate care scores.” It shows how often we provided nationally recognized standards of care at the correct time for patients based on their conditions. The data reflect Medicare patients from January through November 2014. Appropriate Care Scores 2013 2014 Heart Attack Congestive Heart Failure Pneumonia Inpatient Surgery Outpatient Surgery Re-admission Index* (through Oct. 2014) Mortality Index** (through Dec. 2014) 98.2% 97.9% 94.3% 89.3% 95.4% 0.87 0.73 96.72% 95.70% 97.22% 94.62% 97.32% 0.86 0.78 * A re-admission index of less than 1 is good. It shows that fewer patients had to be re-admitted to the hospital within 30 days of their discharge. ** A mortality index of less than 1 is optimal. It shows that people who were expected to die from their illness actually survived after receiving care at Memorial University Medical Center. This equates to hundreds of lives saved each year at our hospital. 14 15 QUALITY AND SAFETY Accreditations and Certifications • Accredited by The Joint Commission. • Earned The Joint Commission’s Gold Seal of Approval® for heart failure. • Earned The Joint Commission’s Gold Seal of Approval for hip replacement, knee replacement, spinal fusion, and microdiscectomy services. • Designated a Primary Stroke Center by The Joint Commission. • Earned Chest Pain Accreditation with Percutaneous Coronary Intervention from the Society of Cardiovascular Patient Care. • Designated a Level 1 trauma center by the Georgia Department of Human Resources. This represents the highest designation attainable in Georgia for trauma services. • Designated a Level III neonatal intensive care nursery and regional perinatal center by the Georgia Department of Public Health. • Earned Accreditation with Commendation from the American College of Surgeons Commission on Cancer. We are the only cancer center in Savannah and one of only three centers in Georgia to receive the Commission’s Outstanding Achievement Award. • Designated a Breast Imaging Center of Excellence by the American College of Radiology. • Accredited by the National Accreditation Program for Breast Centers, a program of the American College of Surgeons. • Accredited by the Commission on Accreditation of Rehabilitation Programs for adult and pediatric inpatient rehabilitation programs, adult brain injury services, adult stroke rehabilitation services, and adult amputee rehabilitation services. • Named a Blue Distinction Center for the treatment of complex and rare cancers by Blue Cross Blue Shield. • Named a Blue Distinction Center+ for bariatric surgery by Blue Cross Blue Shield. • Memorial Health Bariatrics was certified by the American Society of Metabolic and Bariatric Surgery. 16 2014 Accolades and Honors • Earned the American Heart Association/American Stroke Association’s Get With The Guidelines – Stroke Gold Plus Quality Achievement Award and a Heart Failure Silver Plus Achievement Award. • Named on the Target: Stroke Honor Roll for reducing the time between hospital arrival and treatment with a clot-busting drug for ischemic stroke. • Recognized by Safe Kids Georgia as the 2014 Outstanding Lead Agency. • Received gold-level status from the U.S. Department of Health and Human Services for organ, eye, and tissue donation advocacy. • One of only four facilities in the United States to be selected by the Association of Community Cancer Centers to serve as a Community Resource Center in its Improving Quality Care in Gastric Cancer project. • Named to the Georgia Hospital Association's Partnership for Health and Accountability Core Measures Honor Roll. One of 23 hospitals in Georgia to be placed in the Presidential category. • Designated a Pink Ribbon Facility for Excellence in Breast Health by Hologic. 17 FINANCIAL HIGHLIGHTS Memorial Health’s revenue increased in 2014 due to increased patient volume, fewer uninsured patients because of the federal healthcare exchange insurance products, and a positive investment portfolio. We met all bond covenants, cash increased, and our net assets grew by $8.2 million. We ended 2014 with a positive performance, despite continued Medicare cuts from sequestration and Disproportionate Share Hospital funding reductions included in the Affordable Care Act. Patient Volume • Patient days increased 3.6 percent in 2014. Adjusted patient days at Memorial University Medical Center (MUMC) increased 1.1 percent in 2014. “Patient days” refers to the total number of days each patient stayed at MUMC. “Adjusted patient days” takes that patient days number and factors in outpatient volume to get an overall indicator of total volume. • Overall, our patients were more acutely ill in 2014, which increased the average patient stay to 6.09 days. • Surgical cases increased by 557 cases or 2.7 percent in 2014. Inpatient surgeries increased 2.7 percent as did outpatient surgeries at Paulsen Street Surgery Center, a joint venture with Chatham Orthopaedic Associates. Surgical growth occurred in open heart, neurosurgery, and orthopaedic cases. • Emergency department visits increased by 0.2 percent in 2014. • Outpatient visits for MUMC, excluding emergency room visits, outpatient surgery, and Memorial Health University Physicians (MHUP) visits, decreased by 5.8 percent in 2014. • Memorial Health University Physicians (MHUP) office visits increased by 7.4 percent. Revenue Revenues related to patient care increased $12 million or 2.3 percent in 2014. Other revenues (including support from the Memorial Health Foundation) of $19.1 million decreased $7.4 million or 27.6 percent from prior year. Memorial University Medical Center participates in the Medicare and Medicaid electronic health record “meaningful use” program. This program provides some financial incentives for using electronic medical record technology to improve patient care. 18 Expenses In 2014, our shared services agreement with Novant Health resulted in $2.9 million in cost savings for Memorial Health, in addition to the $2.2 million in cost savings recognized in 2013. You can learn more about our agreement with MEMORIAL UNIVERSITY MEDICAL CENTER IN 2014: BY THE NUMBERS Novant on page 32. Total operating expenses for 2014 were $556 million – an increase of $2.1 million over 2013. Expense highlights include: • medical implants. • Other fees increased due to consulting and other services to support the Enterprise Epic implementation. • 25,666 HOSPITAL ADMISSIONS Supply costs increased, mainly in pharmaceuticals and Depreciation increased as a result of capital projects 235,699 HOSPITAL OUTPATIENT VISITS 230,637 PHYSICIAN PRACTICE VISITS for property and information technology. 21,327 SURGERIES Investments 2,765 DELIVERIES Investment gains for the year totaled $5 million and yielded a return of 3.7 percent. Income The 2014 net income, which includes operating income/loss plus investment gain/loss, was $2.8 million. 2,890 TRAUMAS 95,243 EMERGENCY VISITS 457 AVERAGE DAILY PATIENT CENSUS 6.09 DAYS AVERAGE LENGTH OF STAY 668 MEDICAL STAFF PHYSICIANS 141 RESIDENT PHYSICIANS 4,659 TEAM MEMBERS 19 OUR KEY SERVICES Memorial Health is committed to bringing the very best medical care to every person in our region. Some of our key service lines and centers of excellence are outlined here. Cancer Care The Curtis and Elizabeth Anderson Cancer Institute (ACI) at Memorial University Medical Center provides the region’s most comprehensive cancer services. The ACI features: • Leadership provided by otolaryngologist Guy Petruzzelli, M.D., Ph.D., MBA. • Multidisciplinary disease management teams specializing in breast, colorectal, urology, melanoma, thoracic, head and neck, upper gastrointestinal, and gynecologic cancers. • The first facility in the region to convert all of its mammography machines to the latest 3D technology. This means 3D mammography is provided for every woman, every time, at no additional charge. In addition to adding the new equipment, our Breast Imaging Center was renovated in 2014. • The only children's cancer program in the region. • The region's first practice devoted exclusively to breast health and the first practice to provide gynecologic cancer services. • Access to an array of clinical trials. • Leading-edge technology, including Hologic 3D mammography, INTRABEAM intraoperative radiation therapy for breast cancer, the Varian TrueBeam system for radiation treatment, and the da Vinci Si robotic surgery system. • Nurse navigators to guide patients and their families through the treatment process. • Genetic testing and counseling services. 20 Maggie Gill, Memorial Health president and CEO; Mary Chatman, chief operating officer and chief nursing officer; Connie Burke, director of radiology; and Deborah Cunningham, M.D., fellowship-trained radiologist, cut the ribbon to unveil our renovated Breast Imaging Center of Excellence and 3D mammography machines. Children’s Care In 1992, we opened Savannah’s first and only children’s hospital within Memorial University Medical Center. In 2013, we partnered with Novant Health to establish a freestanding facility on the Memorial Health campus, which will be called The Children’s Hospital of Savannah. We are currently in the planning and fundraising process for this $28-million project. Features of The Children’s Hospital include: • Leadership provided by pediatric neurologist Eric Pearlman, M.D. • An array of specialists, including pediatric hematologists/oncologists, gastroenterologists, cardiologists, endocrinologists, orthopaedic surgeons, intensivists/critical care doctors, and the region’s only pediatric neurosurgeon. • A pediatric emergency room, a 20-bed general pediatric unit, a 22-bed special care unit, and a 56-bed Level III neonatal intensive care nursery (NICN). The Level III designation means we are equipped to care for the most premature or critically ill infants. Our NICN underwent a $1-million renovation in 2014. • Child life specialists who help children cope with and understand their illness. • Ronald McDonald House and Ronald McDonald Family Room where families can eat, shower, relax, and recharge while staying close to their child in the hospital. Our neonatal intensive care nursery received a $1-million renovation to better serve patients and families. 21 OUR KEY SERVICES Heart and Vascular Care In 2014, we completed a $9-million expansion of our Heart & Vascular Institute to add 32 additional beds — six critical care beds and 26 cardiovascular step-down beds. The new area is called the Spellman-Thomas Wing in honor of grateful patient Judith Thomas Solomon, Ph.D., and her cardiologist, John Spellman, M.D. The renovation was funded in part by philanthropy. Other features of the Heart & Vascular Institute include: • Leadership provided by cardiovascular surgeon Jeremy London, M.D. • State-of-the-art surgical suites for cardiothoracic and vascular surgeries. • Two high-tech cardiac catheterization labs for angioplasty procedures and stent placement. • An electrophysiology lab for the placement of pacemakers or other implantable cardiac defibrillators. • A Heart Failure Clinic for people living with congestive heart failure. The clinic is an intensive outpatient program designed to improve the quality of life for heart failure patients and prevent hospital re-admissions. Our heart failure services hold disease-specific certification from The Joint Commission. Celebrating the opening of the new Spellman-Thomas Wing of the Heart & Vascular Institute are grateful patient and donor Judith Thomas Solomon, Ph.D.; cardiologist John Spellman, M.D.; and Maggie Gill, Memorial Health president and CEO. 22 23 OUR KEY SERVICES Emergency/Trauma Care In March 2014, we broke ground for a $15-million, two-year expansion project that will create 74 treatment areas and nearly double our current emergency department space. The new facility will be named Parker’s Emergency & Trauma Center. Greg Parker, CEO of the Parker Companies, is a member of the Memorial Health Foundation’s Board of Trustees. He established a $1-million endowment for emergency services at Memorial Health. Our emergency services also include: • Leadership provided by Jay Goldstein, M.D., (emergency services), and James Dunne, M.D., (trauma services). • A Level 1 trauma center – one of only five in Georgia. Level 1 is the highest level of emergency care as established by the American College of Surgeons. Our trauma center serves 28 counties in Georgia and South Carolina and is the only Level 1 facility between Jacksonville, Florida, and Charleston, South Carolina. • The M. Gage Ochsner Institute for Injury Research and Prevention, which tracks trauma data and provides education to reduce injuries and improve trauma care in Georgia. • Our emergency services utilize Epic electronic medical records and the MyChart patient portal so patients can access their emergency record to share with their primary care doctor. Spine Care Memorial Spine is a center of excellence for spine surgery and the treatment of spine conditions. The program was developed by physician champions who are committed to following evidencebased medicine and tracking long-term outcomes to improve the future of spine care. Features of the program include: • Leadership provided by surgeons James Lindley Jr., M.D., and Raphael Roybal, M.D. • The Mazor Renaissance Guidance System, a state-of-the-art spine surgery system that improves surgical accuracy and leads to better outcomes and shorter recovery times. • Nonsurgical pain management services, including body therapy, nerve-block injections, and spinal cord stimulation to interrupt pain signals. • Clinical trials to test the latest spinal surgery techniques. Memorial University Medical Center was the first facility in the nation to implant a device called the Triumph lumbar disc for herniated disc treatment. We are currently the only hospital in Georgia participating in the ACADIA Facet Replacement System trial for lumbar spinal stenosis. 24 Leaders from Memorial Health and the community break ground to begin a major expansion of Memorial Health’s emergency and trauma services. An architectural rendering of the new Parker’s Emergency & Trauma Center that will open in 2016. 25 OUR KEY SERVICES Joint Replacement Memorial Bone & Joint is a center of excellence for joint replacement surgery and the treatment of orthopaedic conditions. Physician champions helped develop the program and continue to guide it. Program highlights include: • Leadership provided by surgeons Robert Dow Hoffman, M.D., and James Holtzclaw, M.D. • The first in the region to offer the anterior approach for hip replacement, and the site of Savannah’s first total ankle arthroplasty procedure. • A geriatric fracture program that strives to expedite patients to surgery after a hip fracture in order to decrease their length of stay and lower the risk of complications. • Classes and online videos to help patients and their families fully prepare for joint replacement surgery. Physician Network Memorial Health University Physicians (MHUP) is the largest physician group serving southeast Georgia and southern South Carolina. It includes a network of primary and specialty care offices conveniently located throughout the region. MHUP features: • Primary care physician leadership provided by Thomas Hogan, M.D., and Robert Pallay, M.D. • Fellowship-trained bariatric surgeons, cancer surgeons, the region’s first practice dedicated exclusively to the treatment of breast conditions, the region’s only comprehensive maternal-fetal medicine practice, the region’s first gynecologic cancer services, cardiovascular and thoracic surgeons, diabetes care, hospitalists, urgent care practices, occupational health services, obstetrics and gynecology, rehabilitation medicine, respiratory and critical care services, pediatric surgery , pediatric gastroenterology, orthopaedic surgeons, critical care surgeons, general surgeons, a full spectrum of pediatric specialists, and student health clinics for Armstrong State University and Savannah College of Art and Design. • Our MHUP practices utilize Epic electronic medical records and the MyChart patient portal so patients can easily request prescription refills, request appointments, and communicate with their doctor’s office online. • Six of our MHUP primary care practices are Level 3 Patient-Centered Medical Homes, a care concept that has been shown to improve patient wellness and reduce the cost of care. Learn more about this on page 12. 26 The primary care physicians at MHUP – Memorial Medical Associates: Wilfredo Dolor, M.D.; John Moore, M.D.; Stephen Malone, M.D.; Thomas Hogan, M.D.; Peggy Byck, M.D.; and Nicole Momberg Cohen, M.D., MBA. 27 OUR KEY SERVICES Stroke Care Memorial Stroke’s services include rapid treatment, comprehensive rehabilitation, community education, and telemedicine services. Program features include: • Leadership provided by Joel Greenberg, M.D., Joseph Hogan, M.D., and Jay Howington, M.D. • A team of neurologists from Savannah Neurology Specialists, emergency-trained physicians, and specially trained nurses. • Telemedicine services that allow our physicians to evaluate patients and provide care recommendations for people in rural Georgia. Learn more about this program on page 33. • First in the region to offer the breakthrough Apollo System, a minimally invasive tool that can quickly repair bleeding and remove blood clots deep in the brain. • An award-winning monthly support group for stroke survivors and their family members. Business and Industry Services Memorial Health Partners (MHP), Memorial Health’s provider-sponsored network, partners with local employers to provide employee health plan benefits. The MHP network is currently used by more than 30,000 employees for their healthcare. Historically, the MHP provider network has been utilized by larger employer groups. But in 2014, MHP also introduced a product for smaller employers. Additional features of MHP include: • A network of 21 hospitals and behavioral health facilities and 2,588 providers and ancillary caregivers in 29 counties in Georgia and South Carolina. • “Partners in Quality” (PIQ), a physician incentive program designed to promote the highest level of medical care for MHP members. Physicians who provide the standards of care outlined in the PIQ program earn an incentive bonus. In 2014, MHP issued more than $500,000 in quality bonuses. • Wellness initiatives, including the Cerner PureWellness interactive online patient portal. • We are developing Memorial Health Direct, an insurance product for small businesses in our region. This product will continue to be refined throughout 2015. • We are developing an MHP patient liaison role to enhance the hospital experience for patients and their families. 28 Physicians with Memorial Stroke review a patient’s brain scans. Pictured are Joel Greenberg, M.D., neurologist; Jay Howington, M.D., neurosurgeon (center); and Joseph Hogan, M.D., emergency medicine physician. 29 MEDICAL EDUCATION Memorial University Medical Center provides physician residency programs, trains nursing and allied health students, and serves as the Savannah campus of Mercer University School of Medicine, a four-year medical school with 160 students. In 2014, we welcomed Marcia (Marci) Hutchinson, M.D., as our executive director of medical education and designated institutional official for graduate medical education. Hutchinson previously served as a senior executive at the Medical Center of Central Georgia in Macon. She oversees our six physician residency programs, which train an average of 140 physicians per year. Our residency programs help to fill a critical need for more doctors in the state of Georgia. We offer residency programs in family medicine, internal medicine, pediatrics, diagnostic radiology, surgery, and obstetrics and gynecology. On October 14, 2014, Memorial Health and Mercer University School of Medicine broke ground for an $18-million project to expand the facilities at Mercer’s Savannah campus. The project includes renovating existing space and adding 30,000 square feet of new space. The completed project will allow for a 50-percent increase in medical school enrollment, from 160 students to 240 students. Other highlights of our medical education program include: • Nursing school clinical rotations and internships for medical and allied health students attending colleges and universities throughout the area. In 2014, Marcia Hutchinson, M.D. we trained 144 new graduate nurses. • Two pharmacy residency programs, one focused on standard clinical practice and the other focused on advanced critical care training. • An annual Research Day competition in which residents present original research findings. • Performance improvement projects within our residency programs that benefit the overall health of the region. An HIV screening project started by our internal medicine physicians and the Chatham County Health Department led to an increase in the early detection of HIV cases in our region. This enables us to help people earlier and improve the overall health of our community. The physicians who started the program, Nicole Momberg Cohen, M.D., MBA, and Desh Nepal, M.D., received a Healthcare Heroes Award from the Georgia Medical Society. • Michael Wilkowski, M.D., joined Memorial Health as the new program director for the department of internal medicine. He provides leadership and direction for our internal medicine residency program, our oldest and largest graduate medical education program. 30 Michael Wilkowski, M.D. MERCER William Underwood, president of Mercer University; Maggie Gill, president and CEO of Memorial Health; and Harry Haslam Jr., chair of the Memorial Health Board of Directors, join dignitaries and students to break ground for Mercer University School of Medicine’s Savannah campus expansion. UNIVERSITY SCHOOL OF MEDICINE 31 GROWING OUR REGIONAL NETWORK One of Memorial Health’s strategic goals is to develop partnerships with other healthcare providers. These partnerships allow us to save money by collaborating on purchasing, contracting, marketing, employee benefits, physician recruitment, and clinical services. Key partnerships are outlined here. Novant Health Novant Health is a multi-hospital, not-for-profit healthcare system based in North Carolina. In 2012, Memorial Health and Novant entered into a shared services agreement that resulted in millions of dollars in cost savings. In 2013, we announced plans to work together to build a freestanding children’s hospital in Savannah. The new facility will be named The Children's Hospital of Savannah. The $28-million project will consolidate pediatric services in the building that currently houses The Rehabilitation Institute at Memorial University Medical Center. It will include all pediatric inpatient units, a four-room surgical suite, a 24-hour emergency department, and family support space. Novant Health and Memorial Health will share strategic planning and governance, but Memorial Health will continue to manage operations and provide executive leadership. An architect’s rendering of the future Children’s Hospital of Savannah. HealthSouth Corporation Memorial Health partnered with HealthSouth Corporation in June 2014. The two organizations will build a 50-bed freestanding inpatient rehabilitation hospital in Savannah. HealthSouth is the nation’s largest owner and operator of inpatient rehabilitation hospitals. The new facility, which will be named the Savannah Rehabilitation Hospital, will be jointly owned by Memorial and HealthSouth. It will provide comprehensive, state-of-the-art inpatient rehabilitation for patients who have experienced stroke, trauma, brain and spinal cord injury, orthopaedic injury, other neurological conditions, amputations, or other major illnesses or injuries. The new hospital is expected to open in early 2016. 32 AppleCare Memorial Health and AppleCare formed a strategic partnership for an urgent care center. The two organizations collaborate to manage and operate Memorial’s urgent care and occupational health location at Savannah Mall. The office is called Memorial Health | AppleCare Urgent Care. This partnership allows Memorial’s urgent care patients to benefit from AppleCare’s sole focus and expertise in delivering accessible, affordable, quality care in urgent-care settings. We have plans to partner with AppleCare for a second urgent care location in 2015. CVS Memorial Health collaborates with the five local CVS Minute Clinics to provide medical oversight of the clinics. Members of our family medicine faculty serve as medical directors for the clinics. There are three Minute Clinics in Savannah, one in Port Wentworth, and one in Richmond Hill. The collaboration enables CVS and Memorial to share information and reduce duplicate tests. Memorial and CVS will develop patient education initiatives for diabetes screening, diabetes management, smoking cessation, and other health issues. Many prestigious hospitals and health systems across the nation have already partnered with CVS, including Emory, Cleveland Clinic, Robert Wood Johnson, UCLA Health System, Dartmouth, and Sharp Healthcare. Regional Hospitals Memorial Health has formal affiliations with Evans Memorial Hospital in Claxton, Georgia, and Liberty Regional Medical Center in Hinesville, Georgia. These partnerships enable the hospitals to share expertise and develop operating efficiencies. TeleStroke Program Memorial Health and Savannah Neurology Specialists extend lifesaving treatment to stroke patients through our TeleStroke program. The program uses videoconferencing to allow neurologists in Savannah to consult with emergency room doctors at hospitals in rural Georgia. In 2014, we conducted 59 telemedicine consults and assisted with the administration of clot-busting tPA drugs 33 times via teleconference. We practice telemedicine with the following hospitals: • Jeff Davis Hospital in Hazlehurst • Bacon County Hospital in Alma • Meadows Regional Medical Center in Vidalia • Liberty Regional Medical Center in Hinesville 33 MEMORIAL HEALTH FOUNDATION The Memorial Health Foundation, our organization’s philanthropic arm, grew donations to $6,670,790 in 2014 — a 67-percent increase over 2013. This significant growth was propelled by three factors: 1. The launch of the Kids Only capital campaign to open a new children’s hospital. 2. Major gifts to several unique areas of service. 3. Growth in annual donations by 1,100 previous donors. Memorial Health Foundation is governed by a volunteer Board of Trustees and chaired by Jacqueline (Jackie) Rabinowitz. The Foundation’s fundraising costs in 2014 were 20 percent, significantly below its 30-percent goal. • In February 2014, Memorial launched the Kids Only capital campaign, a $20-million five-year campaign, led by chair Jackie Rabinowitz, to open a freestanding pediatric hospital in partnership with Novant Health. The facility will be called The Children’s Hospital of Savannah. The campaign is also supported by two important community fundraising groups — The One Hundred, which will help fund the pediatric emergency department, and The Next Generation, which will fund a new pediatric transport ambulance. • Early in the Kids Only campaign, Gulfstream Aerospace Corporation established the Gulfstream Children’s Wellness Program and Center with a $1-million pledge. This enabled us to expand our nutrition education in local schools, train regional pediatricians, open a clinic for children at risk for type 2 diabetes or heart disease, and fight childhood obesity. • In the final year of their $2.5-million pledge made in 2010, devoted donors Curtis and Elizabeth Anderson gave a gift that allowed our Anderson Cancer Institute to underwrite scientists engaged in collaborative research, upgrade technology, fund a nurse navigator coordinator, support a palliative care program, and update the Breast Imaging Center for its transition to 3D mammography. • An anonymous donor provided an additional $1-million donation in 2014 to the Medical School Education Endowment, which was started by the same donor in 2010. The second donation was given due in large part to the professional success of Shenique Anderson, the first endowment recipient and third-year student at Mercer University School of Medicine’s Savannah campus. Anderson’s first two years of medical school were paid for by the endowment. After medical school, she will complete her residency training in Memorial’s family medicine residency program. • Local businessman and entrepreneur Greg Parker made a major gift in early 2014 to name Parker’s Emergency & Trauma Center. Prompted by the knowledge that 55 percent of Memorial’s hospitalized patients enter through the emergency department, Parker wanted to help improve the patient experience by investing in the region’s busiest emergency services and only Level 1 trauma center. 34 • At a sold-out event featuring renowned surgeon and motivational speaker Ben Carson, M.D., Judith Thomas Solomon, Ph.D., generous philanthropist and grateful patient, presented $500,000 as part of her four-year, $2-million pledge to open the Spellman-Thomas Wing of the Heart & Vascular Institute at Memorial University Medical Center. You can read more about this on page 39. Jackie Rabinowitz, Kids Only campaign chair; Maggie Gill, Memorial Health president and CEO; Ira Berman, Gulfstream senior vice president and general counsel; and Mark Bennett, Gulfstream senior manager of community investments, at a check presentation to name the Gulfstream Children’s Wellness Program and Center. Surgeon Ben Carson, M.D., speaks with donor and grateful patient Judith Thomas Solomon, Ph.D., at an event to raise funds for the Heart & Vascular Institute at Memorial University Medical Center. To make a contribution to the Memorial Health Foundation, visit memorialhealth.com/foundation, or call 912-350-6370. Philanthropist Greg Parker speaks to community members at the groundbreaking for the new Parker’s Emergency & Trauma Center. 35 MEMORIAL HEALTH IN THE NEWS In 2014, Memorial Health was featured on local, state, and national media. We were part of: • 160 television news stories or programs • 110 radio segments • 116 print stories • More than 225 online stories A FEW HIGHLIGHTS OF OUR 2014 NEWS COVERAGE National Public Radio Care Coordinator Story National Public Radio produced a story about Memorial Health’s care coordinator program that first aired on Georgia Public Radio on September 25. The story featured Kevin Wiehrs, a nurse and care coordinator at one of Memorial Health’s primary care practices. Care coordinators help patients control chronic conditions such as diabetes or heart disease. The goal is to curb healthcare costs by keeping these patients out of the hospital and teaching them how to manage their disease. This news story was picked up by The Washington Post, The Atlanta Journal-Constitution, and other media outlets as far away as Alaska and New Hampshire. In all, the story aired or appeared more than 60 times across the nation. Kevin Wiehrs, R.N., was featured in a national story about our patient care coordinators. 36 Susan G. Komen Race for the Cure Memorial Health was proud to again serve as the local presenting sponsor for the 2014 Savannah Race for the Cure. We have partnered with the Coastal Georgia Affiliate of Susan G. Komen® since the race’s inception in Savannah. More than 5,000 individuals participated in the 2014 event, which raised approximately $425,000. Participating in the 2014 Race for the Cure are Ray Rudolph, M.D., breast surgeon; Edna Jackson, mayor of Savannah; Paula DeNitto, M.D., breast surgeon; and Elena Rehl, M.D., breast surgeon. Pinking of the Fountain In October, Memorial Health helped to raise awareness about the importance of screening mammography for breast cancer by dyeing the fountains on its campus pink. This community event featured breast cancer survivors, music by the Savannah Philharmonic, and a live broadcast by WTOC-TV. Memorial Health also highlighted its 3D mammography services. Breast cancer survivors and advocates add pink dye to the fountain at Memorial University Medical Center in honor of Breast Cancer Awareness Month. Physician Public Service Announcements In 2014, Memorial Health began running a series of 30-second televised public service announcements (PSAs) that feature our physicians sharing important information. They provide expert advice about heart health, texting and driving, breast cancer screening, flu shots, ATV safety, and other health issues that impact our region. The PSAs air on WTOC-TV and online on memorialhealth.com and YouTube. 37 MEMORIAL HEALTH IN THE NEWS Telethon and Radiothon for Children’s Hospital The annual Children’s Miracle Network Hospitals Telethon aired May 21 on WTOC-TV. It was dedicated to late WTOC news anchor Mike Manhatton, who died after a battle with cancer earlier in the year. Manhatton was passionate about The Children’s Hospital at Memorial University Medical Center and had hosted the telethon for years. The 2014 event raised $1.2 million. In August, we held the second annual Children’s Miracle Network Hospitals Radiothon. The two-and-a-half-day event aired on 98.7 The River and WTKS News Radio. It raised $60,000 for The Children’s Hospital at Memorial University Medical Center. At the Children’s Miracle Network Hospitals Telethon, WTOC anchor Dawn Baker talks to a family about the neonatal intensive care nursery at The Children’s Hospital at Memorial University Medical Center. Cody Stewart survived a traumatic brain injury thanks to the lifesaving services at The Children’s Hospital at MUMC. He spoke at the Children’s Miracle Network Hospitals Radiothon and thanked his care team, including Joshua Haupt, M.D. High-Risk Pregnancy and Neonatal Services Highlighted In 2014, three families gave birth to quadruplets at Memorial University Medical Center. Prior to that, only one set of quads had ever been born here. Two sets of quads were born in July and another set in November. Two of the families were featured in the Savannah Morning News. They talked about how grateful they were to have access to Memorial Health University Paul and Sherri Armitage of Richmond Hill prepare to take quadruplets Lilly, Mae, Griffin, and Samford home for the first time. Photo by Brittney Lohmiller. Used by permission, copyright, Savannah Morning News. 38 Physicians — Savannah Perinatology Associates, the Level III neonatal intensive care nursery, and the Ronald McDonald House at Memorial. Ben Carson Speaks at Heart & Vascular Institute Fundraiser Ben Carson, M.D., is a renowned pediatric neurosurgeon who developed groundbreaking surgical techniques for the separation of conjoined twins. In May, Memorial Health brought him to Savannah to give a lecture about the value of risk-taking. The event kicked off a campaign to raise $9 million to expand the Heart & Vascular Institute at Memorial University Medical Center. Judith Thomas Solomon, Ph.D., was instrumental in bringing Carson to Savannah and donated $2 million to the expansion. Thomas Solomon survived a heart attack in 2008 and made the donation in honor of her Memorial Health cardiologist, John Spellman, M.D. Renowned surgeon, speaker, and author Ben Carson, M.D., autographs a book at an event supporting the Heart & Vascular Institute at Memorial University Medical Center. Regional Coordinating Hospital of the Year Memorial University Medical Center was named 2014 Regional Coordinating Hospital of the Year by the Georgia Hospital Association. The award was presented to Jimmy Gordon, safety officer for Memorial Health, at the Emergency Management Association of Georgia’s annual summit and training session. Gordon serves as the regional coordinator for Region J, the 14-county region along the Georgia coast. Memorial Health Café Renovation In July, Morrison Healthcare held a grand opening for the newly renovated Memorial Health Café. The renovation represents a $1.1-million investment by Morrison. 39 MEMORIAL HEALTH IN THE NEWS Epic Implementation Begins In March 2014, Memorial Health began implementation of Enterprise Epic as its new electronic health record. Enterprise Epic represents the largest information technology investment in Memorial’s history. It will go live in May 2015. Leading the project are Mary Chatman, Ph.D., chief operating officer and chief nursing officer, Frank Davis, M.D., chief medical information officer, and Kathryn McClellan, interim vice president of information services and chief information officer. The move to electronic medical records is part of the Affordable Care Act. It will allow us to connect providers, access information, improve quality, and engage patients like never before. Gill Named to Rural Georgia Hospital Panel Maggie Gill, president and CEO of Memorial Health, was appointed to the Rural Hospital Stabilization Committee by Governor Nathan Deal. The 15-member committee includes doctors, healthcare managers, lawmakers, and local officials who are working together to help identify the needs of rural hospitals and offer possible solutions. Maggie Gill New Leaders Join Memorial Memorial Health welcomed three new members to our Senior Leadership team in 2014. • Penne Allison, MSOM, R.N., became executive of emergency services. She came to Memorial from University of Kentucky HealthCare in Lexington. • Jonathan Small, MBA, SPHR, became vice president for human resources. He previously served as vice president of human resources at Community Regional Medical Center and associate administrator for Fresno Heart and Surgical Hospital in California. • Jeffrey (Jeff) Wilson, J.D., became our general counsel. Wilson came to Savannah from St. Luke’s Health System in Boise, Idaho. Penne Allison, MSOM, R.N. 40 Jonathan Small, MBA, SPHR Jeffrey Wilson, J.D. Burke Named Endowed Scholar in Gynecologic Oncology Gynecologic oncologist James Burke II, M.D., was named the first Donald G. Gallup, M.D., Endowed Scholar in Gynecologic Oncology. A fellowship-trained gynecologic oncologist at the Curtis and Elizabeth Anderson Cancer Institute at Memorial University Medical Center, Burke has cared for many women James Burke II, M.D. battling gynecologic malignancies. Donald Gallup was a well-known and much-loved gynecologic oncologist in Savannah who passed away in 2011. Byck Earns Female Pelvic Medicine Certification David Byck, M.D., of Memorial Health University Physicians – Provident OB/GYN Associates, became one of the first physicians David Byck, M.D. in Savannah to become board certified in female pelvic medicine and reconstructive surgery. Fewer than 1,000 physicians in the U.S. have earned this accreditation since it was introduced in 2013. Physicians Named ‘America’s Top Doctors’ Martin Johnston, M.D., and Guy Petruzzelli, M.D., Ph.D., MBA, were included on a list of America’s Top Doctors® published by Castle Connolly. Johnston is a pediatric hematologist/oncologist Martin Johnston, M.D. in The Children’s Hospital at Memorial University Medical Center (MUMC). Petruzzelli is an otolaryngologist and physician-in-chief of the Curtis and Elizabeth Anderson Cancer Institute at MUMC. To make the list, physicians must be nominated by their peers and reviewed by Castle Connolly's physician-directed research team. Guy Petruzzelli, M.D., Ph.D., MBA 41 MEMORIAL HEALTH IN THE NEWS Dunne Leads Trauma Services James Dunne, M.D., joined Memorial Health as chief of trauma services and surgical critical care. He came to Savannah from Washington, D.C., where he served as associate director of trauma and associate professor of surgery at George Washington University and chief of trauma and surgical/critical care at Walter Reed National Military Medical Center. Dunne spent 20 years as a trauma surgeon in the U.S. Navy. He attended the University of Illinois and completed his residency training at the National Naval Medical Center. James Dunne, M.D. That was followed by a fellowship in trauma/surgical critical care at the R. Adams Cowley Shock Trauma Center at the University of Maryland. Hospital Month Award Winners To celebrate Hospital Month every May, Memorial Health Team Members nominate colleagues for special awards. The winners must exemplify the Memorial Health values and show a commitment to Memorial Health and the patients and families we serve. The 2014 winners were: • Raymond Cohen, neurological intensive care unit, Clinical Partner of the Year • Amanda Groover, R.N., neurological intensive care unit, Nurse of the Year • Donna Hambrick, administrative assistant to the vice president of nursing, Partner of the Year • William McRae, M.D., department of radiology, Resident of the Year • Jeff Taylor, M.D., hospitalist, Physician of the Year Hospital Award winners Jeff Taylor, M.D., William McRae, M.D., Donna Hambrick, Amanda Groover, R.N., and Raymond Cohen. 42 Excellence Award Winners Memorial Health presents quarterly Excellence Awards to Team Members who exemplify the Memorial Health pillars of excellence (safety, quality and service, people and relationships, education and research, affordability). At the end of the year, annual winners are chosen from all of the quarterly winners and they receive a cash bonus. Congratulations to our 2014 Excellence Award winners: • Elizabeth Benson, P.T., inpatient rehabilitation — Benson worked with vendors to secure free or discounted wheelchair cushions for spinal cord injury patients. The cushions help prevent hospitalacquired pressure ulcers. Benson's work is expected to save Memorial Health $250,000 per year. • Hadley Cason, R.N., medical/trauma intensive care unit — Cason went above and beyond his nursing duties in caring for a severely injured teenager and providing patient and family centered care. He remained calm and compassionate while caring for the child. He also kept the mother informed about her son’s condition and took the time to talk to her about her child’s interests and personality. Wonza Russell, manager of inpatient rehabilitation services; Elizabeth Benson, Excellence Award winner; and Joyce Parrish, director of rehabilitation services. Maria Theron, executive director of patient care services; Hadley Cason, Excellence Award winner; and Karyn Lee Clements, manager of the medical/trauma intensive care unit. 43 MEMORIAL HEALTH LEADERSHIP MARGARET “MAGGIE” GILL LAURA DOW, MACC, CPA President and Chief Executive Officer Vice President, Finance RAMON V. MEGUIAR, M.D. GUY PETRUZZELLI, M.D., PH.D., MBA Senior Vice President and Chief Medical Officer Vice President, Oncology Programs MARY CHATMAN, PH.D., R.N. KAREN BOYER, MHA, MBA, R.N. Chief Operating Officer and Chief Nursing Officer Vice President, Nursing MARCIA “MARCI” HUTCHINSON, M.D. JAMES “JAMIE” WATSON JR. Designated Institutional Official Vice President, Revenue Cycle WILLIAM “BILL” LEE III, MHA, MBA JONATHAN SMALL, MBA, SPHR Chief Strategy Officer Vice President, Human Resources PHOENICIA MIRACLE, M.ED. JEFFREY “JEFF” WILSON, J.D. Vice President, Memorial Health Foundation General Counsel REBECCA “BECKY” KEIGHTLEY Vice President, Chief Communications Officer 44 BOARD OF DIRECTORS J. HARRY HASLAM JR. MARGARET “MAGGIE” GILL Chairman Ex Officio, President and Chief Executive Officer, Senior Partner, Hancock Askew & Co., LLP Memorial Health MARILYN BUCK, ED.D., MSN, R.N JAY GOLDSTEIN, M.D. Secretary Emergency Department Medical Director, Professor Emerita, Armstrong State University Memorial University Medical Center ARTHUR “ART” DANA J. CURTIS LEWIS Treasurer Attorney, Hunter & Lewis, LLP Deemer, Dana & Froehle, LLP CHARLES MCMILLAN IRA BERMAN President and Owner of McMillan and Associates Senior Vice President of Administration and General Counsel, Gulfstream MARK MURPHY, M.D. Aerospace Corporation Savannah Center for Digestive and Liver Health ROBERT F. BROWN JR., M.D. JACQUELINE “JACKIE” RABINOWITZ Memorial Health University Physicians – Chairman, Memorial Health Foundation Chatham Medical Associates Board of Trustees JUDGE LEROY BURKE III FRANCIS ROSSITER JR., M.D. Juvenile Court of Chatham County Pediatric Allergist and Immunologist, Retired GERALD E. CAPLAN, M.D. W. REX TEMPLETON JR. Ex Officio, Chatham County Hospital Authority Vice President, Morris & Templeton Insurance Agency WILLIAM “BILL” DANIEL Vice President and General Counsel, Vaden Automotive Group HELEN DEAN DOWNING Philanthropist 45 Experience Excellence. memorialhealth.com