IMPact. Centerpoint Special edition July 2015. our. on our local economy. How DMH Impacts Our Local Economy. Leading Health Care Transformation

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Centerpoint Special edition July 2015 our IMPact on our local economy INSIDE THIS ISSUE How DMH Impacts Our Local Economy Leading Health Care Transformation The New DMH ER Experience d m h c a r e s a b o u t y o u r h e a l t h

As a community hospital, Decatur Memorial Hospital plays a critical role as health care providers; working every day to ensure the health and wellness of area residents. We have an unwavering focus on cost efficiency and delivering the highest quality health care with the best outcomes. With this also comes a great responsibility that we take to heart we embrace the importance of our fiscal role in maintaining and boosting the local and state economy. Even in an already weak economic environment with high unemployment rates, Illinois health care jobs have risen more than 26 percent in the last fifteen years. That equates to 127,600 jobs. Decatur Memorial Hospital is one of Decatur s top three employers with more than 1,900 employees. When you translate the dollars earned by what our employees generate, it equates to more than $310 million in economic activity in our community. DMH cares strongly about the financial and personal health of our community and this same value is shared throughout the hospital system, physician network and board of directors. As we look toward tomorrow, we will continue to work together to improve health care and sustain economic influence as we face the challenges of health care reform, decreased reimbursement, an aging population, increased performance measures and budget constraints. Sincerely, Kenneth L. Smithmier President & CEO Decatur Memorial Hospital 2 D e c a t u r m e m o r i a l h o s p i t a l

The Illinois health care sector: A consistent creator of jobs that bolster the middle class Hospitals are a key ingredient to Illinois residents quality of life and to keeping communities healthy and vibrant. Decatur Memorial Hospital is a major contributor to both our local and state economies and to keeping families healthy and secure by providing needed health care services. The data and information contained in this report provide strong evidence that the economic benefit of our hospital on the local and state economies is significant. Hospitals play a critical and irreplaceable role in building healthy communities and a strong economy. Between January 2000 and January 2015 Illinois health care jobs rose +26% 127,600 jobs gained In the same time frame, Illinois employment dropped - 1.5% 89,900 jobs lost Source: Illinois Department of Employment Security, Current Employment Statistics Program, January 2000-January 2015 d m h c a r e s a b o u t y o u r h e a l t h 3

How DMH Contributes to our Economy and Community Decatur Memorial Hospital invests in the health of our community in many ways. We provide essential medical services 24 hours a day, 365 days a year. We provide a variety of innovative, preventive and community services that improve the health of our citizens. An increasingly important way Decatur Memorial Hospital keeps our community healthy is by supporting our local and state economies. We are a vigorous economic engine for our community and for Illinois. This report highlights the significant role Decatur Memorial Hospital plays in our community. It identifies and measures the direct involvement of our hospital in the local and state economy and demonstrates the ripple effect of the dollars the health care sector brings into the community and the jobs it helps create. In addition, it illustrates the ways we provide for a safe, stable and healthy community. Decatur Memorial Hospital contributes significantly to the area s economic health. IN 2014, OUR HOSPITAL HAD AN ESTIMATED TOTAL ECONOMIC IMPACT OF $626,708,884. Decatur Memorial Hospital Total Economic Impact on Our Community* JOBS... 3,780 ECONOMIC IMPACT Payroll... $312,031,643 Goods & Services... $294,245,409 Capital Spending... $20,431,832 DMH offers a variety of health education outreach programs: screenings, health fairs, easy-access vaccination clinics, support services, and more. In 2014: Community Members Served... 23,426 Employee Service Hours... 6,764 Outreach and Education Hours... 1,233 Charity Care and Financial Assistance... $5,425,899 TOTAL IMPACT... $626,708,884 * Through both direct and indirect spending and employment 4 D e c a t u r m e m o r i a l h o s p i t a l

Decatur Memorial Hospital AN ECONOMIC ANCHOR FOR OUR COMMUNITY Providing Well-Paying, Stable Employment Decatur Memorial Hospital employs more than 1,900 people and has a total payroll of $131,365,151. Hospital payroll expenditures serve as an important economic stimulus, creating and supporting jobs throughout the local and state economies. Dollars earned by Decatur Memorial Hospital employees are spent on groceries, clothing, mortgage payments, rent, etc., generating approximately $312,000,000 in economic activity and creating an additional 1,844 jobs for the local and state economy, in addition to the jobs at Decatur Memorial Hospital. Stimulating the Local Economy with Purchases of Goods and Services Decatur Memorial Hospital spends $117,291,339 per year on the goods and services it needs to provide health care for example, medical supplies, electricity for its buildings and food for patients. Funds spent to buy goods and services flow from the hospital to vendors and businesses and then ripple throughout the economy. Dollars spent by Decatur Memorial Hospital generate $294,245,409 for the local and state economy. Building for a Healthier Tomorrow In 2014, Decatur Memorial Hospital spent $8,601,790 on enhancing and updating buildings and on major medical equipment. Capital spending by Decatur Memorial Hospital generates $20,431,832 for the local and state economy per year. d m h c a r e s a b o u t y o u r h e a l t h 5

Leading Health Care Transformation A positive change agent, Decatur Memorial Hospital is on the front lines of a health care transformation, implementing the profound changes of health care reform, and delivering on the promise of better health care for all at a lower cost. Emergency Care Center and CHIC at DMH In 2014, the DMH Emergency Care Center had 45,247 visits. In order to provide primary care services to non-emergent people who have Medicaid or are uninsured, DMH and the Community Health Improvement Center (CHIC) partnered to form a new community access clinic: CHIC at DMH. The clinic, located near the DMH Emergency Care Center, is the first access clinic to be located inside a hospital in Decatur. CHIC at DMH provides the correct level of care at a convenient location improving accessibility and lowering costs, said Timothy D. Stone, Jr., DMH Executive Vice President and Administrator. With this program, DMH is providing Decatur with a very valuable community service gift, says Tanya Andricks, Executive Director, CHIC. Through the partnership with CHIC, DMH is helping people who might not be able to access health care by providing another option for primary care. - Tanya Andricks, Executive Director, CHIC. CHIC is designated as a Federally Qualified Health Center (FQHC). The U.S. Health Resources and Services Administration (HRSA) approve federally qualified health centers (FQHCs) in an effort to provide easier access to care, to help realign resources and to hopefully redirect long-term patterns of access to care. FQHCs must provide care for an underserved area or population. Approximately 22 percent of the population in Macon County is living in poverty according to the most recent statistics from the United States Census Bureau. We re hoping to redirect non-acute patients from the DMH Emergency Care Center and begin changing the way some patients have learned to access health care, Andricks said. Impacting our community CHIC at DMH sees more than 800 patients per month CHIC at DMH is open from 10 a.m. - 8 p.m., Monday through Saturday, and is staffed by one physician or physician assistant, a nurse and a clerical employee. We immediately screen every patient who presents to the Emergency Care Center, says DMH Vice President and Chief Nurse Executive Linda Fahey, RN, DNP. If the patient does not meet the criteria as an emergency patient and if the patient does not have a personal physician, the patient will be given the option to seek care at CHIC at DMH. Patients who opt to be seen in the CHIC at DMH clinic can choose to become a CHIC patient. 6 D e c a t u r m e m o r i a l h o s p i t a l

AN ECONOMIC CATALYST Construction: Construction activity at Decatur Memorial Hospital affects the local economy, from the convenience store located down the street to the insurance agent providing policies for the contractors and other companies working on the project. Construction projects totaling $6,232,283 are currently underway at Decatur Memorial Hospital, generating local jobs and revenue while improving health care delivery for the community. Grants: Decatur Memorial Hospital is the fiscal intermediary of a $2,520,862 grant for the purpose of Heartland Cancer Research National Community Oncology Research Program. Visitors: Decatur Memorial Hospital attracts a variety of visitors, including patients families and friends, vendors, prospective students, students families, and academic visitors who use a variety of community services, including hotels, car rentals and restaurants. Decatur Memorial Hospital provides vital health care services to our community. Through programs aimed at educating consumers and preventing disease before it occurs, Decatur Memorial Hospital saves individuals and the community millions of dollars in treatment costs and lost earnings. Decatur Memorial Hospital offers a variety of community health education programs, ranging from school-based outreach opportunities to infant CPR classes. Additional information on programming can be found at www.dmhcares.com Through screening programs, Decatur Memorial Hospital detects existing medical conditions in the population early, which helps lower the costs of treatment. Early detection is important in the treatment and survival of disease. Decatur Memorial Hospital provides a variety of health screenings to the community free of change or for a nominal fee. A community calendar is made public on the website, www.dmhcares.com, so the community can anticipate screening dates and times. Information is also posted in the local newspaper and posted throughout the hospital. In addition, our hospital contributes to a variety of community service initiatives designed to improve residents health status and quality of life. In 2014 we had: 959 births 23,485 home health visits 10,106 inpatient visits 9,817 outpatient surgical visits 269,613 outpatient visits 45,247 emergency room visits d m h c a r e s a b o u t y o u r h e a l t h 7

Nonprofit Organization U.S Postage PAID Decatur, Illinois Permit No. 180 2300 North Edward Street Decatur, Illinois 62526 www.dmhcares.com The NEW DMH Emergency Care Center Experience Consistent with our mission statement To improve the health of the people of Central Illinois the DMH Emergency Care Center is now under new physician management. We have partnered with Emergency Consultants Inc., the fourth largest physician staffing company in the nation. The department s new medical director is Kevin Oliver, DO, a resident of Forsyth, Ill. Emergency Consultants Inc., looks forward to serving the patients of Decatur Memorial Hospital s Emergency Care Center by providing the highest level of patient care, said ECI Managing Partner Derik King, MD. We are excited to be working with the physicians, the nurses and the hospital administration. As Decatur s only independent community hospital, the DMH Emergency Care Center serves the Macon County region. DMH s expert Emergency medical team provides emergency care to more than 45,000 patients each year. Our goal is to offer the most responsive and highest quality emergency medicine available in Decatur and Macon County. Welcome Dr. Kevin Oliver Forsyth resident and new DMH Emergency Care Center Medical Director Kevin Oliver, D.O., of Emergency Consultants, Inc., serves as the new Medical Director of the DMH Emergency Care Center. Dr. Oliver completed a Family Medicine Residency at Des Peres Hospital in St. Louis in 1991. He received a Doctor of Osteopathic Medicine degree from Oklahoma State University School of Health Sciences in Tulsa in 1988, and a Bachelor of Arts degree in chemistry from the University of Missouri in Columbia in 1982. Dr. Oliver is certified in family medicine from the American Osteopathic Board of Family Physicians. He is certified in Advanced Trauma Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life Support. He is a member of the American Osteopathic Association, Illinois Osteopathic Medical Society, Illinois State Medical Society and the Macon County Medical Society. He is originally from Enid, Okla., and lives in Forsyth, Ill. d e c a t u r m e m o r i a l h o s p i t a l