2010–2011 Annual Report

Care first. Community always.

2 Summer 2011

Tim A. Colburn President and CEO

Suzanne Welker Vice President Marketing Strategy/CHRO

Kyleen Valone Marketing/Communication Coordinator

Shea McMahon Social Media/Strategic Messaging Specialist

Allison Fincher Publisher

Brianne Carswell Managing Editor

Diane M. Jones Designer

Bryan BarrPhotography

True North Custom Media Developed By

Connections is published as a service of

Berger Health System, 600 North Pickaway

Street, Circleville, Ohio, 43113. All rights

reserved. The contents of this publication

may not be reproduced in whole or in

part without written permission from the

publisher. For more information about

topics discussed in this publication, call

740-420-8197. This publication in no way

seeks to diagnose or treat illness or to

replace professional medical care.

From the CEODear Friends,

As I look back on the accomplishments of 2010 and 2011, I am proud to lead a health system of dedicated physicians and clinicians who are committed to honoring the trust Berger Health System enjoys in our community. I firmly believe that a primary goal of a community-

based healthcare system is to care for you as a patient year-round—not just in times of illness. In addition to the high quality of patient care that has earned us numerous awards and distinctions, our health system has continued to focus on the wellness of our community.

This focus began internally, as Berger employees were challenged to analyze their own health and well-being. Each employee is currently working toward two health goals, and I too have been a part of this. I have committed to my own balance of life and even though I love the work I do and enjoy the hours required to make health care better, I have found that outdoor hobbies make me healthier and better equipped to meet the needs of fellow community members. I am proud to report that collectively, Berger employees have lowered their cholesterol by 14 percent.

Building upon this success, Berger has committed resources so we can assist our community to work toward similar health goals. We are proud to be a strong supporter of the Mary Virginia Crites-Hannan Park, the centerpiece of this year’s cover. This is a great example of a shared resource that everyone in the community can take advantage of to build an active and healthy lifestyle. We have also established the Community Advocacy Council that has demonstrated its own mission as a group to coordinate efforts in dealing with growing social and health challenges in our community. Being well extends beyond our borders, and we have teamed with three other counties to join in promoting wellness in Central Ohio through the “Fit Together” program.

Despite these wellness initiatives, a time may unfortunately arise when you or your loved ones will require medical attention. To answer that call, Berger has created better access to primary care physicians and certified nurse practitioners and pushed for more timely referrals to specialists to meet your health needs. The Berger Health Foundation and the hospital have also invested in digital technology for safer and earlier diagnosis of conditions to improve treatment outcomes.

I hope you enjoy this issue that highlights some of our most important community initiatives. With our community’s trust, we will build upon past accomplishments as we look upward to the future. As always, I welcome your feedback as we continue to be a valued resource for you and your community.

Sincerely,

tima.colburn presidentandceobergerhealthsystem

In this Issue:

3 How Low Can You Go? Staying Fit as a Family

4 Fit Together

5 Wellness Works

6 Finding Hope in Healing

7 Seamless Care for Heart Attack Patients

8 Berger Health Foundation Looks Back

10 Care first. Community always.

On the Cover: The Braun Family at Mary Virginia Crites-Hannan Park.

www.bergerhealth.com 3

Cholesterol is a waxy substance produced in the liver and found in certain foods, such as meat, dairy

products and eggs. While cholesterol is needed to make vitamin D, build cell walls and help you digest fat, too much cholesterol in the body can lead to heart disease.

Know the Difference

Low-density lipoprotein (LDL) cholesterol or “bad” cholesterol can clog the blood vessels. However, high-density lipoprotein (HDL) removes cholesterol from the blood vessels and takes it back to your liver to be broken down. The higher your HDL level,

the less “bad” cholesterol you’ll have in your blood, reducing your risk of heart attack and stroke.

Follow these tips to lower LDL and raise HDL cholesterol levels:

• Eat a diet comprised of low-cholesterol foods such as fruits, veggies, whole grains, legumes and fish.

• Avoid trans fats and limit saturated fats. Check food labels to be aware of what you are consuming.

• Consult your physician to help develop an exercise program suited to your needs. Don’t think you have time to

Between watching TV shows and checking Facebook updates, kids have more and more reasons to stay inside these days. It’s up to you as a parent to motivate your

family to spend time getting in shape. You may just find that family fitness is as easy as 1-2-3:

1. Pick fun activities. Sports, swimming and biking are all fat-burning, heart-healthy activities that your family won’t think of as “exercise.” Try new activities to keep your family interested and involved. Have you considered rock climbing? How about Frisbee golf?

2. Encourage healthy competition. Nothing motivates growing kids more than setting personal goals and breaking records. See who can swim the longest underwater, or sign your family up for a one-mile run.

3. Rediscover nature. Between social media and cell phones, your kids may have forgotten how cool the outdoors can be. Find local hiking trails and revive your family’s sense of exploration. Spending time together doing active things can do wonders for your family’s health and may even bring you closer together.

To find a physician for your family’s health needs, visit www.bergerhealth.com and select “Find a Provider.”

How Low Can You Go? According to the Centers for Disease Control and Prevention, one in every six adults—an estimated 16.3 percent of the U.S. adult population—has high cholesterol.

Staying Fit as a Family

exercise? Squeeze in a walk on your lunch break or take your dog for a jog around the neighborhood in the evening.

• Stop smoking.

Getting on Board

As part of a comprehensive wellness initiative, Berger Health System employees teamed up to lower their cholesterol a collective 14 percent over the past year.

Need help lowering your cholesterol? Visit www.bergerhealth.com to find a physician.

4 Summer 2011

W ith childhood obesity steadily on the rise, it’s more important than ever to ensure children get the physical activity

they need. Most children need at least an hour of physical activity every day to help combat obesity. The implications of obesity include serious health concerns such as diabetes, coronary heart disease, high blood pressure, high cholesterol, osteoarthritis, sleep disturbances, breathing problems and certain cancers—and right now is our call to action to make a difference.

Obesity is often viewed as a problem amongst individuals, but when a health problem begins to impact a majority of the

community, it requires the involvement of

the entire community to reach a solution.

In response, Pickaway County is teaming

with Fairfield, Hocking and Perry counties

to form an obesity taskforce and tackle the

issue on a regional level. The “Fit Together”

taskforce is driven by health organizations

in the involved counties—Berger Health

System, Fairfield Medical Center and

Hocking Valley Community Hospital—

with support from an extensive group of

community members including physicians,

business representatives, school officials,

wellness directors, educators, parents and

local YMCAs, to name only a few.

“We are enthusiastic about the collaboration

with the three other counties and health systems to make a positive impact on the well-being of our community,” said Tim Colburn, president and CEO of Berger Health System. “We are working with an extremely dedicated group of individuals who have a collective passion to keep their communities thriving in good health.”

The goal of the taskforce is to not only educate people about the dangers of obesity, but to provide real stories from familiar faces who have been touched by its devastating effects and provide resources to help the communities prevent and overcome the condition. The community will be updated as the efforts of the taskforce progress.

Pickaway and Neighboring Counties Joining Up for Obesity TaskforceSociety’s attitude toward health and fitness has progressively developed over the past few years, making all of us more aware of the need to be positive about our overall health and recognize its importance.

Children and friends of BHS employees enjoy the Mary Virginia Crites-Hannan Park in Circleville.

www.bergerhealth.com 5

Berger Health System is now offering a new program designed to work hand-in-hand in helping local businesses and industries

meet their employees’ health needs, especially controlling costs associated with workers’ compensation.

It’s called WellnessWorks, and there is no cost to enroll in Berger’s program.

“WellnessWorks is a win-win. Companies are able to reduce costs and streamline communications, and BHS provides the healthcare services they need,” said Natalie Yakunich, WellnessWorks Corporate Health Consultant. “As a hospital, we are here to serve our community, and that includes helping businesses and industries improve the overall health and wellness of their workforce.”

The WellnessWorks concept has aided businesses and industries with controlling costs associated with rising workers’ compensation and general healthcare costs for more than 10 years. Berger Health System is proud to have the opportunity to offer this unique program to our community, said Yakunich.

Berger Health System has put in place a physician panel consisting of general practitioners and physician specialists who are interested in helping the local workforce become healthier and more productive in the workplace.

The four basic components that make up the WellnessWorks program are as follows:

1. Injury Prevention Services—The BHS WellnessWorks program provides

employers with easy access to healthcare information and healthcare services. This includes providing on-site safety talks and health events to scheduling physicals and drug screenings.

2. Injury Intervention Services—The program offers a cost-effective and efficient group of physicians to aid employers in establishing return-to-work strategies and helping minimize treatment time and lost workdays.

3. Service Coordination—BHS WellnessWorks provides a centralized communication hub within the healthcare system to assist employers with scheduling and tracking cases. The service coordination department acts as a liaison between all parties involved with managing employee healthcare needs.

4. Wellness Promotion—This aspect of the program helps employers to educate their workforce regarding general health policies and plans. A variety of services are available such as health events, health education talks, corporate health club incentives, etc.

There is no cost associated with enrolling in the WellnessWorks program. A brief enrollment and implementation process is required to ensure that the healthcare providers are informed and aware of the employers’ requirements and protocols for handling health care needs. The corporate health consultant works with employers to customize the program to meet any specific needs.

To enroll or request more information about taking advantage of these services, please contact Natalie Yakunich, BHS WellnessWorks Corporate Health Consultant, at (740) 420-8085.

Berger Health System WellnessWorks:Providing Healthcare Solutions to Local Employers

6 Summer 2011

The Rainbow Fund offers Bradley Cancer Center patients financial assistance for needs such as food, gas, utility bills and home repairs.

When Ryan Adkins, 36, was diagnosed with Hodgkin’s lymphoma in 2007, he was a self-supporting husband and father to his four young daughters, but his van wasn’t in shape to travel 45 minutes to and from treatments. The Rainbow Fund stepped in and fixed both of the Adkins family’s vehicles and recently assisted the family with utility bills.

“It’s tough to ask for help, especially being a man—it’s humbling—but when you go through this, you’re at the mercy of your disease and your support system,” said Adkins. “It has changed the way I view giving and receiving, and I think it’s important that we do both as a community.”

The Rainbow Fund is supported through the annual Jeff Ankrom Memorial Golf Outing and community donations. Until recently, the funds generated went to the American Cancer Society, but fundraising chair Harry Rubin felt there was a great enough need to keep the funds local.

“It gives the fund a hometown feel. You get to see the money at work,” said Rubin. “We called it the Rainbow Fund because it signifies a ray of hope for people, not just the patients, but the community as well.”

Last year, more than $18,000 in financial assistance was given to Bradley Cancer Center patients.

To learn more about The Rainbow Fund or to make a donation, call Berger Health Foundation at (740) 420-8209 or visit us online at www.bergerfoundation.org.

Finding Hope in HealingCancer can be physically, mentally, emotionally and financially draining. The Rainbow Fund at Berger Health Foundation gives hope to patients and their families who need help while fighting cancer.

Harry Rubin, founder of The Rainbow Fund, continues to provide support for local families battling cancer.

www.bergerhealth.com 7

A heart attack occurs when the heart’s blood and oxygen supplies are blocked due to a clot obstructing a vessel. When this condition

occurs for a long period of time, it is referred to as STEMI—ST-segment elevation myocardial infarction. To treat STEMI, the blocked vessel must be opened to allow blood and oxygen to reach the heart.

Berger Health System recently purchased a system allowing local emergency medical services to transmit electrocardiogram results to the emergency department (ED) from the ambulance. The first system of its kind in the community, the unit allows

Berger ED providers to diagnose STEMI and prepare for the patient before the ambulance arrives.

The ED can also use the system to forward diagnostic information to another facility to collaborate in patient care.

“Time is of the essence for heart attack patients,” said Tina Pierce, RN, ED nurse manager at Berger. “The new STEMI unit helps expedite treatment and possibly saves 15 to 20 minutes, meaning more heart muscle is saved.”

Berger Hospital is proud to announce the opening of our new Cardiac Care Unit (CCU) coming late this summer. The Cardiac Care Unit will provide comprehensive evaluation

and treatment of patients with chest pain and other cardiac problems. The cardiac care that most of us will ever need can be delivered locally right here at Berger. We have aligned with cardiologists who have been trained at premiere programs like Duke University. Those same cardiologists also practice at one of the best heart programs in Central Ohio. No matter what the need, Berger can facilitate getting you the level of care you require. This new unit underlines our continued commitment to bring national experts to Pickaway County.

A Worthy CauseThe Berger Health Foundation strives to give back to the community through supporting patient care at Berger Health System. When a need was revealed for better care for heart attack patients, the Foundation stepped up to provide funds to purchase the new STEMI unit.

“The extra time it will allow the Berger emergency department to prepare for treatment and patient transport will hopefully translate into better outcomes for heart attack patients,” said Larry Halm, executive director of the Foundation. “We viewed the unit as an important investment in emergency services for Pickaway County.”

Seamless Care for Heart Attack PatientsWhen you or a loved one is having a heart attack, every minute matters. Efficient medical communication can help patients receive care quickly and reduce the risk of heart muscle loss.

To learn more about Berger Health Foundation, visit www.bergerfoundation.org.

www.bergerhealth.com 7

For more information about cardiac services at Berger, visit www.bergerhealth.com.

Dr. Gregory Lam (pictured) and

Dr. Daniel Mudrick provide cardiac care

through Berger’s partnership with

MidOhio Cardiology and Vascular Consultants

at Berger Hospital.

Berger Health Foundation: A Look Back At 2010Even in these difficult economic times, Berger Health Foundation continued to fulfill its mission of improving the health and wellness of people in our area. Our mission is not in recession, and your gifts are truly investments in our community.

8 Summer 2011

www.bergerhealth.com 9

Throughout 2010, Berger Health Foundation humbly accepted the gifts bestowed to provide financial support for programs and services, including:

Cancer-Related Care

Susan G. Komen for the Cure – Columbus Affiliate provides grant money to Berger Health Foundation to help give residents access to breast cancer screening services, such as mammograms and ultrasounds. In 2010, the Komen funds helped more than 100 women receive screening mammograms and ultrasounds. Total disbursements were $25,150.

Berger Health Foundation also has a fund that helps pay for the readings of diagnostic procedures for low-income, uninsured women. In 2010, the Foundation helped finance 167 readings, a cost of $11,880.

Indigent Patient Care

Free Clinic of Pickaway County started as a program of the Foundation in October 2010 and provides uninsured, low-income residents of Pickaway County with basic medical care. The Free Clinic serves as a safety net for those in need and helps connect these individuals with the healthcare system. All volunteer physicians, nurses and non-clinical volunteers staff the Free Clinic and in 2010, 12 clinics were held, which resulted in 139 patient visits.

Pharmacy/DME Fund

This fund offers one-time assistance to Berger patients in need of medications or durable medical equipment at discharge who have no health insurance and very few resources. Berger financial counselors and discharge planners assist patients in need and coordinate the use of this fund. In 2010, 34 patients received help in the amount of $3,034 from this trust.

Scholarships

In 2010, 13 individuals at Berger were able to receive scholarship support to continue

their education for the betterment of the hospital and our patients. Various funds, including the Friends of Berger, the general scholarship fund and a grant from the Charlotte R. Schmidlapp Fund, helped the employees complete MBA studies, receive specialized training and attend nursing school. A total of $18,510 was spent on scholarships and training in 2010.

The Digital Age

Digital mammography was the main fundraising project in 2010 and this emphasis will continue in 2011. The Foundation purchased a new unit in 2010 and will continue raising money for a second unit in 2011. Once the project is complete, Berger will have the latest in digital mammography technology throughout its system.

Thanks for Your Support

All of these accomplishments were due to a team effort of the Foundation Board of Directors, the Hospital Board of Governors, employees and volunteers at Berger as well as local donors.

“The members of our Board of Directors are all local people who live and work in Pickaway County and have a passion and commitment to improve the lives of others through their service on our Board, and they take that responsibility seriously,” said Larry Halm, executive director of Berger Health Foundation. “They make sure the money raised is put towards the purposes for which it was given and on the projects with the greatest impact for the community.”

We couldn’t have done it without you. Your support has an impact on Berger Health System and the community for which we are grateful.

Learn more about the foundation at www.bergerfoundation.org.

Berger Health Foundation: A Look Back At 2010

By the NumbersThe revenue collected by Berger Health Foundation in 2010 totaled $710,000. Here’s a look at which programs and services that money benefited at Berger:

• Cancer-Related Care: $55,000

• Hospice: $285,441

• Circle of Caring: $57,099

• Indigent Patient Care: $3,738

• Scholarships/Employee Education: $18,510

• Emergency Assistance for Employees: $7,203

• Building/Equipment: $302,000

• Support for Other Local Programs: $33,942

• Patient Safety Improvements: $8,491

• Total Charitable Disbursements = $771,424

10 Summer 2011

Care first. Community always.Berger Health System is celebrating another busy year of caring and working for the community. As we look to areas of community support and financial highlights, we are reminded of our mission:

“We will exceed the expectations of our patients and customers in order to be ‘The Best Community Hospital and Healthcare System in Ohio.’”

Circle of Caring Faith in Action Community Volunteer Program

$84,529

Health Education Services $37,035

Berger helps train the next generation of nurses through a partnership with Ohio University-Chillicothe. In addition to scholarships provided to nursing students, these students are able to receive hands-on training at Berger Hospital.

Free Transportation for Frail and Elderly Patients $33,043

Civic Sponsorships $60,919

Community Health Fairs and Lectures $52,965

Mary Virginia Crites-Hannan Capital Campaign Participant & Supporter (to date)

$20,000

Through Berger’s partnership with Pickaway County Community Action Organization (PICCA), frail, elderly and disabled patients are able to be transported to their medical appointments at no cost to the patient.

Medicare Loss – Patient Care $6,149,983

Medicaid Loss – Patient Care $2,278,710

Charity Care $1,841,881

Berger does not turn away patients based on their ability to pay for needed health services. In order to support needy patients in the community, Berger provided nearly $2 million to patients unable to pay all or a portion of their medical bills.

Major areas of CoMMunity support in 2010

Dr. Vernon Bolender

Dr. Ed Caplan

Richard Huggins

Mark Leatherwood

Sereana Dresbach

Mayor Chuck Taylor, chairperson

Rich Rawlins, vice-chairperson

Randall Cotner, treasurer

Dr. Charles Hedges, secretary

Board of Governors (2010)

www.bergerhealth.com 11

service statistics 2009 2010

Total Admissions 2,844 2,962

Newborn Admissions 404 406

Emergency Department Visits 31,532 28,663

Acute Care Center 861 3,229

Outpatient Surgical Procedures 4,006 3,620

Outpatient Radiology Procedures 52,984 48,116

Laboratory Procedures 331,084 372,147

AllergyThomas Kiefer, M.D.

AnesthesiOlOgyMir-M Feraydoon Maher, M.D.

CArdiOlOgyMichael Davis, M.D. Daniel Evans, D.O. Gregory Lam, M.D. Daniel Mudrick, M.D. John Tugaoen, M.D.

COlOn & reCtAl surgeryJaswant Madhavan, M.D. Anantha Padmanabhan, M.D.

dermAtOlOgyJoy Mosser, M.D.

eAr, nOse & thrOAtTimothy Drankwalter, D.O. Timothy Nash, D.O. George Shahade, D.O.

emergenCyBrett Call, D.O. John Ellis, D.O. Michael Flamm, D.O. Diane Mergo, D.O. Ronald Taylor, M.D. Trent Timmons, D.O. and physician associates with Premier Health Care Services

FAmily mediCineNancy Alkire, M.D. Kristy Blum, M.D. John Bohlen, M.D. Vernon Bolender, M.D. Alfredo Figueroa, D.O. Donald Fouts, D.O. Michael Geron, M.D. Gary Gillen, M.D. Brian Jenkins, M.D. James Mosley, M.D. Gretchen Reis, M.D. Kevin Sellers, M.D.

gyneCOlOgyJoy Shields, M.D. Jennifer Regan, M.D. Richard Villareal, M.D.

hOspitAlist mediCineShankar Kurra, M.D. Jaykumar Menon, M.D. Ajay Sodhi, M.D.

internAl mediCineDavid McMahon, M.D. Arnold Palmer, D.O. Farooq Sattar, M.D. Yadwinder Singh, M.D. Beata Sterkowicz, M.D. Alan Ward, M.D.

nephrOlOgyFrank Consentino, D.O. Abdus Malik, M.D.

neurOlOgyPraveen Giri, M.D.

neurOsurgeryChris Bonasso, M.D.

OB/gynPhillip Carr, M.D. David Goldfarb, M.D. Carolyn Yost, D.O.

OCCupAtiOnAl mediCineH. James Pierce, M.D.

OnCOlOgy & hemAtOlOgyMark Knapp, M.D. Jeanna Knoble, M.D. and physician associates with the Zangmeister Center

OphthAlmOlOgyHarmeet Chawla, M.D.

OrthOpAediC surgeryDaniel Ianni, D.O. Young Soon Lee, M.D. Michael Lefkowitz, M.D. Robert W. Mueller, M.D. James Romanowski, M.D.

pAthOlOgyRandall Hastedt, M.D. Nayyer Jafri, M.D.

pediAtriCsDeborah Fernandes, M.D. Linda Iskra, M.D. Gayle Melnick, D.O. Angela Moore, D.O.

physiCAl mediCine & rehABArvin Gallanosa, M.D. Timothy Pirnat, M.D. James Sardo, M.D.

pOdiAtryEdward Caplan, D.P.M. Brock Liden, D.P.M.

psyChOlOgyDavid Miller, Ph.D.

pulmOnAry mediCineFarooq Sattar, M.D.

rAdiOlOgyAllen Katz, M.D., and physician associates with Riverside Radiology Associates

rAdiOlOgy (interventiOnAl)Sumit Bhatla, M.D. Eric Dolen, M.D. Sanjeev Khanna, M.D. J. Kevin McGraw, M.D. Jeffrey Silber, M.D.

sleep mediCineJaswant Madhavan, M.D. Farooq Sattar, M.D.

surgery (generAl)John DeWalt, D.O. Joy Leverich, M.D. Faryar Moshtaghi, D.O.

surgery (thOrACiC, lung & esOphAgeAl CAnCer)John DeWalt, D.O.

surgery (vAsCulAr)John DeWalt, D.O. Michael Kunstmann, D.O.

urOlOgyJames Colombo, M.D. George Ho, M.D.

Medical Expertise and Compassionate CareMore than 200 primary care and specialist physicians are committed to providing the very best in medical care for Pickaway County and surrounding communities. For a complete, up-to-date list of our entire medical staff, visit www.bergerhealth.com.

eMployees

Volunteers .................... over 200

Physicians .............................206

Registered Nurses .................180

Licensed Practical Nurses .........22

Technicians ...........................129

Allied Health ...........................45

Employed Physicians ...............21

Physician Extenders ...................5

financial Highlights 2009 2010

Net Charges for Patient Services $68,070,652 $67,781,764

Non-Operating Revenue and Donations $470,127 $772,102

Other Operating Revenue $1,519,387 $1,871,007

Total Revenue $70,060,165 $70,424,873

Salary and Wages $22,796,792 $22,901,859

Employee Benefits $8,212,742 $9,062,160

Professional Fees $3,450,582 $3,352,054

Supplies and Other Expenses $30,765,028 $31,287,685

Total Expenses $65,225,144 $66,603,758

Provisions for Future Services (Net Income) $4,835,022 $3,821,115

statistiCs and finanCial HiGHliGHts

600 N. Pickaway St. Circleville, OH 43113

www.bergerhealth.com

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Berger HospitalEmergencyExcellenceCenter of

Care first. Community always.

Berger Hospital is the first area hospital to qualify as an Emergency Center of Excellence by Emergency Excellence, a group that evaluates emergency departments by 100 key performance indicators linked to quality of care and patient satisfaction.

Emergency Department at Berger Hospitalwww.bergerhealth.com(740) 474-2126