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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Rich in Tradition. Renowned for Medical Excellence. With a reputation for excellence, innovation and extraordinary patient care, the nebraska medical center has earned J.d. Power & associates’ highest healthcare honor — hospital of distinction. consumers selected the nebraska medical center as a top hospital with the 2005 consumer choice award. as the teaching hospital for the University of nebraska medical center, this 689 licensed-bed facility has an international reputation for providing solid organ and bone marrow transplantation services and is well-known nationally and regionally for its oncology, neurology and cardiology programs.
We’re Bringing Medicine Full Circle.the nebraska medical center is dedicated to excellence and innovation in compassionate, quality healthcare through teamwork, education and research. Our all-encompassing approach to healthcare has allowed us to establish our legacy of cutting-edge medicine combined with high-quality, compassionate patient care.
We will continue to embody the phrase, “serious medicine. extraordinary care.” in everything we do, both today and in the years to come.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Table of Contents
ceO’s Message
Senior leadership Team
Board of directors
Top doctors/Best doctors
About The nebraska Medical center
Priorities for excellence
Fact Sheet
Hixson-lied center
J.d. Power & Associates
nursing Magnet
Quality Walk of Fame
community Benefit
Financial Performance
Future growth & expansion
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
the nebraska medical center continues to be the region’s premier hospital, dedicated to our mission
of excellence and innovation in compassionate, quality healthcare through teamwork, education and
research; we also welcomed some exciting accolades and accomplishments.
J.d. Power and associates has named the nebraska medical center a distinguished hospital for service
excellence. We are the first hospital in nebraska to receive this honor, which recognizes our steadfast
commitment to providing an outstanding patient experience.
the criteria for this important and distinguished award were based on patients’ perceptions during their
hospital stays. J.d. Power’s research identifies five key themes as drivers of patient satisfaction:
dignity and respect
speed and efficiency
comfort
information and communication
emotional support
the nebraska medical center exceeded the national norm for all five themes by nearly 20 points. that’s
because we exceed those criteria in what we do here every day.
the nebraska medical center has opened the hixson-lied center, an innovative clinical facility that
houses four cutting-edge departments — emergency, surgery, radiology and the newborn intensive care
Unit. the hospital now has the largest emergency department in the region and i’m pleased that the
entire facility will allow us to help even more patients and their families with their healthcare needs.
i’m extremely excited about our future at the nebraska medical center. i’m confident that hospital
leadership will continue to develop collaborative projects, build new programs and define our vision for
what lies ahead. We will continue to develop many more innovative, cost-effective programs to serve our
region. and we will continue to improve the heath of our patients by and enhancing clinical quality and
recruiting even more of the best and the brightest leaders in healthcare.
Glenn a. Fosdick, Fache
President and ceO
CEO’s Message
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Senior Leadership Team
Glenn A. FosdickPresident and ceO
Joe B. Grahamchief Operating Officer
Stephen B. Smith, M.D.chief medical Officer
William S. Dinsmoorchief Financial Officer
Rita A. VanFleet, R.N.chief nursing Officer
Steve DavisVice President,
marketing & Planning
Debra L. TomekVice President,
human resources
Cynthia D. OwenVice President,
corporate affairs
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Board of Directors
Glenn A. FosdickPresident
Bruce R. Lauritzenchairman
Mogens C. BayVice chairman
Duane W. Acklie James T. Canedy, M.D. Randolph M. Ferlic, M.D. John L. Gollan, M.D., Ph.D.
Harold M. Maurer, M.D. Byers W. Shaw Jr., M.D. Marlin G. Stahl, M.D. Kenneth E. Stinson
Jan Thayer Rita VanFleet, R.N., M.S.N. Gail Walling Yanney, M.D. James R. Young
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Top Doctors | Best Doctors
Top Doctors
Fourteen of almost 20 nebraska physicians named among “america’s
top doctors” are affiliated with the nebraska medical center.
the book, published by castle connolly medical, ltd., chooses top
physicians based on such criteria as education, board certification,
reputation, experience and disciplinary history. it also examines
interpersonal skills such as empathy, communication and whether
the physician instills trust and confidence in others.
Best Doctors
at the nebraska medical center, 176 physicians are recognized among
the best doctors in america — an accomplishment testament to their
skill and dedication. they represent 34 separate specialties ranging
from transplant surgery to pediatrics, from cardiac care to cancer.
the best doctors designation is based on peer reviews and referrals.
the process involves an independent survey that’s compiled and
distributed by the organization “best doctors, inc.” the survey goes
only to physicians who are currently on the “best doctors” list. they’re
asked, “if you or a loved one needed a doctor in your specialty, to
whom would you refer them?” responses are analyzed and each
physician is given an aggregate score. doctors with the highest ratings
are then subject to a thorough license and certification check. the
end result is an elite grouping of medical professionals.
the “best doctors” title goes only to the top 3 to 5 percent of
specialists in the country.
They save lives, develop breakthrough treatments and give patients hope.
Physicians at The Nebraska Medical Center provide extraordinary care
each and every day. And others have noticed.
Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
About The Nebraska Medical CenterThe Nebraska Medical Center is one of the region’s premier health systems
serving more than 25 percent of the Omaha-area market with its 689-
bed facility. The Nebraska Medical Center has a world-class reputation
for excellence and innovation especially in the areas of solid organ
transplantation, oncology, neurological sciences and heart care.
The Nebraska Medical Center is constantly improving the standard of care
in the communities it serves. The hospital physicians operate more than
300 outpatient clinics in 100 communities in five states and maintain
affiliations with Shenandoah Memorial Hospital in southwest Iowa and
Community Hospital in Fairfax, Mo.Mission
the nebraska medical center is dedicated to excellence and
innovation in compassionate, quality healthcare through teamwork,
education and research.
Values
Patient Care an uncompromising commitment to
compassionate, ethical, quality patient care.
Customer Service a dedication to provide extraordinary
service with each opportunity.
Quality of Life a commitment to enhancing the quality of life
for our patients, our community and our staff.
Individual Contribution a respect for each individual's
contribution to an environment that fosters trust, teamwork,
professional growth and open communication.
Diversity an appreciation for the diversity of our patients,
their families, our staff and the community.
Innovation an environment that is responsive, adaptive,
innovative and cost-effective.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Priorities for Excellence
Highest Quality of Customer Service & Care
the nebraska medical center will foster the advancement of
innovative, specialized care and services to the community, while
focusing on services that exceed patient, physician and staff
expectations.
How we measure our progress:
Patient satisfaction, length of stay and facility utilization.
A Culture of Clinical, Operational & Financial Accountability
the nebraska medical center will create a culture that focuses on a
commitment to continuous improvement, measurement, alignment at
all levels and a sense of accountability.
How we measure our progress:
labor and non-labor efficiency, local and regional marketshare,
preference for heart, cancer and neurological sciences services,
operating and contribution margins, operational cash flow (ebitda)
and number of days cash on hand.
Most Attractive Environment to Practice Medicine
the nebraska medical center will provide the most attractive
environment for medical staff members because our culture fosters
teamwork and accountability, diversity and mutual respect.
How we measure our progress:
Physician satisfaction and referring physician satisfaction.
Most Attractive Employer
the nebraska medical center will provide the most attractive
environment for employees because our culture fosters teamwork and
accountability, diversity and mutual respect, as well as professional
growth and development.
How we measure our progress:
staff satisfaction and employee turnover rate.
Enhanced Clinical Quality & Patient Safety
the nebraska medical center, along with its affiliates, will be the highest
quality, measurably safest, most innovative and best value healthcare
provider in the market.
How we measure our progress:
core measures performance, infection rates, harmful medical error
rates, sentinel events and institutional review board (irb) approvals.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Fact Sheet (current as of August 2006)
Milestone Dates Year
clarkson hospital Founded 1869
University hospital Founded 1917
clarkson West 1988
hospital merger date October 1, 1997
lied transplant center 1998
hixson-lied center 2005
Beds Total Acute Med/Surg Long Term Bassinets (not counted as beds)
licensed 689 689 0 60
staffed 456 456 0 60
Operating Rooms Hixson-Lied Center University Clarkson West
licensed 15 + 1 cysto suite (5 more in a year) 10 1
Medical Staff FY2004 FY2005
active academic 396 412
active Private 171 166
consulting/Other• 389 505
Total 956 1,083
* includes emeritus without privileges and courtesy without privileges
Hospital Employees FY2004 FY2005
active academic 4,650 4,823
Patient Volume FY2004 FY2005
Unique Patients 132,778 135,800
Outpatient encounters 435,000 437,900
surgical cases
main campus
clarkson West
20,191
17,557
2,634
19,753
17,178
2,575
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Fact Sheet
Specialty Services FY2004 FY2005
newborn deliveries 2,348 2,398
Open heart cases 361 360
bone marrow & Peripheral stem cell transplants 171 160
liver transplants 106 114
kidney, kidney/Pancreas & Pancreas transplants 93 133
Inpatient Statistics Total Acute Medical/Surgical
Non-AcuteSNF/SAC
Census (excludes observation/ambulatory):
admissions
census days
average daily census
average Operating beds (includes nursery)
FY2004
23,244
138,651
380
542
FY2005
23,397
130,110
356
530
FY2004
22,301
126,802
347
496
FY2005
23,242
127,986
351
518
FY2004
943
11,849
32
46
FY2005
155
2,124
6
12
Census Observation Cases:
admissions
census days
average daily census
FY2004
5,008
5,702
16
FY2005
4,781
5,472
15
FY2004
5,005
5,683
16
FY2005
4,780
5,471
15
FY2004
3
19
0
FY2005
1
1
0
Occupancy Rate 73.0% 70.1% 73.2% 70.6% 70.7% 48.5%
Emergency Visits FY2004 FY2005
University tower 31,977 32,459
clarkson tower 11,731 11,226
clarkson West 15,937 15,173
Total 59,645 58,858
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Fact Sheet
Discharges (includes newborns) Total Acute (non-psych) Medical/Surgical
Non-AcuteTRU
FY2004 FY2005 FY2004 FY2005 FY2004 FY2005
inpatient discharges 23,614 23,905 22,171 23,292 1,443 613
inpatient discharge days 139,016 130,229 124,275 124,931 14,741 5,298
average length of stay 5.9 5.4 5.6 5.4 10.2 8.6
Acute Inpatient Market Share Among Omaha/Council Bluffs Hospitals FY2004 FY2005
inpatient discharges 22.4% 23.1%
inpatient census days 26.2% 26.8%
Note: Figures include Acute Adult, Pediatric, Obstetric, and NICU.
By Geography: FY2004 FY2005
douglas/sarpy Patients Only 22.2% 22.6%
Outside douglas/sarpy 22.2% 23.7%
Note: Figures include Acute Adult, Pediatric, Obstetric, and Transferred-In NICU.
Inpatient Origin (excludes newborns) FY2004 FY2005
Omaha MSA
douglas, sarpy, cass, Washington, Pottawattamie
douglas/sarpy Only
71.1%
62.9%
69.6%
61.7%
Outside Omaha MSA
nebraska
Western iowa
Other
15.3%
7.8%
5.8%
16.1%
8.4%
5.9%
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Hixson-Lied Center
the nebraska medical center has opened the hixson-lied center,
the home for the largest emergency department in the midwest,
more than 25 state-of-the-art operating rooms, radiology equipment
that can scan the body in 10 seconds and a newborn intensive care
Unit designed around our tiniest patients.
the hixson-lied center is more than a building – it is a place where
miracles will happen and lives will be touched. it is, as one physician
described, “the exclamation point” on the 1997 merger that created
the nebraska medical center.
the four-story, $57.3 million building houses the largest emergency
department (ed) between chicago and denver; a newborn intensive
care Unit that is built around sick and premature newborns and
their families; a radiology Unit equipped with the latest technology;
and operating rooms, each designed for both the minimally invasive
procedures and open surgeries like liver transplantation.
embracing it all is a name that has stood for generosity and
community – hixson-lied.
a primary interest of lied during his lifetime was the city of Omaha
and the University of nebraska. the lied Foundation trust has
carried forward his dream of making positive contributions, and this
project supporting clinical care will serve everyone well. the hixson-
lied center will enhance the delivery of clinical care just as the lied
transplant center has done in providing cutting-edge healthcare.
this 165,000 square foot building stands as a tribute to those who
put their hearts as well as their muscle into its creation.
the new ed helps patients get the care they need more quickly and
efficiently. With 33 rooms, bedside patient registration and valet
parking, patients will get in and out of the ed more quickly.
spread across two floors, the radiology department streamlines the
patient experience by offering most of its services in one place. new,
state-of-the-art radiology equipment can capture images of a heart in
just five heartbeats and scan the whole body in about 10 seconds.
the operating rooms are outfitted with the Or-1 technology and
the equipment needed to do minimally invasive procedures or large
open surgeries like organ transplantation.
sitting atop the hixson-lied center is a place created just for
premature infants and sick newborns. the newborn intensive care
Unit features 34 private suites where baby and family can bond in
privacy and medical peace-of-mind.
Just next door to the nicU is an oasis in the middle of a hospital.
the rooftop Garden is a place where families and patients can go to
escape the medical world and regroup, relax or regenerate.
each part of this building – each hallway, each exam room, each Or was
designed with our patients in mind. this building is for them and for the
hundreds of healthcare providers who call this building – “home.”
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
J.D. Power & Associates
the nebraska medical center’s commitment to excellence and
outstanding patient experiences earned it a distinction few other
hospitals in the country have reached.
in 2005, J.d. Power and associates recognized the nebraska
medical center for service excellence under its distinguished
hospital Program.
the nebraska medical center is among an elite class of hospitals who
receive the award — and the first in nebraska. the hospital received
the distinction by providing patients with a consistent, positive
experience. information on those experiences was gained through
random telephone surveys conducted by J.d. Power and associates.
the nebraska medical center’s recently discharged patients were
asked to share their perceptions on five key areas of their hospital
experience, which include dignity and respect; speed and efficiency;
comfort; information and communication; and emotional support.
their answers were then compared to a national benchmark
established by J.d. Power and associates.
according to J.d. Power and associates, the nebraska medical
center performed especially well compared to the national study
in the speed and efficiency with which the staff delivered care to
their patients, receiving high marks from patients on the nurses’
performance of their regular duties and the doctor’s coordination of
care with nurses.
the nebraska medical center also performed well in providing comfort
to patients during their stay, particularly in the doctor’s and nurses’
concern about controlling pain and well-being after discharge.
the husband of one patient critically injured in car accident wrote a
letter of thanks to the nebraska medical center echoing the results
of the study:
“Without the wonderful nurses in the icU treating mary (my wife)
like she was one of their own family members and offering us
words of encouragement and hope each day, we would not have
made it. You should be proud of the women and men who not only
chose the nursing profession but chose to work in the icU at the
nebraska medical center - they are a wonderful caring group of
professionals.”
non-government, acute-care hospitals throughout the nation are
eligible for the J.d. Power and associates distinguished hospital
recognition. distinction is valid for one year.
One extraordinary honor.
800.922.0000 www.NebraskaMed.com
J.D. Power and Associates, one of the world’s leading independent marketing information firms, has designated The Nebraska Medical Center as a Distinguished Hospital for Service Excellence.
As the first hospital in Nebraska to achieve this distinction, The Nebraska Medical Center joins a select group ofhospitals nationwide that have demonstrated the ability to consistently deliver “An Outstanding Patient Experience.” In fact, only the top 20 percent of acute care hospitals in the United States are able to qualify for the J.D. Power and Associates Distinguished Hospital program.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Nursing Magnet
The Nebraska Medical Center Seeks Magnet Status
nurses are an important part of every hospital. at the nebraska
medical center, our patients count on our talented nursing staff to
provide compassionate, healing care when they need it, whether they
are suffering from cancer or experiencing the birth of a baby.
Our nurses’ dedication to excellence drives them to do what they
do every day. that same dedication drives the nebraska medical
center to achieve magnet status. the process began in 2005 and we
expect to complete the program by december 2006.
Magnet History
the magnet program has its roots in the early 1980s, when a nation-
wide nursing shortage threatened the future of the profession. in
response to the crises, the american academy of nurses identified a
number of hospitals that demonstrated a better-than-average ability
to attract and retain nurses. the term “magnet” came into use to
describe these hospitals’ “magnetic” ability to avoid the pitfalls of
the shortage.
in 1994, the american nurses credentialing center (ancc), a
subsidiary of the ana, developed a formal magnet recognition
Program for hospitals who pass a lengthy credentialing process
that involves criteria based on quality indicators and standards of
nursing practice.
Magnet Hospitals Today
today, with the threat of another nursing shortage looming,
magnet designation is more important than ever before. hospitals
with magnet status have proved themselves as quality patient-care
providers and they are better able to attract and retain skilled nurses.
magnet designation is the gold standard by which the nursing
profession is judged, and magnet hospitals are the finest medical
centers in the world.
magnet designation is an incredible honor that few hospitals can
boast. to date:
there are 132 magnet-designated hospitals in the country,
including cedars-sinai medical center in los angeles
and the mayo clinic in rochester, minn.
Only about two percent of hospitals in the United states are
magnet hospitals.
in nebraska, methodist hospital in Omaha and saint elizabeth
regional medical center in lincoln have magnet status.
magnet is one of the highest achievements a hospital can attain in the
nursing world. magnet-designated facilities consistently outperform
their peers in recruiting and retaining nurses, resulting in increased
stability in patient care systems across the organization.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Quality Walk of Fame
about 1,200 employees strolled down the red carpet to celebrate the
first-ever Quality Walk of Fame event, held Oct. 17, 2005.
several academy award-style events were held during Quality Week
2005 at the main campus, clarkson West, Patient Financial services
and the shenandoah clinic.
attendees of the year’s events indulged in decadent desserts; received
celebrity-like treatment — including a gift and door prizes, such as
a $500 gift certificate to nebraska Furniture mart and a weekend
getaway at an area hotel. they also enjoyed entertainment by a local
magician, watched Oscar-winning movies, and were pampered at an
area that included spa products.
many employees took the opportunity to vote on the most innovative
improvement projects in one of three categories modeled after the
four leadership priorities:
highest Quality customer service and care
enhanced clinical Quality/safety
best environment to Work & Practice medicine
at the nebraska medical center quality is held in the highest esteem.
the hospital is accountable for the quality work its healthcare teams
provide, and improved quality will improve positive clinical outcomes
and make staff more efficient and effective.
ceO and President Glenn Fosdick introduced a new award that
will be given annually during Quality Week. the Quality Walk of
Fame award is given to a unit/department that displays an overall
commitment to quality. to be eligible, a unit/department must
successfully communicate, participate and provide positive outcomes.
this year, eight nominees were eligible for the award. the nominees
and their projects were:
adult crisis Unit – Willingness to aid areas, such as the ed in
learning how to interact with violent, or drug and alcohol
addicted patients.
cardiac Progressive care Unit – involvement in organization-
wide initiatives, as well as their action within their internal Pi
team on issues such as smoking cessation.
cardiac rehabilitation – Puts patient safety as its top priority
by identifying potential risks and resolving them independently.
center for Wound healing – successfully implemented an
original communication plan to keep all areas informed as to
how to avoid pressure ulcers.
labor & delivery – shown dedication to quality patient care
and efficient operation by receiving top ratings in Pyxis
compliancy in seven of eight consecutive months.
Patient access Operations/Patient Financial services –
reduction of accounts receivable through data integrity and
process flow, while improving internal and external
customer satisfaction.
Peggy d. cowdery Patient care center – commitment to
initiate three six sigma projects and train the first staff r.n.
green belt.
Perioperative services – improved “on time first case entry” in
the operating room by 67 percent in a recent improvement effort.
this year there was a tie for the top spot. the winners of the inaugural
Quality Walk of Fame award are the center for Wound healing and
Patient access Operations/Patient Financial services.
there is a permanent display located in the concourse of the
hixon-lied center.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Community Benefit
Benefits for the Poor/Public Programsthis total represents the cost of providing care to the uninsured and underinsured through traditional charity care and the unpaid costs of public programs, including medicaid and medicare. the number does not include bad debt. during fiscal year 2006, the nebraska medical center provided assistance to 60,776 patients. Of this, 10,008 individuals received 15.5 million in charity care.
$60,543,006
Subsidized Health Servicessubsidized health services are billed clinical services subsidized by the nebraska medical center. reimbursement received for these services does not cover the costs associated with providing patient care, however these services continue to be offered because they are needed in the community. during fiscal year 2006, 4,624 people received subsidized health services at the nebraska medical center.
$10,310,168
Medical Educationthe nebraska medical center plays an important role in preparing future healthcare professionals for service. medical education represents the cost of providing educational opportunities, scholarships and funding for healthcare professionals, interns and residents.
$15,723,287
Researchresearch includes clinical and community health research, as well as studies on health care delivery where the results
are shared outside the nebraska medical center.
$616,919
the nebraska medical center is committed to enhancing the quality of life of our patients and the community at large. We pursue this
commitment through broad, fluid partnerships; and by leveraging our time, talent and treasures to continue and grow the good work being
done in Omaha and the surrounding area. it is through collaborative efforts and partnerships that allow us to reach into every segment of
the community.
We measure our success with every new partnership, every initiative and every person we touch. it is a dynamic process that is evolving and
ever-changing with community, society and environmental influences. impact is made when groups and individuals come together in pursuit
of a common goal. that’s why the nebraska medical center is committed to leveraging our resources for the greatest possible impact, and
creating a safe and healthy community where people can live, work and play.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Community Benefit (continued)
Cash and In-Kind Donations/Sponsorshipcash and in-kind donations and sponsorships support community activities in numerous ways. this number includes hours donated by staff to community boards and committees while on hospital time; facility space donated to not-for-profit organizations; the donation of food, equipment and supplies; and the i-care Pharmacy assistance Program. during fiscal year 2006, 8,775 lives were touched through cash and in-kind contributions provided by the nebraska medical center.
Employee Involvement the nebraska medical center employees dedicate personal time and talent to the community by serving on board of directors and community committees for nonprofit organizations, while on hospital time. during fiscal year 2006, employees provided 2,354 hours of leadership and expertise for nonprofit organizations.
I-CARE Pharmacy Assistance Program in July 1998, the nebraska medical center Pharmacy established the i-care Pharmacy assistance Program to provide prescription medications to the indigent population who fall within established guidelines. last year, 595 individuals received assistance through the i-care program.
$1,710,443
Non-Billed Community Health Servicescommunity health services include activities carried out to improve community health to the underserved as well as the broader community. these services do not generate inpatient or outpatient bills, although they may involve a nominal patient fee or sliding scale fee. in fiscal year 2006, 87,176 people benefited from the hospital’s community health services offerings, including community health education, screening programs and support groups.
Community Health Education and Outreach through various teaching methods, the nebraska medical center staff strives to raise awareness of good health practices and increase participant’s knowledge of health topics through community classes.
Support Groups For patients and their families who share a common diagnosis, the opportunity to attend a support group often helps them find someone who fully understands what they are experiencing. at least 200 hours were spent in fiscal year 2006 touching the lives of the 1,455 people who attended support groups.
Community-Based Clinical Services and Screening health screening has proved to be a successful tool in the early detection and prevention of disease. health fairs and screening clinics remain a popular forum for the community to obtain low cost or free health screening in convenient locations.
Health Care Support Services the nebraska medical center provides health care support services to increase access and quality of health care services. included in this category is the Poison control center services offered to the community. during fiscal year 2006, the nebraska medical center staff provided 40 hours of poison control presentations, touching 69,206 individuals with this important information.
$1,291,554
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Community Benefit (continued)
Community Building Activitiescommunity-building activities include budgeted expenditures for the development of community health programs and partnerships to address the root causes of health problems. these activities support community assets by offering the expertise and resources of the nebraska medical center. in addition, the cost of community benefit operations fall into this category.
Community Partnership the nebraska medical center, together with Unmc, collaborate to provide community partnership, targeting the underserved residing in the north and south Omaha communities. a grassroots effort to impact the health of the community produced the north Omaha community care council and the south Omaha community care council. these coalitions are made up of individuals who live, work and have an interest in the community.
Our Healthy Community Partnership Our healthy community Partnership is a collaborative effort of over 30 organizations in douglas county to improve our community’s health by assessing and improving the health of citizens in our community. a second community report card was produced in 2006 identifying 11 areas of focus for douglas county. the nebraska medical center is a member organization of Our healthy community Partnership, contributing efforts in areas of focus as well as providing resources and expertise as needed.
Destination Midtown & Midtown Business Association the nebraska medical center provides leadership and resources to these community building organizations directly affecting the neighborhoods around the nebraska medical center campus. destination midtown is a unique partnership of public and private interests working together to return the midtown district to prominence.
Disaster Readiness and Biocontainment the nebraska medical center staff provides expertise and leadership to disaster preparedness activities in the community. in addition, the state’s only biocontainment Unit is located in the hospital. the costs related to changes made to accommodate prospective disasters, creating new or refurbishing existing decontamination facilities, community disease surveillance and reporting infrastructure are included in the category of community building.
Community Benefits Operations as the development of the nebraska medical center’s community benefits program continues to expand and become integrated into the hospital’s culture, resources will be dedicated to the formation and execution of a community benefit plan. community benefit operations are considered an important component of any community benefit program, and demonstrate the nebraska medical center’s commitment to the community in a visible way.
$201,068
Total $90,396,445
$3,819,984Community Buildingand Community Health
$15,723,287MedicalEducation
$10,310,168SubsidizedHealth Services
$60,543,006Uncompensated Care
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Financial Performance
0
200
400
600MILLION
MILLION
MILLION
Excess Revenue Over Expenses
FY 2004
FY 2005
Total NetRevenue
Total Operating Revenue
Net Assets Total Assets Net Cast Provided by Operating Activities
29.1 28.1
466.4
515.6542
488
332
301
536
481
91 85
Fiscal year 2005 was a year of improvement for the nebraska medical
center. excess of revenue over expenses for the year improved by
$1 million, while total net revenue exceeded $515 million. net cash
provide by operating activities grew to more than $91 million in 2005,
an improvement of nearly $7 million from the previous year.
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Bringing Medicine Full circle community report t h e n e b r a s k a m e d i c a l c e n t e r
Future Growth & Expansion
excitement and anticipation surround the
region’s newest choice in healthcare.
the nebraska medical center is planning to build
a new state-of-the art hospital in bellevue, neb.
– a natural extension of the extraordinary care
our patients have come to count on and expect.
located at the southwest corner of highway
370 and 25th street, the hospital will be called
bellevue medical center. the name itself reflects
a solid commitment by the nebraska medical
center to the greater bellevue community.
bellevue medical center will serve as an
important resource for families, and it will also
serve as a vital part of the region’s continuing
efforts to expand economic opportunities.
bellevue medical center will house 200,000
square feet of comprehensive patient services
including emergency care, obstetrics, inpatient and outpatient surgery,
intensive care, cardiac catheterization, a pharmacy, radiology and lab
testing. current plans allow for 60 private inpatient and observation
beds with enough space to add 60 more beds in the future.
a new medical office building adds another 60,000 square feet to
the project. located adjacent to the main hospital, it will enhance
patient care and convenience by providing additional areas for clinics
and offering state-of-the-art diagnostic services to assist physicians in
prompt diagnosis and treatment.
bellevue’s other main medical facility, ehrling bergquist clinic located
at Offutt air Force base, phased out inpatient services in 2005. no
longer a hospital, operations now center on same-day surgery, clinics
and urgent care. this shift of services, coupled with what’s expected
to be an explosive period of growth, gives bellevue medical center
momentum to meet an expanding need for healthcare.
the preliminary cost of construction for the hospital averages $58
million. the total for the entire project including land, the medical
office building and equipment could approach $90 million. the
groundbreaking is expected to happen in late fall 2006, while the
medical campus is anticipated to open in October 2008.
bellevue medical center can be found online at www.bellevuemed.com.