2007–2008 Annual Report

2007–2008 Annual Report 

“The future is created first 

in the mind and will, created next in activity. 

The future is not someplace we are going to, 

but what we are creating.” 

Southeast Missouri Hospital 

1701 Lacey Street 

Cape Girardeau, Missouri 63701 

573-334-4822 

1 

www.southeastmissourihospital.com 

Southeast Missouri Hospital Annual Report 2007–2008

A Message from the President 

When the founders of Southeast Missouri Hospital stood 

in grassy pastureland on Cape Girardeau’s westernmost 

boundary, they envisioned not seeing things as they were, 

but as they would be. The Hospital, so carefully molded by 

these visionary leaders in 1924 and opened in 1928, today 

shapes the healthcare of our region. 

We can only imagine what these men and women would 

think of us now. From serving just a few thousand people 

in 1928, today we are privileged to serve 600,000 people in 

22 southeast Missouri and southern Illinois counties. From 

a basic X-ray machine put on display by Southeast at the 

1928 District Fair, we have moved into the age of digital, 

instantly accessible imaging. Eighty years ago we owned one 

incubator; today, hundreds of babies are cared for annually in 

our Level III Neonatal Intensive Care Unit. Heart surgery was 

unheard of in Southeast’s infancy. Today, our Heart Hospital 

is ranked by HealthGrades in the top 10 percent nationally, 

the highest rating for our region. Our centers of excellence 

– Heart, Cancer, Orthopedics, Women’s and Children’s, Brain 

and Spine and Emergency Services – offer patients the most 

current services and technologies delivered by a highly 

experienced and dedicated cadre of healthcare specialists. 

The physical shape of Southeast Missouri Hospital also 

has evolved over the past eight decades. Since 1991 alone, 

we have added more than 396,000 square feet of Hospital 

additions, medical office buildings and fitness centers. All of 

these exciting projects have been completed with one thing 

in mind – our patients. 

This year, and in the years to come, our employees, 

physicians, volunteers and the civic-minded individuals who 

serve on our Board of Trustees, Foundation Board and College 

of Nursing and Health Sciences Board will work together to 

continue to define the quality healthcare that our region 

expects – and deserves. 

To your good health, 

James W. Wente, FACHE, CPA 

Southeast Missouri Hospital 

2007–2008 Annual Report

Shaping the future of… 

New construction projects and renovations 

of current Southeast Missouri Hospital units are 

planned with one thing in mind – our patients. 

Comfortable, attractive surroundings coupled with 

care delivered by an experienced, dedicated staff 

often help ease anxieties that may arise during a 

hospital stay. 

4 

Pediatrics 

Our youngest patients will soon have a new 

home on the first floor of the Hospital. Since 1948, 

when Southeast established the region’s first 

dedicated Pediatrics Unit, we have recognized that 

children who are hospitalized have very different 

needs from adult patients. The new unit will feature

eight kid-friendly rooms that toddlers to teens 

will find appealing. The private rooms include 

VHS and DVD players, PlayStations and flat 

screen televisions. Parents will have comfortable 

sleeping accommodations. All rooms are 

equipped with cardiac monitors and can quickly 

be transformed into a Pediatric Special Care 

Unit. Parents find the expertise and experience 

of Southeast’s Pediatric nurses, board-certified 

Pediatric Hospitalists and Pediatricians on staff 

at the Hospital reassuring, and also find comfort 

in the fact that Southeast is affiliated with SSM 

Cardinal Glennon Children’s Medical Center in 

St. Louis. Southeast’s physicians and skilled staff 

care for more than 15,000 babies and children 

every year. 

Obstetrics 

Because Southeast’s Obstetrics and Gynecology 

Unit is frequently at 100 percent-plus occupancy, the 

Hospital’s current Pediatrics Unit will be converted to 

labor-delivery-recovery suites. Work on that project 

will begin later this year. When completed in 2009, 

Southeast’s family-friendly OB unit will have 21 suites 

with top of the line amenities and four triage rooms. 

Complements to Southeast’s OB Unit are our Level III 

Neonatal Intensive Care Unit, established in 1978 as 

downstate Missouri’s first; experienced board-certified 

Neonatologists; a Neonatal Transport Team , available 

24/7 to transport sick infants to Southeast from 

smaller hospitals throughout the region; a Neonatal 

Development Clinic for high risk and premature infants; 

and Southeast Building Blocks of Missouri, part of the 

national Nurse-Family Partnership, designed to help 

first-time moms with little or no income prepare for a 

healthy childbirth experience. 

Emergency Services 

More than 37,000 people turn to Southeast’s 

Emergency Services for care every year. To improve 

overall services to patients using Emergency Services, a 

major expansion is well under way. The 3,000 square foot 

expansion includes a new Administrative Suite, additional 

triage areas, additional exam rooms (bringing the 

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Southeast Missouri Hospital Annual Report 2007–2008 

number of exam rooms to 24) and additional registration 

areas. Computers at the bedside will accommodate 

our new electronic medical records system. Emergency 

Services will have a dedicated satellite laboratory, which 

will process nearly 98 percent of all lab studies ordered 

in the department. Helping provide these improvements 

is the Hospital Auxiliary, which has made a three-year, 

$210,000 pledge toward the project. 

Cardiac Services 

This spring, a new Chest Pain Observation Unit 

opened. Located near the Cardiothoracic Intensive 

Care Unit, the Chest Pain Observation Unit is used to 

continually monitor patients while physicians wait for 

test results. Coming soon is the Hospital’s fifth – and 

second fully integrated digital – Cardiac Catheterization 

Lab, making that facility the largest in the region. Digital 

imaging vastly improves image detail and reduces 

radiation exposure to patients undergoing a cardiac 

catheterization procedure. Nearly 5,000 patients were 

treated in Southeast’s Cath Labs in 2007. This summer, 

the Hospital will open an Electrophysiology Lab which 

will help evaluate patients with heart arrhythmias 

such as atrial fibrillation. It will be one of a handful in 

the nation equipped with an EP Navigator, similar to a 

GPS navigation system but with a highly sophisticated 

system designed to triangulate and map the heart’s 

electrical signals and then correct the abnormalities 

causing those problems.


At Southeast Missouri Hospital, we embrace 

excellence as a never-ending journey, a process 

of continual evaluation and improvement. As the 

region’s first Heart Hospital, that journey began 

more than four decades ago with the establishment 

in 1966 of the area’s first Intensive Care Unit 

especially for cardiac patients performed the 

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region’s first open heart surgery procedure in 1984. 

The Heart Hospital today is a network of services 

developed by a team of physicians and other healthcare 

professionals highly specialized and experienced in 

cardiac care. More than 30 Hospital departments, 

from Anesthesia to Wellness Services, play vital role in 

Southeast’s comprehensive cardiovascular services.

Five-Star Rating 

Tracking patient outcomes and complication 

rates are keys to identifying premier cardiac care 

programs. Southeast ranks among the top 10 

percent in the nation for cardiac 

surgery, according to the 

recently-released Tenth Annual 

HealthGrades Hospital Quality in 

America Study. The study analyzed 

patient outcomes at virtually all of the nation’s 

5,000 hospitals over the years 2004, 2005 and 2006. 

In recognition of its ranking in the top 10 percent 

in the U.S. for cardiac surgery and Five-Star rating 

in that specialty, Southeast is one of two Missouri 

hospitals to receive the HealthGrades Cardiac 

Surgery Excellence AwardTM for 2008. Southeast also 

received Five-Star ratings for non-heart related care, 

including peripheral vascular bypass and treatment 

for pulmonary embolisms. 

Zero Complications 

Also according to HealthGrades’ 2008 data, 

Southeast had zero complications related to peripheral 

vascular bypass surgery for Medicare patients during 

the three-year study period (the predicted complication 

rate was 7.87 percent), a testament to the skill and 

expertise of Southeast’s cardiovascular surgeons Randy 

G. Brown, MD, FACS, William R.M. Ogle, MD, and J. Darryl 

Ramsey, MD. 

Chest Pain Center 

As southeast Missouri’s only nationally-accredited 

Chest Pain Center, Southeast is recognized for rapidly 

responding to and coordinating care of patients with 

possible heart attacks. The Center’s average door-to- 

EKG time for a patient complaining of chest pain is 

just four minutes. For those patients diagnosed with a 

heart attack, the door-to-catheterization time averages 

78 minutes, well below the 90-minute goal of the 

American College of Cardiology and the Society of 

Chest Pain Centers. In fact, the average time of arrival 

to treatment for heart attack patients was 66 minutes 

in the fourth quarter of 2007. 

7 


Get With the Guidelines 

In addition to ranking among the top 10 percent in the 

nation for cardiac surgery, Southeast also received the American 

Heart Association’s Get With the Guidelines – Coronary Artery 

Disease Silver Performance Achievement Award in recognition 

of the Hospital’s success in implementing a higher standard 

of cardiac care that effectively improves treatment of patients 

hospitalized with coronary artery disease. 

Gold Seal of ApprovalTM Southeast also holds the Gold Seal of ApprovalTM from The 

Joint Commission for Primary Stroke Centers. The certification 

reflects a commitment to excellence in stroke care, as evidenced 

by the Regional Brain and Spine Center’s highly advanced 

neurosurgery technologies, Neuro Unit and Neuro Intensive Care 

Unit, inpatient Rehabilitation Unit and the community’s only 

adult inpatient Psychiatric Unit. 

A Magnet Hospital 

The proven quality of care that places Southeast 

side-by-side with the finest medical centers also is 

testimony to the Hospital’s staff of 594 registered 

nurses, nearly half of whom are prepared at the bachelor 

degree level or higher, and almost 30 percent are trained in their 

practice specialty. Southeast’s designation as southeast Missouri’s 

only Magnet Hospital by the American Nurses Credentialing 

Center is critical to overall patient care. This tribute to the quality 

of nurses and the entire Southeast staff reflects our unwavering 

commitment to offer the best in quality care to our patients.


As part of our commitment to provide the best in 

care, we continually invest in world class technologies 

that give physicians the tools they need to best benefit 

patients and give patients access to these remarkable 

technologies close to home. Many of the technologies 

available at Southeast Missouri Hospital are equal – and 

in some cases superior – to technologies found at some 

of the world’s most prestigious medical centers. 

Diamondback 360TM Orbital Atherectomy System 

A new treatment option is available at Southeast 

for people suffering from the debilitating effects of 

peripheral arterial disease (PAD). The Diamondback 

360TM Orbital Atherectomy System utilized by Cardiac 

and Vascular Surgeons of Southeast Missouri Hospital 

uses a unique orbital motion with an offset, diamond 

coated “crown” to sand away plaque. The system 

optimizes the ability to remove even tough, calcified 

plaque and restore blood flow for treating PAD, 

8 

The Diamondback 360 TM in action. 

ultimately improving a patient’s quality of life and 

saving limbs. 

Novalis® Shaped Beam SurgeryTM At Southeast’s Novalis® Shaped Beam Surgery TM 

Center, patients are assured of unsurpassed accuracy 

and precision for the treatment of benign and 

malignant tumors of the brain, prostate and other 

areas of the body as well as treatment of trigeminal 

neuralgia and other neurological disorders. Working 

closely on treatment planning for patients are 

Southeast’s Medical Director of Radiation Oncology 

Joseph P. Miller, MD, and neurosurgeons from the 

Brain and NeuroSpine Clinic of Missouri who are on 

the Hospital’s Medical Staff. Southeast is the first 

medical center in Missouri, and one of fewer than 85 

worldwide, to offer Novalis. And while both Novalis 

and Southeast’s linear accelerator are equipped with 

intensity-modulated radiation therapy (IMRT), Novalis

takes IMRT a step further with image-guided radiation 

therapy (IGRT). 

da Vinci® Surgical System 

Southeast is the third hospital in Missouri and the first 

community hospital in the state to offer robotic-assisted 

surgery using the da Vinci® Surgical System. Using da Vinci, 

physician specialists from Cape Girardeau Urology Associates 

can surgically remove the prostate gland with a magnified, 

three-dimensional view of the prostate more detailed 

than is possible with the human eye alone. More than 100 

robotic-assisted prostatectomies are performed annually at 

Southeast. 

Monaco® IMRT Workstation 

Southeast’s Radiation Therapy Department continues 

to offer state of the art radiation therapy treatment planning 

technology, and has upgraded its equipment to include the 

highly sophisticated Monaco IMRT Workstation. Monaco is 

an intensity-modulated radiation therapy (IMRT) treatment 

planning program that utilizes the latest Monte Carlo dose 

calculation model. This new system enables physicians to 

better optimize radiation dose distributions, with a shorter 

treatment time for the patient and the most accurate dose 

delivery currently available. 

MammoSite® 

Southeast is the first hospital in the region to add 

MammoSite high-dose radiation therapy to its arsenal of 

treatment options for breast cancer. This form of partial breast 

irradiation is used to treat early Stage I or Stage II tumors. 

MammoSite also can reduce the total number of treatments 

from a standard 30 treatments over six weeks to just 10 

treatments over the course of five days. 

Gynecologic Brachytherapy 

Southeast also is the only cancer center in the region 

to offer an HDR brachytherapy option for some forms of 

gynecological cancer. Now, rather than undergoing lowdose 

brachytherapy, which can involve an overnight stay in 

the hospital and confine the patient to bed for several days, 

a woman can receive high-dose-rate brachytherapy on an 

outpatient basis. In most cases a course of treatment consists 

of three to four treatments that usually can be delivered in 

less than 10 minutes. With this procedure patients have less 

discomfort and are better able to tolerate treatment. Breast 

MRI, available at Southeast since August 2007, features 

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cutting-edge technology that, for each breast MRI exam, 

can produce over 1,000 images with contrast between soft 

tissues in the breast many times greater than that obtained 

with standard mammography. The ability to perform MRIguided 

biopsies is essential to detecting cancers. Breast MRI, 

in addition to mammography, is recommended for high-risk 

women – those with a 20 to 25 percent or higher chance of 

developing breast cancer over the course of a lifetime. 

NESS H200TM & NESS L300TM For many stroke patients, two technologies brought 

to not only the region but the state by Southeast are 

helping these patients regain mobility and recapture 

their independence. The NESS H200 for hands and the 

NESS L300 for legs use functional electronic stimulation 

to activate muscles that have been affected by stroke or 

injury. These exciting new technologies are used both in 

Southeast’s acute rehab program and outpatient rehab. 

Both technologies also may be used in the home setting 

as well. 

X-Stop® & Prestige® Cervical Disc 

For patients with spinal stenosis, the X-Stop implant 

has been successful for many patients. Traditional surgery 

for this condition involves removal of bone and soft tissue. 

Now, neurosurgeons at the Brain and NeuroSpine Clinic of 

Missouri, at Southeast’s Regional Brain and Spine Center, can 

insert the X-Stop, 

smaller than a 

quarter, through a 

small incision in the 

back. The procedure 

is less invasive and 

promises a faster 

recovery time. 

Neurosurgeons 

at the Brain and 

NeuroSpine Clinic of 

The Prestige Cervical Disc 

Missouri also have 

the expertise to implant the new Prestige Cervical Disc, 

approved by the Food and Drug Administration in July 2007 

as the first artificial disc for the treatment of degenerative 

disc disease and herniated disc. Because of its unique ball 

and trough design, the disc allows a patient to maintain 

neck flexibility.


For years, “wellness” was not a word often 

associated with hospitals. Almost 30 years ago, 

Southeast Missouri Hospital became the first 

hospital in the region and one of just a handful in 

the state to introduce a wellness program designed 

to promote the importance of a healthy lifestyle, 

thus embracing a new commitment not only to 

care for the sick, but to invest in the health of the 

community as well. 

10 

HealthPoint Fitness 

After 15 years of successful hospital-based 

wellness programming, Southeast again reached 

out, this time beyond the Hospital campus into 

neighboring Jackson, MO. HealthPoint Fitness in 

Jackson today serves thousands of families and 

individuals with fitness and educational offerings 

to encourage a healthy lifestyle. To meet the rapid 

growth in memberships at HealthPoint Fitness in

Cape Girardeau, opened in 2004, a 13,200 square foot 

expansion was completed. The expansion features a 

four-lane lap pool, an expanded cycle studio with video 

technology that simulates rides through the countryside 

and also incorporates mountain scenery, additional 

group exercise rooms and expansions to locker rooms, 

the fitness concourse and more. 

Both HealthPoint facilities offer teams of certified 

fitness specialists and personal trainers to help people of 

all ages design programs to safely and effectively meet 

and maintain their fitness goals. An appealing selection 

of fitness classes, weight management and nutrition 

programs, support groups and youth fitness programs 

are available through HealthPoint. Other innovative 

programs at HealthPoint Fitness include Turning Point 

for breast cancer survivors; Starting Point for weight 

management; and sports enhancement programs for 

recreational and competitive athletes. 

Partnering with Businesses 

Southeast reaches out to area businesses with 

corporate wellness programs that include WorkWell 

and the Hospital’s Occupational Medicine Clinic. These 

services benefit both employers and employees – from 

pre-assessment screenings and occupational medicine 

to outpatient rehabilitation, risk assessments and 

fitness programs. 

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Unique to Southeast is HealthWorks, which helps 

businesses manage and track employee wellness and 

develop a customized, onsite employee health initiative. 

By partnering with Southeast’s experienced corporate 

liaison, employers can also project healthcare claims 

based on the health of the workforce, look into the 

future to understand where healthcare dollars will likely 

be spent, and, most importantly, work to impact those 

costs by lowering risks. 

Living Well with Diabetes 

Established just over a year ago, Southeast’s 

Diabetes Center, conveniently located in Doctors’ 

Park, is dedicated to providing the comprehensive 

self-management skills people with diabetes need to 

maximize the effectiveness of medical treatment. In 

Missouri alone, more than 313,000 children and adults 

are coping with the potentially debilitating disease. 

In March, the 

prestigious American 

Diabetes Association 

Education Recognition 

Certificate for a 

quality diabetes selfmanagement 

program 

was awarded to 

Southeast’s Diabetes 

Center. This recognition 

status is an indicator to the community, providers 

and participants that services offered by the Diabetes 

Center meet or surpass national standards. The Center 

offers education to patients and families in the most 

effective way, providing information and support for 

behavior change over an extended period of time 

in the outpatient setting. Working with the center’s 

experienced dietitians and registered nurse, all certified 

diabetes educators, 80 percent of all participants in 

the Center’s program have achieved target blood 

glucose readings.


Taking healthcare to those who need it most 

drives the newest partnership between Southeast 

Missouri Hospital and Southeast Missouri State 

University. Through the partnership announced 

in March, the reach of the University’s Southeast 

Health On Wheels (S.H.O.W. Mobile) will be 

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extended and services enhanced. 

The 38-foot mobile health center, outfitted 

with medical and dental equipment, was made 

possible by a Congressional directed investment 

supported by the Missouri delegation. The unit 

previously operated only within four southeast

Missouri counties. Under the partnership it now travels 

throughout the Eighth Congressional District. The unit 

began operations in 2006. 

On board the S.H.O.W. Mobile are Southeast 

Missouri Hospital advanced practice nurses, registered 

nurses and area physicians. Services offered on the 

S.H.O.W. Mobile include well-child exams; well-woman 

exams; pre-participation sports physicals; care for 

acute illnesses such as ear, skin, urinary tract and sinus 

infections; care for chronic disease such as diabetes, 

hypertension, asthma and high cholesterol; recreational/ 

exercise assessments; nutrition and dietary assessments; 

and educational programming designed to promote a 

healthy literacy and a healthy lifestyle among all ages. 

The S.H.O.W. Mobile also will provide students at 

the University and the Hospital’s College of Nursing 

& Health Sciences with valuable clinical learning 

experiences and personal 

13 


interaction with patients. Through the Hospital’s 

HealthWorks program, education and screenings also 

can be taken directly to area work sites. 

Convenient Access 

Within the community, Southeast Missouri 

Hospital provides convenient access to a number of 

medical specialists and ancillary care services including 

lab services, MRI, renal care, Cardiac and Pulmonary 

Rehabilitation and Plaza 

Pharmacy in Southeast 

Medical Plaza located on 

the main Hospital campus. 

People living in the Jackson, 

MO, area find Main Street 

Pharmacy a convenient 

alternative to traveling to 

Plaza Pharmacy. Exterior 

work on Southeast’s two-story, 44,000 square foot 

West Campus Medical Office Building is now complete 

and will soon house additional specialists and 

services to help meet the region’s growing 

healthcare needs.


www.southeastmissourihospital.com 

Southeast Missouri Hospital continued to 

expand its online presence in 2007 with more 

interactive tools for Website visitors. The Hospital 

Website added free online risk assessments for 

Heart and Prostate Cancer, and a weekly e-mail 

offering for parents that follows child development 

from pregnancy through age three. 

In 2007, Southeast Missouri Hospital also 

became the first hospital in the region to go wireless 

campus wide. This free high-speed Internet access 

better known as Wi-Fi is in demand by both visitors 

and patients. It’s well used by patients on the Dennis 

B. Elrod Obstetrics Unit who utilize e-mail and 

webcams to send photos and videos of newborns 

moments after birth to family across the globe. 

A new section on Quality Measures has proved 

a popular destination for Web visitors as today’s 

savvy healthcare consumers compare outcomes and 

14 

technologies as they make their healthcare choices. 

In late summer of 2008, the Hospital plans to 

roll out a completely redesigned site with even more 

interactive features and improved navigation. Look 

for such new interactive tools as Online Bill Pay, 

Online Patient Pre-Registration, a robust Video Library 

and much more. 

The new site will also include instant online chat 

for those visitors wanting information on physician 

referrals, classes and events, as an outgrowth of the 

Hospital’s popular HealthLine. 

www.choosesoutheast.com 

“Choose Southeast,” Southeast Missouri 

Hospital’s interactive Web site focusing on physician 

recruitment, provides a closer look at the community 

of Cape Girardeau, the region and the many strengths 

of Southeast Missouri Hospital. Physicians can also 

see many of the medical jobs currently available at 

Southeast, and submit a CV online.

Under the Hospital heading, visitors find a short video 

welcome from Southeast President and CEO James W. Wente, 

FACHE, CPA. Prospective Southeast physicians also learn more 

about our nursing excellence, and the fact Southeast is a 

Magnet Nursing Hospital. Visitors hear first-hand from Chief 

Nursing Officer Karen Hendrickson, Ed.D., RN, CNAA, BC, about 

the close working relationship between our highly-educated 

nurses and physicians. 

While Cape Girardeau is a town of just under 40,000, 

it’s the retail, education and more importantly, the medical 

hub for southeast Missouri and southern Illinois. Southeast 

Missouri Hospital serves 22 counties with a population of 

more than 600,000 people. Narrated video slideshows from 

the President of the Cape Girardeau Chamber of Commerce, 

John Mehner, tell about the community’s unique offerings. 

E. Lee Taylor, M.D., JD, Vice President and Chief Medical 

Officer at Southeast, says, “Physicians are surprised to learn 

about the scope and breadth of medical care and the 

sophistication of services in a town this size. It’s phenomenal.” 

HealthLine: 1-800-800-5123 or 651-6000 

The phone rang once before a friendly voice answered. 

“Good morning. Thank you for calling Southeast Missouri 

Hospital’s HealthLine. My name is David. How may I help you?” 

The caller on the other end of the line explained that she 

was moving to Cape Girardeau from Colorado and needed to 

find a pediatrician for her daughter. “I’ll be happy to assist you,” 

David replied as he pulled up names, addresses and contact 

information for local pediatricians on his computer screen. 

With that call last fall, the Southeast Missouri Hospital 

HealthLine was born. 

15 


Also known as the Hospital’s “call center,” the HealthLine 

provides free information – 24 hours a day, seven days a week 

– about Hospital services, programs, classes and screenings 

as well as referral information about physicians on Southeast’s 

Medical Staff. Calls are answered by live customer service 

representatives; there is never a busy signal or a recorded 

message telling callers to try again later. 

Since the service was initiated, there has been an average 

increase of 22 percent in call volume every month. The 

number of physician referrals has more than tripled since 

Southeast began offering the service. 

Tracking Patient Satisfaction 

When it comes to patient satisfaction, a new government 

report says patients at Southeast Missouri Hospital are more 

satisfied than patients at some of the nation’s best-known 

medical facilities. 

The report, called HCAHPS (short for Hospital Consumer 

Assessment of Healthcare Providers and Systems), allows 

the public to compare satisfaction levels for hospitals and 

healthcare systems throughout the United States, giving 

healthcare consumers a new tool for measuring quality on the 

basis of customer satisfaction. 

Southeast Missouri Hospital’s initial HCAHPS scores 

– released in March 2008 – compare very favorably to 

satisfaction data listed for facilities such as Johns Hopkins 

Hospital in Baltimore, UCLA Medical Center in Los Angeles, 

Cleveland Clinic in Ohio, New York-Presbyterian University 

Hospital in New York City, Duke University Medical Center 

in Durham, NC, Barnes-Jewish Hospital in St. Louis, Stanford 

Hospital and Clinics in California, and scores of other top-rated 

facilities throughout the nation.* 

In fact, in almost every category, Southeast Missouri 

Hospital’s HCAHPS scores outpace comparable state and 

national patient satisfaction data. More information about 

HCAHPS, including an interactive patient satisfaction 

comparison tool, can be found on the U.S. Department of 

Health & Human Services Hospital Compare Website, 

www.hospitalcompare.hhs.gov. Information can also be 

found on the Quality Measures section of Southeast Missouri 

Hospital’s Website, www.southeastmissourihospital.com. 

* All hospitals listed here are included in U.S. News & World Report’s 

Honor Roll of “America’s Best Hospitals” for 2007.


Southeast Missouri Hospital Senior Leadership Board of Trustees - Officers 

James W. Wente, 

FACHE, CPA 

President & CEO 

Patrick G. Bira, 

FACHE, MHA, JD 

Vice President 

College of Nursing 

& Health Sciences 

Sheila Caskey, PhD 

President 

Karen Hendrickson, 

Ed.D., RN, CNAA, BC 

Vice President & 

Chief Nursing Officer 

Daniel L. Berry, 

JD, CHE 

Vice President, 

Legal Affairs 

Board of Trustees 

Narvol A. Randol, Jr. 


Jacklyn S. Clark-Otto 

Secretary 

• Southeast Missouri Hospital 

Accredited by The Joint Commission 

• Accredited by The Joint Commission 

for Southeast Home Health and 

Southeast Hospice 

• Accredited by the American Nurses 

Credentialing Center, a branch of 

the American Nurses Association, 

and awarded Magnet Nursing 

Services Recognition 

• Accredited by the Society 

of Chest Pain Centers 

• Southeast Missouri Hospital holds 

the Gold Seal of ApprovalTM from 

The Joint Commission for Primary 

Stroke Centers 

David Strong, CPA 

Vice President & 

Chief Financial Officer 

E. Lee Taylor, 

MD, JD 

Vice President and Chief 

Medical Officer 

Pat Carron, MHA, CHE 

Jean Chapman, MD 

T. Ronald Hahs 

David Ludwig 

Benjamin F. Lewis 

A.M. Spradling, III 

Georganne Syler, PhD 

James A. Rust 

Chairman 

Active Trustees 

Ilena Aslin 

Michael W. Bennett, DDS 

James Dufek 

*Robert W. Erlbacher, II 

Robert W. Erlbacher, III 

*J. Ronald Fischer 

Cliff W. Ford 

Walter J. Ford 

John W. Grimm 

*David L. Hahs 

T. Ronald Hahs 

Gregg S. Hallman, MD 

Southeast Missouri Hospital Accreditations 

• Southeast Missouri Hospital’s College of 

Nursing & Health Sciences, accredited by 

the Higher Learning Commission of the 

North Central Association of Colleges and 

Schools 

• Accredited by the Missouri State Board of 

Nursing for the Southeast Missouri Hospital 

College of Nursing & Health Sciences 

• Accredited by the Commission on 

Laboratory Accreditation of the College of 

American Pathologists 

• Accredited by the American College of 

Surgeons’ Commission on Cancer 

• Accredited by the Intersocietal Commission 

for the Accreditation of Vascular 

Laboratories 

16 

James P. Limbaugh 

First Vice Chairman 

Robert S. Hunt, MD 

Christopher L. Hutson 

Mary C. Kasten 

Ed K. Kiefner 

Jay B. Knudtson 

*Michael D. Kohlfeld 

David A. Law, MD 

Benjamin F. Lewis 

David S. Limbaugh 

Frank H. McGinty, MD 

*Robert G. Neff 

Michael A. Price 

Southeast Missouri 

Hospital Auxiliary 

Executive Committee 

Barbara Campbell 

President 

Dorothy Taylor 


A. M. Spradling, III 

Second Vice Chairman 

Judy Brown 

Recording Secretary 

Rosemary Logan 

Corresponding Secretary 

Scot G. Pringle, MD 

*Narvol A. Randol, Jr. 

Paul W. Sander 

Janice L. Seabaugh, MD 

W. Ray Silliman, MD 

C.R. Talbert, Jr., MD 

Kevin A. Vaught, MD 

*Jerry R. Zimmer 

*Executive Committee 

John M. Thompson, 

Secretary – Treasurer 

Jeanette Patterson 

Treasurer 

Kathy King 

Immediate Past President 

• Accredited by the American College 

of Surgeons’ Commission on Cancer 

for Radiation Therapy 

• Accredited by the American College 

of Radiology 

• Accredited by the American 

Association of Cardiovascular and 

Pulmonary Rehabilitation 

• Licensure by the State of Missouri for 

Southeast Home Health 

• Certification through the State of 

Missouri/Southeast Hospice 

• Diabetes Center holds Diabetes Self- 

Management Education Recognition 

Certificate from the American 

Diabetics Association

Where the revenUe comes from 

Inpatient Ancillary ....................................................... 46.0% 

Outpatient Ancillary .................................................... 43.1% 

Nursing, Dietary & Room ...............................................8.4% 

Home Services ..................................................................0.7% 

Other Services, Non-Patient ..........................................1.8% 

TOTAL .......................................................................... 100.0% 

hoW net revenUes are Used 

Salaries & Employee Benefits ..................................... 49.2% 

Depreciation .....................................................................5.7% 

Drugs & Pharmaceuticals ...............................................4.7% 

Repairs & Maintenance ...................................................2.4% 

Utilities ..............................................................................1.1% 

Interest ..............................................................................1.8% 

Food Service .....................................................................0.7% 

All Other Costs .............................................................. 34.4% 

TOTAL OPERATING EXPENSES ................................ 100.0% 

Licensed beds ....................................................................269 

Admissions .................................................................... 11,487 

Patient days .................................................................. 48,831 

Average length of stay (all patients) ......................4.2 days 

Total number of employees .........................................2,059 

Emergency visits .......................................................... 37,690 

Surgical cases ..................................................................8,002 

Radiation Therapy procedures .....................................5,786 

Mammograms .................................................................7,339 

Home Health visits ........................................................7, 516 

statIstIcs 

17 


Uncompensated care 

Medicare Free Care ....................................................... 59.2% 

Commercial Free Care .................................................. 19.5% 

Medicaid Free Care ....................................................... 12.3% 

Bad Debts & Charity ........................................................7.0% 

All Other ............................................................................2.0% 

TOTAL ........................................................................... 100.0% 

Hospice routine days .................................................. 17,326 

Outpatient registrations ............................................ 97,867 

Laboratory tests ......................................................... 591,428 

Volunteer hours ........................................................... 62,877 

Meals served ............................................................... 446,451 

Wellness Center ........................................................... 18,150 

Generations Center service contacts ....................... 27,500 

Cardiac Cath procedures ...............................................4,732 

Births .................................................................................1,273 

Radiological procedures ............................................ 81,060

2007–2008 Annual Report

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