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2 0 0 7   A N N U A L   R E P O R T
10
10 years of a shared vision
   y      f
                              01.01.97 S t . M ar y ’s & D u l u t h C l i n ic I n t e gr a t i o n
                              01.08.97 S M D C h o ld s f ir s t o f f ic i a l b o a rd m e e t i n g

                              03.11.98 SMDC acquire s Pine Medic al Center
                              06.16.98 St . Mar y’s Medical Center earns Le vel II trauma
                                       ce r t i f ic a t i o n w i t h p e di a t r ic c o m m i t m e n t
NO MATTER WHERE               11.15.98 Hear t Center earns f i r st Top 100 De signation
WE WORK WITHIN THE            07.14.98 E a s t R a n g e C l i n ic s j o i n S M D C

SMDC HEALTH SYSTEM,           11.05.99 & 11.12.99 Phone pre f i x 786- come s to SMDC
NO MATTER WHAT
                              03.29.00 Polink sy celebrate s 50th anniver s a r y
TYPE OF WORK WE DO,
                              09.01.01 M i l l e r - D wa n j o i n s S M D C
WE SHARE THIS:                09.18.01 St. Mar y’s Hospit al of Superior, Duluth Clinic-Superior open house
A MISSION OF BRINGING
                              01.30.02 S M D C Fo u n d a t i o n e s t ab l i s he d
THE SOUL AND SCIENCE          05.18.02 N a t i o n a l C a n ce r I n s t i t u t e d e c l a re s N 9 74 1 t r i a l a s u cce ss
OF HEALING TO THE
                              03.06.03 Elec t ronic Medical Records arrive at SMDC
PEOPLE WE SERVE.              06.01.03 Care Management come s to SMDC
                              07.24.03 St . Mar y’s Medical Center Auxiliar y celebrate s 50th anniver s ar y

                              06.23.05 D u lu th C hi ld re n’s l a u n c he d
                              12.01.05 A n t ico a g u l a t i o n c l i n ic s g o s y s t e mw i d e

                              03.27.06 CyberKnife® come s to Miller-Dwa n
                              08.18.06 & 09.19.06 D u l u t h C l i n ic Fi r s t S t re e t o p e n h o u s e
S t . M ar y’s & D u lu th
                                                                                                           “THE IDEA
                                                                                                           WASN’T UNIQUE, BUT
                                                      01.01.97   Clin ic In teg ration

                                                                                                           OUR SUCCESS WAS.
                                                                 After years of talks, the
                                                                 Northland’s largest hospital
                                                                 and clinic system officially
                                                                 integrate– and the SMDC
                                                                 Health System is born.
                                                                                                           “Integrated health systems were a popular
                                                                                                           experiment in the mid-90s. But if you look
                                                                 Sister Kathleen Hofer, OSB, Board Chair
                                                                 and CEO Peter E. Person, MD               around today, many of the hospitals and
                                                                                                           clinics that signed integration agreements
                                                                                                           have parted ways. SMDC Health System,
                                                                                                           on the other hand, is stronger than ever.
                                                                                                           By keeping sight of our common mission,
                                                                                                           vision and values, we have delivered
                                                                                                           on our promise of creating a world-class
                                                                                                           healthcare system for rural communities.”
                                                                                                                            CEO PETER PERSON, MD




“WE SHARED A
COMMON LANGUAGE.
When we started talking about integration, the first
question for both parties was whether or not we had
a shared mission and values. We soon discovered
that we did – we may have used different words
here and there, but it was clear we were both here
to provide excellent care to patients.”
SISTER KATHLEEN HOFER, OSB, BOARD CHAIR
S M D C h o ld s f i r st
01.08.97
                                                                                                                “IT’S THE BEST
                o f f ic i a l b o a rd m e e t i n g



Lauren Larsen and Sister Monica
                                                                                03.11.98   S M D C acqu ire s
                                                                                           P in e M edic al     THING THAT
                                                                                                                COULD’VE HAPPENED
                                                                                                                HERE.”
Laughlin could not predict the future
when they sat down for their first
SMDC Health System Board meeting
10 years ago. But the retired engineer                                                                                              JUDY BIRCHER
and Benedictine Sister were both                                                                                       Throughout most of the
committed to preserving quality                                                                                        1990s, Judy Bircher and
healthcar e in t h e re g io n . “ T h is                                                                              her neighbors worried
partnership we created was something
                                                                                                                       that Pine Medical Center
very different,” recalls Larsen. “There
                                                                                                                       would close. Then the
was no handbook.”
                                                                                                                       little hospital and nursing
 There was a determination to succeed.                                                                                 home teamed up with
“It was our job to look at the long-term                                                                               SMDC—which was
needs of the system. We focused on                                                                                     great news for patients,
long-range planning and on making                                                                                      community leaders and
sure we had the right people doing the                                                                                 employees like Judy.
right jobs,” says Larsen. “We’ve spent
10 years building something great—and                                                                                  “We went from the


                                                        “SMDC IS
today SMDC is well-equipped and ready                                                                                  depths of despair to this
for the future.”                                                                                                       being a great place
                                                                                                                       to work,” says Judy.
Larsen left the SMDC Board at the end
                                                        WELL-EQUIPPED AND                                              “We wouldn’t be here


                                                        READY FOR THE
of 2006, but he plans to use lessons
                                                                                                                       if not for SMDC.”
from the past 10 years in a new SMDC-
related venture. He serves on the


                                                        FUTURE.”
                                                                                                                       Judy Bircher
Board of Directors for Essentia Health,                                                                                Executive Assistant, Pine Medical Center
a partnership between SMDC and the                              LAUREN LARSEN                                          Judy is pictured with former
Benedictine Health System. “With the                                                                                   Administrator Michael Hedrix,
                                                                                                                       left, who helped with the merger,
experience we have now,” he says,                                                                                      and current Administrator, Tim Zwickey
“we can go anywhere.”
“TRAUMA IS DEFINITELY
                                                               SMMC earns level II trauma cer tification
                                                    06.16.98

NOT A
                                                               with pediatric commitment
                                                                                                              Linda Way, RN
                                                               The seal of approval when it comes to caring   Emergency Service Director
                                                               for severely injured children and adults.      St. Mary’s Medical Center




ONE-MAN
SHOW.”                        LINDA WAY, RN
After 34 years in Emergency Services, Linda
Way has developed a personal philosophy
about miracles. “They are often a combination
of what we can’t explain and what we can,”
she says. “It’s the soul and science of healing
coming together that makes them happen.”

Earning designation as a Level II Trauma Center
in 1998 remains a proud moment for Linda—but
her true pride lies in the physicians, nurses and
other employees who understand that their
teamwork has the power to work wonders for
patients. “Trauma is definitely not a one-man
show,” says Linda. “Everyone, from emergency
responders to trauma surgeons, knows they are
one part of a larger effort to save a life.”
11.15.98          Hear t Center earns f i r st   From left: Electrophysiologist Michael Mollerus, MD,
                                                 Cardiovascular Technologists Erin Serre and Trisha Kallinen, and   “WE ALL HAVE UNIQUE SKILLS, BUT

                                                                                                                    OUR STRENGTH
                  Top 100 De signation           Cardiologists Kimberly Boddicker, MD, and Michael Lucca, MD.




TOP 100                                                                                                               OUR
                                                                                                                    IS IN                               ERIN SERRE


                                                                                                                    TEAMWORK.”
D E S I G N AT I O N S

St. Mary’s Medical
Center has earned
a number of Top 100                                                                                                 Patients looking for the country’s best heart
designations from                                                                                                   care can find it right here at home. How do
Solucient,® a Chicago-
                                                                                                                    we know? Because St. Mary’s Medical Center,
based company that
monitors quality using                                                                                              home to the St. Mary’s Duluth Clinic Heart Center,
a database of national                                                                                              has been named a Top 100 Heart Hospital
hospital discharge                                                                                                  eight years in a row.
records. Solucient
honors are based                                                                                                    The Heart Center has long demonstrated the
solely on objective
                                                                                                                    power of partnership between a large multi-
analysis of outcomes,
so the “winners” are                                                                                                specialty clinic and a regional medical center.
not just the hospitals                                                                                              Since its inception in 1983, the Heart Center has
themselves, but also                                                                                                offered leading-edge treatments in areas ranging
the communities                                                                                                     from electrophysical stimulation to robotic heart
where these high-
performing hospitals
                                                                                                                    surgery. It has also offered patients access to
are located.                                                                                                        teams of highly skilled specialists, ranging from
                                                                                                                    cardiothoracic surgeons to registered nurses,
Heart Care
1998 to 2006
                                                                                                                    who are at the heart of the Center’s success.
Orthopaedic                                                                                                         “We all have unique skills, but our strength is in
Fracture Repair
1999                                                                                                                our teamwork,” says Invasive Cardiovascular
Hospital Care
                                                                                                                    Technologist Erin Serre. “Everybody is an
1994, 1995,                                                                                                         integral part of the whole process. It’s nice to
1997, 1998                                                                                                          be part of an institution that works that way.”
E a s t R a n g e C l i n ic s
                                                                                               07.14.98
“THE MERGER WAS                                                                                            join SMDC

       RIGHT
DONE FOR THE
REASONS AT THE
RIGHT TIME.”                                CARL PASSAL, MD
When it comes to physician medical practices,
there is strength in numbers. Just ask physicians
at the East Range Clinics, who joined the Duluth                                                          Strength in numbers
Clinic in 1998. With that merger, the Duluth Clinic’s                                                     A look back at the
                                                                                                          Duluth Clinic’s growth
10th in two decades, the Duluth Clinic network
reached from International Falls, Minnesota, south                                                        Mergers
                                                                                                          1981
to Spooner, Wisconsin.                                                                                    Lakeside
                                                                                                          1983
“The economics of health care have been                                                                   West Duluth
challenging since the 1980s,” says Gary Lishinski,                                                        1987
who managed the East Range Clinics prior to                                                               Deer River
                                                                                                          1992
the merger. “We knew we needed to grow or                                                                 Spooner
join a larger system. The doctors here wanted a                                                           1993
physician-led organization, so the Duluth Clinic                                                          Superior
                                                                                                          1994
was a good fit for us.”
                                                                                                          Ashland
                                                                                                          Hibbing
Today, nearly one third of the Duluth Clinic’s 400
                                                                                                          International Falls
physicians work at the Duluth Clinic’s regional                                                           1995
and neighborhood sites. They are supported                                                                Hayward
by hundreds of nurses, technicians, and other                                                             1998
                                                                                                          East Range Clinics
dedicated professionals who take pride in the                                                               Aurora
service they provide to their home communities.                                                             Babbitt
                                                                                                            Chisholm
“The merger gave our patients better access to                                                              Ely
specialized services in Duluth, and also brought                                                            Virginia
more of those services here through physician                                                             New clinics
                                                                                                          1979
outreach,” says Carl Passal, MD, who was the            Carl Passal, MD, (foreground), with
                                                                                                          Hermantown
clinic’s president during the merger. “The merger       Gary Lishinski, Regional Development
                                                        Director (right), and staff with
was done for the right reasons at the right time.”      30 or more years at the clinic.
11.05.99          The pre f ix 786-
 11.12.99          come s to SMDC

                                                                                          “WE ARE COMMITTED TO                                                 Physical disabilities are as unique
                                                                                                                                                               as the people who live with them.
                                                                                                                                                               Two people who share a medical

“A PHONE LINE IS OFTEN A PATIENT’S FIRST                                                  HOPE AND POSSIBILITY.”                                               diagnosis can have very different
                                                                                                                                                               ways of coping with their individual


CONNECTION                                                                                                                       MARCIA HERMANN JOHNSON, MSW   challenges and opportunities.

                                                                                                                                                               “We understand that a disability



TO CARE.”
                                            ROD NYGARD                                                                                                         affects the whole person,”
                                                                                                                                                               says Polinsky Manager Marcia
                                       On the job, Rod Nygard measures his success                                                                             Hermann Johnson, MSW.
                                       by what people don’t notice. “When things are                                                                           “It’s more than physical. It affects
                                                                                                                                                               their relationships, their emotions
                                       working, people never think about what we
                                                                                                                                                               and their spiritual life.”
                                       do,” says Nygard, referring to the miles of fax,
                                       phone, modem and trunk lines weaving across                                                                             Each year, hundreds of children,
                                       the SMDC Health System.                                                                                                 teenagers and adults come to
                                                                                                                                                               Polinsky for sessions with therapists
                                       Every time you dial a 5-digit internal phone                                                                            from Polinsky and Miller-Dwan.
                                       extension or hand patients a card with a                                                                                Some patients come for a few
                                       phone number beginning with 786-, you                                                                                   weeks; others may come weekly
                                       have Rod and his colleagues to thank for it.                                                                            for the rest of their lives.
                                       They devoted nine months to inventories of
                                       current phone systems before undertaking                                                                                Each time, they work with teams
                                                                                                                                                               of therapists who help patients
                                       a marathon phone switchover at St. Mary’s
                                                                                                                                                               face the challenges before them.
                                       Medical Center that kept Rod up for more                                                                                “We focus on independence and
                                       than two days.                                                                                                          abilities rather than disabilities. We
                                                                                                                                                               focus on function,” says Marcia.
                                       “I was here for 27 hours straight during the
                                                                                                                                                               “We are committed to hope
                                       cutover. I went home for two hours and then                                                                             and possibility.”
                                       came back for another 12,” recalls Rod.
                                       “Many of my coworkers did the same.”
                                       Why get so worked up over phones?
                                       “A phone line is often a patient’s first
                                       connection to care,” says Rod. “When the                                                                                                  Pol i n s k y cel e b r a t e s
                                       phones work so well that everyone takes
                                                                                          Marcia Hermann Johnson, MSW, Manager,
                                                                                          (foreground) with Speech Language Pathologist                           05.26.00       5 0t h a n n i ve r s a r y
                                                                                          Peggy Stone, displaying a quilt she made to
Rod Nygard, Project Manager            them for granted, we know we’re doing our          commemorate Polinsky’s 50th Anniversary
SMDC Telecommunications
                                       part in caring for patients.”
From the time it opened its doors in 1934,
                                                                Miller-Dwan Medical Center was Duluth’s
                                                                little hospital with a big heart. Even after 60
                                                                years, the staff remained small enough that
                                                                the employees knew each other by name.

                                                                So it wasn’t easy for hospital officials to
                                                                acknowledge in the late 1990s that
                                                                Miller-Dwan could no longer make it on its
                                                                own. The national healthcare landscape
                                                                simply had changed too much; small,
                                                                independent hospitals were either closing
                                                                or fighting to survive.

                                                                Fortunately, Miller-Dwan administrators had
                                                                options—and in 2001 they formally joined
                                                                the SMDC Health System. “We wouldn’t be
                                                                here if we weren’t integrated,” says Miller-
                                                                Dwan Medical Director Joe Leek, MD, who
                                                                was part of the administrative team that
                                                                recommended joining SMDC. Maureen
                                                                Mahoney, RN, also a part of the team,
                                                                agrees. “It was the right thing to do for
                                                                our patients and our employees.”

                                                                While the transition from working for a small
                                                                hospital to working for a large organization
                                                                has been difficult for some employees,
                                                                Maureen and Dr. Leek say Miller-Dwan
                                                                today is stronger than it has been in years.
                                                                “Outpatient Surgery has grown beyond
                                                                anyone’s expectation. So has Rehabilitation,
                                                                which plays a growing role in helping
                                                                patients coming out of (St. Mary’s) critical
                                                                care,” says Dr. Leek. “Miller-Dwan has not
           M i l l e r - D wan   Maureen Mahoney, RN,
                                                                only survived, it has prospered.”
09.01.01   joins SMDC
                                 former Nursing Administrator
                                 and Joe Leek, MD,
                                 Miller-Dwan Medical Director
S M D C Fo u n d a t i o n
                                                                                                                                01.30.02           e s t ablis h ed

“WE CAME TOGETHER TO PROVIDE THE CARE PEOPLE NEED.”
                                              NANCY URSIN, CA
The Duluth Clinic-Superior’s Nancy Ursin                                                                                                                                                     Andy Lisak’s grandparents raised
can list a half dozen reasons why she                                                                                                                                                        17 children, most of them born at
appreciates having a hospital and                                                                                                                                                            St. Mary’s Hospital of Superior.
medical clinic in her hometown. But                                                                                                                                                          Many of their daughters volunteered
she can sum up the reason closest to                                                                                                                                                         or worked at the hospital, so when
her heart in one word: mom. “My mom                                                                                                                                                          Andy wanted to fund a memorial
doesn’t have to drive over the bridge                                                                                                                                                        to his grandparents, SMHS seemed
into Duluth to see the doctor,” explains                                                                                                                                                     the perfect fit.
Ursin. “That may not seem like a big deal,
but for my mom and many of our elderly                                                                                                                                                       In just one month, Andy and 45
patients, it makes a world of difference.”                                                                                                                                                   members of his family raised $20,000
                                                                                                                                                                                             to remodel the hospital chapel and
The fate of St. Mary’s Hospital of Superior
                                                                                                                                                                                             have it dedicated in George and
hasn’t always been certain. But with
                                                                                                                                                                                             Agnes Stariha’s names. “It was a
support from the SMDC Health System
                                                                                                                                                                                             great effort to raise that amount of
and federal designation as a critical
                                                                                                                                                                                             money, because no one in my family
access hospital, SMHS will continue
                                                                                                                                                                                             could have done it by themselves,”
serving Nancy Ursin’s family, friends and
                                                                                                                                                                                             says Andy, who serves on the
neighbors for years to come. And having
                                                                                                                                                                                             SMHS Foundation Board. “We did
the hospital and clinic under one roof
                                                                                                                                                                                             it together.”
makes receiving care easier than
ever before.
                                                                                                                                                                                             In 2002, the Duluth Clinic Foundation,
“It’s so easy to order x-rays and labs, or                                                                                                                                                   St. Mary’s Medical Center
to schedule surgery,” says Nancy, who                                                                                                                                                        Foundation, and SMHS Foundation
                                                                                                                                                                                             united to form the SMDC Foundation.




                                                                                                                                                                “WE DID IT
says patients appreciate being able
to walk right over from the clinic to the                                                                                                                                                    While each foundation continues to
hospital for tests. Working under one roof                                                                                                                                                   pursue its unique mission, banding
has fostered greater cooperation among                                                                                                                                                       together gave them even more
clinic and hospital employees, many of                                                                                                                                                       resources to reach out to donors.
whom have become friends over the                                                                                                                                                            Thanks to their collective efforts,
                                                                                                                                                                                             SMDC’s foundations raised more than



                                                                                                                                                                TOGETHER.”
years. “I love the community here,” says
Nancy, talking about the hospital/clinic                                                                                                                                                     $1.5 million last year. That translated
campus. “I like that we came together to                                                                                             SMHS Board Member                                       into $749,805 in grants for everything
provide the care people need.”                                                                    From left: Nancy Ursin, CA,       Andy Lisak, back right,                                  from chapel remodeling projects to
                                                            S MHS , Dul uth Cl i nic-S uperi or                                 with members of his family
                                                                                                                                                                                             innovative medical research.
                                                 09.18.01                                         Team Lead and LouAnn Ross,
                                                            host open house                       Surgical Secretary
                                                                                                                                                                                ANDY LISAK
By the numbers
                                                                                                                                                        Duluth Clinic physicians and
                                                                                                                                                        researchers from more than a
                                                                                                                      NCI declare s N9741
                                                                                                           05.18.02   t r i a l a s u cce ss
                                                                                                                                                        dozen specialties participate in
                                                                                                                                                        research studies and clinical
                                                                                                                      James Krook, MD, (standing) and   trials, giving patients access
                                                                                                                      Daniel Nikcevich, MD, PhD         to leading-edge treatments for
                                                                                                                                                        everything from rheumatoid
                                                                                                                                                        arthritis to heart problems.
                                                                                                                                                        Here’s a look at the numbers:

                                                                                                                                                        Since 2000
                                                                                                                                                        3,754 – patients enrolled in
                                                                                                                                                        research studies
                                                                                                                                                        468 – number of studies offered
                                                                                                                                                        53 – papers published by
                                                                                                                                                        physicians, nurses and scientists
                                                                                                                                                        30 – number of specialties


“SCIENCE IS A TOOL WE USE TO FIGHT CANCER, BUT
                                                                                                                                                        participating in studies




COMPASSION IS THE ART WE PRACTICE
TO HELP PATIENTS HEAL.” DANIEL A. NIKCEVICH, MD, PhD
          Cancer patients in rural areas had little or no access to promising new cancer drugs
          when James Krook, MD, joined the Duluth Clinic in 1975. That didn’t sit well with the young
          oncologist, who believed all patients deserved access to leading-edge cancer care.

          Today, Duluth Clinic Cancer Center patients are participating in 100 clinical research
          studies this year alone—giving patients access to treatments, medications and medical
          devices earlier than most people can receive them.

          Some of these studies, like the National Cancer Institute’s N9741 trial that established a new
          standard of care for metastatic colorectal cancer, have garnered national attention for
          Dr. Krook and his colleagues. But hematologist/oncologist Daniel Nikcevich, MD, PhD, believes
          it is the compassion of the entire Cancer Center staff that sets the Duluth Clinic apart.

          “We’re proud of what we can offer patients, but it’s important to remember medicine
          is about more than picking the right drug,” says Dr. Nikcevich. “Science is a tool we use
          to fight cancer, but compassion is the art we practice to help patients heal.”
Lead RN Analysts
Linda Harper is a lot tougher than she looks. Underneath    Linda Harper, RN, MA
her blonde curls and easy manner is a woman willing to      and Russ Maron, RN




                                                                                   “IT’S EXCITING
endure criticism to work for something she believes in.
Fortunately for SMDC, Linda has a passion for the
promise of electronic medical records (EMRs).




                                                                                   TO BE A
Anyone who has followed electronic medical records at
SMDC knows the switch from paper to electronics hasn’t
always been easy. As the people responsible for EMR
training and development, Linda and her colleagues have




                                                                                   PIONEER.”
worked hard to make the transition as smooth as possible.

Today, Linda can count some of the EMR’s harshest initial
critics among its strongest supporters. They have come to
understand what Linda always saw: EMRs improve care for                                                                 LINDA HARPER, RN, MA
patients. “We are definitely ahead of the national curve
on this one,” says Harper, referring to recent federal                                         Elec tronic Medical
legislation requiring all healthcare organizations to                               03.06.03   Records arrive at SMDC
adopt EMRs. “It’s exciting to be a pioneer.”
“WE’VE BROKEN DOWN THE
                                                Foreground: Kim Denny, RN, Mickey Zupetz, RPh, and Thomas Patnoe, MD
                                                Background: Medical Social Worker Jeannie Carroll and
                                                Discharge Transition Specialist Michelle Bergum


BARRIERS OF PATIENT CARE.” MICKEY ZUPETZ, RPh
When it comes to innovative patient
care, you might expect Pharmacist
Mickey Zupetz to talk about the latest
leading-edge drugs. But one of the
greatest advances he’s seen in his 16
years at St. Mary’s Medical Center relies
on an art as old as civilization itself.

Each weekday at 8:45 a.m., Zupetz
sits down with chaplains and physical
therapists, surgeons and social workers,
registered nurses and respiratory
therapists to discuss the care for every
patient on the Orthopaedic floor.
These daily conversations, known as
Care Rounds, ensure that everyone
is on the same page when it comes
to patient care.

These conversations take place on
every unit, every day. “We’ve broken
down the barriers of patient care,”
says Zupetz. “When it comes to making
decisions, we’re not operating in
isolation anymore.”
Children don’t care that Cori Jordahl has a Masters’         Parents understand and appreciate the medical
                                                                    Degree in Child Life and Family-Centered Care. They’re       expertise available through Duluth Children’s. Children
                                                                    more interested in the fact that she plays a mean game       who are really sick appreciate Cori, whose job it is to
                                                                    of Nintendo’s Mario Kart and understands that watching       make sure they feel as okay as possible during a hospital
                                                                    Nickelodeon can be good medicine—if not for the              stay. “A lot of my job is spending time talking with the kids,
                                                                    body, then certainly for the heart.                          their siblings and their parents,” says Cori, who is trained in
                                                                                                                                 helping children and families cope with serious illness.
                                 SMMC Auxiliar y Celebrate s        Through Duluth Children’s, SMDC offers the region’s most
MARY FLAA   06.24.03             5 0 th an n iver s ar y            sophisticated pediatric services. Duluth Clinic physicians   Cori also makes sure children understand what’s
                                                                    treat children in more than 40 pediatric specialties and     happening at the hospital. “You have to speak the
            Mary Flaa wasn’t in Duluth more than a month            St. Mary’s Children’s Hospital offers the region’s only      child’s language,” explains Cori, who often spends time
            when she joined the St. Mary’s Medical Center           pediatric and neonatal intensive care services.              with children before and during medical procedures.
                                                                                                                                 “Kids don’t understand the words we use, and words
            Auxiliary. That was 40 years ago, and she’s
                                                                                                                                 can be very frightening. It’s my job to take away as
            still going strong.
                                                                                                                                 much of that fear as I can.”
            Mary is one of more than 1,000 adults and teens
            who volunteer at SMMC, Miller-Dwan Medical
            Center and St. Mary’s Hospital of Superior.
            Flaa devoted most of her years to the St. Mary’s        “YOU HAVE TO SPEAK THE CHILD’S LANGUAGE.”
            Gift Shop, where she was the shop’s buyer.                                                                                 Cori Jordahl
            “I always joked that if something I bought                                                                                 Child Life Specialist

            didn’t sell, I’d buy it,” she recalls.

            SMDC’s hospital gift shops are powerful
            fundraising tools for the three hospital
            auxiliaries, which donate all profits back
            to the hospitals they serve. Last year alone,
            they donated more than $174,000 for
            everything from student scholarships to
            rehabilitation equipment.

            Mary has also been an active board member
            of the SMMC Auxiliary, as well as an officer
            on Minnesota’s Hospital Auxiliary Board.

            “It’s about doing something good for patients,
            even if you’re not directly involved in their
            care,” says Mary. “It feels good knowing we                         D u lu th Ch ildren’s
            are supporting their care.”                             06.23.05    lau n c h ed

            Mary Flaa, Volunteer (foreground) and
            Margaret Gehring, SMDC Director of Volunteer Services
“WE SEE THE
WHOLE PERSON,
NOT JUST A NUMBER.”                          12.01.05   A n t ico a g u l a t i o n
                                                        clinics go systemwide
LISA WILKINSON, RN
Patients on the blood thinner
warfarin can identify with Goldilocks
and the Three Bears. Their warfarin                                                                                                                     CyberKnife® come s
levels must be just right—not too                         From left: Registered Nurses                                                   03.27.06       to M i l l e r -D wa n
high, not too low—if they want the                        Heidi Larson, Lisa Wilkinson
                                                          and Deb Jonas-Mackenzie
medication to work. It’s a particularly
tough balancing act, considering that
everything from brussel sprouts to green
tea can interact with the drug.

Duluth Clinic patients taking warfarin
don’t have to hold vigil alone, thanks to
an Anticoagulation Program that spans
17 clinics in northern Minnesota and
northwestern Wisconsin. The clinics are
staffed by registered nurses who make
sure patients are eating right, coming
in for regular blood tests, and watching
for side effects or drug interactions.
                                                                                         No one wants cancer, not for themselves or for anyone they love.
“Having nurses check in with                                                             A diagnosis signals the beginning of a long journey, where fear and
patients really results in better care,”                                                 fatigue can sometimes make it difficult to keep sight of healing and hope.
says Duluth Clinic–Ashland’s
Lisa Wilkinson, RN, one of 72 nurses                                                     Doug Bennett and his colleagues in Radiation Oncology understand                        Doug Bennett, MS

providing this service systemwide.                                                       this—and it’s why they share the best of their compassion and expertise                 Physicist
                                                                                                                                                                                 Miller-Dwan
“We make sure they get their regular                                                     with every patient who walks through the door.                                          Radiation Oncology
blood tests, but we also talk about
                                                                                         “CyberKnife sets us apart,” Bennett says, referring to the precise radiation
their diet, their energy levels, and other
                                                                                         treatment machine SMDC purchased in 2006. “It’s a sophisticated
medications. We see the whole person,
                                                                                         technology, and we’re operating one of only 75 machines in the country.
not just a number from a blood test.”
                                                                                         But technology is only part of the equation. It’s the combined power of our
                                                                                         people and our technology that assures patients there is reason for hope.”
Du l u t h C lin ic Fir st
08.19.06     S t re e t O pe n H ou se
             Du l u t h C lin ic
09.19.06     V i rg i n i a O p e n H o u s e

                                                                                                                         SMDC Health System
                                                                                                                         FINANCIAL PROFILE                         (IN THOUSANDS)


                                                                                                                         Year Ended June 30 .................................................. 2 0 0 6 .......... 2 0 0 5
           Project Managers Steve Holter,                                                                                —————————————————————————                                                                          —————————————————————————
           Maxine Poldoski and Project
           Coordinator Tami Johnson                                                                                      UNRESTRICTED REVENUE:                                                                              EMPLOYEES:
                                                                                                                            Net patient revenue ......................... $722,215 ...... $683,233                             Physicians ..................................................415 ...............399
                                                                                                                            Other operating revenue .....................21,027 ..........16,769                               All other employees ...............................6,239 ............5,946
                                                                                                                         Total revenue ...........................................743,242 ........700,002                   Total Employees ..........................................6,654 ............6,345
                                                                                                                         —————————————————————————                                                                          —————————————————————————
                                                                                                                         EXPENSES:                                                                                          STATISTICS:
                                                                                                                            Salaries and benefits .........................454,099 ........417,149                            SMDC Sites ...................................................22 .................22
                                                                                                                            Supplies ...............................................117,035 ........112,747                  Encounters ..........................................850,331 ........840,341
                                                                                                                            Purchased services..............................27,818 ..........31,332                          Surgeries ...............................................22,054 ..........20,954
                                                                                                                            Provision for                                                                                    Outpatient visits ..................................225,394 ........226,916
                                                                                                                            uncollectible accounts.........................19,012 ..........31,336                           Cardiac procedures................................9,677 ..........10,113

    “IT FEELS GOOD TO BUILD
                                                                                                                            Depreciation and amortization ...........36,867 ..........35,543                                 Diagnostic procedures ........................24,708 ..........23,024


              OUR
                                                                                                                            Other .......................................................77,625 ..........64,388             Emergency Care and
    SOMETHING BEAUTIFUL FOR                                                                                              Total expenses .........................................732,456 ........692,495                     Trauma Center visits .............................50,301 ..........49,034


    COMMUNITIES.”
                                                                                                                         —————————————————————————                                                                           Births ........................................................1,543 ............1,500
                                                                                                                         (LOSS) INCOME FROM OPERATIONS ..........10,786 ............7,507                                    Average Daily Census ...............................317 ...............316
                                                                 STEVE HOLTER                                            —————————————————————————                                                                          —————————————————————————
                                                                                                                         NON-OPERATING GAINS (LOSSES):                                                                      DISCHARGES
    Building construction and remodeling takes time,         New buildings, including the $80 million Duluth Clinic        Income on funds                                                                                     Adults and Pediatric .............................23,949 ..........24,554
    money and planning. Lots of planning. Just ask the       First Street Building, are just part of the staff’s work.     designated by Board ..............................4,853 ............2,768                           NICU ............................................................304 ...............277
    staff in SMDC Facilities Planning & Architecture. This   In January, the entire facilities team was juggling           Net realized gains .................................11,248 ............9,688                     Total Discharges .......................................24,253 ..........24,831
    past year, years of work paid off with the grand         168 projects, including the remodeling of the                 Other .........................................................2,622 ............ (555)          —————————————————————————
    opening of two new clinics in Duluth and Virginia.       Duluth Clinic Third Street Building (the Third Street
                                                                                                                                                                                        18,723 ..........11,901             PATIENT DAYS:
                                                             work falls to Steve’s colleague, Maxine Poldoski).
    “It’s fun to put a plan together and see it come                                                                     Revenue in excess of expenses ...........$29,509 ........$19,408                                      Adult & Pediatric ................................110,714 ........110,623
    through,” says Steve, who handled the project            Keeping people happy and on budget isn’t easy,                                                                                                                    NICU .........................................................4,945 ............4,704
    in Virginia. “It was our job to make sure they           but it’s worth it. “To see a project come together,                                                                                                            Total Patient Days ...................................115,659 ........115,327
    had everything they needed, from desk                    that’s why you do this,” says Steve. “It feels good
    chairs to imaging equipment.”                            to build something beautiful for our communities.”

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SMDC 2007 Annual Report

  • 1. 2 0 0 7 A N N U A L R E P O R T
  • 2. 10 10 years of a shared vision y f 01.01.97 S t . M ar y ’s & D u l u t h C l i n ic I n t e gr a t i o n 01.08.97 S M D C h o ld s f ir s t o f f ic i a l b o a rd m e e t i n g 03.11.98 SMDC acquire s Pine Medic al Center 06.16.98 St . Mar y’s Medical Center earns Le vel II trauma ce r t i f ic a t i o n w i t h p e di a t r ic c o m m i t m e n t NO MATTER WHERE 11.15.98 Hear t Center earns f i r st Top 100 De signation WE WORK WITHIN THE 07.14.98 E a s t R a n g e C l i n ic s j o i n S M D C SMDC HEALTH SYSTEM, 11.05.99 & 11.12.99 Phone pre f i x 786- come s to SMDC NO MATTER WHAT 03.29.00 Polink sy celebrate s 50th anniver s a r y TYPE OF WORK WE DO, 09.01.01 M i l l e r - D wa n j o i n s S M D C WE SHARE THIS: 09.18.01 St. Mar y’s Hospit al of Superior, Duluth Clinic-Superior open house A MISSION OF BRINGING 01.30.02 S M D C Fo u n d a t i o n e s t ab l i s he d THE SOUL AND SCIENCE 05.18.02 N a t i o n a l C a n ce r I n s t i t u t e d e c l a re s N 9 74 1 t r i a l a s u cce ss OF HEALING TO THE 03.06.03 Elec t ronic Medical Records arrive at SMDC PEOPLE WE SERVE. 06.01.03 Care Management come s to SMDC 07.24.03 St . Mar y’s Medical Center Auxiliar y celebrate s 50th anniver s ar y 06.23.05 D u lu th C hi ld re n’s l a u n c he d 12.01.05 A n t ico a g u l a t i o n c l i n ic s g o s y s t e mw i d e 03.27.06 CyberKnife® come s to Miller-Dwa n 08.18.06 & 09.19.06 D u l u t h C l i n ic Fi r s t S t re e t o p e n h o u s e
  • 3. S t . M ar y’s & D u lu th “THE IDEA WASN’T UNIQUE, BUT 01.01.97 Clin ic In teg ration OUR SUCCESS WAS. After years of talks, the Northland’s largest hospital and clinic system officially integrate– and the SMDC Health System is born. “Integrated health systems were a popular experiment in the mid-90s. But if you look Sister Kathleen Hofer, OSB, Board Chair and CEO Peter E. Person, MD around today, many of the hospitals and clinics that signed integration agreements have parted ways. SMDC Health System, on the other hand, is stronger than ever. By keeping sight of our common mission, vision and values, we have delivered on our promise of creating a world-class healthcare system for rural communities.” CEO PETER PERSON, MD “WE SHARED A COMMON LANGUAGE. When we started talking about integration, the first question for both parties was whether or not we had a shared mission and values. We soon discovered that we did – we may have used different words here and there, but it was clear we were both here to provide excellent care to patients.” SISTER KATHLEEN HOFER, OSB, BOARD CHAIR
  • 4. S M D C h o ld s f i r st 01.08.97 “IT’S THE BEST o f f ic i a l b o a rd m e e t i n g Lauren Larsen and Sister Monica 03.11.98 S M D C acqu ire s P in e M edic al THING THAT COULD’VE HAPPENED HERE.” Laughlin could not predict the future when they sat down for their first SMDC Health System Board meeting 10 years ago. But the retired engineer JUDY BIRCHER and Benedictine Sister were both Throughout most of the committed to preserving quality 1990s, Judy Bircher and healthcar e in t h e re g io n . “ T h is her neighbors worried partnership we created was something that Pine Medical Center very different,” recalls Larsen. “There would close. Then the was no handbook.” little hospital and nursing There was a determination to succeed. home teamed up with “It was our job to look at the long-term SMDC—which was needs of the system. We focused on great news for patients, long-range planning and on making community leaders and sure we had the right people doing the employees like Judy. right jobs,” says Larsen. “We’ve spent 10 years building something great—and “We went from the “SMDC IS today SMDC is well-equipped and ready depths of despair to this for the future.” being a great place to work,” says Judy. Larsen left the SMDC Board at the end WELL-EQUIPPED AND “We wouldn’t be here READY FOR THE of 2006, but he plans to use lessons if not for SMDC.” from the past 10 years in a new SMDC- related venture. He serves on the FUTURE.” Judy Bircher Board of Directors for Essentia Health, Executive Assistant, Pine Medical Center a partnership between SMDC and the LAUREN LARSEN Judy is pictured with former Benedictine Health System. “With the Administrator Michael Hedrix, left, who helped with the merger, experience we have now,” he says, and current Administrator, Tim Zwickey “we can go anywhere.”
  • 5. “TRAUMA IS DEFINITELY SMMC earns level II trauma cer tification 06.16.98 NOT A with pediatric commitment Linda Way, RN The seal of approval when it comes to caring Emergency Service Director for severely injured children and adults. St. Mary’s Medical Center ONE-MAN SHOW.” LINDA WAY, RN After 34 years in Emergency Services, Linda Way has developed a personal philosophy about miracles. “They are often a combination of what we can’t explain and what we can,” she says. “It’s the soul and science of healing coming together that makes them happen.” Earning designation as a Level II Trauma Center in 1998 remains a proud moment for Linda—but her true pride lies in the physicians, nurses and other employees who understand that their teamwork has the power to work wonders for patients. “Trauma is definitely not a one-man show,” says Linda. “Everyone, from emergency responders to trauma surgeons, knows they are one part of a larger effort to save a life.”
  • 6. 11.15.98 Hear t Center earns f i r st From left: Electrophysiologist Michael Mollerus, MD, Cardiovascular Technologists Erin Serre and Trisha Kallinen, and “WE ALL HAVE UNIQUE SKILLS, BUT OUR STRENGTH Top 100 De signation Cardiologists Kimberly Boddicker, MD, and Michael Lucca, MD. TOP 100 OUR IS IN ERIN SERRE TEAMWORK.” D E S I G N AT I O N S St. Mary’s Medical Center has earned a number of Top 100 Patients looking for the country’s best heart designations from care can find it right here at home. How do Solucient,® a Chicago- we know? Because St. Mary’s Medical Center, based company that monitors quality using home to the St. Mary’s Duluth Clinic Heart Center, a database of national has been named a Top 100 Heart Hospital hospital discharge eight years in a row. records. Solucient honors are based The Heart Center has long demonstrated the solely on objective power of partnership between a large multi- analysis of outcomes, so the “winners” are specialty clinic and a regional medical center. not just the hospitals Since its inception in 1983, the Heart Center has themselves, but also offered leading-edge treatments in areas ranging the communities from electrophysical stimulation to robotic heart where these high- performing hospitals surgery. It has also offered patients access to are located. teams of highly skilled specialists, ranging from cardiothoracic surgeons to registered nurses, Heart Care 1998 to 2006 who are at the heart of the Center’s success. Orthopaedic “We all have unique skills, but our strength is in Fracture Repair 1999 our teamwork,” says Invasive Cardiovascular Hospital Care Technologist Erin Serre. “Everybody is an 1994, 1995, integral part of the whole process. It’s nice to 1997, 1998 be part of an institution that works that way.”
  • 7. E a s t R a n g e C l i n ic s 07.14.98 “THE MERGER WAS join SMDC RIGHT DONE FOR THE REASONS AT THE RIGHT TIME.” CARL PASSAL, MD When it comes to physician medical practices, there is strength in numbers. Just ask physicians at the East Range Clinics, who joined the Duluth Strength in numbers Clinic in 1998. With that merger, the Duluth Clinic’s A look back at the Duluth Clinic’s growth 10th in two decades, the Duluth Clinic network reached from International Falls, Minnesota, south Mergers 1981 to Spooner, Wisconsin. Lakeside 1983 “The economics of health care have been West Duluth challenging since the 1980s,” says Gary Lishinski, 1987 who managed the East Range Clinics prior to Deer River 1992 the merger. “We knew we needed to grow or Spooner join a larger system. The doctors here wanted a 1993 physician-led organization, so the Duluth Clinic Superior 1994 was a good fit for us.” Ashland Hibbing Today, nearly one third of the Duluth Clinic’s 400 International Falls physicians work at the Duluth Clinic’s regional 1995 and neighborhood sites. They are supported Hayward by hundreds of nurses, technicians, and other 1998 East Range Clinics dedicated professionals who take pride in the Aurora service they provide to their home communities. Babbitt Chisholm “The merger gave our patients better access to Ely specialized services in Duluth, and also brought Virginia more of those services here through physician New clinics 1979 outreach,” says Carl Passal, MD, who was the Carl Passal, MD, (foreground), with Hermantown clinic’s president during the merger. “The merger Gary Lishinski, Regional Development Director (right), and staff with was done for the right reasons at the right time.” 30 or more years at the clinic.
  • 8. 11.05.99 The pre f ix 786- 11.12.99 come s to SMDC “WE ARE COMMITTED TO Physical disabilities are as unique as the people who live with them. Two people who share a medical “A PHONE LINE IS OFTEN A PATIENT’S FIRST HOPE AND POSSIBILITY.” diagnosis can have very different ways of coping with their individual CONNECTION MARCIA HERMANN JOHNSON, MSW challenges and opportunities. “We understand that a disability TO CARE.” ROD NYGARD affects the whole person,” says Polinsky Manager Marcia On the job, Rod Nygard measures his success Hermann Johnson, MSW. by what people don’t notice. “When things are “It’s more than physical. It affects their relationships, their emotions working, people never think about what we and their spiritual life.” do,” says Nygard, referring to the miles of fax, phone, modem and trunk lines weaving across Each year, hundreds of children, the SMDC Health System. teenagers and adults come to Polinsky for sessions with therapists Every time you dial a 5-digit internal phone from Polinsky and Miller-Dwan. extension or hand patients a card with a Some patients come for a few phone number beginning with 786-, you weeks; others may come weekly have Rod and his colleagues to thank for it. for the rest of their lives. They devoted nine months to inventories of current phone systems before undertaking Each time, they work with teams of therapists who help patients a marathon phone switchover at St. Mary’s face the challenges before them. Medical Center that kept Rod up for more “We focus on independence and than two days. abilities rather than disabilities. We focus on function,” says Marcia. “I was here for 27 hours straight during the “We are committed to hope cutover. I went home for two hours and then and possibility.” came back for another 12,” recalls Rod. “Many of my coworkers did the same.” Why get so worked up over phones? “A phone line is often a patient’s first connection to care,” says Rod. “When the Pol i n s k y cel e b r a t e s phones work so well that everyone takes Marcia Hermann Johnson, MSW, Manager, (foreground) with Speech Language Pathologist 05.26.00 5 0t h a n n i ve r s a r y Peggy Stone, displaying a quilt she made to Rod Nygard, Project Manager them for granted, we know we’re doing our commemorate Polinsky’s 50th Anniversary SMDC Telecommunications part in caring for patients.”
  • 9. From the time it opened its doors in 1934, Miller-Dwan Medical Center was Duluth’s little hospital with a big heart. Even after 60 years, the staff remained small enough that the employees knew each other by name. So it wasn’t easy for hospital officials to acknowledge in the late 1990s that Miller-Dwan could no longer make it on its own. The national healthcare landscape simply had changed too much; small, independent hospitals were either closing or fighting to survive. Fortunately, Miller-Dwan administrators had options—and in 2001 they formally joined the SMDC Health System. “We wouldn’t be here if we weren’t integrated,” says Miller- Dwan Medical Director Joe Leek, MD, who was part of the administrative team that recommended joining SMDC. Maureen Mahoney, RN, also a part of the team, agrees. “It was the right thing to do for our patients and our employees.” While the transition from working for a small hospital to working for a large organization has been difficult for some employees, Maureen and Dr. Leek say Miller-Dwan today is stronger than it has been in years. “Outpatient Surgery has grown beyond anyone’s expectation. So has Rehabilitation, which plays a growing role in helping patients coming out of (St. Mary’s) critical care,” says Dr. Leek. “Miller-Dwan has not M i l l e r - D wan Maureen Mahoney, RN, only survived, it has prospered.” 09.01.01 joins SMDC former Nursing Administrator and Joe Leek, MD, Miller-Dwan Medical Director
  • 10. S M D C Fo u n d a t i o n 01.30.02 e s t ablis h ed “WE CAME TOGETHER TO PROVIDE THE CARE PEOPLE NEED.” NANCY URSIN, CA The Duluth Clinic-Superior’s Nancy Ursin Andy Lisak’s grandparents raised can list a half dozen reasons why she 17 children, most of them born at appreciates having a hospital and St. Mary’s Hospital of Superior. medical clinic in her hometown. But Many of their daughters volunteered she can sum up the reason closest to or worked at the hospital, so when her heart in one word: mom. “My mom Andy wanted to fund a memorial doesn’t have to drive over the bridge to his grandparents, SMHS seemed into Duluth to see the doctor,” explains the perfect fit. Ursin. “That may not seem like a big deal, but for my mom and many of our elderly In just one month, Andy and 45 patients, it makes a world of difference.” members of his family raised $20,000 to remodel the hospital chapel and The fate of St. Mary’s Hospital of Superior have it dedicated in George and hasn’t always been certain. But with Agnes Stariha’s names. “It was a support from the SMDC Health System great effort to raise that amount of and federal designation as a critical money, because no one in my family access hospital, SMHS will continue could have done it by themselves,” serving Nancy Ursin’s family, friends and says Andy, who serves on the neighbors for years to come. And having SMHS Foundation Board. “We did the hospital and clinic under one roof it together.” makes receiving care easier than ever before. In 2002, the Duluth Clinic Foundation, “It’s so easy to order x-rays and labs, or St. Mary’s Medical Center to schedule surgery,” says Nancy, who Foundation, and SMHS Foundation united to form the SMDC Foundation. “WE DID IT says patients appreciate being able to walk right over from the clinic to the While each foundation continues to hospital for tests. Working under one roof pursue its unique mission, banding has fostered greater cooperation among together gave them even more clinic and hospital employees, many of resources to reach out to donors. whom have become friends over the Thanks to their collective efforts, SMDC’s foundations raised more than TOGETHER.” years. “I love the community here,” says Nancy, talking about the hospital/clinic $1.5 million last year. That translated campus. “I like that we came together to SMHS Board Member into $749,805 in grants for everything provide the care people need.” From left: Nancy Ursin, CA, Andy Lisak, back right, from chapel remodeling projects to S MHS , Dul uth Cl i nic-S uperi or with members of his family innovative medical research. 09.18.01 Team Lead and LouAnn Ross, host open house Surgical Secretary ANDY LISAK
  • 11. By the numbers Duluth Clinic physicians and researchers from more than a NCI declare s N9741 05.18.02 t r i a l a s u cce ss dozen specialties participate in research studies and clinical James Krook, MD, (standing) and trials, giving patients access Daniel Nikcevich, MD, PhD to leading-edge treatments for everything from rheumatoid arthritis to heart problems. Here’s a look at the numbers: Since 2000 3,754 – patients enrolled in research studies 468 – number of studies offered 53 – papers published by physicians, nurses and scientists 30 – number of specialties “SCIENCE IS A TOOL WE USE TO FIGHT CANCER, BUT participating in studies COMPASSION IS THE ART WE PRACTICE TO HELP PATIENTS HEAL.” DANIEL A. NIKCEVICH, MD, PhD Cancer patients in rural areas had little or no access to promising new cancer drugs when James Krook, MD, joined the Duluth Clinic in 1975. That didn’t sit well with the young oncologist, who believed all patients deserved access to leading-edge cancer care. Today, Duluth Clinic Cancer Center patients are participating in 100 clinical research studies this year alone—giving patients access to treatments, medications and medical devices earlier than most people can receive them. Some of these studies, like the National Cancer Institute’s N9741 trial that established a new standard of care for metastatic colorectal cancer, have garnered national attention for Dr. Krook and his colleagues. But hematologist/oncologist Daniel Nikcevich, MD, PhD, believes it is the compassion of the entire Cancer Center staff that sets the Duluth Clinic apart. “We’re proud of what we can offer patients, but it’s important to remember medicine is about more than picking the right drug,” says Dr. Nikcevich. “Science is a tool we use to fight cancer, but compassion is the art we practice to help patients heal.”
  • 12. Lead RN Analysts Linda Harper is a lot tougher than she looks. Underneath Linda Harper, RN, MA her blonde curls and easy manner is a woman willing to and Russ Maron, RN “IT’S EXCITING endure criticism to work for something she believes in. Fortunately for SMDC, Linda has a passion for the promise of electronic medical records (EMRs). TO BE A Anyone who has followed electronic medical records at SMDC knows the switch from paper to electronics hasn’t always been easy. As the people responsible for EMR training and development, Linda and her colleagues have PIONEER.” worked hard to make the transition as smooth as possible. Today, Linda can count some of the EMR’s harshest initial critics among its strongest supporters. They have come to understand what Linda always saw: EMRs improve care for LINDA HARPER, RN, MA patients. “We are definitely ahead of the national curve on this one,” says Harper, referring to recent federal Elec tronic Medical legislation requiring all healthcare organizations to 03.06.03 Records arrive at SMDC adopt EMRs. “It’s exciting to be a pioneer.”
  • 13. “WE’VE BROKEN DOWN THE Foreground: Kim Denny, RN, Mickey Zupetz, RPh, and Thomas Patnoe, MD Background: Medical Social Worker Jeannie Carroll and Discharge Transition Specialist Michelle Bergum BARRIERS OF PATIENT CARE.” MICKEY ZUPETZ, RPh When it comes to innovative patient care, you might expect Pharmacist Mickey Zupetz to talk about the latest leading-edge drugs. But one of the greatest advances he’s seen in his 16 years at St. Mary’s Medical Center relies on an art as old as civilization itself. Each weekday at 8:45 a.m., Zupetz sits down with chaplains and physical therapists, surgeons and social workers, registered nurses and respiratory therapists to discuss the care for every patient on the Orthopaedic floor. These daily conversations, known as Care Rounds, ensure that everyone is on the same page when it comes to patient care. These conversations take place on every unit, every day. “We’ve broken down the barriers of patient care,” says Zupetz. “When it comes to making decisions, we’re not operating in isolation anymore.”
  • 14. Children don’t care that Cori Jordahl has a Masters’ Parents understand and appreciate the medical Degree in Child Life and Family-Centered Care. They’re expertise available through Duluth Children’s. Children more interested in the fact that she plays a mean game who are really sick appreciate Cori, whose job it is to of Nintendo’s Mario Kart and understands that watching make sure they feel as okay as possible during a hospital Nickelodeon can be good medicine—if not for the stay. “A lot of my job is spending time talking with the kids, body, then certainly for the heart. their siblings and their parents,” says Cori, who is trained in helping children and families cope with serious illness. SMMC Auxiliar y Celebrate s Through Duluth Children’s, SMDC offers the region’s most MARY FLAA 06.24.03 5 0 th an n iver s ar y sophisticated pediatric services. Duluth Clinic physicians Cori also makes sure children understand what’s treat children in more than 40 pediatric specialties and happening at the hospital. “You have to speak the Mary Flaa wasn’t in Duluth more than a month St. Mary’s Children’s Hospital offers the region’s only child’s language,” explains Cori, who often spends time when she joined the St. Mary’s Medical Center pediatric and neonatal intensive care services. with children before and during medical procedures. “Kids don’t understand the words we use, and words Auxiliary. That was 40 years ago, and she’s can be very frightening. It’s my job to take away as still going strong. much of that fear as I can.” Mary is one of more than 1,000 adults and teens who volunteer at SMMC, Miller-Dwan Medical Center and St. Mary’s Hospital of Superior. Flaa devoted most of her years to the St. Mary’s “YOU HAVE TO SPEAK THE CHILD’S LANGUAGE.” Gift Shop, where she was the shop’s buyer. Cori Jordahl “I always joked that if something I bought Child Life Specialist didn’t sell, I’d buy it,” she recalls. SMDC’s hospital gift shops are powerful fundraising tools for the three hospital auxiliaries, which donate all profits back to the hospitals they serve. Last year alone, they donated more than $174,000 for everything from student scholarships to rehabilitation equipment. Mary has also been an active board member of the SMMC Auxiliary, as well as an officer on Minnesota’s Hospital Auxiliary Board. “It’s about doing something good for patients, even if you’re not directly involved in their care,” says Mary. “It feels good knowing we D u lu th Ch ildren’s are supporting their care.” 06.23.05 lau n c h ed Mary Flaa, Volunteer (foreground) and Margaret Gehring, SMDC Director of Volunteer Services
  • 15. “WE SEE THE WHOLE PERSON, NOT JUST A NUMBER.” 12.01.05 A n t ico a g u l a t i o n clinics go systemwide LISA WILKINSON, RN Patients on the blood thinner warfarin can identify with Goldilocks and the Three Bears. Their warfarin CyberKnife® come s levels must be just right—not too From left: Registered Nurses 03.27.06 to M i l l e r -D wa n high, not too low—if they want the Heidi Larson, Lisa Wilkinson and Deb Jonas-Mackenzie medication to work. It’s a particularly tough balancing act, considering that everything from brussel sprouts to green tea can interact with the drug. Duluth Clinic patients taking warfarin don’t have to hold vigil alone, thanks to an Anticoagulation Program that spans 17 clinics in northern Minnesota and northwestern Wisconsin. The clinics are staffed by registered nurses who make sure patients are eating right, coming in for regular blood tests, and watching for side effects or drug interactions. No one wants cancer, not for themselves or for anyone they love. “Having nurses check in with A diagnosis signals the beginning of a long journey, where fear and patients really results in better care,” fatigue can sometimes make it difficult to keep sight of healing and hope. says Duluth Clinic–Ashland’s Lisa Wilkinson, RN, one of 72 nurses Doug Bennett and his colleagues in Radiation Oncology understand Doug Bennett, MS providing this service systemwide. this—and it’s why they share the best of their compassion and expertise Physicist Miller-Dwan “We make sure they get their regular with every patient who walks through the door. Radiation Oncology blood tests, but we also talk about “CyberKnife sets us apart,” Bennett says, referring to the precise radiation their diet, their energy levels, and other treatment machine SMDC purchased in 2006. “It’s a sophisticated medications. We see the whole person, technology, and we’re operating one of only 75 machines in the country. not just a number from a blood test.” But technology is only part of the equation. It’s the combined power of our people and our technology that assures patients there is reason for hope.”
  • 16. Du l u t h C lin ic Fir st 08.19.06 S t re e t O pe n H ou se Du l u t h C lin ic 09.19.06 V i rg i n i a O p e n H o u s e SMDC Health System FINANCIAL PROFILE (IN THOUSANDS) Year Ended June 30 .................................................. 2 0 0 6 .......... 2 0 0 5 Project Managers Steve Holter, ————————————————————————— ————————————————————————— Maxine Poldoski and Project Coordinator Tami Johnson UNRESTRICTED REVENUE: EMPLOYEES: Net patient revenue ......................... $722,215 ...... $683,233 Physicians ..................................................415 ...............399 Other operating revenue .....................21,027 ..........16,769 All other employees ...............................6,239 ............5,946 Total revenue ...........................................743,242 ........700,002 Total Employees ..........................................6,654 ............6,345 ————————————————————————— ————————————————————————— EXPENSES: STATISTICS: Salaries and benefits .........................454,099 ........417,149 SMDC Sites ...................................................22 .................22 Supplies ...............................................117,035 ........112,747 Encounters ..........................................850,331 ........840,341 Purchased services..............................27,818 ..........31,332 Surgeries ...............................................22,054 ..........20,954 Provision for Outpatient visits ..................................225,394 ........226,916 uncollectible accounts.........................19,012 ..........31,336 Cardiac procedures................................9,677 ..........10,113 “IT FEELS GOOD TO BUILD Depreciation and amortization ...........36,867 ..........35,543 Diagnostic procedures ........................24,708 ..........23,024 OUR Other .......................................................77,625 ..........64,388 Emergency Care and SOMETHING BEAUTIFUL FOR Total expenses .........................................732,456 ........692,495 Trauma Center visits .............................50,301 ..........49,034 COMMUNITIES.” ————————————————————————— Births ........................................................1,543 ............1,500 (LOSS) INCOME FROM OPERATIONS ..........10,786 ............7,507 Average Daily Census ...............................317 ...............316 STEVE HOLTER ————————————————————————— ————————————————————————— NON-OPERATING GAINS (LOSSES): DISCHARGES Building construction and remodeling takes time, New buildings, including the $80 million Duluth Clinic Income on funds Adults and Pediatric .............................23,949 ..........24,554 money and planning. Lots of planning. Just ask the First Street Building, are just part of the staff’s work. designated by Board ..............................4,853 ............2,768 NICU ............................................................304 ...............277 staff in SMDC Facilities Planning & Architecture. This In January, the entire facilities team was juggling Net realized gains .................................11,248 ............9,688 Total Discharges .......................................24,253 ..........24,831 past year, years of work paid off with the grand 168 projects, including the remodeling of the Other .........................................................2,622 ............ (555) ————————————————————————— opening of two new clinics in Duluth and Virginia. Duluth Clinic Third Street Building (the Third Street 18,723 ..........11,901 PATIENT DAYS: work falls to Steve’s colleague, Maxine Poldoski). “It’s fun to put a plan together and see it come Revenue in excess of expenses ...........$29,509 ........$19,408 Adult & Pediatric ................................110,714 ........110,623 through,” says Steve, who handled the project Keeping people happy and on budget isn’t easy, NICU .........................................................4,945 ............4,704 in Virginia. “It was our job to make sure they but it’s worth it. “To see a project come together, Total Patient Days ...................................115,659 ........115,327 had everything they needed, from desk that’s why you do this,” says Steve. “It feels good chairs to imaging equipment.” to build something beautiful for our communities.”