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75 North Country Road, Port Jefferson, NY 11777 631-473-1320 www.matherhospital.org 2009 Report to the Community John T. Mather Memorial Hospital 2009 REPORT TO THE COMMUNITY Mission S t a t e m e n t John T. Mather Hospital is an accredited 248-bed, non-profit community hospital dedicated to providing a wide spectrum of healthcare services of the highest quality, in a cost effective manner, to the residents of Suffolk County. As members of the Mather Hospital Family - trustees, medical staff, hospital staff, volunteers and benefactors - we are committed to providing care to the best of our ability, showing compassion and respect, and treating each patient in the manner we would wish for our loved ones. We will meet or exceed each patient’s expectations through the continued collaborative efforts of each and every member of the Mather Hospital Family. The Mathe r P l e d g e We pledge to provide your healthcare in an atmosphere of understanding and compassion. We pledge to provide you with technologically advanced state-of-the-art healthcare, as cost effectively as possible. We pledge to respond quickly to your needs and concerns, to answer your questions and to respect your dignity and privacy. We pledge to serve you nutritious and tastefully prepared meals in a timely manner. We pledge to provide your care in an environment that is safe, clean and pleasant. 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Communit y S e r v i c e P l a n D i s t r i b u t i o n L i s t Insurance Companies and Managed Care Organizations AETNA HMO, POS, EPO, Managed Choice GHI NETWORK ACCESS MAGNA PREFERRED PPO AETNA HEALTHY NEW YORK GREAT WEST HEALTHCARE MUTUAL OF OMAHA (PRIMARY) AGA (American Group Administrators) GUARDIAN PPO NPPN NETWORK BEECH STREET NETWORK / CAPP CARE HEALTHNET OXFORD HEALTH UMR (Benesight, FiServ) HIP PPO EPO PHCS/Multiplan CCN NETWORK HIP HMO, POS SAVILITY (PHCS) CHOICECARE PPO (Humana) HIP HEALTHY NEW YORK THREE RIVERS PROVIDER CIGNA PPO / PPO PLUS / EPO HIP Child Health Plus & HIP KID NETWORK (TRPN) CIGNA HMO / POS HIP / VYTRA SMART START EPO TRICARE - HEALTHNET FEDERAL COVENTRY HEALTH CARE NETWORK HIP PPO EPO HEALTHCARE PARTNERS TRICARE - WISCONSIN PHYSICIAN DEVON HEALTH SERVICES (NETWORK) HIP HEALTHCARE PARTNERS HMO, POS UNIFORMED SERVICES FAMILY EmblemHealth PPO & EPO HIP HEALTHCARE PARTNERS HEALTH PLAN EmblemHealth CompreHealth HEALTHY NY UNICARE PPO HMO & EPO HIP Child Health Plus Healthcare UNITED HEALTHCARE PPO FIRST HEALTH NETWORK Partners UNITED HEALTHCARE - MATHER MAIL HANDLERS HIP KID Healthcare Partners EMPLOYEE GALAXY HEALTH NETWORK ISLAND GROUP ADMINISTRATORS UNITED HEALTHCARE HMO / POS GHI PPO, EPO, FLEX SELECT IBEW LOCAL 3 UNITED HEALTHCARE NETWORK GHI NYC EMPLOYEES LOCAL 338 (with Magnacare on card) VETERAN’S ADMINISTRATION (VA) GHI EMPLOYEES LOCAL 812 VYTRA /HIP SMART START GHI FEDERAL EMPLOYEES LOCAL 1199 VYTRA VHS (Max Access) GHI HMO Laborers Local 1298 VYTRA VHMS SSEP, self insured GHI HNY EPO (Healthy NY) MAGNACARE DIRECT PLUS VYTRA VHLI Mather Hospital Family Board of Directors Mather Hospital Auxiliary Comsewogue Public Library Emma S. Clark Memorial Library Longwood Public Library Comsewogue UFSD Longwood CSD Middle Country CSD Libraries Medical Staff Middle Country Public Library North Shore Public Library Port Jefferson Free Library Shoreham-Wading River UFSD South Country CSD Three Village CSD Other King Kullen Grocery Company Leisure Glen Leisure Knoll Association Long Island Association Long Island Power Authority Long Island Rail Road Suffolk Community Council, Inc. Suffolk County Sheriff Motorola Three Village Community/Youth Services United Way of Long Island PAGE 40 The New York Times NY 55 Ronkonkoma Review The Port Times Record The Smithtown Messenger The Sun TVWPIX News President’s Message ....................1 Introduction & Award ....................2 Winning Nurse Statistical Overview, .....................3 Governance and Service Needs Assessment ......................4 Signature Services .......................5 Building on Success ...................13 Community Outreach ..................14 Special Events ...........................15 Commitment to ..........................16 Improvement Vision & Strategic Plan ...............19 Request for Input .......................20 Economic Impact . ......................21 Corporate Structure and .............22 Related Corporations Patient Care Statistics ................23 Village Beacon Record WABC-TV WALK-FM WCBS-TV WINS-AM WNET New York WSHU From the President’s Desk A t the end of each year, John T. Mather Memorial Hospital creates a Report to the Community, formally known as the “Community Service Plan,” a document that essentially serves as an annual report for Mather Hospital. I am pleased to provide you with this copy of our 2009 Report to the Community. On the following pages, you’ll find a review of our new and innovative healthcare services designed to improve and promote the health of the members of our community. You’ll also find information about the complete Kenneth Roberts scope of our services, along with a review of our operational and financial performance for 2009. The Plan also includes the Hospital’s policies regarding access to care – regardless of the ability to pay – as well as an overview of the many charitable and community services Mather Hospital provides. At the heart of everything included in the report is our firm commitment to uphold the Mission Statement and Pledge prominently displayed on the first page. In short, our top priority remains, as it has for 80 years, caring for our patients in the manner we would wish for our loved ones. Naturally, we are greatly interested in receiving your comments and suggestions regarding our performance and our priorities in meeting your health needs. Your input will be used to reassess the Hospital’s strategic direction in meeting the community’s needs for the future. Board of Directors ......................24 On behalf of everyone in the Mather Hospital Family, I thank you for your past and continuing support of John T. Mather Memorial Hospital. Service Area Study .....................25 Sincerely, Patient Programs . ......................26 & Services Community Health Programs .......27 & Support Groups Charity Care Application, .............29 Policy & Procedure MEDIA Fox 5 News Long Island Advance Long Island Business News L.I. News Tonight The Mid-Island News News 12 Long Island Newsday NewsRadio 88 Inside this issue: Charity Care Summary ................18 School Districts Miller Place CSD Port Jefferson UFSD Mount Sinai UFSD Rocky Point UFSD Patchogue-Medford UFSD Sachem CSD Building and Construction Trades Council of Nassau and Suffolk Counties Cablevision Computer Associates Estee Lauder Company Hope House Ministries JOHN T. MATHER MEMORIAL HOSPITAL Kenneth Roberts President Financial Resources ...................36 Mather Hospital Auxiliary ............37 & Volunteers CSP Distribution List ..................38 PAGE 1 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Introducti o n F Community Ser vice Plan Distribution Li st or 80 years, John T. Mather Memorial Hospital has provided compassionate care to its patients, “treating each patient in the manner we would wish for our loved ones.” Located in Port Jefferson, New York, Mather Hospital is a not-for-profit community hospital with a Certified Operative Capacity of 248 beds. It is fully accredited by the Joint Commission of Accreditation of Healthcare Organizations, and is licensed by the New York State Department of Health-Office of Health Systems Management. Mather Hospital provides a wide range of inpatient and outpatient health services, and its reputation is based on the quality of those services, along with its excellent medical, nursing, clinical and support staff, and its commitment to providing the latest in medical technology. Mather Ho s p i t a l ’s Awa r d W i n n i n g N u r s e K athryn Manzi has been a registered nurse since 1974 and earned her ADN from SUNY Farmingdale, in 1974. She has earned professional certification in Operating Room Nursing. Kathryn has been employed at our hospital since 1986. Kathryn always demonstrates excellent knowledge and competency in the area of perioperative nursing. She projects a positive, professional attitude towards her patients and co-workers. Whether it is guiding a co-worker, soothing the frayed nerves of anxious patients, or providing acute patient care, she embraces each situation in such a manner, one cannot help but be comforted. As a nurse preceptor for graduate registered nurses and new employees, Kathryn has cross-trained nursing personnel. Her proficiency and accuracy in all has established her as a resource person to peers and leadership alike. Kathryn demonstrates excellent critical thinking skills and has assumed the role of “nurse-in-charge” when situations dictate. Governor David Paterson Senator Kirsten Gillibrand Senator Charles Schumer Congressman Timothy Bishop Senator John Flanagan Senator Kenneth LaValle Assemblyman Marc Alessi Assemblyman Steven Englebright Suffolk County Executive Steve Levy Legislator Tom Muratore Legislator Vivian Viloria Fisher Legislator William Lindsay Legislator Daniel Losquadro Brookhaven Town Supervisor Mark Lesko Councilwoman Jane Bonner Councilman Steve Fiore-Rosenfeld Councilwoman Connie Kepert Councilman Timothy P. Mazzei Councilman Daniel Panico Councilwoman Kathleen Walsh Village of Belle Terre, Mayor Village of Old Field, Mayor Village of Poquott, Mayor Village of Port Jefferson, Mayor Village of Shoreham, Mayor Fire & Ambulance Corps KATHRYN MANZI Kathryn’s experience and knowledge in anesthesia techniques, surgical diagnosis and treatment of patients, has given her an exceptional capability to help alleviate patients’ stress and anxiety in coping through their peri-operative experience, as well as interpret the care needs for the peri-operative patients. In addition to her role as staff nurse at Mather, Kathryn volunteers her time in the community. She demonstrates care and compassion for animals. She coordinates donations of animal nutrition items and provides delivery to local animal shelters. Kathryn has developed an expertise in martial arts and has earned a 4th degree black belt in Jiu Jitsu. She has taken this acquired knowledge in martial arts and has facilitated numerous victim prevention education programs for local high schools. Kathryn’s exceptional nursing skills, hard work, intelligence and dedication have resulted in a reputation of which anyone in healthcare may be proud. Kathryn possesses and demonstrates all the qualities and characteristics that are necessary to meet the criteria for Mather Hospital’s Nurse of Excellence. Whether it is guiding a co-worker, soothing the frayed nerves of anxious patients, or providing acute patient care, she embraces each situation in such a manner, one cannot help but be comforted. PAGE 2 Elected Officials Centereach Fire Dept. and Ambulance Co. CHS Ambulance Company 4 Rescue Coram Fire Dept. and Ambulance Co. Farmingville Fire Dept. and Ambulance Co. Gordon Heights Fire Dept. and Rescue Squad Holtsville Fire Dept. and Ambulance Squad Medford Volunteer Ambulance Corps. Middle Island Fire Dept. Miller Place Fire Dept./Rescue Squad Mount Sinai Fire Dept. Port Jefferson Fire Department Port Jefferson Volunteer Ambulance Ridge Fire Dept. and Rescue Squad Rocky Point Fire Dept. and Rescue Squad Ronkonkoma Fire Dept. and Rescue Squad Selden Fire Dept. and Ambulance Co. Setauket Fire Dept. and Rescue Squad Sound Beach Fire Dept. Stony Brook Fire Dept. Suffolk County Dept. of Fire Rescue Terryville Fire Dept. and Ambulance Corps Wading River Fire Dept. & Rescue Co. Health Related Organizations Bellhaven Nursing Center Brookhaven Memorial Hospital Brookhaven Town Dept. of Parks, Recreation and Human Resources Catholic Health Services of Long Island Cedar Lodge Nursing Home Central and N. Brookhaven Health Council CHP Medical Group Community Care Consumer Health Network Eastern Long Island Hospital East Neck Nursing Center Episcopal Health Services Franklin Hospital Medical Center Good Samaritan Hospital Medical Center Greater New York Hospital Association Gurwin Jewish Geriatric Foundation Health Care Support Services Healthcare Association of New York State (HANYS) Hospital Association of New York State Hospital Workers Union #1199 Huntington Hospital Island Nursing and Rehab Center Jefferson’s Ferry Long Beach Medical Center Long Island Health Network Lutheran Center SNF Mercy Medical Center Nassau County Medical Center National Emergency Services Nassau/Suffolk Hospital Council Nesconset Nursing Center New Island Hospital New York State Department of Health New York State Office of Mental Health North Shore Long Island Jewish Health System North Shore University Hospital at Glen Cove Peconic Bay Medical Center Port Jefferson Nursing Home Smithtown Health Care Facility South Nassau Communities Hospital Southampton Hospital Southside Hospital St. Catherine of Siena St. Charles Hospital St. Francis Hospital St. James Nursing Home St. Johnsland Nursing Home Suffolk County Department of Health Suffolk County Department of the Aging Suffolk County Medical Society Suffolk County Women’s Services University Medical Center at Stony Brook Veterans’ Affairs Medical Center Visiting Nurse Services, Inc. Winthrop University Hospital Woodhaven Manor Nursing Home PAGE 39 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix G Communit y S e r v i c e P l a n D i s t r i b u t i o n L i s t Banks Astoria Federal Savings Bank of America Chase Bank Citibank, N.A. Commerce Bank First National Bank of Long Island HSBC Capital One Roslyn Savings Bank Suffolk County National Bank Chambers of Commerce Holbrook Chamber of Commerce Longwood Chamber of Commerce Mastic Chamber of Commerce Miller/Mount Sinai/Sound Beach Chamber of Commerce Chamber of Commerce of the Moriches Patchogue Chamber of Commerce Port Jefferson Chamber of Commerce Port Jefferson Station/Terryville Chamber of Commerce Ronkonkoma Chamber of Commerce St. James Chamber of Commerce Three Village Chamber of Commerce Civic Associations Centereach Civic Association Rocky Point Civic Association Mount Sinai Civic Association Selden Civic Association Port Jefferson Civic Association Stony Brook Civic Association Port Jefferson Station/Terryville Civic Association Strong’s Neck Civic Association Sound Beach Civic Association Three Village Civic Association Wading River Civic Association Lions Clubs Central Islip Mattituck Holbrook Mastic-Shirley Patchogue Smithtown The Hamptons The Islips Brookhaven Great South Bay Coram Farmingville/Holtsville Lake Grove Medford-North Patchogue Nesconset Patchogue Port Jefferson Riverhead Rocky Point Ronkonkoma Selden/Central Brookhaven Setauket South Country Rotary Clubs Kiwanis Centereach Rocky Point Middle Island The Ronkonkomas Port Jefferson Patchogue Rocky Point The Ronkonkomas Nesconset/St. James PAGE 38 Centereach-Selden Patchogue Riverhead Three Village-Brookhaven Township Houses of Worship All Souls Episcopal Church American Orthodox Catholic Church – Medford Assembly of God – Wading River Assumption of the Blessed Virgin Mary R.C. Church Bethel AME – Setauket Calvary Baptist Church – Port Jefferson Station Caroline Church of Brookhaven Christ Church Episcopal – Port Jefferson Christ Church United Methodist – Port Jefferson Station Christ Community Church – Stony Brook Church of the Sound Congregational Church of Patchogue Congregational United Church – Farmingville First Baptist Church – Port Jefferson First Church of Christ the Scientist—Port Jefferson First Presbyterian Church – Port Jefferson First United Methodist Church – Port Jefferson Full Gospel Tabernacle – Port Jefferson Station Greek Orthodox Church of Patchogue Greek Orthodox Church of the Assumption Holy Cross Lutheran Church – Lake Ronkonkoma Hope Lutheran Church – Selden Infant Jesus R.C. Church – Port Jefferson Kehillat Chovevei Tzion Lutheran Church of Our Savior – Patchogue Messiah Lutheran Church - Setauket Middle Island United Church of Christ – Middle Island Mount Sinai Congregational Church North Shore Jewish Center – Port Jefferson Station North Shore United Methodist Church – Wading River Setauket United Methodist Church Sound Beach Community Church – Sound Beach St. Anselm’s Episcopal Church – Shoreham St. Anthony’s of Padua R.C. Church – Rocky Point St. Francis Cabrini R.C. Church – Coram St. Gerard Majella R.C. Church – Terryville St. German of Alaska Eastern Orthodox Catholic Church St. James R.C. Church St. John the Baptist R.C. Church – Wading River St. John’s Episcopal St. John’s Evangelical Lutheran Church – Holbrook St. Joseph’s Church – Ronkonkoma St. Louis de Monfort R.C. Church - Sound Beach St. Margaret of Scotland R.C. Church St. Mark’s Episcopal Church – Medford St. Mark’s R.C. Church – Shoreham St. Mary’s Episcopal Church – Lake Ronkonkoma St. Paul’s Lutheran Church – Port Jefferson Station St. Sylvester R.C. Church – Medford Stony Brook Community Church Temple Beth Emeth – Mount Sinai Temple Beth Shalom – Coram Temple Isaiah – Stony Brook Three Village Church – Setauket Trinity Evangelical Lutheran Church – Rocky Point Unitarian Fellowship Universalist – Stony Brook Wading River Baptist Church Wading River Congregational Church 2009 — A Statistical Over view I n 2009, a total of 12,836 patients were discharged from John T. Mather Memorial Hospital. There were 44,145 visits to Mather’s Emergency Department, and Mather’s Surgical Department had 14,411 cases. A three year review of patient care statistics can be found on page 23. The breakdown of the surgical cases was as follows: INPATIENT CASES 3,854 OUTPATIENT CASES 10,557 Mather Hospital Gover nance & Cor porate Str ucture A Board of Directors governs the community resource that is John T. Mather Memorial Hospital. The members of this Board come from the surrounding areas served by the Hospital, and serve as the community’s representatives to oversee all operations of the Hospital. A summary of the corporate structure of Mather Hospital and a complete list of Board Members can be found on pages 24 and 25. The Communities Mather Hospital Ser ves M ather Hospital is located in Port Jefferson in the northern-most part of the Town of Brookhaven. Interestingly, an origin study performed for all inpatient discharges at Mather Hospital demonstrates that Mather Hospital serves many different communities. As seen in Appendix B on page 26, approximately 82% of all discharges originated from the 20 zip codes included in what is identified as Mather Hospital’s primary service area. Approximately 9% of the discharges originated from the additional eight zip codes included in what is identified as Mather Hospital’s secondary service area. Together, the primary and secondary service areas comprise the majority of the northern section of the Town of Brookhaven, along with substantial portions of the southern section of the Town. As Appendix B also shows, the majority of patients at Mather Hospital’s Emergency Department in 2009 came from these two service areas, as did a majority of the Hospital’s ambulatory surgery patients. Of all emergency department patients, 82% resided in Mather Hospital’s primary service area, and approximately 8% resided in the secondary service area. As for ambulatory surgery patients, approximately 75% of those patients resided in the primary service area; 10.6% resided in the secondary service area. Mather Hospital shares its service areas with two acute care hospitals – St. Charles Hospital in Port Jefferson and University Hospital at Stony Brook. PAGE 3 2009 REPORT TO THE COMMUNITY Respondin g t o C o m m u n i t y N e e d s F inding ways to best meet the changing healthcare needs of those we serve has been a priority for Mather Hospital since its first patient was admitted on December 30, 1929. Today, the healthcare needs of the community are changing faster than ever, and we’re proud to say that Mather Hospital is up to the challenge. Mather Hospital works collaboratively with the Suffolk County Department of Health to assess the health needs of the region. Each year the Commissioner of Health is invited to Mather’s Long Range Planning Committee where senior administration and members of the Board of Directors meet to discuss the community’s future needs. The DOH is also consulted for letters of support when chronic disease grants are made available to the Hospital to upgrade the health of our community members. Needs Assessment T he following meetings, reports and documents play a major role in shaping Mather Hospital’s community needs assessment: ★ Reports from community, local, state and federal government agencies. ★ Meetings and communication with Suffolk County Department of Health. ★ Current industry journals, periodicals, newsletters and other literature. ★ General health-related news reports. ★ Hospital-generated statistical reports. ★ Monthly Board of Directors’ meetings. ★ Board of Directors’ Long Range Planning Committee. ★ Reports generated by internal committees and task forces. ★ Regular weekly administrative staff planning sessions. ★ Patient questionnaire mailed to all medical/surgical patients. ★ Questionnaires distributed to Emergency Department patients. 2009 REPORT TO THE COMMUNITY John T. Mather Memorial Hospital Auxiliar y & Volunteer s Where It All Began A t the request of Myrtle De Young, a group of ladies held a meeting on May 5, 1949 to start an Auxiliary for Mather Hospital. Most of these ladies were doctors’ wives. The purpose of the Auxiliary was to raise funds. Mrs. Ollie Shea was temporary chairman and on June 13, 1949 an election was held and Mrs. June Shea was elected president. These ladies held card parties, member bridge parties, buffets, dances, square dances, rallies, fashion shows, luncheons and teas. All money raised was turned over to the hospital for maintenance of the hospital. In 1951, a particular project was selected as a goal for the money raised, and from that time on, all money was used for special projects, not maintenance of the hospital. A patient library was started November 19, 1949 and a book cart was taken around the hospital for patients. The Auxiliary joined the Nassau/Suffolk Council of Hospital Auxiliaries December 9, 1957. After attending a conference in Atlantic City, the ladies decided to start a volunteer program which went into service on January 2, 1958. Doris Liebel was appointed chairman of this program and in November that same year, a Junior Volunteer program began for girls over the age of 16. Although the volunteer program was run by the Auxiliary, it was a separate organization and volunteers did not have to be a member of the Auxiliary. The Auxiliary opened a Coffee Shop/Gift Shop on May 1, 1964. The Thrift Shop was opened May 1972. Mather Hospital took over Coffee Shop operations in 1986. The money presented to the hospital every year comes mainly from the Gift Shop, Thrift Shop and special events such as flower, jewelry and various vendor sales run by the Auxiliary. In 2009, the Mather Hospital Auxiliary raised $231,000 through its fundraising endeavors. Since its inception, the Mather Hospital Auxiliary has raised more than $4 million for equipment and services at Mather Hospital. The funds donated this year will be used toward the purchase of a state-of-the-art CT scanner that will have advanced cardiac applications. ★ Patient representative program. Based on regular analysis and feedback from these community resources, Mather Hospital provides services outlined in the following pages. PAGE 4 PAGE 37 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix F F inancial R e s o u r c e s : 2 0 0 7 – 2 0 0 9 O 2007 2008 2009 FROM OUR PLANT FUND WE SPENT: FOR IMPROVEMENTS TO BUILDINGS AND EQUIPMENT $11,156,285 $11,425,040 $11,200,785 FOR REDUCTION OF BONDS AND LONG TERM DEBTS $2,486,845 $4,762,579 $2,343,654 $13,643,130 $16,187,619 $13,544,439 TO ASSIST US IN IMPROVING OUR BUILDINGS AND EQUIPMENT WE RECEIVED CONTRIBUTIONS OF $1,772,978 $1,651,307 $657,826 OPERATING FINANCIAL ALLOCATION: WE EARNED: FROM PATIENT SERVICES $479,718,331 $502,346,553 $696,377,201 FROM OTHER NONPATIENT CARE SERVICES $5,017,524 $4,654,650 $4,699,045 TOTAL $484,735,855 $507,001,203 $701,076,246 BECAUSE OF STATE & FEDERAL MANDATORY DISCOUNTS AND NEGOTIATED RATES WITH INSURANCE COMPANIES, WE DID NOT RECEIVE $277,266,541 $287,611,394 $462,217,157 PART OR ALL OF THEIR DEBTS, WE DID NOT RECEIVE $5,965,878 $9,525,176 $10,663,021 FREE CARE PROVIDED TO THE NEEDY AMOUNTED TO EMERGENCY ROOM AND CLINIC PATIENTS AMOUNTED TO $1,807,667 $1,524,236 $1,744,393 $1,699,429 $4,620,598 $1,669,549 THEREFORE, NET REVENUE FOR PATIENT CARE AND OTHER SERVICES AMOUNTED TO $198,171,533 $206,420,811 $221,905,921 TO EARN THIS INCOME, WE PAID OUT: FOR SALARIES AND BENEFITS $121,204,516 $132,706,407 $146,738,046 FOR SUPPLIES AND OTHER EXPENSES $59,341,301 $59,679,762 $63,412,656 FOR INTEREST $1,668,076 $1,558,070 $1,365,787 FOR DEPRECIATION $8,510,864 $9,119,857 $9,676,026 $190,724,757 $203,064,096 $221,192,515 SURPLUS (DEFICIT) FROM OPERATIONS $7,446,776 $3,356,715 $713,406 PAGE 36 Cody Ambulatory and Inpatient Surgical Pavilion pened on February 7, 1998, this state-of-the-art facility allows Mather Hospital to meet the surgical needs of its patients both today and well into the 21st century. Named in 2001 for Matthew and Debra Cody who donated $1,000,000 toward its maintenance, upkeep and services, the Pavilion features 10 operating room suites, a recovery area, a 12-bed intensive care unit, units for cystoscopy and endoscopy, a pre-admission testing area, and a separate area for pediatric patients that allows parents to stay with their children right up to the moment of surgery -- and reunites them at their bedside immediately afterward. Currently, about 75% of all surgical procedures are performed on an ambulatory basis -- and that figure is expected to climb due to new technology and equipment. The Cody Ambulatory and Inpatient Surgical Pavilion was designed to respond to this trend. The Pavilion includes two new technologically advanced procedural suites designed to create the optimal environment for the surgeon, staff, and most importantly, the patient. Its new style is designed for cross-specialty, minimally invasive procedures. The advanced design is additionally successful for its positive impact on efficiencies and ergonomics. Total Joint Replacement Program B reakthrough advances in surgical techniques, prosthetics and rehabilitation make joint replacement surgery more successful than ever – relieving your pain and helping you get back to enjoying normal living. Our surgical team does everything it can to make a patient’s experience as comfortable as possible. Our new operating rooms and advances in surgery now allow doctors to use techniques that leave smaller scars, require shorter hospital stays, and allow patients to recover faster. Commonly treated conditions include arthritis, back pain, carpal tunnel syndrome, fractures, osteoporosis, and sports injuries. Surgery replaces diseased and damaged portions of the joint with implants designed to restore function to the joint and ultimately improve the patient’s quality of life. Intensive Care Unit (ICU) / Intensivists T he ICU has centrally located nurses’ station that provides a 360 degree perspective. The unit also provides two additional rooms for isolation, when staff and visitors must be protected from the patient, or reverse isolation, when the patient must be protected from contamination by the outside world. In 2008, Mather’s Intensivist program was established. Intensivists are physicians who specialize in monitoring and caring for patients in the intensive care units. They not only treat the most seriously ill or injured patients, but they also help keep all caregivers coordinated and families involved. PAGE 5 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix E Contessa Nadia DeNavarro Farber Emergency Pavilion T he emergency specialists in Mather’s full-service emergency department care for people of any age with any condition. Mather’s emergency physicians and nurses have years of experience in caring about patients, as well as caring for them. They offer a very personal level of care in Mather’s 10,000 square-foot Emergency Department equipped with a trauma room, a Chest Pain Emergency Room, an orthopedic casting room for broken bones, an X-ray room, a psychiatric emergency area, a triage area and a rapid medical evaluation service for minor emergencies. In 2009 there were 44,145 patient visits to the Contessa Nadia DeNavarro Farber Emergency Pavilion. Chest Pain Emergency W hen it comes to the heart, time is of the essence. Seconds count, and that’s why Mather Hospital created Long Island’s first dedicated Chest Pain Emergency Room in 1992. Essentially an emergency room within an emergency room, the Chest Pain ER offers immediate clinical support services for patients experiencing chest pain. Patients are seen and evaluated within moments of their arrival, and appropriate treatment is begun immediately. It is even possible for the emergency staff in the Chest Pain ER to stop a heart attack in progress. In 2009, more than 1,100 patients were seen in Mather’s Chest Pain Emergency Room. In addition to clinical support, the Chest Pain Emergency Room also provides community educational services. A team of nursing staff members conducts presentations on recognizing the signs and symptoms of a heart attack, stroke and the necessary response. They also provide information about the best weapon against a heart attack and stroke – reduction of risk factors. The Stroke Center D esignated as a Primary Stroke Center by the New York State Department of Health in 2005, Mather’s Stroke Center and “Stroke Team” are immediately ready to diagnose and deliver emergency and acute stroke care treatment. The team includes neurologists, radiologists, certified stroke emergency physicians, and Emergency Department staff for immediate intervention; a Monitored Stroke Care Unit and medical team with advanced stroke training headed by a neurologist; state-of-the-art diagnostic technology including an ultra-speed CT scanner, which provides doctors with accurate results within one minute; and the latest, most effective treatments to reduce brain damage and speed recovery, including the clot buster t-PA. The Stroke Center designation exemplifies Mather’s commitment to achieving the gold standard of stroke care for every patient and means that stroke patients can count on the dedication and abilities of Mather’s stroke team to return them to optimum health. Emergency Department Triage Services I n 2009, more than 44,145 patients were evaluated in the triage area of Mather Hospital’s Emergency Department. Fourteen thousand of these patients were seen in our rapid medical evaluation program, which is designed for patients with minor illness or injury. They were examined and treated by dedicated staff to ensure timely care, often within 60-90 minutes. These services are available 24 hours a day, seven days a week, 365 days a year. Cancer Care/Registry O ur Cancer Program has maintained accreditation by the Commission on Cancer (COC). Approval by the COC is given only to those facilities that have voluntarily committed to provide the best in diagnosis and treatment of cancers. This means that the community we serve will receive quality of care, comprehensive care offering a full range of services and equipment, and access to cancer-related information, education and support. Our Tumor Registry collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up. In 2009, approximately 1,000 new patients were seen at Mather Hospital for diagnosis, treatment, or supportive care. PAGE 6 Charity Care Policy and Procedure 2009 (Continued) I. Billing/Collections A patient may apply for charity care at any point from admission to final payment of the bill. Our facility recognizes that a patient’s ability to pay over an extended period may be substantially altered due to illness or financial hardship, resulting in a need for charity services. Our collection agencies and collection attorneys are advised to adhere to the same high standards incorporated in the hospital’s charity care policy. Our collection agencies and attorneys will not begin their collection process on an open account if a patient has submitted a completed charity care application and is in the process of being reviewed to determine eligibility. Legal action, including the garnishing of wages, may be taken by the hospital only when there is sufficient evidence that the patient or responsible party has the income and/or assets to meet his/her obligation. Our facility will not force the sale or foreclosure of a patient’s primary residence to pay an outstanding medical bill. Liens are permitted only when there is evidence that the patient or responsible party has income and or assets to meet his/her obligation. J. Recordkeeping/Reporting: The Business Office will maintain a detailed log of all charity care applicants and recipients in accordance with the necessary criteria required for annual reporting to various governmental agencies. Mather Hospital uses the MAPSch Bluemark system in order to streamline, store and report on all charity care patient intake information and documentation. K. Appeal Process: In the event a charity care applicant is denied free care or does not agree with the determination, they may appeal the decision by contacting the Charity Care Representative at extension 4037 for a Charity Care Appeal Form. The hospital will include each year in the Annual Operating Budget an amount which is approved by the Board of Directors for the purpose of providing charity care. Any questions or interpretation of this policy should be directed to the Director of Patient Accounts. Charity Care Policy Summary Mather Hospital recognizes that many of the patients it serves may be unable to access quality healthcare services without financial assistance. Mather Hospital’s Charity Care Policy was developed to ensure that the Hospital continues to uphold its mission of providing quality healthcare to the community while carefully taking into consideration the ability of the patient to pay, as applied in a fair and consistent manner. Who qualifies for a discount? Charity Care is available for patients with limited incomes and no health insurance. Consideration will be given on a case-bycase basis to those patients who have exhausted their insurance benefits and/or who have exceeded their financial eligibility criteria but face extraordinary medical costs. Everyone in New York State who needs emergency services can receive medical care and get a discount if they meet the income limits. Everyone who lives in Suffolk and Nassau County can get a discount on emergent, medically necessary services at Mather Hospital if they meet the income limits. You cannot be denied medically necessary care because you need financial assistance. You may apply for a discount regardless of immigration status. If you would like further information regarding charity care, please contact the Charity Care Representative at (631) 473-1320 or extension 4037. PAGE 35 2009 REPORT TO THE COMMUNITY Charity Ca r e Po l i c y a n d P r o c e d u r e 2 0 0 9 2009 REPORT TO THE COMMUNITY Appendix E (Continue d) E. Application Criteria: Mather Hospital will utilize a guideline up to the current Federal Poverty Level to determine eligibility under the Charity Care Program. If necessary, once the patient’s financial information is received and charity care in part or whole is determined to be applicable, the Patient Accounting Department will use a special allowance code in order to make the necessary adjustment (this code will assist in accumulating data for reporting purposes). F. Presumptive Eligibility: Charity care may not require extensive documentation based on account balance criteria. Accounts below a certain dollar amount may not require extensive documentation to administer a charity care allowance. Our facility will consider significant assets owned by a patient and or a legally responsible individual for all cases including patients at or below 150% of the Federal Poverty Level. A decision may be made by the Director of Patient Accounts or H.D. to grant charity care based on account balances, information received via phone calls, face to face interviews, admitting information and or medical record information. An example of these types of cases might include homeless patients, foreign patients, drug rehabilitation, Medicaid overage, Medicaid co-payments, etc. If agency/attorney representing our facility returns an account as uncollectable due to a bankruptcy the account will be written off to charity care as presumptive eligibility. Our facility will also run an estate search on all deceased patients with an open balance. If the estate search deems the patient is without an estate, all open balances will be written-off as charity care under presumptive eligibility. G. Publication/Public Access: It is the hospital’s policy to have bilingual signs in both English (primary language) and Spanish (secondary language) informing patients about our Charity Care Program posted in selected patient registration areas. Also bilingual business cards in both English and Spanish with the charity care representatives contact information will be provided to patients who express a need for Charity Care. Each admission packet will contain an insert informing patients about our Charity Care Program. Fortunato Breast Health Center I n 2009, the Fortunato Breast Health Center/Breast Cancer Program was granted a Three Year/Full Accreditation designated by the National Accreditation Program for Breast Centers (NAPBC). This recognition is only given to centers that have voluntarily committed to provide the highest level of quality breast care and undergo a rigorous evaluation process and performance review. Only seven breast centers in New York State have earned this prestigious distinction. Statistics indicate that one in nine women will develop breast cancer during her lifetime. Since education and early detection remain the best defenses against breast cancer, the Fortunato Breast Health Center plays a critical role in protecting the health of women on Long Island. Opened in 1995 and named for Judith and Bernard Fortunato who spearheaded the fundraising drive, and who continue to volunteer time and effort toward raising money for ongoing programs and treatment, the Fortunato Breast Health Center offers a number of services, including digital screening and diagnostic mammography, mammotome and stereotactic breast biopsy, breast self examination instruction, state-of-the-art cancer treatment program, followup care, community education and outreach, ultrasound, bone density testing, second opinions, patient and family education, support groups and a resource room. In 2009, the Fortunato Breast Health Center performed 11,010 screenings and diagnostic mammography exams, 220 mammotome and dtereotactic breast biopsies, 7,296 breast ultrasounds and 273 needle localizations. Lymphedema Treatment Center All of our patient statement mailers include a charity care statement informing patients of our program and contact information. Our hospital website has a dedicated section that includes our charity summary, frequently asked questions and overall information regarding our Charity Care Program. H. Outpatient Substance Abuse Clinic Nominal Payment Guidelines: The Outpatient Alcohol Department is the only patient access point in the hospital that will determine a patient’s ability to pay from the Outpatient Substance Abuse Clinic Nominal Payment Guidelines below. At a 300% (or below) of the Federal Poverty Guidelines (FPG) the patient will be required to make a nominal payment of $15. Between 401% and 500% of the FPG the patient’s nominal payment will be no higher then the current Medicaid daily outpatient alcohol rate (for 2008 this amounts to $77.34). Over 501% of the FPG, the patient will be responsible for full charges. The FPG will be adjusted based upon the size of the patient’s family unit using the attached scale. Patient Financial Responsibility Under 300% FPL $15.00 per visit Nominal Fee 301%-400% FPL $39.00 per visit 401%-500% FPL $77.00 per visit 501% Above FPL Full charges ($161.00) The Director of Patient Accounts or H.D. will determine each patient’s eligibility and maintain a log of all outpatient alcohol patients that inquire about our Charity Care program. Our facility will consider assets in determining eligibility for patients that fall between 151% and 300% (or above) of the FPG with the exclusion of the following: • The patient’s primary residence • Tax-deferred or comparable retirement savings accounts • College savings accounts • Cars used by the patient or the patient’s immediate family PAGE 34 L ymphedema is a discomforting condition that occurs when drainage in the lymph system is impaired. This causes swelling and may lead to infections. Some people are affected after lymph nodes are removed because of breast cancer and other types of surgery, or after radiation treatments, which can scar or destroy the lymph vessels. Staffed with specially trained therapists, the Lymphedema Treatment Center at Mather Hospital is equipped with comfortable treatment rooms where patients receive comprehensive treatment in a private therapeutic setting. Patients undergo a specially designed program to help manage their lymphedema. In 2009, 6,761 lymphedema procedures were performed at Mather Hospital. Bone Density Screening I n 2009, Mather Hospital performed 1,389 bone density screenings. The bone densitometer measures bone mineral content and density of specific bone sites (mainly the hip and spine) that are most susceptible to fracture due to osteoporosis and other degenerative bone diseases. The prevalence of these diseases, especially in post-menopausal women, makes bone densitometry a necessary part of a complete bone health program for women. PAGE 7 2009 REPORT TO THE COMMUNITY Weiss Center for Pain Management N amed in honor of Linda and Edward Weiss, the Weiss Center for Pain Management specializes in the treatment and relief of acute and chronic pain. They provide a scope of services to offer relief from: Cancer Pain Reflex Sympathetic Dystrophy Peripheral Differentiation Fibromyalgia Myofascial Pain Oral Facial Pain Arthritic Pain Referred Pain Painful Scars Low Back Pain Spinal Stenosis Sympathetically Maintained Pain Post Herpetic Neuralgia Radiculopathy Neuropathic Pain Headache Rheumatic Pain Central Pain Phantom Pain Pain in the Elderly Neck Pain Appendix E Charity Care Policy and Procedure 2009 POLICY: Mather Hospital recognizes that many of the patients it serves may be unable to access quality health care services without financial assistance. Mather Hospital’s Charity Care Policy was developed to ensure that the Hospital continues to uphold its mission of providing quality health care to the community while carefully taking into consideration the ability of the patient to pay, as applied in a fair and consistent manner. PROCEDURE: A. Purpose: The purpose of charity care is to provide services free of charge, or at a reduced rate, for all or part of a patient’s care. B. Application Process: The Hospital’s primary service areas for Charity Care purposes include all of Nassau and Suffolk Counties for emergency services. Charity care will be utilized in those cases where the Director of Patient Accounts or his (her) designee (H.D.) determines that the patient, due to their financial position, or assets, is unable to pay for all or part of their care (including deductibles, co-payments, coinsurance and/or services not covered by insurance or other third party payor). The Director of Patient Accounting or H.D., will make a final decision on charity care (on a case-by-case basis). In the event that a patient’s bill is not eligible for Charity Care, either in part or in its entirety, the hospital can provide interest free flexible payment plans that coincide with the patient’s income and assets, but will not exceed ten percent of the patient’s gross monthly earnings (some elective cases may require an initial deposit). If a patient is cooperating with an agreed-upon extended payment plan to settle an outstanding bill, the hospital will not send the unpaid bill to a collection agency/attorney. In 2009, 591 pain management procedures were performed in the Weiss Center for Pain Management. By using a variety of treatment options, the Weiss Center for Pain Management works to help individuals return to a normal lifestyle, with fewer restrictions on their activity and an improved quality of life. The Pain Center is accredited as an Inpatient and Outpatient Major Comprehensive Multidisciplinary Pain Treatment Program by the American Academy of Pain Management. It offers a variety of services, including: Multidisciplinary Evaluation, Implantable Narcotic Pump, Spinal Cord Stimulation, Epidural Steroids, Facet Injections, Trigger Pain Injection. Transitional Care Unit T he Transitional Care Unit opened its doors in February of 2008 as the first and only of its kind on Long Island. It offers a unique, caring environment for patients who no longer require all the resources for an acute condition, but still require a period of high level care. Transitional care is distinct from acute care in the fact that there is a major emphasis on physical and occupational therapy, to ensure that patients receive the specially focused care they need before being discharged to a skilled nursing facility or their family home. In addition to being unique on Long Island, Mather is one of only five hospitals in New York State to be approved for a transitional care program. “This State designation bears testimony to Mather Hospital’s excellent reputation of caring for elders in our community,” says Mather Hospital President Kenneth Roberts. “New initiatives like the TCU enable our hospital to continually improve upon the delivery of patient care in our community.” PAGE 8 2009 REPORT TO THE COMMUNITY In most cases certain criteria will have to be met before charity care is considered. The patient or the patient’s family will have to visit the Social Services Department to determine, through the pre-screening process, whether or not the patient is Medicaid eligible. If the patient is Medicaid eligible, they must apply and follow through until denial or approval is received. If it is obvious to the Social Worker that the patient has resources that will render him or her ineligible for Medicaid, the patient may be required to have a face to face interview with the Director of Patient Accounts or H.D. During this interview, the Director of Patient Accounts or H.D. will review the patient’s financial situation and determine what documentation is necessary to prove financial hardship. A credit report is required on all charity care requests. C. Time Requirements for Determination: Upon receipt of an application and after a complete review of the patient’s application, one of the following letters explaining the result of the applicants review will be forwarded to the patient, via mail, within 30 days of the hospital receiving the charity care application: • • • • • Letter Letter Letter Letter Letter #1: #2: #3: #4: #5: Confirms the patient is eligible for charity care Confirms the patient is eligible for partial charity care Informs the patient they are not eligible for charity care at this time Informs the patient that additional information is required in order to determine charity care eligibility Final reminder letter to inform patient to apply for charity care Note: Patients have up to 90 days from the date of discharge or date of Medicaid denial to apply for charity care. If a patient inquires about applying for charity care after the 90 day timeframe the Director of Patient Accounts may grant certain exceptions to this rule if the patient can provide documentation proving they’re indigent. Patient’s that apply for charity care and have an open balance from a previous year, the account may be considered, if the patient provides their tax return for the year of the account in question. All applicants approved for any form of charity care must re-apply on a yearly basis. D. Calculation of Charity Care Discounts: To insure that the payment amount required by the patient does not exceed the amount the hospital would be reimbursed if a patient had insurance, the hospital has developed a formula. The Blue Cross PPO Rates (for the period when services were rendered) will be increased by 35%. Then an additional amount will be added to cover the bad debt and charity care pool assessment (current rate is 8.95%). The total of this calculation will be compared to the amount due after the Charity Care discounts have been calculated. If the amount of the bill remaining, after our charity discounts are applied, exceeds the amount of the above formula calculation, then further discounts can be applied. All off site service areas will refer all patients that inquire about our charity care program to our Charity Care Representative in the Patient Accounting Department, at extension 4037. PAGE 33 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Escala 20 0 9 Hyperbaric Oxygen Therapy Unit E quipped with four chambers, the Hyperbaric Oxygen Therapy Unit at Mather Hospital was the first of its kind to go into operation on Long Island, and remains one of just a handful in New York State. The Hyperbaric Oxygen Therapy Unit provides 100 percent pure oxygen to patients in a pressurized chamber to assist in the treatment and healing of a diverse series of illnesses and conditions including: JOHN T. MATHER MEMORIAL HOSPITAL ATENCIÓN DE CARIDAD Asunto: Fecha: Atención de Caridad 16 de julio de 2009 Pautas para 2009 H Carbon monoxide poisoning La tabla adjunta representa las pautas de atención de caridad de John T. Mather Memorial Hospital que están basadas en las Pautas de Pobreza de 2009 para todos los Estados emitidas por el Departamento de Salud y Servicios Humanos. La escala representa el porcentaje aplicable a la responsabilidad del paciente, a saber: H Chronic, non-healing wounds H Bone infections H Skin grafts H Reattachment of limbs Nivel de Pobreza Federal Tamaño del grupo familiar H Tissue injuries resulting from radiation therapy 100% 200% 300% 400% 500% 1 $13,800 $27,600 $41,400 $55,200 $69,000 2 $20,100 $40,200 $60,300 $80,400 $100,500 3 $23,115 $46,230 $69,345 $92,460 $115,575 4 $26,130 $52,260 $78,390 $104,520 $130,650 5 $29,145 $58,290 $87,435 $116,580 $145,725 6 $32,160 $64,320 $96,480 $128,640 $160,800 7 $35,175 $70,350 $105,525 $140,700 $175,875 8 $38,190 $76,380 $114,570 $152,760 $190,950 $3,015 $6,030 $9,045 $12,060 $15,075 Por cada persona adicional agregar Fuente: Calculado con datos del Registro Federal, 24 de enero de 2008 H Decompression injuries (“The Bends”) In 2009, the Hyperbaric Oxygen Therapy Unit at Mather Hospital provided 1,424 treatments. Telemetry Unit D espite recent advances in medicine and surgery, cardiovascular disorders continue to be a major cause of mortality and morbidity in the U.S. Early identification of and treatment of cardiac rate irregularities and the determination of its origin may prevent serious, recurrent cardiovascular events. Continuous cardiac monitoring provides an efficient and reliable method of detecting many cardiac problems so appropriate and timely intervention can occur. The Telemetry Unit at Mather Hospital uses a state-of-the-art telemetry system in place of conventional cardiac monitors. The unit is equipped with 48 beds to accommodate an ever present need for monitored beds. Departamento de Salud y Servicios Humanos de los EEUU (HHS) • • • • 300% y menos: La factura del paciente tendrá un descuento del 100% 301-400%: La factura del paciente tendrá un descuento del 75% 401-500%: La factura del paciente tendrá un descuento del 50% 501% y más: El paciente será responsable por los cargos completos Asimismo, el hospital tendrá en cuenta las siguientes condiciones: Se podrán considerar descuentos si los gastos médicos incurridos durante el período de doce meses (ventana) exceden el 50% de los ingresos brutos. Los niveles de descuento se basarán en los ingresos brutos que aparecen en la copia presentada de la declaración de impuestos o en documentación aceptable que demuestre prueba de ingresos. Si el paciente tiene escasos o ningún ingreso y no se presentó declaración de impuesto a las ganancias, el paciente podrá proporcionar una copia del Formulario NYS IT 214. Si no se presentó, el paciente o la parte responsable necesita completar la página 2, puntos 27-34 del Formulario IT 214. PAGE 32 PAGE 9 2009 REPORT TO THE COMMUNITY Diagnostic Imaging Services and Radiology T he Imaging Services Department at Mather Hospital is essentially the backbone upon which most care plans are built. With 40 highly trained radiologists on staff, Imaging Services at Mather works closely with other departments in the hospital to provide essential diagnostic tools and treatment techniques for patients with a full range of medical needs. In 2009, 57,731 radiological exams were conducted at Mather Hospital. Imaging Services also provides extensive cardiovascular evaluation using nuclear medicine testing (3,641 procedures in 2009), stress testing (1,170 in 2009), and ultrasound services (23,652 in 2009). Interventional Radiology T he Interventional Radiology Division of Imaging Services is the clinical subspecialty that uses fluoroscopy, CT, and ultrasound to guide percutaneous (through the skin) procedures such as performing biopsies, draining fluids, inserting catheters, or dilating or stenting narrowed ducts or vessels. Within this department, a variety of studies are performed including angiography (arteriograms and venograms), central line placement, PICC line placement, caval filter placement, biliary drainage, nephrostograms, vertebroplasty, embolization and abscess drainage. There were 5,346 interventional radiology procedures performed in Mather Hospital in 2009. 2009 REPORT TO THE COMMUNITY 2009 Charity Care Guidelines T he following represents Mather Hospital’s charity care guidelines that are based on the 2009 Poverty Guidelines for all states issued by the Department of Health and Human Services. The scale represents the percentage applicable to patient responsibility as follows: Federal Poverty Level Size of Family Unit 100% 200% 1 $13,800 $27,600 $41,400 $55,200 $69,000 2 $20,100 $40,200 $60,300 $80,400 $100,500 3 $23,115 $46,230 $69,345 $92,460 $115,575 4 $26,130 $52,260 $78,390 $104,520 $130,650 5 $29,145 $58,290 $87,435 $116,580 $145,725 6 $32,160 $64,320 $96,480 $128,640 $160,800 7 $35,175 $70,350 $105,525 $140,700 $175,875 8 $38,190 $76,380 $114,570 $152,760 $190,950 $3,015 $6,030 $9,045 $12,060 $15,075 For each additional person add 300% 400% 500% CT Scan C omputed Tomography (CT) System, also know as a CT Scan, is a medical diagnostic tool that allows the visualization of internal structures within the human body. In 2003, Mather Hospital acquired a second CT scan machine — the state-of-the-art 16-slice GE LightSpeed 16, a CT scan machine that scans in 0.5 seconds, shaving vital minutes off exam time, and allows doctors to simultaneously capture multiple wafer-thin images of a patient’s anatomy. The GE Lightspeed-16 scanner makes patients more comfortable and takes less time during diagnostic testing and interventional procedures. It provides highly detailed diagnostic images of the human body in less time, automates dose reduction of dye needed for the procedure, and requires less time for breathholds, all of which helps reduce patient stress levels. In 2009, 25,636 CT scans of the brain and body were performed at Mather Hospital. Source: Calculated using data from the Federal Register, January 23, 2008 U.S. Department of Health and Human Services (HHS) • • • • 300% & Below: Patient’s bill will be discounted 100% 301-400%: Patient’s bill will be discounted 75% 401-500%: Patient’s bill will be discounted 50% 501% & Above: Patient will be responsible for full charges In addition, the hospital shall take into consideration the following conditions, as follows: Discounts may be considered if medical expenses incurred for the twelve month period (window) exceeds 50% of gross income. Discount levels will be based on gross income as shown on filed copy of tax return or acceptable documentation showing proof of income. Magnetic Resonance Imaging (MRI) M ather Hospital offers MRI services to the community with the Signa EXCITE 1.5HD, the world’s first 1.5 high-definition MRI—a system designed to enhance patient comfort. Its generous 60cm opening and 48 cm field of view helps eliminate the “torpedo tube” feeling for patients. It enables physicians to see inside the body in a way not previously possible, and to complete their exams in less time. A total of 4,745 MRI scans were performed in 2009. PAGE 10 If patient has little or no income and income tax return was not filed, patient may supply a copy of NYS IT 214 Form. If not filed, patient or responsible party needs to complete page 2, items 27-34 of IT 214 Form. If patient has little or no income but has considerable savings and/or assets, discount may be reviewed, and prorated. PAGE 31 2009 REPORT TO THE COMMUNITY Ingresos A p l i c a c i o n 2009 REPORT TO THE COMMUNITY Sleep Disorders Center JOHN T. MATHER MEMORIAL HOSPITAL SOLICITUD DE ATENCIÓN DE CARIDAD DEBERÁ PROPORCIONAR PRUEBAS DE LAS DECLARACIONES HECHAS EN ESTA SOLICITUD, INCLUYENDO IDENTIDAD, LUGAR DE RESIDENCIA, INGRESOS Y RECURSOS. Nombre del Paciente:_________________________________________ N° de SS:__________________________________ Persona responsable por la factura:____________________________ N° de SS:__________________________________ Dirección:____________________________________________________ Teléfono:__________________________________ Empleador:_______________________________________ Dirección:_____________________________________________ T he accredited Sleep Disorders Center at Mather Hospital is located in the Cody Surgical Pavilion. It has four bedrooms, TVs in each room, and individual room temperature settings. The Sleep Disorders Center offers a unique, multidisciplinary approach to the diagnosis and treatment of sleep disorders. Following a preliminary consultation, patients go to sleep in one of the Center’s bedrooms and are monitored through the night by sleep technicians with the most up-to-date sleep monitoring equipment. This “sleep study” records the activities of a patient’s heart, lungs, brain, muscle movements, the patient’s air flow, and the oxygen levels in the patient’s blood. This information allows the physician to tell if the patient is suffering from sleep apnea, insomnia, or even stress-related periodic leg movements that can keep a person from falling asleep. In 2009, the Sleep Disorders Center at Mather Hospital administered 969 studies. Teléfono:__________________________________ Puesto:_____________________________ Sueldo: $_________________ Therapeutic Infusion Center Sindicato (unión) o Afiliación Local: _______________________________________________________________________ M ather Hospital’s Therapeutic Infusion Center operates with six chairs, and is used to treat various disorders of the immune system. Originally opened in 1980, the unit has been providing all outpatient chemotherapy services for Mather and St. Charles Hospitals since January of 1997. In addition, demand for the Unit’s services increased once Mather Hospital began offering intravenous antibiotic therapy. In 2009, the Therapeutic Infusion Center performed 213 chemotherapy treatments. Transfusions, outpatient therapeutic phlebotomies, gamma globulin treatments and all other outpatient IV drug therapies accounted for another 1,745 treatments. Número de personas a cargo en el hogar: _________________________________________________________________ ¿Tiene algún seguro de hospitalización? q Sí q No En caso afirmativo, es Medicare:________________ Medicaid:__________________ Blue Cross:_____________________ Otro (especifique):_ _________________ No de Póliza de Seguro o Certificado:__________________________________ Nombre del Banco: _______________________________ Dirección:_____________________________________________ Cta. de Ahorros No: _ _______________________________Cta. de Cheques No: _ ________________________________ Tarjetas de Crédito: Hemodialysis Unit Nombre:_____________________________ No de Cuenta:_____________________________ Balance: $_______________ Nombre:_____________________________ No de Cuenta:_____________________________ Balance: $_______________ Otros ingresos: $_____________________________________Especificar fuente:__________________________________ ¿Ha solicitado asistencia médica Medicaid? q Sí q No En caso afirmativo, cuándo:____________ Resultados: _______________________________________________________ ______________________________________________________ Entiendo que al firmar este documento estoy solicitando Atención de Caridad en John T. Mather Memorial Hospital. Certifico que la información anterior es cierta y exacta según mi mejor saber y entender. También comprendo que John T. Mather Memorial Hospital puede verificar la información que estoy proporcionando y que las falsificaciones deliberadas podrán descalificar mi solicitud para la caridad. Cooperaré con esta verificación y proporcionaré toda la evidencia necesaria para apoyar la información que he declarado en esta solicitud. Fecha: ___________________ ____________________________________ Firma del Paciente o Parte Responsable __________________________________________________________________Representante de Atención de Caridad PAGE 30 H ealthy kidneys clean blood by removing excess fluid, minerals and wastes. They also make hormones that keep bones strong and blood healthy. When kidneys fail, harmful wastes build up, blood pressure rises, and the body may retain excess fluid and not make enough red blood cells. When this happens, Hemodialysis is required to replace the work of failed kidneys. Hemodialysis cleans and filters the blood using a machine to temporarily rid the body of harmful wastes, extra salt and extra water. Hemodialysis helps control blood pressure and the proper balance of important chemicals in the body such as potassium, sodium, calcium, and bicarbonate. In 2003, the Hemodialysis Unit at Mather Hospital expanded and now treats four to five patients comfortably at a time. In 2009, Mather Hospital provided 1,822 Hemodialysis treatments. The Men’s Prostate Health Center at Mather Hospital E arly detection of prostate cancer remains the best defense against the disease. The Men’s Prostate Health Center at Mather Hospital is a hospital-based program designed to raise awareness about prostate cancer. The Center provides community and hospital based screenings, and in 2009, 134 screenings were done through the Men’s Prostate Health Center at Mather Hospital. PAGE 11 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix E Radioactive Seed Implant T his alternative treatment for prostate cancer has been available at Mather Hospital since 1997. It involves implanting tiny radioactive pellets in the prostate, where they remain and emit radiation for a period of weeks before becoming inert. Seed implantation has a survival rate similar to surgery for removal of the prostate, but carries a lower risk of side effects such as incontinence or impotence. In 2009, this procedure was performed on 26 patients at Mather Hospital. Inpatient Adolescent Psychiatric Unit M ather Hospital is home to the first adolescent psychiatric unit in a community hospital in Suffolk County. The unit contains 10 beds and is geared toward adolescents who are experiencing psychiatric and behavioral problems. An interdisciplinary team works with patients, and a school tutorial program is conducted within the unit. Mather Hospital is opening a new Rooftop recreation area, underwritten in part by Roslyn Savings Foundation, that will provide a multisensory therapeutic environment that can be accessed directly from the patient unit. It includes a 240-square foot greenhouse, picnic area and open exercise area. Charity Care Application For m — 2009 JOHN T. MATHER MEMORIAL HOSPITAL CHARITY CARE APPLICATION YOU ARE REQUIRED TO SUPPLY PROOF OF STATEMENTS MADE IN THIS APPLICATION, INCLUDING IDENTITY, PLACE OF RESIDENCE, INCOME AND RESOURCES. Patient’s Name:___________________________________________________SS#:__________________________________ Person responsible for bill:_________________________________________SS#:__________________________________ Address:_____________________________________________________ Phone #:__________________________________ Employer:_________________________________________ Address:_____________________________________________ Phone #:_________________________________ Position:_____________________________ Salary: $_________________ Inpatient Adult Psychiatric Unit T he Inpatient Adult Psychiatric Unit at Mather Hospital is a 27 bed unit. It serves adults and geriatric patients with a variety of psychiatric and behavioral problems such as: anxiety and panic, depression, bi-polar disorder, schizophrenia, and eating disorders. A highly trained interdisciplinary team of experienced professionals has been providing inpatient psychiatric treatment at Mather Hospital since 1976. Adult and Adolescent Psychiatric Partial Hospitalization Programs N ot every psychiatric patient requires inpatient care. Recognizing the need for a continuum of care based on the unique needs of the individual, Mather Hospital began providing a partial hospitalization program for psychiatric patients in 1995. The adult program offers intensive, outpatient treatment for up to 25 adults for six hours each weekday, with crisis backup provided around-the-clock by the professional staff. An adolescent program began operating in 1997, with treatment provided for three hours each weekday for students who can attend their local school, and seven hours each weekday for those students requiring educational services in addition to therapy. Eating Disorders Program T he Adult and Adolescent Eating Disorders Program provides treatment for patients suffering from anorexia, bulimia and binge eating disorder. Often patients are struggling with an underlying depression or other mental health symptoms. The Eating Disorders Program offers patients four hours of treatment for five evenings each week for an average of four to six weeks. During that time, patients take part in psycho-educational groups and receive individual and group psychotherapy, psychiatric evaluations, and nutritional assessments. They also have supervised and supportive meal times, and they receive help with meal planning. In 2009, there were 1,485 visits to Mather Hospital’s Eating Disorders program. Mather Hospital Wound Care Centers® M ather Hospital Wound Care Centers®specialize in treating chronic wounds that have not responded to traditional treatment, often preventing the amputations that can result from such wounds. Treatment may also include Hyperbaric Oxygen Therapy, another signature service of Mather Hospital. Union or Local Affiliation: ________________________________________________________________________________ Number of Dependents in Household: _____________________________________________________________________ Do you have any hospitalization insurance? Yes No If yes, is it Medicare:_____________________ Medicaid:_____________________ Blue Cross:_______________________ Other (specify):__________________________ Insurance Policy or Certificate #:__________________________________ Name of Bank: ____________________________________ Address:_____________________________________________ Savings Account #: _________________________________________Checking #: _ ________________________________ Credit Cards: Name:___________________________________ Account #:_____________________________ Balance: $_______________ Name:___________________________________ Account #:_____________________________ Balance: $_______________ Other income: $________________________________________ Specify Source:__________________________________ Have you applied for Medicaid medical assistance? Yes No If yes, when:_ _______________ Results: ___________________________________________________________________ Date:_______________________ ___________________________________________________________________ I understand that by signing this document I am applying for Charity Care at John T. Mather Memorial Hospital. I certify that the above information is true and accurate to the best of my knowledge. I also understand that John T. Mather Memorial Hospital may verify the information I am providing and that deliberate falsifications may disqualify my application from being considered for charity. I will cooperate with this verification and provide all needed evidence to support the information I have declared on this application. Signature of Patient or Responsible Party ________________________________________________________________ The Wound Care Center in Port Jefferson was the first of its type in Suffolk County; in 1998, it was joined by a satellite office in Melville. For the year 2009, the Wound Care Center in Port Jefferson treated 439 new patients and had a total of 4,686 patient visits; the Melville satellite office had 161 new patients, which made a total of 1,654 patient visits. PAGE 12 Charity Care Representative____________________________________________________________________________ PAGE 29 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix D Communit y H e a l t h P r o g r a m s a n d S u p p o r t G r o u p s GREEN SEMINARS: (Smoking & Weight Loss) Pre-registration required - $75 fee, group hypnosis. Meets the second Thursday of every month 7:00 – 9:00 pm, conf. rooms 1 & 2. To register call 1-800-342-1303. LIVE, LOVE & LAUGH AGAIN: A support group for women who have breast cancer. Family members are encouraged to attend. Registration not required. Students permitted. Meets fourth Tuesday of every month, 7:00 – 9:00 pm, O.R. conf. room at Mather Hospital. For information, contact Eileen Swieczkowski, RN, at 631-476-2776. LOOK GOOD - FEEL BETTER: A complimentary makeover session for cancer patients undergoing radiation or chemotherapy. Scheduled two hour sessions. Meets the third Monday of every month, 6:00 – 8:00 pm, conf. room 1. Appointment required, call Public Affairs at 631-476-2723. MULTIPLE SCLEROSIS SUPPORT GROUP: A support group for those with MS, their families and care partners. To register, contact the National MS Society 631864-8337. Seasonal sessions available. For registration, class dates and questions, please contact the National MS Society at 631-864-8337. NAMI – NATIONAL ALLIANCE FOR THE MENTALLY ILL – SUPPORT GROUP: Support group for the patient, family and friends. Meets second Wed. every month (patients only this class) 6:30-8:30 pm conf. rooms 4 & 5; third Wed. of every month, 7:30–9:30 pm, conf. room 2; fourth Wed every month 7:00-9:00 pm conf. rooms 1 & 2. No registration necessary. For further information, call Ellen 631-728-3082. NAMI – NATIONAL ALLIANCE FOR THE MENTALLY ILL- INFORMATIONAL PRESENTATIONS ONLY: Meets first Wednesday of every month, 7:30 – 9:00 pm, conf. room 1. NEWLY DIAGNOSED WOMEN WITH BREAST CANCER: Meets Thursday evenings, beginning in January, April and September (8 week sessions), 5:30 – 7:00 pm, O.R. conf. room. Registration required. Contact Sonny Levinbook, CSW, at 631-689-1854. OVEREATERS ANONYMOUS: A support group for people with overeating problems. There are two separate groups: Every Sunday, 7:00 pm, conference room 2; Every Monday, 7:30 pm conf. room 2. No registration required. PROSTATE CANCER SCREENING: The Men’s Prostate Health Center at Mather Hospital offers free prostate cancer screening exams by appointment only. Screenings are held on the third Tuesday in Feb., April, June, Sept., Oct. and Dec from 4:00 – 6:00 pm., Men’s Prostate Health Center. Call 631-474-6030 to schedule an appointment. PROSTATE CANCER SUPPORT GROUP “Us-Too”: A support group for men who have or had prostate cancer. Family members, friends and spouses are encouraged to attend. Meets first Tuesday of every month, 7:30 – 9:30 pm, O.R. conf. room. Registration required. Contact Craig Schmidt at 631-846-4377. REACH TO RECOVERY: A special program to help patients with breast cancer cope with their diagnosis, treatment and recovery. The program pairs a breast cancer survivor with a recently diagnosed patient who has similar issues. Each American Cancer Society volunteer is specially trained to help the patient express their feelings, verbalize their fears and concerns, and be an impartial sounding board for questions and matters that may be affecting them. Contact may be either a personal visit or a phone call, based on location. Call the American Cancer Society at 800-ACS-2345. SLEEP DISORDERS SUPPORT GROUP: Meets third Thursday of every month, 6:00 – 8:00 pm, conf. room 2. Registration required. Contact the Sleep Disorders Center at 631-476-2721. PAGE 28 Bariatric Surgery Program — A Center of Excellence P atients choose the Bariatric Surgery Program at Mather Hospital for its outstanding clinical team, as well as its friendly, supportive environment. John T. Mather Memorial Hospital Bariatric Center, Dr. Arif Ahmad and Long Island Laparoscopic Surgery have been jointly named a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery (ASMBS). By definition, surgeons with ASMBS Centers of Excellence designation practice only top quality care, ensuring efficacy of the procedure with each patient to the best of their ability and to meet the needs of all patients in our community. The commitment of the Bariatric Program doesn’t end after surgery. Ongoing assistance and postoperative guidance is available to support an individual’s improved long-term health and weight loss success. The Hospitalist Program T he Hospitalist Program at Mather Hospital is a coordinated effort among Mather’s team of physicians to provide clinical partnerships with Primary Care offices, focused on communication, patient satisfaction, patient safety and quality. Board Certified in Internal Medicine, Mather’s Hospitalists specialize in the care of hospital patients. Their primary focus is to help patients through the continuum of hospital care, often seeing patients through initial hospital entry, following them into the appropriate medical unit and organizing post-acute care. The coordination of specialty care in the Hospitalist Program enables Primary Care Physicians to maintain their ambulatory practices while being informed of the progress of their patients under the care of the Hospitalist. Building on Success T he healthcare needs of those we serve are incredibly varied. That’s why Mather Hospital offers a range of services that make us much more than a traditional community hospital. Some of our services are provided in conjunction with or under the umbrella of the Mather-St. Charles Health Alliance. Historically, Mather Hospital had worked closely with St. Charles Hospital and Rehabilitation Center. In 1995, the Boards of Directors of Mather Hospital and St. Charles realized the healthcare needs of the community would be better served through a cooperative, joint planning process, allowing each hospital to maintain a separate identity while eliminating the costly duplication of some services. The Mather-St. Charles Health Alliance centralizes certain services at each hospital, reducing unnecessary duplication and costs and allowing more resources to be invested in new programs to provide a continuum of health services for the community. The Alliance has allowed Mather Hospital to build on its success. Physicians Referral Service T he Mather-St. Charles Health Alliance shares a joint medical staff. Community members can request a referral to any of the 700-plus physicians by calling the Mather-St. Charles Health Alliance at 631-474-6030. PAGE 13 2009 REPORT TO THE COMMUNITY T here are many ways that Mather Hospital reaches out to the members of the community to help meet their needs. By bringing services and educational programs to the community, Mather Hospital fulfills its goal of providing a continuum of care to those it serves. Cardiowise Café C ardiowise Café is a free health fair designed for individuals 45 years of age and older. Held annually in March, it focuses on cardiovascular health and features free, heart healthy foods from local restaurants and food shops, along with health seminars by members of the medical staff at Mather Hospital. In 2009, Cardiowise Café featured informational lectures on stroke, cardiovascular disease, and how diet may affect and prevent heart disease. Annual attendance exceeds 200. Just Ask Us! / Eating Well Restaurant Week T hrough a Heart-Healthy Grant from New York State, Mather Hospital is working with local restaurants to promote heart healthier options while dining out. In 2009, Mather’s JAU program ran its third “Eat Well While Eating Out” Restaurant Week. Participating restaurants provide smaller portion alternatives and encourage their patrons to bring a portion of their meal home. EMS Quality Improvement Committee C reated and hosted by Mather Hospital, this program brings in representatives from the various volunteer ambulance companies serving the community to discuss cases of interest so that the companies may learn from each other. The Committee also discusses studies and general topics of interest that can help the ambulance companies better serve the community. Continuing Medical Education E ach year, Mather Hospital offers a series of continuing medical education programs on a variety of healthcare topics. While geared toward physicians and clinicians, these programs are open to the public. Program topics in included: Myths in Cardiology; Advances in Assisted Reproduction; Diagnosis and Treatment of Parkinson’s Disease; Neuropathic Pain: Newer Treatment Options; The Dentist’s Role in Screening and Treating Obstructive Sleep Apnea; Tumor Lysis Syndrome and Acute Kidney Failure: Evaluation, Prevention and Management; Contrast Nephropathy and Gadolinium Related Nephrogenic Systemic Fibrosis; Management of Lung Cancer; Bronchoscopic Biopsy of the Mediastinum Endovascular Management of Symptomatic Intracranial Stenosis; Current and Emerging Therapies for RA; Current Update on Carodid Artery Stenting. 8th Annual Healthcare Symposium on Pancreatic Cancer ach year about 37,000 people in the U.S. are diagnosed with pancreatic cancer. Its tendency to spread silently before diagnosis places it among the most fatal cancers. More than 200 people attended Mather Hospital’s Community Education Health Symposium on pancreatic cancer, risks of contracting the disease, and treatment advances. A team of experts from Mather’s medical staff presented detailed information on this and answered audience questions. Sharing their expertise, at the symposium are (from left) Stanley Ostrow, MD; William LiPera, MD; David Hyman, MD; Martin Silverstein, MD: Kevin Watkins, MD; Elliot Dreznick, MD; Seth Persky, MD; George Calcanes, RN; Matias D’Costa, MD; Jeffrey Vacirca, MD; and actor Dan Grimaldi. PAGE 14 Appendix D Community Health Programs and Suppor t Groups Communit y O u t r e a c h E 2009 REPORT TO THE COMMUNITY ADULT-INFANT-CHILD CPR: Mather is a designated training center for American Heart Association courses in Adult-Infant and Child CPR, for both healthcare providers and the community. Call 631-476-2729 for schedule and fees. AL ANON: A support group for families and friends of those who have drinking problems. Meets 6:30 pm every Saturday, conference rooms 1 & 2. No registration required. ALCOHOLICS ANONYMOUS: A support group for men and women with drinking problems. There are six separate groups. For information, contact the Public Affairs Office at 631-476-2723. No registration required. ASTHMA EDUCATION WORKSHOP: Pediatric & Adult Workshops available. For information and registration, contact Ted Nilsson, Respiratory Therapy at 631-686-7861. Pediatrics: meets second Tuesday of every month, 7:30 – 9:30 pm, conf. room 2. Adults: Meets fourth Tuesday of every month, 7:30 – 9:30 pm, conf. room 2. BEREAVEMENT GROUPS: Mather Hospital does not hold Bereavement support groups. Please contact the following groups for further information: Good Shepherd Hospice 631-465-6300; St. Louis de Montfort Church 631-744-8566. BLOOD PRESSURE SCREENING: Available Monday through Friday, 9:00 a.m. to 4:00 p.m., Triage Desk of the Emergency Pavilion. No registration required. CANCER SURVIVOR GROUP: Support group for men and women who have or had any type of cancer, and families are welcome. Meets third Thursday of every month, 6:00 – 8:00 pm, conference rooms 4 & 5. No registration required. CHRONIC FATIGUE & FIBROMYALGIA SUPPORT GROUP: Mather Hospital does not hold classes. For further information, call the CFS Hotline #: 631-548-8237, or visit ncfsfa. org CROHN’S AND COLITIS SUPPORT GROUP: A support group for patients with Crohn’s disease or ulcerative colitis, and their families. Meets monthly. The two different groups that meet are parents group and women’s group. Contact the National Crohn’s Foundation at 516222-5530 to register in advance or for more information. DIABETES EDUCATION & SELF-MANAGEMENT PROGRAM: Held at St. Charles Hospital. A fee is charged. Please call 631-474-6449 for information. EATING DISORDERS SUPPORT GROUP A support group for people with eating disorders (parents, friends and spouses are welcome). Meets first Monday of every month, 7:00 – 8:30 pm, conf. room 3. Contact Sue Morin 631-473-3877 for information. No registration required. EMOTIONS ANONYMOUS: A 12-step program for people with emotional problems. No registration required. Meets every Sunday, 3:00 – 5:00 pm, conf. rooms 3, 4 & 5. For further information, contact Janet Brokow 631-584-5604. FAMILIES ANONYMOUS: A support group for families dealing with problems relating to drugs, alcohol, behavioral problems and inter-personal relationships. Meets every Friday, 8:00 – 9:30 pm, conf. rooms 1 & 2. Registration not required. For information contact Marian 631-736-5856. PAGE 27 2009 REPORT TO THE COMMUNITY Patient Pr o g r a m s a n d S e r v i c e s H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H PAGE 26 Alcoholism - Outpatient Counseling Allergy and Immunology Ambulatory Surgery Anesthesiology Bariatric Surgery Center of Excellence Brachytherapy Breast Health Center - Mammography - Mammotome - Stereotactic Breast Biopsy Cardiology - Coronary Care Unit - Cardiac Stress Testing Chest Pain Emergency Room Chronic Ambulatory Peritoneal Dialysis Colon & Rectal Surgery Community Education/Speakers Bureau Dentistry & Oral Surgery Dermatology Eating Disorders Emergency Services Endocrinology Endoscopy Enterostomal Therapy - Inpatient Consultation - Outpatient Consultation E.E.G. E.K.G. Family Medicine Gastroenterology General Surgery Gynecology Hematology (Adult) Hemodialysis (Acute) Hyperbaric Oxygen Therapy Unit Imaging Services - Radiation Therapy - Interventional - Nuclear Medicine - Ultrasound - CT Scan - MRI - Outpatient X-ray Infusion Center Infectious Disease Intensive Care Internal Medicine Joint Replacement Surgery Laboratory Laparoscopic Surgery Lyme Disease Treatment Program Lymphedema Treatment Men’s Prostate Health Center - Screening - Education - Referrals Nephrology Neurology H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H Occupational Medicine Occupational Therapy Oncology (Adult) Ophthalmology Orthopedics Otolaryngology Pain Management Pastoral Care Services Pathology Pediatric - Emergency - ENT - Outpatient - Ophthalmology - Otolaryngology Physical Therapy Plastic and Reconstructive Surgery Podiatry Proctology Psychiatry - Inpatient Adult - Inpatient Adolescent - Partial Hospitalization Program Pulmonary Medicine Recreation Therapy Reproductive Endocrinology Respiratory Therapy Rheumatology Sleep Disorders Center Social Services - Nursing Home Placement - Adult Home Placement - Supportive Home Care - Referrals to Rehabilitative Centers - Transportation Arrangements - Application for Medicaid - Crisis Counseling - Bereavement Counseling Speech Therapy Stroke Center Telemetry Thoracic Surgery Thrombolytic Therapy Transfusion Services Transitional Care Unit Tumor Registry Urology Valet Parking Vascular Surgery Wound Care Centers 2009 REPORT TO THE COMMUNITY Appendix C Special Events E ach year, Mather Hospital plays a role in several special events designed to raise awareness about critical healthcare issues facing the community. In addition, many of these events serve a fundraising purpose that allows this not-for-profit hospital to continue improving the quality of healthcare provided to its patients. One Enchanted Evening T he 44th Annual One Enchanted Evening fundraising gala “Green Jello & Spam”—a tribute to Dr. Seuss—was a huge success, raising monies to benefit the Fortunato Breast Health Center. More than 500 guests attended the themed event in October at the Hyatt Wind Watch Hotel in Hauppauge. Highlights included the 2009 Theodore Roosevelt Awards to Dr. Michael Fracchia, Dr. Jeffrey Vacirca and Mather Board Member Gary Cress, and special honoree Suffolk County National Bank President for their exceptional commitment to Mather Hospital and the surrounding community. Families Walk for Hope T he 15th Annual Families Walk for Hope had more than 800 participants making their way through the streets of Port Jefferson and Belle Terre. This five-mile walk now stands as the premier breast cancer awareness walk on Long Island. Families Walk For Hope is a healthy, aerobic event designed to raise awareness and funds for the Fortunato Breast Health Center and breast cancer treatment at Mather Hospital. Since the first walk was held in 1995, more than $2,000,000 has been raised. Mather Hospital Golf Classic M ore than 130 competitors teamed up at Mather Hospital’s 24th Annual Golf Classic at Great Rock Golf Club in Wading River on June 1. The event raised more than $114,000 to benefit nurse education programs at Mather Hospital. The 2009 first place foursome received the Vincent Bove Memorial Golf Award, in memory of Mather Hospital’s longtime chairman. Breast Cancer Victory Day A crowd of more than 500 women sporting commemorative pink ribbons and tee shirts packed the grounds of Mather Hospital for its 13th Annual Breast Cancer Victory Day on Sept. 26, 2009 -- an event to honor those whose lives are touched by breast cancer. Leading cancer researcher, Julia Smith, MD, PhD, director of New York University Cancer Institute, Breast Cancer Screening and Prevention Program, shared information about risk assessment and coping measures. The Long Island Railroad provided roundtrip transportation from Penn Station to Port Jefferson for hundreds of attendees on the specially decorated “Breast Cancer Victory Train.” Complimentary lunch was provided for all attendees. PAGE 15 2009 REPORT TO THE COMMUNITY A Continu e d C o m m i t m e n t t o I m p r ov e m e n t M ather Hospital’s excellent reputation in the community is based on the quality of its healthcare services. By adhering to our Mission Statement and Pledge, the members of the Mather Hospital Family – trustees, medical staff, hospital staff, volunteers and benefactors – all take responsibility to ensure patient satisfaction and to continually strive for service excellence. Voyage to Excellence / Patient Satisfaction Measurements I n 2008 Mather Hospital embarked on its Voyage to Excellence; an ongoing, hospital-wide effort to continuously improve patient satisfaction, as well as enhancing the hospital work environment through the efforts of seven teams comprised of employees, medical staff and volunteers. These teams analyze various aspects of Mather Hospital processes and environment to identify opportunities for enhancing patient and employee experiences. A primary tool for measuring success is Press-Ganey survey results. Mather Hospital works with Press Ganey Associates, a consulting firm that assists with benchmarking in the healthcare industry, to help determine patient satisfaction measurements. When patients are discharged from the Hospital, they receive a letter from the Hospital President, thanking them for choosing Mather Hospital and letting them know to expect a follow-up questionnaire by mail. The questionnaire is sent to every medical/surgical inpatient that is discharged and it consists of a variety of questions covering all aspects of the patient’s care. The answers are based on a scale of 1 (poor) to 5 (very good), although patients may also write-in their own comments and recommendations. The surveys are compiled on a quarterly basis and analyzed for patient satisfaction. Press Ganey provides benchmarking information to Mather Hospital, comparing our results with hospitals of similar size throughout the country. They also provide a comparison for past performance as the program continues. Mather Hospital Campus Is Smoke- and Tobacco-Free A s part of the ongoing effort to sustain a healthy environment, the campus of Mather Hospital became smokeand tobacco-free effective January 1, 2010. The goal is to sustain a healthy environment and to promote healthy lifestyles. This public health policy applies to all employees, volunteers, medical staff, patients, visitors, vendors and contractors and prohibits smoking and tobacco use anywhere on hospital property. The policy prohibits smoking and tobacco use anywhere on hospital property, including sidewalks and streets within the boundaries of both campuses, and personal vehicles on hospital grounds. PAGE 16 2009 REPORT TO THE COMMUNITY Appendix B 2009 Statistics for Community Ser vice Sor ted by All Patients Primary Service Area Inpatients Emergency Department Ambulatory Surgery All Patients PORT JEFFERSON STATION CORAM SELDEN RIDGE CENTEREACH MILLER PLACE MOUNT SINAI MIDDLE ISLAND PORT JEFFERSON ROCKY POINT RONKONKOMA EAST SETAUKET SOUND BEACH MEDFORD STONY BROOK FARMINGVILLE WADING RIVER PATCHOGUE HOLBROOK SAINT JAMES 10.9% 8.9% 6.0% 8.8% 6.0% 3.7% 3.0% 6.5% 3.6% 4.3% 2.4% 3.5% 2.5% 3.9% 1.5% 1.8% 1.4% 2.3% 1.5% 1.0% 10.6% 9.4% 6.5% 4.9% 5.0% 4.5% 3.7% 5.1% 5.1% 4.6% 2.6% 3.6% 2.8% 3.8% 2.2% 2.2% 1.6% 1.6% 1.5% 0.7% 8.2% 7.7% 6.2% 4.1% 5.8% 4.1% 3.4% 3.5% 3.0% 3.2% 3.8% 4.0% 2.2% 2.8% 2.4% 2.1% 2.2% 2.6% 2.1% 1.8% 10.2% 8.9% 5.9% 5.7% 5.5% 5.0% 4.7% 4.4% 4.3% 4.3% 2.4% 4.2% 3.1% 2.9% 2.2% 2.2% 1.9% 1.8% 1.5% 1.0% Total: Primary Svc Area 83.5% 82.1% 75.3% 82.3% 1.8% 1.8% 1.1% 1.0% 0.7% 0.5% 0.8% 0.6% 1.6% 1.4% 1.2% 1.4% 0.7% 0.6% 0.8% 0.6% 1.3% 1.8% 1.5% 1.4% 1.2% 1.0% 1.2% 1.1% 2.0% 1.6% 1.2% 1.2% 0.9% 0.8% 0.7% 0.7% 8.5% 8.3% 10.6% 9.1% 8.0% 9.6% 14.1% 8.6% 100.0% 100.0% 100.0% 100.0% SHOREHAM HOLTSVILLE LAKE GROVE SHIRLEY SMITHTOWN MANORVILLE RIVERHEAD NESCONSET Total: Secondary Svc Area All Others Totals PAGE 25 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Appendix A Board of D i r e c t o r s Chairman Kenneth A. Jacoppi, Esq. President Kenneth D. Roberts Vice Chairwoman Betsy Noyes Britton Vice Chairman Konrad J. Kuhn Vice Chairman Harold F. Tranchon, Jr. Treasurer John R. Sini Secretary Gene Gerrard Chairman, Medical Board – President, Medical Staff Lloyd Lense, M.D. Vice Chairman, Medical Board – Vice President, Medical Staff Kara H.V. Kvilekval, M.D. Board Members Alan D. Beck Joseph Boglia, M.D. James F. Canniff, Ed. D. Gary Cress James Danowski Carl Ferraro M. Cecile Forte, Ph. D. Judith A. Fortunato Kathryn B. Frey Robert A. Isaksen Frederick C. Johs, Esq. Thomas Kohlmann Richard Lusak James F. Maiella Wayne Rampone Leo Sternlicht Edward J. Weiss The JTM Fo u n d a t i o n T he JTM Foundation is a separate, not-for-profit corporation working to solicit and receive grants, contracts and funds from various sources to coordinate and support activities of operating the not-for-profit hospital through direct grants, gifts or loans for the betterment of the general health of the communities served. The JTM Health Facilities Foundation is generally viewed as the fundraising vehicle for various Mather Hospital activities. The amount raised through contributions was approximately $2,295,900 in 2009. Long Islan d H e a l t h N e t w o r k M ather Hospital is a member of the Long Island Health Network, a joint venture linking a number of independent hospital and hospital systems, including Catholic Health Services, Brookhaven Medical Center, New Island Hospital, and the Winthrop-South Nassau Health System into a collective business network. Formally launched on March 27, 1998, Long Island Health Network exists to enable these locally governed community hospitals to sustain mission effectiveness while operating in a dynamic healthcare service delivery environment. As a network of healthcare providers, Long Island Health Network seeks to improve the health status of its constituents by retaining local access to high-quality, lower cost health services. The Network develops and implements business and political strategies needed to meet the collective needs and interests of its members and the healthcare needs of the communities they serve. PAGE 24 Rapid Response Team M ather Hospital is participating in the largest healthcare quality initiative in the country – the Institute for Healthcare Improvement’s 100,000 Lives Campaign – implementing key enhancement changes to help save more lives. Deployed in December 2005, Mather’s Rapid Response Team (RRT) is comprised of clinicians who bring critical care expertise to the patient. The team is called in response to a concern by a nurse or other staff member regarding a decline in a patient’s medical condition. The RRT is charged with assessing a patient according to protocol, then discussing their findings with the attending physician to initiate basic interventions. Follow-Up Phone Contact I npatients discharged from Mather Hospital receive a follow-up phone call from a Hospital representative within several days of their discharge. Checking with patients about their recovery and answering questions they may have about post-discharge instructions is comforting to the patient, provides an additional outlet for feedback on the level of care and service our patients receive and is overall good medical practice. Regional Quality Assurance Program and PIP M ather Hospital participates in a program comparing quality performance indicators among hospitals throughout the United States. In addition, the Hospital utilizes a hospital-wide quality improvement program, the Performance Improvement Plan (PIP). PIP teams on department, inter-department and hospital-wide levels convene when an opportunity for improvement is identified. PIP teams assess the project, define goals, draft action plans and follow-up on improvements. During 2009, the Hospital analyzed and improved a total of 27 key processes. Tuition Assistance Programs T uition Assistance Programs encourage Mather Hospital employees to become more proficient in health related fields. Of note is the RN Incentive Program that offers 100-percent tuition reimbursement for full-time employees pursuing an RN degree and 50-percent tuition reimbursement for part-time employees pursuing an RN degree. Continuing Education M ather Hospital offers a fully accredited continuing education resource for all employees called “Swank HealthCare,” a free on-line continuing education program produced by Health.edu that is accessible 24-hours a day, seven days a week. Courses are available in Administration, Dietetics, Health Information Management, Medical Technology, Nurse Aide / Nurse Assistant, Nursing, Patient Education, Pharmacy, Physical Therapy, Social Work, Hospital Support Staff and Wellness / Personal Enrichment. A wide variety of programs are offered, including HIPAA regulations, EKG interpretation, Microsoft Word, Excel, Power Point, Asthma, Office Politics and many more. Mather Hospital receives a new set of videotapes every month, which are sent to the department directors of the specified course subjects (e.g., Respiratory tapes go to Respiratory Care Services). Programs are also accessible on line for employees to view at their convenience. Tests may be taken on line or done by “Scantron,” after which a certificate of completion can be printed immediately if completed on line. PAGE 17 2009 REPORT TO THE COMMUNITY Registered Nursing Program J ohn T. Mather Memorial Hospital has entered into a partnership agreement with Suffolk Community College. Mather is offering the opportunity for qualified students to enter the Registered Nursing Program at Suffolk Community College’s Ammerman Campus. Mather employees, as well as their family members, are given priority consideration during the selection process for admission into the Mather Partnership. All candidates must meet the admission requirements of the college, as well as the criteria for employment at Mather Hospital. Candidates selected for the partnership will have all tuition, books, lab fees and uniforms paid by Mather Hospital. In return, the student will sign a contract to work as a Registered Nurse at Mather Hospital for a minimum of 4 years upon graduation. For further information about this exciting venture, please contact the Nurse Recruitment Department at ext. 5636. Patient Advocates P atient advocates operate within the hospital to resolve patient concerns and focus on the needs of the patient and their families. Patient advocates are here to listen to and respond to your concerns, review hospital policies and procedures, provide information on community services or insurance coverage, and help resolve any dispute or issue you may have with the healthcare team so that the patient can concentrate on his/her recovery. Patient advocates can help you with concerns about discharges or assist in identifying home healthcare and community services. And they can explain coverage issues regarding Medicaid. 2009 REPORT TO THE COMMUNITY Patient Care Statistics: 2007 Through 2009 O verall, patient care programs and services have either increased or remained stable over the past three years. Visits to Mather Hospital’s Emergency Department are steady with 44,145 visits in 2009. As technology improves and the need for Diagnostic Imaging Services grow, Mather Hospital continues to accommodate more patients with new equipment and radiology medical specialists. Service Description 2007 2008 2009 Number of Patients Discharged 12,510 12,740 12,836 Number of Surgical Cases Inpatient Surgical Cases Outpatient Ambulatory Surgical Cases 15,704 3,847 11,857 14,446 3,784 10,662 14,441 3,854 10,557 41,402 41,513 44,145 5,921 6,307 6,468 2,063,654 2,252,870 Total Number of Emergency Room Visits Blood Units Administered Laboratory General Test Diagnostic Imaging Services Radiology Exam Special Procedures Nuclear Medicine Stress Testing Ultrasound CT scans MRI scans Bone Density scan EKG Holter Monitor EEG 1,985,231 53,447 3,970 4,328 1,379 23,424 23,558 4,108 1,326 29,048 71 701 55,329 3,771 3,790 1,267 23,703 23,972 4,649 1,234 30,278 71 672 57,731 5,346 3,641 1,170 22,474 25,636 4,745 1,389 31,898 52 581 Hemodialysis Treatments 1,867 1,910 1,822 Mather Hospital did not receive a total of $10,663,000 in patient payments in 2009 primarily due to patients’ failure to pay. This is up from $9,525,000 in 2008 and $5,966,000 in 2007. Hyperbaric Treatments 1,457 1,411 1,424 478 573 591 In addition, charity care was provided in 2009 in the amount of $4,621,000. This is up from $1,744,000 in 2008 and up from $1,808,000 in 2007. Lymphedema Treatment 6,370 7,135 6,761 Sleep Disorders Testing 876 Providing C h a r i t y C a r e T he Board of Directors of Mather Hospital has made an operational and financial commitment to identifying and meeting the healthcare needs of the community. It is the policy of the Hospital that patients in need of emergency medical services, both on an inpatient and outpatient basis, are to be treated regardless of their ability to pay for such services. This policy is prominently displayed in Mather’s Emergency Pavilion; Mather Hospital’s complete policy on determining bad debt and charity care can be found in Appendix E on pages 34 through 40. Mather Hospital also subsidized the cost of treating Emergency Room patients and clinic patients who are on government assistance (Medicaid) for which reimbursement is below hospital cost in 2009 in the amount of $1,670,000. This amount is lower than $1,699,000 in 2008 and higher than $1,524,000 in 2007. Mather Hospital’s Emergency Department is available 24 hours a day, seven days a week for patients who have difficulty accessing the healthcare system. PAGE 18 Pain Management Outpatient Ambulatory Partial Hospitalization Program Number of Visits - Adults Number of Visits - Adolescents Number of Visits - Eating Disorders 954 969 4,962 2,489 1,761 4,561 2,222 1,741 4,741 2,552 1,485 156 242 134 Port Jefferson Wound Care Center Visits 4,922 4,714 4,686 Melville Wound Care Center Visits 1,977 1,879 1,654 Prostate Screening PAGE 23 2009 REPORT TO THE COMMUNITY 2009 REPORT TO THE COMMUNITY Cor porate S t r u c t u r e & R e l a t e d C o r p o r a t i o n s V ision Statement and Strategic Plan M ather Health System is a 501(c)3, not-for-profit corporation which is the parent of John T. Mather Memorial Hospital, a 501(c)3 not-for-profit corporation, located at 75 North Country Road, in the village of Port Jefferson, NY, which is located in the Township of Brookhaven, Long Island. The Hospital operates as an acute care general hospital at its primary location and operates an outpatient mental facility, an outpatient alcohol counseling facility, an offsite MRI diagnostic center and two outpatient wound care facilities. JTM Health Facilities Foundation, a 501(c)3 not-for-profit corporation, a fund raising organization also operates from Mather Hospital. Mather Health Systems has sponsored Island Nursing & Rehab Center, a 501(c)3 nursing home located in Holtsville, New York, which is located in the Township of Brookhaven. In addition, it has established INRC Services Corp., 501(c)3 real estate holding company which holds the title of the property for the Nursing Home. A for-profit holding company, Mather Management System, Inc., also exists for the purpose of operating for-profit ventures. The aggregated annual fund balance of all corporations declined compared with that of the previous year. A summary of John T. Mather Memorial Hospital’s allocation of Financial Resources from the year 2007 through the year 2009 can be found in Appendix F on page 38. Our Vision: Mather Hospital will become the best community hospital in New York State. Cor porate S t r u c t u r e John T. Mather Memorial Hospital Corporate Structure Mather Health System, Inc. 501 (c) (3) regularly meets: Annually A John T. Mather Memorial Hospital 501 (c) (3) regularly meets: Monthly JTM Health Facilities Foundation 501 (c) (3) regularly meets: Quarterly Island Nursing & Rehab Center 501 (c) (3) regularly meets: Monthly Active Retirement Community, Inc. (dba Jefferson’s Ferry) 501 (c) (3) INRC Services Corp (Not For Profit Nursing Home Real Estate Holding Comp.) 501 (c) (3) regularly meets: Monthly regularly meets: Annually PAGE 22 Mt. Sinai Senior Services, Inc. (dba: Harbor Village at Mt. Sinai) Mather Management System, Inc. (For Profit Holding Company presently dormant) regularly meets: Monthly regularly meets: Annually s it has for the past 80 years, John T. Mather Memorial Hospital will continue to serve as a community hospital providing inpatient and outpatient medical, surgical and behavioral health services to our patients in a safe environment, as cost effectively as possible. The Hospital will continue its commitment to be responsive to the community’s health needs by continually assessing and fulfilling its role in treatment, education and prevention. In brief, the following areas received priority over the past three years: H H H H H H H H Assess and Respond to the Needs of the Community. Maintain and Develop Excellent Patient Care Delivery. Maintain and Develop Effective Financial Management. Maintain and Develop Strategic Partnerships and Relationships. Maintain and Develop Strong Technological Management. Maintain and Develop Physical Plant to Serve Community Needs. Maintain and Develop Excellent Relationships with Members of the Mather Hospital Family. Maintain and Develop Strategies to Address Workforce Shortages. PAGE 19 2009 REPORT TO THE COMMUNITY Request f o r C o m m u n i t y I n p u t J 2009 REPORT TO THE COMMUNITY Economic Impact Summar y ohn T. Mather Memorial Hospital will distribute a complete copy of our Report to the Community to the Hospital Board of Directors and to an extensive list of community representatives (see Appendix G). In addition, Mather Hospital will communicate its Plan to the public via news releases and articles via a Hospital community newsletter sent quarterly to 97,000 residences. H The Hospital solicits the input of residents from the communities it serves, with respect to community health service needs and to John T. Mather Memorial Hospital’s performance and service priorities. The Hospital is interested in comments and suggestions from the community so that it may continue its 80-year tradition of charitable service and quality healthcare for residents in the community. This economic impact summary, prepared with assistance from the Healthcare Association of New York State (HANYS), highlights the significant role Mather Hospital plays within the local community. It identifies and measures the direct involvement of Mather Hospital on the local economy and demonstrates the “ripple” effect of the dollars the healthcare sector brings into the community and the jobs it helps create. This is Mather Hospital’s 18th annual Community Service Plan, and it will continue to be published annually. All comments and suggestions will be reviewed, and the strategic direction of the Hospital will be reassessed on a regular basis. The continued support of the community to this institution is greatly appreciated, and we pledge to continue to offer new and innovative healthcare services that improve and promote the healthcare status of our community residents, while continually striving for cost-effectiveness at Mather Hospital. John T. Mather Memorial Hospital is an Economic Anchor in Our Community In addition to enhancing the health and well-being of the communities we serve, John T. Mather Memorial Hospital contributes significantly to the area’s economic health. Kenneth Roberts President John T. Mather Memorial Hospital Kenneth A. Jacoppi, Esq. Chairman of the Board John T. Mather Memorial Hospital ospitals are a key ingredient to New York’s quality of life and to keeping communities healthy and vibrant. Mather Hospital is a major contributor to both the local and state economies and to keeping families healthy and secure by providing needed healthcare services. John T. Mather Memorial Hospital is a Major Employer John T. Mather Memorial Hospital employs more than 2,300 people, with a total payroll of $110,871,000. Hospital payroll expenditures serve as an important economic stimulus, creating and supporting jobs throughout the local and state economies. John T. Mather Memorial Hospital Purchasing John T. Mather Memorial Hospital spends about $62,372,000 per year on the goods and services it needs to provide healthcare—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. April 30, 2010 Please forward all correspondence to: John T. Mather Memorial Hospital Capital Spending In 2009, John T. Mather Memorial Hospital spent $11,201,000 on buildings and equipment. Administration John T. Mather Memorial Hospital 75 North Country Road Port Jefferson, NY 11777 John T. Mather Memorial Hospital is a“Zone of Safety” Communities can take comfort in knowing that their local hospital is preparing today for the challenges of tomorrow. In this new world, hospitals do more than provide medical care to the community. Hospitals are a place of refuge, food, shelter, and information. PAGE 20 PAGE 21
