Annual Report to the Community 

The year in review:

JMMMC had another year to be proud of in serving our communities. Through an organizational assessment and development process, a new mission, vision, values and strategic plan were created with input from staff, the Board of Directors, and medical providers focused in the areas of our five (5) pillars--People, Community, Quality, Service, and Finance to assure a balanced approach in maintaining the incredible community asset that is JMMMC. Below are the highlights of the past year and year to come outlined in these pillars.

People:
JMMMC strives to be the healthcare employer of choice for our region understanding that our greatest asset is our dedicated team. This past year investments were made and will continue to be made in the areas of recruitment, retention, and recognition of top talent to continue to deliver high quality care to our patients.

Community:
· HOSA—Future Health Professionals chapter was started in partnership with Broken Bow High School. Currently, there are 45 active student members participating in state and local events designed to enhance and engage their interest in a career in healthcare.

· JMMMC provided several classes of Stop the Bleed in the local area, sponsored a Health Fair with our community partners providing health education and prevention information to our community.

· Jim & Mary Atkisson Nursing Scholarship was awarded to Delani Haines in the Spring of 2018.

Quality:

· JMMMC was nationally recognized for top quartile performance nationally in the area of Quality for 2018. This recognition is a testament to our staff’s dedication to excellence in patient care.

· Tobacco-Free Campus was established in Sept. 2018 providing a safe, healthy work and patient-care environment for our staff and patients.

Service:

· Our new website was launched for enhanced patient engagement and communication of our comprehensive, accessible services. Please check it out at Melham.org.

· The Clinic Renovation project was completed with Central Nebraska Medical Clinic providers and staff moving in April 2018 providing a modern, spacious, and private clinic space for patients to receive primary care services.

· 3D Mammography added October 2017. This state-of-the art technology improves accuracy and timeliness of early diagnosis, improving patient outcomes. JMMMMC performed a record number of mammography exams this past year.

· Diabetes Education via telehealth in partnership with Bryan Health. This service provides patients who have been newly diagnosed with Diabetes education and resources.

· Infectious Disease Consults available through Bryan Health Antibiotic Stewardship Program providing local providers with real-time specialist consultations.

· Fluoro-guided injections for pain relief as an alternative to back surgery provided by neurosurgeon, Dr. Daniel Tomes right here at JMMMC, allowing patients who experience back pain to avoid long car rides for the service.

· JMMMC will continue to grow our Total Knee Program having completed over 50 cases performed by Dr. Gregory Sextro, Orthopedic Surgeon since the service began allowing our patients to receive this care right here at home.

Medical Provider changes:

· Dr. Corey Blackburn, podiatrist from Grand Island resumed his practice at JMMMC Specialty Clinic.

· Dr. Daniel Tomes, neurosurgeon from Lincoln started providing services in Specialty Clinic.

· Dr. Richard Markiewicz, cardiovascular physician from North Platte started providing services in Specialty Clinic.

· Dr. Linda Blakeley, Ophthalmologist from Kearney discontinued specialty clinic due to relocation.

Comparative statistics (FY15-FY18)

JMMMC Statistics	FY18	FY17	FY16	FY15
Patient Days:
Acute Care	963	1,235	1397	1,746
Nursery	16	66	149	168
Skilled Swing Bed	147	263	344	547
Nursing Home	0	1,176	14,191	12,346
Total Days of Care	1126	2,740	16,081	14,807
ADC - Swing Bed	.40	.70	0.93	1.4
ADC - Inpatient	2.7	3.4	3.8	4.7.
Full Time Equivalents	85.01	87.08	134.5	136.2
ALOS - Medicare	3.3	3.6	3.6	3.4
Births	8	37	78	95
Total Surgeries	710	755	810	895
Admissions	315	409	530	576
Observation Patients	430	453	567	633
Patient Rev. & Payor Mix
Medicare Inpatient Mix	83%	81%	73%	79%
Medicare Outpatient Mix	56%	53%	51%	52%
Outpatient Rev. to Total Rev.	85%	75%	63%	63%

Finance:

JMMMC remains financially strong and continues to seek new services to meet community needs while being good stewards of the healthcare dollar. Through the Financial Assistance Program, JMMMC provided $84,650 of free and discounted care to patients and in line with nationwide industry trends, expects to see this amount increase in the coming years.

Looking forward:

People:

In keeping with our plan to be the healthcare employer of choice, the recruitment, retention, and recognition work continues for our current and future team members. Investment in employee growth & development, competitive wage and benefits, and developing our next level leaders is already underway.

Community:

Continued partnerships with local schools and area post-secondary programs will help create the next generation of physicians, nurses, advanced practice providers, and ancillary service professionals through programs such as HOSA-Future Health professionals, KHOP/RHOP, and clinical rotations.

A Patient & Family Advisory Council will be established to assist in gaining the patient and family’s insights into the care JMMMC delivers and to enhance our patient-centered approach to the work we do.

Quality:

JMMMC was honored to be nationally recognized in Quality this past year and is committed to building on this success to assure continued high quality outcomes and experiences for our patients. An investment in technology to enhance our electronic health record will take place to optimize its use throughout the organization and with our patients.

Service:

JMMMC is very excited that Dr. Katie Thompson will begin her practice at Central Nebraska Medical Clinic in the Fall of 2019. With the addition of her to CNMC and the JMMMC medical staff, JMMMC will re-establish the Labor & Delivery program to provide the much-needed service of delivering babies for our communities.

JMMMC continues to partner with Central Nebraska Medical Clinic in the recruitment of physicians to provide OB services with coverage for C-sections to enhance the Labor & Delivery program.

JMMMC will continue to evaluate the use of telehealth to complement current local and visiting specialty services to maintain convenient access for our patients.

Low dose CT lung cancer screenings are now provided at JMMMC for earlier detection of lung cancer for individuals ages 55-77 who currently smoke or have a history of smoking.

JMMMC team looks forward to another great year of partnering with you to inspire healthy living through quality care!