2013 annual report
aiming high
A Higher Level of Care, Today and Tomorrow
We live at a time of unprecedented changes in the health care environment. It seems that every day brings new challenges, whether it is expanding regulations, diminishing reimbursements or heightened expectations for efficiency and cost reduction. We want to assure our community that, at MidState Medical Center, these changes in health care will not mean changes in care.
MidState is well positioned to successfully navigate health care’s turbulent seas. Our clinicians and staff are the best in their fields. We have the most advanced technology. We have practices in place that provide outstanding care for patients, not only in the hospital, but across the care continuum.
Just as important, we have the advantage of being a partner in Hartford HealthCare. This partnership helps MidState capitalize on countless opportunities for efficiency and cost savings while giving our patients access to the very highest levels of care, right here in our area. Over the past year, we have further integrated with the Hartford HealthCare system, and the benefits of our partnership continue to grow.
The abundance of outside recognition MidState received this year testifies to our ongoing commitment to excellence. We were particularly proud to receive the Healthgrades 2013 Outstanding Patient Experience Award. This honor places MidState among a select group of hospitals nationwide that manage to transcend the challenges of today’s health care environment to provide an outstanding patient experience and a superb quality of care.
Other distinctions MidState received this year included being named “Baby-Friendly” for our best practices in infant nutrition and receiving the NICHE (Nurses Improving Care for Healthsystem Elders) designation for excellence in geriatric care. These two honors underscore our commitment to excellent care for the very young, the very old and everyone in between.
This year, we continued to break new ground in diagnosis and treatment with the introduction of navigational bronchoscopy, the state’s first robotic splenectomy and a new test for Parkinson’s disease. We also responded to community health needs with educational programs on diabetes and more comprehensive services for our seniors.
MidState and our partner hospitals were honored this year when Memorial Sloan-Kettering selected the Hartford HealthCare system as the inaugural member of its newly formed Memorial Sloan-Kettering Cancer Alliance. The MSK Cancer Alliance is dedicated to moving innovative, evidence-based cancer care into community settings. Hartford HealthCare’s selection as the alliance’s first member speaks volumes about HHC’s consistently high-quality care and the proven expertise of our physicians and medical teams.
You will read about other MidState achievements and innovations in this report. They tell a positive story about the character and quality of your local hospital and our commitment to continuing to care for you now and in the future.
Lucille A. Janatka,
President & CEO
Bruce C. Eldridge,
Chairman of the Board
healthy connections
Connecting, Communicating, Caring
As I reflect on the past year and look to what’s ahead for MidState, two major themes come to mind: connectivity and communication.
This year we have strengthened connectivity in several ways. We have become more fully integrated with Hartford HealthCare. HHC partners have come together to communicate more effectively, standardize medical and surgical care, and work to ensure that patients receive the well-coordinated care that results in superior outcomes.
We continue to focus on enhancing connectivity and communication among providers to achieve integration of clinical care. It is imperative that emergency physicians, hospitalists, primary care physicians and specialists share information about each patient in a timely manner so care is seamless and thorough. Communication with the patient is equally important, and medication reconciliation is a key element. At discharge, patients now receive a printout of all medications prescribed for them, so they have the information at hand when they go home and when they follow up with primary care providers or specialists.
MidState has chosen a firm to provide our electronic health record. The implementation of an EHR will enhance our ability to provide fully integrated care. With an EHR in place, every provider a patient sees in our system will have immediate access to that patient’s information, including medications, laboratory results and imaging studies. This will enhance both coordination and communication.
Connectivity was manifested this year in our links to other institutions. MidState established ties with the Frank H. Netter, MD, School of Medicine at Quinnipiac University. The school emphasizes patient-centered primary care. Members of MidState’s medical staff serve as mentors and faculty. Also this year, Hartford HealthCare became the first system chosen to participate in the Memorial Sloan-Kettering Cancer Alliance. Our connection to one of the world’s foremost cancer centers will enhance our ability to offer patients leading-edge therapies and opportunities for clinical trials.
So many changes are taking place in health care. Many, such as increased integration, benefit patients enormously. Yet it is important that we as physicians remain mindful of the overarching importance of providing personal care—looking each patient in the eye, listening carefully to what patients say and treating each patient as a unique individual. This very human connection is the core of what it means to be a healer. This is what truly makes us doctors.
Richard Smith, MD,
Chief of Medical Staff
new precision
Navigational Bronchoscopy
A new, minimally invasive procedure introduced at MidState means safer, more accurate diagnosis and treatment of lung abnormalities.
Cristobal Alvarado, MD
MidState is committed to being at the forefront of innovation, ensuring that patients benefit from the newest and most effective diagnostic procedures and therapies. This commitment was in evidence this year as thoracic surgeon Cristobal Alvarado, MD, performed MidState’s first navigational bronchoscopy. Formally called superDimension electromagnetic navigational bronchoscopy, the breakthrough procedure uses advanced technology to allow a skilled physician to biopsy abnormalities in the farthest recesses of the lung.
Lung abnormalities are typically detected by X-ray or CT scan. Biopsy—the examination of cells taken from the lesions—is the best way to determine the precise nature of the abnormality. “There can be many things happening in the lung that all look the same on radiographic imaging,” Dr. Alvarado says. “Having a piece of tissue to look at under the microscope lets us understand exactly what’s going on.” If the lesion is found to be cancerous, biopsy can identify the type of cancer it is, allowing doctors to develop the best treatment plan.
Until now, the only way to obtain cells from a lesion beyond the lung’s central portions was to insert a needle from the outside of the body into the lung under CT scan or ultrasound. But this approach can cause complications such as bleeding or lung collapse.
Navigational bronchoscopy, on the other hand, is minimally invasive. It combines GPS technology and CT scanning to, as Dr. Alvarado explains, “create a virtual bronchogram that allows us to send a very small catheter to the far reaches of the lung and take tissue for biopsy.”
The procedure carries far less risk than the needle technique. It takes approximately an hour, depending on the number of areas to be biopsied. The patient is under general anesthesia during the procedure to ensure comfort and minimize movement. The system’s sophisticated GPS technology further enhances precision by accounting for the lung’s normal breathing motion.
“This is a good moment in time for this technology,” Dr. Alvarado says, citing recent research showing that low-dose CT scanning is highly effective in detecting lung abnormalities early in certain high-risk groups of people.
This year, under the leadership of radiologist James Carroll, MD, MidState launched a new Lung Cancer Screening Program. The program provides free screening CT scans for people who meet specific criteria and are referred by their physicians. In people found to have lung abnormalities, navigational bronchoscopy will be a valuable, minimally invasive way to distinguish between benign and cancerous lesions. This will help prevent unnecessary invasive procedures as well as guide treatment options.
Today—and tomorrow—patients can count on MidState for leading-edge diagnosis and treatment.
James Carroll, MD
Betty Mitchell
Betty Mitchell, the first patient to have a navigational bronchoscopy procedure at MidState, found it easy to undergo. “I got to MidState in the morning. They put me to sleep. The recuperation was nothing. I didn’t even have a sore throat. I was just in and out,” Mrs. Mitchell says. With information gained from the procedure, Mrs. Mitchell’s doctors were able to determine the best course of treatment for her.
higher tech
Robotic Splenectomy
One of MidState’s expert surgeons was the first in Connecticut to apply robotic technology to surgical removal of the spleen—improving safety and reducing risk.
MidState’s combination of accomplished surgeons and sophisticated technology means an ever-higher level of care for patients. One example is an innovative surgical procedure recently performed by MidState surgeon Nicholas Verdura, MD. Dr. Verdura has extensive experience using the robotic da Vinci® Surgical System to perform gastric bypass and other bariatric—or weight-loss—surgical procedures and other surgical procedures on the gastrointestinal tract. This summer, he became the first surgeon in Connecticut to apply robotic techniques to remove a patient’s diseased spleen.
Spleen removal may become necessary for a variety of reasons. In the case of this patient, Melissa Haag, the spleen was enlarged and covered with cysts. The condition was not only causing Ms. Haag severe pain, but it was putting her at risk for the cysts to rupture and cause dangerous bleeding. Dr. Verdura determined that an elective splenectomy was the best course of treatment and that using the robotic approach would yield the best results.
Surgical removal of a spleen is typically done using minimally invasive, laparoscopic techniques. Laparoscopic surgery has advantages over open surgery, because it uses only a few small incisions, thereby reducing trauma, bleeding, postoperative pain, length of hospital stay and other risks. As Dr. Verdura explains, the robotic approach offers even more advantages.
“In standard laparoscopy, you make small incisions, but your ability to manipulate enlarged, diseased organ structures is limited, which could cause injury or bleeding,” Dr. Verdura says. “Laparoscopic instruments are straight, but the tips of the da Vinci robotic ‘arms’ function like a human wrist. The da Vinci provides three-D, rather than two-D images, so it offers better visualization of the anatomy. It also provides better retraction, because it has three robotic arms. And, as you’re working, the system allows greater precision of movement.”
The operation to remove Ms. Haag’s spleen took about two hours to complete. Dr. Verdura removed the spleen using an incision of only one and one-half centimeters. Ms. Haag stayed in the hospital for four days and was back to work two weeks later. Today, Dr. Verdura says, “She’s doing great. The pain is gone, and she’s very happy with the surgical outcome.”
Does Dr. Verdura expect the robotic approach to become the standard of care for spleen removal? “For elective splenectomies, for a surgeon who has had robotic training and is comfortable with it, this will definitely be an advantage,” he says. “Personally, if I have another case like this one come up, I’ll use the robotic approach again.”
Finding new ways to combine expertise and advanced technology to benefit patients: At MidState, it’s a way of life.
Nicholas Verdura, MD
our recognition
Crystal Obelisk Award
Campione family
A. Lee Campione honored with Crystal Obelisk Award.
MidState Medical Center presented its 2012 Crystal Obelisk award to A. Lee Campione. The award, which has been given for more than a decade, recognizes an individual or group that has made significant contributions to the health care delivery system in the community.
Mrs. Campione was selected for the award because she exemplifies how the Meriden community can collaborate with the health care system to ensure that it is an asset to all community residents. She is the founder of Community Vision, a group that works to connect health care to the community, and she is actively involved in the Greater Meriden Chamber of Commerce and the Meriden Economic Development Corporation. Her efforts reflect her conviction that a health community is multidimensional, inclusive and dynamic.
The widow of Matthew Campione, MD, Mrs. Campione is a model of community service to her four daughters, nine grandchildren and two great-grandchildren. By her example, she has shown them and countless others the importance of taking care of the communities in which we live, work and raise our families.
In accepting MidState’s Crystal Obelisk Award, Mrs. Campione said,
“I have loved this
hospital all my life.”
Employee/Team of the Year
MidState names Employee and Team of the Year.
At its 19th annual Employee and Team of the Year Awards ceremony, MidState honored 12 teams and 15 employees who most exemplified the medical center’s values of Integrity, Caring, Excellence and Safety.
Gary Blumberg: Information Services Consultant
Taking home the Employee of the Year Award was Information Services Consultant Gary Blumberg.
Gary, who came to MidState in 2010, assists staff throughout the hospital and works on a variety of information technology projects. Most recently, he led projects to set up the hospital’s video conferencing capabilities and address the IT needs of the new simulation lab. He also co-chairs the Technology and Innovation Committee.
Gary was cited by nominators as an employer’s dream employee—someone who is passionate and enthusiastic and is a solutions-oriented thinker.
Second-place honors went to respiratory therapist Maria Marques. Third place went to Brad Stevenson, who manages MediQuick Urgent Care in Meriden and Cheshire.
SurgiCenter/PACU
This year’s Team of the Year was SurgiCenter/PACU.
This team was noted in nominations as being a role model for professional accountability. One nominator said team members demonstrate a deep commitment to evidence-based practice that enhances quality of care. Recently, the team implemented two initiatives to improve patient care, and both initiatives were presented at a conference sponsored by the Institute of Health Care Education.
Second-place Team of the Year honors went to the Emergency Department, and Pavilion D was the third-place team.
Physician Recognition Awards
Four receive MidState Physician Recognition Awards.
Drs. Sherwin Borsuk, Aly Hemdan-Abdalla, Howard Dubin and Rajani Nadkarni were this year’s recipients of MidState’s Physician Recognition Awards. Nominations for the awards come from the entire MidState community, including physicians, staff, patients and patients' families. In addition to the four awardees, 21 distinguished physicians were nominated—an honor in itself.
Donor Recognition
2013 Successful Employee Annual Appeal
MidState Medical Center continues to have a strong culture of philanthropy, and our employees are one of the most important reasons why. Collectively, over the past 15 years, MidState employees have given more than $612,528 to the Annual Appeal and $516,416 to the three building projects.
This year’s Employee Annual Appeal was the most successful appeal in the last
15 years, raising more than$00,000
MidState Medical Center’s Infinity Circle
MidState’s bequest society, the Infinity Circle, continues to welcome new members each year. Five new members joined the Infinity Circle in 2012—2013, bringing our total number of members to 49.
our achievements
Healthgrades® Recognizes MidState
Healthgrades, the leading online resource that helps consumers search, evaluate, compare and connect with physicians and hospitals, this year named MidState Medical Center among a select group of hospitals providing outstanding performance in delivering a positive experience for patients during their hospital stay. The award places MidState among the top 15 percent of hospitals nationwide for excellence in patient experience.
President and Chief Executive Officer Lucille Janatka accepted the award on behalf of the hospital at a ceremony held at MidState on Sept. 18, 2013. Area business leaders, elected officials and MidState administrators, physicians and staff were on hand for the presentation.
To be eligible for the Healthgrades 2013 Outstanding Patient Experience Award, MidState Medical Center had to have met the award’s clinical quality threshold and have data for a minimum number of HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) surveys:
- Clinical Quality Threshold: MidState Medical Center ranked among the top hospitals for clinical quality as ranked by average z-score across the conditions and procedures that Healthgrades evaluates using Medicare data.
- Minimum Number of HCAHPS Surveys: MidState Medical Center had data for at least 100 HCAHPS surveys to reliably assess performance.
MidState’s selection for this award reflects the medical center’s commitment to providing superior quality clinical care in a patient-centered environment.
Most Wired Hospital
MidState named among nation’s Most Wired hospitals—again!
For the fourth consecutive year, MidState Medical Center was named one of the Most Wired hospitals in the nation by Hospitals & Health Networks, the journal of the American Hospital Association.
MidState has been participating in the Most Wired survey for more than five years. The survey is administered in cooperation with the American Hospital Association, McKesson Corp., and the College of Healthcare Information Management Executives.
Most Wired hospitals show better outcomes in patient satisfaction, risk-adjusted mortality rates and other key quality measures. More than 1,500 hospitals completed the Most Wired survey, which focuses on how hospitals use information technology to improve quality, customer service, public health and safety, business processes and workforce issues. According to the survey report, Most Wired hospitals “leverage the adoption and use of health information technology to improve performance in a number of areas.” These hospitals are “focused on expanding and adopting IT that protects patient data and optimizes patient flow and communications.”
In addition:
71 percent of the Most Wired hospitals use electronic disease registries to identify and manage gaps in care across a population, compared with 51 percent of all surveyed hospitals
68 percent electronically manage care transitions, compared to 50 percent of all surveyed hospitals
66 percent share patient discharge data with affiliated hospitals
More than 40 percent of the Most Wired hospitals provide a patient portal or Web-based tool for patient-generated data
MidState’s accomplishment was featured in the July 2013 issue of Hospitals & Health Networks magazine.
Honors and Accolades
Aetna Honors MidState
Health insurer Aetna this year designated MidState Medical Center’s spine surgery program an Aetna Institute of Quality®. Aetna Institute of Quality facilities are selected for providing safe, evidence-based, high-quality, high-value care. MidState’s spine program uses the latest, advanced minimally invasive techniques for the treatment of chronic back and neck pain, herniated discs, spinal stenosis, vertebral compression fractures, degenerative scoliosis and other intractable spinal problems.
MidState Named “Baby-Friendly”
MidState Medical Center’s Family Birthing Center this year became one of only 166 facilities nationwide and seven in Connecticut to receive the coveted “Baby-Friendly” designation from the nonprofit, Baby-Friendly USA. The designation recognizes hospitals that demonstrate they use best practices to provide mothers with the information, confidence and skills necessary to successfully breast feed or to feed formula safely. To achieve the Baby-Friendly designation, hospitals and birthing centers must demonstrate that they have implemented the “10 Steps to Successful Breastfeeding” developed by WHO and UNICEF. The steps can be found at www.babyfriendlyusa.org.
MidState Cancer Center Re-accredited for Breast Cancer Services
The Cancer Center at MidState Medical Center was re-accredited by the National Accreditation Program for Breast Centers, a program administered by the American College of Surgeons. Since earning accreditation in 2009, MidState has continued to meet rigorous standards to ensure that patients receive breast care services of the highest quality. To be accredited, centers must provide comprehensive, state-of-the-art diagnosis and treatment; employ a multidisciplinary approach; offer clinical trials; and make educational programs publicly available.
Midstate Radiology Associates Accredited as a Breast Imaging Center of Excellence
Midstate Radiology Associates, based at MidState Medical Center and with satellites in surrounding towns, was designated a Breast Imaging Center of Excellence by the American College of Radiology. The Center of Excellence designation indicates that the organization’s breast imaging meets the radiology profession’s highest standards. The designation is awarded to centers that have demonstrated excellence in breast imaging by achieving accreditation in mammography, stereotactic breast biopsy, breast ultrasound and ultrasound-guided biopsy. A rigorous review found that Midstate met the highest standards for personnel qualifications as well as technology, quality and safety.
Critical Care Unit Receives Beacon Award
MidState Medical Center’s Critical Care Unit received the silver-level Beacon Award for Excellence from the American Association of Critical Care Nurses. MidState’s unit is one of only two in Connecticut to have earned this recognition. The award recognizes units that improve patient outcomes and align practices with AACN standards. Units that achieve this three-year, three-level award meet national criteria consistent with Magnet Recognition, the Malcolm Baldrige National Quality Award and the National Quality Healthcare Award.
Notable Innovations
|
Senior Care Emergency Services MidState launched comprehensive emergency services focused on the unique needs of people 65 and older. The new approach includes assessments of each older patient. This helps ensure that they receive appropriate services and follow-up care after discharge, so they’ll be safe and do well once back in the community. MidState is only the second hospital in Connecticut to institute senior ED services. |
MidState Earns NICHE Designation MidState’s bold innovations in senior inpatient care earned it the prestigious NICHE (Nurses Improving Care for Healthsystem Elders) designation for excellence in geriatric care. MidState instituted specialized training and practices aimed at helping staff better understand and meet the needs of older patients. MidState is one of only five hospitals in the state named to the national NICHE network. |
|
Connecticut Center for Healthy Aging MidState opened a new office of the Connecticut Center for Healthy Aging. The center provides resources and assessments to help seniors and their caregivers overcome challenges they may face. Services at MidState will focus on working with seniors seen in the Emergency Department. |
Diabetes Education in the Community When an assessment of community health needs revealed that the incidence of diabetes in the area was nearly three times the state average, MidState responded by presenting 26 free educational programs focused on diabetes awareness and prevention. The education made a difference. Pre- and post-tests showed that participants’ awareness increased nearly 41 percent, far exceeding our original goal of 25 percent. |
Diagnosing Parkinson’s Disease
In a breakthrough for people with the potential for Parkinson’s Disease, MidState now offers the DaTscan, a sophisticated diagnostic test that can confirm or rule out the illness. The imaging study reveals the distribution of dopamine in the patient’s brain, looking for patterns typical of Parkinson’s. It can detect the illness earlier than ever and help guide treatment.
patient satisfaction
Hospital Consumer Assessment of Healthcare Providers
January 2012 - December 2012
MidState Medical Center
National
State
Communication with Nurses
Communication with Doctors
Responsiveness of Hospital Staff
Pain Management
Communication about Medicines
Cleanliness of Hospital
Environment
Quietness of Hospital
Environment
Overall Rating of Hospital
Willingness to Recommend
this Hospital
0 |
20 |
40 |
60 |
80 |
Source: Hospital Compare Prelim Report
patient satisfaction
Press Ganey by Scores
Fiscal Year 2013
MidState Medical Center
National
State
Speed of Admission
Pleasantness of room décor
Noise level in and around room
Courtesy of person serving food
Friendliness/courtesy of nurses
Skill of Nurses
Time physician spent with patient
Physician kept patient informed
Skill of Physician
Staff worked together to care for patient
Labor and Delivery RN promptness
to respond to call
Staff concern inform prog/
baby condition
Courtesy of ER Staff
Wait time for tests and treatment
0 |
20 |
40 |
60 |
80 |
100 |
Source: Press Ganey
quality/safety
Publicly Reported Measures
2nd Quarter 2012 through 1st Quarter 2013
MidState Medical Center
National
State
Aspirin at Discharge
Venous Thromoembolism Prophylaxis
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Stroke Education
Assessed for Rehabilitation
Intersive Care Unit Venous Trhromboembolism Prophylasix
Venous Thromboembolism Patients Receiving
Unfractionated Heparin with Dosages/Plaelet Count
Monitoring by Protocol
Venous Thromboembolism Warfarin Therapy
Discharge Instructions
Blood Cultures Performed in the Emergency Department
Prior to Initial Antibiotic Received in Hospital
Initial Antibiotic Selection for Community Acquired
Pneumonia in Immunocompetent Patient
Prophylactic Antibiotics Discontinued within
24 Hours After Surgery
Urinary Ceter Removed by end of Postoperative
Day 2
Surgical Patients who Received Appropriate
Venous Thromoembolism Prophylaxis within
appropriate time frame
Influenza immunizations
0 |
20 |
40 |
60 |
80 |
100 |
Source: Hospital compare Preview Report
financial
MidState Medical Center ended the year with a solid operating surplus of $16.8 million (or 7.4% of net revenue). MidState’s inpatient volumes decreased 4.7% over the previous year, while the state overall dropped about 1.4%. Additionally, visits to the Emergency Department increased by 0.7% this year.
In 2013, the cost containment efforts of management saved $2.2M and additional savings from changes to pension and health insurance structure reduced overall expenditures by $2M. Consultants within the revenue cycle have increased the revenue recognition by $6M through clinical documentation training and additional collection resources.
Fiscal year 2013 marks 14 years of consistent operating surpluses for the hospital. This is quite an achievement in this industry with declining reimbursement. Operating surpluses allow MidState to reinvest in new facilities and new technology for our communities.
State of Revenue and Expense
|
Year Ending September 30 Revenues |
2013 Unaudited |
2012 |
|
Patient Service Revenues Inpatient Outpatient Total Patient Service Revenues |
$000,000,000 $000,000,000 $000,000,000 |
$000,000,000 $000,000,000 $000,000,000 |
|
Less Deductions from Revenue Government and Private Payer Contractual Allowances Charity Care and Other Uncompensated Care Other Allowances and Revenue Deductions Total Deductions from Revenue Collectible Patient Service Revenue |
$000,000,000 $0,000,000 $0,000,000 $000,000,000 $000,000,000 |
$000,000,000 $00,000,000 $0,000,000 $000,000,000 $000,000,000 |
|
Add Other Operating Revenue: Improvement in investment in Captive Insurance Company Grants, Cafeteria, Rental and Other Revenue |
$- $0,000,000 |
$000,000,000 $00,000,000 |
|
Total Operating Revenue |
$000,000,000 |
$000,000,000 |
|
Expenses Salaries and Wages Benefits for Employees Medical Supplies, Drugs and Other Expenses Malpractice Insurance Premiums Depreciation Cost of Building and Equipment Intertest on Borrowed Money Total Expenses |
$00,000,000 $00,000,000 $00,000,000 $0,000,000 $00,000,000 $0,000,000 $000,000,000 |
$00,000,000 $00,000,000 $00,000,000 $0,000,000 $00,000,000 $0,000,000 $000,000,000 |
|
Operating Income Loss on Early Extinguishment of Debt |
$00,000,000 $- |
$00,000,000 $- |
|
Non-Operating Income From Gifts, Interest and Other Sources Change in Market Value of Investments |
$0,000,000 $(000,000) |
$0,000,000 $(000,000) |
|
Excess of Revenue Over Expense |
$00,000,000 |
$00,000,000 |
|
Note: These amounts do not include the activity of subsidiaries |
Patient Statistics |
|
Year Ending September 30 Inpatient Admissions (Including Newborn) Inpatient Days (Including Newborn) Average Length of Stay Inpatient Surgical Procedures Total Surgical Procedures Births Emergency Department Visits (Including Admits) Walk-in Medical Visits (MediQuick) |
2013 0,000 00,000 0.00 0,000 0,000 000 00,000 00,000 |
2012 0,000 00,000 0.00 0,000 0,000 000 00,000 00,000 |
Hospital Expenses
Interest
2%
Depreciation
6%
Malpractice insurance
premiums
2%
Medical supplies,
drugs and other
42%
Salaries and benefits
48%
Total
Expenses
$000,000,000
leadership
Our leadership takes great pride in MidState Medical Center. Pride in the facilities that our patients and their families visit every day...pride in the technology and outcomes that our physicians are able to provide to those in need...and pride in the level of care our colleagues provide to the community every day.
Corporate Officers
Lucille A. Janatka
President and CEO
Cindy L. Russo
Sr. Vice President Operations
Ralph W. Becker
Vice President of Finance, CFO
Robert H. Van Heiningen
Vice President Human Resources
John F. Greene, MD
Vice President Medical Affairs
Catherine W. Stevens
Vice President Patient Care Services
Maryanne M. Volkringer
Vice President Business Development
Board of Directors
Bruce C. Eldridge
Chairman of the Board
Chair, Governance Committee
Carl D. Grant
Vice Chairman of the Board
Lucille A. Janatka
President and CEO
Richard Smith, MD
President of Medical Staff
John Redmond, MD
Vice President of Medical Staff
Joseph E. Mirra
Chair, Development Committee
Marcia B. Proto
Secretary Chair, Quality and
Credentialing Committee
Lewis Levin, MD
Member-At-Large
Giovanna T. Weller, Esq.
Member-At-Large
James N. Smith
Member-At-Large
James L. Pellegrino
Member-At-Large
Irfan S. Chugthai, MD
Member-At-Large
Frederick (Chris) Ulbrich, III
Member-At-Large
Christopher W. Beale
Member-At-Large
Lawrence Lazaroff
Member-At-Large