HEALTH MATTERSHEALTH MATTERSHEALTH MATTERSFALL 2019FALL 2019 COMMUNITYCOMMUNITY

REPORTREPORTEDITIONEDITION

COMMUNITYREPORTEDITION

MAURY REGIONALHEALTH

MAURY REGY REGIONALALHEAHEALTHTH

MAURY REGIONALHEALTH

MAURY REGY REGIONALALHEAHEALTHTH

CONTENTS

Message from the CEO ..........................................................3

Fiscal year in review ........................................................4-6

Facts and fi gures ...................................................................7

Medical staff additions ..........................................................8

Maury RegionalHealth Care Foundation ...............................................9-11

MAURY REGIONAL HEALTH1224 Trotwood Avenue Columbia, TN 38401

931.381.1111 MauryRegional.comHealth Matters is published by the Maury Regional

Medical Center Marketing Department.

Graphic design:Th e Foreman Company

Photography:Maury Regional Medical Center

Hatcher Photography

Connect with Maury Regional Health

To visit our website, scan the QR code below with your mobile phone.

SENIOR LEADERSHIP H. Alan Watson, FACHEChief Executive Offi cerKenny BoydChief Operating Offi cerKaye BrewerChief Human Resources Offi cerMartin Chaney, M.D.Chief Medical Offi cerMichael FecherChief Executive Offi cerMaury Regional Medical GroupMark Kirschbaum, Ph.D., RNVice PresidentPopulation HealthDeborah Lumpkins, DNPChief Nursing Offi cerJim ParcelChief Information Offi cerNick SwiftChief Financial Offi cer

BOARD OF TRUSTEES

Houston ParksChairmanRodney A. Poling, M.D. Vice ChairmanJeffrey Adams, M.D.

Scott Gaines

Beverly Horner

John Law

Jan McKeel

Mike Tyler, D.D.S.

H. Alan Watson, FACHEChief Executive Offi cer

2019 MEDICAL STAFF OFFICERS

Deborah L. Goldsmith, M.D.Chief of StaffScott W. McCall, M.D.Vice Chief of StaffSteven C. Smith, M.D.Past Chief of StaffJames D. Grippo, M.D.Secretary/Treasurer

HEALTH MATTERS | 3

As I refl ect on our progress as an organization each year, I am struck by the dedication of our board, senior leadership team, employees, physicians and volunteers to continue to advance the services that we off er to our growing region of 230,000 residents.

In this community report edition of Health Matters, I want to share with you some of the advancements we have made in the past fi scal year. A few of these advancements include our digital technologies, a growing medical staff , new services and the impact of the Maury Regional Health Care Foundation in our region.

Th e information contained in this report is a testament of our commitment to caring for our community and I hope you fi nd it informative.

H. Alan Watson, FACHECEO, Maury Regional Health

Message fromthe CEO

4 | HEALTH MATTERS

Fiscal Year In Review

Maury Regional Health is a not-for-profi t regional health system serving southern Middle Tennessee through its hospitals, clinics, surgery centers, outpatient facilities and physician practice group. Th e organization is committed to providing innovative service by combining convenient and aff ordable access with skilled and compassionate care. Th e following are a few of the accomplishments that took place in the past fi scal year:

Ranked #1 in TennesseeCareChex®, an information service of Quantros, Inc., ranked Maury Regional Medical Center (MRMC) number one in Tennessee for overall hospital care and overall surgical care in the areas of medical excellence for 2019. CareChex® evaluates the performance of more than 4,000 hospitals across the nation, with awards based

on cumulative performance across the most recent three years of public data. Medical quality evaluated includes process of care, outcomes of care and patient experiences in two primary areas — medical excellence and patient safety. MRMC ranked number one in the state in medical excellence for several specifi c areas of care or procedures, including:

• Overall Hospital Care • Heart Failure Treatment• Overall Surgical Care • Major Bowel Procedure• Gastrointestinal Care • Orthopedic Care• General Surgery

For additional 2019 awards and rankings and to see how MRMC ranks in the nation, region, state and market, visit MauryRegional.com. Compare MRMC to other providers at CareChex.com.

HEALTH MATTERS | 5

New electronic health record and patient portal launchedMaury Regional Health (MRH) launched a new electronic medical record (EMR) system in November 2018. Benefi ts include one medical record that allows the MRH team to provide better care coordination between providers. Patients have a medical record that refl ects services received at Maury Regional Medical Center, Maury Regional Medical Group physician practices, Maury Regional Physical Th erapy, Maury Regional Urgent Care, Maury Regional Federally Qualifi ed Health Centers, Lewis Health Center, Marshall Medical Center and Wayne Medical Center. Along with the new EMR, MRH introduced a new user-friendly patient portal that provides convenient access to personal health care information in a secure online environment.

Behavioral health hospital joint ventureMaury Regional Health (MRH) and TriStar Health are joining forces to develop the fi rst inpatient behavioral health hospital in southern Middle Tennessee. Pinewood Springs is a 60-bed 49,900-sq.-ft . hospital located at 1001 North James Campbell Boulevard in Columbia. Th e facility will serve both adult and adolescent patients, with 42 beds for adults and 18 for adolescents. Th e two wings will be separated with each having two activity courtyards for patients. Th ose served will include individuals facing depression, substance abuse, anxiety and other emotional conditions. Th e anticipated completion date for the new hospital is January 2020. 

Urgent care & walk-in expansionMaury Regional Health expanded its convenient care services with the addition of a third Maury Regional Urgent Care location in north Columbia (Neapolis area). Located at 2478 Nashville Highway, Suite A, the center serves patients Monday through Friday from 7 a.m. until 7 p.m. and Saturday and Sunday from 9 a.m. until 3 p.m. In addition, the Maury Regional Health primary care practice in Lewisburg expanded walk-in services to six days per week. Hours are Monday through Friday from 8 a.m. until 6 p.m. and Saturday from 8 a.m. until 2 p.m.

Maury Regional launches new app for urgent careMaury Regional ondemand is a mobile app that provides patients with urgent care services through face-to-face physician visits on a mobile video conferencing platform. Designed to supplement existing primary care and urgent care services, the app provides a connection to a physician 24 hours a day, seven days a week, including when the patient is traveling or when their physician’s offi ce is closed. Benefi ts of the new service include:• Average wait times of 5-7 minutes• Less expensive than an ER visit• Prescriptions sent to the pharmacy selected

by the patient

Aff ordably priced at $69, patients simply download the mobile app, create an account and use the camera on a smart phone or tablet to connect with a provider. Users may also utilize a PC with camera and audio features to access services at MauryRegionalondemand.com. Physicians in the platform are contracted with American Well, a leader in the telehealth industry.

Cancer Center offers new PET CT imaging technologyTh e Maury Regional Cancer Center added the new Biograph mCT for advanced PET, CT and PET/CT imaging services. Th is imaging technology is used to evaluate staging and monitoring of cellular activity over time and to assess treatment response. Benefi ts include dose-reduction technologies to minimize patient exposure to radiation and fast scan times that result in less patient motion to improve image quality and overall patient experience. Th e Biograph mCT can support patients up to 500 lbs. and is designed to

reduce claustrophobia with a 78-cm bore. Th e purchase of this equipment enabled the organization to expand PET services to fi ve days a week and complemented the Cancer Center’s advanced technology.

Fiscal Year In ReviewNew cardiovascular technologyMaury Regional Medical Center (MRMC) now off ers the world’s smallest pacemaker: the Micra® Transcatheter Pacing System (TPS), which provides patients the most advanced pacing technology at one-tenth the size of a traditional pacemaker. Kevin Maquiling, M.D., performed

the fi rst Micra® TPS procedure at MRMC in February 2019. Dr. Maquiling is a member of the MRMC medical staff and a specialist in cardiovascular disease and interventional cardiology with Vanderbilt Heart–Columbia. MRMC performs pacemaker

procedures in its Cardiac Catheterization Laboratory, which eliminates the need for an operating room and expedites recovery time. In addition to its work with pacemakers, MRMC provides a number of interventional services, such as implanting internal cardiac defi brillators and angioplasty as well as stenting procedures. Th e facility also off ers diagnostic testing, cardiac and pulmonary rehabilitation and more. Learn more about Maury Regional Health’s cardiac services at all our locations by visiting MauryRegional.com/Heart or by calling 931.381.1111.

Mobile medical unitMaury Regional Health’s mobile medical unit continues to expand its outreach services in the region. In the past fi scal year, the unit visited six counties in southern Middle Tennessee, served 7,795 individuals and conducted 5,283 screenings. Th e 38-foot wheelchair accessible recreational vehicle is customized with two exam rooms and a laboratory area. Th e unit is staff ed by clinical professionals who provide services including general primary care, routine screenings, education on health and disease management and referral services. Th is project, which launched in February 2018, was made possible by the generosity of donors through a fundraising campaign conducted by the Maury Regional Health Care Foundation.

Maury Regional Medical Group Maury Regional Medical Group, an affi liate of Maury Regional Health, is a network of physician practices that includes family medicine physicians and a vast array of physician specialists. More than 130 providers see patients in 20 practices and three urgent care locations, off ering a variety of services, including walk-in clinics, disease management, immunizations, wellness exams and much more. In the past fi scal year, Maury Regional Medical Group has added seven new physicians. For a complete list of new physicians, see page 8.

HEALTH MATTERS | 7

Maury Regional Health is a system of facilities located throughout southern Middle Tennessee that serve our communities. Facilities include:• Maury Regional Medical Center – 255-bed acute care hospital• Marshall Medical Center – 25-bed critical access hospital• Wayne Medical Center – 80-bed hospital• Lewis Health Center – primary care, walk-in clinic, physical therapy, laboratory and imaging • Maury Regional Spring Hill – physical therapy, OB-GYN practice, plastic surgery practice• Satellite services in Lawrenceburg (sleep center), Pulaski (physical therapy) and Chapel Hill

(physical therapy)•Maury Regional Medical Group – 20 physician practices and three urgent care locations in Maury,

Lewis, Marshall and Wayne counties

UtilizationCombined Discharges ......................................................................................................................... 19,652Emergency Department Visits ........................................................................................................... 66,326Urgent Care Clinic Visits .................................................................................................................... 11,945Federally Qualifi ed Health Centers Visits ........................................................................................ 54,485Births ....................................................................................................................................................... 1,425Surgeries ............................................................................................................................................... 14,478Cardiac Catheterizations ...................................................................................................................... 2,078EMS Runs ............................................................................................................................................. 14,847Maury Regional Medical Group Encounters ................................................................................. 259,070

Economic ImpactEmployees ............................................................................................................................................... 3,349Payroll ........................................................................................................................................$172,296,600Benefi ts.........................................................................................................................................$44,061,246Charity Care & Bad Debt (unreimbursed care) .....................................................................$13,851,586Community Services (free screenings, etc.) ................................................................................. $411,137

In a study released by the Tennessee Hospital Association in July 2018, it was estimated that the overall economic impact of health care in Maury County alone was nearly $324 million.

Contributions to Maury CountyAnnual Contribution in Lieu of Taxes .......................................................................................... $900,000Free Health Services for Inmates ................................................................................................... $502,948School Athletic Trainers ................................................................................................................. $205,270

Facts & Figures

8 | HEALTH MATTERS

Medical staff additionsMaury Regional Health is the largest health system between Nashville, Tennessee, and Huntsville, Alabama. Th e organization has a medical staff of 220 physicians with expertise in more than 35 medical specialties. In the past 14 months, the following 14 physicians joined the medical staff . To learn more about these physicians and the entire medical staff , visit MauryRegional.com.

ALEXANDER C. THURMAN, M.D.Pathology

BRANDON M. GENTRY, M.D.Hospital Medicine

CÉSAR Y. CARDONA, M.D.Nephrology

LUCAS E. WILMORE, D.O.Family Medicine

OCTAVIA L. GRAHAM, M.D., M.P.H.Family Medicine

FRANCOIS V. DIJOUR, D.P.M.Podiatry

SHAKEVIA JOHNSON, M.D., M.S.Psychiatry

AUGUSTA K. DUNSE, D.P.M.Podiatry

THU MINH NGUYEN, M.D.Hospital Medicine

CHRISTOPHER S. ENGLISH, M.D.Cardiology

SHAWN J. PRICE, M.D.Hospital Medicine

ROBERT E. BILBAO, M.D.Family Medicine

JESSICA G. FOLGER, M.D.Emergency Medicine

JOHN R. ROBERTS, D.O.Family Medicine

With more than 220 physicians, Maury Regional Health can help.

Looking for a physician?

HEALTH MATTERS | 9

Th e Maury Regional Health Care Foundation has provided more than $2.8 million in programs and services throughout our region since its formation in 2006. In the 2018-2019 fi scal year, the Foundation provided more than $428,000 in assistance.

Every dollar donated to the Foundation directly benefi ts the community because all administrative expenses are covered by the medical center.

Th ere are a variety of Foundation funds dedicated to assisting the needs of specifi ed individuals and groups, ranging from those facing cancer to those needing food pantry assistance. Th e following are some of the ways in which we have helped our patients and community during the past fi scal year.

MAURY REGIONAL HEALTH CARE

FOUNDATION

General Fund - $22,043Equipment for infection controlMt. Pleasant Parks & Recreation Community Spin Program (partial)Wagon for New Year’s babyCancer Fund - $15,551Dietary consultations for cancer patientsFood for cancer patientsGas cards for cancer patientsCardiology Fund - $27,900Cardiac life vests for nine patientsCommunity Health Fund - $177,103Crossroads to Home Coalition supportDental assistance through Giving SmilesHealthier Maury County Program supportMobile Clinic — supplies, staffi ng & maintenanceSmoking cessation educational information and materialsSummer camp scholarships through the City of Columbia Parks &

RecreationDiabetes Fund - $8,542Diabetic suppliesDiabetic education classesEslick Daniel Youth Health Initiatives Fund - $23,209First aid kits for H.O. Porter SchoolTrauma kits for Giles, Lawrence & Maury County schoolsTriple Play Health & Wellness Program for the Boys & Girls ClubFamily & Friends Nutrition Fund - $10,229Food for the Maury Regional food pantryMeal tickets for personal caregiversNeonatal Intensive Care Fund - $14,861Books for Parker’s ProjectCar seats for babies at dischargeFood for the NICU pantryNICU reunion expensesNurses for Newborns of Maury County Program support

Pediatric Fund - $6,514Tootsie’s Bears Program — stuff ed animals & shirtsRetreat (Hospitality House) Fund - $2,734LandscapingUtilitiesSuppliesSpecial Needs Fund - $69,718Medication assistance programs for at-risk patients for Maury

Regional Medical Center, Lewis Health Center & Marshall Medical Center

FreshStartRoom in the InnTh e Family CenterTh e Hope ClinicTh e Place of HopeMinor medical equipment & supplies for at-risk patientsTransportation & gas card assistance for at-risk patientsWayne Medical Center Fund - $5,055Financial assistance for two employeesMeal tickets for personal caregiversMedication assistanceTransportation assistanceWayne Medical Center Health Fair expensesWilliam R. Walter Employee Assistance Fund - $19,486Beryl Institute Organizational MembershipContinued education for one Maury Regional Health (MRH)

employeeFinancial assistance for 16 MRH employeesWomen’s Center Fund - $10,659Feeling Fabulous Program for cancer patientsLymphedema garments for cancer patientsWigs, camisoles & scarves for cancer patientsWellness & Aquatics Healthy Living Endowment - $15,000Mt. Pleasant Parks & Recreation Community Spin Program (partial)

10 | HEALTH MATTERS

Special thanks 2018-2019 contributors (Donations received July 1, 2018, through June 30, 2019)

Founders - $10,000+Affi liated Creditors, Inc.Anchor Health Properties DE,

LLC AnonymousBlueCross BlueShield of

TennesseeGeneral Motors CompanyLand UniformsLee CompanyMaury Regional HealthVizient, Inc.Mary & Con VrailasBenefactors - $5,000+David & Niki BaxterCerner CorporationHFR DesignAmandia & Chris LongMaury County Gun ClubMedline FoundationPuckett’sReliant BankAlan & Michele WatsonGrace Wu, MDPioneers - $2,500+Ashley Kensington Graymere

ApartmentsKenneth BoydButler Snow LLPCIGNACherri ClarkKim & Lee Duff Farm Bureau Health PlansClare & Price KellerKemberton HealthcareGreg MartinMaury County Medical

AssociationMeridian Leasing CorporationMorrison Management

Specialists, Inc.NHCRJ Young Company, Inc.Scrub HubMary Gale SnyderSouthern Radiology AssociatesNick & Cindy Swift Th e Daily HeraldTh e Kroger FoundationVanderbilt Health Affi liated

Network LLCMollie WrenPatrons - $1,000+Tina & Jeff Adams, MDAdvanced Foot & Ankle Care

Centers, PCStephanie AllredAmerican ConstructorsAmerican Paper & TwineDarlene BaxterBaxter Management, LLCBeck Dental CareDiane & Rick BoltonKaye BrewerPhyllis BrownCMS Imaging, Inc.Mark Cobb, MD

Coca-Cola Bottling CompanyColumbia Power & Water

SystemsEslick Daniel, MDRosemary EdmondsFarm Bureau Insurance of

TennesseeMichael FecherFirst Farmers & Merchants

BankMelinda FlemingJames B. FosterFrito Lay WIN NetworkGallagher Benefi t ServicesStephen HanesRebecca Hawkins, PhDHealogicsWaymon HickmanCarroll & Joe KilgoreMark Kirschbaum, PhDHolly KunzNicholas KuzmichLabCorpChristina Lannom, DORoger LarkinAdrienne & John LawLewisburg PropertiesLightbeam Health SolutionsLincoln Financial GroupListerhill Credit UnionSusan MacArthurMadison Academy Linen

ServiceMcDonald’s of Maury CountyMedCycle ManagementMedical NecessitiesMedtronicMEIKO USA, Inc.Nathan MillerMint ConditionMusic City FloorsRobert OtwellJim ParcelHouston ParksRodney Poling, MDGabe Polk, DOWilliam Rasberry, MDLinda Rippey-MooreDana SaltersSSR, Inc.T. Rowe PriceTennessee Motor Coach

AssociationJanene Th ompsonRita Williams Th ompsonTraneChris Turner, MDMichael Tyler, DDSWilliam R. WalterWayne Medical CenterWells FargoPam WilliamsWinning MovesSponsors - $500+Advance FinancialCharles A. Ball, MDCharles BeamHugh BennettBenton Nissan of Columbia

Jeff BinkleyBen BoltonBrown & Maguire CPAs, PLLCJerry CampbellMartin Chaney, MDKevin Chunn, MDCintas CorporationCity of ColumbiaColumbia Breast ClinicColumbia Orthodontics, PCColumbia Power and Water

SystemColumbia Women’s ClinicDavid Craig, PhDChris Edwards, MDEncompass Health CorpNell EversFirst Presbyterian ChurchAllison & Kyle FortmanSherian FoxMichael FranksJill GaddesShawn Gentry, MDSusan Gray, MDTom GroskoHampshire Unit SchoolScott HayesFrances HoltJawaid Kamal, MDMichelle KennedyPorter KingKnights of ColumbusEdward LancasterPatricia LentzJodi LewisAmy LongDeborah Lumpkins, DNPDayaker Mallipeddi, MDCathy MaloneStacy MarshallChrista Martin, EdDMaury County Fair &

Exposition, Inc.Maury County Visitors BureauMaury Regional Medical GroupDacia McEversMid Tenn Bone & Joint Clinic,

PCEdward MooreLil MooreMt. Pleasant High SchoolJames NortonMary E. Overton, MDKristin & Drew ParkerParks Motor SalesApril PilkintonDebbra PillowDeborah PoarchRussell PothierPreventia Security, LLCBarbara PurcellTh omas Quinn, MDRedman Davis InsurancePeggy & Jim Richardson, MDAngela RosenSanta Fe SchoolMuriel ScrogginsMike ShortNeil SmithsonEdie Sutter

Th e Community Foundation of Middle Tennessee

Th eta Family & Community Education Club

Cindy Th ompsonJennifer TowersTrimark - StrategicDebbie WebsterBrian WilliamsSupporters - $200+3DR LABS, LLCStacey AbernathyJennifer AdamsJenny AdcoxAirGas MidAmericaCarey AlbrightApril AllenAscend Federal Credit UnionAlisha AshleyRenee BarnettClaudia BatesKathy BeckettBenchmark RehabilitationRhonda BennettMadora BevisBarbara BishopBrenda BishopWilliam E. BlackstoneTed BradshawBug OutRobert E. ButlerJessica BytwerkAlison CarlisleDawn CashionKim & Mark CashionClemmie GraceNeal CokeColumbia Paint and WallcoverColumbia Pediatric ClinicTerry CookPaul CorvinGinger CothranDatabaseSolutions (Accureg)Melissa DavidsonKim E. EdwardsCindy FoxMelanie FoxBrenda FriersonJennifer GidcombCambre GodwinKaren GordonJennifer GrayDenise GreenSheila GrossmanCindy HallHealth Learning SourceVan HendricksonChristina HenzeMark Hinson, MDHitachiMary Ann HoelscherHenry HornbakerKim HowellKatherine HuddlestonStephen HughesSarah HunterJones & Lang Sporting GoodsJRN Inc.Kelly Kea-Carroll

Brian Kendrick, MDAmit Keswani, MDNatalie KiddBethany LayRobert LongDebra LyonsPamela MandigEddie MatthewsMaury County RealtyAllison McCordBeverly McCoyJack McDonaldDaniel McEwenMary Jo McGeeRenee McKibbenCathy McKimMichelle Lamont PhotographyMiddle Tennessee Detention

Center, LLCGlenda MitchellSara MitchellCharles MolderChad Moss, MDMt. Pleasant Middle SchoolMuletown Rec, LLCJames NashNavitus Health Solutions, LLCHeather NorrisCandice OrganPamela ParhamConnie PattersonPCA SoutheastMadelyn PeresichMary PilkintonLisa PinkstonGary Podgorski, MDLyndall PropstDaniel PughGaines RamseyRaymond JamesRedman-Davis, Inc.Bhaskar Reddy, MDAmy RichardsonSonny ScogginsJackson SimsSmelter Service Corp.Luranne & Tony Smith, MDSharon SouthStan McNabb of ColumbiaSTAR Physical Th erapyCarol StooksberryBill SummarSVMICMichele TankersleyTh e B’s TeesCharles TisherTommy Harrison State Farm

InsuranceDavid TreschTriGreen Equipment, LLCVision Service PlanVolunteer Home Care of West

TN, Inc.Kathryn WallsMary WattsGreg WhitlockDoug Wilburn, MDKimberly WoelkWalter Wood

HEALTH MATTERS | 11

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Th e Foundation has provided assistance in many areas of need. With your generous gift s, we can do even more. Gift s are tax deductible to the extent allowed by the law. Gift s of endowment and planned giving are especially rewarding ways of giving. If you would like more information, please call the Foundation at 931.380.4075. If you want to help now, please fi ll out the form below and mail it, along with your contribution, to:

MAURY REGIONAL HEALTH CARE FOUNDATION1224 Trotwood AvenueColumbia, Tennessee 38401

For a complete description of funds and to donate online, visitMauryRegionalFoundation.com

General FundCommunity Health FundEslick Daniel Youth Health Initiatives FundFamily & Friends Nutrition FundOtwell Cancer Center EndowmentRetreat FundService Area: Cancer FundCardiology Fund Diabetes Fund NICU Fund Palliative Care Pediatric Fund Women’s Center FundSpecial Needs FundWayne Medical Center FundWilliam R. Walter Employee Assistance FundWellness & Aquatics Complex Healthy Living Endowment

MAURY REGIONAL MEDICAL CENTER1224 Trotwood AvenueColumbia, Tennessee 38401

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