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Winona Health Accomplishments 2005
Winona Health Accomplishments 2005
Accomplishments
Meeting Our Mission
Gathering the information displayed in this publication was simply a joy to do and
s
a work of the heart. I have stated on many occasions that Winona Health is a
remarkable organization – specifically because of the people who work here. It is
their time, talent and hard work that have resulted in these accomplishments.
I would be remiss if I did not state at the outset that there were far more
accomplishments than are listed – we did not have the space to list them all! This
publication marks the beginning of a new annual accounting and
sharing of accomplishments by Winona Health. We have grown in
size and complexity, and it is hard for any one person to know all
that is going on inside our organization – but we are committed to
sharing our outcomes with all who will listen!
I hope you enjoy reading through the accomplishments of 2005 and, in doing
so, feel a sense of pride for the work done and the future of healthcare in
our community.
Warm regards,
Rachelle H. Schultz
President/CEO
Community memorial Hospital lake Winona manor Watkins manor
aditH miller and roger metz manors Home Care and HospiCe serviCes
pHysiCian CliniCs parkvieW pHarmaCy Winona HealtH Foundation
Members of Winona Health’s senior leadership recognize the 2005 Service Abbreviations
Award Winners. WH – Winona Health EMR – Electronic Medical
WHOL – Winona’s Health Record
A personal health inventory and workers’ compensation Online WSU – Winona State
documentation and forms were developed for WHOL for CMH – Community Memorial University
deployment in 2006. Hospital ICSI – Institute for Clinical
LWM – Lake Winona Manor Systems Improvement
An electronic employment application was implemented.
Care & Service
Assisted Living satisfaction scores improved from the 79th WH’s new Allergy & Asthma Clinic accommodated 293 visits.
percentile nationally to the 88th percentile. A feasibility study was completed for the October 2005 opening
LWM revised its resident satisfaction survey process to facilitate of a weekend Urgent Care Clinic.
quarterly results, ending the year with an 88% satisfaction rating. Information technology (especially the EMR) was used to improve
Hospice increased its average daily census from 4 in 2002 to patient safety and service quality:
20.5 in 2005, improving the quality of life remaining for terminally Electronic notes added for use by Physical Therapy
ill patients. Sleep study reports received and filed electronically
CMH’s Emergency Department cared for 17,949 area residents, an Asthma disease management service developed for WHOL
increase of 4.3%, while its Department of Behavioral Health’s
Electronic orders added in Radiology, reducing paper filing by 85%
admissions increased by 19% to 416; nursery admissions by 8.4%
to 412; and Dialysis treatments by 12.68% to 6507. Allergy alerts implemented
Dialysis achieved the Renal Network 11 Best Practices and ranked Alerts for patients with antibiotic-resistant bacteria added
17 out of 315 facilities nationally for fistula rates. Urgent or critical lab results displayed in red
CMH’s mortality rate was at 1.55%, compared to a national Automated smoking cessation counseling referral added if
benchmark of 2.23%. patient is a smoker
Medicare length of stay was reduced from 4.9 to 4.6 days, indicating Trigger added to notify Hospice staff before patient admission
improved coordination of patient care and resources. Automatic wound care referral included if patient meets
The patient/resident complaint process was evaluated and set criteria
improved, ensuring uniform reporting and handling of all Automatic Social Service referral added to address discharge
complaints. Following the first full-year implementation of a new needs
service recovery program, CMH complaints decreased by 19%. WH’s focus on patient- and family-centered care resulted in patient
WH continued to receive staff suggestions for innovations and and resident inclusion on various teams, including the Breast Health
improvements, with more than 500 opportunity statements Team.
submitted and more than 350 implemented. KidsHealth, a family web-based resource, was added to the WH
New evidence-based pathways were developed consistent with website; this and other targeted web efforts lead to a 30% increase
national guidelines for congestive heart failure, preoperative care, in website hits and visitors.
pneumonia and preoperative antibiotic use. An educational TV channel and two condition-specific manuals
A pharmacist began working with clinicians daily on patient/resident (Congestive Heart Failure and cancer) enhanced patient resources.
units to ensure appropriate use of medications. WH collaborated with Project Fine to offer a prenatal class in Spanish
The Hospitalist program was initiated, ensuring a board-certified attended by 12 families.
Internal Medicine specialist is present in the hospital from 8 a.m. to The medical staff evaluated and improved their own credentialing
6 p.m. daily. standards to ensure patient quality and safety.
Collaborative treatment plans with Gundersen Lutheran (Priority
One) and Mayo Clinic (STEMI) improved care of major heart attack
patients, with 15 patients transferred under these programs.
WH purchased a portable decontamination tent with Health
Resources and Services Administration (HRSA) Bioterrorism Grant
funds, enhancing emergency preparedness.
WH became a full member of ICSI.
WH voluntarily participated in the Centers for Medicare and
Medicaid Services project that defined effective care for three
conditions. Compliance scores for all three conditions have
improved since the project started:
Acute Myocardial Infarctions: 94.28 to 100%
Congestive Heart Failure: 51.85 to 88.57%
Pneumonia: 63.38 to 89.66%
LWM has improved its timeliness of CMH patient transfers by 75%.
Winona Health staff simulate a surgery in a newly equipped operating room.
LWM reduced its bed numbers to 160, opening up more single rooms
and adding a second hospice room which has had a 47% occupancy. WH continues to have no adverse health events.
An improved dictation process reduced turnaround time to Through the Institutional Review Board, WH began a research project
physicians by five days. studying pain control in labor and delivery.
WH developed a process to review daily, weekly, monthly and WH hosted 77 nursing students in clinical practicums.
quarterly indicator reports to evaluate and improve operational
performance.
Collaboration
WH’s building project remains on schedule and on budget. WH raised $14,000 for Hurricane Katrina relief, $1,300 for Tsunami
Completed in 2005 were the helipad and parking ramp, with the relief and $19,337 for the Greater Winona Area United Way – its
MRI and Surgery Suites set for late 2005 occupancy. largest local contributor.
WH and Winona Clinic identified a strategic location for a Women’s WH staff volunteered to assist in Hurricane Katrina relief efforts. The
Health Center on the third floor of the new Medical Office Building. following staff served three-week Red Cross stints: Kathie Johnson,
RN; Michael Kycek, RN; Sally Slavicek, Food & Nutrition.
WH donated almost $26,000 to local nonprofit organizations.
WH and WSU received a three-year $216,000 Minnesota Job Skills
Partnership grant to train Lean in Healthcare to 50 WH employees who
in turn will train all staff.
LWM’s nursing director worked with area nursing home colleagues to
develop protocols and policies, including an inter-facility admissions
document, to provide consistent, effective resident care.
A local collaborative including WH, local long-term care providers
and WSU successfully pursued state legislative action, creating an
opportunity to pursue Programs for All-Inclusive Care for the Elderly
(PACE).
The Auxiliary organized Follies, Holiday Happiness, Fantasy of Trees
Board members, city officials and Chamber Ambassadors cut the ribbon for the and other events to increase awareness of WH and support its
new parking ramp.
services, donating $59,100 and more than 25,000 volunteer hours.
WH staff shared building project news and updates with the The Auxiliary facilitated Advanced Directives classes for 106 residents
community and staff regularly and frequently: and held special sessions for Public Health Nursing, LWM, a WSU class,
24 Construction Zone articles in the staff newsletter and for the TRW, Home & Community Options and Senior health fairs.
8 news releases sent to local media WH received the following awards:
17 radio and television interviews MN Hospital Association’s Innovation in Patient Care Award for the
Integrated EMR
4 features in the spring and fall issues of Healthy Connections
mailed to 22,000 area households MN Health and Housing Alliance’s Excellence in Practice Award for
LWM’s Make-a-Wish Program
15 ads in Winona Daily News and Winona Post
Hospitals & Health Networks’ Most Wired–Small and Rural
9 articles in Winona Daily News and Winona Post
Sodexho’s Environmental Services Account of the Year Award
7 civic group presentations
MN Council for Quality’s MN Quality Award – Advancement Level
6 employee tours and the first community tour
Malcolm Baldrige National Quality Award – Third Scoring Band
Many personal tours given by senior leadership
Winona Area Chamber of Commerce’s Business Appreciation Award
600 staff celebrated the parking ramp opening
for Technology
200 community leaders and residents attended the parking ramp
Care Providers of MN’s Community Partnership Award for Winona’s
dedication
Rural PACE Team
100 attendees enjoyed the parking ramp donors’ banquet
WH staff made several major presentations:
Four new physicians were recruited to the community:
Kathleen Lanik testified in Washington DC at a Congressional
Laurel Quinn, MD, Ophthalmology (WH) Subcommittee hearing on privacy
Ehab Michael, MD, Internal Medicine (Winona Clinic) Kim Rock-Stockheimer presented at an International
Joan Krueger, MD, Pediatrics (Winona Clinic) Lymphedema Conference in Glasgow, Scotland
Edward Malone, MD, Family Practice (Family Medicine) Janice Turek, RN, presented WHOL at a national healthcare
Family physician Marc Molis, MD, joined the Rushford Clinic staff. summit in New York City
WH recognized the retirement of two long-time local physicians: Bill Gould presented WH’s Workers’ Compensation Management
Horace Anderson, MD, 37 years of service, and Bruce Davey, MD, 28 process to a MN Health and Housing Alliance conference and at a
years of service. workshop for a local chapter of the American Society for Quality
Two Business Forums were held with a combined attendance of 80 William Davis, MD, presented Winona’s EMR at a conference in New
area business leaders. York City
WH staff delivered information packets to 30 area businesses and Health Executive magazine published a feature on Rachelle Schultz,
conducted 22 health fair screenings, ergonomic assessments and and the Journal of the American Health Information Management
other services. Association published an article on WH’s EMR.
WH staff gave 29 tours, presentations and programs to community WH hosted the Southeastern Health Information Management
groups. meeting, attended by 65 people who learned about WH’s EMR and
WH coordinated a Red Cross Blood Drive, which drew 65 participants. Baldrige journey. Attendees called the meeting “extraordinary.”
Stewardship
Parkview Pharmacy revenue grew 14% in 12 months.
Winona Choice entered into a contract with Medica,
introducing a third major health insurance option in
Winona and enhancing rate competitiveness for employers
and providers.
WH completed its annual bond rating review and
maintained its current Standard & Poors rating.
An independent audit was completed with a “clean” opinion
and no material adjustments made to financial statements,
indicating WH’s processes for recording transactions,
compiling financial statements and reporting financial
information is effective and internal controls are working.
The Winona Health Foundation developed its mission,
vision, values and strategic plan.
The WH Foundation supported WH:
Received gifts from the community of almost $451,000
The Ben and Adith Miller Patient Care Fund assisted 81
Winona Health Physician Clinics improved their financial performance. Winona residents by paying medical bills of $263,000,
WH’s gain from operations was $2.54 million (4.1% a 60% increase over 2004
operating margin) versus a budget of $1.69 million, the The Tree of Lights annual appeal raised almost $51,000,
third consecutive year WH outperformed budget despite: a 19% increase over 2004
Charity Care provided to patients increased by more than The Ben and Adith Miller Classic raised $135,000 for the
300%, totaling $596,000 Ben and Adith Miller Patient Care Fund
Expenses related to bad debt increased by 86% to Hugh and Vera Miller and RTP Company donated $25,000
$1,892,000 to the Ben and Adith Miller Patient Care Fund on behalf
Employee health insurance costs increased by 24% of Kent Gernander, recipient of the Ben and Adith Miller
Operating expenses were within 2% of budget for the third Tribute
year in a row. Business software was converted from CPSI to Great Plains
Liquidity has improved: (G/L, Human Resources, Payroll), Cerner (Patient Accounting,
Materials Management) and Kaufman Hall (Budget,
Cash increased during the fiscal year by more than $5
Reporting), while improving key financial indicators.
million
WH signed the Attorney General’s agreement to ensure
Cash-to-Debt ratio improved from 84% to 105%
uniform billing practices for patients not covered by
Days Cash on Hand improved from 153 to 174 Medicare, Medicaid or other insurance.
The capital purchasing process was refined to better deploy The coding and documentation process for complicated
capital: pneumonia cases was improved.
43% of all requested dollars included a calculation of WH received an additional 0.4% reimbursement from
Return on Investment Medicare for voluntarily reporting 10 quality measures,
Dollars deployed were $2.14 million, compared to resulting in approximately $35,000 annually.
budget of $2.2 million
WH worked with Winona County on mental health issues
and received a county stipend to help with 24-hour
psychiatric call coverage.
WH’s investment returns for the 21-month period since
consolidating to three investment managers was 20.7%,
besting the benchmark of 14%.
Winona Health Physician Clinics improved their financial
performance by 6%.
Winona Senior Services improved their financial
performance by 18%.
Cost Per Adjusted Discharge (a measure of efficiency)
decreased from $6,020 to $5,801 after two years of
increases. The Auxiliary supports Winona Health with gifts of time, talent and
treasure.
Looking ahead . . .
Winona Health’s
Key Initiatives for 2006
A
Emergency Department Satisfaction
Target: 78.9%
Goal: Improve the overall quality of Emergency Department care and
service to increase patient loyalty.
Operating Margin
Target: 3.5%
Goal: Maintain a solid operating margin to balance Winona Health’s
mission and costs.
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