Marshall City CouncilJanuary 15, 2013Mary Maertens, President & CEO

Yearly Update

Background• One of six regional Avera facilities• 25-bed critical access hospital• 76-bed long-term care facility• Emergency care center – level 3 trauma designation• Behavioral Health Center opened in July 2007• Outpatient services center• Avera Medical Group clinics• Management agreement with Avera in 2004 and

renamed Avera Marshall Regional Medical Center• Became an Avera sponsored facility in Nov. 2009

Mission

Avera Marshall is a health ministry rooted in

the Gospel. Our mission is to make a

positive impact in the lives and health of

persons and communities by providing

quality services guided by Christian values.

VisionAvera Marshall will be the leading provider of high quality health care services for the region.• Ministry: Avera Marshall participates in the healing ministry

of Jesus.• People: Avera Marshall will be the partner of choice for

employees, physicians and communities.• Service: Avera Marshall will exceed the expectations of our

customers.• Quality: Avera Marshall will lead the industry in clinical

performance and innovative care delivery redesign.• Financial Stewardship: Avera Marshall will achieve growth in

our markets and maintain financial security.

Ministry• Chaplain hired• Mission leadership

development• Mission for staff• Ethics committee• Esther’s Kitchen• Sponsor families at

Christmas through Human Services

MinistryCommunity Health Needs AssessmentRecommendations• Partner to meet additional mental

health needs• Enhance cancer services• Continue recruitment of medical

professionals• Consider additional services for

aging population• Collaborate to address

transportation gaps• Collaborate to address unmet basic

needs

People

•Studer Group improvement initiatives•Employee Engagement efforts•Community leader – involvement in community activities and initiatives

•Support of new BSN program at Southwest Minnesota State University

People•First Avera Medical Group Scholarship•N. Ben Weiner •Scholarship for employees•Tough Enough to Wear Pink campaign•Growth in employee giving to Avera Marshall Foundation

Service• HCAHPS (patient satisfaction

survey)• 100% of short-stay rehab

residents would recommend Avera Morningside Heights to others (September 2012)

• Race Against Breast Cancer

Service• New services: stereotactic breast

biopsy, family medicine, podiatry, Lasik vision correction, palliative medicine, medical weight management

• Growth of Avera Medical Group• One provider in 2005• 25 providers today in 12 specialties

ServiceNew medical providers since January 2012

Family Medicine

Hospital Medicine Podiatry General Surgery Psychiatry

Amy Nicolas, CNP Melissa Scotting, CNP Theresa Bly, CNP Jane Hartman, DO

Justin Hartman, DO Alissa Redding, DPM Traci Kruse, MD Rochelle Stark, MD William Del Monte, MD

2013 Priorities• Orthopedics• Internal Medicine• Pediatrics• Family Medicine• Psychiatry• Hospital Medicine• Emergency Medicine

Physician Recruitment

Quality

Quality

• Clinical Pharmacy Services – anti-coagulation therapy, medication therapy management

• Blue Ribbon in Minnesota Department of Health FluSafe – 100% of staff immunized against influenza

• Focus on clinical performance

Financial Stewardship

2006 2007 2008 2009 2010 2011 2012

$32M

$38.9M

$58.9M

$63.8M

$70.3M

$84.7M

$92.5M

$23.4M$27.3M

$41M$43.4M

$45.2M

$53.3M$57.9M

Avera Marshall Revenue

Gross Revenue Net Patient Revenue

Financial StewardshipFootprint Growth

2007

2013

FutureAvera Cancer Institute Marshall• Quality cancer treatment nearby home• Radiation therapy

– in addition to chemotherapy, surgery, on-site CT and MRI, dietitian consultation, home medical equipment

• Estimated cost $12.5-13.5 million– Portion of needed funds coming from sale of

medical center to Avera in 2009

Comprehensive Cancer Care in Our Region

TreatmentCurrent in Marshall

Proposed

Chemotherapy Provided Included with opportunity to grow with expanded space

Radiation Therapy No Yes Breast Cancer No Yes Lung Cancer No Yes Prostate Cancer No Yes Rectal Cancer No YesOther cancers which may receive radiation oncology here:

No Yes

Skin cancers Lymphomas (Hodgkin's and Non-Hodgkin's) Sarcomas Cervical & Uterine Head & Neck cancersPalliative Radiation Therapy No Yes

Other Services     Patient Navigator No Yes Research Coordinator Access in Sioux

FallsOn Site

Multidisciplinary Treatment Planning

Via phone or by going to Sioux Falls

On Site

Identified Target Market