ENRICHING LIVES

2016 Community Benefit Report

Better. Every day.

I have never been more proud of Lakeview Medical Center than I am this year! I know how hard everyone at LMC works to provide compassionate, quality care at exceptional value, and now that dedication has been recognized nationally. I am happy to announce that in 2016, Lakeview Medical Center was named a Truven Health Top 100 Hospital®!

LMC is one of only 20 small community hospitals nationwide to receive this award. The annual Truven Health awards program uses independent research to identify the top U.S. hospitals with the best overall performance across multiple measurements including quality inpatient and outpatient care and patient satisfaction of care.

As this award shows, LMC employees give their all to provide the highest quality care to our community. We stay up-to-date with medicine and treatment options – and even ahead of the curve in some cases. Patients facing certain diagnoses have the option to participate in clinical trials right here at their community hospital, giving them access to the latest in medical advancements. Our experienced staff is well-versed in offering all levels of care.

For more than 20 years, I’ve been privileged to be able to lead Lakeview Medical Center. I am proud of everything we’ve accomplished and the growth we’ve experienced. The Rice Lake community is “home” to me and my family, and I am grateful for the opportunity I’ve had to help meet the health needs of my neighbors, friends and family.

As I a move on to a new role within the Marshfield Clinic Health system, I know that Lakeview Medical Center will continue to grow and thrive. The strong foundation we’ve built promises a bright future ahead. Thank you all for your support and dedication to making our community stronger and healthier.

Award-Winning Care

Forward Momentum

At Lakeview Medical Center, care goes beyond providing medicine and treatment to sick patients. We support patients and their families from birth through the end of life – and even after. The Hospice Program’s Service of Remembrance is an annual event held for families to honor their lost loved ones. We help people change their lifestyle to avoid or even reverse health problems with our participation in programs like the National Diabetes Prevention Program. And, when the unexpected happens and you need care you weren’t prepared for, our Community Care program is there to help.

I look forward to what the future will bring to Lakeview Medical Center. We are in a great position to continue our growth and enhance the care we provide our community. Thank you for choosing LMC and helping us become a Top 100 Hospital!

Edward H. Wolf, FACHEChief Administrative Officer, Lakeview Medical Center

Peter M. Neal, MDChairman, Rice Lake Board of Directors

Dr. Wajdi BaderInternal Medicine

Dr. Bader is a Hospital Medicine physician caring for adult and geriatric patients who are hospitalized. He completed his Internal Medicine residency at Stroger Hospital in Chicago.

Forward Momentum

MESSAGES Lakeview Medical Center 2016 Community Benefit Report PAGE 2

Dr. Andrea MartinelliFamily Medicine

Dr. Martinelli enjoys seeing patients of all ages, particularly women and children. She completed her residency in Family Medicine in Chattanooga, Tennessee.

Dr. Irfan Shehzad Pediatrics

Dr. Shehzad sees children for ongoing primary care, acute sickness and general pediatric consultations.

His mission is to provide evidence-based, comprehensive, family-centered care to children from birth to 21 years.

Dr. Muhammad Siddiqui Internal Medicine

Dr. Siddiqui specializes in the care of adults and geriatric patients in a hospital setting. He completed his internal medicine training at Mount Sinai School of Medicine.

Meet Our New

SPECIALISTS

Providing high-quality healthcare is not just helping people when they are sick or injured. At Lakeview Medical Center, we are committed to creating a healthier community – and that means promoting a healthy lifestyle that emphasizes a preventative approach to illness and injury.

For Gene and Sarrah Sirianni, taking part in Lakeview Medical Center’s National Diabetes Prevention Program changed the way they thought about health. Instead of waiting for diabetes to affect their lives and then seek treatment, the Siriannis learned of their risk and took steps to improve their health and prevent the disease.

“We did the pre-diabetes Know Your Numbers event, and we were both at risk based on our numbers,” says Gene. “So, when we saw they offered the class on diabetes prevention, we enrolled right away.”

The National Diabetes Prevention Program is a guided, 16-week course that teaches participants how to manage their diet and activity levels in order to lose weight, improve physical condition and decrease the risk of illnesses like diabetes. Each group of 12-14 participants meets once a week

with a Health & Wellness Center Lifestyle Coach, who covers topics like the importance of fat when counting calories, how to substitute high-sugar foods with healthier choices, various types of exercise and more.

“The classes were very entertaining, very educational and a lot of great ideas are shared while going through the program,” says Gene.

Sarrah agrees. “Chad Johnson, our Lifestyle Coach, was always available. We could talk to him whenever – he even gave his number so we could call him if we had questions, so we had access to this information.”

Participants are given booklets to chart their weekly food intake and exercise time. Chad helped the Siriannis set weight loss and exercise goals each week and chart their progress at weekly meetings.

“The first few weeks, Chad went through our booklets with us and noted what were good choices and gave suggestions for improving other choices,” explains Gene. “He explained how we’ll always come across challenges but gave us the tools to set goals and deal with them.”

The group is also able to share successes, challenges and tips to support each other on this journey to health.

“You’re involved with all the other people, and it’s amazing how everyone has similar issues and yet we all have such a different lifestyle,” says Sarrah. “And we help each other see we all have this potential.”

For both Sarrah and Gene, the Diabetes Prevention Program was a success. They met and exceeded their weight loss and exercise goals, decreasing their risk of developing diabetes in the future. Plus, they’ve

discovered a healthy new lifestyle and higher energy levels.

“We learned we can really like vegetables!” Sarrah says. “And we’ve noticed a difference in our energy levels and our capabilities like walking longer distances and going up and down stairs without getting tired or winded.

“The program has been very educational and fun. I would recommend it to anyone looking to prevent diabetes and improve their health.”

Stopping Diabetes in Its Tracks

PAGE 3 Lakeview Medical Center 2016 Community Benefit Report

Visit the Health & Wellness

Center at Cedar Mall for more

information about the National

Diabetes Prevention Program.

You can also find out your risk

for diabetes and other diseases

at our next Know Your Numbers

event, held every May.

Visit www.lakeviewmedical.com

for more information!

“She was able to spend her days where she wanted, and that was in our home,” says Leo. “All of the hospice staff had the

common goal to give Connie and our family the best care that they could with the time

that we had remaining.”

Every year, dozens of butterflies are released at the Service of Remembrance by the families and loved ones of departed hospice patients. Each hospice patient’s name is also put onto a quilt, which Leo especially appreciated, as Connie was a quilter herself.

“When you’re given the news that it’s time to go home and make plans for the end, they give you the word ‘hospice,’” says Leo Diehl. “And you go through a lot as you process what that means.”

When Leo received this news about his wife, Connie, he wasn’t sure what to think. “The first part is a lot of sadness, because the reality is you know that time is so limited,” he remembers. “Then, you get home for that very first meeting and you learn about the wonderful hospice program at LMC and the wonderful people that are behind that program.”

Connie was diagnosed with aggressive cervical cancer at the age of 52. After many attempts at treatment options, the medical team, Connie and her family decided it was time to go home. The Lakeview Medical Center Hospice Program helped move Connie back and provided nursing staff to ensure she was comfortable and to train family members on her care.

The hospice team at Lakeview Medical Center is committed to providing support for both patients and their families. The core belief of hospice is that each of us has the right to a pain-free and dignified end of life process.

One hospice nurse was particularly special to Connie and her family. “John Nelson is the definition of hospice,” Leo says. “He gave of

Transforming the Meaning of Hospicehimself, he was so kind, he followed up – he was phenomenal. He was part of our family at the end.”

When Connie passed after seven weeks at home, her family continued to receive the support they needed to grieve. The Service of Remembrance, held annually every summer to honor departed hospice patients, was a special way to remember Connie and celebrate her life.

“There’s great joy that she’s not suffering anymore – no more operations, tubes, bags, IVs,” says Leo. “And we can remember her as the angel she is.”

Nine of Connie’s loved ones and friends attended the Service of Rememberance with Leo, including Evelyn Berkseth, the young girl Connie was a nanny for during the last year of her life.

“She meant the world to Connie,” says Leo. “It was a very special thing to share that day with her.”

Lakeview Medical Center 2016 Community Benefit Report PAGE 6

When tragedy strikes, communities come together. For area natives JoAnn and William Lammers, this proved to be true after they returned to Barron County when their home was destroyed in the Joplin, Missouri, tornado of 2011.

“We’ve lived here all our lives, but we moved down to Joplin when our daughter needed help with our four grandkids,” explains JoAnn.

JoAnn and William were crushed underneath their destroyed home

in the tornado. Along with losing everything, they were left with injuries that took years to resolve. “I was just grateful we survived,” remembers JoAnn. “After everything, we looked at our options and decided it was time to come back home.”

Four years after surviving the tornado and moving back to Wisconsin, JoAnn became eligible for Medicare and was able to address her long-term injuries. “From being crushed under our

house, I wasn’t able to raise my arms very high. My shoulders were screwed up. I also had a lot of back pain,” she explains.

Dr. Luke Fraundorf of Lakeview Medical Center’s Regional Center for Joint Replacement started working with JoAnn to find solutions. He started with a conservative approach, using cortisone injections into her shoulders to relieve inflammation and pain. JoAnn also started physical therapy with Justin Deeg, DPT.

“Dr. Fraundorf is amazing. I liked that he wanted to try other options before surgery,” says JoAnn. “And the Physical Therapy lab was incredible. Justin was so great to work with, everyone was very well trained.”

Ultimately, JoAnn did need surgery on her shoulders. “I had both surgeries at the outpatient facility, which is incredible,” remembers JoAnn. “Being able to have shoulder surgery and not have

to stay in the hospital was just fantastic, and it worked out really well.”

After the first shoulder surgery was a success, JoAnn started to worry about the cost of a second surgery. She expressed her concerns to Dr. Fraundorf, who directed her to Financial Services for assistance. JoAnn learned she could apply for Community Care to help with costs not covered by her Medicare insurance plan.

“Where would I be without Community Care?” wonders JoAnn. “I still wouldn’t be able to move my arms. Without the generosity of the people at the Rice Lake hospital, we wouldn’t have been able to get back on our feet.”

Now, JoAnn is back to work part-time. She and her husband, William, bought a home in Chetek and have been able to return to a normal life. After almost losing their lives in Joplin and traveling a long road to recovery, the Lammers are grateful to be a part of a community that cares.

A Community That CaresPAGE 7 Lakeview Medical Center 2016 Community Benefit Report

“Where would I be without Community Care?” wonders JoAnn. “I still wouldn’t be able to move my arms. Without the generosity of the people at the Rice Lake hospital, we wouldn’t have been able to get back

on our feet.”

“Everything was done at Lakeview Medical Center, which was convenient for me,” Michael says. “Overall, it went great and if anybody asks me what I thought about clinical trials, I would tell them to definitely try it.”

Lakeview Medical Center has a long tradition of providing high-quality health-care in the many communities it serves. This commitment includes participating in research efforts to develop the latest diagnostic and treatment options through clinical trials, available for patients facing certain diseases or conditions such as cancer.

All cancer patients at Lakeview Medical Center are assessed to determine if a current clinical trial would be of value to them. Clinical trials study the effectiveness of new medicine, as well as side effects, especially in comparison to standard treatment options. For Stage III melanoma patient Michael Cox, being offered the chance to participate in a clinical trial seemed like a great way to receive the latest treatment options and help researchers continue their work.

“I was intrigued by the thought of not having to go through chemo to treat my skin cancer,” explains Michael. “I know that has pretty hard side effects. So, when my oncologist mentioned this clinical trial medicine, I wanted to learn more.”

Every potential clinical trial patient receives detailed information about the trial and the treatment researchers were testing. Michael’s doctor explained how clinical trials

Taking Healthcare Further

Lakeview Medical Center 2016 Community Benefit Report PAGE 10

work, what the potential side effects were, and the pros and cons of participating in the trial compared to the standard treatment.

“I admit that the decision to do it was kind of scary at first, but as it progressed everything went great,” says Michael. “I can’t say enough about the care I’ve gotten through Lakeview Medical Center.”

Lakeview Medical Center makes it easy for patients in the Rice Lake community to take advantage of clinical trials. Patients can receive their medications and treatments such as chemotherapy right at LMC for convenient and compassionate care.

“Everything was done at Lakeview Medical Center, which was convenient for me,” Michael says. “Overall, it went great and if anybody asks me what I thought about clinical trials, I would tell them to definitely try it.”

Clinical trials not only give patients access to the latest in medical advancements, but they also help researchers uncover better ways to treat, prevent, diagnose and understand human disease. Lakeview Medical Center is proud to be a part of the future of healthcare.

Community Health Needs Assessment and Improvement PlanSince the completion of the 2015 Community Health Needs Assessment, conducted in partnership with Thrive Barron County, Lakeview Medical Center has developed a plan to help improve the top health concerns in Barron County.

PAGE 11 Lakeview Medical Center 2016 Community Benefit Report

1

Lakeview Medical Center Community Health Needs Assessment

Better. Every day.

COMMUNITYHealth Needs

ASSESSMENT

The top health priorities as identified in 2015 are:

1) Alcohol, Tobacco and Other Drugs

2) Chronic Disease, specifically pre-diabetes

3) Mental Health

To meet these needs, Lakeview Medical Center is reaching out to community members with relevant programing and information. For example, to help reduce illness, disability and death related to tobacco use, LMC offers programs such as the Outpatient Tobacco Cessation Program, N-O-T (Not On Tobacco), and First Breath. In efforts to maintain or decrease the number of Barron County residents

who have pre-diabetes or type 2 diabetes, LMC will continue to host free “Know Your Numbers” events and refer at-risk patients to our diabetes prevention program. To help meet the mental health needs of our community, LMC will be working with Security Health Plan to provide a Mental Health First Aid course to community members, educators and healthcare professionals.

For more information on the Community Health Needs Assessment and Improvement Plan, contact LMC Community Relations at 715.236.6111 or visit www.lakeviewmedical.com.

2016 Community Benefit Financial SummaryCommunity Benefit Defined

Lakeview Medical Center strives to improve the health of our entire community. Supporting community benefit activities is one way to help address our community’s health needs and improve the community’s health status. Some examples include:

• Health services to underserved populations

• Support of public health programs

• Donations of support to community priorities

• Health education, screening and prevention services

• Subsidized health services

2016 Care StatisticsThe care you need is here...

464Births

51,581Diagnostic Imaging Procedures

6,816Dialysis Treatments

15,237Emergency Visits

5,593 / 7,053Home Care / Hospice Visits

326Sleep Studies

3,965Surgical Procedures

3,451Ambulance Runs

368Knee and Hip Replacements

314,236Lab Tests

Community Benefit (Programs/Education) $367,000

Cost of Free/Discounted Care (Community Care) $677,000

Unpaid Costs of Medicaid $1,504,000

Total Community Benefits (exclusive of Medicare shortfall) $2,548,000

Number of People Benefitting (based on Community Programs) 31,000

Medicare Shortfall (costs of Medicare calculated based on the cost to charge ratio) $1,411,000

Patient Experience of Care*% of patients who indicate they were “always” satisfied

Lakeview Medical Center State Average U.S. Average

Overall High Rating

Willingness to Recommend

Communication with Doctors

Responsiveness of Hospital Staff

Communication about Medicines

Pain Management

Quietness of Hospital Environment

Cleanliness of Hospital Environment

Discharge Information

*Taken from Wisconsin Hospital Association’s CheckPoint results for Lakeview Medical Center 1/1/2015-12/31/2015.

0 10 20 30 40 50 60 70 80 90 100

100

50

20

10

5

0

Patient Satisfaction Is Our MissionPatient satisfaction with their healthcare is a critical part of quality. It is LMC’s organizational commitment to provide the best possible care while creating a positive, caring experience for patients and their families. To achieve this goal, LMC sends out Press Ganey patient surveys and reviews responses to identify any areas of improvement.

0 10 20 30 40 50 60 70 80 90 100

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1 Taken from Wisconsin Hospital Association’s CheckPoint results for Lakeview Medical Center 07/01/2015-06/30/2016.

2 Taken from Wisconsin Hospital Association’s CheckPoint results for Lakeview Medical Center 01/01/2015-12/31/2015.

3 Taken from Wisconsin Hospital Association’s CheckPoint results for Lakeview Medical Center 01/01/2016-06/30/2016.

Lakeview Medical Center State Average

PE

RC

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PATIENTS WHO RECEIVED ALL RECOMMENDED CARE

Quality Data

A lower score is better for Cesarean Section, Early Elective Delivery, Infant Complications and All Cause Readmission measures.

BIR

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Lakeview Medical Center 2016 Community Benefit Report PAGE 14

StatisticsQuality WHA’s CheckPoint® provides reliable data and quality initiatives and outcomes that help to prevent errors and improve patient outcomes. Data reported here was obtained from Wisconsin Hospital Association’s CheckPoint results available December 2015.

Birth Measures What this means: Percentage of mothers and newborns who received the care they needed based on the standards in the chart. Cesarean Section = Percentage of deliveries made by cesarean section. Early Elective Delivery = Percentage of elective deliveries before 39 completed weeks gestation. Infant Complications = Percentage of infants who experienced health complications during or after delivery. Newborn Screening Turnaround Time = Percentage of newborn screening tests returned on time.

Why this is important: Proper delivery and immediate care of newborns reduces complications and infant mortality rates and facilitates healthy growth.

All Cause Readmissions What this means: Percentage of patients released from our hospital and readmitted within 30 days for anything other than a scheduled surgery.

Why this is important: To ensure patients receive appropriate care upon their initial visit to the hospital and are being discharged at appropriate times and with proper discharge instructions.

Error Prevention What this means: Percentage of patients who received error prevention measures based on National Safety Goals. Medication Reconciliation at Discharge = Percent that indicates progress toward obtaining the most accurate list of each patient’s current medications and then making sure that each medication is addressed when a patient is discharged from the hospital.

Why this is important: Avoiding errors helps patients recover faster and keeps readmission rates low.

2016 Community Benefit Report

1700 West Stout Street, Rice Lake, Wisconsin 54868 715.234.1515 www.lakeviewmedical.com

NON-PROFIT ORG U.S. POSTAGE

PAIDIMAGE.WORKS

53719

AmbulanceCardiac RehabilitationCase ManagementEmergency CareEndoscopy Home Health CareHospiceGrief Support • Newborn through Adult

Joint Replacements • Hip • Knee • ShoulderKidney Dialysis Unit • Hemodialysis • Peritoneal DialysisLaboratory LifelineMaternity • Lactation Services

Imaging Services • 2D and 3D Mammography • Bone Density • CT-Scan • MRI • Nuclear Medicine • Ultrasound • X-RayInfection PreventionInfusion ServicesIntensive Care

Nutritional CounselingOncology • ChemotherapyPacemaker Insertion/Generator Replacement Pain ManagementPediatric Therapy ClubhousePulmonary Rehabilitation

LAKEVIEW MEDICAL CENTER SERVICES

Rehab Services • Aquatic Physical Therapy • Occupational Therapy • Physical Therapy • Speech TherapyRespiratory TherapySleep Study LabSocial ServicesSurgical and Outpatient ServicesTobacco CessationWomen’s Health

To view our non-discrimination statement please visit: www.marshfieldclinic.org/non-discrimination-statement

For More Information…If you would like more information about the Community Benefit Report or Lakeview Medical Center, please visit LMCBetterEveryDay.com and fill out the convenient form.