the Way to Better Health

2012-2013 Mid-Year Report

Leading

Lawrence Memorial Hospital, in collaboration with its Medical Staff, is dedicated to providing personal and

high quality health and wellness services for the people of Lawrence and

the extended community.

LMH by the Numbers (2012)

Inpatient Discharges. ........................7,708Emergency Visits. .............................37,275Outpatient Visits. .............................70,433Births. ................................................... 1,103Oncology Visits. ................................. 9,283Surgery Cases.................................... 4,209Mammograms ..................................24,560CT Scans ...........................................18,972Laboratory Tests. ...........................416,912Pharmacy Prescriptions. ..............695,493Physical Therapy Procedures. ........76,110Meals Prepared. ............................ 274,528Website Visits. ............................... 282,572Physicians on Medical Staff .................215Employees (FTEs) ............................. 1,108Volunteers. ............................................. 872

Dear Friends of Lawrence Memorial Hospital, I am pleased to share with you our 2012-2013 Mid-Year Report, a compilation of many incredible accomplishments that your community hospital has achieved during the last year and a half. In reviewing the draft of the report, I was taken back as to all that’s happened at LMH, and how significant these developments are to the broader picture of health care delivery in our region. Also on the following pages, you will see our future. From program development to physician recruitment to facility enhancement, LMH has set the foundation for outstanding health care for many years to come.

These days, it is nearly impossible to read a current newspaper or magazine without seeing new headlines and articles about the challenges our health care system faces. Health care reform and its many ramifications on employers, individuals and providers illustrate the need for organizations like LMH to navigate carefully through many turbulent waters. Our Board of Trustees and Medical Staff provide guidance and expertise to make the difficult decisions on health care delivery, as well as our commitment to improving our community’s health. These are not easy challenges, and we take them very seriously.

As you will see, LMH has continued to perform as an outstanding community hospital throughout 2012 and 2013. Our accomplishments would not have been possible without tremendous contributions from the more than 1,300 associates who work for and are committed to LMH. I cannot thank them enough for helping us serve our mission and reach the excellence for which we’ve become known.

As always, we welcome your input. My direct phone number is (785) 505-6130, and I look forward to hearing your suggestions for how we can continue to improve. Thanks for your ongoing support of LMH and our efforts to provide outstanding health care for those we serve.

To your health,

LMH President and CEO

President & CeOA message from the

Throughout Kansas and Missouri, only one hospital is named among the 2013 Truven Health 100 Top Hospitals®: Lawrence Memorial Hospital.

Truven Health Analytics (formerly the health care division of Thomson Reuters) uses objective, quantitative data to identify 100 U.S. hospitals that outperform more than 2,800 others nationwide. LMH is one of only 20 medium-sized community hospitals to receive this prestigious award in 2013.

The 100 Top Hospitals program, now in its 20th year, objectively

evaluates 10 clinical and financial measures (see inset) over a three- to five-year period of time. As a 100 Top Hospital, LMH has demonstrated that its patients have better survival rates, fewer complications, better long-term outcomes, shorter hospital stays and superior overall hospital experiences.

“This award validates our decade-long pursuit to be the best community hospital in the country,” said Gene Meyer, LMH President and CEO, in an open letter of thanks to LMH associates, physicians,

volunteers, donors and leaders. “When people come to LMH, they know they’re experiencing exceptional care made possible by outstanding individuals who go above and beyond to improve outcomes, save lives, and comfort our patients and visitors.”

LMH was named a Top Performer on Key Quality Measures™ for heart attack, pneumonia and surgical care in 2012. This esteemed recognition put LMH in the top 18 percent of all accredited U.S. hospitals, and among only eight hospitals in Kansas to earn this distinction last year.

The Top Performer program by The Joint Commission, the nation’s leading accreditor of health care organizations, honors hospitals like LMH for taking the right steps at the right time, every time. The 2012 Top Performer award is based on 2011 performance data and illustrates LMH’s focus on high standards of patient care. “We truly are a great hospital with a culture of quality and patient service that sets us apart,” says Karen Shumate, RN, LMH Chief Operating Officer.

To learn more about what makes LMH a Top Performer, visit www.lmh.org/qualitymatters.

OUtPerFOrMinG hospitals nationwide

LMH Receives the 2013 Truven Health 100 Top Hospitals® Award

LMH Recognized as a Top Performer by The Joint Commission

Measuring UpLMH earned the Truven Health 100 Top Hospitals award through outstanding performance in each of these clinical and financial measures:

Top Performer onJoint CommissionKey QualityMeasures™ 2011

™

2011

2 3

The Truven Health 100 Top Hospitals award is based purely on merit. Hospitals cannot apply for the 100 Top Hospitals award, and winners do not pay to market this honor.

1 In-hospital mortality

2 Medical complications

3 Patient safety

4 Average patient stay

5 Expenses

6 Profitability

7 Patient satisfaction

8 Adherence to clinical standards of care

9 Post-discharge mortality

10 Readmission rates for heart attack, heart failure and pneumonia

MosT Wired HosPiTaL

LMH was recently named a 2013 “Most Wired” hospital by Hospitals & Health Networks magazine, marking the third consecutive year LMH has made the list. As a Most Wired hospital, LMH is nationally recognized for leading the way in technological integration at all levels.

When something is exceptional, others take notice, and 2013 continues to be a year of notable recognition for LMH. In addition to the Truven Health award earlier this year (see page 2), LMH received another prestigious national honor in June when it was named among “100 Great Community Hospitals” by Becker’s Hospital Review. LMH was the only Kansas hospital on Becker’s nationwide 2013 list.

To earn this distinction, LMH demonstrated its commitment to the health of the community through clinical excellence, community involvement and various other efforts. Hospitals cannot pay for inclusion on the list. The Becker’s Hospital Review team selects community hospitals based on rankings and recognition from a variety of industry sources, including Truven Health Analytics, iVantage

Health Analytics, HealthGrades and The Joint Commission.

LMH was compared to other hospitals in the nation with fewer than 550 beds and minimal teaching programs. When announcing the top 100 community hospitals, Becker’s editorial team stated, “The hospitals [on the list] have worked with limited resources to continually provide the quality of care and the experience patients expect.”

OUtPerFOrMinG hospitals nationwide

LMH Named Among “100 Great Community Hospitals” by Becker’s Hospital Review

2 3

CardiOlOGyBuilding on our strengths in

Thanks to LMH, patients in and around Lawrence don’t need to travel for potentially life-saving treatment at an accredited Chest Pain Center. Last March, LMH was re-accredited by the Society of Cardiovascular Patient Care (SCPC), an international organization formerly known as the Society of Chest Pain Centers. SCPC’s rigorous accreditation process once again verified that LMH meets or exceeds quality care measures for patients with coronary symptoms.

To earn and maintain its status as an Accredited Chest Pain Center, LMH has an effective organizational structure with demonstrated excellence in:

• Integration between the hospital’s emergency department and local emergency medical services (EMS)

• Quickly assessing, diagnosing and treating patients

• Treating chest pain patients effectively

• Continuously improving processes and procedures

• Providing optimal patient care through functional design

Because LMH cardiologists are available 24/7 for percutaneous coronary intervention (PCI), LMH was also certified as Chest Pain Center with PCI in 2012. PCI involves opening a blocked coronary artery by inflating a balloon or

inserting a stent in the vessel where the blockage occurs. Faster intervention typically means less heart damage and better chances for recovery. At an average median “door-to-balloon” time of only 47 minutes, LMH consistently and significantly outperforms the national PCI standard of 90 minutes.

LMH Re-Accredited as Chest Pain Center, Certified as Chest Pain Center with PCI

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Top Performer™ in Heart attack Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for heart attack care. Learn more at www.lmh.org/qualitymatters.

elizabeth Guastello, MdCardiologist

Christina salazar, MdCardiologist

NeW ProViders aT CardioVasCULar sPeCiaLisTs oF LaWreNCe 2012-2013

Learn more at www.lmh.org

The Growing Team at Lawrence OB-GYN Specialists

WOMen’s HealtHExpanding options in

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In 2012, LMH renamed its birthing center in honor of a trailblazing nurse who helped implement educational programs for local parents-to-be in the late 1970s. At a special ceremony

in November, the center was officially renamed the Cindy Murray Family Birthing Center.

Pamela Pray,CNM, aPrN, MsNCertified Nurse Midwife

emily riggs, MdOB-GYN Physician

Jaime Thompson,CNM, aPrN, MsNCertified Nurse Midwife

NeW ProViders aT LaWreNCe oB-GYN sPeCiaLisTs 2012-2013

Watch videos and learn more at www.lmh.org

Pamela Pray, CNM, and Phillip Moreano, MD, visit with a patient at Lawrence OB-GYN Specialists.

With a care team of four board-certified OB-GYN physicians, two OB-GYN nurse practitioners, two certified nurse midwives and several nurses, some may be surprised to hear Lawrence OB-GYN Specialists is still growing. In August 2013, LMH welcomed a fifth OB-GYN physician: Emily Riggs, MD.

Dr. Riggs, a Kansas native, earned her medical degree at the University of Kansas School of Medicine and is excited to be back in Lawrence after completing her residency in Denver.

As an OB-GYN physician, Dr. Riggs believes in partnering with patients to help them understand and become actively involved in their own health care. “Together, my patients and I can work toward great things for them,” she says, emphasizing her passion for helping women at all life stages, from early adolescence through post-menopausal years. “Being able to share some of the most exciting and memorable moments in a woman’s life is a gift for me as an OB-GYN physician.”

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To make primary care more accessible in the community, LMH has added several new providers and a new practice. Expanding primary care means more choices and added convenience for patients, including extended office hours.

In June 2013, Bonnie Cramer, MD, joined the physician care team at Family Medicine of Baldwin City. Last year, Rebekah Johnston, PA, joined

Eudora Family Care and Family Medicine of Baldwin City, enabling extended hours on select evenings and weekend hours in Eudora. Also in 2012, Anna Kumru, MD, joined The Internal Medicine Group.

Additionally, a new family practice is now at LMH: Total Family Care opened August 2013 in the 4th Street Health Plaza (adjacent to LMH’s main campus). New LMH

physician Luis Salazar, MD, has joined the Total Family Care team, along with Sherri Vaughn, MD, and Joy Murphy, MD, who moved from Mt. Oread Family Practice to the new location to expand their practices.

The LMH Business Health Center, which provides occupational medical services for area employers, launched a new program in 2012 to broaden its capabilities in preventive health: LMH WellCare.

Its mission is to provide convenient, personalized access to quality wellness activities, and to improve the health status of its customers through proactive intervention – all while lowering

the costs of employer-sponsored health plans by reducing the cost of maintaining good health. To help people achieve the best possible health and wellness outcomes, LMH WellCare offers a variety of resources, from physical exams, screenings and health improvement plans to educational offerings, referrals and more.

The program also identifies risk factors in an employer’s workforce

population and provides chronic disease management services aimed at targeting those risks. LMH WellCare is designed to produce long-term effects on overall community health through ongoing consultations at the individual level. Currently, 18 employers in Lawrence and surrounding areas participate in the program, including the City of Lawrence and the City of Eudora Police Department.

Primary Care & preventive healthImproving access to

LMH Continues to Expand in Family Medicine and Primary Care

LMH WellCare Helps Create a Healthier Workforce in Lawrence

Luis Salazar, MDFamily Practice, Sports Medicine Total Family Care

Anna Kumru, MDInternistThe Internal Medicine Group

Bonnie Cramer, MDFamily PracticeFamily Medicine of Baldwin City

Rebekah Johnston, PAPhysician Assistant Eudora Family CareFamily Medicine of Baldwin City

NEW PROVIDERS AT LMH PRIMARY CARE PRACTICES 2012-2013

Anna Marshall, RN, BSN, MSN, APRN-C Nurse PractitionerEudora Family CareMcLouth Medical Center

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Watch videos and learn more at www.lmh.org

DHG-5323 AR_06.indd 8 8/28/2013 4:42:54 PM

MediCal staFF across many specialties Growing our

Miranda Fowler, MdFamily Practice

Brendan Farrell, ddsOral & Maxillofacial Surgery

Kevin a. Heath, MdHospitalist

Kirsten evans, MdPediatrics

Melissa Kalb, MdFamily Practice

NeW LMH MediCaL/aLLied sTaFF 2012-2013

Christopher Koster, Md Pediatrics

Peter d. Morris, MdEmergency Medicine

Michael d. Magee, Md Hospitalist

Mark oertel, MdInternal Medicine

Justin W. Labart, dds, MdOral Surgery

Cleve Pilakowski, MdPodiatry

stephan Prô, Md Orthopedics

Justin Waco Goodnight, MdPediatrics

Melissa Kramer, PaHospitalist

Benjamin J. Newell, MdAnesthesia

Michael J. sanders, MdRadiology

ajay Tejwani, MdRadiation Oncology

Caleb Trent, Md Emergency Medicine

Lori Winfrey, aPrN Oncology

ravi Yarlagadda, Md Cardiology

7

Not pictured: Matthew Galliano, DPM (Podiatry); Timothy Gateley, DPM (Podiatry)

To make primary care more accessible in the community, LMH has added several new providers and a new practice. Expanding primary care means more choices and added convenience for patients, including extended office hours.

In June 2013, Bonnie Cramer, MD, joined the physician care team at Family Medicine of Baldwin City. Last year, Rebekah Johnston, PA, joined

Eudora Family Care and Family Medicine of Baldwin City, enabling extended hours on select evenings and weekend hours in Eudora. Also in 2012, Anna Kumru, MD, joined The Internal Medicine Group.

Additionally, a new family practice is now at LMH: Total Family Care opened August 2013 in the 4th Street Health Plaza (adjacent to LMH’s main campus). New LMH

physician Luis Salazar, MD, has joined the Total Family Care team, along with Sherri Vaughn, MD, and Joy Murphy, MD, who moved from Mt. Oread Family Practice to the new location to expand their practices.

The LMH Business Health Center, which provides occupational medical services for area employers, launched a new program in 2012 to broaden its capabilities in preventive health: LMH WellCare.

Its mission is to provide convenient, personalized access to quality wellness activities, and to improve the health status of its customers through proactive intervention – all while lowering

the costs of employer-sponsored health plans by reducing the cost of maintaining good health. To help people achieve the best possible health and wellness outcomes, LMH WellCare offers a variety of resources, from physical exams, screenings and health improvement plans to educational offerings, referrals and more.

The program also identifies risk factors in an employer’s workforce

population and provides chronic disease management services aimed at targeting those risks. LMH WellCare is designed to produce long-term effects on overall community health through ongoing consultations at the individual level. Currently, 18 employers in Lawrence and surrounding areas participate in the program, including the City of Lawrence and the City of Eudora Police Department.

Primary Care & preventive healthImproving access to

LMH Continues to Expand in Family Medicine and Primary Care

LMH WellCare Helps Create a Healthier Workforce in Lawrence

Luis Salazar, MDFamily Practice, Sports Medicine Total Family Care

Anna Kumru, MDInternistThe Internal Medicine Group

Bonnie Cramer, MDFamily PracticeFamily Medicine of Baldwin City

Rebekah Johnston, PAPhysician Assistant Eudora Family CareFamily Medicine of Baldwin City

NEW PROVIDERS AT LMH PRIMARY CARE PRACTICES 2012-2013

Anna Marshall, RN, BSN, MSN, APRN-C Nurse PractitionerEudora Family CareMcLouth Medical Center

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Watch videos and learn more at www.lmh.org

DHG-5323 AR_06.indd 8 8/28/2013 4:42:54 PM

sUrGiCal expertise & technologyGaining new

da Vinci Robotically Assisted Surgery, Now at LMHLMH added the da Vinci Surgical

System® to its growing list of advanced surgical technology in December 2012, with surgeons performing the first da Vinci robotically assisted procedures at LMH in February 2013. By combining computer and robotic technologies, the da Vinci robot provides assistance to surgeons in ways that ultimately benefit patients, often resulting in faster recovery times and less post-operative discomfort.

Robotically assisted surgery requires only a few 1-2 centimeter incisions, and in some cases, only one incision. The surgeon operates from a nearby console, while highly sophisticated software translates the surgeon’s hand movements to the robot’s miniaturized instruments at the bedside. The software provides enhanced visualization, automatic motion scaling and tremor reduction to improve precision and dexterity.

“The da Vinci robot has very intuitive control and more range of freedom than the human wrist,” says Chad Tate, MD, general surgeon. Tiffinie Mercado, MD, OB-GYN physician, agrees, adding that the system’s enhanced visualization offers improved clarity of tissues, which can

enable better outcomes in certain cases.

Patients should discuss all treatment options with their doctors before deciding on any type of surgery. The da Vinci system is not appropriate for every surgical procedure, nor is it recommended for every patient. To provide

comprehensive surgical treatment options, LMH has more than 30 surgeons across many specialties, and together they performed 4,200 surgical procedures last year. From robotics to traditional laparoscopic and open procedures, the surgeons of LMH are dedicated to high quality performance and outcomes.

8 9

The image above illustrates the small size of the da Vinci robot’s instruments, as compared to an ordinary sewing needle.

Chad Tate, MdGeneral Surgeon

NeW ProViders aT LaWreNCe GeNeraL sUrGerY 2012-2013

Watch videos and learn more at www.lmh.org

Paul Kolkman, MdGeneral Surgeon

Meet Karen dixon, da Vinci Patient

“I had very little pain – I felt great almost immediately!” says Karen Dixon, 58, recalling her experience with da Vinci surgery at LMH in early June 2013. “In fact, a lot of physicians and nurses who saw me the next day were amazed that I was doing so well right after major surgery.”

Due to a recurring pancreatic pseudocyst, Dixon needed a Roux-en-Y cystojejunostomy – a procedure for placing a permanent drain between the cyst and her intestine. Traditional laparoscopy and open surgery were among her treatment

options, but Dixon’s surgeon, Dr. Chad Tate, strongly recommended da Vinci robotic surgery. “It was clear he had great confidence in da Vinci, and I had great confidence in him,” Dixon says. “So in the end, it was an easy decision. da Vinci offered my best chances at a fast recovery, and that’s exactly what it delivered!”

Dixon’s procedure required five small incisions, and all were healed almost completely within 10 days of surgery. While open surgery would have resulted in a week-long hospital stay, Dixon spent only two nights at LMH after da Vinci surgery and was able to resume all her normal activities at home very quickly. “I feel fantastic!” she says. “Based on my own experience as a patient, I would definitely recommend da Vinci surgery.”

sUrGiCal expertise & technology

LMH Brings Laser-Assisted Cataract Surgery to LawrenceTogether with the physicians of

Lawrence Eye Care Associates, LMH now offers the FDA-approved LenSx® laser system for bladeless cataract removal surgery. Laser-assisted procedures offer many advantages over traditional cataract surgery:

• Enhanced customization accommodates eye size, depth and curvature.

• More precise incisions, created by lasers instead of blades, cause less stress to eye tissues and can result in faster recovery.

• Less ultrasound energy required for cataract removal means a decreased risk of complication.

• Surgeons can also correct or reduce astigmatism during laser-assisted cataract surgery, increasing the likelihood that patients won’t need glasses after surgery.

Because precise vision starts with precise technology, LMH is proud to be an exclusive provider of laser-assisted cataract removal technology for the Lawrence community.

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Top Performer™ in surgical Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for surgical care. Learn more at www.lmh.org/qualitymatters.

TiMe

If you observe any of these signs, time is crucial.

Call 911 or get to the

hospital fast.

LMH Certified as a Primary Stroke Center

neUrOlOGiCal Care for all agesEnhancing

B e F a s T

Use Be FasT to Prevent death or disability from strokeKnowing the signs of stroke can help save lives. Stroke strikes suddenly, so remember, the key is Be FasT:

BaLaNCe

Sudden loss of balance or coordination. Unexplained

dizziness, unsteadiness or

sudden falls.

eYes

Sudden dimness or changes in

vision, particularly in one eye.

FaCe

Facial weakness. One side of the face may droop

when attempting to smile.

arMs

Arm or leg weakness on

one side of the body. When attempting to

raise both arms, one will often

drift downward.

NOTE: In some cases, stroke may also cause a severe headache of unknown origin. IN AN EMERGENCY, CaLL 911. LMH Emergency Department: 325 Maine Street.

sPeeCH

Trouble speaking or understanding speech. Words

may sound slurred or strange. Difficulty

repeating a simple sentence.

Because stroke is the fourth leading cause of death and the number one cause of adult disability in the U.S., LMH is dedicated to providing prompt diagnosis and care that improves outcomes for stroke patients. In July 2012, The Joint Commission, in conjunction with The American Heart Association/American Stroke Association, recognized LMH as a center of excellence with its Advanced Certification for Primary Stroke Centers. The esteemed two-year certification reflects LMH’s commitment to best practices and certification standards.

To receive Primary Stroke Center designation, LMH demonstrated proficiency in:

• Diagnosing patients with stroke by EMS technicians while en route to the hospital

• Having CT scanners ready and CT technologists waiting to receive patients upon arrival

• Diagnosing patients with type of stroke and administering proper treatment within 60 minutes of arrival

In the spring of 2013, LMH received the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Silver Plus Quality Achievement Award. The award recognizes the hospital’s commitment and success in implementing a higher standard of stroke care by ensuring that stroke

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patients receive treatment according to nationally accepted standards and recommendations.

For school athletes, concussions are common and potentially very serious. To protect kids in the community from long-term complications, in 2012 LMH partnered with Lawrence schools (grades 9-12) and Eudora schools (grades 8-12) to provide ImPACT® baseline concussion testing for more than 1,000 student athletes, free of charge, courtesy of LMH.

ImPACT’s computerized, cognitive assessment helps determine when an athlete can safely return to play after a concussion. “The key is to have a baseline test done for each athlete before a concussion, so we know that this child is this fast on this test with a normal brain,” says Daniel Dickerson, MD, PhD. Then, by comparing brain functions after a concussion to the athlete’s baseline results, physicians

can more accurately determine healing progress and readiness to return to play.

Dr. Dickerson, a physician at Eudora Family Care and a Certified ImPACT Consultant, worked closely with physical therapist and sports injury specialist Adam Rolf, DPT, ATC, CSCS, of LMH Therapy Services to bring this program to life. In addition, three physicians – Thomas Marcellino, MD, Joy Murphy, MD, and Karen Evans, DO – have received specialized training for treating concussive patients using ImPACT reports. ImPACT baseline tests and follow-up post-concussion testing help protect athletes from a range of potentially very serious complications.

LMH Brings ImPACT® Concussion Testing to School Athletes

Children aged 10 to 19 account for 70 percent of all emergency room visits for traumatic brain injuries (TBIs), and kids take longer to heal from TBIs than adults.* Without proper care and adequate healing time, long-term ramifications can include:

• Alzheimer’s disease• Parkinson’s disease• Major depression• Decreased academic performance• Death

* Source: Centers for Disease Control and Prevention

Tune into LMH’sYouTube Channel

to learn more about symptoms and treatment for stroke

and concussions.www.youtube.com/lmhorg

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To expand its reach in pulmonary care, LMH opened a new specialty practice in 2012: Lawrence Pulmonary Specialists. This development proactively addresses the growing need for specialized care among patients with lung disease or breathing disorders, such as asthma, chronic obstructive pulmonary disease (COPD), shortness of breath, severe coughing or occupational lung diseases. The physicians of Lawrence Pulmonary Specialists also provide 24/7 on-call coverage for critically ill pulmonary inpatients.

“COPD is the third leading cause of death, and we have a huge population at risk,” says Charles Yockey, MD, FACP, FCCP, one of three board-certified and fellowship-trained physicians at Lawrence Pulmonary Specialists. “If we can do a better job with prevention, then we can decrease hospitalizations and increase quality of life.”

Lawrence Pulmonary Specialists joins an already expansive suite of cardiopulmonary services provided

at LMH’s pulmonary function testing lab, pulmonary rehabilitation center, sleep center and ICU.

PUlMOnary CareStrengthening our community through

Introducing Lawrence Pulmonary Specialists

amanda Gudgell, doPulmonologist

Krishna rangarajan, MdPulmonologist

Breathe easy.

NeW ProViders aT LaWreNCe PULMoNarY sPeCiaLisTs 2012-2013

Watch videos and learn more at www.lmh.org

Top Performer™ in Pneumonia Care LMH is nationally recognized by The Joint Commission as a Top Performer on Key Quality Measures™ for pneumonia care. Learn more at www.lmh.org/qualitymatters.

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LMH Offers Local Access to Cancer Clinical Trials

Jamie’s Wish: New Infusion Rooms in LMH Oncology Center

CanCer Care in our regionAdvancing

Shortly before Jamie Barkes Pursley passed away from breast cancer in March 2011, she talked about making the infusion rooms at LMH’s Oncology Center more comfortable and calming for patients undergoing chemotherapy. After her

death, her friends organized “Jamie’s Wish” and raised $140,000 for the project.

On March 30, 2012, the remodeled infusion rooms were unveiled in a special dedication, ribbon-cutting and open house.

Thanks to Jamie’s Wish and the LMH Endowment Association, the rooms are soothing and relaxing, with more comfortable chairs and other amenities for patients and their guests.

LMH Ranks Among 2012 “Best Companies to Work For”

CareGiversCaring for our

13

LMH Administration Team

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Advanced cancer care is a hallmark of the LMH Oncology Center, where clinical trials have been provided as treatment options since 2003. Today, LMH partners with organizations like the Wichita Community Clinical Oncology Program and the Midwest Cancer Alliance to offer NCI-approved trials for many different cancer types.

With more than 150 trials in its portfolio, LMH brings local access to newly developed cancer treatments. It’s all part of LMH’s commitment to improving cancer care in its own community and throughout the region. To request Your Guide to Cancer Clinical

Trials, call (785) 749-5800.

Many factors earned LMH a spot on Ingram’s 2012 “Best Companies to Work For” list: competitive salaries, tuition reimbursement, scholarship opportunities, continuing education and leadership development, to name just a few. LMH was one of six large businesses and the only hospital to receive this recognition.

To drive performance and satisfaction, LMH engages its associates and listens to feedback. President and CEO Gene Meyer describes a workplace defined by “two levels of care” – one for patients and another for the LMH associates who serve them. One way LMH bridges the two levels is through its annual Employee

Campaign, whereby associates may contribute some of their earnings to any or all of these four funds:

• The Crisis Assistance and Resources for Employees (CARE) Fund helps employees in crisis with utility and medical bills, car repairs, and holiday meals.

• The Employee Education Fund pays registration fees for LMH associates to attend educational events relevant to their occupations.

• The Help and Healing Fund helps patients with medications or equipment when other community resources don’t meet their needs.

• The Patient Satisfaction Fund helps patients by using innovative ideas from LMH associates.

Since the program began in 2002, employee participation has doubled, and LMH associates have donated more than $550,000 to the LMH Endowment Association to help people in need.

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2-NorTH MediCaL UNiTAfter a six-month renovation and

expansion project, LMH unveiled many upgrades to 2-North last October. The unit now includes 28 private rooms for acutely ill patients, whose vitals are monitored via in-room devices that feed data directly to electronic medical charts. Improved amenities include larger bathrooms, more in-room seating for guests, and a hospitality lounge with a refrigerator, microwave, free Internet access and a warm fireplace. For the nurses and other providers on 2-North, the new environment helps maximize workflow efficiencies as well.

The $2.1 million project was paid for in part by the LMH Endowment Association’s 2012 Hearts of Gold Ball, which raised more than $350,000 toward the renovation.

seGeBreCHT rooMThe Segebrecht Room, part of

the Cindy Murray Family Birthing

Center at LMH, is for parents to use when their newborn babies need longer-than-usual hospital stays. But after 20+ years of helping parents stay close to their infants, the Segebrecht Room got some much-

needed updates in 2012. Thanks to funds raised by the Girards, a local family, the room now has a glider for nursing moms and babies, a table and armoire to house belongings, and a new headboard.

LMH Renovates with Patients in Mind

GrOWinG deMandGrowing our campus today to meet tomorrow’s

The new lounge on 2-North provides a comfortable and functional setting for visitors.

LMH Launches sleek New WebsiteLMH has enhanced the patient experience, even for people who aren’t there. In April 2013, the hospital redesigned its website to offer more functionality for site visitors. Among the enhancements: physician, location and service directories, calendars and event listings, eCards, and a new online gift shop. The site also includes responsive design, which presents an ideal experience on a variety of mobile devices and screen sizes. Visit the new and improved website at www.lmh.org.

The mission of LMH is to provide personal and high quality health and wellness services for the people of Lawrence and the extended community. One way LMH achieves its mission is by offering programs and services that focus on improving community health. In 2012, LMH documented community benefit activities totaling nearly $8.7 million. Together these activities impacted the lives of more than 50,000 people throughout the area.

“We touch and improve the health and the lives of people throughout the region,” says Janice Early, Vice President of Marketing and Communications. “The commitment and leadership of our Board of Trustees, Medical Staff, associates, volunteers and community partners make our community a better place. Many of these community benefits would not or could not exist without the support and commitment of LMH.”

LMH provides a safety net for vulnerable populations who have no health insurance; the cost of providing charity care and the unpaid

cost of serving Medicaid patients are counted as community benefits. In addition, LMH offers free and low-cost educational programs, support groups, and health screenings each year. The hospital also provides continuing education opportunities to physicians and health professionals throughout the region, and LMH actively supports health-related organizations and endeavors that benefit the community. Examples of community benefits provided by LMH in 2012 include:

• The Breastfeeding and New Parent Support Group had nearly 1,800 participant visits, and the Build Your Village Post-Partum Adjustment Support Group had 240.

• Community Education nurses had approximately 400 interactions with residents at Babcock Place during weekly wellness clinics.

• LMH supported Safe Kids Douglas County, an organization that facilitated 451 car seat inspections in 2012.

• LMH provided post-graduate clinical training for two students

through its annual Pharmacy Residency program.

• LMH supported the Douglas County Community Health Improvement Partnership and other organizations.

• Emergency planning efforts are ongoing to prepare the hospital in the event of a community disaster.

• LMH associates serve on community boards and lend their expertise to community-building activities.

2012 Community Benefits Support LMH Mission

COMMUnityCaring for our

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Summary of Community Benefit Activities (2012)Excluding Unpaid Cost of Medicare and Bad Debt for Period from 1/1/2012 through 12/31/2012

Persons Total offsetting Net Served Expenses Revenue Benefit

Estimated Cost of Charity Care 10,057 $3,808,058 $0 $3,808,058

Unpaid Cost of Medicaid 19,992 $12,438,676 $8,300,496 $4,138,180

Community Health Improvement 17,607 $168,607 $30,554 $138,053

Health Professions Education N/A $170,830 $0 $170,830

Subsidized Health Services 142 $306,379 $9,189 $297,190

Financial & In-Kind Contributions 2,481 $123,860 $0 $123,860

Community Building Activities 301 $22,379 $0 $22,379

Community Benefits Total 50,580 $17,038,789 $8,340,239 $8,698,550

Community benefits are defined as programs or activities that:

1 Address identified community needs2 Are not provided for marketing purposes3 Meet at least one of these objectives: • Improve access to health services • Enhance community health • Advance medical knowledge • Demonstrate charitable purpose

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LMH’s Credit Rating Gets an Upgrade

FinanCial strenGtHFurthering our

In 2012 LMH became one of the smallest hospitals in the U.S. to receive an A1 long-term bond rating by Moody’s Investors Service. Because most A1-rated hospitals have operating incomes four times greater than LMH, this upgrade is a true testament to the hospital’s financial stability and staying power. As noted by Moody’s, reasons for the A1 rating include:

• LMH’s dominant market position in a favorable area• LMH’s strong operating results with 12 years of increasing cash flow growthIn an article for WellCommons, LMH Board Treasurer Chuck Heath said, “Moody’s always told us that A1 probably

isn’t going to happen for LMH because of the size, but the numbers and the accomplishments were too good for them to ignore.”

On June 28, 2013, Moody’s again affirmed the hospital’s A1 rating with a stable outlook.

2012 2011

revenueGross patient service revenue $462,777,576 $425,898,266

Revenue deductions (Medicare, Medicaid and other discounts) (261,596,797) (233,210,422)

Charity care (12,595,000) (10,505,000)

Net patient service revenues 188,585,779 182,182,844

Provision for uncollectible accounts (18,227,600) (19,045,700)

170,358,179 163,137,144

Other operating revenue 4,712,105 3,001,077

Net operating revenue $175,070,284 $166,138,221

expensesSalaries 69,793,488 64,988,245

Employee benefits 15,347,433 13,625,988

Medical professional fees 15,127,314 13,877,896

Purchased services 7,681,699 8,591,619

Supplies 28,942,103 27,669,564

Utilities 2,555,070 2,387,044

Miscellaneous expense 1,251,238 1,017,307

Kansas provider tax assessment 663,204 530,881

Repairs and maintenance 7,664,090 6,900,786

Depreciation and amortization 10,748,998 10,265,823

Loss on sale or disposal of property 226,425 4,981

Insurance 802,499 837,110

Other capital costs 2,663,516 2,324,354

Interest 3,490,763 3,573,003

Total expenses $166,957,840 $156,594,601

operating income available for facility improvements, new equipment and services to meet the health care needs of the community

$8,112,444 $9,543,620

additions to Capital assets: Construction, equipment purchases and facility improvements

$11,282,976 $14,081,355

Financial Highlights

Board of TrusteesAllen Belot, ChairpersonMike Wildgen, Vice ChairpersonJane Blocher, SecretaryChuck Heath, TreasurerRob ChestnutJoe FlanneryGina Pacumbaba-WatsonLee Reussner, MDCindy YulichCharles Yockey, MD (ex officio)

LMH administrative CouncilGene Meyer, President & Chief Executive OfficerCarolyn Bowmer, Vice President, Human ResourcesKathy Clausing-Willis, Vice President & Chief Development OfficerSheryle D’Amico, Vice President, Physician DivisionJanice Early, Vice President, Marketing & CommunicationsDana R. Hale, Vice President, Nursing ServicesJane A. Maskus, Vice President & Chief Information OfficerJoe Pedley, Vice President & Chief Financial OfficerKaren Shumate, Chief Operating OfficerSherri L. Vaughn, MD, Vice President, Medical Affairs

LMH auxiliary BoardSharon Stultz, PresidentProctor Crow, Vice PresidentMary Freeman, SecretaryShirley Anderson, TreasurerJoanne HurstBev BartscherBob BechtelSuzie CraigReaumur DonnallyProctor CrowDianna NelsonMary Arensberg (ex officio)

Medical executive CommitteeCharles Yockey, MD, Chief of StaffEric Huerter, MD, Vice Chief of StaffJohn Keller, MD, Secretary

department ChiefsStephanie Schmidt, MD, AnesthesiaSabrina Prewett, DO, Emergency MedicineJoy Murphy, MD, Family PracticeMolly Imber, MD, Internal MedicineTiffinie Mercado, MD, OB-GYNMichael Thompson, MD, PathologyMarshall Kelley, MD, PediatricsRobert Knight, MD, RadiologyDouglas Klingler, MD, SurgeryScott Solcher, MD (ex officio)

Lawrence Memorial Hospital endowment association Board of directorsKurt von Achen, PresidentMarilyn Dobski, Vice PresidentTed Haggart, TreasurerVal Stella, SecretaryCarla Phipps, MD, Past PresidentDale Denning, MDJon Heeb, MDKelli Henderson, DDSMatt HoyStarla JonesTeresa Mulinazzi KempfShade Keys LittleRita (Peach) MadlJeff MorrisonDick Orchard, MDDoris RicksBeverly RoelofsJean Shepherd

Ex OfficioGene Meyer, LMH President & CEOCindy Yulich, LMH Board of TrusteesSharon Stultz, LMH Auxiliary Board of DirectorsKathy Clausing-Willis, LMH Vice President & Chief Development Officer

BACK ROW: Joe Flannery, Jane Blocher, Dr. Charles Yockey, Rob Chestnut, Chuck Heath, Dr. Lee Reussner FRONT ROW: Allen Belot, Gina Pacumbaba-Watson, Mike Wildgen, Cindy Yulich

16

lMH leadersHiP

Lawrence Memorial Hospital (LMH) is a 173-bed, not-for-profit health care provider serving a regional market in northeast Kansas. Supported by 1,300 associates and nearly 250 physicians, LMH is dedicated to the health of its community, as demonstrated in the hospital’s physician expertise, advanced technology and high standards of clinical excellence.

Regularly recognized for quality and service, in 2013 LMH was named among the nation’s 100 Top Hospitals®

by Truven Health Analytics and “100 Great Community Hospitals” by Becker’s Hospital Review. Also in 2013, LMH was recognized for the third consecutive year as a Nation’s “Most Wired” hospital and earned an “A” Hospital Safety ScoreSM by The Leapfrog Group for the second year in a row. In 2012, LMH was honored as a Top Performer on Key Quality Measures™ by The Joint

Commission and named among the “Best Companies to Work For” by Ingram’s Magazine.

LMH is self-funded from its operations, receives no tax support from the City of Lawrence or Douglas County, and serves the community’s health care needs regardless of individuals’ ability to pay. LMH does not discriminate on the basis of race, color, religion, national origin, age, disability, gender or sexual orientation in providing services to patients or the public, nor in relation to employment practices.

Inquiries about this annual report or requests for additional copies should be sent to the Marketing Department, Lawrence Memorial Hospital, 325 Maine, Lawrence, KS 66044, (785) 505-3130.

For more information about LMH, visit www.lmh.org.

325 Maine Street • Lawrence, KS 66044 • 785-505-5000 • www.lmh.org

About Lawrence Memorial Hospital