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2012 Mary Washington healthcare annual report

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table of contents

Mary Washington healthcare 2012 board of trustees

Mr. William M. BoldonRetired Partner of McKinsey & CompanySpecializing in issues of strategy, organization, and operations

Joseph T. Crane, IV, MDEmergency Department PhysicianFredericksburg Emergency Medical Alliance

Ms. Jan C. ErkertPresident, Spangler Erkert and Associates, LLCAdvertising and Public Relations

Mr. John F. Fick, IIIBoard ChairPresident and CEO J.F. Fick, Inc.Wholesale and Distribution

David M. Garth, MDMedical Staff PresidentMary Washington HospitalEmergency Department PhysicianFredericksburg Emergency Medical Alliance

Kenneth N. Josovitz, MDMedical Staff PresidentStafford HospitalGastroenterologistAssociates in Gastroenterology, PC

Kurt R. Larson, MDOrthopedic SurgeonOrthopedic Specialty Clinic, Ltd.

Mr. Raymond C. McAfooseRetired Hospital Chief Executive Officer

Michael P. McDermott, MDRadiologistRadiologic Associates of Fredericksburg

Mr. John C. McKeownRetired Senior Executive ServiceExecutive Leadership Consultant

Mr. Fred M. MessingRetired Healthcare ExecutivePresident, FMA Consulting

Mr. Donald H. NewlinBoard Secretary/TreasurerManaging Director Sterne AgeeFinancial Management

Mr. Fred M. Rankin, IIIPresident and Chief Executive OfficerMary Washington Healthcare

Mr. Clarence A. RobinsonDirector, Fiscal AffairsCity of Fredericksburg

Mr. Raymond L. SlaughterAttorney at Law and AccountantProfessor, University of Richmond

Mr. Jonathan D. WallaceRegional PresidentUnion First Market Bank

Ms. Alda L. WhiteBoard Vice ChairRetired Attorney

A Letter from the Chairman of the Board ................. 3of Trustees and the Chief Executive Officer

Scope of ServiceS ____________________________________A Second Chance at Life, One Breath at a Time ....... 5

MWH Trauma Center Receives Verification from ...... 7 the American College of Surgeons’ Committee on Trauma

Bert and Colleen’s Journey of Recovery ................... 9and Sharing

Expanded Use of Stereotactic Radiosurgery .......... 11 Treatment Planned for 2013

Beating the Odds with a Great Team ...................... 12

What You Don’t Know Can Hurt You ....................... 12

Leading-Edge Outpatient Infusion Therapy ............ 13 ____________________________________Quality of Care ......................................................... 14 ____________________________________

community Benefit report 2012 ____________________________________A Tradition of Community Benefit ........................... 15

MWHC Train the Trainer — EMS Stroke.................. 16Education Program

Garden of Angels — Memorial Services ................. 17Honoring Perinatal Loss

Community Health Information Resource ............... 18 Brings Stakeholders Together ____________________________________Accreditations .......................................................... 19 ____________________________________

AcceSS to cAre ____________________________________MWHC Medical Pavilion at Woodbridge ................ 21

Snowden at Fredericksburg Expands Facilities....... 23

Introducing Innovative Breast Cancer Surgery ....... 25 at Stafford Hospital ____________________________________2012 Achievements ................................................. 26

2013 Projects ........................................................... 29

MWHC 2012 Statistics & Financials ......................... 30

About our cover: see page 31 for details about the services, programs, and facilities pictured.

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Greetings from Mary Washington Healthcare,

Thank you for taking the time to review our 2012 report to our communities. Each year, we produce this report to share information about your health system’s progress and plans for the future. In all of these efforts, our focus remains deeply rooted in our mission: to improve the health of the people in the communities we serve.

Mary Washington Healthcare (MWHC) provides unparalleled access to care across the region. In 2012, we increased access to care with the opening of Stafford Hospital Imaging in Wood-bridge, the establishment of the Virginia Breast Health Center in Stafford, and the expansion of Snowden at Fredericksburg. We have touched the lives of more than 170,000 patients in our hospitals—Mary Washington and Stafford—and thousands more in our outpatient facilities across the region.

Our commitment to our community goes beyond access. Throughout our 114-year history of serving our community, we have provided a tremendous amount of Community Benefit as we care for all members of our community, regardless of ability to pay. Community Benefit comprises programs or activities that provide treatment and/or promote health and healing as a response to identified needs in the communities served by MWHC. These programs and activities in-crease access to healthcare and improve community health. In 2012, we provided more than $60 million in Community Benefit, and we continue to be the area’s largest community charity contributor.

In caring for our community, we provide the highest quality of healthcare services in this region. In 2012, our quality scores were among the best in the country.

Myriad accreditations attest to the extensive scope and quality of our services. We have re-ceived many accreditations, such as:

• Mary Washington Hospital has been verified as a Level II trauma center by the American College of Surgeons—the only Level II trauma center in Virginia with this

prestigious verification.• Both Stafford and Mary Washington Hospitals have American College of Radiology

accreditations in multiple imaging modalities.• Mary Washington Hospital’s Joint Commission-certified Primary Stroke Center was

recognized with an American Heart Association quality achievement award for another year.

We continue to expand to provide access and services to our community. Already in 2013, we have acquired a primary care practice in Spotsylvania, Reese Medical Associates, to provide more coordination of care for patients. We will also be enhancing services within our Regional Cancer Center and Virginia Heart and Vascular Institute. In 2013, we will celebrate the 20th anniversary of the opening of the current Mary Washington Hospital building, as well as mark Stafford Hospital’s 4th year in our northern communities. We look forward to continuing to provide convenient access to care, a broad scope of services in the region with the highest-quality care, and unmatched charitable commitment to our communities. We thank you for the trust you place in us to care for you and your loved ones. We wish you a healthy 2013.

Sincerely,

John F. Fick, III Fred M. Rankin, III Board Chairman President and CEO

a letter froM the chairMan of the board of trustees and the ceo

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Laura is from Texas. She had a rare, genetic condition that only two surgeons in the country could fix. One of them is Dr. Tim Sherwood, thoracic surgeon at Mary Washington Healthcare. She watched his physician profile on YouTube and knew he was the surgeon for her.

Scan for more information.

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scope of services

Breathing is usually instinctive, but Laura Herbst, a

kindergarten teacher in Texas, suffered from

tracheomalacia, a rare genetic disorder that was

slowly collapsing her windpipe, leaving her chroni-

cally exhausted and struggling for air.

Her pulmonologist suggested a posterior splinting

tracheoplasty. But only two surgeons in the country

are experts in the procedure—and one of them is

Timothy Sherwood, MD, a board-certified thoracic

surgeon who serves as medical director of Mary

Washington Hospital’s Thoracic Surgery Program and

an assistant professor of surgery at the Johns Hopkins

University School of Medicine.

Laura watched a video interview with Dr. Sherwood

and concluded, “When he emphasized that he wants

every patient to feel as if they are his only patient, I

knew that, in addition to being an expert, he is also

an incredibly caring doctor,” and she decided to

travel to Virginia with her husband, Fred.

The three-hour surgery involved making an incision

in Laura’s side and going through her ribs to reach

her deteriorating trachea, which Dr. Sherwood

reconstructed using surgical mesh. “The mesh

acts as a splint to reshape the flattened airway and

restore integrity to its architecture,” explained Dr.

Sherwood. “By the end of the surgery, the collapse

had disappeared and she was immediately able to

breathe easier.”

Laura spent five days recovering at Mary Washington

Hospital, receiving Dr. Sherwood’s personalized

attention, and celebrating her 10th anniversary with

Fred.

“I could feel the difference the minute I woke up,”

Laura said. “Now I can ride a bicycle or take a walk

with my husband. I have my life back again. Without

Dr. Sherwood and Mary Washington, I don’t know

what I would have done.”

A Second Chance at Life, One Breath at a Time

Laura Herbst and her husband Fred

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Mary Washington Hospital Trauma Center

High-quality, definitive trauma care 24/7

Scan for more information.

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scope of services

Mary Washington Hospital (MWH) is the only Virginia

hospital to receive verification as a Level II trauma

center by the Verification Review Committee, an ad

hoc committee of the American College of Surgeons’

(ACS) Committee on Trauma (COT). This achievement

recognizes the facility’s superlative care for injured

patients. In Virginia, MWH joins Level I designees

Inova Fairfax Hospital and Virginia Commonwealth

University Medical Center.

Established by the ACS in 1987, the COT Consulta-

tion/Verification Program for Hospitals promotes

development of trauma centers in which participants

provide necessary hospital resources and the entire

spectrum of trauma care needed to treat severely

injured patients from the pre-hospital phase through

rehabilitation.

Verified trauma centers must meet essential criteria

in education, professional development, care stan-

dards, and outcome assessment. The ACS verification

confirms that a trauma center demonstrates its com-

mitment to providing the highest-quality trauma care.

The Virginia Department of Health designated Mary

Washington Hospital a trauma center in September

2008. Through 2012, we have cared for more than

3,000 injured patients and provided trauma prevention

and education to thousands more, including our area

Emergency Medical Services partners.

MWH Trauma Center Receives Verification from the American College of Surgeons’ Committee on Trauma MWH Trauma Center Team

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Scan QR code to

view video about

Burt and Colleen,

Stroke Survivors

and Volunteers.

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scope of services

Neither has a medical degree or certification. But

Bert Seitzinger and Colleen Kensil have firsthand

knowledge of life-threatening stroke—and that

makes them vital members of the Mary Washing-

ton Hospital (MWH) stroke team.

They volunteer two or three days a week at MWH

to help other survivors and their families. On their

rounds through the Advanced Primary Stroke Center,

they share their journeys of recovery to educate pa-

tients about life after stroke and how to reduce the

risk of another one.

Bert realizes his once-workaholic lifestyle probably

contributed to his stroke: “I was on the road by

4:30 a.m., home at 9:00 p.m. I didn’t eat well, didn’t

take care of myself.” At age 49, Bert had a transient

ischemic attack, or “mini-stroke.” Then three weeks

later, a severe stroke left him unable to control the

left side of his body.

Colleen was forced to, as she put it, “retire the

badge” shortly after graduating from a police acad-

emy in Texas when she suffered a stroke and brain

aneurysm at age 26, causing her to lose partial control

of her body. She was also left with a condition called

aphasia, which makes speaking difficult.

Despite their permanent disabilities, Bert and Colleen

use their experiences to help out not only at MWH,

but also with a stroke survivor support group.

Stroke Program Coordinator Eleanor Redmond said

they play a valuable role on MWH’s nationally-recog-

nized stroke team, providing an empathetic connec-

tion with patients: “We have all this equipment and

physicians who are experts in what they do...yet the

best part of patients’ stay is that a stroke survivor sat

down with them for whatever time they needed.”

Bert and Colleen’s Journey of Recovery and Sharing

Colleen Kensil and Bert Seitzinger

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Scan QR code for more

information about

Stereotactic Radiosurgery.

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scope of services

Expanded Use of Stereotactic Radiosurgery Treatment Planned for 2013

In January 2012, the first stereotactic

radiosurgeries (SRS) were performed at the

Regional Cancer Center. Through SRS treat-

ment, hard-to-reach and previously hard-to-

treat tumors can be eliminated while sparing

surrounding healthy tissue and organs.

Our SRS treatment has been used to treat tumors of

the brain and lung. This year, we will see expanded

use of SRS to treat other types of tumors. The

Regional Cancer Center’s SRS equipment and tech-

nology require minimal adjustments to accommodate

additional treatment sites. Our surgical oncologists

who perform SRS are highly experienced in treating

other tumor sites in addition to brain and lung.

MWHC Regional Cancer Center is among fewer than

50 cancer centers worldwide using the newest SRS

technology. It remains atypical for a regional healthcare

system like ours to offer such advanced technology.

SRS is usually available only in very large metropolitan

areas or academic settings. For our patients and their

loved ones, it means access to advanced cancer

treatment, close to home.

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scope of services

Beating the Odds with a Great Team

As an oral and maxillofacial surgeon, Dr. Harvey

Allen removes wisdom teeth and tumors, treats facial

fractures, and does facial reconstruction. “What I do

with my hands is my life,” he said. But in October

2012, a rare E. coli infection caused severe swelling

in his left hand, and it spread toward his elbow.

Surgery was performed promptly by Dr. Ali Hashemi,

an orthopedic surgeon fellowship-trained in hand

and shoulder surgery. “He gave me a 50/50 chance

of resuming my own surgical practice,” said Dr.

Allen. “Had I waited 48 hours, I may have faced

amputation.”

Today,

Dr. Allen

can perform

more than 80 percent of his

former surgical procedures. “I

had a great surgeon, wonderful

nurses, and people in radiology.

I couldn’t have gotten better care anywhere else. The

expertise and skill of Katherine, my occupational

therapist, has gotten my hand back to where I can do

my work. They all helped me beat the odds.”

What You Don’t Know Can Hurt You

Busy in retirement, Donna Ruggles thought her

advancing age caused her fatigue. But then her left

arm began to ache, and breathing became harder.

“I was a little worried, and my granddaughter

coaxed me to go to Stafford Hospital’s Emergency

Department.”

The first tests were negative, but cardiologist Ashok

Prasad, MD, was still concerned. Additional tests

revealed that Donna had indeed had a heart attack.

She was in the Catheterization Lab soon after for a

stent procedure, where Dr. Prasad found a 90 per-

cent blockage in

one artery, and

60 percent in

another. Donna

said, “That

young man at

Stafford saved

my life. We’re so lucky to have that new hospital with

all the latest equipment.” Donna feels fine today, but

she cautioned, “Listen to your body; you know when

something’s not right. Don’t hesitate to go to the ER,

because you never know.”

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Leading-Edge Outpatient Infusion Therapy

Mary Washington Healthcare offers two

dedicated locations for outpatient infusion

therapy. A method of delivering medicine

directly into the bloodstream, infusion

therapy is done through a vein in the arm or

hand, or through an “infusion port,” a small device

implanted under the skin. An infusion port allows

easy and repeated access to the bloodstream to

provide ongoing treatment for a variety of medical

conditions.

Infusion therapy treatments include:

• IV Antibiotics

• Chemotherapy

• Targeted therapy

• Immunotherapy

• Hormone therapy

• Blood transfusions

Stafford Hospital’s infusion facility is in a private,

welcoming, area on the fourth floor that offers

calming views of the natural campus.

Mary Washington Hospital’s infusion therapy has

moved from the hospital into a light-filled, comfort-

able suite in the Regional Cancer Center on the

MWH medical campus, where it is open seven days

a week.

Both suites were designed with comfort in mind,

featuring built-in efficiencies to support the staff in

providing the best care. Patients and their families

are welcome to enjoy free amenities during their

visits, such as:

• Television in each treatment area

• Comfortable, modern infusion chairs

• Snacks and beverages

• Wi-Fi

scope of services

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Quality of care

Mary Washington Healthcare’s top priority is to

provide great healthcare to the citizens of our

region. We’re committed to delivering evidence-

based, timely, compassionate, and patient-centered

care. We demonstrate this commitment by providing

accurate information on our clinical performance.

Mary Washington Healthcare ranks in the top 10

percent nationally in many of its quality scores.

Quality healthcare means providing the right care,

at the right time, in the right way. Mary Washington

Healthcare always strives to improve quality of care

and safety. We measure our quality of care by actual

outcomes of diagnoses or procedures, as well as patient

satisfaction during their hospital or outpatient visits.

Selecting a good hospital can be challenging. But

with tools like the ones we provide, consumers can

get information to help make informed decisions.

Public websites offer national and statewide hospital

quality data, and you can review Mary Washington

Healthcare’s most recent clinical data statistics at

www.marywashingtonhealthcare.com/mwhc-quality.

Scan to view a full range of quality scores.

MWHC Provides Some of the Highest-Quality Care in the Country

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Unreimbursed Medicaid $15.2 M

Charity Care $26.1 M

$26.1 Million

$15.2 Million

Community Health Improvement & Community Benefit OperationsCommunity Building $3.3 M

Health Professions Education $1.1 M

Research $350,000

Subsidized Health Services $12.3 M

Financial Contributions to the Community $2 M

$3.3 Million

$12.3 Million

$350,000

$1.1 Million

$2 Million

2012CommunityBenefit$60.3 Million

Financial Assistance for the Uninsured/Underinsured and

Unreimbursed Medicaid - $41.3 million

Health Education Programs & Services, Financial

Contributions - $19 million

All financial information is pending final audit.

Since 1899, Mary Washington Healthcare has been

promoting healthy lifestyles and providing prevention

services to help improve the health of the people in the

communities it serves. Programs or activities that provide

treatment and/or promote health and healing, as a

response to identified needs, are considered Community

Benefit. Community benefits may be offered not only to

MWHC patients. A Community Benefit must respond to

an identified community need and meet at least one of

the following criteria:

• Improve access to healthcare services

• Enhance the health of the community

• Advance medical or health knowledge

• Relieve or reduce the burden of government or other

nonprofit community efforts

Community Benefit is an integral part of MWHC’s mission

and the basis for its tax-exempt status. In 2012, MWHC’s

Board of Trustees approved a three-year Community

Benefit Plan to address the Top 10 Health Needs identified

through the Healthy Communities Partnership’s

Community Health Needs Assessment.

This comprehensive plan outlines the overall Community

Benefit strategy for MWHC. Specific components

include: community engagement, the Patient Financial

Assistance Program, and specific implementation strate-

gies with identified community programming to address

the Top 10 Health Needs for both hospitals. In addition,

MWHC commits to ensure that resources for Community

Benefit programs are having a maximum impact with the

inclusion of an overall Evaluation Program for Community

Benefit activities.

Examples of MWHC’s commitment to Community

Benefit in 2012 includes:

• Health screenings for prostate cancer, mental health

assessments, blood pressure, and stroke risk assessments

• Support groups for individuals who experienced loss

as well as those currently battling a disease or health

condition

• Community educational forums to increase awareness

of symptoms and prevention strategies

• Direct and indirect support to safety-net providers in

the community

Mary Washington HealthcareCommunity Benefit Report 2012

A Tradition of Community Benefit

Note: Over $39.7 million in unreimbursed

care to Medicare patients was also provided.

While the IRS does not recognize this as

Community Benefit, it is an additional con-

tribution to the community by MWHC.

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Medical care within three hours of a stroke is essential

in minimizing its lasting effects. At the Mary Washington

Hospital Emergency Department, 40.9 percent of

stroke patients triaged by trained emergency medical

services (EMS) providers arrive within that critical

three-hour window, beating the national average of

just 24.9 percent.

For EMS personnel, recognizing stroke symptoms is

key. The MWHC EMS Stroke Education Program is a

Community Benefit initiative that resulted in creation

of a Regional Stroke Triage Plan for the Rappahannock

EMS Council to train area EMS providers to iden-

tify stroke and effectively use triage to get patients

timely care.

Eleanor Redmond, RN, with the MWH Advanced

Primary Stroke Center, spearheaded the project with

a “see one, do one, teach one” approach. At no

charge to the EMS providers, those who are certified

paramedics first complete a training session led by

a Stroke Center-certified trainer, then go on to lead

their own classes while being observed, and become

certified in turn. They, then, can independently train

their squads and community members. Since late

2010, over 447 EMS providers have been trained; 25

became certified stroke trainers.

MWH is the only Joint Commission-certified

Advanced Primary Stroke Center in the Fredericksburg

region and provides, in addition to training, educa-

tional materials and stroke risk assessment cards for

EMS personnel to use with patients.

MWHC Train the Trainer – EMS Stroke Education Program

coMMunity benefit report

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Garden of Angels is a special bereavement service

offered to patients who have suffered a pregnancy

loss or the loss of an infant before birth. This program

honors the unborn child with an interfaith memorial

service and free burial, if parents choose. Whether

burial is chosen or not, their baby’s name may be

memorialized in a printed program offered at the

service.

Burials are held quarterly at Oak Hill Cemetery in

Fredericksburg. A community pastor or another faith-

group leader conducts the memorial service.

Garden of Angels is open to all families, regardless of

where or when their loss occurred.

In addition, we host a Healing Through Support group

that gives parents and their families a place to share

thoughts and feelings with others who have had the

same experience. The group is also free and open to

community members.

Our Perinatal Bereavement Coordinator at MWH,

Tammy Ruiz, RN, has earned an international reputa-

tion for her innovative bereavement programs that

help parents cope with a loss of pregnancy or still-

birth and acknowledge their loss. She has long been

a tireless advocate for these families.

Garden of Angels – Memorial Services Honoring Perinatal Loss

coMMunity benefit report

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coMMunity benefit report

In 2011, the Mary Washington Hospital Foundation

launched a website to give members of the communi-

ties that Mary Washington Healthcare serves an online

resource to help them address our area’s most press-

ing health issues. The Community Health Information

Resource (CHIR) is dedicated to health, environmen-

tal, and quality-of-life concerns.

Enhanced in 2012, the CHIR website features up-to-

date information on more than 100 health and quality-

of-life indicators at the county and zip code level, as

well as over 1,000 community-level interventions.

Multiple features help elected officials, community

benefit leaders, such as MWHC, government agen-

cies, not-for-profit organizations, and civic-minded

community members join together on initiatives to

bring about positive change.

CHIR enables easy identification of community

strengths and weaknesses and the sharing of best

practices to address the high human and financial

costs of poor health by allowing users to:

• Compare health and quality-of-life indicators with

other counties, state values, and national targets.

• Learn about “promising practices” on a variety of

health topics.

• Use the “Report Assistant” to create quick reports

and summaries.

Visit www.marywashingtonhealthcare.com/chir to find

a training video added in 2012. The video helps

users learn to navigate CHIR, interpret the Community

Snapshot, and make the most of its other resources.

Community Health Information Resource Brings Stakeholders Together

Scan QR code for more

information.

Healthy Communities PartnershipTop 10 Community Health Needs

(ranked in order of priority)

1. Cancer (colorectal, lung, breast)2. Cardiovascular disease 3. Obesity4. Diabetes5. Mental health issues 6. Access, awareness, and affordability of healthcare 7. Tobacco use 8. Substance abuse 9. Dental health10. Senior health issues (osteoporosis, dementia, falls/fractures)

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Mary Washington Healthcare AccreditationsThe certifications, accreditations, and licensures of Mary Washington and Stafford Hospitals are a direct result of the quality initiatives managed by patient safety, perfor-mance improvement, medical support, and nursing excellence departments. Each of our Associates strives to provide excellent patient care, with additional focus on areas identified as having a higher risk for medical error.

Mary Washington Hospital• American Academy of Sleep Medicine (AASM)• American Association of Blood Banks (AABB)• American Association of Cardiovascular and Pulmo-

nary Rehabilitation (AACVPR)• American Board of Registration of Electroencephalo-

graphic and Evoked Potential Technologists (ABRET)• American College of Radiology (ACR)

• Special Accreditation for Computed Tomography (CT)• Special Accreditation for Magnetic Resonance

Imaging (MRI)• Special Accreditation for Nuclear Medicine/PET• Special Accreditation for Radiation Oncology

Services• Special Accreditation for Ultrasound Services (ULT)

• American College of Surgeons Commission on Cancer• American College of Surgeons Trauma Verification• American Diabetes Association (ADA)• American Nurses Credentialing Center Magnet®

Recognition• Association for Clinical Pastoral Education (ACPE)• College of American Pathologists (CAP)• Commonwealth of Virginia Level II Trauma Center

Designation• Intersocietal Commission for the Accreditation of

Echocardiography Laboratories (ICAEL)• Intersocietal Commission for the Accreditation of

Nuclear Laboratories (ICANL)• Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL)• The Joint Commission (TJC) – Mary Washington Hospital, Mary Washington Hospital Home Health,

Mary Washington Hospice, and Behavioral Healthcare• Advanced Certification – Primary Stroke Center• Advanced Certification – Heart Failure• Certification – Hip Replacement Surgery • Certification – Knee Replacement Surgery

• National Accreditation Program for Breast Centers (NAPBC)

Stafford Hospital• American Association of Blood Banks (AABB)• American College of Radiology

• Special Accreditation for Computed Tomography (CT)• Special Accreditation for Mammography• Special Accreditation for Nuclear Medicine/PET• Special Accreditation for Ultrasound Services (ULT)

• College of American Pathologists• The Joint Commission (TJC)

Fredericksburg Ambulatory Surgery Center • Accreditation Association for Ambulatory Health Care

Medical Imaging of Fredericksburg• American College of Radiology

• Magnetic Resonance Imaging (MRI)• Breast MRI• Computed Tomography (CT)• Ultrasound• Mammography

• Intersocietal Accreditation Commission• Nuclear Medicine/PET• Vascular Ultrasound

Imaging Center for Women • American College of Radiology

• Imaging Center of Excellence Designation• Mammography• Ultrasound• Stereotactic Breast• Breast Ultrasound

• Intersocietal Accreditation Commission – Vascular Ultrasound

accreditations

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At Stafford Hospital Imaging at Woodbridge, our expert team of radiologists and technicians can accommodate most walk-in appointments for screening mammograms and X-rays. No need to schedule and wait days or weeks for your next mammogram or X-ray.

Using the latest technology and highly trained staff, we provide you and your physicians imaging you can trust. Your results are interpreted by the board-certified radiologists of Radiologic Associates of Fredericksburg.

Scan for an online tour.

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access to care

MWHC Medical Pavilion at Woodbridge

Mary Washington Healthcare has expanded its

presence in Northern Virginia by opening the

MWHC Medical Pavilion at Woodbridge, putting

much-needed outpatient services within easier

reach of residents in the region. The Pavilion is

located just off Prince William Parkway. In 2011,

Cardinal physicians were first to move in and began

seeing patients later that year.

In February 2012, Stafford Hospital Imaging opened

at the Pavilion with an expert team of technicians and

board-certified radiologists from Radiologic Associ-

ates of Fredericksburg whose services include bone

density scans, routine screening mammography, ultra-

sound, and X-ray.

In March, MWHC Endocrinology and Diabetes

Associates physicians opened an office in the

Pavilion, offering their expertise in diagnosing and

treating a variety of endocrine conditions, including

diabetes, thyroid disease, thyroid cancer, and more.

MWHC Medical Pavilion12731 Marblestone Drive, Suite 102

Woodbridge, VA 22192

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MWHC Medical Pavilion, Woodbridge VA

The Mary Washington

Hospital Diabetes

Management Program

opened in June, offering patients a comprehensive

approach to diabetes control through counseling,

symptom monitoring, medication management, and

physician-directed protocols. Their program follows

the American Diabetes Association (ADA) clinical

practice guidelines and the most current National

Standards for Diabetes Self-Management Education.

In August, under the leadership of oncoplastic breast

surgeon Premal Sanghavi, MD, the Virginia Breast

Health Center opened as an extension of MWHC’s

Regional Cancer Center with physician specialists and

the latest technology available. Its services include

routine screenings and exams, counseling for women

at high risk for breast cancer, and management,

surgery, and follow-up for women with noncancerous

and cancerous tumors.

22

View the virtual tour and learn more

about Snowden at Fredericksburg.

23

access to care

Snowden at Fredericksburg Expands Facilities

Our mental health center, Snowden at Fredericksburg,

has expanded and remodeled its inpatient and

outpatient areas, so that Mary Washington Healthcare

may better meet the region’s demand for behavioral

health services.

Former outpatient space was transformed into an

inpatient unit, allowing Snowden to increase

inpatient occupancy to the full 40 beds its license

allows.

Space for adult and adolescent outpatient programs

was also refurbished.

Until Snowden’s expansion, hundreds of patients

with urgent mental health issues had to seek

treatment at out-of-town facilities, resulting in stress

and logistical difficulties for families who were forced

to travel far from their usual community providers

and other support.

“Not-for-profit community-based care is dwindling

in Virginia, so Snowden at Fredericksburg, as one

of the few facilities that remain, is doing whatever is

needed to serve more people,” said Mark Howard,

Snowden’s director of operations.

Located on the Mary Washington Hospital campus,

Snowden provides inpatient mental health treatment,

adolescent and adult outpatient programs, and adult

substance abuse treatment.

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The Virginia Breast Health Center is part of Mary Washington Healthcare’s Regional Cancer Center. The Regional Cancer Center offers comprehensive care, featuring physician specialists and the latest technology available. Dr. Premal Sanghavi guides the care of each of her patients, working closely with other cancer specialists in a multi-disciplinary setting.

Scan for more information.

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access to care

Breast cancer therapies are being revolutionized by a

unique medical specialty called oncoplastic surgery,

a new addition to Stafford Hospital’s cancer program.

Oncoplastic breast surgery is leading-edge medicine

that combines breast cancer surgery with plastic

surgery techniques.

“Previously, the objective of breast surgery was to

get the cancer out, period. Now our goal during

lumpectomy surgery is to remove all the cancer while

simultaneously preserving the shape of the breast,”

explained Premal Sanghavi, MD, FACS, board-certi-

fied oncoplastic breast surgeon at Stafford Hospital

and medical director of the Virginia Breast Health

Center.

During surgery, the cancerous tissue is removed,

then the breast tissue is shaped for the best cosmetic

appearance. If cancer is present in only one breast,

the other breast is contoured to achieve symmetry

and maintain a natural appearance.

Through a single operation, patients benefit by:

• Undergoing anesthesia once

• Experiencing one recovery period

• Continuing oncology treatments after surgery

“Oncoplasty’s one-step approach often helps

patients psychologically because they wake up

from the procedure having the cancer removed while

breasts are still visually appealing. That means a lot

to women as they recover,” said Dr. Sanghavi. Onco-

plasty was pioneered by acclaimed breast surgeon

Melvin J. Silverstein, MD, FACS, with whom Dr.

Sanghavi trained through the country’s only onco-

plastic surgery fellowship program.

A New Center for Breast HealthThe vision for the new Virginia Breast Health Center

(VBHC) is to provide women in Northern Virginia with

one place to go for breast care. Dr. Sanghavi is the

Center’s medical director and surgeon. “If my patients

are happy, then I’m happy,” said Dr. Sanghavi. “When

they are cancer-free and pleased with the appearance

of their breast after surgery, it’s very rewarding.” For

information about VBHC and oncoplastic breast

surgery, call the Center at 540.741.7933.

Introducing Innovative Breast Cancer Surgery at Stafford Hospital

Premal Sanghavi, MD, FACS

Medical Director

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2012 achieveMents

MWHC Physician Becomes Region’s Only Certified Wound SpecialistIn 2012, Peter VanDerMeid, MD, passed the American Board of Wound Management’s examination to become the first and only Certified Wound Specialist (CWS) in the Fredericksburg region.

In addition to his family practice with Ladysmith Medical Center, Dr. VanDerMeid also sees patients at the Rap-pahannock Wound Healing Center. His CWS credential serves as proof of his dedication to the highest standards in wound care.

Fredericksburg Ambulatory Surgery Center has a Culture of High Patient SatisfactionFor the past decade, the Fredericksburg Ambulatory Surgery Center (FASC) has been a model of patient satisfaction for Mary Washington Healthcare and other healthcare centers. In 2012, as in previous years, FASC has ranked in the top one percent of ambulatory surgery centers across the nation in patient satisfaction.

Many processes in place have been refined to stream-line patient flow and increase patient safety. Every Associate is made to feel accountable to patients and is empowered to go above and beyond to provide the best experience for each person.

Exemplary service scores are a reflection of the FASC philosophy that maintaining high patient satisfaction scores is not a project, but a way of doing business.

Greater Web Presence, Improved CommunicationsMary Washington Healthcare has expanded efforts to make important information easily accessible to the growing Fredericksburg region. In 2012, we harnessed

a range of Web-based communication tools to better serve busy patients and their families and to engage our community, including:

• A new mobile website to give smartphone users instant access to our free, 24-hour nurse hotline and more.

• Directions, maps, and wait times online for our three emergency rooms—Lee’s Hill, Stafford Hospital, and Mary Washington Hospital.

• A searchable Physician Directory.• Microsites devoted to our five Centers of Excellence.• Quality of Care online to reveal how our excellent

quality statistics compare to national averages and Top Hospital scores across the U.S.

• Community Benefit online with the latest information on our iVolunteer program, Patient Financial Assis-tance Program, Healthy Communities Partnership, and Citizen Advisory Council.

• An expanded social media presence to provide more education and information on YouTube, Facebook, Twitter, and Flickr.

• Additional communication vehicles, including the MWHC Community Update, a monthly e-newsletter.

CPOE: It’s All About Patient SafetyComputerized Provider Order Entry (CPOE) was launched in 2012 to increase safety and efficiency at Mary Washington and Stafford Hospitals.

CPOE allows physicians and other practitioners to elec-tronically enter orders for patient care that are commu-nicated through a computer network to clinical staff or departments responsible for carrying them out, such as the Pharmacy, Laboratory, and Radiology.

This program has already had a significant positive impact on patients. We are decreasing delays in order completion, reducing the possibility of errors caused

A Few Highlights from 2012

27

2012 achieveMents

by hard-to-read handwriting or faulty transcription, and keeping information more consistently and securely stored electronically.

CPOE implementation was the culmination of a year-long effort among many clinical and non-clinical de-partments and our physician partners. Providing high-quality treatment in the safest possible environment is essential to delivering the standard of care for which MWHC is known.

The American Heart Association’s (AHA) HeartChaseTM

A high-tech scavenger hunt for teams of community members, AHA’s HeartChaseTM held one of its inaugural events in Fredericksburg on March 24, 2012, on the University of Mary Washington (UMW) campus. The Fredericksburg HeartChase became the top fundraiser with the highest number of participants in the country. Fredericksburg and Williamsburg were the first Virginia communities to hold HeartChase events, and Mary Washington Healthcare was the premier sponsor in 2012 and 2013.

HeartChase’s goal is to raise awareness of heart disease and to support the AHA’s work. The teams had a fun day, following clues and participating in nonstrenuous fitness “challenges” at checkpoints all over the UMW campus.

Mary Washington Hospital Named One of America’s 100 Best for Spine SurgeryMWH received this notable distinction in October 2012 in American Hospital Quality Outcomes 2013: Healthgrades Report to the Nation. Healthgrades is the leading consumer information provider on healthcare evaluating data submitted to the federal government by approximately 4,500 hospitals nationwide on mor-tality and complication rates for nearly 30 of the most common conditions treated and procedures performed from 2009 through 2011. Numerous other Healthgrades recognitions we’ve received include:

Excellence Awards™• Hospital-wide Patient Safety – 2011 & 2012• Spine Surgery – 2013• Vascular Surgery – 2013

Top 10% in the Nation• Spine Surgery – 2013• Vascular Surgery – 2013

Ranking in Virginia• #1, Spine Surgery – 2013• Top 5, Spine Surgery – 2011 & 2012• #1, Vascular Surgery – 2013• Top 5, Gynecologic Surgery – 2011 & 2012• Top 10, General Surgery – 2013• Top 10, GI Medical Treatment – 2013

Five-Star Honors• Spine Surgery – 2011-2013• Back and Neck Surgery (except Spinal Fusion) – 2013• Back and Neck Surgery (Spinal Fusion) – 2011-2013• Pneumonia Treatment – 2013• Vascular Surgery – 2013• Carotid Surgery – 2013• Peripheral Vascular Bypass – 2013• Bowel Obstruction Treatment – 2013• Pulmonary Embolism Treatment – 2013• Gynecologic Surgery – 2011 & 2012

More information on the American Hospital Quality Outcomes 2013: Healthgrades Report to the Nation, including the complete methodology, can be found at www.healthgrades.com/quality.

MWHC Associate Named National Spirit of Women® Award WinnerEach year, Mary Washington Healthcare hosts the Spirit of Women® Awards Program, a signature event held by many Spirit hospitals across the country that recog-nizes ordinary women who have done extraordinary things within the community. In 2012, Mary Washington Healthcare had its most successful Spirit of Women

28

2012 achieveMents

Awards program ever. We received twice as many nominations as in previous years (the most received by any other hospital system), and doubled attendance at the awards banquet. The following were chosen as our 2012 Regional Spirit of Women Award winners:

• Young Person Role Model – Kristin Roth, Riverbend High School

• Community Hero – Andrea McConnell, Founder of the Fairy Godmother Project

• Healthcare Hero – Gail Perkins, RN, Mary Washington Hospital

As local winners, these three women were nominated for the National Spirit of Women Awards. Of all the national applicants, Gail Perkins was selected as the national healthcare hero winner. Gail was nominated based on her years of helping victims of sexual assault, which include developing the MWH Forensic Nursing program and development and implementation of a screening tool to help clinicians identify sexual assault victims.

Gail and the women chosen as the National Young Person Role Model and National Community Hero were invited to attend the Spirit of Women Annual Awards Breakfast in Boca Raton, Florida, where their achieve-ments at the national level were officially recognized.

President’s Awards for Performance ExcellenceTeams throughout the organization found ways to cut costs and improve performance. The President’s Award recognized their success. First prize went to the Cardio-vascular Quality team, formed in March 2011 to improve Tier One quality goal indicators for 18 key cardiovascular

diagnoses. The result was a rise in indicators from 56 percent in 1Q 2011 to 89 percent in 2Q 2012.

Kids’ Station took second prize for reducing their inter-company subsidy from $535,435 in 2009 to $220,860 in 2011 through cost-saving measures and rate increases. The Department of Pastoral Care was also recognized for its accreditation as an Association for Clinical Pastoral Education training program, which resulted in a $114,000 reimbursement in 2011, while increasing chaplain coverage and patient visits by approximately 1,000 a month.

Storyboard Awards for Improving Operational Performance and ServiceDepartmental teams created storyboards to illustrate their achievements. The first-place award went to Diagnostic Radiology for educating technicians on how to reduce “repeat images” (patient radiograph retakes because the originals aren’t diagnostically acceptable) from 7.13 percent in 1Q 2011 to 1.29 percent in 2Q 2012.

In second place was Stafford Hospital Radiology and Patient Access for improving patient satisfaction by streamlining registration at Radiology check-in. The Cardiac Observation Unit team was also recognized for decreasing cardiac observation patients’ average length of stay to below the threshold of 23 hours, and increasing cardiac patients’ cohorting rate on the Observation Unit.

Pharmacy Reduces Daptomycin WasteDaptomycin is a relatively expensive injectable antibiotic commonly used to treat skin infections. The Pharmacy recognized that the full vials they were dispensing of this drug were often not fully used on patients, so product was being discarded. Through compounding efficien-cies that increased the accuracy of dosage amounts dispensed, the Pharmacy Daptomycin Waste Reduction Program was able to reduce its inventory of daptomycin by nearly 25 percent for a savings of more than $400,000, while still providing patients the proper dosage of the drug for their needs.

We continually strive to keep healthcare afford-able. Here are a few examples of our cost cut-ting achievements and enhanced performance:

29

2013 projects

Historic MWHC Milestone: “New” Mary Washington Hospital Turns 20On September 12, 2013, the current MWH facility will celebrate its 20th anniversary. With the staff’s strategic preparations for “move day,” support from area EMS squads, and community backing, all patients were transported safely and efficiently from the 2300 Fall Hill Avenue building to the new Sam Perry Boulevard facility the morning of September 12, 1993.

The region was—and still is—fast-growing. Demand for access to healthcare is continual, requiring more physi-cians, more advanced technology, a broader range of specialties, and many more beds. The Board of Trustees displayed inspiring leadership in the late 1980s when they rolled out their comprehensive plans for building our “new” hospital. The process even took into account the need for future expansion within the facility and on campus. For the past 20 years, their approach has proven time and again to be truly visionary.

Mary Washington Healthcare Welcomes Reese Medical Associates Mary Washington Healthcare patients now have the opportunity to seek high-quality care from Reese

Medical Associates, ably provided by Drs. William A. Reese, Deip Nguyen, Nelson Henry, and Nicquia Spain at their Lee’s Hill and Cosner’s Corner offices.

Reese Medical Associates furnishes primary care and same-day appointments for a variety of illnesses and injuries to approximately 25,000 patients annually. Their electronic medical records are now centralized and available to all MWHC facilities. This enables closer collaboration and coordination of care within MWHC’s diverse network of specialists, giving patients full access to world-class medical expertise when they need it.

Kenny’s Closet: A Man’s Legacy Lives OnKenny’s Closet is a medical pantry named for the late Kenny Whitescarver, a local native and longtime banker who died of colon cancer in 2012. Active in the Rappahannock United Way and other causes, Whitescarver had wanted to establish a community supply center to help those unable to afford ostomy supplies. John Fick, Whitescarver’s close friend and chairman of the MWHC Board of Trustees, helped start “Kenny’s Closet” by teaming with MWHC, the American Cancer Society, and the Fredericksburg Area Ostomy Connection support group.

The Closet opened in early 2013 in the new MWHC Regional Cancer Center. Its two large cabinets are filled with pouches and other costly materials used daily by those with a colostomy, ileostomy, urostomy or J-pouch. Kenny’s Closet accepts donations of un-opened ostomy supplies and offers them free to those who can’t afford them or who have no or limited health insurance.

If you need ostomy supplies or have supplies to donate, contact MWHC ostomy nurse Gail Erickson at Gail.Erickson@mwhc.com or 540.741.1751.

Some News from 2013

30

2012 finance

MWHC 2012 Statistics & Financials

Patient Discharges

Dollars in Millions

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

2010 2011 2012

33,481

34,589

34,657

0

30,000

60,000

90,000

120,000

150,000

2010 2011 2012

121,91

7

121,96

1

124,28

2

Emergency Department Visits

Other expenses $7.3

Interest on long-term borrowings $13.8

Equipment & space occupancy $59.7

Professional services $99.8

Supplies $108.1

Salaries and bene�ts to employees $305.8

Expenses

MWHC Financial Statement Revenue $582.4 M

$305.8

$108.1

$99.8

$59.7

$13.8$7.3

31

2012 Mary Washington healthcare annual report

The Lloyd F. Moss Free Clinic provides primary healthcare services to those who are unable to pay for private medical care. We pro-vide a variety of medical and dental services for uninsured residents of Fredericksburg and the counties of Caroline, King George, Spotsylvania, and Stafford with a house-hold income of less than 125 percent of the federal poverty guidelines.

Regional Cancer Center We are a group of dedicated doctors, nurses, clinicians, counselors, and navigators caring for each patient on an individual level. Our approach to the whole patient includes the most advanced technology available, the most skilled specialists, and support for the entire family.

The Mary Washington Hospital Trauma Center is a Commonwealth of Virginia Level II Trauma Center provid-ing comprehensive trauma care to patients with life-threatening injuries.

A Guide To Our Cover

Mary Washington Hospital’s Primary Stroke CenterAs the only Joint Commission-certified Primary Stroke Center in the region, Mary Washington Hospital has proven its effectiveness in the recognition, treatment, and recovery of stroke patients.

Laboratory at Stafford Hospital We perform outpatient diagnostic testing for infants, children, and adults.

Stafford Hospital Imaging in the new MWHC Medical Pavilion in Wood-bridge for efficient imaging studies interpreted by board-certified radiologists.

Radiologic Associates of Fredericksburg interprets all imaging studies for Mary Washington Healthcare.

Cultural Services Program at Mary Washington Healthcare provides professional medical interpreters to patients and their companions with limited English proficiency or who are deaf.

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Mary Washington Healthcare exists to improve the health of the people in the

communities we serve.

www.MaryWashingtonHealthcare.com

Mary Washington Hospital

Stafford Hospital

Mary Washington HealthcareOutpatient and Emergency Center at Lee’s Hill

Mary WashingtonHealthcare

2300 Fall Hill Ave., Suite 210Fredericksburg, Virginia 22401