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FROM SURFING TO SURGERYSuccessful emergency surgery allows teen to get back on the water.

Inside this IssueDAVIESS COMMUNITY HOSPITAL RECEIVES AWARD

Daviess Community Hospital has received an award from the Indiana Cancer Consortium’s (ICC’s) Employer Gold Standard Initiative. The award is given to recognize employers who help establish the workplace as a primary setting to focus on early detection and appropriate screening for breast, cervical, and colorectal cancers.

Sharon Mead, RN OCN, serves as the hospital’s Patient Navigator for the Oncology program. “DCH encourages employees to have preventive screenings and emphasizes the importance of early detection,” says Mead. “One of our employees who was reluctant to be screened was surprised when a cancer was detected during a screening. That employee admitted that they never would have taken the time to schedule the screening if it weren’t for the encouragement from the DCH team. I am very proud that DCH makes the health of their employees a top priority.”

According to the 2014 Behavioral Risk Factor Surveillance System, Indiana ranks 43rd nationally in mammography screening for breast cancer, 47th in Pap tests for cervical cancer screening, and 41st for colorectal screening based on United States Preventive Task Force recommendations. Employers are uniquely positioned to improve our state screening rates by providing education, increasing awareness, and providing opportunity for early detection cancer screenings. In order to become an ICC Employer Gold Standard recognized organization, employers must meet a series of requirements based on national screening recommendations and best practices.

In order to qualify for the award, an organization must address at least two of the following cancers: breast, cervical, or colorectal and design a cancer control and prevention action plan utilizing the suggested best practice resource provided by the ICC (technical assistance is provided).

DAVIESS COMMUNITY HOSPITAL 2 RECEIVES AWARD

FROM SURFING TO 3 SURGERY - TESTIMONIAL

DAVIESS COMMUNITY HOSPITAL 4 WELCOMES NEW PHYSICIANS

DAVIESS COMMUNITY HOSPITAL 5 EMS SERVICES

2018 COMMUNITY 6 BENEFIT REPORT

DAVIESS COMMUNITY HOSPITAL 8 BECOMES MILK BANK LOCATION

CHOOSING WOUND CARE 9 CLOSE TO HOME

DAVIESS COMMUNITY HOSPITAL 10 AUXILIARY

SENDING 11 SMILES

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FROM SURFING TO SURGERY – TESTIMONIAL

On most summer weekends, you will find sixteen-year-old Kohlson Carter and his family enjoying time on the water at Patoka Lake. Kohlson, an avid wake surfer, has a passion for the sport and has become quite good at it. On the evening of June 25th, Kohlson developed sharp pain in his abdomen. “We thought it was food poisoning or his appendix,” said Kelly Queen, Kohlson’s mom. “I knew something was really wrong when he texted me from his bed at 6am the following morning in excruciating pain.”Kelly made an appointment for her son to see their family physician later that day in hopes that the issue was something minor. By 1pm, she made the decision to take Kohlson to the Daviess Community Hospital emergency room. “His pain was at 10 out of 10,” Kelly recalled. “He is an otherwise healthy kid so I knew we had to find out what was wrong quickly.”The DCH ER team immediately ordered blood tests and a CT scan. Kohlson’s white blood cell count was high and the CT scan revealed an abnormality and fluid in his abdomen. The team called DCH general surgeon, Dr. Jack Rostas. After reviewing the results of the CT scan, Dr. Rostas shared the images with the family and explained that what was causing Kohlson’s pain was an “intussusception” or “telescoping” of a segment of bowel into the lumen of a distal segment leading to obstruction and compromise of blood flow, with resultant ischemia of the bowel wall. Dr. Rostas also explained that Kohlson’s condition was causing cells and tissue to die as a result of inadequate blood supply to the tissue.The situation called for immediate surgery to remove the damaged bowel sections, called a right ileo-cecectomy. This condition is not normally

found in people Kohlson’s age. It is believed that the condition may have developed before he was born.The surgery was a success and, after six days on the DCH Med/Surg unit, Kohlson was finally able to return home. Throughout their experience, the family was very grateful for the care they received at Daviess Community Hospital. “Kohlson received excellent care from the sta¥ and Dr. Rostas,” Kelly remarked. “We are so grateful to Dr. Rostas and believe he saved our son’s life. He will forever be in our prayers.”

After a six week recovery, Kohlson was once again able to get back on the wake board in August to do what he loves most. “I would like to take lessons from a professional wake board surfer someday,” he said. While his fun on the water was interrupted for a few weeks, Kohlson was happy that he could enjoy his sport for a few weeks before the summer ended.

“Kohlson received �cellent care from the staff and Dr. Rostas,” Kelly remarked. “We are so grateful to Dr. Rostas and believe he saved our son’s life. He will forever be in our prayers.”

COVER PHOTO

Kohlson Carter wake surfing at Patoka Lake.

Dr. Jack Rostas talks with Kohlson Carter.

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DCH WELCOMES NEW PHYSICIANSDaviess Community Hospital is pleased to announce that John Stafford, MD, has joined the medical staff at Daviess Community Hospital and will serve as a full-time OBGYN at Heartland OBGYN. Dr. Stafford joins Dr. Jonathan Frances and Dr. Dennis Atienza at Heartland OB/GYN where he will provide prenatal and gynecological care to patients as well as deliver babies at Daviess Community Hospital.Dr. Sta¥ord and his wife, Dr. Tanya de la Vergne, recently moved to Washington from Decatur, Alabama. He brings 19 years of expertise to the female patients of Daviess County and the surrounding area. A native of Louisiana, Dr. Sta¥ord received a Bachelor of Science at Louisiana State University in New Orleans, LA. He is a graduate of Louisiana State University School of Medicine.Dr. Sta¥ord is certified by the American Board of Obstetrics & Gynecology. He is accepting new patients. To learn more about Heartland OB/GYN services or to schedule an appointment, you may contact the oªce by calling 812-254-2400.

Daviess Community Hospital is pleased to announce that Tanya de la Vergne, MD, has joined our Pediatric team and will provide both outpatient clinic and inpatient pediatric care in Washington. Dr. de la Vergne joins nurse practitioners Amy Waggner and Allyson Mudd at the Grand Avenue Pediatrics oªce where she will provide pediatric care to patients ages birth to 18 years of age. Dr. de la Vergne and her husband, Dr. John Sta¥ord, recently moved to Washington from Decatur, Alabama. As a physician and mother of four, she brings 23 years of expertise and personal experience to the pediatric patients of Daviess County and the surrounding area. A native of Louisiana, Dr. de la Vergne received a Bachelor of Science in Psychology at Newcomb College of Tulane University. She later received a Master of Social Work at Tulane University School of Social Work. She is a graduate of Louisiana State University School of Medicine.Dr. de la Vergne is certified by the American Board of Pediatrics and she is a fellow of the American Academy of Pediatrics. Dr. de la Vergne is accepting new patients. To learn more about our pediatric services or to schedule an appointment, you may contact the oªce by calling 812-257-0383.

NURSE PRACTITIONER JOINS DCH WOUND CARE CLINICDaviess Community Hospital is pleased to welcome Lori Day, FNP-C CWON, to the DCH Wound Care Clinic. Lori is a certified Family Nurse Practitioner and certified Wound Ostomy Registered Nurse with over 25 years’ of comprehensive clinical nursing, and leadership experience. Since 2014, she has worked in the specialty practice setting of wound and ostomy care. She is dedicated to providing exceptional patient care beginning with active listening and open communication. Lori is passionate about holistic care and offers patients personalized attention and education to help them prevent and manage illness. Lori received her Bachelor of Science in Nursing

and Masters of Science, Family Nurse Practitioner from Indiana Wesleyan University. She is certified by the American Academy of Nurse Practitioners and by the Wound Ostomy and Continence Nursing Board. Lori is a great addition to the wound care team and is accepting new patients! To learn more about services offered at the DCH Wound Care Clinic, please call 812-254-6824.

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NURSE PRACTITIONER JOINS DCH WOUND CARE CLINICDaviess Community Hospital is pleased to welcome Lori Day, FNP-C CWON, to the DCH Wound Care Clinic. Lori is a certified Family Nurse Practitioner and certified Wound Ostomy Registered Nurse with over 25 years’ of comprehensive clinical nursing, and leadership experience. Since 2014, she has worked in the specialty practice setting of wound and ostomy care. She is dedicated to providing exceptional patient care beginning with active listening and open communication. Lori is passionate about holistic care and offers patients personalized attention and education to help them prevent and manage illness. Lori received her Bachelor of Science in Nursing

services offered at the DCH Wound Care Clinic, please call 812-254-6824.

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DAVIESS COMMUNITY HOSPITAL EMS SERVICES At the stroke of midnight on July 15, 2019, Daviess Community Hospital Emergency Management Service (DCH EMS) began providing 911 coverage to Daviess County residents. Prior to this hand o¥ from Southwest Medical, the DCH EMS crews began staªng one ambulance during the daytime hours for inter-facility transfers of patients from DCH to other facilities. During this timeframe, the sta¥ were training as well as verifying equipment and supplies needed for each ambulance to cover the county’s 911 needs. “This soft start proved to be successful in allowing our new service to work out the bugs and get additional sta¥ on-boarded”, remarked Keith Miller, Chief Operating Oªcer at Daviess Community Hospital.For the period of July 15 – September 30, DCH EMS had completed nearly 900 EMS runs which is more than anticipated. The crews also provided onsite event coverage at this year’s Montgomery Turkey Trot, Elnora Antique Tractor Show, local high school football games, Knights of Columbus Saturday night drawings, homecoming parades, and more.Construction of the Odon and Cannelburg EMS station building projects is running ahead of schedule and should be completed later this fall. The Odon facility is located next to the North Daviess Medical Clinic in Odon and the Cannelburg facility is adjacent to the Cannelburg Volunteer Fire Department. The team is grateful to our partners from Parkview Village in Odon and the Cannelburg Volunteer Fire Department for accommodating our crews with temporary housing during this construction phase.

Four full-time crews operate 24 hours/day, 7 days/week in the following locations – two crews in Washington (stationed at Daviess Community Hospital), one crew in Odon, and one crew in Cannelburg. DCH is proud of the team they’ve assembled and are continuing the search for high quality paramedics and additional team members. “We are excited to be partnering with Ascension St. Vincent and St. Vincent Stat Flight in developing a comprehensive continuing education program geared toward EMS providers, Miller said. “This continuing education will launch in 2020”. Requests for emergency ambulance transport should be made by dialing 911, and will be taken in and dispatched by the dispatch centers in the county. These include Washington Police Department for 911 calls originating from within the city and Daviess County Sherriff department for 911 calls originating from the county. Requests for non-emergent ambulance transport can be made by dialing (812) 254-1060.The leadership team for DCH EMS includes Teddy Cline - Director, Dr. Chris Nixon - Physician Medical Director, and Ashley Burch – Coordinator. For questions regarding DCH EMS services, please call 812-254-2760.“Thank you to those who have been an integral part of building this service from the ground up,” Miller stated. “We appreciate the continued support of the work we are doing to expand the high-quality services we o¥er to our community.”

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OPERATING REVENUE Inpatient Revenue $46,893,572Clinic Revenue $15,702,417Outpatient Revenue $87,955,940Total Acute Care Patient Revenue $150,551,930

Hospice Care Revenue $1,302,840

Total Revenue $151,854,770

DEDUCTIONS FROM REVENUE Contractual Allowances $71,736,656Charity $661,765Bad Debt $3,706,348Other Allowances $16,827,900Total Deductions $92,932,669

Other Operating Revenue $1,262,346

Total Net Revenue $60,184,447

OPERATING EXPENSES Salaries and Wages $21,875,174Physician Salaries $4,332,243Benefits $5,533,625Fees - Physicians $4,667,200 Fees - Other $6,614,874 Physician Recruitment/Retention $455,864 Supplies $7,232,571Utilities $999,162 Repairs/Maintenance/Rent $5,100,996 Insurance $529,750 Interest Expense $1,299,099 Other Expense $917,003 Depreciation and Amortization $3,239,330 Total Expense $62,796,891 Income from Operations $(2,612,444)

NONOPERATING REV/EXP

Other Expenses $222 Other Income $97,883 Total Nonoperating $97,661

Net Profit/Loss $(2,514,783)

DAVIESS COMMUNITY HOSPITALFor the year ended December 31, 2018

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EXPENDITURES Salaries and Wages $26,207,417 Benefits $5,533,625 Professional Fees and Purchased Services $11,282,074 Supplies and Drugs $7,232,571 Other $9,301,874 Depreciation $3,239,330 Total $62,796,891

AS A % OF OPERATING EXPENSES Salaries, Wages & Benefits 50.5%Supplies and Drugs 11.5%All Other Expenses 32.8%Depreciation 5.2%

COST OF WRITE-OFFS Contractual Allowances $23,863,058 Charity $220,135 Bad Debt $1,232,909 Other Allowances $5,597,768 Total Cost of Write-o�s $30,913,870

Cost Per Day to Operate $163,171

FOR EVERY DOLLAR CHARGED $1.00 Contractual $(0.58)Charity $(0.004)Bad Debt $(0.02)Total Cost of Write-o�s $(0.61)

REMAINING AMOUNT TO COVER $0.39OPERATING EXPENSES Salaries, Wages & Benefits $(0.20)Supplies and Drugs $(0.04)Other $(0.13)Depreciation and Amortization $(0.02)

DAVIESS COMMUNITY HOSPITALFor the year ended December 31, 2018

DAVIESS COMMUNITY HOSPITAL BECOMES A MILK BANK LOCATIONDaviess Community Hospital is the latest hospital in Indiana to be recognized as a collection site for human milk to be used to help babies whose mothers are unable to produce milk or enough milk to help them thrive. The Milk Bank is a non-profit organization that promotes community health by expanding the safe use of human milk for all babies, especially premature and ill infants. Founded in 2005 as the Indiana Mothers’ Milk Bank, The Milk Bank was established to improve health outcomes for premature and ill infants, foster better health for children and decrease health care expenditures. The Milk Bank receives human milk from carefully screened donors, pasteurizes, freezes and distributes it throughout the United States. As a non-profit, community-supported entity, The Milk Bank is the first and only donor human milk bank in Indiana. The Milk Bank is a proud member of the Human Milk Banking Association of North America.

SOME USES OF PASTEURIZED DONOR HUMAN MILK

• Prematurity• Infants susceptible or recovering from NEC• Failure to thrive• Malabsorption syndromes• Short-gut syndrome• Trophic feeds/gut-priming• Inborn errors of metabolism• Pre and Post-operative nutrition• Adoption

To become a milk donor, call 1-877-829-7470, email engagement@themilkbank.org or go to www.

themilkbank.org. You will be asked to fill out a donor application and medical history form. Consent forms from

your physician as well as your baby’s physician will then need to be signed. Lastly, you will be asked to complete a

blood test at the Milk Bank’s expense. Once a mother has completed the process and

approved, she will contact Melissa Schroeder at 812-254-2760 extension 1344 to arrange delivery of

the milk to Daviess Community Hospital.DCH invites the community to a grand opening of the local Milk Bank on the

second floor in the Women’s Health Center at Daviess Community

Hospital on Thursday, September 26, 2019,

at 12pm.

DAVIESS COMMUNITY HOSPITAL BECOMES A MILK BANK LOCATIONDaviess Community Hospital is the latest hospital in Indiana to be recognized as a collection site for human milk to be used to help babies whose mothers are unable to produce milk or enough milk to help them thrive. The Milk Bank is a non-profit organization that promotes community health by expanding the safe use of human milk for all babies, especially premature and ill infants. Founded in 2005 as the Indiana Mothers’ Milk Bank, The Milk Bank was established to improve health outcomes for premature and ill infants, foster better health for children and decrease health care expenditures. The Milk Bank receives human milk from carefully screened donors, pasteurizes, freezes and distributes it throughout the United States. As a non-profit, community-supported entity, The Milk Bank is the first and only donor human milk bank in Indiana. The Milk Bank is a proud member of the Human Milk Banking Association of North America.

email engagement@themilkbank.org or go to www.themilkbank.org.

application and medical history form. Consent forms from your physician as well as your baby’s physician will then

need to be signed. Lastly, you will be asked to complete a blood test at the Milk Bank’s expense.

Once a mother has completed the process and approved, she will contact Melissa Schroeder at

812-254-2760 extension 1344 to arrange delivery of the milk to Daviess Community Hospital.

DCH invites the community to a grand opening of the local Milk Bank on the

second floor in the Women’s Health Center at Daviess Community

Hospital on Thursday, September 26, 2019,

at 12pm.

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• 9 •www.dchosp.org • 9 •

CHOOSING WOUND CARE CLOSE TO HOME – TESTIMONIAL

Father J. Kenneth Walker has deep roots in Daviess County and the surrounding area. He has spent many years serving parishes in Daviess and Martin counties as well as teaching in Knox county. As a priest, Father Walker spends time visiting area medical facilities to look in on parishioners who are ill or injured. When he found himself needing care for a wound on his heel, Father Walker chose the Wound Care Clinic at Daviess Community Hospital. “My doctor gave me options for care and I chose the DCH Wound Care Clinic because I had heard good things about it and it was convenient for me to go to Washington,” he said.When Father Walker arrived at his first appointment, he had been wearing a slipper because a shoe was too uncomfortable for walking. The wound care team, led by Dr. V. Chowdry Pinnamaneni, worked with Father Walker on the proper method for changing bandages, cleansing of the wound, and the importance of extra protein in his diet for faster healing. “I had a great experience,” he said. “The wound care sta¥ are very professional and did a great job of healing the wound on my heel.” During his visits to the Wound Care Clinic, Father Walker visited with Dr. Chowdry about issues he has had with varicose veins. “Many of my relatives have had issues with varicose veins,” explained Father Walker. “My father had his first blood clot when he

was in his forties and later circulatory problems that led to cellulitis and a one month stay in the hospital back on the 1960’s.”

Dr. Chowdry is familiar with many specialists in the region and referred Father Walker to the Center for Vein Restoration in Evansville for an evaluation. “Dr. Chowdry was able to open the door for me to have my varicose veins treated for which I am very grateful,” said Father Walker. “I am very pleased with the experience at the DCH Wound Care Clinic and highly recommend the clinic to anyone who needs their services.”

“I am very pleased with the �perience at the DCH Wound Care Clinic and highly recommend the clinic to anyone who needs their servic�.”

PICTURED BELOW

Father J. Kenneth Walker with Dr. V. Chowdry Pinnamaneni

www.dchosp.org

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DAVIESS COMMUNITY HOSPITAL AUXILIARY

Nearly every patient and visitor who has passed through the doors at Daviess Community Hospital in the last sixty years has met one of our wonderful auxiliary members. The Daviess Community Hospital Auxiliary has been an essential component of the hospital since its inception.

WHERE IT ALL STARTEDOn April 29, 1959, a group of local women met with Hospital Administrator Lawrence Trousdale, his wife, and Beulah Russell (the Director of Nursing Service), to discuss the need to increase volunteer services at the hospital. The Pink Ladies Hospital Auxiliary was created at this meeting.

PURPOSEThe purpose of the Daviess Community Hospital Auxiliary is to promote and advance the welfare of the hospital. This is accomplished by providing volunteer services to patients and guests of the hospital and by fund-raising activities that assist the hospital in the purchase of needed equipment for patient care.

Over the years, the Auxiliary has managed the co¥ee/gift shop, helped feed patients, watered plants, made tray favors, sewn items such as Christmas stockings in which to take new born babies home and gifts for the New Year's baby, Christmas gifts for the hospital patients, provided a baby picture service and much more. In recent years, the auxiliary members have operated the courtesy cart to pick up and return patients to their vehicles, escorted countless numbers of patients around the hospital, greeted a multitude of people who enter the hospital for care and services, delivered complementary newspapers and conducted countless fundraisers to raise money to purchase equipment at the hospital. While the Auxiliary has funded several items for the

hospital departments, the most recent and perhaps the largest was in the amount of $25,000.00. This generous gift was given to the DCH Foundation through the 2019 campaign to support

the renovation of The Lohano Center for Advanced Medicine. One of four exam rooms in the new center has been named in honor of the auxiliary.

CHANGING WITH THE TIMESThe auxiliary ladies had been wearing the same color (pink) since their founding in 1959. When they expanded to include men several years ago, they

The purpose of the Davi�s Community Hospital Auxiliary is to promote and advance the welfare of the hospital.

www.dchosp.org

SENDING SMILESWhen a local woman’s husband was a patient in an Indianapolis hospital recently, a nurse brought him a beautiful flower arrangement. The family couldn’t imagine who had sent it. The card said it was delivered by a group that takes flowers which are donated by florists, funeral directors, churches and individuals that might otherwise be thrown away. This group then creates and delivers arrangements to patients who may be alone or coping with diªcult news. The flowers are taken to hospitals, nursing homes, and rehabilitation centers for their sta¥ to determine who will receive them. Sadly, the woman lost both her husband and her mother within just a few days. After the funerals, there were so many beautiful flowers that were still fresh. She remembered the arrangement her husband had received while in the hospital. With the help of her friends, the flowers were repurposed and made into a dozen arrangements which were delivered to Daviess Community Hospital to be given to patients. The woman and her friends felt that they could continue to provide arrangements to local facilities.This caring group refers to the project as “Sending Smiles”. They would like to continue this gesture and are accepting flowers that are still suitable for an arrangement. The group will be glad to pick up donated flowers and greenery within Daviess County. A “Sending Smiles” card is enclosed with every arrangement. Everyone loves an unexpected token of love and kindness and the group hopes to be sending lots of smiles.For more information or to donate flowers, please call one of the numbers listed below. Jeannie 317-501-5311 Karen 812-486-9022Paula 812-617-0575 Jodi 812-617-9067

added a second color of the same hue because at that time the women’s uniform color was not considered “suitable” or even available in a man’s vest. With the addition of male members, the Pink Ladies now included Red Coats (for male members). In 2005, the “gray ladies” who had been associated with the local Red Cross and volunteering at the hospital, were brought in to the auxiliary. In 2013, royal blue became the new color for this important part of our DCH Family. All members now wear a blue vest or jacket to signify their role within the hospital.

APPRECIATION FOR THEIR SERVICEAlthough success is often measured by amounts of money raised and the number of pieces of equipment purchased, the Auxiliary’s service to others speaks to the very heart and meaning of the Auxiliary to the hospital. Their kind gestures in the form of a warm greeting, a friendly smile, a gentle push of a wheelchair, words of encouragement to a new mother, sharing of wisdom learned through experience and much more make the auxiliary a vital piece of our commitment to those we serve.There are nearly fifty active members of the DCH Auxiliary who have 400 years of combined service to our hospital! The DCH Auxiliary is always looking for more members to join this fun group. If you are interested in making a difference and helping Daviess Community Hospital deliver professional care with a personal touch, please contact Cara Veale (Volunteer Coordinator) at 812-254-2760 extension 1114 for more information.

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Save the Date!Saturday, November 2 nd

2019 COMMUNITY HEALTH FAIR

7:00am - 11:00amSIMON J. GRABER COMMUNITY BUILDING

9164 E 875 N • Odon, IN 47562

Free Screening • Health InformationReduced Prices for Labs, EKGs, and Pap Smears

Door Prize Giveaways! More Information Coming Soon!

SPONSORED BY

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