Cape Girardeau, Mo.

mission

philosophy and values

the mission of saint francis healthcare system is to provide a ministry of healing and wellness inspired by its Christian philosophy and values.

we respect the dignity and worth of each person and strive to promote the rights of our patients.

we are dedicated to caring and compassion for all whom we serve. Their needs of body, mind and spirit are our first priority.

we are committed to quality service through continuous quality improvement, teamwork and collaboration.

we encourage innovation through an empowered workforce as a way of achieving healthcare services that embrace our philosophy, values and mission.

we believe in community stewardship and will work in a collaborative partnership with others to help assure affordable and accessible services for all people of this region.

Contents03 message from our president and

Chief executive officer

04 medical staff president’s message

05 medical partner Chair’s message

07 Facilities development

15 technology in action

21 partnerships

25 outreach

29 Community Benefits

33 accreditations and Recognitions

37 leadership

44 medical staff

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message FRom ouR pResident and ChieF exeCutive oFFiCeR

dear saint francis healthcare system family and friends,

As the world of healthcare economics continues to evolve, Saint Francis Healthcare System is putting the pieces in place to succeed regardless of the path taken by healthcare reform. The strategic plan approved by our Board and developed with our medical staff focuses on providing exceptional patient care within a positive work environment, while generating sustainable business growth.

Our upcoming “Building on Excellence” project, which you will read about later in this report, will upgrade a hospital facility that has served us well since 1976. This investment accelerates our efforts to stay ahead of the curve and prepare for the implementation of the Affordable Care Act. The new building will improve outcomes for our patients, along with enhancing the entire patient experience.

Saint Francis’ growth has a significant economic impact on the residents of our region. Not only are we the largest employer, but a considerable number of contract workers also support their families by working on construction and expansion projects throughout our system. Cape Girardeau was one of only 15 metropolitan statistical areas that actually grew during the current recession, and we are proud of the role we continue to take in that growth.

We have developed a very strong position in the primary care area, which is a critical component in the financial strength of a healthcare system. Almost two-thirds of all primary care providers in Cape Girardeau are Saint Francis Medical Partners, and their patients account for up to 80 percent of the area’s primary care patients. In addition to the primary care practices directly affiliated with Saint Francis, we have created urgent care access through our Immediate Convenient Care locations for patients who may not have an established physician relationship.

Our Board and Medical Staff continue to build on a vision that encourages investment in great people, new medical technology and modern facilities. We look forward to your support as we maintain our commitment to providing the highest quality of patient care.

Steven C. BjeliCh, FAChe-D

President and Chief Executive Officer

Saint Francis Healthcare System

mediCal staFF pResident’s message

Just when we thought Saint Francis Healthcare System had reached the pinnacle of success, word comes of further improvements to the Medical Center coming right around the corner. As with the recent Heart Hospital Cancer Institute project, and the expansion and renovation of the Saint Francis Emergency and Trauma Center (the region’s only Level III trauma center) and the Family BirthPlace, Saint Francis leaders are calling upon the Medical Staff to provide significant input for the upcoming

“Building on Excellence” project.

This type of collaborative atmosphere is exactly what helps us create the positive healing environment for which Saint Francis is known throughout the region. There is a reason why some

of the nation’s leading physicians find their way to Cape Girardeau – we enjoy a level of support and partnership with the Saint Francis Board of Directors’ Quality Committee, Service Excellence Committee and Leadership team that is simply second to none.

The $127 million “Building on Excellence” expansion project calls for a two-part construction plan that features an Orthopedic and Neurosciences Center and a new Women and Children’s Pavilion. Our patients benefit directly from investments in facilities and technology approved by the Saint Francis Board of Directors, and the “Building on Excellence” project will further

enhance our ability to deliver exceptional outcomes.

The Medical Staff values this productive relationship as we work strategically to position the organization for success in the evolving healthcare environment.

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ChArleS eDwArD lAvAlle iii, MD

Medical Staff President

mediCal paRtneR ChaiR’s message

Saint Francis Medical Partners continues to evolve into an efficient medical supporting structure within the Saint Francis Healthcare System. What began as a loosely affiliated collection of employed physicians now features a formal organizational structure with full administrative support, enabling partner physicians to focus exclusively on the practice of medicine.

Verlene Luna, MHA, FACHE, is a key addition to the Medical Partners team. As the organization’s administrator, she is responsible for the clinical, operational and financial success of the Medical Partners. She supports directors as the leader of Physician Practice Management Services and practice operations. She also provides practice management support to directors and staff as needed.

Physician practices within the Medical Partners group now have a specified line of communication and support within Saint Francis Healthcare System, and we are in the process of reorganizing practices and leadership using the team concept.

These steps are the latest milestones in our effort to enhance the collaborative relationship that exists between the Medical Partners and Saint Francis, a relationship that benefits patients by removing many of the issues that come with practicing the business of medicine in today’s fluid healthcare environment.

MiChAel r. FreeMAn, MD

Chair, Medical Partners Board of Directors

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FaCilities development

Building on excellence – master Facilities plan 3

Continued growth in heart and Cancer Care

growing primary Care

Black River medical Center

Family Birthplace and level iii niCu

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Building on exCellenCe – masteR FaCilities plan 3 Saint Francis Medical Center set its sights on the future with the announcement of its $127 million “Building on Excellence” expansion project. Also called the Master Facilities Plan 3, it encompasses a two-part construction plan that features an Orthopedic and Neurosciences Center, and a new Women and Children’s Pavilion.

The Ohlson Lavoie Collaborative architectural firm is overseeing construction, which will begin late in 2012 and conclude in 2016. Saint Francis physicians, nurses and staff are providing significant design input to help ensure the most efficient use of space from a real-world, patient care perspective. Our investment in quality and commitment to providing the highest level of patient care make this an exciting project for the medical community.

The Orthopedic and Neurosciences Center’s five-story tower will include surgical and medical services, and feature private rooms and a new main entrance on the Medical Center’s south side. The Women and Children’s Pavilion will stand on the northeast side of the Medical Center, adjacent to the existing Family BirthPlace/ Level III Neonatal Intensive Care Unit (NICU).

Several features of the new facilities will positively impact patient care:

• All private rooms will help control infection and create more comfort, completing the Medical Center’s transition to all an all-private room facility

• Dedicated areas and staff for orthopedics, neurosciences, rehabilitation, surgical and medical patients, and women and children’s services

• Family BirthPlace expansion will create needed space for this growing service line

• Dedicated, updated patient elevators• Patient-only corridors for improved

infection control and privacy• Private NICU rooms, supporting best practices

in neonatologyResidents in our region already benefit from the progressive technology and compassionate patient care available at Saint Francis. The “Building on Excellence” project, along with the expansions and additions completed last year, will provide our physicians and staff with the ability to deliver that care in an ideal healing environment.

FaCilities development

North expansion featuring Women and children’s Pavilion

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Continued gRowth in heaRt and CanCeR CaRe Saint Francis’ Heart Hospital Cancer Institute (HHCI) marked the first anniversary of its opening in July, completing a successful transition to bringing advanced treatments and technology to fight coronary disease and cancer under one roof.

anderson joins cape medical oncology Scott A. Anderson, DO, medical oncologist/hematologist, joined Cape Medical Oncology as a Saint Francis Medical Partner this year. After spending the past two decades in

internal medicine, Anderson turned his focus to cancer treatment, completing an oncology and hematology fellowship at the University of Missouri Hospital and Clinic in Colombia, Mo. Anderson previously trained internal medicine residents and served as an assistant professor of internal medicine at Kirksville College of Osteopathic Medicine. Cape Medical Oncology partners with the HHCI to provide patients with the highest quality care.

cape cardiology group

The physicians of Cape Cardiology Group moved their practice to the Saint Francis Heart Hospital this year. A trusted leader in heart health, Cape Cardiology Group uses the powerful technology available at the HHCI to provide comprehensive cardiovascular care to patients throughout the region.

Cape Cardiology Group added three physicians this year to meet the need for additional expertise and expanded patient access.

Joseph C. Dwyer,

MD, FACC

Sandra S.

McCearley, MD

Rebecca L. Smith,

MD, FACC, FASE

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Cape Primary Care physicians and nurse practitioners, from left to right: Janna r. crosnoe, MD; erica e. gibson, MD;

Kimberly a. Keser, DNP, aPrN, fNP-Bc; Dolores J. McDowell, aPrN, fNP-Bc; Joy l. leDoux-Johnson, MD

vein and laser center

Saint Francis’ Vein and Laser Center has moved into its new space in the Heart Hospital, creating additional convenience for patients. John C. Wiggans, MD, FACS, thoracic and cardiovascular surgeon at Saint Francis, provides advanced treatment and technology for varicose veins, a condition that sometimes signals underlying issues such as peripheral vascular disease.

Varicose veins begin to surface when valves within the vein no longer pump blood effectively toward the heart. Wiggans utilizes the revolutionary CoolTouch CTEV™ laser to close veins so blood bypasses them and circulates to healthy veins.

gRowing pRimaRy CaRe

Cape Girardeau area residents now have access to a primary care facility that offers the best of both worlds – Cape Primary Care’s appointment-based services under the same roof as Immediate Convenient Care’s walk-in access.

Located conveniently near the I-55 corridor on the corner of Kingshighway Street and North Mount Auburn Road, this unique facility places an array of primary care providers in one campus. A Woman’s Life Family Healthcare’s nurse practitioners and support staff joined Cape Primary Care in July, and the combined practice began seeing patients in the new location July 2.

This new facility features enhanced electronic medical records and X-ray capabilities, with convenient access to the powerful resources of Saint Francis Medical Center just minutes away. The scope of services available creates an uncommonly full range of care for patients of all ages who walk through the doors seven days per week, and as late as 7 pm Monday through Friday.

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BlaCk RiveR mediCal CenteR

Residents of the Poplar Bluff area gained an alternative for inpatient hospitalization, urgent care and emergency care with the June opening of Black River Medical Center. The three-bed hospital and emergency department is the product of a partnership between Saint Francis Medical Center and the physicians of Poplar Bluff Medical Partners.

A group of 39 physicians formed Poplar Bluff Medical Partners in 1999 to provide high-quality affordable care for local patients. Saint Francis is a partner in that organization, as well as the new hospital, located off Highways PP and 67 on the Physicians Park campus.

Black River offers emergency services, laboratory services, diagnostic capabilities, respiratory care, dietary services, pharmacy and a number of other associated medical services. Its goal is to provide exceptional patient care that exceeds national benchmarks, highlighted by a high nurse-to-patient ratio.

The Black River emergency department serves as the starting point for many area patients in receiving healthcare. Physicians Park Primary Care provides urgent care services, and experienced emergency physicians and staff are on site to handle the department’s three treatment bays and one observation room.

Black River team members worked diligently with the leadership team from Saint Francis Medical Center to earn accreditation from The Joint Commission on Accreditation of Healthcare Organizations. This rapid accreditation signals the exceptional quality of care already available at Black River Medical Center.

Becky Massey, rN, and Donald s. Piland, MD

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Family BiRthplaCe and level iii niCu

Saint Francis Medical Center’s Family BirthPlace has been welcoming little miracles into the world for more than 10 years now. Area women are showing their trust in the level of care provided by delivering more babies here than anywhere.

Saint Francis began offering obstetrical services in 2001 after a 35-year absence, and the response has been overwhelmingly positive – so much so that delivery numbers have more than doubled since 2005. The Medical Center’s Level III Neonatal Intensive Care Unit (NICU) has experienced a proportionate increase in patients, necessitating the addition of perinatologist Naomi L. Wahl, MD, FACOG, to Saint Francis Medical Partners and Cape Perinatology Services this year.

“We are honored that parents entrust the care of their children to our team,” says Karlyle K. Christian-Ritter, MD, FAAP, neonatologist at Saint Francis. “The ability for families to access our Level III NICU close to home minimizes anxiety during a stressful period and aids in the healing process.”

Enhancing the physical space of the Family BirthPlace and Level III NICU will be major focuses of the “Building on Excellence” expansion project with the addition of the Women and Children’s Pavilion.

Perinatologist Dean g. huffman, MD, and neonatologists laura e. al-sayed, MD, faaP; Karlyle K. christian-ritter, MD, faaP; and alan r. Barnette, MD, faaP

lactation consultant vi Doyen, rNc, clc, IBclc, rlc

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transport team The Saint Francis transport team is a specially trained unit that brings the sickest newborns from facilities throughout the region to the Medical Center’s Level III NICU. The team includes a transport nurse, neonatal nurse practitioner and respiratory therapist.

The team added a second ventilator to enable transport of critically ill twins, which have become more common with the increasing use of fertility drugs. Infants travel in a mobile incubator that includes a warmer to help babies maintain body temperature, as well as monitors for blood pressure, oxygen saturation and heart rate. About 100 babies arrive at Saint Francis via the transport team each year, accounting for approximately half of the Level III NICU’s admissions.

In addition to the expertise of our physician group, our full-time team of specially trained staff provides the highest level of care for these sick newborns.

Naomi L. Wahl, MD, FACOG Perinatologist

saint Francis medical Center transport team, from left to right: Marie corzine, MsN, rN, NNP-Bc, c-NPT; chris MacKinnon, rrT; lindsey Miesner, MsN, rN, NNP-Bc; vi Doyen, rNc, clc, IBclc, rlc; alicia McDonald, rN; Melissa sullivan, crT; Trish griffith, rrT; heather Mchughs, MsN, rN, NNP-Bc; lisa saur, rrT; starr Wilson, rN; lindsey roth, rN; Jenna sharrock, rN; Kay oehl, MsN, rN, NNP-Bc.

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teChnology in aCtion

anterior hip Replacement and Joint Revision surgery

tomosynthesis

metabolic and Bariatric surgery

pain management

Computerized physician order entry

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teChnology in aCtion

anteRioR hip ReplaCement and Joint Revision suRgeRy

The addition of orthopedic surgeon Hamid Redjal, MD, to the Center for Joint Replacement & Revision at Saint Francis is good news for residents whose hip or knee joints are in need of a tune-up. That includes both patients whose original joints and patients whose replacement components are causing discomfort, thanks to Redjal’s ability to perform revision joint replacement procedures.

“The fact is some of the older joints are just wearing out,” Redjal says. “We have materials now that are better than they have ever been. People are staying active and putting more years of stress on these components than they were originally designed for.”

Redjal uses an anterior (front-side) approach to hip replacement in which he accesses the joint between two muscles rather than removing and reattaching a muscle. This minimally invasive

surgery features a small incision only 4 to 5 inches long, compared to the much larger 10- to 12-inch incision

required with the traditional lateral or posterior entry.

“Using the anterior approach, patients can proceed with rehabilitation more quickly without having to

wait for the reattached muscle to heal,” Redjal explains. “This results in significantly shorter hospital stays and

a rapid return to normal activity without restrictions. The combination of this technique and the quality of the newer implants also results in a lower risk of dislocation.”

Hamid Redjal, MDOrthopedic Surgeon

tomosynthesis

Three-dimensional imaging generated by tomosynthesis mammography technology is reducing the frequency of false positive readings and the need for patient callbacks at Saint Francis’ Womancare.

The Selenia® Dimensions® machine by Hologic® provides a clearer view of the breast through overlapping tissue compared to traditional 2-D mammogram images. Saint Francis is one of only two facilities in the region to offer this technology.

“Radiologists can use this technology to scroll through layers of breast in 1-mm slices,” says Olivia Aranha, MD, PhD, medical oncologist/hematologist at Saint Francis.

“This viewing method allows for up to 15 percent better detection,” agrees James Jonathan Borders, MD, radiologist at Saint Francis. “We can see each tissue individually, along with improved imaging for dense breast tissue.”

The superior 3-D images show the inner structure of the breast without the distortion and shadowing prevalent with 2-D images.

Olivia Aranha, MD, PhDMedical Oncologist/Hematologist

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radiologist James Jonathan Borders, MD

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Weight loss surgery can be a life-changing event. Patients who experience the best results are the ones who choose to make significant lifestyle changes to keep the weight off.

Ryan A. LeGrand, MDBariatric Surgeon Cape Girardeau Surgical Clinic

metaBoliC and BaRiatRiC suRgeRy

Patients who struggle with ongoing weight issues have a new resource in Saint Francis’ Weight Loss Solutions program. The surgery center offers three weight-loss surgery options for those ready for a lasting lifestyle change.

“Weight loss surgery can be a life-changing event,” says Ryan A. LeGrand, MD, a Cape Girardeau native who is a bariatric and general surgeon at Saint Francis. “Patients who experience the best results are the ones who choose to make significant lifestyle changes to keep the weight off.”

According to the Centers for Disease Control, the state of Missouri faces one of the most severe challenges with obesity in the nation. Its 30.3 percent adult obesity prevalence places it among the 10 worst states in this category. The CDC says medical costs for people who are obese were $1,429 higher in 2008 than those of normal weight.

Dr. LeGrand provides a free overview of Weight Loss Solutions each month in the Saint Francis Conference Center, generally on the first Thursday. His presentation includes discussion of the three bariatric surgery options offered through Weight Loss Solutions:

gastric banding – Adjustable gastric banding reduces the stomach’s capacity, helping the patient lose weight by making them feel full faster and longer. It is the least-invasive surgical option.

roux-en-y gastric bypass – The most established of weight-loss surgeries, this procedure uses a small portion of the stomach and limits food intake. Food also bypasses part of the intestines to reduce calorie absorption.

sleeve gastrectomy – The surgeon creates a thin, vertical sleeve of stomach and removes the remainder of the stomach. This limits the amount of food the patient can eat and helps them feel full sooner.

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pain management

The Pain Management Center team at Saint Francis Medical Center uses a variety of technological tools to help people suffering from acute and chronic pain. Saint Francis is the region’s only pain center accredited by the American Academy of Pain Management, and one of only two in the state.

“This accreditation means the Pain Management Center has demonstrated its ability to deliver high-quality, comprehensive care,” says Carmen N. Keith, MD, medical director of pain management at Saint Francis.

nerve blocks – Local anesthetic or steroids are effective in treating a variety of chronic pain conditions. Physicians also may prescribe them for pain emergencies in adults, such as postoperative pain or cancer-related pain.

radiofrequency lesioning – This is a safe, proven means of interrupting pain signals that run between the source of pain and the brain. The procedure heats a small volume of nerve tissue to interrupt pain signals from that specific area.

spinal cord stimulation – Tiny electrical signals stimulate the spinal cord and interfere with the transmission of pain signals to the brain.

intraspinal drug infusion therapy – Physicians implant a small pump to administer doses of medication directly to the spinal cord to block pain. This technique requires much smaller doses of medication than oral or intravenous methods, and patients may have few side effects and greater pain relief.

Joel West Ray, MD, FACS, neurosurgeon at Saint Francis and Cape Neurological Associates, is an innovator in minimally invasive neurospine surgical procedures and tools. These procedures require less time in the operating room and dramatically shrink the average length of stay in the hospital.

“We are able to generate superior results while minimizing infection and readmission rates,” Dr. Ray states. “We have a variety of practitioners who own expertise in different types of pain management, and we are continually improving our program.” Dr. Ray and Dr. Keith have focused on a campus-based approach to generate better patient outcomes, specifically with neurosurgical cases.

carmen N. Keith, MD, and Joel West ray, MD, facs

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ComputeRized physiCian oRdeR entRy

Computerized Physician Order Entry (CPOE) is a federally mandated technology that allows physicians to enter orders directly into a computer rather than writing them by hand.

Saint Francis is in the process of implementing CPOE as part of its ongoing commitment to patient safety and satisfaction, quality improvement and regulatory compliance. The system generates substantial safety benefits for patients:

• Decreased delays in order completion• Elimination of errors related to

illegible handwriting• Reduced errors through built-in checks for

duplicate or incorrect doses or tests; the system flags potential issues with drug interactions, any known patient allergies, even decimal-point inconsistencies

• Assistance in providing appropriate care via patient-centered decision support

“We physicians have notoriously poor penmanship, and the CPOE technology greatly reduces the possibility of misunderstood orders,” says Matthew D. Shepard, MD, hospitalist at Saint Francis. “The system directly communicates orders from the medical staff to the appropriate care departments, such as the pharmacy or lab.”

The federal government has invested heavily in encouraging hospital and clinical practices to adopt meaningful use of healthcare information technology like CPOE. Federal incentives covered about 30 percent of Saint Francis’ costs of implementing this system.

Matthew D. shepard, MD, physician champion for cPoe

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paRtneRships

physicians alliance surgery Center

new saint Francis medical partners and practices

Referral services

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The unpredictable regulatory environment makes it more challenging than ever for physicians to concentrate on the patient-care aspect of their profession. As a result, more individual providers and group practices are choosing to team more closely with Saint Francis through partnership and direct employment contracts.

physiCians allianCesuRgeRy CenteR

Saint Francis and the physicians of Physicians Alliance Surgery Center in Cape Girardeau have a joint ownership agreement that relieves the physician owners of most management issues. Physicians Alliance Surgery Center provides ambulatory surgical services in ear, nose and throat; general surgery; gynecology; ophthalmology; orthopedics; and retinal specialties.

saint FRanCis mediCal paRtneRs

Members of the Medical Partners work under a direct employment model with Saint Francis. This model helps Saint Francis strengthen its position as a regional healthcare leader, continually advancing patient care through the introduction and development of innovative treatments and technologies. Together, we help more patients than ever receive treatment locally, which is an important part of the healing process.

Three new medical practices and 13 physician partners joined the Medical Partners in the past year, bringing the group’s total to 136 providers and 30 practices covering 24 specialties.

new paRtneR pRaCtiCes• Cape ENT Group• Charleston Family Care• Sikeston Radiation Oncology

paRtneRships

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new mediCal paRtneRs – 2012

Victoria E. Adjovu, MDCape Primary Care

Scott A. Anderson, DOCape Medical Oncology

Chad Armstrong, DOEmergency Medicine

D. Curtis Coonce, MD, FACS

Cape ENT Group

Joseph C. Dwyer, MD, FACC

Cape Cardiology Group

Samuel W. Ferreri, MDConvenient Care

Justin D. Floyd, DOCape Medical Oncology

Brendon Gelford, MDEmergency Medicine

Erica E. Gibson, MDCape Primary Care

Jesse D. Hoff, MDImmediate Convenient Care

Jennifer C. Jiang, MDImmediate Convenient Care

Carmen N. Keith, MDCape Pain Management

Kimberly A. Keser, DNP, APRN, FNP-BC

Cape Primary Care

Michael Killen, MD, FACEP

Emergency Medicine

Meera Krishnan, MDCape Hospitalist Group

R. Joe Leckie, DOEmergency Services

Urooj Mansoor, MDCape Hospitalist Group

Sandra S. McCearley, MDCape Cardiology Group

Dolores J. McDowell, APRN, FNP-BC

Cape Primary Care

Emily L. Militzer, MDSikeston Radiation

Oncology

Orlando V. Morejon, MDCape Trauma Specialists

Adam S. Morgan, MDCape ENT Group

Duc T. Nguyen, DOCape Cardiology Group

Robert L. Robbins, DOCharleston Family Care

Ronald L. Robinson, MDImmediate Convenient

Care – Perryville

Rebecca L. Smith, MD, FACC, FASE

Cape Cardiology Group

Timothy N. Thomas, DOEmergency Medicine

Naomi L. Wahl, MD, FACOG

Cape Perinatology Services

Sandra Zakroff, MDJackson Family Care

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ReFeRRal seRviCes

The Referral Services team plays an important role in promoting the services and physicians of Saint Francis Healthcare System. Referral Services Managers (RSMs) nurture positive relationships with area referring physicians by addressing issues, answering questions and providing timely information about new services, technology and medical expertise available at Saint Francis Medical Center.

Southeast Missouri State University alumni Wes Pruett and Chad Clippard are the newest members of the Referral Services team. Pruett brings more than 20 years of pharmaceutical sales experience to his role in promoting the Neurosciences and Surgery service lines. Clippard worked in pharmaceutical sales for 11 years and educates companies in the region on the services available at Saint Francis, including the Occupational Medicine Clinic and Wellness programs.

Jim Lawrence has been an RSM since the program began in 2004. His primary service line responsibilities include Emergency and Primary Care and the Consumer Call Center. Mark Parker (Heart and Orthopedics) and Nicole Dirnberger (Cancer, Women and Children) joined the Referral Services team on the same day in 2008.

The program has become more sophisticated over time, with RSMs addressing basic and specific position needs within the region. They market to physicians, regional hospitals and ambulatory surgical centers, and assist with issues management, information services connectivity and even consumer issues. The team sees more than 1,200 providers in its primary, secondary and tertiary markets, and helps facilitate projects such as the Press Ganey Physician Satisfaction Survey, Medical Partners events, continuing medical education programs, and consumer education and screening events.

Referral services managers, from left to right: Mark Parker; Jim lawrence, rN, MBa; Nicole Dirnberger; Wes Pruett; and chad clippard.

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occupational medicine Clinic in immediate Convenient Care – perryville

sikeston Radiation oncology

sikeston neurology

emergency/trauma has a partner in ems

healthcare Reaching Far past Cape

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oCCupational mediCine CliniC in immediate Convenient CaRe – peRRyville

Saint Francis’ new Occupational Medicine Clinic, inside Immediate Convenient Care – Perryville, offers an outreach opportunity to businesses in the Perryville area to improve the health of their workforce.

Occupational medicine physician Dennis J. Straubinger, DO, MPH, MRO, and his team use an educational approach to health and workplace safety, conducting evaluations and treating work-related injuries. Their comprehensive services include full-service programs, screenings and seminars that help prevent and manage injury and illness.

The team provides a range of services, including DOT exams, Fitness for Duty exams, physicals and drug screenings. Interventional pain management services help improve a patient’s overall quality of life through minimally invasive techniques. These techniques diagnose and treat painful conditions without heavy reliance on medications.

sikeston RadiationonCology

Bethesda Cancer Center in Sikeston joined Saint Francis Healthcare System this year under its new name of Sikeston Radiation Oncology. The group’s three radiation oncologists, Tapan Roy, MD, FACR; Veena D. Divecha, MD; and Emily L. Militzer, MD, continue to treat patients at the facility.

The new ownership arrangement ensures exceptional care for patients through access to facilities, specialists and technology available at Saint Francis’ Cancer Institute.

sikeston neuRology

Saint Francis staff neurologists Andrew Godbey, MD, MPH, and Jagannadha R. Avasarala, MD, PhD, also see patients in Sikeston under the heading of Sikeston Neurology Specialists. Dr. Godbey provides diagnosis and treatment for disorders and injuries of the brain and nervous system, while Dr. Avasarala specializes in treatment of patients with multiple sclerosis (MS).

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emeRgenCy/tRauma has a paRtneR in ems

As the only state-designated Level III trauma center in the region, the Saint Francis Emergency and Trauma Center is a significant destination in the world of regional emergency medical services (EMS).

One of the benefits of living in a more rural setting is the quality of the personal relationships we can develop. This is where our Emergency Department team excels. We know the paramedics in the field, and they know us. There is a secure feeling that comes with transferring patient care in such a comfortable setting, and this familiarity enhances the patient’s and family’s experience.

These relationships begin at the grassroots level. Rob Grayhek, MBS, BSN, RN, manager of Trauma Services at Saint Francis, has chaired the regional EMS committee for the past four years. He and the Medical Center’s trauma team travel to communities throughout the region to lead the Rural Trauma Team Development Course. This course, presented to regional hospital staffs and EMS agencies, details the steps involved with caring for a trauma patient and the subsequent transfer of that patient.

Nationally affiliated ThinkFirst community education programs reach about 5,000 students throughout our region every year. ThinkFirst programs educate young people about their personal vulnerability and the importance of making safe choices to avoid head and spinal cord injuries. For example, simply choosing to wear a bicycle helmet can prevent an estimated 85 percent of critical head and brain injuries, and 90 percent of diving injuries occur in six feet of water or less.

regional nurseries

Like the Emergency and Trauma Center, Saint Francis’ Level III Neonatal Intensive Care Unit (NICU) serves as a regional hub for nurseries to send their sickest and tiniest infants. Medical Center teams are active in providing educational information and programs for professional credit, as well as in-services on specific procedures and topics.

These interactions help foster a collaborative atmosphere in which regional providers feel free to contact a Saint Francis NICU physician or neonatologist for input, even just to ask a question.

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ILLINOISMISSOURI

TENNESSEE

KENTUCKY

ARKANSAS

Marion

Murphysboro Herrin

Anna

Carbondale

Ste. Genevieve

New Madrid

Paducah

Kennett

Cape Girardeau

POPLAR BLUFF

SIKESTON

CHARLESTON

FARMINGTONPERRYVILLE

healthCaRe ReaChing FaR past Cape

Saint Francis recognizes its responsibility as a regional healthcare provider beyond the immediate Cape Girardeau area. The Medical Center brings its expertise to surrounding communities through the efforts of its Medical Staff and management consulting relationships.

charleston

• Charleston Family Care

farmington

• Cape Neurology Specialists• Cape Spine & Neurosurgery• Cape Thoracic &

Cardiovascular Surgery• Cape Pain Management

perryville

• Cape Cardiology Group• Wound clinic and vascular clinic• Immediate Convenient Care• Occupational medicine• Cape Pain Management

poplar bluff

• Black River Medical Center• Cape Spine & Neurosurgery• Vascular clinic• Ambulatory surgery center• Diagnostics center• 140,000-square-foot medical

office building

sikeston

• Cape Medical Oncology• Cape Neurology Specialists• Infusion outreach• Cape Cardiology Group

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Community BeneFits

pink up Cape™ and dig for life

Coaches Clinic

Consumer Call Center

Business health summit

surgical site infection prevention

medical minute

the healthy weigh

Saint Francis Medical Center’s Pink Up Cape campaign, held during National Breast Cancer Awareness Month in October, continues to build momentum. The campaign raises awareness of breast cancer and encourages women older than 40 to get annual mammograms. A recently released study reinforces the notion that screening mammography and breast self-exams both have value in detecting cancer in women younger than 50.

In just its third year, Pink Up Cape already has spread beyond Cape Girardeau to other communities in the Medical Center’s service area, including Jackson and Poplar Bluff. Country music artist Candy Coburn, who grew up in Dexter, Mo., contributed to the Pink Up Cape effort by appearing at the kickoff event and performing her hit song, “Pink Warrior.” Coburn’s grandmother battled breast cancer for 10 years. Making its debut at the kickoff and a TV promotional campaign was the Pink Up Cape Choir. Led by Brian Crisman of Lynwood Baptist Church, the choir features nearly 80 singers from three choirs in the Cape Girardeau area.

The Dig for Life program also focuses on breast cancer. It features a series of fundraisers aimed at providing free mammograms to patients who cannot otherwise afford them. Nearly 2,000 women have received mammograms since the start of the program in 2000, including 420 in the past year alone. Saint Francis physicians have confirmed eight cases of breast cancer as a direct result of these free mammograms.

Former Southeast Missouri State University women’s volleyball coach Cindy Gannon initiated the program following her mother’s death from breast cancer. The campaign has expanded beyond its original partnership with the volleyball team to include other SEMO teams, as well as several area high schools and businesses. Close to 40 businesses participated in Dig For Life last year, raising approximately $78,000 for the program’s best year yet.

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Community BeneFits

CoaChes CliniC

Experts from across the country present the latest information on sports-related health issues such as heat stress and concussions at the Fall Coaches Clinic, offered annually since 2005 by Saint Francis Medical Center.

The primary goal for the Coaches Clinic is to raise awareness of potentially dangerous conditions that can occur on the playing field and what coaches can do to minimize those risks. Close to 100 area coaches take advantage of this opportunity each fall, hearing from members of the Saint Francis Medical Staff and national experts. Feedback from area coaches continues to exceed program expectations.

Past speakers have included Christopher Nowinski of the Sports Legacy Institute, which he co-founded in response to medical research indicating brain trauma in sports had become a public health crisis; and Jack Lengyel, who became head football coach at Marshall University following a 1970 plane crash that devastated the program.

ConsumeR Call CenteR

Saint Francis Medical Center recently launched its nurse-staffed Consumer Call Center to help patients through the decision-making process when they are unsure of which physician would be appropriate for their needs.

The Consumer Call Center serves as a funnel for consumers seeking primary or specialty care. People new to the area or those without an existing physician relationship are the most common users of the system. Call Center nurses are able to narrow down the list of potential physician matches by specialty, location, and even the ability to accept specific insurance plans.

Business health summit

More than 100 regional business leaders gain a wealth of information to benefit their organizations and employees at the annual Business Health Summit. Since 2008, this Saint Francis Medical Center Services to Business program has provided information on health issues faced by employers today.

Featured speakers offer unique perspectives on organizational topics, while physicians from Saint Francis’ Occupational Medicine department provide detailed updates for summit participants.

As a fully integrated occupational medicine program, Services to Business helps employers control the costs of workers’ compensation and medical services by reducing the incidence and severity of workplace injuries. The Business Health Summit is an extension of Saint Francis’ Occupational Health Services, helping regional businesses become safer workplaces.

courtney Jernigan, lPN, Physician referral and health resource representative

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suRgiCal site inFeCtion pRevention

Saint Francis Medical Center is taking a fun, proactive approach to helping patients take responsibility for preventing surgical site infections post-discharge with a “Keep It Clean!” educational campaign. The initiative strives to improve patient recovery and reduce the Medical Center’s already-low readmission rate.

Surgeons at the Medical Center provide patients with take-home materials that feature eye-catching, animated renditions of five Saint Francis surgeons. “Keep It Clean!” includes a DVD with short video clips that feature the voiced-over animations of the surgeons. The DVD describes preventive measures to avoid infection. Preliminary results are showing infection rates are .8%, down from 1.3%.

“Keep It Clean!” comes in response to Medicare’s new system that encourages hospitals to make sure patients receive the follow-up care and education they need to reduce the number of costly readmissions.

mediCal minute

Medical Minute is a community health education video resource featuring Saint Francis Medical Center physicians.

Originally introduced in 2000 as commentary from a single physician, the Medical Minute franchise has expanded to include two additional formats. Medical Minute EXTRA, introduced in 2009, showcases a conversation between a physician and their patient as they discuss a specific health issue. The new Medical Minute EXTRA One to One features conversations between two collaborating physicians.

Medical Minute’s 12-year history includes more than 800 segments. The segments are available on the Saint Francis website (www.sfmc.net) and YouTube channel, and air regularly on three local television stations and three Charter Media cable stations.

the healthy weigh

The Healthy Weigh, Saint Francis Medical Center’s medically supported weight-loss program, capped a successful first year of operation by receiving the Gold Standard Certificate from Health Management Resources (HMR). The Healthy Weigh features diet programs and meals from HMR, supported by expert nutritional, medical and fitness resources at the Medical Center and Fitness Plus, Saint Francis’ award-winning fitness facility.

The program offers a comprehensive approach to weight loss that includes intensive lifestyle education and the option of medical supervision for those with weight-related medical conditions. In its first 17 months, the Healthy Weigh helped 359 patients lose a total of 4,690 pounds. The program includes weekly lifestyle education classes and midweek support from a health educator, along with ongoing medical supervision as needed.

Illustrated, from left to right: Jonathon K. foley, MD, facs; Wendi M. carns, MD, facog; Patrick r. Knight, MD;

David g. yingling, MD; and Bruce a. Jones, MD, facs.

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aCCReditations and ReCognitions

healthgrades® Ratings

Chest pain Center Re-accreditation

american heart association Fit-Friendly, platinum

Best places to work in healthcare

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healthgRades Ratings

HealthGrades®, the nation’s leading independent healthcare ratings organization, again listed Saint Francis Medical Center among the nation’s elite in several categories. Saint Francis earned the HealthGrades Outstanding Patient Experience Award™, the HealthGrades Orthopedic Surgery Excellence Award™, the HealthGrades Neurosurgery Excellence Award™ and the HealthGrades Vascular Surgery Excellence Award™.

Saint Francis ranked among the top 5 percent in the nation for Overall Orthopedic Services, the top 10 percent in the nation for Outstanding Patient Experience and the top 10 percent in the nation for Vascular Surgery. The Medical Center also is one of HealthGrades America’s 100 Best Hospitals for Orthopedic Surgery™ for the second year in a row.

Saint Francis earned 5-star ratings in the following categories:• Overall Orthopedic Services• Joint Replacement• Spine Surgery• Total Knee Replacement• Hip Fracture Treatment• Back and Neck Surgery (Spinal Fusion)

• Coronary Bypass Surgery• Coronary Interventional Procedures• Treatment of Heart Failure• Treatment of Respiratory Failure• Vascular Surgery

• Carotid Surgery• Peripheral Vascular Bypass• Neurosurgery• Treatment of Stroke

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Chest pain CenteR Re-aCCReditation

The Chest Pain Center at Saint Francis Medical Center earned full Cycle III re-accreditation with PCI (percutaneous coronary intervention) from the Society of Chest Pain Centers (SCPC). That means its Chest Pain Center is committed to providing high-quality cardiac care to patients and has the resources available to do so.

To earn this status, the Center had to meet or exceed a wide range of stringent criteria, and then pass an on-site evaluation by a review team from the SCPC. The organization’s quality improvement model builds on itself through each three-year cycle, with eight key elements required for each cycle accreditation.

This year’s review focused on topics such as Saint Francis’ relationship with the public and employees through education initiatives, cooperation with regional EMS companies, the ability to follow specific patient care guidelines – all the way down to campus signage to help visitors find the Emergency Department.

ameRiCan heaRt assoCiation Fit-FRiendly, platinum

The American Heart Association (AHA) recognizes employers when they create a culture of physical activity in the workplace. Saint Francis Medical Center is proud to walk the walk in this regard as a Platinum-level recipient of the AHA’s Start! Fit-Friendly Companies program – the highest level of recognition – for its progressive leadership in employee fitness.

Saint Francis earned Platinum Level recognition for fulfilling the following requirements:

• Offers employees physical activity support• Provides or increases healthy eating options

at the workplace• Promotes a wellness culture• Implements at least nine criteria as outlined

by the AHA in the areas of physical activity, nutrition and culture

• Demonstrates measurable outcomes related to workplace wellness

The program honors companies that demonstrate progressive leadership in making the health and wellness of their employees a priority. Saint Francis recorded a 64 percent participation increase in its employee wellness program, Healthy Rewards. Spouses also can participate in the program, providing an opportunity for couples to support each other.

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2008 2009 2010 2011 2012

Modern Healthcare magazine named Saint Francis Medical Center one of its 100 Best Places to Work in Healthcare for the fifth year in a row in 2012. Saint Francis was one of only two Missouri facilities to make the list and one of only nine nationally to make it five years in a row.

“We all feel responsible for the patients and families who walk through our doors, regardless of our job descriptions,” says Chris Heiden, Service Tech at the Medical Center. “Our culture of teamwork gives me a very satisfying work experience, and I am proud to call myself a member of the Saint Francis Family.”

As part of the selection process, randomly selected Saint Francis employees answer survey questions that focus on eight core topics, including work environment and training, to name just two.

Saint Francis offers competitive wages and benefits to attract and retain the brightest and most compassionate individuals at every level of the organization.

gerald seyer, laundry and linen, laundry Tech chris heiden, outpatient rehab services, service Tech

Karen Welker, rN, Pediatrics, cNIII (above) Kay coleson, communications, communications operator (below)

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leadeRship

teamwork powers saint Francis

executive team

healthcare system Board

health and development Board

a tenure of dedication

medical staff

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teamwoRk poweRs saint FRanCis

The stories and images contained in this annual report tell the story of another remarkable year for Saint Francis Healthcare System. We successfully transitioned into new or expanded facilities and the quality of our patient care services has never been higher. Yet, the spotlight that shines on these accomplishments tends to obscure the primary reason for their existence.

There is no question that extraordinary teamwork forms the core of our success. Individuals and teams throughout the Saint Francis Family consistently pull together to attain common goals and achieve uncommon results. Everyone has a role in developing specific goals and objectives as they relate to our strategic plan, and that shared buy-in makes it easier for team members to embrace the effort needed to focus on excellence.

Our Board recognizes the importance of teamwork and its role in providing the groundwork for the organization. These dedicated individuals establish policy, solidify our commitment to high-quality patient care, develop our strategic plan, and then hold us accountable for it. Our Executive Team – most of whom have been part of the Saint Francis Family for more than 20 years – leads in the implementation of that strategic plan and maintains very high expectations for the organization.

The successful August visit by The Joint Commission to Black River Medical Center in Poplar Bluff was a great example of teamwork. The primary reason this new three-bed hospital, co-owned by Saint Francis, moved quickly toward Joint Commission accreditation was the hard work of many of our leaders.

The success of the team is not reliant on any one individual or group. We continue expanding our scope of services together, and we refuse to rest on our laurels. We are a family, and it is in that atmosphere that our teamwork shines through.

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left to right: Rick Essner, CHFM, EDAC, Director of Facilities Management; Steven C. Bjelich, FACHE-D, President and Chief Executive Officer; Barbara W. Thompson, Vice President - Marketing and Referral Services; Jeannie Fadler, RN, Vice President - Patient Care Services; Marilyn Curtis, MSA, Vice President - Professional Services; James A. Schell II, MD, MHA, FACP, Vice President - Medical Affairs; Tony Balsano, Vice President - Finance

exeCutive team

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Members of the Saint Francis Healthcare System Board work collaboratively with the Executive Team on long-term strategic development. The Board’s focus centers on positioning the organization to thrive in the evolving healthcare environment. It is responsible for non-profit endeavors including Saint Francis Medical Center, Saint Francis Foundation, Saint Francis Medical Partners, Immediate Convenient Care and Immediate Convenient Care in Perryville.

healthCaRe system BoaRd

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front row, left to right: Donald L. Kaverman; Maurice R. Sandfort; Steven C. Bjelich, FACHE-D, President and Chief Executive Officer; Dennis Marchi, Chair; Clyde Nenniger, Vice Chair; Patricia L. Ray; Kevin A. Govero

back row, left to right:L. R. Roper Jr.; Michael C. Trueblood, MD; Dennis Vollink; John A. Layton, Secretary/Treasurer; William D. Stahr, MD

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Members of the Saint Francis Health Development Services Board are responsible for the organization’s for-profit endeavors. The Board participates in strategic decisions aimed at expanding the System’s reach through partnerships and joint ventures with physicians and facilities throughout the region. Those relationships include Physicians Alliance Surgery Center; Doctors Express; Landmark Hospital of Cape Girardeau; Poplar Bluff Medical Partners; and Black River Medical Center.

front row, left to right: Laura L. Younghouse; Dennis Marchi, Chair; Steven C. Bjelich, FACHE-D, President and Chief Executive Officer; James H. Bollinger Jr., DDS

back row, left to right:David Crader; Janet Esicar; John A. Layton; Harry E. Rediger; Steve Dirnberger

health and development BoaRd

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a tenuRe oF dediCation

Judy Wilferth is fond of saying she learned the value of being a visionary by watching her late father, former Saint Francis Hospital Board President LaRoy Roper, put together pieces of the

financial puzzle needed to move the campus to its current west side location.

Wilferth has contributed her skills as a successful businesswoman in several capacities over the years. She retired from the Saint Francis Healthcare System Board this year after 15 years of service, including 11 as secretary-treasurer. “I really had a feel for where we were financially, and I was very happy to make the motion to approve the ‘Building on Excellence’ project,” she says. “I know the organization is financially secure.”

Wilferth has transitioned to emeritus status with the Healthcare System Board and moved to a new active position on the Saint Francis Health Development Board. She also previously served on the Saint Francis Foundation Board.

She and her husband, Rock, are now setting their sights on a new mission. The couple took their first service trip to Swaziland this year to support their son, Jimmy, in his role as president of Heart for Africa. This Christian nonprofit organization provides services and hope for orphans and vulnerable children in this South African nation.

If past results are any indication, the people of Swaziland are about to witness the passion of the Wilferth family in full force.

When he stops to think about it, the volume of change that Gerald Jones witnessed in his 12 years of service on the Saint Francis Healthcare System Board of Directors is astonishing. “I went from

having a thimbleful of knowledge about the healthcare field when I started,” he jokes, “to having a thimbleful of knowledge when I left.”

In between, the Cash-Book Journal newspaper owner educated himself on healthcare trends and came to one inescapable conclusion: Saint Francis is a trendsetter when it comes to thriving in this ever-changing and highly competitive industry.

“I attended educational seminars with other Board members, and many of the presenters were futurists,” he says. “They would describe things to think about for the future and, invariably, Saint Francis was already addressing most of those issues. In my opinion, we were way ahead of the curve – and we continue to be.”

Jones’ last meeting as a regular member of the Board featured the vote to approve the upcoming “Building on Excellence” project. It was an exciting and fitting end to his tenure before transitioning to emeritus status and devoting more time to Jones Heritage Farms, an all-natural endeavor just north of Cape Girardeau.

“My time with Saint Francis was pleasant,” he says. “It was much more than just going to Board meetings. It was enjoyable to be associated with my fellow Board members. There are a lot of good people, and they make some good contributions to the healthcare field.”

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allergy

Janna M. Tuck, MD

anesthesiology

David Babock, DO Stephen M. Brennan, MD C. Michele Decker, MD Robert J. Gile, MD Kurt Lancaster, DO Eric M. Nelson, MD Jason D. Oberle, MD Cliff C. Peda, MD Jeffrey S. Steele, MD Marc E. Young, DO

cardiology

Bryan S. Beck, MD Steven J. Carr, MD

Joseph C. Dwyer, MD, FACC Billy A. F. Hammond, MD, FACC

Gordon L. Haycraft, MD Paul H. Holcomb Jr., MD,

FACC, FSCAI William K. LaFoe, MD,

FACC, FSCAI David A. Law, MD, FACC, FSCAI

Sandra S. McCearley, MD Duc T. Nguyen, DO

Kenneth W. Retter, MD, FACC, FSCAI

Rebecca L. Smith, MD, FACC, FASE

Gabriel E. Soto, MD, PhD, FACC, FHRS

Allen L. Spitler, MD, FACC Clifford R. Talbert Jr., MD, FACC

cardiothoracic/ vascular surgery

Edward M. Bender, MD, FACS Bruce A. Jones, MD, FACS William S. Tung, MD John C. Wiggans, MD, FACS

da vinci® surgery

Ann E. Behrend-Uhls, MD, FACOG Edward M. Bender, MD, FACS Wendi M. Carns, MD, FACOG

William C. Collyer, MD J. Russell Felker, MD, FACS Vincenzo Galati, DO Gregg S. Hallman, MD, FACS

Joseph H. Jacob, MD, FACOG, FACS

Bruce A. Jones, MD, FACS Jessica H. Lemmons, MD, FACOG Sara A. Meyer, MD

Ronald M. Richmond, MD, FACS William Ray Silliman, MD

dermatology

Henry S. "Hal" Brown, MD Charles M. "Chuck" Moon, MD

electrophysiology

Sandra S. McCearley, MD Gabriel E. Soto, MD, PhD,

FACC, FHRS

emergency medicine

Chad L. Armstrong, DO Lauren D. Blackwelder, MD Samuel W. Ferreri, MD Brendon Gelford, MD M. Kevin Hammond, MD, FACEP

Jeffrey S. Hartman, MD Michael Killen, MD, FACEP R. Joe Leckie, DO Charles H. Pancoast, MD Steven D. Rothert, MD David Schnur, DO Teena L. Sharrock, MD Timothy N. Thomas, DO

endocrinology

Darren M. Allcock, DO Ahmad Z. Sheikh, MD, FACE,

ECNU, CCD Wu Wen, MD, PhD

Phenu Zachariah, DO

endovascular neurosurgery

Louis P. Caragine Jr., MD, PhD, FAANS

family practice

Kennett D. Asher, DO, CMD R. Dan Bieser, DO, FAACP David C. Boardman, DO

Jeffrey W. Childers, MD Christopher M. Compton, MD

Janna R. Crosnoe, MD Kenneth A. DeCoursey, MD Timothy T. Duke, MD Robert W. George, MD

Erica E. Gibson, MD S. Kent Griffith, MD

Jesse D. Hoff, MD Laura E. Holmes, MD Ramiro Icaza, MD

Jennifer Jiang, MD Mark C. Kasten, MD Charles J. Lastrapes, DO Lori A. Moyers, DO James E. Palen, MD J. Richard Palen, MD Charles S. Pewitt, DO Kenneth D. Phillips, MD

Robert L. Robbins, DO Matthew B. Schumer, MD

Deanna M. Siemer, MD R. Brent Voszler, MD

Michael C. Wulfers, MD, FAAFP Sandra Zakroff, MD

gastroenterology

Matthew J. Coleman, MD Dean A. Edwards, MD Timothy J. Edwards, MD

Michael R. Freeman, MD Rafid J. Hussein, DO

Louis Kouo, MD Wilfred Lee, MD Wilson P. Pais, MD, MBA,

FACP, FRCP Horace L. Schneider, DO

mediCal staFF active and associate

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general surgery

Kevin N. Bartow, MD J. Thomas Critchlow, MD Jonathon K. Foley, MD, FACS Ryan A. LeGrand, MD Joseph S. McCadams, MD Frank H. McGinty, MD John J. Moll Jr., MD, FACS Ronald M. Richmond, MD, FACS William Ray Silliman, MD

gynecologic oncology

Joseph H. Jacob, MD, FACOG, FACS

hematology/oncology

Scott A. Anderson, DO Olivia Aranha, MD, PhD Justin D. Floyd, DO Mark A. Meadors, DO Carlos Robles, MD Prem Sobti, MD

hospitalists

Karin L. Barnes, MD, FAAP J. Christopher Bauer, MD Ryan M. Davis, MD Shahid A. Elahi, DO Bindu Finnell, MD William J. Fritsch Jr., MD Nefretiti Garrison-North, MD Meera Krishnan, MD Urooj Mansoor, MD Devika R. Nagaraj, MD Kellie Rogers (Burns), DO Matthew D. Shepard, MD Reena A. Thomas, MD

infectious disease

Peter P. Jiang, MD Brenna M. Keller, DO Charles Edward LaValle III, MD D. Matthew Shoemaker, DO

internal medicine

Victoria E. Adjovu, MD Sarah Aydt, MD, FAAP, FACP Robert W. Dodson, MD Michael T. Jedlinski, MD, FACP Joy L. LeDoux-Johnson, MD Deborah D. Price, DO, FACOI Ronald L. Robinson, MD

John J. Russell, MD Ira Scott Taylor, DO

Philip E. Tippen, MD Jay D. Willey, MD

neonatology

Laura E. Al-Sayed, MD, FAAP Alan R. Barnette, MD, FAAP Karlyle K. Christian-Ritter,

MD, FAAP

nephrology

Frank W. Braxton, MD Nuhad A. Kulaylat, MD

neurology

Jagannadha R. Avasarala, MD, PhD Abdul B. Chaudhari, MD Robert E. Gardner Jr., MD Robert E. Gardner Sr., MD

Andrew Godbey, MD, MPH Aaron B. Koonce, DO David Y. S. Lee, MD Steven D. Mellies, DO Randall L. Stahly, DO

neurosurgery

Louis P. Caragine Jr., MD, PhD, FAANS

Kyle O. Colle, DO Sonjay J. Fonn, DO Scott R. Gibbs, MD Franklin Hayward II, DO Joel West Ray, MD, FACS

Brandon J. Scott, DO Howard L. Smith, MD, JD

Paul J. Tolentino, MD, PhD Kevin A. Vaught, MD, FACS David G. Yingling, MD

nuclear medicine

Mark L. Gates, MD Rajinder M. Gulati, MD George A. Pjura, MD

obstetrics/gynecology

Ann E. Behrend-Uhls, MD, FACOG Wendi M. Carns, MD, FACOG

Paul W. Clarke, MD Heather L. Cugini, MD Michael J. Jessup, MD

Jessica H. Lemmons, MD, FACOG Grant D. McWilliams, DO

Sara A. Meyer, MD Eric G. Morton, DO

Jacob P. Pyeatte Jr., MD, FACOG Chris R. Rosenquist, MD Tami O. Williams, MD Dianne S. Woolard, MD

occupational medicine

Glen E. Cooper, DO, MPH, MRO Dennis J. Straubinger, DO,

MPH, MRO

ophthalmology

Charles H. Cozean Jr., MD Richard L. Kies, MD John R. Kinder, MD Todd James Lumsden, DO Linn M. Mangano, MD D. Shawn Parker, MD, FACS David J. Westrich, MD, FACS

oral surgery

Steven R. Schoolman, DDS J. L. Sheets, DDS

Medical Partner

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orthopedics

James M. Edwards, MD Patrick R. Knight, MD Rickey L. Lents, MD R. August Ritter III, MD Brian C. Schafer, MD Andrew C. Trueblood, MD Michael C. Trueblood, MD

otolaryngology

D. Curtis Coonce, MD, FACS Christopher H. Jung, MD Richard A. Martin, MD, FACS

Adam S. Morgan, MD Walt A. Schroeder Jr., DO,

MD, FACS Karen Yates, MD

pain management

Stephen M. Brennan, MD Bernard C. Burns III, DO A. B. Chaudhari, MD Terry Cleaver, MD

Im S. Hong, MD Carmen N. Keith, MD Jason D. Oberle, MD

Christopher L. Reis, DO Jeffrey S. Steele, MD Andrew F. Walker, MD

pathology

Louis E. Hildebrand, MD William D. Stahr, MD Ronald G. Stockstill, MD

pediatric ophthalmology

Linn M. Mangano, MD

pediatrics

Sarah A. Aydt, MD, FAAP, FACP Beverly L. Brown, MD, FAAP Heather K. Dodson, MD, FAAP James E. Hoffman, DO, FAAP Joy L. LeDoux-Johnson, MD Shylaja Nuguri, MD, PhD

Gary S. Olson, MD John J. Russell, MD

perinatology

Dean G. Huffman, MD Naomi L. Wahl, MD, FACOG

physiatry

Jimmy D. Bowen, MD, FAAPMR, CSCS

Bernard C. Burns III, DO Im S. Hong, MD Heidi J. Hunter, MD

plastic & reconstructive surgery

David M. Deisher, MD John S. Humphrey, MD Gregory A. Tobin, MD

podiatry

Jeffrey P. Appleman, DPM Kathleen K. Appleman, DPM Zenon M. Duda, DPM, FACFS

pulmonary medicine

Bradley K. Bittle, MD, FCCP, D-ABSM

W. Keith Graham, MD, D-ABSM Khalid I. Khan, MD Musa A. Wadi, MD

radiation oncology

Veena D. Divecha, MD Emily L. Militzer, MD Tapan Roy, MD, FACR

radiology

Jagan M. Ailinani, MD James C. Alexander, MD James Jonathan Borders, MD Timothy C. Brown, MD Tom B. Brumitt, DO Todd M. Buersmeyer, MD Terrence M. Chambers, MD David R. Condie, MD David J. Croyle, MD Derek L. Fimmen, MD Mark L. Gates, MD Blair G. Gill, MD Jeffrey M. Gremmels, MD

Rajinder M. Gulati, MD Fred Harris Jr., MD Justin R. Hodge, MD Satheavy L. Moore, MD David A. Mueller, MD Christopher P. Murdock, DO Huan L. Nguyen, MD William M. Pelton, MD Mark L. Pfautsch, DO George A. Pjura. MD Paul A. Roubian, MD Christopher T. Russell, MD Robert D. Seelig, MD Willeford J. Stoecker, MD Cedric C. Strange, MD Theodore R. Swartz, MD Sharon K. Wallace, MD Andrew E. West, MD Jeffrey R. Wichman, MD Craig W. Williams, MD

rheumatology

Amjad Roumany, MD Philip W. Taylor, MD, FACP

trauma surgery

Michael P. Heid, DO, MA, FACOS Orlando V. Morejon, MD

urology

William C. Collyer, MD J. Russell Felker, MD, FACS Vincenzo Galati, DO, FACS Donald L. Gentle, MD, FACS John P. Hall, DO, FACS Gregg S. Hallman, MD, FACS Mitchell L. Ogles, MD James E. Outman III, DO, FACS

wound healing/ hyperbaric medicine

Janna R. Crosnoe, MD Laura E. Holmes, MD

Jennifer Jiang, MD Matthew B. Schumer, MD

Medical Partner

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211 Saint Francis Drive • Cape Girardeau, MO 63703573-331-3000 • sfmc.net