2014 YEAR IN REVIEW. Achievements

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1 2014 YEAR IN REVIEW Achievements

2 MISSION We demonstrate God s care by improving the health of people and communities through a ministry of physical, mental and spiritual healing. VISION A leading resource for innovative patient-centered health care.

3 MESSAGE FROM the President I m pleased to share this annual report of Hackettstown Regional Medical Center s 2014 accomplishments and statistics. It was a challenging year in many respects, but a rewarding year, as well. We continue to cherish our deep roots in this community and, as always, we remain dedicated to providing state-of-the-art technology, coupled with the compassionate, personal, quality health care that patients have come to expect from Hackettstown Regional Medical Center. Since 2012, we have been in the process of pursuing a transfer of ownership from our current Maryland-based health care system to a New Jersey-based system. The healthcare landscape in our state is rapidly changing and now, more than ever, smaller hospitals like HRMC are finding it progressively more difficult to meet the increasing needs and demands of a diverse population and still remain viable. We look forward to the opportunities and benefits for patients that will come from being part of a New Jersey-based health care system. Amidst the business of the transaction, we continue to strive to offer the most progressive, safe and high quality health care possible. In 2014, we made an even deeper impact in the community in areas such as stroke treatment, joint replacement, wound care and diabetes management programs, just to name a few examples. In addition, we are ahead of the curve in our conversion to Electronic Medical Records and now offer a secure, private Patient Portal, enabling patients to be even more proactive in managing their health. We are fortunate to have an interested and engaged community and region. Many generous donors have contributed to HRMC s success and technological progress via donations to HRMC s Foundation. HRMC began as a hospital built by the community and we still stand strong as a result of that continued pride and commitment. Please read on for more specifics of Hackettstown Regional Medical Center s accomplishments and challenges in Our continued thanks to you and your neighbors for your interest and support of our mission and vision. Jason C. Coe, M.B.A. President 3

4 Active Accreditations, Awards and Recognitions in 2014 Joint Commission Certificate of Distinction Accreditation Primary Stroke Center Joint Commission Certificates of Distinction Accreditation Joint Replacement Center (Knee and Hip) Joint Commission Hospital Accreditation College of American Pathology Accreditation Clinical Laboratory American College of Radiology Accreditation C/T Services, Mammography, Nuclear Medicine, PET and Ultrasound American Academy of Sleep Medicine Accreditation Sleep Disorders Center American Association for Respiratory Care Recognition for Quality of Respiratory Care Top 15% of All Hospitals (fifth consecutive year) Named a 2013 Top Performer in Key Quality Measures by The Joint Commission for Heart Attack, Heart Failure, Pneumonia and Surgical Care HRMC Foundation 2014 HIGHLIGHTS 15th Annual Radio Auction 256 auction packages were available for bid. Net proceeds of $28,400 were designated for the Therapy Center at HRMC. 28th Annual Golf Classic 118 golfers participated. Net proceeds of $57,000 were designated for the purchase of a new C-Arm (mobile digital X-ray equipment) for HRMC. 12th Annual Joan Knechel Memorial Walk Over 500 walkers participated. Net proceeds of $63,000 were raised and designated for the Joan Knechel Cancer Center at HRMC. HRMC Foundation Gala Physician Honoree Dr. Mohsin Raza and Community Honoree Jim Travis, were recognized for their contributions to HRMC and the community. Over 340 guests attended the November 2014 event, and net proceeds of over $100,000 were designated for the purchase of a new C-Arm (mobile digital X-ray equipment) for HRMC. HRMC was Beneficiary of Historical Gift in 2014 In August 2014, Hackettstown Regional Medical Center was notified that it was one of a number of remainder beneficiaries of the estate of Vincent and Margaret Ward. The amount to be distributed to HRMC will ultimately be nearly $2 million, the largest single cash gift ever received by the Medical Center. The majority of the funds will come from two Trusts that Vincent Ward had established in 1987, four years prior to his death. In addition, the Medical Center received a significant gift as a result of a separate bequest included in Margaret Ward s Will. The sum of all donations given in 2014 to the HRMC Foundation and Hackettstown Regional Medical Center, was $1,432,911 (including a partial distribution of funds from the Ward Trust). The majority of funds donated were used to purchase a new C-Arm (mobile digital X-ray equipment). Funds were also used to support the Joan Knechel Cancer Center, Therapy Center, Emergency Department, Cardiology, Surgical Services, and Diagnostic Imaging departments at HRMC. 4 The HRMC Foundation appreciates and thanks all of our generous donors for their ongoing support of HRMC!

5 Several of HRMC s nursing leaders. A patient donation in use in HRMC s Infusion Therapy Center Longtime nurse Maureen Foley (right) celebrated 40 years at HRMC in 2014! HRMC s first birth of 2014! HRMC s Cardiopulmonary Department once again named a Top Performer in respiratory care. Progressive new therapy techniques being utilized in HRMC s Therapy Center. HRMC s 2014 Foundation Gala Honorees Jim Travis and Dr. Mohsin Raza. The 2014 Joan Knechel Memorial Walk steps off. Continually educating the community. 5

6 MEDICAL Programs and Services EMERGENCY MEDICAL SERVICES Ambulance transportation to and from the Medical Center Van transportation for medical appointments to and from the Joan Knechel Cancer Center, Therapy Center and the Wound Healing Center 911 Contracted Services HOSPITALISTS Since your primary care physician cannot be here 24/7, HRMC provides physician hospitalists around the clock. A physician hospitalist is a specialist in the field of internal medicine who focuses exclusively on inpatient care. JOAN KNECHEL CANCER CENTER (908) Full-time Radiation Oncologist Radiation Therapy IMRT (Intensity Modulated Radiation Therapy) PET/CT (diagnosis and treatment planning) Chemotherapy/Infusion Therapy with a dedicated Outpatient Infusion Therapy Suite NUTRITIONAL SERVICES (908) Inpatient and outpatient counseling Individualized plans 6 LABORATORY/PATHOLOGY (908) /7 laboratory services for ED and inpatients Outpatient walk-in blood draw site daily (including evening and Saturday hours) Therapeutic phlebotomy service Full-time pathology service PEDIATRIC SERVICES (908) Diagnostic Imaging T.C. Kids Occupational therapy Speech therapy Physical therapy Audiology SLEEP DISORDERS CENTER (908) Adults and pediatrics SURGICAL SERVICES AND MINOR PROCEDURES (908) Surgical Breast biopsy and reconstruction Ear, nose, throat and sinus General laparoscopic Gastric banding Gynecology Microdiscectomy Neurosurgery Ophthalmology Orthopedic (incl. joint replacement and spine) Orthopedic sports medicine Oral (TMJ & pediatric reconstructive) Plastic Surgery Podiatry Urology Vascular Minor Procedures Colonoscopy Capsule Endoscopy Laser Eye Surgery Lithotripsy Stereotactic biopsies Endoscopy Vascular Lab Minor surgical procedures Pain management TOTAL JOINT CENTER (908) THERAPY CENTER (908) Cardiac rehabilitation Occupational therapy Physical therapy Speech therapy Audiology Get Fit! Fitness Program T.C. KIDS offers specialized programs for children, including: Occupational therapy Physical therapy Speech therapy Audiology

7 VASCULAR LAB (908) Diagnostic testing Therapeutic treatment Treatment for blockage in peripheral arteries Balloon Angioplasty Stenting in arteries outside the heart Carotid artery diagnosis Cryoplasty WOUND HEALING CENTER (908) Comprehensive medical and debridement treatment for chronic wounds Hyperbaric oxygen therapy Negative pressure therapy Other Services Include: 24/7 EMERGENCY CARE (908) Eight ED physicians; two ED physicians are on site from 11 am 11 pm 12 private rooms, including rooms specially equipped for cardiac and stroke patients, and one semiprivate room for orthopedic patients Teleneurology Affiliated with New Jersey-based tertiary care facilities Helicopter pad located near ED entrance Fast track for minor injuries and illnesses ADVANCED DIAGNOSTIC IMAGING (908) CT-16 Bone density scanning Digital radiography Digital fluoroscopy Digital mammography Nuclear medicine PET/CT 3D and 4D ultrasound 3T MRI CARDIOPULMONARY (908) EKG Nuclear stress testing Pacemaker clinic Tilt table testing Pulmonary function testing Arterial blood gas analysis Holter heart monitoring Pulmonary rehab CHF support group CENTER FOR HEALTHIER LIVING (908) Childbirth education classes Corporate health programs Health education and screenings Job physical/fitness capability evaluation Wellness education (on- and off-site) HealthLink senior programs CHILDBIRTH FAMILY CENTER (908) Private and spacious LDR (Labor, Delivery, Recovery) rooms 24-hour rooming-in for babies to enhance parenting skills Specially designed rooms with Jacuzzi tub for both labor pain management and water birth option COUNSELING & ADDICTION CENTER (908) Intensive outpatient day and evening programs Adolescent outpatient programs Individual and group therapy Family education and support group DIABETES CARE (908) Screenings Diabetes education and management Support group Nutrition education 7

8 COMMITMENT TO Quality and Patient Safety Quality is more than just a word. Quality is a commitment to our patients. HRMC continues to apply and monitor evidence-based initiatives in pursuit of zero [0] hospital-acquired infections (HAIs). The hospital-wide HAI rate steadily declined and remains low, regardless of variations in patient volume. The culture of maintaining zero HAIs is nurtured through emphasis on: Hand hygiene practices Washing hands before and after every patient Washing hands before putting on gloves and after taking off gloves Using soap and water to wash hands when needed Evidence-based practice with devices and procedures Maintaining and removing (as soon as possible): Urinary catheters Central IV lines Ventilators Proper and aggressive isolation practices Proper use of protective equipment: gowns, gloves, goggles, masks Special cleaning of rooms used for isolation Antimicrobial stewardship Ordering antibiotics only if needed Ordering the correct antibiotics to treat the infection Stopping antibiotics as soon as possible Educating patients about infection prevention HRMC has consistently improved in providing key treatments (core measures), which research shows are best for patients with certain conditions. Hackettstown Regional Medical Center s OVERALL PERFORMANCE SCORE of 99.66% for 2014 ranks among the top performing 5% of hospitals in the U.S. CORE MEASURES National Comparison* HRMC Top 25% Top 10% Top 5% 2014 of Hospitals of Hospitals of Hospitals Acute Myocardial Infarction [AMI] 100% 99.84% 100% 100% Pneumonia [PN] 100% 99.02% 100% 100% Congestive Heart Failure [CHF] 100% 99.76% 100% 100% Surgical Care Improvement Project [SCIP] 99.57% 99.52% 99.82% 99.95% Overall Performance: (all above measures combined) 99.66% 98.46% 99.07% 99.38% *Source: whynotthebest.org Data period: July 2013 through June

9 HOSPITAL Statistics Number of Beds (without Nursery) Patient Days... 16,638 Average Length of Stay Number of Births Total Admissions (without Newborns)... 3,557 Emergency Department Total Visits... 19,719 Same Day Surgery & Minor Procedures... 4,018 (Minor Procedures include minor surgeries, endoscopy, colonoscopy, bronchoscopy, EGD, stereotactic breast biopsies, eye surgeries and laser procedures, lithotripsy, etc.) Diagnostic Imaging CT Scanner Procedures... 10,205 Mammogram Procedures... 5,173 Nuclear Medicine Procedures... 1,242 Radiology Procedures... 22,116 Ultrasound Procedures... 10,704 Cardiopulmonary Cardiovascular Visits... 13,695 Respiratory/Pulmonary Procedures... 26,894 Therapy Center Fitness Center Visits... 19,844 Cardiopulmonary Cardiac Rehab Visits... 4,664 Physical Therapy Procedures... 28,228 Speech Therapy Procedures... 2,539 Occupational Therapy Procedures... 8,202 Corporate Health... 1,337 Sleep Disorders Center Wound Healing Center... 2,971 Hyperbaric Oxygen Therapy... 3,667 Radiation Oncology Treatments... 6,004 PET Procedures Center for Healthier Living Education, Health and Wellness Services... 5,072 Cost of Education & Screenings... $425,725 Total Physicians/Providers on Staff During Attending Professional Staff... 1 Consulting Staff Allied Health Professionals Community... 6 Courtesy... 6 Nurses on Staff (Total) Full-Time Part-Time Per Diem Number of Employees (Total) Full-Time Part-Time Per Diem Volunteers Auxiliary Members Financial Information 2014 OPERATING EXPENSES... $90,387, LOSS FROM OPERATIONS... $(1,574,898) 9

10 COMMUNITY BENEFIT Report Hackettstown Regional Medical Center is extremely proud of our four decades of service to Warren, Morris, Hunterdon and Sussex counties. We are committed to responding to community health needs in the spirit of our organizational mission. HRMC was founded through the grass roots efforts of members of our community. It is in appreciation of our founders that we consider our hospital to be a good community citizen. Today, the Internal Revenue Service and the State of New Jersey require that hospitals provide a report of the contributions we make to the community. Education, Wellness Screenings, Programs and Services Offered through HRMC s Center for Healthier Living Senior Programs Health Seminars Health Screenings Technology Classes (computers and cell phones) Back in Time History Series Arthritis Exercise Classes Tai Chi for seniors with arthritis AARP Safe Driving Courses Social Events Holiday Party Prenatal Classes Childbirth Education Breast Feeding Classes Baby Care Classes New Moms Support Group Sibling Classes CPR and First Aid Classes Lifeline Emergency Response System Vaccinations Pneumonia Seasonal Flu Community Education Diabetes Management Radio Program Healthier Living Health Seminars Health Screenings Blood Pressure Lipid Profile Osteoporosis Diabetes Stroke Prostate Cancer Skin Cancer Colorectal Cancer Body Mass Index Snoring Peripheral Artery Disease Family Education on Addiction Support Groups Cancer Diabetes Better Breathers Addiction CHF 10

11 COMMUNITY BENEFIT Data 2014 YEAR IN REVIEW Charity Care provided to the community $ 783,344 Unreimbursed costs of Medicaid program $ 838,608 Community Health Services $ 915,347 Health Professions Education $ 278,146 Community Health Research $ 53,702 Financial and In-Kind Contributions $ Community Benefits Operations $ 3,343 $2,924,783* 2014 TOTAL SERVICES PROVIDED Total number of people served through community benefit programs (screenings, programs, classes, support groups, vaccinations, and health professions education): 9,665 *NOTE: In 2014 HRMC provided an additional $18.2 million in uncompensated care attributable to Medicare shortfalls and Bad Debt. Community benefit activities include indirect costs for

12 651 Willow Grove Street Hackettstown NJ (908)