Bringing Medicine Full circle - Nebraska Publications...

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community report BRINGING MEDICINE FULL CIRCLE

Transcript of Bringing Medicine Full circle - Nebraska Publications...

community report

Bringing Medicine Full circle

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.

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

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

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

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

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.

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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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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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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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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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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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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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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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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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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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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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.

www.NebraskaMed.com

For an online version of this

community report, go to

www.NebraskaMed.com/

newsroom/community

Bringing Medicine Full circle community report