how we have grown - OhioHealth

OhioHealth Dublin Methodist HospitalFive years of innovation,growth and quality care2008 – 2013

Message from the PresidentBruce P. HagenWhen Dublin Methodist Hospital opened its doors in January2008, it marked an important milestone for OhioHealth aswell as for healthcare in central Ohio — and beyond. With thesupport of the Dublin community, we were able to create thefirst hospital in the nation to integrate totally digital, wirelesstechnology with evidence-based architecture to create a unique“high tech, high touch” healing environment. The welcome wereceived from community leaders and the people of Dublin, fromthe very beginning of our planning efforts in 2004, was integralto that success.Five years later, we continue to grow and expand — and our partnership with theDublin community is more important than ever. We have expanded our surgical services;added radiation oncology and breast health services; and enhanced cardiac care with aHeart Failure Clinic. Already this year, we’ve opened a new Heart and Vascular diagnosticcatheterization lab and launched construction for an expanded maternity care unit.Within the Dublin community, we are playing a vital role in supporting developmentof the Ohio University Heritage College of Osteopathic Medicine. We also are proudto support important initiatives such as Healthy Dublin, Project SEARCH, the Dublin IrishFestival, the Memorial Tournament, the Dublin Foundation Emerald Celebration and more.And we’re just getting started. Our campus was designed for growth. As a system, weare always looking for new ways OhioHealth can better serve Dublin residents close towhere they live, and we’re already making plans for what comes next. Financially, we areahead of our projections and have met or exceeded all targets since 2009. We ensureaffordable care for the community through continual expense management and focus onoperational efficiency. As a result, we are among the lowest-cost hospitals in central Ohio,and our internal performance metrics show we effectively balance quality and servicewith a positive work-life balance for our associates.On behalf of all our physicians, associates and volunteers, I want to thank you for yoursupport. We look forward to continued growth and innovation to better serve ourcommunity in the years ahead.Bruce P. HagenRegional Executive and President,Dublin Methodist Hospital and Grady Memorial Hospital2OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalInnovative Design, Centered on the PatientAfter five years of growth and evolution, Dublin Methodistremains true to the original vision of a new kind of hospitalcentered on the patient. While hospitals have traditionallybeen designed around the needs of doctors, nurses andadministrators, when Cheryl Herbert joined as DublinMethodist’s first president, she had a different idea. Her goalwas to transform a former farm field into a hospital featuringan innovative, healing environment designed from the groundup with patient needs as the primary concern.The results of that planning process are evident today assoon as a visitor enters Dublin Methodist’s lobby. Nature is apowerful healing force; a two-and-a-half story waterfall andlive trees set the tone. Interior courtyards allow natural light toreach nearly 90 percent of all spaces.Thirteen gardens are situated in quiet courtyards and rooftopsettings where patients and loved ones can enjoy nature,meditate and talk. Reflecting OhioHealth’s mission, faith isa major component of the hospital’s design, which includes achapel to accommodate the needs of all religions.“Our vision was to build a hospital thatembraced patients, their loved ones andeveryone involved in helping patients getwell,” said Cheryl Herbert, President, dublinmethodist from 2004–2010. “That meantcreating a unique environment for thepeople who give that care — physicians,nurses, lab techs, pharmacists and more.”“We want patients and families to feel as comfortable duringtheir stay as they do in their own home,” said Herbert.Patients stay in private rooms,which studies show reducestress, improve infection controland enhance confidentiality. Therooms are large to provide amplespace for visitors and caregiversand include comfortable sleepingcouches. Loved ones may comeand go without restrictive visitinghours. To ensure privacy, patientsremain out of public spaces anytime they must be in gowns.Growing Employment2008:2012:To create the ideal culture, the nursing staff was carefullychosen from a long list of applicants. “Working at DublinMethodist meant they were the chosenones,” said Herbert. “We emphasized507Employees656Employeesthat we really were a family becauseeveryone was working together forso long and doing so many things toensure an excellent patient experiencefrom the first day.”The culture is further enhancedthrough a strong volunteer base.Dublin Methodist is the only OhioHealthhospital with a waiting list ofcommunity members ready to volunteer.3

Community Support Criticalto SuccessThe local community was also key in planning Dublin Methodist. Four yearsbefore the doors opened, the management team was in regular contact withcommunity leaders and civic groups about the vision for Dublin Methodistand what it would offer.From the earliest outreach, city leaders recognized the benefits of having a hospitallocated in Dublin — it would bring jobs as well as attract residents and businessesto the community.“The Dublin communitywas very welcoming tous,” said Cheryl Herbert,President, dublin methodistfrom 2004–2010.“Top cityofficials told us having thiskind of healthcare facilitywould in essence ‘complete’the community and helpattract new businesses andresidents. We chose to bepart of Dublin because theywanted us here and gave usso much support — and thatsupport continues today.”4OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalGarnering Attention fromAround the WorldThe new facility drew a positive response from patients and families as well as thelocal community — and beyond. In the first year, Dublin Methodist hosted more than150 tours for hospital leaders from across the country and around the world.This wider recognition resulted from Dublin Methodist’s participation in the PebbleProject, a joint research project between the Center for Health Design and healthcaresystems dedicated to improving the environment in hospitals. As part of this small,select group of hospitals, Dublin Methodist was able to convert hard medicalevidence into a healing environment.“At the time, Dublin Methodist was better known nationally than it is locally,” saidHerbert. “We were one of the first hospitals to put the whole package together —building design, culture and technology — and people wanted to see how it workedso they could adapt the ideas for their organizations.”The response from patients was especially gratifying. In its first full year of operation,Dublin Methodist received the Outstanding Patient Experience Award fromHealthgrades, a national healthcare ratings organization. The award placed DublinMethodist in the top 5 percent of hospitals nationally and was one of only10 hospitals in Ohio to achieve the designation.“Being ranked among thebest is a reflection of ourquality of care,” said BruceHagen, current president,dublin methodist hospitaland grady memorialhospital. “While we’re asmall community hospital,we deliver pioneeringtreatments for our patientsand an exceptional level ofservice that is uncommonamong hospitals of our size.”“Receiving this honor verified that our caregivers and physicians have developeda truly special hospital that ensures each patient has an outstanding experience,”said Bruce Hagen, who in 2010 succeeded Herbert as president. Hagen joined DublinMethodist after serving as president of OhioHealth Riverside Methodist Hospital,bringing with him more than 30 years of healthcare experience.5

6OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalNationally Recognized for Quality CareThomson Reuters – 100 Top HospitalsIn 2012, Dublin Methodist was recognized as one of the nation’s Top 100 Hospitalsand one of the Top 20 Small Community Hospitals, based on overallorganizational performance.2012 Leapfrog Top HospitalDublin Methodist was one of 67 Top Urban Hospitals out of more than 1,200 hospitalsnationwide to receive this award. This designation is the most competitive nationalhospital quality award in the country, recognizing hospitals that deliver the highestquality care by preventing medical errors, reducing mortality for high-risk procedures andreducing hospital readmissions for patients being treated for conditions like pneumoniaand heart attack.Most Wired HospitalEvery year since its opening, Dublin Methodist has been recognized as a leader inusing technology to improve patient care, safety and satisfaction by Hospitals & HealthNetworks magazine.Healthgrades“Outstanding Patient Experience Award” in 2009, 2010, 2011 and 2012 from Healthgrades,a leader in helping consumers make informed choices about America’s healthcareproviders. The survey places Dublin Methodist in the top five percent of U.S. hospitals.The Joint Commission’s Top PerformersRecognized for surgical and pneumonia outcomes in 2011. Of the 183 hospitals in Ohio,only 14 were recognized as top performers.Midas + Platinum Quality AwardRecognized among the top five percent of hospitals on key measures of quality care in 2011.7

Expanding Capabilities to Servethe CommunityOver the past five years, Dublin Methodist has never stoppedgrowing to better serve the community.SurgeryBy offering an outpatient-like experience for inpatientprocedures, Dublin Methodist has become a populardestination when surgery is required. Based on a strongresponse from the community, two operating rooms wereadded in 2009, for a total of six operating rooms, opening theway for dramatic surgical growth.Spine surgery was added in 2009, and since, Dublin Methodisthas solidified its leadership position in the care and treatmentof spinal conditions ranging from fractures and spineinjuries, to scoliosis and osteoporosis to herniated disks. Ourorthopedic surgeons work closely with our neurosurgeons,physiatrists and pain management team to providecomprehensive, individualized care.The following year Dublin Methodist, in partnership with footand ankle physicians, created The Foot and Ankle Center ofExcellence. Today foot and ankle surgery is one of the highestvolume specialties at Dublin Methodist, and some of thecountry’s top orthopedic surgeons are practicing here. In fact,an orthopedic surgical team at Dublin Methodist performedthe world’s first Prophecy Total Ankle Replacement by usingthe newest TAR technology, a computer program designed tohelp the surgeon map out the exact surgical plan before thepatient even arrives at the hospital. This technology reducestime in the operating room, allows for a safer procedure andhelps improve the surgeon’s accuracy on implant placement— all leading to better outcomes for the patient.In addition to foot and ankle and spineprocedures, Dublin Methodist providessurgical expertise in general surgery,endoscopy, ENT, gynecology and urology— with more surgical innovations to come.As part of patient-centered care, Dublin Methodist hasimproved efficiency while expanding services, as reflectedin reduced time between cases and high ratings foron-time starts. Reflecting Dublin Methodist’s growingnational reputation, video technology was added to oneoperating room to allow broadcast of surgeries across thecountry to support medical education.Surgical Expansion Supports83% Growth2009: 3,2592010: 5,0332011: 5,5712012: 5,9708OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalOhioHealth Breast Health CenterOpened in September 2012, the expanded spaceprovides everything a woman needs for complete breasthealth care including digital mammography, screening,diagnostics, ultrasound and biopsy services. The BreastHealth Center offers patients privacy, comfort and support ofdedicated Breast Health Nurse Navigators who guide patientsthrough treatment and provide connections as needed tobreast surgeons at Dublin Methodist.Mammograms IncreaseNearly 7% Since 2009Radiation OncologyFor patients being treated for cancer, sometimes dailyradiation treatments are part of the therapy. Having aconvenient location with the latest treatment options isjust what patients need during their treatment. RiversideMethodist Radiation Oncology at Dublin MethodistHospital opened in 2011, offering the latest and mosteffective treatments for all stages and types of cancer,including a state-of-the-art linear accelerator. The DublinMethodist program is an extension of the program basedat Riverside Methodist Hospital with access to the samephysician expertise, staff and leadership team.The expanded breast health services met a growingdemand, reflecting in growth to approximately 9,000mammograms in 2012.2009: 8,3972010: 8,6952011: 8,6362012: 8,958Heart and VascularOhioHealth physicians provide some of the areas bestheart and vascular care at Dublin Methodist, supported bya diverse team that includes nursing, pharmacy, dietetics,health education, home health, social services and cardiacrehabilitation. Comprehensive cardiovascular inpatient andoutpatient services, utilizing physician expertise fromRiverside Methodist and OhioHealth Doctors Hospital,include advanced cardiac imaging and testing, heart diseaseprevention and management and a Heart Failure Clinic thatopened in May 2012.To further enhance services, a Heart andVascular diagnostic catheterization labopened in February 2013.9

ImagingDublin Methodist offers diagnostic and therapeutic inpatientand outpatient imaging services including CT, MRI, nuclearmedicine, digital radiography and fluoroscopy, ultrasound,bone density and digital mammography. We also offerInterventional Radiology (IR) and have plans to relocate IR to anew Heart and Vascular diagnostic catheterization lab in 2013so that services are located in one convenient settingfor patients. IR procedures include both diagnostics andinjection treatments.Emergency CareLike the rest of the hospital, the Emergency Departmentis designed to ensure a quiet, comfortable experiencethat promotes a speedy recovery. As the only EmergencyDepartment in the community, Dublin Methodist plays animportant role in access to care and provides an entry pointto the entire OhioHealth system if needed.Emergency Visits Increase 36%2009: 24,6372010: 29,5252011: 31,4392012: 33,613Sports MedicineThe OhioHealth Sports Medicine Center opened in December2012 with a focus on helping injured athletes and active adultsget back into the game more quickly and efficiently than ever.Located at the former Dublin Health Center facility, theOhioHealth Sports Medicine Center provides fellowshiptrained sports medicine physicians, rehabilitation and imagingat a single location for patients who would otherwise needto travel to multiple sites for different phases of care.10OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalWomen’s HealthThe first baby — a boy — was born just after the January2008 opening, and the pace has accelerated over the past fiveyears as more than 5,500 babies have been born at DublinMethodist. In 2012, we set a record for the number of babiesdelivered at Dublin Methodist, and we’re just getting started.Construction began in January 2013 to add an additionalseven post-partum rooms and expand the Level II NationwideChildren’s Hospital Special Care Nursery.46% Increase in Deliveries —One Baby at a TimeDublin Methodist is a popular choice for expectant mothersfor many reasons. The hospital devotes 34 rooms to newmothers and their babies. Each of the nine birthing suites isprivate, spa-like and has a large family area and a full-sizesleeper sofa for the mother’s support person. Two C-sectionrooms are also available if needed.The labor and delivery team includes board-certifiedobstetricians, anesthesiologists, certified registered nurseanesthetists and neonatologists, along with certified lactationconsultants. In addition, certified nurse midwives collaboratewith physicians and may be involved with your initialassessment or as labor progresses.2009: 1,1592010: 1,3082011: 1,5932012: 1,68911

Excelling in All Success MeasuresOhioHealth implemented a balanced scorecard approach for each of its hospitals tomeasure success in four key areas: quality, service, finance and worklife — and DublinMethodist is proud to be among the system’s top performing hospitals.Recognized for QualityDublin Methodist has been nationally recognized forquality care and patient safety from leading industryanalysts, thought leaders and publications. We continue toimplement new programs and seek new opportunities tomaintain top quartile performance.Committed to ServiceOur patient centered design provides the foundation forexceptional care, and the hospital’s annual Press Ganeycustomer service scores further demonstrate commitmentto service. Patients randomly receive a survey called theHospital Customer Assessment of Healthcare Providers andSystems (HCAHPS) from Press Ganey to rate how well thehospital performed against several indicators including quiet,cleanliness and responsiveness.Dedicated to Worklife BalanceOhioHealth strives to provide a positive worklife balanceincluding competitive compensation, career and diversitytraining, flexible scheduling, recognition opportunities andspecial events and discounts. This coupled with the positiveand collaborative work environment between physicians andassociates at Dublin Methodist is among the many reasonsOhioHealth has been named to FORTUNE magazine’s“100 Best Companies to Work For” list for the past sevenyears. OhioHealth also surveys its physicians each yearusing a survey tool from Press Ganey. OhioHealth hasranked first or second among health systems nationally,and Dublin Methodist consistently boasts high scores forphysician satisfaction.Financially ResponsibleWe are proud of our financial strength, are ahead ofprojections and have met or exceeded all targets since 2009.Because of continual expense management and a focus onoperational efficiency, Dublin Methodist is among the lowestcostcentral Ohio hospitals.12OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalLeveraging the Strengths of theOhioHealth SystemDublin Methodist was designed as much more than a standalonehospital — it is part of the broader OhioHealth system,which enhances the resources and range of treatment optionsavailable to patients.This system approach allows Dublin Methodist to operatespecially monitored eICU intensive care beds linking tointensive care experts at Riverside Methodist to enhance thesafety for critically ill patients. The Radiation Oncology unitopened in 2011, is a direct extension of the program basedat Riverside Methodist, with the same physicians and staff.In addition, the Dublin Methodist medical team is part of theOhioHealth Stroke Network — the first of its kind in Ohio.Following a stroke, every second counts and immediate, expertintervention is essential to preserving brain function andpreventing disability. Through the OhioHealth Stroke Network,physicians at community-based hospitals, like DublinMethodist, use advanced telemedicine technology to quicklyconnect to critical care and stroke specialists at OhioHealthhospitals. Geographic barriers are removed and doctorscollaborate in real time to make crucial diagnostic decisionsas if they were in the same room. Whenever possible, patientsremain in their local hospital. If necessary, patients can betransferred to our Comprehensive Stroke Center at RiversideMethodist or our Primary Stroke Center at OhioHealth GrantMedical Center.To enhance service for referring physicians and their patients,Dublin Methodist’s participation in the OhioHealth TransferCenter streamlines patient transfers and bed managementamong OhioHealth’s five central Ohio hospitals. The TransferCenter helps ensure patients can be transferred when necessaryto OhioHealth facilities where accepting physicians areavailable, thus maximizing resources and improving efficiency.The Dublin Methodist campus also includes an OhioHealthUrgent Care facility to provide immediate medical care right inthe Dublin community, with access to the entire OhioHealthsystem should patients need it.Also reflecting a growing role within the OhioHealth system,members of the Dublin Methodist team have key leadershiproles at OhioHealth Grady Memorial Hospital in Delaware. Thisapproach streamlines operations while enabling the hospitalsto share best practices and processes to enhance quality,service and efficiency by establishing consistent practices atboth facilities. It also enables the hospitals to collaborate asneeded to ensure excellent service across both facilities.13

Connected to the CommunityDublin Methodist is committed to playing an important rolein the health, well-being — and growth — of the community.As part of an OhioHealth partnership with Honda, which hasmajor manufacturing operations in Marysville, we play animportant role in providing executive health assessmentsand health and wellness education sessions for Hondaemployees. In addition to managing our special care nursey,Nationwide Children’s Hospital Close to Home is located onour campus, providing the community with convenient accessto urgent care.In 2012, OhioHealth announced that Dublin Methodistwill play a key role in training medical students at theDublin campus for the Ohio University Heritage Collegeof Osteopathic Medicine development about a mile fromthe hospital. Dublin Methodist, as well as other OhioHealthhospitals, will play a key role in supporting clinicalrotations and expanded residency and fellowshiptraining opportunities.14OhioHealth dublin Methodist HOSPITAL Five years of innovation, growth and quality care | 2008 - 2013

Dublin Methodist HospitalGiving BackDublin Methodist plays an important role in supporting keylocal events, such as the Dublin Irish Festival, the MemorialTournament, the Dublin Foundation Emerald Celebration andThe Emerald City Half Marathon.For several years, Dublin Methodist has worked closely withthe City of Dublin to drive the growth of Healthy Dublin, acommunity-based health and wellness initiative designed toimprove overall health and well-being by encouraging healthierlifestyles. Dublin Methodist physicians and clinical staff supporteducational activities, health assessments and screenings.Through Project SEARCH, Dublin Methodist helps studentswith physical and development disabilities explore healthcarecareers. Seniors from Dublin and Hilliard high schoolsparticipate in year-long internships designed to smooth theirtransitions into the working world. Since launching in 2010, theprogram has helped 24 students with 92 percent placementand 13 graduates joining the OhioHealth team.15

Celebrating 5 Years of Growth200820092010201120122013+ + DublinMethodistopens onJanuary 8+ + Spine surgeryadded+ + Addition of twooperating rooms+ + Foot and anklesurgery added+ + RiversideMethodistopens RadiationOncologyat DublinMethodist+ + The expandedOhioHealthBreast HealthCenter at DublinMethodistopens+ + Heart andVasculardiagnosticcatheterizationlab opens inFebruary+ + Breast Healthservices movefrom DublinHealth Centerto DublinMethodist+ + OhioHealthSports MedicineCenter opens+ + HeartFailure Clinicestablished+ + Constructionbegins toadd sevenpost-partumrooms andexpandthe Level IINationwideChildren’sHospital SpecialCare Nursery2012 By The Numbers656 Employees5,970 Surgeries8,958 Mammograms33,613 Emergency Visits1,689 New Babies59 Specialties and Sub-Specialties including:Allergy/ImmunologyAnesthesiologyCardiac ElectrophysiologyCardiovascular DiseaseCertified Nurse MidwifeCertified RegisteredNurse AnesthetistClinical Nurse SpecialistColon and RectalSurgeryCritical Care MedicineDermatologyDermatopathologyEmergency MedicineEndocrinology/MetabolismFamily MedicineFamily MedicineHospitalistGastroenterologyGeneral SurgeryGeneticsGeriatric MedicineGynecological OncologyGynecologyHand SurgeryHospice & PalliativeMedicineInfectious DiseasesInternal MedicineInternal MedicineHospitalistInterventionalCardiologyInterventionalRadiologyMaternal/FetalMedicineNeonatology/PerinatologyNephrologyNeurological SurgeryNeurologyNuclear MedicineNurse PractitionerObstetrics/GynecologyOphthalmologyOral/MaxillofacialSurgeryOrthopedic SurgeryOtolaryngology (ENT)Pain ManagementPathologyPediatricsPhysical Medicine/RehabilitationPhysician AssistantPlastic SurgeryPodiatryProctologyPsychiatryPsychologyPulmonary DiseaseRadiation OncologyRadiologyReproductiveEndocrinology/InfertilitySleep DisordersMedicineSports MedicineUrologic SurgeryVascular MedicineVascular Surgery2012/2013 Dublin Methodist Leadership TeamBruce Hagen*, Regional Executive and PresidentSteve Bunyard, Chief Operating OfficerLisa Biegler*, Chief Nursing OfficerBarbara Evert, MD*, Vice President of Medical AffairsDiane Shaub*, Director of Human ResourcesDouglas Haughn*, Director of FacilitiesKris Quillin, Director of Physician ServicesMike Bichimer, Director of Financial OperationsSherrie Valentine, Director of Women’s HealthTroy Shirley, Director of Clinical OperationsTina Null, Director of NursingLori Bryant*, Director of Quality and Patient Safety*Serves role at both Dublin Methodist andGrady Memorial hospitals.A FAITH-BASED, NOT-FOR-PROFIT HEALTHCARE SYSTEM8 Hospitals + more than 20 Health and Surgery Centers + Wellness + Primary and Specialty CareUrgent Care + Hospice + Home care + 22,000 Physicians, Associates and Volunteers© OhioHealth Inc. 2013 All rights reserved. FY13-324-70229. 02/13.