2013 annual report to our communities - cone health · cone health employees raised more than...
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2013 ANNUAL REPORT TO
OUR COMMUNITIES
Healthcare has experienced great
change over the past couple of years.
Some change caught healthcare
providers by surprise while other change
was anticipated. All of these changes
are forcing healthcare providers to
rethink the fundamentals of providing
high-quality care. As you’ll see in the
following pages, several years of planning
have paved the way for Cone Health
to make progress in adapting to change
in 2012 and innovating for the future.
Letter to Our Stakeholders
Notable AchievementsIn 2012, we began the process to have
Alamance Regional Medical Center join
the Cone Health network. We believe
that healthcare in Alamance County will
get even stronger once Cone Health and
Alamance Regional merge and we expand
our combined network of care. Residents
of Alamance County will benefit from the
creation of a new charitable foundation that
will provide enhanced philanthropic and non-
profit support to the community. We expect
this partnership to be completed in 2013.
Cone Health entered into a management
services agreement with Carolinas
HealthCare System that will help position
Cone Health for the future. Anticipated benefits include
the sharing of best practices and access to healthcare
management experts and clinical quality teams.
We transitioned to a best-in-class electronic medical
record system to provide the most exceptional care for
patients and families. Cone HealthLink has created a
single electronic medical record for each patient, which
ensures that physicians can easily access a patient’s
medical history, medications and treatment records
all in one secure location.
We formed a partnership with area physicians —
Triad HealthCare Network — that was designated an
Accountable Care Organization by the new Medicare
Shared Savings Program. The program rewards ACOs
that improve quality while lowering healthcare costs so
that patients receive the best possible value for their
healthcare dollars.
Recognized ExcellenceWe measured up to the high standards set
by The Joint Commission after a rigorous,
weeklong triennial reaccreditation survey.
For the ninth consecutive year, Cone Health
won the Consumer Choice award from the National
Research Corporation. The 2012-2013 awards go to
hospitals ranked highest by their consumers in four
areas: overall quality, best doctors, best nurses, and
overall image and reputation.
Cone Health
received a number
of accreditations and
reaccreditations that
recognize specific
programs and centers
for meeting the
requirements of the
accrediting body and
provide the highest
quality of care:
• Our bariatric surgery program received Level
One reaccreditation by the Bariatric Surgery Center
Network Accreditation Program of the American
College of Surgeons.
• The Heart and Vascular Center achieved a three-
year accreditation in the area of adult transthoracic
echocardiography by the Intersocietal Accreditation
Commission, as well as full reaccreditation from the
Society of Chest Pain Centers as an Accredited
Chest Pain Center.
Tim RiceChief Executive Officer
Henry W.B. “Hank” Smith III, MDChairman, Board of Trustees
Bariatric surgery
A record 23 Cone Health nurses were
selected for inclusion in North Carolina’s
Great 100 Nurses, the most from any one
organization in the Great 100’s 24-year
history. This high honor is testament to the
excellence of our nursing staff and leaders.
We appointed four physicians to serve as
Medical Directors of Quality to lead medical
staff efforts to improve quality of care at
each of our main hospital campuses. They
will work with the nursing and quality staff to
manage and promote quality improvement,
infection control and patient safety. These
Medical Directors of Quality embody Cone
Health’s commitment to providing our
patients with the highest standards of
quality and safety.
Our Achievements Make Us ProudWe are proud of what this organization
has achieved by Caring for Our Patients,
Caring for Each Other and Caring for Our
Communities. Cone Health is made great
by the dedicated and committed group of
people who give their all in service to others.
As you read about our accomplishments and
contributions within these pages, we hope
that you too will be proud.
Sincerely,
Tim RiceChief Executive Officer
Henry W.B. “Hank” Smith, MDChairman, Board of Trustees
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Mickey Foster
Debbie Green
Annie Penn Hospital
• The Sleep Disorders Center was newly accredited
by the American Academy of Sleep Medicine for Out
of Center Sleep Testing and received its five-year
overall reaccreditation.
For the second consecutive year, our hospital-based
rehabilitation services were in the top 10 percent of
hospital rehab centers in the United States as scored by
Uniform Data System for Medical Rehabilitation, a not-
for-profit organization affiliated with the University of
Buffalo that maintains the world’s largest database
of medical rehabilitation outcomes.
Cone Health became one of only 237 healthcare
providers to receive the silver medal from the U.S.
Department of Health and Human Services for ensuring
that at least 75 percent of those who wanted to donate
organs could do so at the end of life.
Our People Make the DifferenceCone Health believes that engaged employees and
physicians mean better care for patients. Living up
to this philosophy landed two senior executives of
Annie Penn Hospital a spot
on the agenda at a national
conference on patient,
employee and physician
satisfaction. Mickey Foster,
President, and Debbie Green,
Vice President of Nursing
and Patient Services, told
the gathering of healthcare
executives how Annie Penn Hospital reached the 95th
percentile in employee engagement, the 96th percentile
in physician satisfaction and the 94th percentile in
patient satisfaction in the last quarter of 2011. Only
a small number of hospitals nationwide manage to
achieve top-decile performance in all three areas.
Cone Health Great 100 Nurses
Caring for Our Patients
We are providing exceptional quality, compassionate care and service in a safe, respectful environment.
Building for the FutureCone Health replaced a smaller emergency
department with a spacious and modern
emergency facility at Wesley Long Hospital
in 2012. The new emergency department
includes 25 private rooms, nine triage/minor
care rooms, eight transition rooms for those
awaiting hospital admission, and improved
technology with a new, dedicated CT scanner
and diagnostic X-ray facility.
A topping out ceremony for the North Tower
at The Moses H. Cone Memorial Hospital held
in May 2012 marked the halfway point of the
largest construction project in the history of
Cone Health. Slated to open in June 2013, the
$200 million, six-story North Tower will have
96 private patient rooms, 16 large, modern
operating rooms, an expanded emergency
department, and numerous design features
that will enhance the safety and care
of patients.
The expansion of the Cancer Center, which officially
opened January 2012, received the Silver LEED
certification by the United States Green Building
Council. The certification recognizes steps taken in the
construction, design and operation of the Cancer Center
to minimize its impact on the environment.
Harnessing TechnologyImagine an ambulance that protects patients from
crashes and germs, and helps technicians avoid back
injuries. Cone Health’s $400,000 rolling intensive care
unit is the first in North Carolina to have patient safety
airbags. The high-tech unit also has ultraviolet lights
in the heating and air system and silver-leaching ions
on interior surfaces to kill bacteria brought into the
ambulance. A power loading system automatically lifts
and pulls the stretcher into the ambulance to reduce
the physical demands on the crew. And, finally, the main
engine of the ambulance is “clean diesel,” which lowers
nitrous oxide emissions. The vehicle can be turned off
when parked, thanks to a generator that keeps the air
conditioning and electrical systems running.
In 2011, The Moses H. Cone Memorial Hospital became
the first hospital in North Carolina to implement the
Xenex room disinfection system, which uses pulsed
ultraviolet light to destroy viruses and bacteria without
contact or chemicals. In 2012, Cone Health was invited to
present its dramatic 56 percent reduction in MRSA rates
at a first-ever joint meeting of four leading infectious
disease organizations.
Over the past year, Cone Health has
invested $108 million in construction
and technology to improve patient
care. Here are just a few of the projects
and innovations we have invested in to
improve our delivery of healthcare.
Wesley Long Hospital ERWesley Long Hospital ER
Xenex
Cone Health conducted three clinical trials involving
the reduction of bed sores through the use of new,
technologically advanced bed linens. The results were so
compelling that in 2012 Cone Health put linens, gowns
and bed pads made from the patented antimicrobial
fabric into all of its hospitals. The largest clinical trial,
conducted at Wesley Long Hospital, showed that
patients using DermaTherapy® developed 81.5 percent
fewer bed sores while in the hospital. Patients who were
admitted with bedsores had a 21 percent reduction in
wounds when discharged from the hospital, indicating
that the bed linens, gowns and bed pads promoted
healing. Other study results found a 6.4 percent
reduction in the length of time spent in the hospital by
patients using DermaTherapy.
Connecting Good Science to Better CareAfter studying a new imaging agent in clinical trials,
physicians at Cone Health became the first in North
Carolina to use Florbetapir for early diagnosis of
Alzheimer’s disease. Florbetapir identifies brain
amyloid plaque, a hallmark of Alzheimer’s disease,
which previously could be confirmed only at autopsy.
Cone Health joined with researchers at the University
of North Carolina at Chapel Hill, The Partnership Project
Inc. and the University of Pittsburgh Medical Center to
evaluate if technology, system protocols and training
can reduce differences in cancer care between African-
American and white patients. Earlier research has shown
that while a higher percentage of white Americans
are diagnosed with breast and lung cancer, a higher
proportion of African-Americans actually die from
these diseases.
During a Cancer Symposium held in 2012,
physicians at our Cancer Center reported
that treating prostate cancer with radioactive
seed implants is superior and more cost
effective than other treatment options.
The Cancer Center has treated more than
2,000 patients with seed implants and is
the highest volume robotic prostate implant
center in the United States. This is just one of
the many ways in which our Cancer Center is
at the forefront of care.
Prompt, coordinated emergency care greatly
increases the survival rate of people having
heart attacks, and few places anywhere
provide faster care than the Cone Health
Heart and Vascular Center. A study in the
journal Circulation noted that the mortality
rate of people having heart attacks dropped
to 2.2 percent if they were treated within
90 minutes of the heart attack’s onset. The
death rate jumped to 5.7 percent if it took
more than 90 minutes for treatment to begin.
In April 2012, the average time from arrival to
treatment at Cone Health was 38 minutes—
the best response time in North Carolina.
Imagine an ambulance that protects patients from crashes and germs, and helps technicians avoid back injuries.
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DermaTherapy linens
CareLink Critical Care Unit
North Tower at Moses Cone Hospital
Caring for Our Communities
year — in Kuwait. Female members of the 113th
Sustainment Brigade, ran a shadow 5K at their base
in Camp Arifjan, Kuwait.
Cone Health employees raised more than $48,000 for
the 2012 Greater Guilford Heart and Stroke Walk. The
money raised will support the research and educational
work of the American Heart Association. The Cone
Health Cancer Center team raised more than $18,000
during the American Cancer Society’s Relay for Life.
Annie Penn Hospital employee Cicely Alston chose the
Rolling Ridge Riding program in Rockingham County to
receive $1,000 as part of Cone Health’s Pay It Forward
project. Pay It Forward resulted from Cone Health’s
People Excellence Celebration in which the organization
celebrated its values, one of which is Caring for Our
Communities. Cicely was one of 12 employees who each
received $1,000 to use at their discretion to benefit local
communities and programs. The riding program provides
therapeutic horseback riding for children with physical,
mental and emotional challenges. Pictured above are
Alston’s nephew Kenan and Kathryn Davis, a physical
therapist and part owner of the facility. Kenan has
regular sessions at Rolling Ridge Riding.
Cone Health employees volunteered their time and
services to provide free dental care for those in need
in Greensboro and Reidsville.
2012 Greater Guilford Heart and Stroke WalkThroughout the year, Cone Health gives
back to its communities in so many ways
and through a diversity of causes. Our
support for our communities ranges from
sponsoring a performance of the Greensboro
Symphony Orchestra to the downtown
Winterfest ice rink, and from the American
Cancer Society to Habitat for Humanity. Our
support includes corporate sponsorships as
well as spontaneous acts of kindness that
start with one employee getting behind a
cause and then getting others involved. We
address the needs of our more immediate
communities while joining forces with
humane organizations across the nation and
around the globe. Here is a small sampling of
the many ways in which we serve the needs
of our communities.
Rolling Ridge Riding Program
Improving Health and Wellness A record field of 3,700 plus women took
part in the 20th Anniversary Women’s Only
5K Walk & Run. The 20th event raised nearly
$125,000 to support the Mammography
Scholarship Fund at
Women’s Hospital,
a new record
high. The fund
provides screening
mammograms to
women who might
not otherwise be able
to afford them. The
Women’s Only added
a new course this
Samaritan’s Purse team in Haiti
Cone Health employee Sheryl
Booth presents an Automated
External Defibrillator to Esau
Huang, owner of Flip Force
Gymnastics. This was one of
many AED donations made to
public facilities. Cone Health
has donated more than 50
of these life-saving devices
throughout the Piedmont Triad during the past two years.
Pediatric nurses volunteered at Community Helper
Day at McIver Education Center, an alternative school
for students with
exceptional educational
needs. The event
familiarized the
children with simple
health tests to remove
any fears. At left,
Melody Bullock, RN,
encourages a
student to listen
to his heartbeat.
Enhancing the Quality of LifeCone Health received the “Spirit of North Carolina Award”
for Campaign Excellence from the United Way of North
Carolina. The award provides statewide recognition of
outstanding commitment and support to communities
through involvement with local United Ways. Cone Health
employees raised about $571,000 during the Legendary
Giving, Legendary Care 2012
campaign. Pictured are legendary
KISS rock stars Bob Goldstein
(left), Executive Vice President,
Cone Health Medical Group and
LeBauer HealthCare, and Steve
Anderson, Vice President of Cone
Health Medical Group, performing
during the campaign’s wrap-up.
Annie Penn Hospital employees
and family members spent a
Saturday morning working on a Rockingham County
Habitat for Humanity house. In addition to priming and
painting the inside of the house, they built a bond with
the son of the future homeowner, which lead to the team
raising about $800 to buy new shoes, school supplies,
new furniture and bedding for the third grader.
Cone Health employees donated an
afternoon of food and fun during a block
party for Greensboro Urban Ministry’s
Partnership Village families. Partnership
Village is a transitional housing program
for families who were previously homeless.
At right, Cone Health
employee Nicole Cope
is shown painting the
faces of neighborhood
children.
Women’s Hospital
employees held a baby
shower that resulted in
hundreds of items being
donated to My Sister
Susan’s House, Mary’s
House and Room at the
Inn, organizations that
help women escape
domestic violence and
abuse, drug and alcohol
addiction, and homelessness.
Helping Without Geographical BoundsCone Health employees donated more than
600 hours of paid annual leave totaling
nearly $19,000 to support victims of
Hurricane Sandy, the massive storm system
that caused more than 100 deaths and $60
million in damages along the East Coast in
October 2012.
Cone Health medical professionals were
part of a Samaritan’s Purse team that
participated in a medical mission to Haiti.
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Sheryl Booth with Esau Huang of Flip Force Gymnastics
KISS rock stars
Community Helper Day
Greensboro Urban Ministry
Uncompensated Patient Care (at cost) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $184,729,501
Donations to Community Organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,932,190
• Cone Health supported many health and community organizations through
corporate donations, contributions given by our employees and donated medical
equipment and supplies.
• Cone Health organized numerous community service activities that reached
30,175 people in our communities.
• Support for the Mammography Scholarship Fund helped 576 uninsured women
receive screening mammograms.
• Cone Health employees contributed 7,252 hours of their personal time serving
our communities as volunteers.
Training and Education for Healthcare Professionals . . . . . . . . . . . . . . . . . . . . . . . . $8,929,895
• Cone Health helped train 56 medical residents.
• Cone Health helped train 1,372 graduate students.
• Cone Health provided 1,607 continuing education hours.
• Cone Health provided clinical training to 1,494 students.
• Cone Health professionals gave presentations to 2,451 students and professionals.
• Cone Health professionals spent 10,701 hours mentoring 186 students.
Community Health Education and Outreach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,195,339
• The medical libraries were used by 57,248 people.
• Cone Health provided 1,884 people with health screenings (including telephone
assessments through the Behavioral Health Hospital HelpLine and Assessment Service).
• Cone Health provided health education, support programs and health fairs to
26,833 individuals through 400 programs.
Caring for Our Communities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $106,125
• In addition to donating their time, more than 800 volunteers raised money to donate
equipment and supplies that benefited Cone Health’s patients.
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $198,893,050**This total does not include contributions, grants, scholarships and other support provided to the
community by Cone Health Foundation.
Touching Lives: Cone Health’s Investment
Cone Health Foundation distributed $4.2 million
in grants, contributions, and scholarships to 58
Greensboro-area nonprofit organizations in 2012.
The majority of these awards support agencies working
in the Foundation’s four focus areas of grantmaking:
• Access to Healthcare• Adolescent Pregnancy Prevention• HIV/AIDS• Substance Abuse and Mental Health
Some grants fell outside of these defined categories
and support community collaborations. Cone Health
Foundation’s single largest grant, $795,678, went to
HealthServe — a service of Triad Adult and Pediatric
Medicine — which is designed to strengthen the
healthcare safety net for the people of Guilford County
and provide medical services to low-income individuals.
Grants were made to the following organizations,
which are categorized based on the Foundation’s
areas of focus:
Access to Healthcare
• Cone Health Congregational Nurse Program.
• Cone Health Sickle Cell Center.
• Guilford Adult Health.
• Guilford Coalition on Infant Mortality.
• Guilford County Department of Public Health.
• Guilford County Department of Social Services.
• HealthServe.
• Partnership for Community Care.
• University of North Carolina at Greensboro
Center for New North Carolinians.
• University of North Carolina at Greensboro
Department of Social Work.
Touching Lives: Cone Health Foundation’s Investment in Health
8
Adolescent Pregnancy Prevention
• Children’s Home Society.
• Guilford Coalition on Adolescent Pregnancy
Prevention.
• Guilford County Department of Public Health.
• Outreach Development, Inc.
• Planned Parenthood Health Systems, Inc.
• Triad Adult and Pediatric Medicine, Inc.
• Young Women’s Christian Association, Inc.
HIV/AIDS
• Central Carolina Health Network.
• Cone Health — Regional Center for
Infectious Disease.
• Piedmont Health Services and Sickle Cell Agency.
• Triad Health Project.
Substance Abuse and Mental Health
• Alcohol and Drug Services of Guilford
• D.R.E.A.M.S. Treatment Services, Inc.
• Guilford CARES
• Guilford County Department of Social Services
• Guilford County Schools
• Malachi House II
• Mary’s House, Inc.
• Mental Health Association in Greensboro
• North Carolina A&T State University
• The Servant Center, Inc.
Board ofTrustees
Henry W.B. Smith III, MDChairman
James K. Weeks, PhDVice Chairman
Terrence B. Akin
Jacob B. Balsley III
Louise F. Brady
Janice G. Brewington, PhD
John F. Campbell, MD
Edward F. Cone
Dwight M. Davidson III
Henry E. Frye
Florence F. Gatten
Michelle Gethers-Clark
Deborah Hooper
J. Wayne Keeling, MD
J. Edward Kitchen
David F. Leeper
James H. Maxwell, MD
M. Lee McAllister
R. Timothy Rice
William R. Soles Jr.
Peter W. Whitfield, MD
Exceptional people delivering exceptional care
Relay For Life
Level II and Level III unit has been providing care to
critically ill newborns since 1990. The hospital also
houses the nationally accredited Breast and Ultrasound
Imaging Center. The hospital’s da Vinci robot provides
minimally invasive surgical care for gynecology patients.
Annie Penn Hospital has 110 acute care beds. This facility
includes inpatient and short stay surgery centers, the
Cone Health Cancer Center at Annie Penn, LeBauer
HeartCare at Annie Penn and specialty clinics such
as a Sleep Disorders Center and an Endoscopy Center
of Excellence.
The Behavioral Health Hospital offers pediatric
and adult inpatient crisis stabilization. The 80-bed
facility accommodates 50 adults and 30 adolescents.
Outpatient care includes numerous group therapy
programs as well as individual counseling and day
programs. The hospital also offers the community
a 24-hour Helpline that provides access to a trained
professional. Three additional outpatient Behavioral
Health Centers also are located in Greensboro,
Kernersville and Reidsville.
About Us
Cone Health is a not-for-profit network
of healthcare providers serving people in
Guilford, Forsyth, Rockingham, Alamance
and Randolph counties. Our tagline — “The
Network for Exceptional Care” — highlights
our commitment to excellence, which is
shared by our more than 8,600 professionals,
1,000 physicians and 700 volunteers.
As one of the region’s largest and most
comprehensive health networks, Cone Health
has more than 100 locations, including five
hospitals, two medical centers, three urgent
care centers, 71 physician practice sites and
multiple centers of excellence.
The Moses H. Cone Memorial Hospital is
our flagship. Moses Cone Hospital is a 536-
bed teaching hospital and referral center. It
includes a Pediatric Emergency Department,
Level II Trauma Center and centers of
excellence such as the Orthopedics Center,
Neurosciences Center, Stroke Center and
Heart and Vascular Center.
Wesley Long Hospital offers 175 private beds
for medical and surgical patients with service
areas focused on oncology, bariatric surgery,
urology and orthopedics. Our modern
facility utilizes state-of-the-art equipment
such as the da Vinci® surgical robot system
and the SpyGlass® visualization system in
the Endoscopy Center. The campus also
houses the Cancer Center, Sleep Disorders
Center, Wound Care and Hyperbaric Center
and Surgery Center. In the fall of 2012, a
28,000-square-foot Emergency Department
opened providing increased capacity for
the community.
Women’s Hospital, a 134-bed facility, is
home to one of the area’s most experienced
neonatal intensive care teams. The hospital’s
Wesley Long Hospital
The Moses H. Cone Memorial Hospital
Annie Penn Hospital
Women’s Hospital
Behavioral Health Hospital
1200 N. Elm Street
Greensboro, NC 27401
336.832.7000
conehealth.com