Honoring the Past. Building the Future. - Marshall Medical Center

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Letter to the Community Table of Contents 3 Marshall Recognition James Whipple Administrator & CEO David Combellack Board President 4 Marshall Board of Directors 2010 6 Key Happenings 8 Financial Information 9 Marshall Foundation, Funding Programs that Care for People 11 Marshall Foundation Board of Trustees 2010 12 Marshall Foundation Donors 2 www.marshallmedical.org Dear Community Members, In looking back on 2009, it is clear to us it was a pivotal time in the history of Marshall Medical Center. Facing our local version of ongoing nationwide financial woes, yet also facing increasing demands for our services, we plowed ahead and made some significant progress toward key expansion goals. We also made time to honor and recognize the major milestone of our 50th year serving the people of the West Slope of El Dorado County. We accomplished these things while also charting a significant financial improvement for our communitybased organization. First of all, let’s start by thanking you, our valued community members, for the much-appreciated patience and understanding you’ve shown while we expand our hospital through a major wing addition. If you’ve been up to our hospital campus in Placerville over the last year, you’ve no doubt seen the construction activity happening. It has impacted our parking and we’ve done our best to mitigate the inconvenience, but we know parking and access has been difficult – thank you for your understanding. What awaits the end of this huge process is a much needed expansion (see related story on page 6), so that we can better serve our community with added capacity. We haven’t needed to look past our own walls in the last months to see the need for this additional capacity. We’ve been so inundated with patients and demand for services that we’ve struggled to meet the need. For the first time in many years, there have been times when we’ve needed to divert patients to hospitals down the hill, and this is the last thing we want to do. So, our hospital expansion remains our number one priority. Besides physical expansion, we are always looking for opportunities to provide important health services closer to more people. In that vein, we developed our own cardiology group, beginning with two physicians and staff, and we added two more cardiologists during the year. Offices in Cameron Park as well as Placerville have been established for the convenience of our cardiology patients. We also were pleased to expand our primary care services, with the addition of Marshall Sierra Primary Medicine in Placerville, not to mention adding several other physicians and nurse practitioners to our other clinics and hospital. Another key factor in Marshall’s success is the quality of the services we provide. In 2009, Marshall capped off a long-standing effort to earn designation as a Level III Trauma Center. The El Dorado County Emergency Medical Services Agency awarded this designation following an intensive review of the emergency services we offer and verifying our compliance with key requirements for a trauma center. Additionally, our Cancer Services Program was re-accredited by the Commission on Cancer of the American College of Surgeons. This comprehensive, quality program is a true blessing to many in our community who are battling cancer, but who need not battle valley traffic to get to Marshall’s cancer services in Cameron Park. We achieved these goals and made significant progress on others while fostering a solid financial turnaround from a very difficult 2008 (see financial results on page 8). These improvements were made possible through a variety of strategies, including successful contract negotiations with some of our payors, improved investment returns and reduced expenses enhanced by cost-reduction ideas from our staff. We employed a concerted effort to incorporate cost-reduction ideas from our staff as well. In terms of our financial stability, we feel cautiously optimistic that we have weathered the worst of the financial crisis of the last couple of years, but we remain focused on prudent fiscal management so that we can continue directing all available resources to our wing expansion and patient care needs. We also are not certain yet what kind of impact the new healthcare reform law will have on us. All in all, we are very satisfied to have had such a successful year in the midst of ongoing difficulties, and very pleased that we could make significant progress toward our goals in our historic 50th year of service. We look forward to our next 50 years serving our community. Sincerely, James Whipple David Combellack
Marshall Programs Receive Recognition for Key Health Services in 2009 Cancer Program & Emergency Department Earn Honors When Marshall Hospital was founded over 50 years ago, the dream wasn’t to merely provide adequate medical services close to home; it was to constantly strive to provide top quality services so that people wouldn’t feel a need to travel further away. In keeping with that goal, Marshall has continuously focused on building programs worthy of formal recognition and designation by experts and accrediting agencies alike. The latest programs to achieve these stamps of approval are Marshall’s trauma program and cancer services. In July, Marshall received designation as a Level III Trauma Center from the El Dorado County Emergency Medical Services Agency (EMS). Obtaining the designation was a lengthy process that involved documenting trauma procedures, ensuring surgeon availability for emergency surgery and going through a thorough evaluation by EMS to prove that Marshall’s program met all the requirements. The result was a designation that makes the Marshall Emergency Department one of only three Level III trauma centers in the entire north coast region (the other two being in Napa and Marysville). Level III trauma centers are able to initially handle most injured patients, but when injuries are beyond that scope, typically pediatric and neurotrauma, Marshall employs existing transfer agreements with the region’s level I and level II centers. Besides traumatic injuries, one of the most serious medical issues people face is a cancer diagnosis. In 2009 Marshall’s Cancer Program received another three-year accreditation with commendation from the Commission on Cancer (CoC) of the American College of Surgeons (ACoS). Only one in four hospitals offer accredited cancer programs. The re-accreditation, which follows the original threeyear accreditation term, reaffirms the comprehensive nature of Marshall’s program, and ensures it meets the CoC’s rigorous guidelines. The CoC, founded in 1922, is a consortium of professional organizations focused on improving survival rates and quality of life of cancer patients; it is the long-time recognized expert in evaluating cancer programs. Marshall’s accreditation by the CoC ensures our patients have access to: • comprehensive care, including a range of state-ofthe-art services and equipment El Dorado County Emergency Medical Services Agency has supported Marshall’s attainment of Trauma Center designation. One of the key requirements to achieving trauma center designation is rapid availability of diagnostic equipment. • a multispecialty, team approach to coordinate the best treatment options • information about ongoing clinical trial and new treatment options • access to cancer-related information education and support • a cancer registry that collects data on type and stage of cancers and treatment results, and offers lifelong patient follow-up • ongoing monitoring and improvement of care • quality care close to home www.marshallmedical.org 3
Page 1: Report to the Community 2009: Honor
Page 5 and 6: Sherry Smith Terry J. Tuttle, CPA R
Page 7 and 8: Clinic Expansions for Cardiology an
Page 9 and 10: Funding programs that CARE FOR PEOP
Page 11 and 12: Marshall Foundation Board of Truste
Page 13 and 14: Albert Schweitzer once said, “At
Page 15 and 16: Barbara J. Moore Erma Mikkelsen Lel

Honoring the Past. Building the Future. - Marshall Medical Center

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