Mercy 2013 Annual Report | Mercy Medical Center - Des Moines

Mercy Medical center – des MoinesFY 2013 AnnuAl RepoRt to the CommunitY

Message to our coMMunity

mercy medical Center – Des moines has a long history of service to our community. this year, we are honored to join this legacy of care by serving in new leadership roles for the organization. it is our sincere privilege to be a part of the extended mercy Family of talented professionals and dedicated volunteers. together, we work each day to provide the best mercy experience possible for all we are privileged to serve.

Since transitioning to our new roles, we have witnessed amazing patient stories and we are touched by the sacred nature of the work performed at mercy. Whether watching a little boy in our children’s hospital recover against all odds from life-saving cardiac surgery, or witnessing the joy on new parents’ faces as they celebrate the birth of a child, or learning how people previously struggling with debilitating health challenges were given new hope through a five-paired kidney donation chain, it is abundantly clear mercy is a special place.

in this year’s Annual Report to the Community, we are pleased to share a glimpse into that special mercy experience; and, because of you – our community members, patients and guests – we have many reasons to celebrate.

one cause for celebration is the national recognition our mercy Family received for delivering the highest quality health care in the region. CareChex®, a rating service of Comparion®, a national independent health care data organization, recognized mercy as #1 in our market for overall medical Care. in addition, mercy medical Center – Des moines was named one of the nation’s 50 top Cardiovascular hospitals for 2013 by truven health Analytics. For the 14th year in a row, national Research Corporation awarded mercy its 2012/2013 Consumer Choice Award. these honors, among many others, are the result of the tireless efforts of mercy physicians, staff and volunteers working to provide the best mercy experience possible.

As health care providers, our goal is to improve the health of our community, and a key measure to good health is access to quality medical services. We are proud to offer central iowa’s largest multi-specialty physician clinic system, providing convenient, quality care where it is most needed. As demand for our services continues to grow, we expanded our services into additional communities in 2013 – opening primary care clinics in West Des moines and Carlisle, while also welcoming ottumwa Family practice and Specialties Clinics and ottumwa internal medicine north into the mercy Family. in addition, we broke ground on a new clinic in Ankeny, which is scheduled to open next year.

looking ahead to 2014, the mercy medical Center – Des moines Family will continue to celebrate our accomplishments, but most importantly, we will continue our work to refine the mercy experience so every patient and visitor may witness firsthand the values we embrace and the service we provide.

By providing the best mercy experience possible, we fulfill the sacred mission set forth by the Sisters of mercy in 1893 – to live our values of reverence, integrity, compassion and excellence in service to others.

may you have a very successful 2014, filled with blessings, good health and happiness. it is our pleasure to serve mercy and to share our Annual Report to our Community on behalf of the mercy Family.

Suku RadiaChair, Board of Directors

Robert p. Ritzpresident

Mercy Medical Center – Des Moines 2013 Annual Report to the Community2

at Mercy Medical center – des Moines

we celebrate for many reasons.


Mercy Women & infants center celebrated the birth of 4,835 new babies in fiscal year 2013. thankfully, most of these babies entered the world full-term and healthy. When complications do arise, mercy’s highly trained experts offer parents peace of mind. When facing high-risk pregnancy or a premature delivery, mercy has the facilities, staff and skills our littlest patients need and deserve.

From our state-of-the-art Variety neonatal intensive Care unit – the most widely-used niCu in the state – to the highly skilled staff of mercy’s perinatal Center of iowa –

specializing in care of high-risk pregnancies – mercy is there, providing compassionate and skillful care.

the staff at mercy medical Center – West lakes celebrated new life for 275 babies in fiscal year 2013 – the largest number of births since the hospital opened in 2009. to help improve the patient experience for expectant parents, a Volunteer Birth Doula program was developed. Since offering this program, birth doulas have assisted in nearly 10 percent of all deliveries at West lakes, helping to reduce the need for pain medications, epidural injections and even Cesarean births.

We celebrate...neW life.


emergencies happen when you least expect them – this is when speed of response and skill can mean the difference between life and death. mercy is prepared to provide emergency care for patients of all ages through our 24/7 emergency Department, staffed by board-certified emergency medicine physicians and trauma surgeons who provide the best possible care for our patients and their family members.

When patients present at the emergency Department with chest pain or symptoms of stroke, it’s good to know that mercy is central iowa’s only hospital with a Joint Commission-certified primary Stroke Center and central iowa’s first Society of Cardiovascular patient Care-accredited Chest pain Center. We stand ready to act quickly, greatly increasing the rate of survival for patients in need.

in the past year, more than 75,000 patients visited the emergency departments at mercy’s central campus and mercy medical Center–West lakes. During this same time period, mercy West lakes introduced central iowa’s first emergency department with specialized care for older adults. With amenities such as pressure-reducing mattresses, reading glasses and magnifying glasses, hearing amplifiers and more, the emergency department is able to meet the needs of older adults requiring specialized care.

patients arrive at mercy’s emergency departments both by land and by air. in october 2012, mercy one – iowa’s fastest air ambulance service – opened its third operating base in Clarinda, iowa. the new aircraft allows mercy to serve patients in southwest iowa, northwest missouri and southeast nebraska. Between the three helicopters, mercy one completed 1,204 flights, saving countless lives in the process.

We celebrate...strength of the huMan spirit.


through our network of primary care physicians, health coaches and mid-level health care providers, our patients are changing their lives for the better each day. We work as a team to help improve quality of life through management and treatment of many chronic conditions – including diabetes, high blood pressure and obesity.

mercy’s commitment to providing convenient access to primary care services continues to be a prominent focus. in october 2012 West Grand medical Associates in West Des moines joined mercy Clinics and became mercy West Grand medical Clinic. Residents in Carlisle and surrounding communities gained better access to mercy’s care when Family practice Clinic, plC, became mercy Carlisle Family practice Clinic in December 2012. in addition mercy ottumwa medical Clinic was

welcomed to the mercy Family, opening in July 2013. mercy Clinics also broke ground for a new clinic in northern Ankeny – mercy Briarwood medical Clinic – scheduled to open in 2014.

expanding clinic locations also means the addition of new primary care physicians and providers to the mercy Family. in the last year, mercy Clinics added 50 new primary care physicians and providers, bringing the total number of primary care physicians and providers at mercy Clinics to 232. As a group, these dedicated medical professionals saw a total of 942,377 patients during the last year.

the delivery of health care services is rapidly changing, providing a great opportunity to improve health and quality of life of the patients and families we serve.

We celebrate...Working together toWard better health.


your loved ones are closest to your heart. our experts are the best equipped to get you back to spending time with the people you love. the integrated service of mercy medical Center – Des moines and iowa heart Center is the largest provider of cardiovascular care in iowa with 50 physicians and 20 mid-level providers serving patients in eight offices throughout the state – Ames, Ankeny, Carroll, Fort Dodge, Des moines, marshalltown, ottumwa and West Des moines. in addition, iowa heart Center brings skilled cardiac care to more iowans through 28 outreach clinics located across the state, where access to advanced care is often limited. We provide the best heart care available, close to home.

iowa heart Center physicians and surgeons see more patients – and perform more procedures each year – than any other physician group in central iowa and are dedicated to providing world-class heart care and disease prevention services to iowans and their families.

our compassionate, dedicated physicians are national leaders in cardiovascular research – evaluating new devices, medications and surgical techniques in clinical trials to offer the most advanced treatment options available to patients. iowa heart Center patients are often among the first to take advantage of new therapies, years before those same therapies are commercially available to patients.

We celebrate...What’s closest to your heart.


at Mercy children’s hospital & clinics (mChC), our littlest patients deserve the very best, which is what our highly-trained specialists and staff deliver. our beautifully designed and child-friendly hospital facility includes all the care and amenities essential for keeping our youngest patients and their families comfortable.

mercy Children’s hospital & Clinics offers state-of-the-art pediatric services – including a specially-equipped 24/7 emergency department, pediatric clinics, pediatric and pediatric intensive care inpatient units, a nationally-

renowned neonatal intensive care unit, and highly-trained specialists in pediatric neurology, psychiatry and rehabilitation.

Additionally, mChC offers experts in several pediatric specialties, including: surgery, gastroenterology, pulmonology, craniofacial surgery, neurosurgery, sleep and cardiothoracic surgery. mercy is the only hospital in central iowa to offer pediatric cardiothoracic surgery, craniofacial surgery and neurosurgery to meet the very specialized needs of young patients in the community.

We celebrate...childhood.


the brain and nervous system are incredibly complex and, when illness or disease strike, patients can count on highly-trained specialists at mercy to provide the best care possible.

mercy Ruan neuroscience Center is central iowa’s leading provider of neurological care. the clinic’s highly trained and experienced staff members work with patients who have neurological disorders – including stroke, dementia, Alzheimer’s, parkinson’s/movement disorders, seizure disorders, multiple Sclerosis (mS) and headache/migraine. our neuroscience nurses provide patient education, along with community education and awareness programs, and are involved with numerous research trials.

mercy medical Center – Des moines is central iowa’s only hospital to receive the Gold Seal of Approval™ and primary Stroke Center certification from the Joint Commission, the nation’s predominant standards-setting and accrediting body in health care. mercy has held this distinguished honor since 2007.

mercy neurosurgery is home to several dedicated physicians, including central iowa’s only pediatric neurosurgeon, central iowa’s only vascular neurosurgeon, a deep brain stimulation surgeon and one of the few complex spinal surgeons in the state.

We celebrate...the aMazing Workings of the huMan brain.


Mercy Medical center – des Moines is steeped in the traditions of foundress Catherine mcAuley and the Sisters of mercy. mother mcAuley set the example for all of us to follow and, still years later, we look to her principles to guide us in loving, compassionate support of our community and the people we serve.

mercy Family members participate in several charitable causes throughout the year, including the annual “Shoes that Fit” campaign and “Combat hunger.” mercy staff members helped provide much-needed clothing to area children, purchasing nearly 700 new winter clothing items – including coats, shoes, boots, jeans, shirts, hats and mittens in the past year. in addition, through the generous donations of time, energy, food and funding,

mercy was able to raise 5,781 pounds of food for the Food Bank of iowa. this donation, in conjunction with citywide Combat hunger efforts, meant thousands of iowa families had food on their tables last winter.

Another generous supporter of mercy services benefiting the community is mercy Auxiliary. mercy’s single largest donor, the Auxiliary has granted more than $8.6 million to the organization since 1948. During this fiscal year, the Auxiliary hit an impressive milestone by welcoming its 2,000th member to the organization. the Auxiliary is 100 percent self-funded and financial support is made possible through patronage at the Auxiliary’s various retail locations – gift shops, the salon and mercy Starbucks – and annual fundraisers.

We celebrate...With purpose and tradition.


this year, Mercy continued to receive recognition for quality care and excellence, both locally and on a national level. A few examples include:

consumers rate Mercy best hospital

For the 14th year in a row, consumers in the Des moines area voted mercy – Des moines the best hospital in terms of overall quality and reputation. As a result, the national Research Corporation (nRC) awarded mercy its prestigious 2012/2013 Consumer Choice Award.

national recognition for Quality care

mercy was again nationally recognized in 2013 for delivering outstanding care in the categories of medical excellence and patient safety by CareChex, a rating service of Comparion, a national independent health care data organization. CareChex® recognized mercy as #1 in our market for overall medical Care, as well as being ranked #1 in our market for:

• GastrointestinalHemorrhage

• HeartFailureCare

• PneumoniaCare

• StrokeCare

• PulmonaryCare

• HipFractureRepair

• MajorBowelProcedures

• NeurologicalCare

CareChex® also recognized mercy in the category of patient Safety. the following areas were recognized as #1 in our market, #1 in the state and in the top 100 in the nation in this category:

• CoronaryBypassSurgery

• GallBladderRemoval

• GastrointestinalHemorrhage

• HeartFailureTreatment

• PneumoniaCare

• StrokeCare

• Women’sHealth

clinics named Model of innovative care

mercy Clinics was among 30 clinics nation-wide recognized by the Robert Wood Johnson Foundation as a “national model of innovative primary Care.”

top cardiovascular hospital

mercy medical Center – Des moines was named one of the nation’s 50 top Cardiovascular hospitals for 2013 by truven health Analytics.

gold Medal transplant services

the mercy transplant Services team was awarded the Department of health and human Services (hhS) medal of honor Award at the Gold medal level. mercy is one of only 22 hospitals across the country selected to receive this award.

cancer center commendation

mercy Cancer Center was recently awarded a three-year commendation from the American College of Surgeons Commission on Cancer (CoC), making it the longest continually-accredited cancer center in Des moines, achieving its first accreditation in 1965.

emergency pharmacy honored

mercy emergency Department pharmacists were honored at the iowa healthcare Collaborative (ihC) Annual Conference on patient Safety in march with an award for innovation and the overall Conference Award for patient Safety.

We celebrate...Quality care and excellence.


physician accolades

dr. rovert hirschl was named to the list of “60 Spine Surgeon inventors to Know,” by “Becker’s Spine Review” – a Chicago-based publication focusing on spine and pain practice management.

dr. bruce hughes, medical director of the multiple Sclerosis Center at Ruan neurology Clinic and physician leader of specialty medicine division, was inducted into the national multiple Sclerosis Society Volunteer hall of Fame.

dr. richard deming, medical director of mercy Cancer Center, was honored as a member of “the one hundred” – a group of 100 individuals and groups honored by massachusetts General hospital Cancer Center for their efforts in the fight against cancer.

Dr. Deming was recognized for his dedication to the improvement of cancer care and his development of Above+Beyond Cancer.

dr. gary hemann, co-medical director of emergency medicine at mercy medical Center – Des moines, was presented with a Governor’s office of Drug Control policy iDeA award, in recognition of his innovation, Determination and excellence in Action to reduce substance abuse.

dr. cass franklin, medical director of mercy transplant Center, was honored by the national Kidney Foundation of iowa for his many years of dedication and service to organ donation and transplant work in the community.

Quality care and excellence.


many dedicated community members make a vital contribution to mercy and work in numerous areas of our organization. From delivering cards and flowers to patients, to serving on our boards, our community volunteers are an important part of the mercy experience. together, we work to improve the health of the communities we serve.

board of directors Mercy Medical center – des MoinesRobert p. Ritz, presidentDavid h. Vellinga, CeoSuku Radia, ChairKevin l. prust, Vice ChairSharon Krause, Secretary

MembersSteven G. ChapmanBeth CrossKyle S. Galles, m.D.Joseph C. GarciaCorita heid, R.S.m.Daniel J. houstonKerty levyDolores preisinger, R.S.m.michael J. Rowanmark tannenbaum, m.D.William C. Young, m.D.

ex-officio MembersRichard l. Deming, m.D.Robert n. Smith, D.o.

We celebrate...dedicated professionals and volunteers.


Memberships and affiliations

mercy is a member of Catholic health initiatives (Chi), headquartered in englewood, Colo., and is also a member of mercy health network – an integrated system of hospitals and health care facilities created through a partnership between Catholic health initiatives and Che-trinity, headquartered in livonia, mich.

Ministries

in addition to operating the state’s largest medical center, mercy has several important ministries:

senior services:

• bishop drumm retirement center (BDRC) is a continuing care retirement community offering multiple levels of care on the same campus. BDRC includes Bishop Drumm Care Center, margery Court Alzheimer’s Care unit, martina place Assisted living, and mcAuley terrace independent living. For more information, visit www.mercydesmoines.org/bishopdrumm.

• Mercy park apartments offer senior living apartments near mercy medical Center – Des moines’ central campus. For more information, visit www.mercydesmoines.org/mercy_park/apartments.cfm.

Mercy hospice offers comfort, dignity and quality care to individuals and families facing life-limiting illness. the focus of hospice care is not to cure disease, but to keep pain and other symptoms controlled. mercy hospice offers many specialized services designed to improve the quality of life for patients, their caregivers and loved ones. For more information, visit www.mercydesmoines.org/hospice.

house of Mercy is dedicated to assisting women and children who are at risk or in some of the most difficult circumstances of life: homeless, drug-addicted, in abusive relationships, pregnant and/or parenting. the house of mercy helps these adolescent and adult women develop personal responsibility and independence through counseling, education and medical care in collaboration with other caring professionals. it is one of iowa’s largest providers of transitional housing and clinical services for these women and their children. For more information, visit www.mercydesmoines.org/houseofmercy.

Mercy auxiliary of central iowa supports patient care programs and services of mercy medical Center – Des moines and its affiliates. Founded in 1948, the Auxiliary is fully self-funded. Financial support is made possible in part by the success of Auxiliary gift shops, salon and mercy Starbucks. All of the Auxiliary services are staffed by generous men and women who volunteer their time to help others. For more information, call (515) 247-3247.

About Mercy


Mercy clinics provide a full range of outpatient health care services at six urgent care clinics and more than 50 family practice and specialty clinics located throughout Central iowa. As the largest physician group practice in iowa, mercy Clinics has approximately 600 employed physicians and mid-level providers. it has been nationally-recognized for leadership in improving primary care services for patients with chronic diseases, and for establishing strong bonds between clinic staff and patients, to assist people in achieving and maintaining their optimum health. Specialty groups within mercy Clinics are widely recognized as the best in iowa in their respective fields. For more information, visit www.mercyclinicsdesmoines.org.

Mercy aco is made up of a team of health care providers working together to coordinate patient care. mercy ACo (Accountable Care organization) combines the entire range of patient care – primary care doctors, specialists, hospitals and home health services – in an effort to realize greater efficiencies and lower the out- of-pocket costs for patients. For more information, visit www.mercydesmoines.org/aco.

outpatient services at mercy are offered at convenient locations throughout the Des moines metro area. these include four ambulatory surgery centers, two Cancer Centers, several physical, speech and occupational rehabilitation facilites, cardiovascular testing at iowa heart Center, medical imaging centers, retail pharmacies, and many more.

home health services are provided through a partnership with Consolidated health Services (ChS). mercy offers home health care services and medical supply services such as respiratory supplies and durable medical equipment. For more information, visit www.mercydesmoines.org/homecare.

Mercy college of health sciences is a fully-accredited four-year college and a national leader for excellence in the delivery and innovation of health sciences education. the College offers a wide array of degree and certificate programs to educate and train future health care providers. more than 900 students attend annually. in the most recent reporting period, more than 97 percent of nursing graduates passed their licensing examinations. For more information, visit www.mchs.edu.

Mercy foundation is the preferred channel of giving to programs and services offered by mercy and its mission initiatives. led by a volunteer Board of Directors, the Foundation raises money from generous donors for critically-important capital projects, scholarship programs and many other needs of patients and professionals at mercy. For more information, visit www.mercydesmoines.org/foundation.

Mercy Medical center – centerville is southern iowa’s premier rural hospital, serving Centerville and Appanoose County for more than 90 years. mercy – Centerville is a fully-accredited, full-service community hospital. For more information, visit www.mercycenterville.org.

the yMca – healthy living center is a partnership between mercy and the YmCA. located in Clive, the healthy living Center has become a national model for integrating medical services, rehabilitation and physical fitness. Whether exercising for fun, in a program to lose weight and improve health, or recovering from an injury or surgery, the healthy living Center has all the equipment and health care expertise needed for a person to be successful – and all located in a spectacular facility. For more information, visit www.ymcahealthylivingcenter.com.

about Mercy


hospital services

mercy is an 802-bed not-for-profit Catholic hospital situated on three campuses (Central Campus, mercy Franklin Center and mercy medical Center – West lakes).

mercy medical Center – Des moines is iowa’s largest and most highly acclaimed medical center. in recent years mercy has received dozens of national honors for quality and patient safety from both clinical data organizations, such as Comparion® and healthGrades®, and consumer publications such as Forbes and u.S. news & World Report.

Founded by the Sisters of mercy in 1893, mercy is the longest continually operating hospital in Des moines. more than one out of every 10 iowans turns to mercy when needing hospital care – more than to any other hospital in the state. mercy is committed to providing the best medical, emotional and spiritual care available to patients and their loved ones. this is evidenced by a long list of services offered first, or only, at mercy.

Mercy health network – central iowa

Fifteen of iowa’s community hospitals – from Clarinda to Bloomfield and from Webster City to Centerville – have chosen to affiliate with mercy – Des moines. through contracted relationships, mercy provides management and support services to these federally-designated Critical Access hospitals. these hospitals work together to share best practices and process improvements, to improve quality and service while lowering the costs of care.

the Mercy family

With more than 6,900 staff members and a medical staff of more than 1,000 physicians and allied health professionals, mercy is one of the state’s largest employers and one of the midwest’s largest referral centers.

areas of excellence

mercy’s areas of excellence include cancer services, heart and vascular services, neurology and neurosurgery, emergency medicine, orthopedics and rehabilitation, gastroenterology, diabetes and endocrinology, medical imaging, mother-baby services, pediatrics, weight loss and nutrition services, general surgery and a wide array of other specialty and outpatient services.

about Mercy

fiscal year 2013: by the numbers

total admits (adults, children and newborns) . . . . .36,147

total newborns . . . . . . . . . . . . . . . . . . . . . . . . . . . .5,153

outpatient visits . . . . . . . . . . . . . . . . . . . . . . . . . 267,717

Surgeries (procedures) . . . . . . . . . . . . . . . . . . . . . 20,034

Cath lab procedures . . . . . . . . . . . . . . . . . . . . . . 9,546

medical imaging procedures . . . . . . . . . . . . . . .247,201

laboratory procedures . . . . . . . . . . . . . . . . . 2,824,129

emergency Department visits . . . . . . . . . . . . . . 75,023

mercy Clinics patient visits . . . . . . . . . . . . . . . 942,377

learn MoreIf you would like more information about any Mercy services, please contact us.

Mercy Medical center – des Moines 1111 6th Ave., Des moines, iowa 50314 (515) 247-3121 (main line/Switchboard) (515) 247-3050 (public Relations & marketing) www.mercydesmoines.org

If you would like a physician referral or have a health question, please contact the Mercy Nurse at (515) 2-HEALTH (243-2584).

Mercy Health Network – Central Iowa

Management Contract Affiliate with Critical Access CAH Owned Affiliate

Effective 9/01/2002

Manning Regional Healthcare Center

Mount Ayr

Audubon County Memorial Hospital

Adair County Health System

Manning

Greenfield

Wayne County Hospital

Webster City

Audubon

Albia Corydon Centerville

Van Diest Medical Center

Monroe County Hospital & Clinics

Bloomfield Davis County Hospital

Mercy Medical Center - DM

Mercy Medical Center - Centerville

Madison County Health Care System

Winterset

Leon Decatur County Hospital

Clarinda Regional Health Center Ringgold County Hospital

Clarinda

Critical Access Agreement

Boone County Hospital Boone

Dallas County Hospital

Perry

Grinnell Regional Medical Center

Affiliate Non-Critical Access Revised 7-2-2013

Knoxville Knoxville Hospital & Clinics


Mercy Medical center – des Moinesrevenues

patient Service Revenues . . . . . . . . . . . . . $806,475,000

other Revenues . . . . . . . . . . . . . . . . . . . . . . $65,823,000

total Revenues . . . . . . . . . . . . . . . . . . . . . . $872,298,000

expenses

operating expenses . . . . . . . . . . . . . . . . . $878,537,000

investments

investment earnings . . . . . . . . . . . . . . . . . . $30,708,000

Revenues over expenses . . . . . . . . . . . . . . $24,469,000

assets

Current Assets (total) . . . . . . . . . . . . . . . . . $177,225,000

net property, plant and equipment . . . . . $358,574,000

other Assets . . . . . . . . . . . . . . . . . . . . . . . . $363,900,000

total Assets . . . . . . . . . . . . . . . . . . . . . . . . $899,699,000

liabilities

total liabilities . . . . . . . . . . . . . . . . . . . . . . $225,532,000

total liabilities and Fund Balance . . . . . . $899,699,000

community benefit data

Cost of Charity Care . . . . . . . . . . . . . . . . . . . $6,897,000

Cost of uncompensated medicaid . . . . . . . $21,096,000

Community education and outreach, medical education Services, Subsidized health Services, Donations and other Community health-building Activities . . . . . $2,752,000

total Community Benefit . . . . . . . . . . . . . . $30,745,000

Cost of uncompensated medicare . . . . . . . . $27,752,000

Financial Reportfiscal year 2013 (July 1, 2012 - June 30, 2013)


Mercy 2013 Annual Report | Mercy Medical Center - Des Moines

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