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PeoplePeople Community Relationships Positively Thompson 2014 Report to the Community Healthy connections are key to a thriving community Corporate Missions F.F. Thompson Health System Inc. Thompson Health is dedicated to providing an integrated healthcare system comprised of afliated health- related corporations to continuously improve the health of the residents and communities of the Finger Lakes and the surrounding region. The Frederick Ferris Thompson Hospital The Frederick Ferris Thompson Hospital is a community hospital which exists to serve the healthcare needs of the people in partnership with regional healthcare providers. The Frederick Ferris Thompson Hospital serves as the center of a healthcare network to provide a full range of healthcare services and to improve community health. M.M. Ewing Continuing Care Center M.M. Ewing Continuing Care Center is dedicated to providing a continuum of long-term rehabilitative and related services to the community while respecting the dignity and individuality of those served. FFTH Properties and Services Inc. FFTH Properties and Services Inc. plans develops implements owns and manages health-related business ventures and services in support of the nancial and business needs of Thompson Health. F.F.T. Senior Communities Inc. F.F.T. Senior Communities Inc. is a senior living environment comprised of independent and enriched living apartments and services. A variety of activities and personal services are provided to promote lifelong learning for a vibrant and secure community. F.F. Thompson Foundation Inc. F.F. Thompson Foundation Inc. a not- for-prot corporation is committed to achieving philanthropic support for the services and priority needs of the Systems afliated tax-exempt corporations and to overseeing the management of restricted and unrestricted funds of the Foundation. CARES Values CCommitment is to our customer. Our customer is the patient and resident family doctor client associate volunteer and visitor anyone to whom we provide service. AActions speak louder than words. We act in a professional and timely manner and are accountable for our own behavior and that of our colleagues. RRespect We treat every person with dignity honor and appreciation. We avoid every intrusion into their privacy and hold their personal information in condence. EExcellence Our system is continuously providing outstanding care and exceptional service. SService We serve with pride creating a responsive and healing environment. This is what our team is all about. Corporate Missions Michael F. Stapleton Jr. FACHE PresidentCEO Thompson Health Richard H. Hawks Jr. Chair Thompson Health Board of Directors John F. McGuire M.D. President Thompson Health Medical Staff Every day within Thompson Health we are committed to providing the highest level of quality and service to our community continually exploring new ways in which to meet evolving needs build upon our afliation with UR Medicine and navigate the changing healthcare landscape. Throughout 2014 Thompsons Board of Directors medical staff associates and volunteers worked toward these common goals as our health system continued investing in the facilities the technology and the associates we need to meet every challenge and deliver the very best care possible to every patient and resident. While our facilities and technology are state-of-the-art our people are what make Thompson truly exceptional. After all at our core at the heart of everything we do are relationships. Whether its a relationship between our health system and another entity or a bond formed between a nurse and a patient it all boils down to understanding each others needs communicating and being respectful of each others wishes. Connections between organizations and individuals are forged and nurtured every day and these connections are what truly make a difference. They help us achieve great things like being named a 2014 recipient of the Pinnacle Award from the Healthcare Association of New York State and being recognized for the second consecutive year as a Top Performer on Key Quality Measures by The Joint Commission the leading accreditor of healthcare organizations in the United States. The importance of connections is driven home each time we receive a note expressing the appreciation of a patient or family. Something as simple as the offer of a warm cup of coffee at a time when someone is in need of comfort can dene an entire experience. As the poet Maya Angelou once said Ive learned that people will forget what you said people will forget what you did but people will never forget how you made them feel. This is never more true than at a time when one is sick or injured or dealing with an emotionally challenging situation and this is why we never lose sight of our CARES values. As we look back on 2014 we can reect on many new programs and new ways of doing things and we can do so with the knowledge that these are what we will build upon as Thompsons relationships within the community become stronger than ever. Michael F. Stapleton Jr. FACHE PresidentCEO Thompson Health Statewide Recognition Last summer Thompson Hospital was named one of only two hospitals in the state to receive the 2014 Pinnacle Award for Quality and Patient Safety presented by the Healthcare Association of New York State HANYS. The award was in recognition of an initiative to eliminate hospital-acquired conditions by using visual tools to track progress and offer reminders of evidence-based best practices. The heightened awareness of these best practices among staff patients and families allows for active partnership in care. As a result the hospital has experienced a decrease in three hospital-acquired conditions and elimination of another. Thompson Health Annual Report 20142 Statewide Recognition Repeat Performance Improving patient outcomes through evidence-based processes is a top priority for Thompson Hospital and it shows In 2014 Thompson was among the 13 percent of hospitals in the country to achieve Top Performer on Key Quality Measures distinction for two consecutive years. Presented by The Joint Commission the leading accreditor of healthcare organizations in the United States the recognition is awarded for promoting healthy outcomes in patients receiving care for heart attacks heart failure and pneumonia as well as preventing infections blood clots and cardiac issues in patients receiving surgical care. Excellence in Stroke Care Stroke is a leading cause of both death and disability in the United States. Yet studies show hospitals following American Heart Association American Stroke Association improvement measures can reduce patients lengths of stay 30-day readmission rates and disparity gaps in care. For meeting specic quality measures for the rapid diagnosis and treatment of stroke patients Thompson Hospital earned a Get With The Guidelines -Stroke Gold-Plus Quality Achievement Award in 2014. Focus on Communication In 2013 Thompson Healths executive team committed to frequent rounding throughout the patient oors enhancing customer satisfaction by giving patients and associates opportunities to directly communicate any concerns or suggestions. This past year they took it to another level with rounding geared specically toward hospital associates including non-clinical ones who work nights and weekends. Whether its 10 p.m. on a Thursday or 6 a.m. on a Sunday its not unusual to nd on- call administrators walking the halls talking not only to clinical staff but those in the kitchen security staff and other departments. Within just the rst couple of months several issues were addressed as a result. Leveraging Technology The 2012 implementation of electronic medical records EMR presented new opportunities for nurses who continued leveraging the technology throughout 2014 nding new ways to enhance patient care. One initiative involved working with Information Technology IT associates to replace the paper immunization screening process with a tool built into the EMR. Now Thompson can more quickly assess whether new patients have the current inuenza and pneumonia vaccines administering vaccines if necessary and ensuring patients are protected both while in the hospital and once they return home or are transferred to another facility where the staff will have the immunization information readily available. Another 2014 nursingIT initiative allows the vital signs of patients in the ICU to automatically be transmitted into the EMR providing nurses and physicians a constant feed of the most current data to ensure prompt action if there is any cause for concern. 3Cultivating Quality Growing Together Victor is one of the fastest-growing communities in the state and as such its health care needs are also growing. With a patient base already numbering more than 4000 Thompson Healths Victor Family Practice in 2014 underwent an expansion and renovation at its West Main Street location. The completion of the renovation was soon followed by the arrival of an additional physician who joined the two physicians and physician assistant already practicing at this location. The community has embraced the growth wholeheartedly which has resulted in a signicant number of new patients whose health care needs are now being managed. Thompson Health Annual Report 20144 Leaps and Bounds On the heels of bringing Macedon Kachoria Family Practice into the fold in late 2013 Thompson Health welcomed three additional primary care locations in 2014. With a collective total of nearly 3000 patients Farmington Family Medicine Midlakes Medical Care and Palmyra Family Medicine all signed on. These additions brought the total number of Thompson primary care practices to nine with locations in three counties. Another longtime local physician integrated his practice into the health system in 2014 as well joining Canandaigua Family Practice. For the doctors these transitions allow them to focus on patient care while keeping pace with sweeping government-mandated regulations. For the health system the growth means a continued ability to thrive at a time of tremendous change and the ability to continue to meet the health care needs of the community. New Cancer Services A new organizational structure for UR Medicines Wilmot Cancer Institute and the inclusion of the Sands Cancer Center in the institute brought new comprehensive services to Sands patients in the fall with more to come in the near future. These services include clinical trials a new cardiologyoncology program focusing on cancer-related heart problems enhanced assistance with symptom management and decision-making genomics testing and advanced diagnostic testing for certain cancers which helps physicians to more precisely tailor treatments to a patients needs. A Team Approach to Care Created in 2013 the Hospital Medicine program experienced its rst full year in 2014 with a full complement of physicians and mid-level providers caring for patients in the hospital setting. They managed patients in all inpatient areas of the hospital including the intensive care units medical units and surgical units working closely with other medical specialties to help bring a more collaborative approach to patient care. Improving Lab Access With customers convenience in mind Thompson Health Laboratory Services opened a sixth draw station early in 2014 its rst in Wayne County. Adjacent to the Thompson Health Macedon Family Practice site on Route 31 the station offers experienced phlebotomists short wait times and friendly staff. Services include blood draws and specimen drop- off with analysis taking place in the state-of-the-art laboratory at Thompson Hospital which in 2014 processed approximately 1.5 million tests. 5Moving Forward Going Mobile The Diagnostic Imaging Department now has a mobile x-ray system that is the rst of its kind at any community hospital in the region. The Optima XR220amx is now used for the vast majority of portable x-rays within the hospital. When time is of the essence saving an average of 15 minutes per exam benets both patients and productivity. Whether the unit is used for a chest x-ray on an Emergency Department patient experiencing a possible heart attack or used in the Operating Room during joint replacements and spinal surgeries obtaining the information with convenience and having the information quickly available to physicians can make a world of difference. Thompson Health Annual Report 20146 MONARC Takes Flight UR Medicines Thompson Health is offering a new support group for people who are either considering or preparing for bariatric surgery as well as for those who have had bariatric surgery. Called MONARC Morbidly Obese Never Again Resource Center the support group held its rst meeting in October facilitated by a registered dietitiancertied dietitian- nutritionist. At MONARC meetings individuals have an opportunity to discuss issues and situations stemming from a history of obesity as well as issues that arise from surgery. Designed to help members develop realistic expectations the group can be a factor in long-term success. Rest Easy Those possibly suffering from sleep apnea or other chronic sleep problems now have a new option offered through the Sleep Disorders Center which in 2014 began offering home- based sleep studies. While some still prefer having a lab- based study in one of the spacious suites at the center others feel more comfortable in their own beds. Thompson provides a device to place on the front of the chest with a monitor attached to one nger. After data including pulse rate oxygen saturation and body position are recorded overnight the data are analyzed by the board-certied sleep medicine specialists at the center and then shared with the referring physician for possible treatment. Building Strength and Continence With studies nding approximately one in four women are affected by incontinence pelvic discomfort and other pelvic oor disorders the Rehabilitation Services Department began offering a new service in 2014 physical therapy for womens pelvic health. With specialized training in musculoskeletal disorders therapists can provide effective management for women with various dysfunctions. This includes young female athletes women who are experiencing issues before during and after pregnancy women who are menopausal and elderly women. Breathing Easier In August Thompson Hospital achieved one of the key objectives outlined during the 2012 afliation with UR Medicine enhanced coverage from highly trained pulmonary specialists. A pulmonologist is now the medical director of both the ICU and Respiratory Therapy. Three additional pulmonologists are on campus on a regular basis to provide inpatient pulmonary consults allowing the hospital to provide more complex critical care. In addition a new satellite Pulmonary Clinic on the ground oor of the hospital offers outpatient appointments three afternoons each week. For community members with a wide range of breathing disorders this translates to personalized care involving timely appointments close to home. 7Embracing New Services and Technology Joining Together With increasing emphasis on a broader approach to healthcare delivery a collaborative effort to improve the overall health of the community got a big boost in 2014 with the formation of a Population Health Management Committee spearheaded by Thompson Health. With representatives of Ontario County Public Health and the Canandaigua City School District on board the committee is focused on creating a local culture of health and wellness by coordinating efforts with regard to disease prevention disease management and chronic care management. From providing new offerings in the schools to partnering with local restaurants in creating healthier options the committees aim is for Ontario to become the healthiest county in the state. Healthy Harvest Once again Associate Wellness offered an on-site Community-Supported Agriculture CSA program last summer and fall with more than 80 associates purchasing shares and many more stopping by the Fisher Hill Farms truck to purchase fresh fruit vegetables eggs and more. In addition the farm and the F.F. Thompson Foundation teamed up to offer shares to 12 associates in need. The 20-week CSA program ended in October but in November Thompson began offering something new a twice-monthly Winter Farm Market set up by Fisher Hill in the busy corridor outside the Hospitals Wegman Family Nutritional Services Center. Thompson Health Annual Report 20148 A New Way to Work Remaining sedentary for long periods of time is linked to a host of health problems including obesity and high blood pressure so an associate in the Community Wide Scheduling Department approached her supervisor with an idea. As a result the department director approved the order of standing workstations for the associate and her coworkers. The stations can easily move up or down depending on whether the associates prefer to sit or stand. Thompsons coordinator of health for one is hoping the trend will catch on. As he said in a congratulatory message In a time when work is more and more sedentary you stepped up and made a positive change Healthy Eating Made Easy Eating right is a lot easier when information ideas and support is right at your ngertips so in 2014 Thompson Health began offering free online tools for planning healthy meals. Community members can sign up for My Health eRecipes via ThompsonHealth.com accessing a database of more than 1000 recipes created by professional chefs and nutritionists. The recipes can be searched by category by health condition or by ingredient. They are complemented by videos and up-to-date nutritional advice on more than 40 health conditions numerous allergies and overall healthy eating. In addition those who sign up can receive a weekly online meal planner customized to an individual or to a family with multiple needs as well as time-saving printable shopping lists. Recognition for Patient-Centered Care Over the summer the National Committee for Quality Assurance NCQA announced that Thompson Health received Patient-Centered Medical Home PCMH recognition for using evidence-based patient-centered processes within its ve original primary care practices in Canandaigua Honeoye Lima Shortsville and Victor. A PCMH combines teamwork and information technology to improve patient experiences by fostering ongoing partnerships between patients and their personal clinicians. Patients care is overseen by clinician-led care teams that coordinate treatment across the healthcare system and those who have high-risk conditions or chronic diseases work closely with RN care managers. As one patient said this gives her the ideas the motivation and the additional support she needs to stay on track. Commitment to Wellness For the third time in six years Thompson Health was honored in 2014 by the Rochester Business Journal and Excellus BlueCross BlueShield with a Wealth of Health Award. This time around the award was in the new Laureate category for previous honorees continuing to broaden employee wellness efforts in signicant ways. In Thompsons case this included everything from on-site tness classes to smoking cessation assistance to healthy options in the cafeteria. After all associates who are taking good care of themselves are better able to provide the best possible care for patients and residents. 9Partnering in Wellness 100 and Counting A program specializing in bringing joy to residents of the M.M. Ewing Continuing Care Center marked a milestone in 2014 surpassing the 100 mark in terms of residents special wishes fullled. Launched in late 2010 the Sharon M. Pepper Wish Upon a Star Program is run by a small committee of associates. Funded by donations they randomly draw residents names at quarterly ceremonies and then set about making their wishes come true. In 2014 these included a big band concert a long- awaited return to a favorite hometown haunt complete with surprise guests and a retired farmers visit to a large dairy farm. Music to Our Ears New arrivals are now welcomed in a new way at Thompson Each time a baby is born in the Birthing Center a short quiet segment of Brahms Lullaby plays on the overhead paging system throughout the hospital. Said the director of Obstetrics It is our intent that this will be a reminder in the midst of our daily stressful lives of the hope and joy that each new life brings. Thompson Health Annual Report 201410 The Comfort of Home Thompson Health offers six lab draw stations in communities throughout the region but for some patients with certain conditions or limited mobility getting to one of the stations isnt always easy. So the Lab comes to them with phlebotomists performing needed blood work in the comfort of their own homes and quickly getting the results to their physicians. The programs reach grew in 2014 to encompass nearly 400 people. For each one a highly detailed database keeps track of individual preferences and needs from wake- up times to the need to fast to special considerations such as hearing difculty and dementia. Technical Support To ensure hospital patients remain active partners in their medical care Thompson Health introduced both a patient portal and a patient portal advocate in 2014. Similar to Thompsons primary care practice patient portal by the same name My Health eRecord is a secure online tool for inpatients and observation patients to access portions of their personal medical records and other important information. The advocate walks patients through the sign-up process and follows up after discharge to answer any questions about accessing information which includes discharge instructions medications and test results. Coupled with a transition coach service offered through Social WorkCase Management this extension of hospital care is meant to help patients stay healthy at home. Enhancing Quality of Life Imagine living in a skilled-nursing facility and every time someone enters your room they must rst don a gown mask and gloves because at one point in your life you tested positive for a particular type of drug-resistant infection. The M.M. Ewing Continuing Care Center had more than 30 such residents but the staff always striving to create a more home-like comforting environment decided to nd out if there was a better way. There was. Through research a Do It Group DIG determined that if it had been more than a year since the infection and two subsequent tests came back negative only gloves were necessary. The new approach not only benets the well-being of the residents but it makes the delivery of care more efcient and prevents unnecessary use of supplies. Results of the DIGs work were deemed such a success it was named DIG of the Year by the health systems Associate Quality Council. Athletic Expertise For residents of Ferris Hills at West Lake one of the benets of being afliated with Thompson is access to its many specialists. One of them a certied athletic trainer from Rehabilitation Services began making twice-weekly visits to the independent living community in 2014. On Mondays and Wednesdays he meets with residents in their tness center helping them use the equipment correctly and answering questions about how to best accomplish individual tness goals. Also a certied strength and conditioning specialist he put together educational information to be displayed in the tness center and created an exercise circuit based on the equipment which includes a new elliptical machine. 11Providing Exceptional Customer Service Delicious DASH The New York Wine Culinary Center NYWCC was the setting for a 2014 series of cooking classes for those who have experienced a cardiac event and want to enjoy healthy food that is neither bland nor boring. Presented through a partnership between the Cardiac Rehabilitation Department and the Culinary Center the series was created by a NYWCC chef and focused on the Dietary Approaches to Stop Hypertension DASH Diet. The series was underwritten by Constellation Brands Jim and Ellie Fralick the Rochester Institute of Technology and Wegmans Food Markets in order to make it affordable to all. Classes lled up and proved to be such a success a similar series was planned for 2015. Thompson Health Annual Report 201412 Put to the Test In 2014 the health systems Emergency Preparedness Department coordinated a total of 24 drills and events involving a variety of scenarios and community partners. For example at the height of Ebola concerns Thompson associates received high marks from the state Department of Health during a drill based on a hypothetical patient who had visited Sierra Leone and was exhibiting possible symptoms. Working with members of the Canandaigua Emergency Squad and Ontario County Public Health associates used all necessary steps to prevent putting themselves or anyone else at risk. With refreshers on everything from putting on and taking off personal protective equipment to handling blood samples to quarantining a patient those involved are ready to handle any emergency that might present itself. Taming Back-to-School Jitters Going back to school in the fall can cause anxiety as well as excitement so the Wellness Department and the Canandaigua City School District teamed up last summer to offer a new program to students who were transitioning from elementary to middle school. The three-day camp was offered to not only give students the opportunity to become familiar with the building class schedules and the staff but it allowed them to learn about positive body image and self-esteem. Associates including a registered nurse discussed healthy lifestyles including how to identify and handle stress. W8 2 TXT With research showing that younger less experienced drivers have the highest percentage of distraction-related crashes a Thompson Health nurse is front and center with an Ontario County Safety Council campaign called One Text or Call Could Wreck It All. Funded in part through a Mary Clark Thompson grant from the F.F. Thompson Foundation the campaign rolled out in early 2014. In addition to parking lot signs ads bumper stickers school announcements and school safety fairs the campaign also includes the distribution of car air fresheners with its slogan as well as silicone thumb rings that say W8 2 TXT and are meant to make a driver stop and think before texting. Facilitating Healthy Diets Partnering with Foodlink Thompson Health took steps during 2014 to make nutritious food accessible to everyone in the community no matter their budget. Thompson hosted the organizations mobile food pantry twice providing free produce bread dairy products and more to those in need. In all approximately 400 families were served. In addition Foodlinks Curbside Market could be found at Thompson every Friday during the fall. Parking near the main hospital entrance this store on wheels offered fresh produce from local farms at affordable prices. Leading the Way Focused on ensuring an inclusive environment for all patients family members and associates Thompson Hospital was recognized this past fall as a Leader in LGBT Healthcare Equality by the Human Rights Campaign Foundation the educational arm of the countrys largest lesbian gay bisexual and transgender civil rights organization. Thompson was one of 426 healthcare facilities nationwide to receive the recognition which involves meeting key criteria including patient and employee non-discrimination policies that specically mention sexual orientation and gender identity a guarantee of equal visitation for same-sex partners and parents and LGBT health education for key staff members. 13Helping Our Community Thrive 2014 Financial Statement Key Facts Hospital 113 Beds 6 Operating Rooms 9 Primary Care Practices Patient 5596 Hospital Discharges 21783 Patient Days 710 Deliveries 45187 Primary Care Practice Visits Senior Services 188 Continuing Care Center Beds 46 Brighter Day Participant Slots 84 Ferris Hills Apartments 48 Clark Meadows Apartments Physicians and Employees 1449 Associates 439 Medical Staff Members 196 Volunteers Net System Revenues in thousands System Operating Expenses in thousands Routine and Nursing Care 39655 Other Professionals 33720 General and Administrative 45081 Depreciation and Interest 11383 TOTAL 129839 unaudited data excluding Foundation MedicareMedicaid 61989 Commercial Insurance 62741 Miscellaneous 9880 Total Operating 134610 Non-Operating Net 1585 TOTAL 136195 unaudited data excluding Foundation Thompson Health Annual Report 201414 2014 Financial Statement Key Facts Hospital 113 Beds MedicareMedicaid 61989 80 85 90 95 100 2012 2013 2014 Continuing Care Center Occupancy Rates in 96.12 0 300000 600000 900000 1200000 1500000 2012 2013 2014 1471051 Laboratory Services Visits 0 5000 10000 15000 20000 2012 2013 2014 17343 Urgent Care Visits 60 65 70 75 80 2012 2013 2014 69.45 Brighter Day Participant Rates in 12000 15500 19000 22500 26000 2012 2013 2014 25524 Emergency Visits 40000 50000 60000 70000 80000 2012 2013 2014 72600 Diagnostic Services Visits 11000 11625 12250 12875 13500 2012 2013 2014 13036 Surgical Services Visits 26000 31000 36000 41000 46000 2012 2013 2014 45187 Primary Care Visits 65 70 75 80 85 2012 2013 2014 82.90 Clark Meadows Occupancy Rates in 35 50 65 80 95 2012 2013 2014 Ferris Hills Occupancy Rates in 84.70 50000 52500 55000 57500 60000 2012 2013 2014 58285 Rehabilitation Services Visits 2014 Vital Statistics Patient Safety is Our First Priority Core Measures Quality Indicators Process of Care Evidence-Based Medicine 2011 2012 2013 2014 Heart Failure Care Heart Failure Composite 97 99 96 99 Includes all elements of discharge instruction provided left ventricular function assessment ace inhibitor prescribed for heart failure. Stroke Care NYS Stroke Care Composite 93 97 94 98 IV tPA addressed within 2 hours of arrival if indicated antithrombotic therapy blood clot prevention managed blood clot prevention with atrial brillation smoking cessation addressed lipid lowering medications addressed swallowing evaluation completed rehabilitation considered NIHSS completed on admission or discharge. Surgical Infection Prevention Surgical Infection Prevention Composite 98 99.5 99 99 Includes appropriate antibiotic given within one hour of incision appropriate hair removal appropriate medications indicated for blood clot prevention indications for beta blocker addressed preoperatively antibiotics appropriately discontinued urinary catheter removed by post-op day 2 pre-operative temperature managed. Myocardial Infarction Heart Attack Myocardial Infarction Composite 95 95 96 99 Includes aspirin upon arrival aspirin prescribed at discharge ACEI and ARB for LVSD beta blocker at discharge lipid-lowering therapy at discharge. Pneumonia Care Pneumonia Care Composite 97 98 98 95 Includes blood culture drawn prior to antibiotic administration appropriate antibiotic use inuenza and pneumococcal vaccine administration. DAYS SINCE OUR LAST FALL DAYS SINCE OUR LAST PRESSURE ULCER OTHER BEST PRACTICES Tips for Preventing Falls Tips for Preventing Ulcers Tips for Best Practices Hourly Rounding Reactivating Bed Alarms Prompt Response to Call Bells and Bed Bells Fall Huddles Gait Belt Turn and Position q2Hours Elevate Heels off Bed Maintain Adequate Nutrition Braden Assessment Attend Use - Fitted Properly Changed is it Necessary Offer Flu Vaccine Offer Pneumonia Vaccine Prevent Blood Clots Provide Disease Specic Patient Education Provide Complete Discharge Instructions Including Patients are being encouraged to take an active role in their own safety. Thompsons visual management boards publicly display days since last fall pressure ulcer and infection in an effort to partner with our patients to decrease hospital-acquired events and improve patient care. We recognize the crucial role of patients perspectives in establishing a culture of safety. We are committed to engaging patients and their families in the design and nurturing of safety efforts while emphasizing transparency through the use of our boards. Mean Linear F.F. Thompson Hospital Catheter-Associated Urinary Tract Infections CAUTI per 1000 Foley Days 2012 2013 2014 0 2 4 6 8 Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1 Aggregated MedicalSurgical and ICU Falls with Injury per 1000 Patient Days 2012 2013 2014 0.0 0.2 0.4 0.6 0.8 1.0 1.2 1.4 1.6 Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1 Ventilator-Associated Pneumonias per 1000 Ventilator Days ICU VAP per 1000 Ventilator Days 2012 2013 2014 0 2 4 6 8 10 12 Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1 Hospital Central Line Associated Blood Stream Infection CLABSI per 1000 Line Days 2012 2013 2014 0 1 2 3 4 Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1 Accurage Medication List Follow-Up Appointments Myocardial Infarction Composite Includes aspirin upon arrival aspirin prescribed at discharge ACEI and ARB for LVSD beta blocker at discharge lipid-lowering therapy at discharge. Pneumonia Care Pneumonia Care Composite 97 98 98 95 Includes blood culture drawn prior to antibiotic administration appropriate antibiotic use inuenza and pneumococcal vaccine administration. Mean Linear F.F. Thompson Hospital 2012 2013 2014 0 Q4Q3Q2Q1Q4Q3Q2Q1Q4Q3Q2Q1 2014 Financial Statement 15 Thompson Health Annual Report 201416 Boards of Directors F.F. Thompson Health System Inc. Board Of Directors The Frederick Ferris Thompson Hospital Board Of Directors M.M. Ewing Continuing Care Center Board Of Directors F.F.T. Senior Communities Inc. Board Of Directors Richard H. Hawks Jr. Chair Paul Hudson Vice Chair Brian Meath Esq. Secretary Robert Sands Treasurer Michael F. Stapleton Jr. FACHE PresidentCEO John McGuire MD President of Medical Staff James H. Barr CPA Richard Cutri Randall Farnsworth Ellie Fralick Member at Large Roger Friedlander Daniel Fuller Steven Goldstein Frank Hamlin William Kenyon Esq. Chair Emeritus Ronald Knight Thomas Kubiak Raymond Mayewski Rev. Thomas Mull Deborah Price Carl Sahler MD Mark Taubman MD Cynthia Teerlinck MD Lori Van Dusen FFTH Properties Services Inc. Steven Swartout Esq. Chair Richard McGavern Vice Chair James B. Curley Jr. Betty Dudman Dale Hunt Kurt Koczent RN MSHA FACHE F.F. Thompson Foundation Inc. Thomas Kubiak Chair Dale Hunt Vice Chair and Treasurer Lauren Dixon Secretary Michael F. Stapleton Jr. FACHE PresidentCEO Mark Prunoske MS David Case Lewis J. Gould Esq. Paul Griswold Frank Interlichia Srinivas Kaza MD Wanda Polisseni Marilyn Sands Wade Sarkis Jeffrey Siewert Thomas Tortora Jr. Thompson Health Guild Board of Directors Taryn Windheim President Krista Jackson Vice President Karen Lustick Immediate Past President Louis Loy Treasurer Gail OBrien Secretary Members at Large Dawn Case Mina Drake Cindy Hept Gail Herman Russ Kimble Robert Locke Drinda Lofton Myrna Ortiz Judy Reader Tammra Schiller Jean Seager Diane Sickmond Judy Voss Audit Committee James H. Barr CPA Chair Michael F. Stapleton Jr. FACHE PresidentCEO Adam Anolik Ellie Fralick Ronald Knight Deborah Price James Terwilliger Finance Committee Robert Sands Chair Michael F. Stapleton Jr. FACHE PresidentCEO Adam Anolik James H. Barr CPA Richard Cutri Ellie Fralick Daniel Fuller Steve Goldstein Michael C. Goonan Paul H. Griswold Richard H. Hawks Jr. William Kenyon Esq. Thomas Kubiak Deborah Price Mark Prunoske MS Steven H. Swartout Esq. Pension Investment Committee Richard J. Cutri Chair Michael F. Stapleton Jr. FACHE PresidentCEO James B. Curley Jr. Jennifer DeVault MS Randall Farnsworth James Fralick Paul Hudson Dale Hunt Robert N. Latella Esq. Clifford E. Murphy Jr. Deborah Price Mark Prunoske Dona Rickard LNHA Thomas Tortora Jr. Edward Trevvett Ethics Committee Rev. Thomas Mull Chair David Baum MD Linda Bentley Mary Brady MD Jennifer DeVault MS Ellie Fralick Roger Friedlander Chaplain Mark Henson Jennifer Hunnicutt RN MSN Randy Jacque Kurt Koczent RN MSHA FACHE Dona Rickard LNHA Hazel Robertshaw PhD RN CENP Olle Jane Sahler MD Mary Savastano LMSW Margaret Somerset Esq. Elizabeth Talia Esq. Quality Safety Committee Daniel Fuller Chair Michael F. Stapleton Jr. FACHE PresidentCEO Eric Alden David Baum MD Mark Blazey Kiera Champlin-Kuhn RN BSN MS-HQS Jennifer DeVault MS Randy Farnsworth Ellie Fralick Sharon Haefele RN BSN Richard H. Hawks Jr. Dale Hunt Gloria Karr RN MS BC CIC William Kenyon Esq. Kurt Koczent RN MSHA FACHE Raymond Mayewski MD Brian Meath Robert W. Meyer MD Robert Panzer MD Dona Rickard LNHA Hazel Robertshaw PhD RN CENP Elizabeth Talia Esq. Cynthia Teerlinck MD Population Health Management Committee William R. Kenyon Esq. Chair Michael F. Stapleton Jr. FACHE PresidentCEO David Baum MD Mary Beer Kiera Champlin-Kuhn RN BSN MS-HQS Sarah Clayson RN BSN MHA DHSc Tina Culver RN Nicholas DAngelo Lynne Erdle Ellie Fralick Daniel Fuller Steve Guida Elaine Jackson Randy Jacque Clelia Negrini MD PhD Hazel Robertshaw PhD RN CENP Marie Rusaw RRT Mary Savastano LMSW Cathy Shannon MHA Cynthia Teerlinck MD 2014 Thompson Health Boards of Directors and Leaders Leaders Executive Team Michael F. Stapleton Jr. FACHE PresidentCEO Thompson Health Kurt Koczent RN MSHA FACHE Executive Vice President Thompson Health COO F.F. Thompson Hospital David Baum MD Senior Vice President Medical Services Hospital Medical Director Thompson Health Mark Prunoske MS Senior Vice President FinanceCFO Thompson Health Dona Rickard LNHA Senior Vice President Senior Living Services Thompson Health Jennifer DeVault MS Vice President Associates Services and Wellness Thompson Health Hazel Robertshaw PhD RN CENP Vice President Patient Care ServicesCNO F.F. Thompson Hospital Elizabeth Talia Esq. Vice President Legal and Regulatory Affairs and General Counsel Thompson Health System Leaders Elizabeth Alexander MS RN CN-E Director Medical Surgical Nursing F.F. Thompson Hospital Siobhan Baker RN Nurse Manager Gardens M.M. Ewing Continuing Care Center Vijay Bansal MD Medical Director Emergency Medicine F.F. Thompson Hospital Donna Barnard RHIA MBA Director Health Information Management Thompson Health Wendy Blakemore MT ASCP Director Laboratory Services Thompson Health Kiera Champlin-Kuhn RN BSN MS-HQS Director of Clinical QualitySafety Utilization Management and Clinical Documentation Improvement Patient Safety Ofcer F.F. Thompson Hospital Thompson Health Sarah Clayson RN BSN MHA DHSc Nursing Supervisor ICU F.F. Thompson Hospital Nicholas DAngelo Director Reimbursement Thompson Health Christopher Dailey Pharm. D. Director Pharmacy Services Thompson Health Lorraine Decker RN MSN Nurse Manager Rosewood and Pines M.M. Ewing Continuing Care Center Penny Dodge Director Patient Financial Services Patient Access and Registration Thompson Health Carole Drake MSPT WCC Director Rehabilitation Services F.F. Thompson Hospital Richard Gerger CHFM Director Facility ServicesProperties Thompson Health Mary Ann Grumley RN Nurse Manager Lakeview M.M. Ewing Continuing Care Center Sharon Haefele RN BSN Director Nursing Compliance M.M. Ewing Continuing Care Center Mark Halladay Director IT Services Thompson Health Jennifer Hunnicutt RN MSN Director Nursing Senior Living Services Elaine Jackson Director Corporate Communications Thompson Health Deborah Jones BSN RNC-OB C-EFM PLNC Director Obstetrical Nursing F.F. Thompson Hospital Gloria Karr RN MS BC CIC Director Infection Control Disaster Preparedness Thompson Health Michelle Kennison LPN Program Manager Enriched Living F.F.T. Senior Communities Janet Kerr MS MBA Director Accelerated Performance Improvement Thompson Health Joshua Kulp BSN Director Critical Care Nursing F.F. Thompson Hospital Deanna Leary RN MSN CNOR Director Perioperative Services F.F. Thompson Hospital Wendy Mulholland BS RT R M Director Diagnostic Imaging F.F. Thompson Hospital Clelia Negrini MD PhD Medical Director Hospitalist Medicine F.F. Thompson Hospital Terry Ovenshire Director Nutrition Services Environmental ServicesLinen Thompson Health James Pelton Director Volunteers Thompson Health Anita Pietropaolo Director Foundation Thompson Health Marie Rusaw RRT Director CardioPulmonary Services F.F. Thompson Hospital Paul Sandroni MSM CMPE PHR Director Hospitalist Program F.F. Thompson Hospital Jeanna Savage Director Spirit of Women Thompson Health Mary Savastano LMSW Director Case ManagementSocial Work Thompson Health Catherine Shannon MHA Director Practice Management Occupational Health F.F. Thompson Hospital Melissa Smock RN Nurse Manager Meadows M.M Ewing Continuing Care Center Roberta Spezzano CPA Director Finance Thompson Health Aimee Ward Director Sales Marketing F.F.T. Senior Communities Thomas Weibel Director Materials Management Thompson Health Christine Woznick-Taylor BSW MSM Director Medical Adult Day Program M.M. Ewing Continuing Care Center Medical Staff Leaders John F. McGuire MD President of Medical Staff F.F. Thompson Hospital Robert W. Meyer MD Vice President of Medical Staff F.F. Thompson Hospital Vijay K. Bansal MD SecretaryTreasurer of Medical Staff Chief Emergency Medicine F.F. Thompson Hospital David Baum MD Administrative Vice President of Medical Staff F.F. Thompson Hospital Nancy A. Brown MD Chief of Anesthesiology F.F. Thompson Hospital Ben C. Wandtke MD Chief of Diagnostic Imaging F.F. Thompson Hospital Jeffrey C. Long MD Chief of Medicine F.F. Thompson Hospital Robert W. Scott MD Chief of ObstetricsGynecology F.F. Thompson Hospital Kirk D. Heriot MD Chief of Pathology F.F. Thompson Hospital Brian Campbell DO Chief of Pediatrics F.F. Thompson Hospital Bradley K. Peck MD Chief of Surgery F.F. Thompson Hospital Clinical Medical Directors Vijay K. Bansal MD Medical Director of Emergency Medicine F.F. Thompson Hospital David Baum MD Acting Medical Director of Senior Living Services Nancy A. Brown MD Medical Director of Anesthesiology F.F. Thompson Hospital David R. Carlson MD Medical Director of Occupational MedicineUrgent Care Center F.F. Thompson Hospital Michael M. Foote MD Medical Director of F.F. Thompson Family Practices F.F. Thompson Hospital Ronald L. Hainen MD Medical Director of Nuclear Medicine F.F. Thompson Hospital Bryan A. Henry MD Medical Director of Cardiographics and Cardiac Rehab F.F. Thompson Hospital Kirk D. Heriot MD PhD Medical Director of Pathology F.F. Thompson Hospital Robert W. Meyer MD Medical Director of Rehabilitative Services F.F. Thompson Hospital Joseph E. Modrak MD Medical Director of Sleep Disorders Center F.F. Thompson Hospital Clelia Negrini MD PhD Medical Director of Hospital Medicine F.F. Thompson Hospital Justin V. Rymanowski MD Medical Director of Stroke Center F.F. Thompson Hospital Raymond M. Thomas MD Medical Director of APC F.F. Thompson Hospital Justin Weis MD Interim Medical Director of ICU Interim Medical Director of Respiratory Medicine F.F. Thompson Hospital 17 Nonprofit Org. U.S. Postage PAID Rochester NY Permit No. 300 Thompson Health 350 Parrish Street Canandaigua New York 14424 585 396-6000 www.ThompsonHealth.com Follow us on Facebook Make a Difference Visit www.ThompsonHealth.com for more information about making a donation to Thompson Health. F.F. Thompson Hospital is accredited by The Joint Commission. F.F. Thompson Hospital is the recipient of a Get With The Guidelines - Stroke Gold-Plus Quality Achievement Award. UR Medicines F.F. Thompson Hospital is recognized as a Leader in LGBT Healthcare Equality by the Human Rights Campaign Foundation. F.F. Thompson Hospital is an ANCC Magnet designated hospital for nursing excellence. F.F. Thompson is a New York State Designated Stroke Center. DESIGNATED STROKE CENTERNewYork State Department of Health