LEADING THE WAY

TO A HEALTHY

COMMUNITY

TRUMAN MEDICAL CENTERScommunity benefit report

2009 - 200

A TMC patient transportation bus promotes the Healthy Harvest Fresh Produce Market, held every Wednesday at TMC during the warm months.

Truman Medical Centers is an academic health center providing accessible, state-of-the-art quality healthcare to our community regardless of the ability to pay.

VISIONMISSION

Our vision is to lead the way to

a healthy community.

DEAR FRIENDS:

We are proud to share with you our Community Benefit Report, providing what we hope

will also be a glimpse of how we touch thousands of lives every day as the largest provider

of quality outpatient care in Kansas City and throughout Jackson County.

Providing the finest medical care accessible to all is the core of what we do. It is a job that

all of us at TMC are proud to be a part of. But, again, it does not tell the whole TMC story.

It is difficult to leave life’s important decisions in another person’s hands, particularly

when it comes to one’s own personal health. Each and every day, we have the opportunity

to provide hope to those who otherwise might not have it. At TMC, we do that with state-

of-the-art health care, but most importantly, administered with compassion.

Ultimately, a hospital system is judged by the values it holds most dear. We value optimal

clinical outcomes, integrity and a commitment to health care excellence. We also believe

in knowledge, education, research and innovation. And we ensure compassion plays a role

in all that we do. Each patient is important, regardless of ability to pay, and we are there

to listen to their story as part of our long tradition of patient-first health care. They know

they can put their trust in our hands.

As a healthcare provider, TMC deeply values the idea of maintaining wellness versus

treating disease. In these pages you will read about how we are “walking the talk” when it

comes to our corporate vision of leading the way to a healthy community. We are proud of

the example we are setting. That’s why our innovative Healthy Harvest produce market,

described on page 6, is pictured on the cover. As you will read, it is just one of many initia-

tives TMC has undertaken in its pursuit of health and wellness for all our patients and the

community we serve. We wish you great health and wellness and hope you enjoy reading

the report!

Sincerely,

John W. Bluford III

President & Chief Executive Officer

Truman Medical Centers

Paul M. Black

Chairman of the Board

Truman Medical Centers

Paul BlackChairman of the Board

John W. Bluford IIIPresident & Chief Executive Officer

HEALTHAND

WELLNESS

TMC’s Blossom on Third Bistro prepares meals cooked individually

from scratch.

TMC has implemented a number of corporate initia-

tives, large and small, such as stocking the campus vending

machines with alternatives to sugar-packed processed foods

and offering healthy cooking classes and yoga through the

Corporate Academy. Others include:

HEALTHY HARVEST PRODUCE MARKET

Because health begins with eating well, TMC strives

to provide access to delicious, fresh food throughout the

hospital. TMC’s Healthy Harvest Fresh Produce Market is

open for business in the warm months, every Wednesday at

TMC Hospital Hill, and the first Tuesday of every month

at Lakewood. This market, a partnership with Blue Cross

Blue Shield of Kansas City, Morrison Healthcare Food Ser-

vices and C&C Produce, offers fresh fruits and vegetables

— along with nutritional information and suggestions for

food preparation — to TMC patients, employees and the

surrounding community.

BLOSSOM ON THIRD

Ginger Citrus Stir-Fry. Dijon Herb-crusted Tilapia.

Cappucino Caramel Mousse. Sound like hospital food? It

is, if you are a patient on the third floor of TMC Hospital

Hill.

The dishes are part of an innovative new patient care

concept being piloted and funded by Morrison Healthcare

Foodservices, the company managing the food and nutri-

tion services at TMC. Blossom on Third is the embodiment

of that concept.

“It’s a truly groundbreaking approach to hospital food,”

says John Bluford. “Every aspect of the patient’s dining ex-

perience is enhanced.Here are some of the innovations be-

hind Blossom on Third.

Healthy food, lovingly prepared Although traditional hospital food service provides

healthy choices, the items are usually developed for a spe-

cific diet such as low-fat or low-sodium. In Blossom, foods

developed for a regular diet are, by design, low fat, low calo-

rie and low sodium; so they are suitable for all but the most

restricted diets.

All Blossom menu items are cooked individually from

scratch. Blossom chefs use the freshest ingredients possible;

none of the vegetables used are canned or frozen.

Another difference in the Blossom menu is that it is res-

taurant-style, offering a wide variety of choices in several

categories for the patient.

Blossom menu items are prepared in a separate kitch-

en, built by Morrison on the third floor – to be as close

to the patients as possible. The kitchen features two pieces

of brand new technology, never before used in hospital

kitchens: a Turbo-Chef oven, which uses high velocity air

streams to cook food much more quickly than convention-

al ovens; and induction burners, which cook without using

a grill or an open flame, eliminating the need for exhaust

hoods, and without producing food smells.

Just like room service Blossom also uses brand new technology in the order-

taking process for patient meals. TMC Blossom assistants

TMC’s corporate vision of “leading the way to a healthy community” is some-thing we take very seriously.

“As healthcare professionals, we strive to set examples for healthy living that the rest of the community can follow,” says John Bluford, TMC President

and CEO.

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take the patient’s order using tablet computers, which are

interfaced with TMC’s patient information database. The

patient decides what time he or she wants to eat, and the

food order is printed out to the chef in the kitchen, 30 min-

utes in advance of the requested meal time. The meal is de-

livered fresh from the kitchen at whatever time the patient

requests it.

Everyone can blossom at TMC Blossom on Third also is open to visitors and staff, pro-

viding meals in an attractive, contemporary bistro setting.

“I am very excited about the Blossom pilot, because it

will elevate how everyone feels about the food in our hospi-

tals by bringing the preparation of the food as close to the

customer as possible,” says Suzane Haug, Service Integra-

tion Leader. “By offering one menu for everyone, Blossom

changes the hospital dining experience by uniting patients,

visitors, and staff members.

“The menu enables patients to see that just because they

have a certain medical condition, their ability to enjoy their

favorite foods need not be compromised.

“Blossom food will create a desire to learn more about

how to enjoy real, flavorful, healthy food,” says Haug. “We

are truly living our vision of ‘leading the way to a healthy

community.’”

TMC, in partnership with Morrison Healthcare Food Services, recently introduced Flavors 450, which brings simple, nutri-

tious flavorful food, using seasonal, fresh vegetables, to the employee/visitor cafeteria. Every Flavors 450 meal is 450 calories

or less, with no more than 35 percent coming from fat.

“As a healthcare institution, our mission is to care for the sick, but our vision is to help our community live in a healthy manner, so they are less likely to get sick,”

John Bluford, TMC President and CEO.

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ARTGALLERY

A HOSPITALWITHIN AN

Christopher Radko, the name behind one of America’s most popular brands of holiday décor, in 2009 donated eleven paintings to TMC from his personal art collection.The works are by the internationally known artist Anthony Ramos, from his “Topanga Can-

yon” series. Radko, the son of physicians, believes strongly in the healing powers of art, and is pleased to support the unique mission of TMC’s Center for Healing Arts.

9

At TMC, we believe the environment in which we de-

liver care is almost as important as the care itself. That’s

why, when you walk through our bustling corridors, you

are surrounded by artwork.

Acquired through the generosity of benefactors, the

artwork is strategically chosen and placed to be an integral

component of the healing process.

“TMC is intent on creating a hospital within an art gal-

lery,” says John Bluford. “We believe art has the capacity to

not only heal, but to uplift the mood and spirit of the thou-

sands of employees, patients and visitors who traverse our

campuses daily.”

The collection includes works from internationally

known artists such as Roy Lichtenstein and Tony Ramos.

“It’s amazing to see the changes in patients and staff af-

ter paintings are installed,” says Caleb Fey, TMC’s curator.

“The smiles are a little bigger, the eyes a little wider.”

For a decade, TMC has been building an art collec-

tion that now includes almost 90 original works including

paintings, photography, textiles, sculptures and hundreds

of art prints.

“We are light years ahead of many hospitals in the coun-

try,” Fey says. “Many hospitals can be more attractive places.”

“Our art collection is about more than having pretty

pictures on the wall,” says Bluford. “We also want to pro-

vide an uplifting environment that will educate patients,

visitors, and especially employees about art.

“Many of our hard-working staff are in entry-level po-

sitions, reside in the urban core, and have not had a lot of

exposure to fine art. The art they see on our walls could

spark a lifelong interest.”

TMC maintains art galleries in its Hospital Hill and

Lakewood hospitals and at our technology center on Blue

Parkway.

Visitors are always welcome to come and tour the art

collection, using our handheld audio tour guides. To view a

flipbook brochure about TMC’s art collection, go to www.

trumed.org/healingarts and click on The Art of Healing.

“Art plays an important role in the lives of our patients and staff.Healing the heal-ers is the idea behind TMC’s HealingArts Gallery.”

– Cathy Disch, Chief Operating Officer, Hospital Hill.

Hayfield by Peter ColeMerciful by Lonnie Powell

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CLINICALUPDATE

“Passport to Wellness is designed to help our most ill patients, those with chronic diseases whom we see over and over again in our Emergency Department.”

Shauna Roberts, MD, Corporate Quality Medical Director.

CHRONIC DISEASE MANAGEMENT

TMC is widely recognized for its expertise in the

management of chronic diseases — diabetes, asthma,

emphysema, COPD, sickle cell anemia, hypertension,

and heart disease.

Recently introduced is “Passport to Wellness” which

helps patients with chronic illnesses make lifestyle

changes that will help them better manage their health,

resulting in fewer hospital visits. Through education and

a coached approach to lifestyle changes, a care team of

health professionals will work to help them better un-

derstand their illness, teach them firsthand how to man-

age it and guide them to becoming their own advocate

in managing the disease. The care team will also work

to remove barriers that prevent these patients from fol-

lowing through with their care plans. The program was

introduced to TMC employees in June 2010 and will

soon be introduced to TMC patients.

“Passport to Wellness is designed to help our most

ill patients, those with chronic diseases whom we see

over and over again in our Emergency Department,”

says Shauna Roberts, MD, Corporate Quality Medical

Director. “The care team will help these patients with

transportation to and preparedness for their doctor ap-

pointments, connect them to funding sources for their

medications if they are having trouble paying for them,

and make sure their doctors and nurses are commu-

nicating effectively with each other about the patient’s

care. The long-term goal is that the patients learn to ad-

vocate for themselves.

Through innovative treatment of these challenging

chronic diseases, — prevalent among minority popu-

lations — TMC is at Kansas City’s forefront in “closing

the gap” — the health disparities experienced by African

Americans, Hispanic Americans and other minorities.

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At TMC, we are well aware of how devastating the ef-

fects of diabetes can be. With more than 4,000 patient visits

in our Diabetes Center annually, we are solidly equipped to

handle all aspects of the disease.

The Diabetes Center at TMC Hospital Hill recently

re-located to the Hospital Hill Center building, offering a

larger, state-of-the art facility to better serve the needs of

our patients.

MANAGING DIABETES: IT’S COMPLICATED

The new space includes a patient resource center with

computer access for researching diabetes and related topics;

new diabetes education classroom and consultation rooms

for group or individual instruction related to disease man-

agement and nutrition; a patient waiting area designed for

comfort; and expanded exam rooms with advanced tech-

nology to support the electronic health record progression

at TMC and to support patient safety and quality.

“Truman Medical Centers is committed to finding real

solutions for helping improve uncontrolled diabetes and

for identifying barriers that prevent patients from achiev-

ing blood sugar control,” said Lamont Weide, M.D., Ph.D.,

F.A.C.E., Chief, Diabetes and Endocrinology. “Adding ca-

pacity for patient education and preventive medicine is key

to helping patients avoid the complications of diabetes.”

A CRITICAL RESOURCE FOR PATIENTS

Diabetes is the fifth leading cause of death in Missouri.

About 110,000 people in the metropolitan area have dia-

betes and only two-thirds of these people know they have

the disease. Patients with poorly controlled diabetes are at

increased risk of kidney, eye, and nerve damage which can

be prevented by good glucose control. Patients with diabe-

tes frequently also have hypertension, elevated cholesterol

levels, and heart disease. These co-morbidities also require

aggressive treatment such as that offered in the TMC Dia-

betes Center.

The comprehensive team approach connects patients

with specially-trained physicians and nursing staff. The

team also will help coordinate care with providers of other

specialty services, such as ophthalmology, cardiology, and

podiatry.

EXPANDED

DIABETESFACILITY

SUPPORTSPATIENTS FIGHTING

A DIFFICULTDISEASE

The TMC Diabetes Center helps

patients manage their diabetes on a

planned, rather than episodic basis.

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In the fall of 2009, TMC celebrated the two-year anni-

versary of the expansion of its Cardiology Center on the

Hospital Hill campus. With this anniversary came another

important opening, that of our spacious new Cardiac Re-

habilitation Unit, just down the hall.

PROVIDING A MUCH-NEEDED SERVICE

The unit fulfills a compelling need to serve our patients,

who often cannot afford to pay for this vital service. In fact,

fewer than 2 percent of the 129 TMC patients who under-

went stent procedures in 2008 participated in a rehab pro-

gram. Many are patients who previously weren’t eligible for

rehab because of inadequate insurance or who started oth-

er programs and had to stop because they couldn’t afford to

continue. TMC now can provide these vulnerable patients

with the chance to improve their long-term life and health

quality.

The Cardiac Rehabilitation program provides medically

supervised sessions to help patients recover after a heart at-

tack, heart operation, or coronary stent procedure. Cardiac

rehabilitation typically involves various levels of monitored

exercise, nutritional counseling, emotional support, and

education about lifestyle changes to reduce the risks of

heart problems.

INSTRUCTION AND INSPIRATION

Cardiac rehabilitation is designed to help patients regain

strength, to prevent their heart condition from worsening,

and to minimize the progression of heart disease. Our pa-

tients may attend up to 36 one-hour sessions, which in-

clude exercises monitored by nurses, as well as instructions

for heart-healthy living and nutrition, weight and smoking

control, and proper management of their medications.

“I think the biggest benefit to Cardiac Rehab — besides

getting people going on an exercise regimen — is the esprit

de corps and companionship they get from the other pa-

tients who are having similar problems,” says Douglas Bo-

gart, M.D., medical director of TMC’s Cardiology Center.

“Frequently this can give them the push they need to carry

on with the program.”

TMC is deeply grateful to the four main donors who

provided funding for the Cardiac Rehab Unit: The Hall

Family Foundation, McGee Foundation, The WT. Kemper,

and The Gottlieb Foundation.

NEW

CARDIAC REHAB UNIT HELPS VULNERABLE PATIENTS GET STRONGER

Cardiac rehabilitation involves exer-

cise, nutritional counseling, emotional

support, and education about lifestyle

changes.

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NEW

CENTER FOR SLEEP HEALTH

HELPS KANSAS CITY

RISE AND SHINE

If you don’t sleep well, you won’t feel well. It’s as simple

as that.

A continuous lack of quality sleep can have a significant

impact on virtually every aspect of health. Poor sleep can

reduce one’s ability to learn, think, pay attention to details

and be productive at work. It can increase the risk of acci-

dental injury while driving or operating machinery. A few

sleep disorders even can be life-threatening.

SOLID EXPERTISE IN SLEEP PROBLEMS

Very often, poor sleep can be caused by a treatable

medical disorder. That’s why in the summer of 2009 TMC

opened the TMC Center for Sleep Health.

TMC’s staff includes board-certified sleep medicine

specialists, pulmonologists and a neurologist, who offer a

wide range of treatment options for individuals who have

difficulty sleeping at night, difficulty staying awake in the

daytime, or who experience unusual movements or behav-

iors in their sleep.

Sleep studies are conducted in a spacious, private lab-

oratory — a customized guestroom at the Hyatt Regency

Crown Center, or a specially equipped room at TMC’s

Lakewood campus. Custom-equipped to monitor brain

waves and sleeping patterns, the sleep labs create a natural,

comfortable setting to help patients sleep normally so doc-

tors can diagnose specifically what is causing the patient’s

sleep problem, and the best treatment to correct any diag-

nosed sleep disorder.

DIAGNOSIS IS KEY

“Research from the National Sleep Federation has shown

that more than 70 million Americans are not able to get the

sleep they need,” says Abid Bhat, M.D., Medical Director of

the TMC Center for Sleep Health.

Bhat says there are more than 80 identified sleep/wake

disorders, which can cause the inability to fall asleep, to stay

asleep and to stay awake during the day.

Most sleep disorders are treatable, some through surgery or

medications, some through external devices, some through

weight loss or sleep position training, and some through

behavior modification, such as cognitive behavior therapy

(CBT) for insomnia. “But identifying the sleep/wake disor-

der is the key,” says Bhat.

TMC partners with the Hyatt Regency

Crown Center to offer sleep study

patients the privacy and comfort of

a first-class hotel room. The Hyatt is

minutes away from TMC, a strong

advantage if further treatment is

needed.

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ADDITIONAL CAPACITY FOR TREATING ACUTE

MENTALILLNESSS

In 2009, TMC Behavioral Health, as part of a partnership

with the Missouri Department of Mental Health, expanded

its inpatient mental health services with the addition of 25

acute care beds and a separate psychiatric emergency de-

partment at 1000 E. 24 in Kansas City.

GETTING THEM THE HELP THEY NEED

“The expansion has been good for TMC and good for

the community,” says TMC Behavioral Health Chief Oper-

ating Officer Marsha Morgan. “It has given us the opportu-

nity to move people who are mentally ill out of our medical

emergency department and get them to where psychiatrists,

psychiatric nurses and social workers are, so they can get

appropriate care and give our medical emergency depart-

ment a chance to focus on traumas and other emergencies.”

CONTINUING A TRADITION OF EXCELLENCE

TMC Behavioral Health has provided state-of-the-art,

top quality mental healthcare in Kansas City for more than

a decade. In 1997, the State Community Mental Health

Center and Central Kansas City Mental Health Services

merged and became Truman Medical Center Behavioral

Health. Since that time, TMC Behavioral Health has nearly

doubled the mental health services provided to the people

of Kansas City and quadrupled the number of patients

treated each year.

Five years ago, TMC Behavioral Health treated approxi-

mately 7,000 patients in more than 127,000 outpatient vis-

its and 1,500 inpatient stays. In 2008, those numbers have

increased to more than 18,000 patients annually, in nearly

200,000 outpatient visits and 2,500 inpatient stays. With

many of these patients receiving their primary healthcare

at TMC Hospital Hill, this expansion of mental health ser-

vices gives patients a truly team-based healthcare system

that focuses on both their physical and mental health in

one central location in Kansas City.

“Many of the patients seeking treatment at TMC Behav-

ioral Health Acute Care receive their primary healthcare

at TMC. This expansion of mental health services helps

us provide better continuity and coordination of the total

healthcare needs of our patients,” says Morgan.

With the expansion of TMC Behav-

ioral Health services, patients have a

team-based healthcare system in one

central location.

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SERVICESOVERVIEW OF

Women’s Breast Care Center

TMC provides diagnostic breast health services,

streamlining the patient experience by making virtu-

ally all of the components of a breast evaluation avail-

able in one campus location. Our approach is designed

to minimize the patient wait for definitive information.

In evaluating breast conditions, the Breast Center em-

ploys a variety of progressive diagnostic tools, depending

on the patient’s situation. These include clinical breast

exam, mammography, ultrasound, magnetic resonance

imaging (MRI), and image-guided breast biopsies. The

initial evaluation of a palpable breast mass is generally

done with aspirate biopsy under ultrasound guidance.

TMC’s approach differs from others in the primary use

of aspirate biopsies (fine needle biopsies) to gain imme-

diate feedback. The specimen is evaluated by a board-

certified cytopathologist and the patient is given results

in 20 minutes.

TMC provided 5,306 mammograms in 2009TMC’s OB/GYN staff has special expertise in high-risk obstetrics.

Maternity and High-Risk Pregnancy

Women who face the potential of a complicated preg-

nancy have access to extraordinary expertise and the best

technology available at TMC’s Hospital Hill campus. The

TMC Maternal-Fetal Medicine team, all board certified

Perinatologists, strive to give these moms and their babies

the best opportunity for a full-term, healthy delivery.

TMC delivers one-third of the babies in Jackson

County, Mo., annually, with almost 2500 of those deliver-

ies at Hospital Hill. “More than 25 percent of our expect-

ant mothers have significant risk factors,” says Dr. Timo-

thy Bennett, MD,Vice Chairman of the Department of

Obstetrics and Gynecology.

State-of-the-art fetal surveillance is available at TMC.

The maternal-fetal medicine specialists are known re-

gionally, nationally, and internationally for their clinical

expertise, and also for their pioneering research on and

development of new fetal diagnostic tools including fetal

echocardiography and Doppler monitoring. “All state of

the art fetal testing is available here. Our diagnostic ca-

pabilities are second to none,” said Dr. Dev Maulik, MD,

Chairman of TMC’s Department of Obstetrics and Gy-

necology.

At TMC Hospital Hill, 20 home-like suites are de-

signed for mothers-to-be (high-risk and otherwise) and

their new additions. A newborn intensive care unit for

infants with special needs is nearby, staffed through a

partnership with Children’s Mercy Hospital. All deliveries

are attended by a Level III Neonatal Intensive Care Unit

nurse.

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One of TMC’s strengths is its ability to

provide high-quality healthcare to all

our patients. Our person-first approach

puts the health needs of the patient above

profit. And that enables our caregivers to

never have to compromise on care.

Family Medicine

The Medical Pavilions at TMC Hospital Hill and TMC

Lakewood provide high-quality primary care, whether a

patient’s needs include a general physical exam or help

with a specific complaint. TMC’s internal medicine phy-

sicians treat high cholesterol, osteoporosis, diabetes, high

blood pressure, and skin disorders, among others. The

Hospital Hill Pavilion also offers women’s health services,

including family planning, mid-life services and breast

health and obstetrics.

Grain Valley Family Medical Care and Raytown Fami-

ly Medical Care, two clinics owned and operated by TMC,

also provide primary care to many families in Eastern

Jackson County. Grain Valley Family Medicine provides

obstetric services, an increasingly rare service offering in

free-standing primary care clinics such as these.

In 2009, TMC saw 286,343 total outpatient visits.

Eye Care

The Eye Clinic is a full-service facility for the medical and sur-

gical treatment of eye diseases. Services range from prescribing of

glasses and fitting of contact lenses to the treatment of complex

ocular disorders. Outpatient surgery and laser treatment, includ-

ing refractive laser surgery, are performed at the Eye Foundation

of Kansas City, located at 2300 Holmes. Eye services at TMC are

performed in partnership with Sabates Eye Centers.

The TMC Eye Clinic provides the full scope of ocular services.

Emergency Care/Trauma

One of TMC’s major strengths is our 52-bed Emer-

gency Department on Hospital Hill, which, in 2009,

treated more than 60,000 patients. TMC is known for be-

ing a Level One Trauma Center, the highest designation,

ready to respond to the most challenging emergencies. In

2005, our Hospital Hill Emergency Department was sig-

nificantly expanded and renovated. The upgrade greatly

improved the flow of patient traffic, providing more pri-

vacy and better equipment, including diagnostic tools.

In the event of a chemical, biological or radiologi-

cal disaster, TMC would be a first responder, with three

trauma rooms with dedicated radiology units, six decon-

tamination units, and isolated waiting and triage areas

with separate air-circulation systems.

TMC Emergency Department patients receive extremely thorough evalua-

tion and treatment by attending and resident physicians.

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Diabetes Care Management

TMC’s newly opened Diabetes Center includes a pa-

tient resource center with computer access, diabetes edu-

cation classroom and consultation rooms, a comfortable,

attractive waiting area; and expanded exam rooms with

advanced technology to support the electronic health re-

cord progression.

The TMC Diabetes Center provides quality care for

our patients with diabetes, helping to manage diabetes on

a planned, rather than episodic basis. The comprehensive

“team approach” connects patients with specially-trained

physicians and nursing staff. The team also helps coordi-

nate care with other specialty service providers, such as

ophthalmology, cardiology, podiatry, and other referrals

as needed.

In 2009, TMC opened a spacious new state-of-the-art Diabetes Center to

better serve the needs of our patients.

Asthma Care

TMC has earned a strong reputation for being a top hospital for

the treatment of asthma, providing superior and consistent care for

patients with the disease, whether it is in the Emergency Depart-

ment, inpatient unit, or outpatient setting. Our patients receive op-

timal care, support and education based on nationally and interna-

tionally accepted guidelines for the care of the patient with asthma.

TMC has received national recognition for its excellent treatment of asthma patients.

Sickle Cell Disease Clinic

TMC Hospital Hill is the top provider of sickle cell

care in the region, with Kansas City’s only adult Sickle

Cell Center. The Center provides a variety of medical

inpatient and outpatient treatments, including annual

exams, nutritional counseling, physical therapy, lab and

x-ray evaluations and pain management counseling.

Patients in sickle cell crisis find a healing environment

where their pain is treated quickly, in a soothing setting

offering calming colors and soft lighting.

Our approach centers on each individual patient, and

on comprehensive coordination of care rather than epi-

sodic emergency room care.

Patients in sickle cell crisis find a healing environment where their pain is

treated quickly, in a soothing setting offering calming colors and soft lighting.

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Rehabilitation Services

Rehab Services provides speech, physical and occupational

therapy, with the focus on maximizing the patient’s independence

and facilitating healthy living. Our rehab teams at TMC Lakewood

and TMC Hospital Hill work with patients who have various con-

ditions and/or disabilities, such as amputations, arthritis, cerebral

palsy, brain injury, spinal cord injury, stroke, total joint replace-

ment, urinary incontinence, and work-related injuries.

TMC’s Rehab team helps patients who are challenged with a wide variety of disabilities.

GI Services

TMC’s Gastroenterology Center on Hospital Hill was

recently remodeled and expanded to include endoscopic

ultrasound equipment, one of only a few such units in

the area, providing TMC patients another method for

early detection of cancer. The Center also features three

procedure rooms, a dedicated prep and recovery area,

improved patient monitoring equipment, including ad-

ditional cardiac monitoring capabilities with a central

monitor at the nursing station, six exams rooms — all

with new equipment including a computer in each room,

a dedicated triage room, a large education classroom,

and a spacious new waiting room area.

TMC Lakewood also has expanded it’s GI Services

area. The upgrade included a move to to a much larger,

more efficient area which features spacious new exam

rooms and state-of-the-art monitoring systems.

TMC’s newly expanded Gastroenterolgy Center features three spacious

new procedure rooms.

Cardiology Services

In 2009, TMC opened a beautiful new cardiac reha-

bilitation facility (see page 13), the next phase in the ex-

pansion of the Cardiology Center on Hospital Hill which

began in 2007. The center offers patients a complete

range of cardiac services for prevention, early diagnosis,

treatment and recovery in a beautiful, patient-centered

environment. TMC’s Cardiology Center specializes in

Interventional Cardiology, which refers to non-surgical

treatments for heart conditions. Cardiac interventions

are used to diagnose and treat coronary artery disease,

valvular heart disease, heart failure and congenital heart

disease.

The Cardiology Center features a sophisticated car-

diac catheterization lab, four additional clinic rooms, in-

creased echocardiography testing capabilities and a car-

diac rehabilitation service to help prevent repeat heart

problems.

TMC recently opened a new, state-of-the-art Cardiology Center, featuring

a complete range of cardiac services for prevention, early diagnosis, inter-

ventional treatment and recovery in a beautiful, patient-centered environ-

ment.

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Orthopaedics and Sports Medicine

TMC’s Orthopaedics Clinic on Hospital Hill special-

izes in the care of bone and joint disorders, and musculo-

skeletal diseases. The medical team includes orthopaedic

surgeons with subspecialties in total joint replacement,

hand surgery, upper extremity surgery, foot and ankle

surgery, sports medicine, and emergency services,

At TMC Lakewood, orthopaedic surgery services

are provided in the new medical pavilion, through the

private practice of Thomas McCormack, M.D., who has

a special interest in gender-specific total knee replace-

ments, total hip replacements, and unicompartmental

(partial) knee replacement.

In 2009, the Sports Medicine Department at Lake-

wood became the official sports medicine providers of

UMKC Athletics. They also offer an innovative new con-

cussion prevention and detection program.

Oral and Maxillofacial Surgery

Our doctors manage a variety of problems relating

to the mouth, teeth and facial regions, practicing a wide

scope of oral and maxillofacial surgery with expertise

ranging from corrective jaw surgery to wisdom tooth re-

moval. We also can diagnose and treat facial injuries and

temporomandibular joint syndrome (TMJ) disorders,

and perform a full range of dental implant procedures.

Radiology Services

TMC’s Department of Radiology provides a compre-

hensive range of services, including digital mammogra-

phy, ultrasonography, nuclear medicine, and magnetic

resonance imaging.

TMC is one of only a few hospitals in the region to

have a 128-slice Computed Tomography or CT Scanner.

Where other CT scanners can take well over 20 minutes

to complete a scan for trauma, this one can complete the

task in about five. The scanner also provides exception-

ally precise images (most CT scanners process four to 64

slices) and does so with minimal radiation exposure to

the patient.

In addition to its invaluable use in trauma cases, the

scanner is also used to evaluate the vascular system to

detect blockages and other abnormalities and to plan

surgeries.

Lakewood Care Center

TMC Lakewood includes a 212-bed long-term care

center, fully accredited. Unlike many stand-alone long-

term care facilities, the Lakewood Care Center has im-

mediate access to physician staff, emergency medicine

and geriatric specialists. The Center includes an award-

winning intergenerational program.

TMC’s 128-slice CT scanner provides exceptionally precise images (most

CT scanners process four to 64 slices) and does so with minimal radiation

exposure to the patient.

TMC’s team of board-certified sports medicine physicians serve as team

physicians for all UMKC Athletics.

SERV

ICES

22

in the past two years

+ TMC named one of the Top 10 Companies in Kansas City (Kansas City Business Magazine)

+ TMC President/CEO John W. Bluford, Vice Chair, Committee for Health and Wellness (Greater Kansas City Chamber of Commerce)

+ Heroes in Healthcare Award (JR Foster) (Ingrams)

+ 15 TMC physicians named “Super Docs” for their specialty (KC Magazine)

+ Specialty Excellence Award for Pulmonary Care (Healthgrades)

+ Heroes in Healthcare Award (Melissa Curtice) (Ingrams)

+ Ingram’s Magazine Best Companies to Work for Recognition (Ingrams)

+ Kansas City’s Top Doctors (Nelson Sabates, Ophthalmology) (Ingrams)

+ 14 TMC physicians named “Super Docs” for their specialty (KC Magazine)

+ TMC Chief Financial Officer Al Johnson, CFO of the Year Award (Kansas City Business Journal)

+ TMC President/CEO John W. Bluford, Distinguished Service Award (Missouri Hospital Association)

+ TMC Behavioral Health Project Wisdom, President’s Award for Vulnerable Populations, Safety Net Awards (National Association of Public Hospitals and Health Systems)

+ TMC President/CEO John W. Bluford, Past Chair, Board of Trustees (National Association of Public Hospitals and Health Systems)

+ Mitzi G. Cardenas, Vice President and Chief Information Officer named co-chair, Technical Infrastructure Workgroup, Missouri Office of Health Information Technology (MO-HITECH) Health Information Exchange

2010

DISTINCTIONS,AWARDS & DESIGNATIONS

2

+ TMC President/CEO John W. Bluford will serve as Chair of the American Hospital Association in 2011.

+ In partnership with the University of Missouri-Kansas City School of Medicine, TMC is working to implement a new innovative approach to chronic care called Guided Chronic Care, that will work proactively with patients and their families to address family, social and community support issues.

+ TMC Hospital Hill was the first hospital to bring Advanced Trauma Care for Nurses training to the Kansas City Metropolitan area.

+ TMC is one of only five hospitals in the U.S. participating in a five-year “Stop MRSA” trial funded by the National Institute of Allergy and Infectious Disease, part of the National Institutes of Health.

+ TMC was the site of the first CABERNET (CNV Secondary AMD Treated with BEta RadiatioN Epiretinal Therapy) surgery for the treatment of subfoveal choroidal neovascularization associ-ated with wet age-related macular degeneration (AMD) and was performed by Dr. Nelson Sabates.

+ TMC is recognized as a premier hospital for the treatment of asthma and pulmonary diseases

+ TMC’s nuclear cardiology laboratory and echocardiography laboratory have earned accreditation by the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories (ICANL) and the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL).

+ TMC is one of 13 sites across the U.S. studying a ventral hernia repair with a prosthetic mesh to determine if the method will reduce hernia reoccurrence and wound-related complications.

+ Dr. Charles W. Van Way is investigating the mechanisms of cell injury following hemorrhagic shock, specifically how the development of shock leads to the depletion of cellular energy stores and cell death, to develop new treatments for hemorrhagic shock, which can be administered before or during initial resuscitation.

+ Mark Steele, TMC Chief Medical Officer, is currently President of the American Board of Emer-gency Medicine.

2010

DIDYOU KNOW

FY 2009 FY 2010

LICENSED BEDSTMC Hospital Hill (50 are Behavioral Health)

277 277

TMC Lakewood(28 are Behavioral Health)

103 103

TMC Lakewood Care Center (long-term care)

212 212

Total Licensed Beds 592 592

INPATIENT CAREAdmissions (includes Neo-natal Intensive Care Unit)

19,668 23,950

LONG TERM CAREAverage Daily Census 159 157

PATIENT DAYSAcute care 86,318 100,233

Long-term care 58,010 57,361

OUTPATIENT VISITSTMC Hospital Hill 197,128 210,853

TMC Lakewood clinics 89,215 95,802

Behavioral health 233,633 240,858

Total Outpatient visits 521,286 547,513

EMERGENCY/URGENT CARE VISITSHospital Hill 61,393 68,039

Lakewood 30,836 30,845

Total Emergency Visits 92,229 98,884

FY 2009 FY 2010

SURGICAL CASESTotal Surgical Procedures 10,779 9,977

BIRTHSHospital Hill 2,493 2,325

Lakewood 1,122 973

Total 3,615 3,298

STAFFMedical Staff 495 515

Employees 4,081 4,310

HEALTH AND WELLNESS BY THE NUMBERSfor fiscal year 2010

Mammograms administered 7,206

Immunizations administered 39,849

Employee health assessments 2,805

Healthy Harvest Market transactions 5,488

Pounds of produce sold at markets 60,166

“Medical Home” Chronic Patients 14,681

Asthma 1,601 Congestive Heart Failure 509 Chronic Obstructive Pulmonary Disease 940 (COPD)

Diabetes 4,737 Hypertension 6,330 Obesity 450 Sickle Cell 114

2

TMC FAST FACTS FOR FISCAL YEARS 2009 AND 2010*ST

ATIS

TICS

* numbers for FY 2010 are preliminary/unaudited

2

FY 2009 FY 2010

SURGICAL CASESTotal Surgical Procedures 10,779 9,977

BIRTHSHospital Hill 2,493 2,325

Lakewood 1,122 973

Total 3,615 3,298

STAFFMedical Staff 495 515

Employees 4,081 4,310

HEALTH AND WELLNESS BY THE NUMBERSfor fiscal year 2010

Mammograms administered 7,206

Immunizations administered 39,849

Employee health assessments 2,805

Healthy Harvest Market transactions 5,488

Pounds of produce sold at markets 60,166

“Medical Home” Chronic Patients 14,681

Asthma 1,601 Congestive Heart Failure 509 Chronic Obstructive Pulmonary Disease 940 (COPD)

Diabetes 4,737 Hypertension 6,330 Obesity 450 Sickle Cell 114

Other Revenue $166,688,798

Depreciation and interest$25,308,052

Supplies and other expenses $72,269,110

Patient Care Services$216,682,316*

Salaries and Benefits $219,838,087

Other$97,473,888

New Equipment

$6,979,047

Jackson County $12,094,052

City of Kansas City, MO $26,403,018

foundation grants/donations $,,2.

events $,09.00

individual donations $,9.9

business/corp donations $,,.9

total fundraising revenue $9,,2.00

INCOME

EXPENDITURES

FUNDRAISING REVENUE

* net of uncompensated care allowances of $125,675,000

FINA

NCIA

L

2

John W. Bluford IIIPresident/Chief Executive Officer

Mitzi CardenasVice President/Chief Information Officer

William H. Colby, J.D.General Counsel

Teresa Collins, RN BSN CEN CCRN MBAChief Nursing Officer

James D. Dawson Executive Director TMC Charitable Foundation; Vice President of Strategic Business Development

Catherine D. DischCorporate Executive Vice President; Chief Operating Officer, TMC Hospital Hill

Gerard J. GrimaldiVice President, Health Policy & Governmental Relations

Suzanne HaugService Integration Leader

Al JohnsonChief Financial Officer

Marsha MorganChief Operating Officer, Behavioral Health

Shauna R. Roberts, M.D., C.P.E.Corporate Quality Medical Director

CiCi RojasVice President, Community Engagement

Charlie ShieldsChief Operating Officer, TMC Lakewood

Vicki SmithVice President, Public Relations & Marketing

Mark Steele, M. D.Chief Medical Officer

Barbara ZubeckInternal Audit/Compliance

TMC LEADERSHIP

Paul M. Black, Chair 2010-11*

John W. Bluford

Robert A. Brooks III

Chair 2009-10 *

Becky Cotton

Arthur A. Davis III*

Neil T. Douthat

Betty M. Drees, M.D.

Peggy Dunn

Sue Frank

E. Bernard Franklin

Jon R. Gray*

R. Stephen Griffith, M.D.

Thomas H. Holcom, Jr.

Paul Holewinski

Sarah Ingram-Eiser*

Jason O. Johnson

Cathy Jolly

Benny Lee

Robert C. Levy*

Robbie W. Makinen

John R. Marshall

Leo E. Morton

Dennis S. O’Leary, M.D.

Charles W. Peffer

Barbara J. Potts

Annette M. Quick, M.D.

Juan M. Rangel, Jr.

Philip B. Richter*

John Rizzo

Doug M. Ross

Mark T. Steele, M.D.

Jerome S. Tilzer

Reverend Eric D. Williams

*Board Officer

BOARD OF DIRECTORSLEAD

ERSH

IIP

2

Chief Medical Officer – Mark Steele, M.D.

Associate Medical Director – Lakewood – R. Stephen Griffith, M.D. Associate Medical Director – Behavioral Health – Stephen Jarvis, M.D.

AnesthesiologyChair – Kara Settles, M.D.Vice-Chair – Valerie Chow, M.D.

DentistryDirector – John Dane, D.D.S.

Emergency Medicine Chair – Matthew Gratton, M.D. Vice-Chair – Bill Anderson, M.D. Community and Family Medicine Chair – R. Stephen Griffith, M.D.Vice-Chair – L. Michael Silvers, M.D.

Medicine Chair – George Reisz, M.D.Vice-Chair – Medicine (Clinical) – Jill Moormeier, M.D.Vice-Chair – Medicine (Education) – David Bamberger, M.D.

OB/Gyn Chair – Dev Maulik, M.D.Vice-Chair – Roger Smith, M.D.

Ophthalmology Chair – Nelson Sabates, M.D.

Oral SurgeryChair – Brett Ferguson, D.D.S.

Orthopedic SurgeryChair – James Hamilton, M.D.

Pathology Chair – Russell Fiorella, M.D.

Psychiatry Chair – Stephen Jarvis, M.D.

Radiology Chair – Lawrence Ricci, D.O.

Surgery Chair – Glen Talboy, M.D.

CLINICAL DEPARTMENT CHAIRS LEAD

ERSH

IIP

Truman Medical Centers is a critical component of our area’s healthcare system. TMC

includes TMC Hospital Hill, TMC Lakewood, TMC Behavioral Health (including outpatient

services), the Jackson County Health Department, multiple family medicine clinics through-

out Eastern Jackson County, and seven offices of the Special Supplemental Nutrition

Program for Women, Infants and Children (commonly known as WIC).

TMC is one of the area’s top academic medical centers, serving as the primary teach-

ing hospital for the University of Missouri-Kansas City Schools of Health Sciences, and

is particularly distinguished for its care in asthma, diabetes, women’s health, and trauma

services.

A third of all Jackson County babies enter life at one of TMC’s two hospitals. TMC

Hospital Hill alone operates one of the busiest adult Emergency Department in the Kansas

City metropolitan area – more than 60,000 visits a year to our Level 1 (the highest designa-

tion) facility.

TMC also serves our community as its only safety net hospital. Nearly a half million

patients come to TMC each year either underinsured or totally lacking health insurance

coverage. TMC provides more than $7 million in uncompensated care each month.

As a comprehensive, multi-faceted, not-for-profit health care system, Truman Medi-

cal Centers serves all patient demographics, regardless of ethnic or socioeconomic

backgrounds.

TMC Hospital Hill | 2301 Holmes, Kansas City, MO 64108TMC Lakewood | 7900 Lee’s Summit Road, Kansas City, MO 64139

www.trumed.org

Copyright © 2010 Truman Medical Centers #1810/Corporate/Community Benefit Report