Annual Report 2011

Challenges Met, New Goals Set Michael Karpf, MD, executive VP for health affairs, stands on “main street,” the new pedestrian concourse at UK Albert B. Chandler Hospital. The facility was completed on time and on budget.

Challenges Met, New Goals Set

A Report on Fiscal Year 2011 from the funding. Institutions that develop knowledge Executive Vice President for Health Affairs and translate research from the laboratory to 2011 was a critical turning point in the history the bedside are more likely to practice the best of UK HealthCare. Ambitious goals set some time of care. The National Institutes of Health (NIH) ago were accomplished, exceeding our expecta- invited the University of Kentucky to join its tions for excelling in quality, safety and service. elite clinical and translational research consor- It was the first year for UK HealthCare’s tium with a $20 million, five-year grant to the evolved strategic plan—Advancing to meet UK Center for Clinical and Translational Science. the health care needs of Kentucky and beyond: This funding enables us to move discoveries to 2011–2015. This roadmap helps us build upon the health care solutions more quickly. success of previous planning processes as we In addition, Markey Cancer Center received carry out our missions of patient care, research a five-year grant totaling $1.75 million from the and education and move closer to gaining National Cancer Institute to establish the UK a place among the nation’s top academic Cancer Nanotechnology Training Center. This medical centers. collaborative initiative involves 35 faculty from On the cover, scenes Continued financial strength—even as the Markey Cancer Center; the colleges of Medicine, from the new patient nation’s economy faltered—and a growing net- Pharmacy, and Engineering; and the Depart- care facility at Chandler work of strong partnerships helped us continue ment of Chemistry. Grants and contracts in the Hospital, (left) the to grow both in size and scope. We expanded College of Medicine reached $115.9 million in fis- Celebrate Kentucky our capacity to accommodate a growing number cal year 2011, including in excess of $70 million wall on the first floor of patients by opening the new pavilion at from the National Institutes of Health. concourse and (right) UK Albert B. Chandler Hospital—on budget and In June, following an extensive search, moving a patient into on time—and enlarging our ambulatory practice. Frederick C. de Beer, MD, longtime UK faculty the new pavilion. A vibrant research agenda brought increased member and chair of internal medicine, was

UK HealthCare 1 named dean of the UK College of Medicine and this goal. That vision became a reality with Healthcare in Louisville will work together 1.90 vice president for clinical academic affairs. the opening of the new pavilion at UK Albert B. to address some of Kentucky’s most pressing UK HealthCare Former dean, Emery Wilson, MD, who served Chandler Hospital. The first two patient health problems, including stroke, cancer and 1.80 75th Percentile as interim dean of the college during 2011, has care floors with 128 patient beds opened in obesity. UK’s clinicians, researchers and agreed to continue to work with alumni and May, along with public spaces such as the students will benefit from this relationship as 1.70 Median friends of the College of Medicine in building atrium, chapel, surgical waiting area and a will the people of the Commonwealth. 1.60 support for the college’s initiatives. 305-seat auditorium. Prudent partnering with community-based Hard work and the dedication of staff Hundreds of faculty, staff and community physicians and regional hospitals is funda- 1.50 and faculty to reduce mortality resulted in an members joined dignitaries for the dedication mental to our success. We remain committed 25th Percentile

observed mortality rate more than 20 percent and unveiling of the new 12-story patient care to responding to their needs, whether it is 1.40 lower than would be expected. Each eligible pavilion. More than 6,700 toured the pavilion, to provide a much-needed specialist in the UK HealthCare staff member received a seeing firsthand the advanced technology local community or to accept the transfer of 1.30 $50 achievement award for this outstanding afforded patients. They also experienced the a critically ill patient to UK Chandler Hospital. Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 improvement in quality care, which places hospital’s healing environment that inspires We want to keep patients close to home for as 2008 2009 2010 2011 us among the top performing academic medical a sense of calm and comfort in a place that much of their medical care as possible, offering centers nationwide for this metric. bridges the art and science of medicine. The our specialized services and resources Our growing reputation for clinical and generosity of many donors through our UK Arts as needed. patients. The latest available data (1998–2007) UK Chandler Hospital’s research excellence is making it easier to in HealthCare Program enabled us to incorpo- shows our patients with brain, lung, liver case mix index recruit nationally recognized physicians ca- rate art, music and landscaping that reflect New Expectations and ovarian cancers have higher five-year (a measure of case pable of treating the most complex of patients. the spirit of Kentucky. Anticipation is already building for the comple- survival rates than patients treated at other complexity and severity) Our most recent recruit is transplant surgeon Earlier in fiscal year 2011, we opened the tion in early 2012 of the next phase of construc- cancer centers nationwide. is in the 75th percentile Charles Hoopes, MD, from the University of UK Chandler Emergency Department (ED) tion in the new pavilion with the addition of Stroke patients statewide stand to benefit as benchmarked against California San Francisco. Hoopes heads the UK on the ground floor of the new pavilion. Its eight state-of-the-art operating rooms, plus one from the growing network of hospitals—now teaching hospitals Heart and Lung Transplant Program and the innovative design allows patients to be seg- of the country’s largest hybrid operating rooms, 12—who are part of the UK HealthCare and Nor- nationwide. Ventricular Assist Device Program. mented into four distinct areas—trauma, adult an OR support area, new post-anesthesia care ton Healthcare Affiliate Stroke Network. Through care, express care and pediatric care. The ED and preoperative areas on Floor 2, as well as education, screening and prompt assessment in Source: Association was recently named among the nation’s top 20 new central sterile supply and OR equipment local hospital emergency rooms, stroke patients of American Medical “Hard work and the dedication of staff best emergency departments by the Emergency areas in the basement. Renovation of the origi- are being identified early enough to initiate Colleges-Council Nursing Association for exceptional and nal Chandler Hospital continues as we convert potentially life- and function-saving treatments. of Teaching Hospitals and faculty to reduce mortality innovative performance. to more private patient rooms. We will com- Our focus remains on quality; we want to plete the remaining floors of the new pavilion be the benchmark others strive to beat. We resulted in an observed mortality rate Financial Strength in phases over the next 10 years, eventually know from experience that paying attention to The unprecedented growth of the past few replacing the original UK Chandler Hospital. the needs of patients, engaging employees in more than 20 percent lower years leveled off. Nevertheless, we saw a While we continue to nurture and promote providing great service, and improving efficiency record number of hospital days in 2011— partnerships throughout the Commonwealth, produces the best outcomes in terms of quality, than expected.” 193,402. Generally, volumes of other academic we must also position ourselves as a regional safety, service, clinical outcomes and costs. medical centers have remained flat or declined provider by expanding our sights beyond the Michael Karpf, MD, Executive VP for Health Affairs while UK HealthCare continues to thrive, even boundaries of Kentucky. We need to increase though we serve a much smaller metropolitan the numbers of patients who come to us for area than many of the other centers. In fact, advanced specialty care such as kidney, heart, He was attracted to UK by the opportunity we are very close to being in the top 35 percent lung and liver transplants. With volume comes to make a difference in Kentucky’s high rate of the nation’s teaching hospitals based on the ability to support the infrastructure neces- of heart and lung disease and our positioning volume. As we face the unknowns of national sary to be considered a primary destination for Michael Karpf, MD within driving distance of a large segment of health care reform, it’s clear the two things medical care of the most complex, life-threat- Executive Vice President for Health Affairs the nation’s population. we have going for us are our ability to keep ening conditions. Recruitment continues for UK HealthCare, University of Kentucky growing and our strong position. medical talent to fill known gaps. Hospital of the Future—Today Momentum is building to place Markey We knew back in 2004 that if we wanted UK Forging Relationships Cancer Center among the nation’s list of HealthCare to be an academic medical center Our accomplishments have aided our ability to premier National Cancer Institute-designated on par with the best in the country, we needed forge relationships with like-minded organiza- cancer centers, with the application scheduled the advanced facilities to support recruitment tions throughout the region. In June came the for submission in September 2012. Markey of the people who would help us achieve announcement that UK HealthCare and Norton excels in the services provided to cancer

2 CHALLENGES MET, NEW GOALS SET UK HealthCare 3 In 2011 Barbara Young “The addition of 128 beds enables provided leadership for the UK Board of UK Chandler Hospital to care Trustees University Health Care Committee. for the growing number of patients coming from throughout the Commonwealth and beyond.”

Barbara Young, Chair, University Health Care Committee of the UK Board of Trustees UNIVERSITY HEALTH CARE COMMITTEE OF THE UNIVERSITY OF KENTUCKY BOARD OF TRUSTEES As of June 30, 2011.

Barbara Young, Chair William S. Farish, Jr. Oliver Keith Gannon Sandy Patterson Charles R. Sachatello, MD

EX OFFICIO MEMBERS

Pavilion Designed for Needs Lee T. Todd, Jr., PhD Michael Karpf, MD Paul DePriest, MD of Today and Future Richard Lofgren, MD Colleen H. Swartz, DNP, MBA, RN, NEA-BC Emery Wilson, MD The opening of the new patient care pavilion Commonwealth and beyond. Six additional at UK Albert B. Chandler Hospital tops a long list patient floors will open based on need and of accomplishments in 2011 focused on available resources. COMMUNITY ADVISORY MEMBERS improving the quality and safety of patient The 12-story pavilion’s flexible design care, believes Barbara Young. also improves UK’s ability to respond to the Mira S. Ball “The new pavilion shows such strong uncertainties of health care reform and Robert Clay vision,” said the chair of the University Health the economy, Ms. Young said. “It took foresight Luther Deaton Care Committee of the University of Kentucky to build capacity into a building expected James Hardymon Board of Trustees. “The space is beautiful as to last us 100 years.” Pam Miller well as peaceful; it’s designed and equipped to She noted that while the spotlight was Myra Tobin take care of the needs of the patients, and the on the pavilion, attention of faculty and staff art throughout is phenomenal.” The building never wavered from ongoing efforts to improve is getting high praises from patients, staff and the quality and safety of patient care through- UK Board of Trustees Sandy Patterson, faculty for its advanced technology and the out the medical enterprise. “That is the number members and podium Penelope Brown, Mira healing, welcoming environment that features one priority for all of us.” guests were on hand Ball, Michael Karpf, aspects of Kentucky’s unique landscape, for the dedication, UK President Lee Todd, Jr., art and music. including (from left) James Stephen Branscum, The addition of 128 beds enables UK Hardymon, Mike Kennedy, Everett McCorvey, Frank Chandler Hospital to care for a growing number Charles Sachatello, Shoop and Board of patients coming from throughout the Myra Tobin, (at rear) Chair Britt Brockman.

4 CHALLENGES MET, NEW GOALS SET UK HealthCare 5 3. Robert Baumann, MD, 5. UK Opera students New Pavilion Opens to Serve chief of pediatric opened the dedication neurology, reflects the ceremony singing mood of the day as My Old Kentucky Home, the Commonwealth guests saw this major led by Everett McCorvey, milestone reached. (center) director of opera and Lexington Opera Society Endowed 1. The Pavilion A ribbon- Chair in Opera Studies. cutting team included (from left) Lexington Mayor Jim Gray; Ann Smith, chief administra- 3 tive officer of Chandler Hospital; UK Board of Trustees Chair Britt Brockman; U.S. Rep. Ben Chandler; Gov. Steve Beshear; Dr. Michael Karpf, executive VP for health affairs; state Rep. Bob Damron; state Senate President David L. Williams; UK Presi- dent Lee T. Todd, Jr.; and Dr. Everett McCorvey, faculty representative on the UK Board of 1 4 5 Trustees.

May marked one of the most exciting times in UK HealthCare’s history with the opening of the much-anticipated new patient care pavilion, on time and on budget. During open houses held May 13–16, nearly 7,000 employees, stu- dents, faculty and community members toured the new 12-story Pavilion A. Hundreds attended the May 15 dedication and ribbon-cutting ceremony at the pavilion entrance. On May 19, the public areas on the pavilion’s ground and first floors opened. At 5:30 a.m. on 2 6 7 May 22, hospital staff began a well-orchestrated move of patients from pavilions H and HA of Chandler Hospital to the two new patient care 2. Ribbon-cutting floors in Pavilion A—Floor 6 (Neuroscience Ser- 4. Members of an 6. Barbara Young, a Ben Chandler (right), 7. Members of the scissors wore blue vices) and Floor 7 (Trauma and Surgical Services). employee choir and member of the UK board grandson of the UK HealthCare family ribbons for the official Every patient at Chandler and Good Samaritan other faculty, staff and chair of the Kentucky governor are introduced at the dedication on May 15. hospitals received Pavilion A information and community University Health Care for whom UK Albert dedication ceremony. and goodie bags to celebrate the milestone. members were guests Committee, and her B. Chandler Hospital at the Sunday afternoon husband William T. is named. dedication. Young, Jr. greet U.S. Rep.

6 CHALLENGES MET, NEW GOALS SET UK HealthCare 7 1 1 5

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1. More than 250 employ- 2. The UK HealthCare 3. Staff sign in before 4. John Phillips, director 5. Move teams for three 6. Melissa Begley 7. Members of the move ees from throughout Employee Choir a 5:00 a.m. meeting in of facilities transition, ICUs and four acute (far left) and Glen White team ensure all support UK HealthCare worked performed during the the Chandler sixth floor hits the highlights of the care units move out to (center) of Customer systems are connected 3 450 shifts during the open house in the new auditorium to receive relocation plan with staff, their stations. By 10:30 Service help walk family and functioning in the Pavlion A open houses, 305-seat auditorium, final instructions on the reinforcing what they a.m. that morning, members to the waiting patient’s new ICU room. orienting staff and to an audience of UK movement of patients. have already practiced. more than 80 patients area near the patients’ visitors to the space. employees. were relocated. new rooms.

8 CHALLENGES MET, NEW GOALS SET UK HealthCare 9 Improvements in Quality Patient Care “Evidence shows the highest quality health care Significant, Continual systems also provide the most cost-effective care.” At the beginning of fiscal year 2011, UK Health- received at UK HealthCare, placing UK in the Care made a commitment to reduce observed top 20 percent of performers among academic Paul DePriest, MD, Chief Medical Officer mortality. Our patients are among the nation's medical centers nationwide. Each eligible most critically ill, with UK in the upper 10 per- UK HealthCare employee received a $50 cent of acuity in comparison to other academic Achievement Award for hard work, dedication medical centers. By year’s end, UK’s actual and focus on achieving this key benchmark. mortality rate was 20 percent lower than would UK HealthCare has significantly reduced be expected. This means 268 people lived patient safety indicators for hospital-acquired despite the odds because of the care they complications and infections. Central line to UK’s quest to be among the best for patient alerts patients and staff about needed Gina Andreoli, RN, works bloodstream infections, ventilator-associated care are the following: infection control precautions. at the bedside of her pneumonia and catheter-associated urinary ICU patient. The design tract infection rates were cut in half, based on ›› “Experts Around the Clock” ensures over- ›› SWARMS are UK HealthCare’s brand of team of new rooms supports Agency for Healthcare Research and Quality night in-house coverage by a Trauma root-cause analysis. Caregivers quickly quality and safety (AHRQ) measures. Also, there have been no Attending, Hospitalist Attending, Critical come together in a blameless fashion to by enabling nurses to pressure ulcers (as defined by AHRQ) for more Care Intensivist and Clinical Nurse Special- discern the cause of a problem and take spend more time near than six months. In one year, UK HealthCare ist. Having these highly trained specialists actions necessary to prevent its recurrence. the patient. moved to being nationally competitive in eight readily available at night is considered a patient safety measures. national standard for top medical centers. ›› Nurses rounding every hour on their Kentucky Children’s Hospital significantly patients, as well as managers rounding on improved patient safety thanks to several ›› “Track and Trigger” is an electronic alert sys- staff and patients, are further improving staff initiatives. “No fly zones” are reducing tem that watches specific patient measures patient satisfaction scores, as are efforts infection rates; barriers around children’s beds to detect subtle signs of worsening condi- to keep nurses at the bedside, such as reduce traffic while nurses tend to dressing tions. An automatic alarm triggers a rapid making sure each patient room is stocked changes, catheter procedures and other activi- response by a team that has specific care with needed supplies and equipment. ties. In Radiology, a simple checklist of and communication protocols to accelerate questions for parents is identifying children treatment and escalate communication ›› End-of-life hospice care was introduced for who don’t need to be sedated for an MRI, as needed. Another electronic back-up to hospital patients through a partnership reducing chances for complications. bedside care is a centralized “cockpit” that with Hospice of the Bluegrass, providing UK physician John H. Eichhorn, MD, was the provides 24/7 monitoring by trained staff the compassionate expertise needed by recipient of the highly regarded John M. Eisen- for telemetry patients, enhancing clinical patients and their families. berg Patient Safety and Quality Award from the redundancy in the system. Joint Commission and the Quality Forum for These and other measures are improving his work in improving the quality of anesthesia ›› A highly sophisticated simulation lab pro- the quality and safety of patient care in care and patient safety through use of stan- vides realistic training for caregivers who UK HealthCare facilities while helping keep dardized practices. are learning complicated image-guided the cost of care down. “Evidence shows that Among the many activities contributing procedures. UK is among the leaders in us- the highest quality health care systems also ing this emerging best practice in training. provide the most cost-effective care,” said Chief Medical Officer Paul D. DePriest, MD. Chief Medical Officer a fourth-year medical ›› UK’s new Pavilion A is the first in the na- “We’ve seen this in the past year; as our quality Paul DePriest, MD, student, in the Simula- tion to use an electronic infection control indicators improved, so did our efficiency indi- (far right) watches tion Center for Advanced signage system developed jointly by UK cators as measured by cost per case.” while fourth-year Clinical Skills. The center HealthCare and the bed manufacturer anesthesia resident is a key tool in ensuring Hill-Rom. A message board outside each Rebecca Young, MD, quality and safety. patient door fed by information in the coaches Curtis Koons, electronic medical record automatically

10 CHALLENGES MET, NEW GOALS SET UK HealthCare 11 Richard P. Lofgren, MD, “Our goal is to be at the forefront the enterprise's chief clinical officer, stands of technology and innovation in one of four new intensive care units that and serve the region as a destination opened in May 2011. Additional beds were center for heart and lung desperately needed to answer the demand transplantation.” for UK's advanced specialty services. Joseph “Jay” Zwischenberger, MD Surgeon-in-Chief and Director, UK Transplant Center

centers,” explained Richard P. Lofgren, MD, vice HealthCare surgeon-in-chief and director of the president for healthcare operations and chief UK Transplant Center. clinical officer. Former Pike County coal miner Ernie “It’s about pulmonary specialists referring Gillispie is alive today thanks to the transplant to UK’s lung transplant surgeons or oncolo- team at UK. Black lung disease had robbed gists referring to UK’s bone marrow transplant Gillespie of the ability to breathe or walk. program. The focus is not just on technology, Gillispie was treated with a new ambulatory it’s also on the expertise of highly specialized lung assist device. The device improved his teams for relatively uncommon—but very treat- physical condition so that he was a candidate able—conditions.” Doctors across multiple for a double lung transplant, which he success- disciplines work side by side with experienced fully underwent in April 2011. The new lung as- nurse specialists, pharmacists who have knowl- sist device is the combination of extracorporeal UK Destination of Choice for Patients edge of the newest drugs, psychiatrists who membrane oxygenation (ECMO) and a new type understand suffering, and many other caregiv- of catheter developed by Dr. Zwischenberger ers armed with compassion and expertise. and UK collaborator Dongfang Wang, MD, PhD. With Complex Medical Needs ECMO was pioneered by Dr. Zwischenberger Transplant Surgeon Takes Program and is now used worldwide. to New Level “We are now one of only a very few places Patients with uncommon, potentially life- The UK Transplant Center, established in 1964, in the country that utilizes ambulatory ECMO threatening medical conditions requiring specializes in the transplantation of all major as a bridge to transplant,” Dr. Zwischenberger a unique team of experts are finding they need solid organs including the heart, lung, kidney, said. “And we have the best expertise in the only make UK HealthCare their destination pancreas and liver, as well as pediatric kidney country at coupling this new technology with “The focus is not just on technology, for the best care available. In 2011, efforts transplant. The addition of surgeon Charles lung transplant to yield improved survival.” focused on expanding patient care services to Hoopes, MD, is helping take the UK transplant it’s also on the expertise attract more patients from within as well as program to its next level. beyond the borders of Kentucky. UK’s recruit- Dr. Hoopes is the new director of the UK of highly specialized teams ment and retention of highly trained, experi- Heart and Lung Transplant Program, as well enced teams of subspecialists, nurses and other as director of the Ventricular Assist Device for relatively uncommon— caregivers in areas such as organ failure and Program. Previously director of cardiopul- transplant, cancer, neurosciences, high-risk monary transplantation at the University of but very treatable—conditions.” obstetrics and pediatric subspecialties has California San Francisco, Dr. Hoopes is a “triple helped increase clinical activity. threat”—one of the few surgeons in the nation Richard P. Lofgren, MD, VP for Healthcare Operations who performs heart and lung transplants and and Chief Clinical Officer Complex Quaternary Care implants artificial heart and lung devices. “Our Destination medicine means offering quater- goal is to be at the forefront of technology and nary care, the highest level of care for the most innovation and serve the region as a destina- complicated conditions. “This level of expertise tion center for heart and lung transplantation,” is found only in a few major academic medical said Joseph “Jay” Zwischenberger, MD, UK

12 CHALLENGES MET, NEW GOALS SET UK HealthCare 13 ›› UK’s Nurse Residency Program, now in its Nursing Excellence Energized 11th year, gives new graduate nurses ongo- ing support and focused training during the first 12 months on the job. This helps new by Academic, Clinical Partnership nurses adapt to their new profession and remain with UK HealthCare.

A relationship spanning 50-plus years The development of nursing strategic goals Support for Advanced Practice Providers between UK HealthCare nursing staff and the aimed at hardwiring service excellence into In October 2010, UK HealthCare announced UK College of Nursing grew even stronger every aspect of patient care involved the partic- the formation of the Office for Advanced this past year, assuring that nurses are afford- ipation of both the college and UK HealthCare. Practice. “The office is an important next step ed the lifelong learning opportunities neces- The resulting roadmap is very much in keep- for UK HealthCare as we redesign models for sary to keep pace with increasing demands ing with the latest Institute of Medicine (IOM) care that include advanced practice registered on nurses. This exciting collaboration means report, The Future of Nursing: Leading Change, nurses and physician assistants,” said Jane better care for patients, better support for Advancing Health. The IOM recommended that Kirschling, DNS, RN, FAAN, dean of the Col- nursing staff and better training for our future nurses practice to the full extent of their educa- lege of Nursing. The new office works closely nursing professionals. tion and training, setting a goal of 80 percent with the 175 advanced practice providers at The UK College of Nursing views UK of nurses holding bachelor’s degrees (BSN) by UK HealthCare to support them in ongoing HealthCare as a clinical lab, providing learning 2020; achieving higher levels of educational and development of competencies and skills. They work the night shift, when less-experienced Vicki Stringfellow, APRN, opportunities for nurses in the academic medi- training through an improved, seamless include nurse practitioners, certified registered nurses need their support and clinical exper- one of 175 advanced cal setting of UK Albert B. Chandler Hospital \educational system; and partnering with other nurse anesthetists, nurse midwives, clinical tise. UK Chandler Hospital also has six clinical practitioners working and Kentucky Children’s Hospital, as well as health care professionals. nurse specialists and physician assistants. The nurse experts performing the same function. at UK, uses her expertise in the community hospital setting of UK Good College of Nursing, a long-time leader in offer- to improve care for John Abner (right) is one Samaritan Hospital. In turn, the college leader- Seamless Education, Lifelong Learning ing advanced practice programs, opened the Standardizing Nursing Practice critically ill children of 10 clinical nurse ship is helping UK HealthCare realize its vision At UK, BSNs are given preference in hiring; first Doctor of Nursing Practice Program (DNP) Efforts are ongoing to standardize nursing and babies. experts at Good Samari- to be ranked among the Top 20 medical centers those hired with two-year, associate nursing in the nation in 2001. practice. The result will be consistent, tan and Chandler in America. “The partnership between UK degrees (AD) are expected to earn a BSN within high quality, compassionate nursing care, hospitals who support HealthCare and the College of Nursing brings five years. UK HealthCare’s generous tuition Clinical Nurse Specialists, whether in an outpatient clinic or an inpatient new nurses at night. the practice and education sides of health care reimbursement program encourages lifelong Experts Show Value hospital setting. Wayne Johnson, RN, together, creating a unique environment learning, making it affordable for nurses A pilot project to determine the value of a For example, all ambulatory oncology has worked in the where both the patient and the nurse benefit to get their BSN as well as advanced practice clinical nurse specialist working in critical care nurses—including those from the affiliate sites Telementry Unit at Good from the experience,” said Colleen Swartz, or research-oriented doctoral degrees. Nursing at UK Chandler Hospital demonstrated a elsewhere in the Commonwealth as well as Samaritan Hospital DNP, MBA, RN, NEA-BC, chief nurse executive for leadership also works closely with nurses savings of more than $1 million through those at Markey on the UK medical campus— since April 2011. UK HealthCare. to manage scheduling so earning a BSN improved patient outcomes and shorter hospi- are trained according to national guidelines for is achievable. tal stays. As a result, Chandler Hospital added chemotherapy and biotherapy. The collaboration of the nursing college eight clinical nurse specialists to work in At Kentucky Children’s Hospital, a Pediatric and medical center is streamlining the integra- nursing units with the most complex patients. Sedation Team, involving inpatient and outpa- tion of nursing students into the clinical setting These nurses have at least a master’s de- tient staff, is standardizing how young patients with three innovative programs: gree in nursing and specialize in areas such as are sedated for certain procedures. The Pedi- oncology, pulmonology, cardiology, critical care atric Hematology Oncology Team is working to ›› SNAP (Summer Nurse Apprentice Program) and diabetes. They have the advanced exper- ensure supplies and how treatment is rendered gave 60 nursing students—75 percent from tise and critical thinking skills that come from are not noticeably different between inpatient UK—the opportunity to work in clinical experience, serving as the point person for ev- and outpatient settings. A clinic nurse and areas under the direction of seasoned eryone involved in the patient’s care, including social worker are now based on the inpatient clinical nurses the summer before their the patient. They also coach novice nurses. By unit, helping coordinate outpatient care for senior year. 2015, national guidelines suggest all advance these young patients who often go back and practice nurses be educated in DNP programs. forth between the two settings. ›› Synthesis gives senior nursing students UK will award its last master’s degrees in nurs- “Standardizing how we do things makes preceptors during the last seven weeks of ing in 2013 in favor of the college’s BSN-to-DNP it easier for the patient and family,” explained their training to provide the support and clinical nurse specialist track. Suzanne Springate, BSN, RN, operations direc- guidance needed as they prepare to enter And at UK Good Samaritan Hospital, four tor for pediatric inpatient services, sedation the nursing profession. bachelor’s-prepared clinical nurse experts now and echo.

14 CHALLENGES MET, NEW GOALS SET UK HealthCare 15 Keeping patients close to home for their medical care until they need the advanced services offered at UK, has proven to be a winning strategy for all involved.

UK Hallmark—Keeping Care Close to Home

Engaging community health partners in dif- network. Markey serves as a central resource ferent ways based on their unique needs has for six of the seven UK affiliated hospitals, in been a hallmark of UK HealthCare’s transforma- addition to cancer patients and their families, tion. In 2011, significant progress was made in local physicians and community members extending expertise housed on the UK campus statewide, helping to coordinate care both throughout the Commonwealth. Keeping during and after treatment. patients close to home for their medical care until they need the advanced services offered Outreach Relationships Vary at UK has proven to be a winning strategy for UK’s outreach relationships differ, depending all involved. upon the needs and characteristics of each community. The following are very different Collaboration Widespread examples of collaboration: Seven regional and rural hospitals are now UK HealthCare affiliates: ARH Cancer Center, ›› Georgetown Community Hospital and UK Hazard; Frankfort Regional Medical Center; HealthCare are making sure that George- Georgetown Community Hospital; Harrison Me- town area residents don’t have to travel to morial Hospital, Cynthiana; Rockcastle Regional Lexington to get the care provided by six Hospital and Respiratory Care Center, Mt. UK specialists in obstetrics and gynecology, Duane King benefit- Vernon; and St. Claire Regional Medical Center, cardiology, gastroenterology, and family ted from the UK stroke Morehead. Increased outreach clinical initia- and community medicine. Those services protocols and training tives since 2004 translate into 146 off-campus are now offered in one convenient loca- when treated by the clinics operating in 39 Kentucky counties. tion, UK HealthCare-Georgetown. The new Rockcastle Emergency Subspecialists from the Markey Cancer 9,000-square-foot facility includes Department, part of Center, Kentucky Neuroscience Institute, UK 17 exam rooms, three procedure rooms, the UK Stroke Affiliate Transplant Center, Gill Heart Institute and Ken- an ultrasound room and a lab for diagnostic Network, where Michael tucky Children’s Hospital are among the doc- testing. Georgetown Hospital is in the Mar- Hamilton, MD, (center) tors traveling throughout the Commonwealth key Cancer Affiliate Network. The Radiation administered tPA within and beyond to offer services not otherwise Medicine Center on the hospital campus is the three-hour window available in rural communities. Their goal is to headed by UK’s Ronald McGarry, MD, and and sent him on to UK make sure patients receive the most appropri- Marcus Randall, MD. Chandler Hospital and ate care in the most appropriate place. the new stroke care unit Dennie Jones, MD, was recruited in 2011 to directed by Michael lead Markey Cancer Center’s growing affiliate Dobbs, MD (far right).

16 CHALLENGES MET, NEW GOALS SET UK HealthCare 17 Lexington Norton Healthcare and UK HealthCare announced a formal collaboration to address Kentucky’s most-pressing UK HealthCare opened a new facility in George- health needs. town with primary care, OB-GYN and cardiology services.

UK HealthCare outreach ›› Rockcastle Regional Hospital and Respira- diseases. Kentucky ranks 15th nationwide in Solidifying, Building Relationships locations are expanding tory Care Center began its relationship with stroke-related deaths per 100,000. With the Efforts in 2012 will continue to solidify ex- (shaded), supporting UK more than five years ago. Now 17 sub- new arrangement, UK’s affiliate stroke network isting clinical and research relationships while rural providers and specialists go to the Mount Vernon hospital is going statewide. UK neurologist Michael building new ones within the Commonwealth patients with appropriate on a regular basis, bringing a wide range Dobbs, MD, director of UK’s Comprehensive and beyond. One such research initiative is the specialty services. of physician expertise from areas such as Stroke Program, is director of the UK Health- new formal partnership with Marshall Univer- Markey Cancer Center, Gill Heart Institute, Care and Norton Healthcare Affiliate Stroke sity in Huntington, W.Va. Kentucky Children’s Hospital and Kentucky Network. The collaboration includes partner- Marshall’s strength in cancer and gene se- Neuroscience Institute. UK physicians are ing with community hospitals—12 are now part quencing research fits well with Markey Cancer close by when the community physicians of the network—to provide preventive patient Center’s research agenda; the collaboration need them to see their patients. education and stroke screenings, as well as will speed translation of scientific discover- training for emergency departments in care ies to health improvements for people in the Norton, UK Extend Reach Statewide of the stroke patient. In addition, the collabo- Commonwealth, the Appalachian region and Norton Healthcare, Louisville’s leading hospital ration will create Kentucky’s first statewide beyond. This initiative is part of UK’s Center for and health care system, and UK HealthCare stroke registry to track the improvement of Clinical and Translational Science, which was announced in November 2010 a formal collabo- care provided by community and regional awarded a $20 million NIH grant in 2011 to move ration to address Kentucky’s most-pressing hospitals in the partnership. research discoveries to health care solutions health needs including stroke, cancer, obesity Norton Healthcare is opening its hospitals more quickly. and organ transplantation. A new transplant to UK’s residents in obstetrics and gynecology clinic staffed by UK HealthCare transplant spe- to address physician shortages and to create a cialists in kidney, liver, heart and lung diseases more diverse training program. More than half Newly recruited cancer opened in June at Norton Audubon Hospital in of Kentucky’s counties are without an obstetri- specialist Dennie Jones, Louisville. The Advanced Heart Failure clinic is cian. Norton Healthcare will expand its medical MD, (left) meets regularly coupled with a pulmonary hypertension clinic. weight management services and educational with Quaiser Naiz, MD, Patients from western Kentucky and beyond programs to Lexington, offering community at Harrison Memorial who need a transplant will come to UK’s Trans- education programs on exercise and healthy Hospital in Cynthiana, plant Center for surgery, returning to Louisville eating, and access to pre- and post-surgical Ky., in his role as the for convenient follow-up care. obesity management services. medical director Norton Healthcare and UK also combined of the Markey Cancer forces to cut deaths caused by stroke or related Affiliate Network.

18 CHALLENGES MET, NEW GOALS SET UK HealthCare 19 Annual Report 2011

University of Kentucky College of Medicine Fred de Beer, MD, Delivering the Best Medical a member of the internal medicine faculty for 22 years and more recently Education for a Lifetime chair of the department, was named dean of the College of Medicine The accomplishments of 2011 are a firm dents who have an expressed interest in in June 2011. foundation for the University of Kentucky rural practice, train them in rural areas and, College of Medicine’s future aspirations hopefully, they will move back to a rural and goals. Our students are a consistent point area to practice. of pride, and we make every effort to ensure The college’s inaugural group of four third- these future physicians receive the best year students in the RPLP began clinical medical education in preparation for a lifetime rotations at Morehead, Ky., in fall 2010, with of commitment and service to those in need. clinical training at St. Claire Regional Medical Center. Physicians in northeast 50 Years of Progressive Education Kentucky served as faculty and preceptors. Two major achievements of the 2010–2011 year were the college’s successful reaccredi- Research Productivity Reinforces tation by the Liaison Committee on Medical Our Clinical Ventures the percentage of graduates who practice Transition to the Dean’s Office Education (LCME) and its 50th anniversary. Research—specifically translational, collabora- primary care, work in underserved areas or are On a personal note, 2011 marked a significant After an extensive review during the tive research—is my passion. Quality research underrepresented minorities. The national and meaningful transition for me. In June, reaccreditation process, the LCME found many reinforces our advanced clinical ventures. study, conducted by researchers at George I was honored to be named dean of UK College institutional strengths. These strengths ranged The productivity of the college’s faculty has Washington University, ranked UK College of of Medicine. On behalf of the faculty and staff from our numerous research opportunities led to impressive gains in research funding. Medicine 14th, and was published in the of the college, I would like to thank former dean for medical students to our wide array of pipe- Grants and contracts in the College of Medi- Annals of Internal Medicine. Emery Wilson, MD, for his return as the college’s line programs to promote diversity. The LCME cine reached $115.9 million in fiscal year 2011, The University of Kentucky Medical interim dean much of the 2010–2011 year. reaccreditation is for an eight-year term after including in excess of $70 million in National Education Development (UKMED) annual I have spent the last 22 years of my aca- which another full-site survey will be conduct- Institutes of Health (NIH) funding. Almost recruitment program instituted in 2010 also demic life at this institution in several capaci- ed in the 2018–2019 academic year. 39 percent of the total grants and contracts fosters college diversity. Sixteen minority and ties including, most recently, chair of internal Our yearlong 50th anniversary celebration awarded to the university are located in the underrepresented students from universities medicine. As I look to the college’s future, gave us a clearer understanding of our roots College of Medicine. across Kentucky and the region participated I consider serving as the dean of this college as a college as well as a chance to honor those In June 2011, the NIH awarded UK’s Center in this two-day event allowing participants to more than an honor, it is a responsibility. who played a role in making this institution for Clinical and Translational Science $20 experience life as a UK medical student. The position is not about power. I care great. The yearlong events that surrounded million to move research discoveries to health We hope programs such as UKMED will encour- about this college and my greatest responsibil- this milestone were a true celebration of where care solutions more quickly. This all-important age these students to consider applying to ity is to serve the faculty, staff and students, we have been and where we are going in the designation makes UK’s CCTS part of a select our college and further our goals of instituting so they can maximize their potential and enrich future. Additionally, thanks to the generous national biomedical research consortium. diversity, acceptance and tolerance. the college’s academic ambiance. After serving support of 844 individual contributors, our 50th Accomplishments such as this, along with oth- in this position for numerous months now, I am anniversary giving campaign garnered $3.25 ers, mean more opportunities for students Moving From Very Good to Great confident we are boldly moving into the future million in donations. and faculty to participate in valuable, collab- My involvement with UK HealthCare dates from with the expectation we will propel our college orative research endeavors. It also confirms its very inception. I view the intimate interface to even greater heights. Meeting the Need for Physicians that we are well on our way to becoming a top between its health care operations and the in Rural Areas 20 research institution. college’s academic ventures as inseparable. The Commonwealth has unique health care In today’s economic climate, with state support needs, especially in rural areas where the Social Mission Propels Us Into Top 20 dwindling, the one reliable financial resource to physician-to-population ratio is alarmingly Education, research and service missions are drive the college forward in both research and low. In response to the need, the college enriched by a community of people of diverse teaching is the support of UK HealthCare. With instituted the Rural Physician Leadership backgrounds and cultures. In 2010, UK College our academic and clinical operations working Frederick C. de Beer, MD Program (RPLP), which trains students in rural of Medicine was ranked among the top 20 together synergistically, we are on the verge Dean, College of Medicine areas, during the last two years of medical medical schools in the United States based of pushing the College of Medicine from very Vice President for Clinical Academic Affairs school. The concept is quite simple: Take stu- upon our “social mission score” representing good to great. Professor of Internal Medicine, University of Kentucky

22 UK COLLEGE OF MEDICINE UK HealthCare 23 UK College of Medicine Celebrates 50 Years

3 2 The University of Kentucky College of Medicine As the college reflected on its last 50 years, celebrated its 50th anniversary during a year- it also looked ahead during its academic convo- long series of special events that recognized cation. During the convocation, the college the shared accomplishments of faculty, staff also marked the anniversary of the original and students, both past and present. medical center and College of Medicine dedica- Among the events, the 50th Anniversary tion in 1960. White Coat Ceremony mixed the past, present Alumni were again in the spotlight during and future as alumni representatives from the the 50th Anniversary Signature Event, which past five decades coated the incoming class. capped off the golden anniversary celebration in October 2010.

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1. White Coat Ceremony: 2. Academic Convocation: 3. 50th Anniversary at the Keeneland sales August 6, 2010 September 23, 2010 Signature Event: pavilion that included A representative of every Speaker Lois Nora, MD, JD, October 15, 2010 presentations commem- one of the college’s MBA, a former associate Faculty, staff and alumni orating the college’s preceding classes was dean of academic affairs celebrated the past, present and future. on hand to help “jacket” at the college, suggested college’s rich history the incoming class “A Few Lessons for the with a unique evening of medical students. Next 50 Years” to faculty, staff and students. 1 3

24 UK COLLEGE OF MEDICINE UK HealthCare 25 Medical students benefit from the expertise of faculty members like pathologist Paul Murphy, MD, who along with Paul produce a more effective integration of basic professionals, they really are reaching back and Kearney, MD, was select- and clinical science. The change, he said, trying to pay it forward in recruiting excellent ed by students to receive “dovetails nicely with the changes in health care. students to our College of Medicine,” she said. a Golden Apple award We are trying to get education at the under- First- and second-year students lead the for teaching excellence graduate level to mirror and reflect the way UK College of Medicine Ambassadors program, in 2011. Here, Murphy care delivery is changing.” targeting minority students and students introduces second-year Graduate medical education at UK is also from underserved areas. They visit high students to MD823, undergoing change, according to assistant schools to encourage more high school stu- Mechanisms of Disease dean Susan McDowell, MD. “Through continu- dents to consider a career in medicine. and Treatment. ous quality improvement efforts, graduate Students also lead UK MED, which targets col- medical education at UK provides its learners lege students in minority and underserved with an optimal training environment,” said communities, said Carlos Marin, UK AHEC McDowell. “We are optimistic that those efforts will be reflected in an excellent out- come from our most recent institutional site visit by the Accreditation Council for Graduate Medical Education.” The accreditation process took months to Rigorous Accreditation Surveys gather information and record all of the quality improvement efforts completed over the past five years since ACGME’s last visit. Confirm Educational Quality The Accreditation Council for Continuing Medical Education reaccredited UK’s continu- ing medical education program with only one Basic, graduate and continuing medical educa- learning; course directors and administration area of noncompliance. tion at the University of Kentucky College of responsive to student feedback and concerns; “It is something we are confident we can Medicine underwent rigorous reaccreditation a financial aid office held in high regard by address and, in fact, already have done so,” said processes last year, and in all three areas, medical students; and basic science and clinical James Norton, PhD, director of UK HealthCare accrediting agencies found strong programs. faculty dedicated to teaching excellence. CECentral, which is responsible for continuing The college’s space limitations were also education for health professionals. “In addi- A Program Built on Multiple Strengths noted and this finding may be useful in seeking tion, we were one criterion away from being The Liaison Committee on Medical Education support for additional facilities. accredited with commendation, and we will (LCME), after a thorough review process, The LCME process involved a self-study fulfill that criterion the next go around.” in February 2011 reaccredited the UK College of that lasted more than a year and a half, program director and chair of the college’s Medicine for a full eight years. included more than 1,000 pages of documents, Crafting a Diverse, Accomplished Diversity Advisory Committee. “The LCME noted multiple strengths of and involved more than 100 faculty members, Student Body UK attracts a large number of students the school,” said Darrell Jennings, MD, senior students and staff. The success of these programs, however, all from Kentucky, as well as other states, associate dean for education. “We are very While already strong, the college remains start with getting the right students in the door. all competitive nationally. “Our students’ pleased with the accreditation visit and very on the cutting-edge of educational improve- As LCME noted, UK has built several pipelines performance on national standardized exams proud of the fact the UK College of Medicine re- ments. It is moving from a departmental- aimed at attracting a diverse student body. meets or exceeds the national average,” said ceived the maximum length for accreditation.” based curriculum to one organized along body Students take the lead in some of those efforts, Jennings. “Our students’ match rate in the Among the strengths the LCME noted: systems. That means students will study, for said Carol Elam, EdD, associate dean for admis- national resident matching program exceeds the array of research opportunities available example, all topics around the heart, including sions. “Our medical students are grateful the national average.” to medical students; pipeline programs aimed the diseases that affect the heart and drugs for the medical education they are receiving The 2011 entering class includes 85 at increasing diversity; a strong administra- used to treat those diseases, rather than here at the University of Kentucky. And they Kentuckians from 34 counties; it also includes tive team with faculty support; extensive generally studying pathology and pharmacol- recognize that as future physicians, they students from 16 other states, Puerto Rico curriculum evaluation and strategic planning ogy without a specific system focus. will make all the difference in the lives of their and Canada. processes used to monitor and improve student Jennings said the new approach should patients. So as the next generation of medical

26 UK COLLEGE OF MEDICINE UK HealthCare 27 devices,” said Kern, when the funding “Overall, our goal is to promote Research Funding Puts UK in was announced. Investigators in the Markey Cancer Center, and encourage interdisciplinary for example, are partnering with the CCTS Elite Group of Research Institutes to leverage support for infrastructure that will research that leads to creative directly benefit research efforts in the Appala- chian eastern Kentucky region, according new ideas . . . ” Phillip Kern, MD, in to Mark Evers, MD, professor of surgery and a Barnstable Brown director of the Markey Cancer Center. Philip Kern, MD Kentucky Diabetes and In addition to working with UK’s 12 colleges, Associate Provost, Clinical and Translational Science Obesity Center lab, the CCTS has led the formation of the Appa- leads a collaborative lachian Translational Research Network with of researchers from 12 CTSAs at the University of Cincinnati and UK colleges who will The Ohio State University; it also works with benefit from the Marshall and West Virginia universities. Kern of Medicine, Pharmacy, Engineering and the $20 million five-year said the goal of the network is to create an Markey Cancer Center. federal CTSA grant. environment for sharing resources, mentoring The additional funding will help the and conducting collaborative studies. Markey Cancer Center as it applies for Cancer “Overall, our goal is to promote and encour- Center Support Grant designation. Application age interdisciplinary research that leads to requires a threshold of cancer-related funding, creative new ideas and speeds the translation and UK far exceeds those expectations, of scientific discoveries to health improve- Evers said. ments for people in the Commonwealth of Kentucky, the Appalachian region and through- Research Growth Highlights Facility Needs out the nation,” Kern said. The growth in research dollars further high- lights the need for additional research space. Markey Cancer Center Moves The College of Medicine currently has about Closer to NCI Designation 250,000 square feet of research space, said The Markey Cancer Center also is keenly Alan Daugherty, PhD, DSc, College of Medicine The University of Kentucky has received CTSA Grant is One of 60 Across the Country focused on Kentucky and the Appalachian senior associate dean for research. “Our space several major grants that place the UK College The CTSA grant will support research at UK’s region. Evers said a significant number continues to age,” Daugherty noted, saying of Medicine within an elite group of the Center for Clinical and Translational Science of cancer center investigators have funded that could be a hindrance in recruiting top- nation’s research institutions. (CCTS), led by Philip Kern, MD, associate projects specifically focused on problems in notch scientists to the college. “It’s going to be In June 2011, UK received one of the provost for clinical and translational science Eastern Kentucky where the incidence rate of extremely expensive to renovate.” largest single research grants in its history—a and director of the Barnstable Brown Kentucky many cancers, including lung and colorectal, Mike Reid, PhD, director of translational $20 million Clinical and Translational Science Diabetes and Obesity Center. UK is one of 60 is the highest in the country. technologies and resources, noted increased Award (CTSA)—from the National Institutes of CTSA recipients across the country. “Markey Cancer Center investigators have research funding from not only the CTSA Health. With this five-year grant, UK joins a se- The CTSA program encourages collabora- spearheaded a number of prevention trials in project and Markey Cancer Center, but also lect national biomedical research consortium. tion across scientific disciplines and aims lung and colorectal cancer that has led to research by other investigators at the college. In addition, UK Markey Cancer Center re- to spur innovative approaches in tackling a decrease in the incidence and mortality from “Our space is completely filled and the ability ceived a five-year $1.75 million grant to research challenges. Kern said the grant is an these diseases,” Evers said. to continue to grow is root-bound by the lack of establish the UK Cancer Nanotechnology Train- infrastructure grant, not a disease-oriented The success of those investigators, Evers research space,” he said. ing Center; that grant is part of a $4.8 million grant. It’s intended to assist other researchers said, is one reason the Markey Cancer Center A top priority for both the College of boost in research funding over the past year, at UK in a collaborative effort aimed at improv- has seen an increase in research funding Medicine and the university administration is a bringing the Markey Cancer Center’s research ing the nation’s health. In fact, Kern said, in the wake of shrinking budgets and research second Biomedical/Biological Sciences total to $36.3 million. With the funding, UK be- 12 of UK’s 15 colleges participate in the CCTS funding. “This is a testament to the quality Research Building that would provide the comes one of six institutions nationwide to per- in some way. of investigators in the center and also to signifi- college an additional 60,000 square feet of form leading-edge nanotechnology research. “One example of our work at UK is the cant and new collaborations forged over the research space. In total, these awards bring the College integration of our research strengths in cancer, past two years,” said Evers. of Medicine research funding to $115.9 million. heart disease and diabetes with our strengths The Cancer Nanotechnology Training in pharmaceutical sciences and biomedical en- Center, for example, is the result of collabora- gineering to develop novel drugs and medical tion between investigators in the colleges

28 UK COLLEGE OF MEDICINE UK HealthCare 29 First- and second-year College of Medicine Reaches Out medical students work with William Wells Brown Elementary to Address Needs of Community students in the Jumpin’ Jaguars program promoting physical “The university has long had a commitment to Four third-year medical students in the activity and healthy addressing the needs of Kentucky,” said James RPLP took their clinical studies in Morehead behaviors. Norton, PhD, associate dean for educational during the 2010–2011 academic year. The RPLP engagement, in reflecting on the attention the is unique to UK and is designed to produce UK College of Medicine has given to issues physicians in all specialties who can provide of projected physician shortages, physical health care leadership. inactivity and healthy lifestyles. The mission is simple: Create physicians who will address shortages in rural areas, said Shortage of Physicians, Anthony Weaver, MD, assistant dean for the Especially in Rural Areas Morehead regional site. “Frankly we can do a A UK College of Medicine study published in lot of good things, but if we don’t address rural the Journal of Public Health Management and health care shortages, it won’t be meeting the Practice estimates the state will need between goals for the program,” Weaver said. 1,527 and 1,888 additional primary care physi- RPLP students complete their first two The college also has a new tool to spark fun physical activities like hip-hop dancing, cians by 2020. The college is striving to address years of medical school at the Lexington student interest in health professions. Zumba and swimming. that need and has extended its educational of- campus, then move their studies to Morehead The AHEC program received a $292,000 grant “The College of Medicine remains commit- ferings through the Rural Physician Leadership State University’s Center for Health, Education to purchase three vans to develop a patient ted to making a difference in the lives of these Program (RPLP). and Research, where they train primarily at simulator program. One van will be housed in elementary students through this coalition and St. Claire Regional Medical Center. Lexington, one in western Kentucky and the community partnership,” said Todd R. Cheever, other in eastern Kentucky. MD, assistant dean for student affairs and UK Developing Interest in Health Careers “The simulator was designed to contextual- Jumpin’ Jaguars program director. The RPLP involves another program reach- ize for students what they’re learning in Jumpin’ Jaguars is expanding to two ing out to all parts of Kentucky-Area Health a classroom,” said Carlos Marin, assistant dean additional schools to reach more elementary Education Centers, a collaborative effort with for community and cultural engagement and students. Medical students have found other the University of Louisville. Physicians in the the UK AHEC Program Coordinator. ways to touch the lives of Kentuckians. They Northeast AHEC serve as preceptors for the organize and participate in an annual one-day RPLP students. Lifelong Learning Hispanic Health Fair in Lexington, providing Throughout Kentucky, physicians partici- The learning doesn’t stop once a student health information and basic medical screen- pating in the AHEC Community Faculty Program graduates and completes a residency program. ings to more than 200 people. They also provide community-based learning experiences UK continues the education process through volunteer at Lexington’s Salvation Army Clinic, for health profession students. The program CECentral, which counts about 60,000 practi- gaining valuable interviewing, organizational utilizes the services of community faculty tioners in its database who look to the profes- and clinical experience through this service- throughout the state for fourth-year electives sional development provider for some of their learning project. More than 700 patients are in a specific rotation. educational needs. seen annually. The AHEC program also has expanded to “It’s really the lifelong learning piece that “One of the goals of the university is to include a health career pipeline, exposing we’re talking about beginning in middle school increase community engagement,” said Norton. middle school and older students to health and ending with continuing education,” said “The College of Medicine offers many avenues UK College of Medicine football game. Brendan careers. Medical school students serve as role Norton, who directs UK HealthCare CECentral. for its students to take their talents and skills alum Tom Fritz, MD, (’91) McCarthy (left), and models in visits to area schools “to encourage out into the community for service-learning with wife Molly from Chris Johnson (right), more people in rural Kentucky to pursue Encouraging Healthy Lifestyles opportunities.” West Chester, Ohio, work with the Area a career in health care,” said Weaver. Medical students are involved in medicine well checks the simulation Health Education UK brings 50 of those students onto its beyond the classroom. In 2011, 45 first- and patient’s pulse while Centers (AHEC) and campus each summer for rigorous residential second-year students volunteered their touring the mobile van coordinate the program. camps involving all of the health profession col- time twice a week in the UK Jumpin’ Jaguars on display at a UK leges for students interested in health careers. program leading elementary students in

30 UK COLLEGE OF MEDICINE UK HealthCare 31 Former dean Emery Learners Faculty and Staff 1 Wilson, MD, has turned By the his attention to the col- lege’s alumni and how House Staff Staff to better involve them Numbers (Interns/ 1,097 Community- Residents/ in the life of the college. based Fellows)1 Here, he talks to Jeff 452 Faculty Hord, MD (’89), director Education 548 Clinical of the cancer program at Science Medical 623 Faculty Akron (Ohio) Children’s Class of 2014 Mean Scores Students2 2,029 Hospital, during an As of Aug. 2, 2010. Basic alumni tailgate party. 198 Faculty 232 190 College Grade Point Average Graduate Part-time Science 3.69 Students3 Faculty Non-science 3.82 Wilson Improves Connection Total GPA 3.74 Between College and Its Alumni 1As of June 30, 2011. MCAT Sections 2As of start of 2010–2011 academic year. Dr. Emery Wilson touched the lives of many Verbal Reasoning 9.85 (1-15 scale) 3As of 2011 spring semester. Includes students University of Kentucky College of Medicine Physical Science 10.45 (1-15 scale) pursuing MS and PhD degrees. students as a student and resident from 1964 Writing Samples P (J-T scores) to 1972, a faculty member starting in 1976, and Biological Science 10.72 (1-15 scale) dean of the college from 1987 to 2004. Total 31.02 Research Revenue Sources So it seems only natural for Wilson, after completing a year as interim dean, to head Approximately 92 percent of all medical stu- Grants and contracts in the College of Clinical up a renewed effort in alumni affairs. He’d dents receive some form of financial aid and Medicine reached $115.9 million in fiscal year 2009 like to see alumni more involved with current 46 percent benefit from scholarship awards. 2011, (July 1, 2010 to June 30, 2011) including 2010 students, either through career chats with first- in excess of $70 million in National Institutes 2011 and second-year medical students or by helping In 2011, UK medical students matched into 21 of Health (NIH) funding. fourth-year students as they travel around the different specialties for residency. 24 percent Grants country for residency interviews. elected to stay within the UK HealthCare In federal fiscal year 2010, (October 1, 2009 to 2009 “We will be putting together a strategic system, and an additional 6 percent elected to September 30, 2010) UK received 63 percent of 2010 planning process for the alumni affairs stay in Kentucky for residency. the NIH research funding granted to Kentucky 2011 program with the idea of making it more medical schools. service oriented,” Wilson said. “We want them The college has one of 10 triple-board residen- State to feel a part of the alumni organization cy programs in the nation where residents can UK has 250,000 square feet of research space. 2009 and a part of the College of Medicine.” train in Adult Psychiatry, Child and Adolescent Research expenditures per net assignable 2010 Psychiatry and Pediatrics. square foot is $314.90, near the targeted 2011 average nationally. The College of Medicine is accredited by the Gifts and Endowments Liaison Committee on Medical Education of Markey Cancer Center in FY11 received an 2009 the Association of American Medical Colleges increase of $4.8 million in research funding for 2010 and the American Medical Association. a total of $36.3 million. The increase includes 2011 a five-year, $1.75 million grant to establish the UK Nanotechnology Training Center. Other Outreach 2009 2010 Community Faculty Program College of Medicine awarded sponsored 2011 1,133 total community faculty members projects as a % of UK total awards 87 new appointments in the 2011 fiscal year 50M 100M 150M 200M 250M 300M 183 medical student rotations FY10 39.9% 732 weeks of student rotations FY11 38.7%

32 UK COLLEGE OF MEDICINE UK HealthCare 33 138 Leader Avenue Lexington, Kentucky 40506-9983 859-323-6582 mc.uky.edu/medicine Hospital Discharges Office of the Executive Statistics and Trends Vice President for Health Affairs+ 2002 19,845 2003 19,098 Michael Karpf, MD Executive VP for Health Affairs 19,664 Hospital Operating Statistics for Year Ending June 30 2004 22,269 2005 Richard P. Lofgren, MD 2011 2010 2009 2006 24,760 VP for Healthcare Operations Discharges 2007 27,292 Chief Clinical Officer 2008 32,926 Medicare 10,065 9,478 9,370 Sergio Melgar 31,768 Medicaid 9,277 9,146 9,032 2009 Senior VP for Health Affairs Commercial/Blue Cross 9,453 9,955 9,868 2010 32,355 Chief Financial Officer Patient/Charity 3,762 3,776 3,498 2011 32,557 Total Discharges 32,557 32,355 31,768 Emery Wilson, MD Interim VP for Clinical Affairs Licensed Beds 791 791 791 Interim Dean, College of Medicine Available Beds 650 643 636 Hospital Operating Revenue ($ in the thousands)* Average Daily Census 530 508 495 Average Length of Stay 5.94 5.74 5.69 2002 318,439 Executive Leadership Team+ Case Mix Index 1.75 1.73 1.72 2003 345,142 2004 371,982 Mark Armstrong Surgery Frank Beirne 2005 441,935 Mark D. Birdwhistell Operative Cases 26,245 25,512 24,638 2006 521,664 Frank Blair 2007 537,431 Justin Campbell Hospital-based Outpatient 2008 670,317 Teresa Centers Sandra Chambers 2009 704,912 Hospital Clinic Visits 339,839 319,297 312,208 Joseph D. Claypool Emergency Visits 77,205 69,671 68,299 2010 785,868 Murray Clark Total Hospital Outpatient Visits 417,044 388,968 380,507 2011 797,453 Jonathan W. Curtright Paul D. DePriest, MD *Historical operating revenue is net of bad debt expense. Ed Erway Bill Gombeski Other Operating Indicators for Year Ending June 30 David Gosky Grants and Contracts Awarded ($ in the millions) Kathleen Kopser, MSN, RN 2011 2010 2009 Lorra Miracle, RN Ambulatory Services 2002 90 Ajay Sial 2003 92 Ann Smith Ambulatory Physician Visits 586,013 569,598 585,957 Darlene Spalding, RN 2004 98 Professional Net Revenue* $ 207,026 $ 196,754 $ 195,385 Colleen H. Swartz, DNP, MBA, RN 2005 103 Tim Tarnowski *Does not include bad debt; $ in thousands. 2006 106 Jim Zembrodt Other Service Relationships 2007 110 +As of June 30, 2011. 2008 106 Referring Physicians 4,697 4,630 4,316 2009 108 UK•MDs Physician Calls 163,181 157,276 152,381 2010** 167 Health Connection Consumer Calls 156,604 145,363 139,700 Website Users (Avg./Mo.) 94,797 93,436 72,995 2011** 154

**2006–2009 College of Medicine only; 2010 and 2011 includes colleges of Dentistry, Health Sciences, Medicine, Nursing, Pharmacy and Public Health.

36 CHALLENGES MET, NEW GOALS SET UK HealthCare 37 Hospital Net Patient Revenue by Funding Source* Financial Statements ($ in the thousands) For year ending June 30. 2011 2010 2009 Payor Hospital Condensed Statements of Operating Revenues, Expenses and Changes in Net Assets Medicare $ 215,078 $ 198,549 $ 199,207 ($ in the thousands) Medicaid 204,991 192,892 162,711 Commercial/Blue Cross 362,792 325,078 325,585 2011 2010 2009 Patient/Charity 80,829 77,143 49,858 Total $ 863,690 $ 820,662 $ 737,361

Net Patient Service Revenue $ 776,388 $ 766,437 $ 686,604 Bad Debt (87,302) (54,225) (50,757) Sales and Services 21,065 19,431 18,308 Total Operating Revenues $ 797,453 $ 785,868 $ 704,912 Total Net Patient Revenue* $ 776,388 $ 766,437 $ 686,604

*Including bad debt. Operating Expenses 765,081 742,456 698,179 Operating Income $ 32,372 $ 43,412 $ 6,733

Nonoperating Revenue (Expenses) 31,313 19,339 (36,556) Hospital Condensed Statements of Net Assets Income Before Transfers to UK 63,685 62,751 (29,823) ($ in the thousands)

Transfers to UK/Other (22,378) (23,303) (17,907) 2011 2010 2009 Assets Net Income (Loss) From Discontinued Operations (17) (14) (17) Current Assets $ 152,641 $ 253,039 $ 286,800 Total Increase In Net Assets $ 41,290 $ 39,434 $ (47,747) Capital Asset, Net of Depreciation 772,163 667,580 488,596 Other Noncurrent Assets 258,176 242,283 222,790 Operating Margin 4.06% 5.52% 0.96% Total Assets $ 1,182,980 $ 1,162,902 $ 998,186 Total Margin 5.18% 5.02% (6.77%) Liabilities

Current Liabilities $ 119,686 $ 114,689 $ 89,091 Note: The method for reporting operating revenues and expenses changed in fiscal year 2008 to comply with Noncurrent Liabilities 438,184 464,393 364,709 GASB statements; in the audited statements operating revenue is net of bad debt, which was previously reported Total Liabilities $ 557,870 $ 579,082 $ 453,800 as an operating expense. Net Assets Statement of net assets and related statements of revenues, expenses and changes in net assets for the year ending June 30, 2011, were audited by BKD, LLP, of Louisville, Kentucky. Invested in Capital Assets, Net of Related Debit $ 324,438 $ 208,407 $ 124,643 Nonexpendable Other 118 116 115 Restricted Expendable 13,086 15,218 25,801 Unrestricted 287,468 360,079 393,827 Total Net Assets $ 625,110 $ 583,820 $ 544,386

38 CHALLENGES MET, NEW GOALS SET UK HealthCare 39 Oversight As of June 30, 2011.

COLLEGE OF DENTISTRY Paul DePriest, MD Gerald V. Klim, DO Philip A. Kern, MD Chairs UK HealthCare Advisory Board Senior Associate Dean for Clinical Affairs Physical Medicine and Rehabilitation Barnstable Brown Kentucky Diabetes Jimmi Hatton, PharmD Administration Michael Karpf, MD, Chair and Obesity Center Pharmacy Practice and Science Sharon P. Turner, DDS, JD Louis B. Hersh, PhD Philip W. Landfield, PhD Susanne Arnold, MD Dean Senior Associate Dean Molecular and Biomedical Pharmacology Linda Jo Van Eldik, PhD Patrick McNamara, PhD Paul Bachner, MD for Basic Science Affairs Sanders-Brown Center on Aging Pharmaceutical Sciences Frank Beirne Jeffrey L. Ebersole, PhD Carl G. Leukefeld, DSW Joseph Berger, MD Associate Dean of Research C. Darrell Jennings, Jr., MD Behavioral Science David Moliterno, MD Mark D. Birdwhistell Senior Associate Dean for Medical Education Linda and Jack Gill Heart Institute Randall J. Gonzalez, MA Kevin Pearce, MD, MPH COLLEGE OF PUBLIC HEALTH Edwin Bowe, MD Associate Dean for Administrative Carol Elam, EdD (Interim) Family and Community Medicine Karyn Esser, PhD Frank Butler Administration and Finance Associate Dean for Admissions Center for Muscle Biology T. Shawn Caudill, MD M. Elizabeth Oates, MD Stephen W. Wyatt, DMD, MPH and Institutional Advancement Murray Clark Cynthia Beeman, DDS, PhD Radiology Sharon Walsh, PhD Dean Joe Claypool Associate Dean for Academic Affairs Charles H. Griffith III, MD Center on Drug and Alcohol Research P. Andrew Pearson, MD Cynthia Lamberth, MPH Jonathan W. Curtright Associate Dean for Student Affairs Fonda Robinson, DMD Ophthalmology and Visual Science Emery A. Wilson, MD Associate Dean for Workforce Development Frederick C. de Beer, MD Associate Dean for Clinical Affairs Robert T. Means, Jr., MD Office of Health, Research and Development Paul DePriest, MD Marcus Randall, MD William Pfeifle, EdD Associate Dean for Veterans Affairs B. Mark Evers, MD Christine Harper, MS Radiation Medicine Byron Young, MD Associate Dean for Academic Affairs Brenda Fahy, MD Assistant Dean for Admissions James Norton, PhD Kentucky Neuroscience Institute Michael B. Reid, PhD Larry Prybil, PhD Don Gash, PhD and Student Affairs Associate Dean for Educational Engagement, Physiology Associate Dean Bill Gombeski Director of UK HealthCare CECentral Keith Shelton, MPA Lori Gonzalez, PhD Phillip Tibbs, MD COLLEGE OF NURSING Ann L. Coker, PhD, MPH Assistant Dean for Clinical Business Chairs Wendy Hansen, MD Neurosurgery Co-Associate Dean for Research Operations Paul Bachner, MD Administration Lon Hays, MD, MBA Pathology and Laboratory Medicine Mary Vore, PhD Jane M. Kirschling, DNS, RN, FAAN Pamela B. Teaster, PhD Roger Humphries, MD Chairs Graduate Center for Toxicology Dean Co-Associate Dean for Research Darren Johnson, MD Jeffrey P. Okeson, DMD Frederick C. de Beer, MD Raleigh Jones, MD Oral Health Science Internal Medicine Joseph Zwischenberger, MD Suzanne S. Prevost, PhD, RN Anthony Hartsfield, MPA Jennifer Joyce, MD Surgery Associate Dean for Practice and Engagement, Assistant Dean for Institutional Advancement Mark V. Thomas, DMD Joseph R. Berger, MD Jane Kirschling, DNS, RN Director for Continuing Education Oral Health Practice Neurology Directors Kimberly Judd Gerald Klim, DO Gregory Bausch, PharmD Lynne A. Hall, DrPH, RN Assistant Dean for Finance Kathleen Kopser, MSN, RN Edwin A. Bowe, MD Center for Rural Health, Morehead Associate Dean for Research and Scholarship and Administration Richard P. Lofgren, MD Anesthesiology COLLEGE OF HEALTH SCIENCES Sergio Melgar Natalie Begley Patricia V. Burkhart, PhD, RN Michael Smith, PhD Carmel Wallace, Jr., MD David Moliterno, MD Administration Center for Rural Health, Madisonville Associate Dean for Undergraduate Studies Assistant Dean for Evaluation and Planning (Interim) Pediatrics M. Elizabeth Oates, MD Lori S. Gonzalez, PhD Kentucky Children’s Hospital Forrest W. Calico, MD Patricia B. Howard, PhD, RN, FAAN Michelle Lineberry, MA Kevin Pearce, MD, MPH Dean Center for Rural Health, Danville Associate Dean for MSN and DNP Studies Director for Practice and Service Andrew Pearson, MD Lisa Cassis, PhD Sharon Stewart, EdD Marcus Randall, MD Graduate Center for Nutritional Sciences Frances J. Feltner, MSN, RN Terry A. Lennie, PhD, RN, FAAN Chairs Associate Dean for Academic Affairs R. Brett Short Center for Rural Health, Hazard Associate Dean for PhD Studies Julia Field Costich, MPA, JD, PhD Don M. Gash, PhD Ajay Sial Charlotte Peterson, PhD Health Services Management Anatomy and Neurobiology Leslie Crofford, MD Ann Smith Associate Dean for Research and MHA Program Center for the Advancement Carol Steltenkamp, MD Wendy F. Hansen, MD COLLEGE OF PHARMACY Chairs of Women’s Health Richard A. Crosby, PhD Sharon Stewart, EdD OB-GYN Karen Skaff, PhD Administration Health Behavior Kumble Subbaswamy, PhD Richard Crouch, MD Clinical Sciences Lon R. Hays, MD, MBA Timothy S. Tracy, RPh, PhD Colleen H. Swartz, DNP, MBA, RN, NEA-BC Center for Rural Health, Murray Richard J. Kryscio, PhD Psychiatry Dean Tim Tarnowski Janice Kuperstein, PhD Biostatistics Alan Daugherty, PhD, DSc Phillip Tibbs, MD Rehabilitation Sciences Louis B. Hersh, PhD Patrick J. McNamara, PhD Saha Cardiovascular Research Center Robert H. McKnight, ScD Timothy S. Tracy, RPh, PhD Molecular and Cellular Biochemistry Senior Associate Dean Preventive Medicine Sharon Turner, DDS, JD B. Mark Evers, MD Roger L. Humphries, MD Frank Romanelli, PharmD, MPH and Environmental Health Carmel Wallace, Jr., MD COLLEGE OF MEDICINE Markey Cancer Center Emergency Medicine Associate Dean for Educational Advancement Emery A. Wilson, MD Wayne T. Sanderson, PhD Administration Greg Gerhardt, PhD Stephen Wyatt, DMD, MPH Darren L. Johnson, MD Kelly Smith, PharmD Epidemiology Emery A. Wilson, MD Morris K. Udall Parkinson’s Byron Young, MD Orthopaedic Surgery and Sports Medicine Associate Dean for Academic (Interim) Dean and Vice President Disease Research Center Pamela B. Teaster, PhD Jay Zwischenberger, MD and Student Affairs for Clinical Academic Affairs Alan M. Kaplan, PhD Gerontology Edward D. Hall, PhD Microbiology, Immunology Linda Dwoskin, PhD Alan Daugherty, PhD, DSc Spinal Cord and Brain Injury Research Center and Molecular Genetics Associate Dean for Research Senior Associate Dean for Research

40 CHALLENGES MET, NEW GOALS SET UK HealthCare 41 neurobiology as well as director of UK’s The plaza honors Morris K. Udall Parkinson’s Disease Research Betty Rosenthal, Center of Excellence, and his team of research- shown here with her ers are currently investigating the use of husband Warren. growth factors, such as GDNF, to restore func- tion to damaged dopamine neurons. These new therapies may have great impact on repairing and restoring functionality, which is paramount to combating the disease. Although Parkinson’s disease currently cannot be definitively diagnosed until after death—current treatment focuses on symp- toms of the disease—Gerhardt hopes to shift that paradigm through a new modality that would more effectively treat the disease as well as diagnose it. This would open the door to DNP, chief nurse executive, and Paul A. Kearney, a new era of research in Parkinson’s disease. MD, surgeon and Paul A. Kearney, MD, Endowed Individuals, businesses and foundations Chair in Trauma Surgery. Swartz and Kearney have worked with Kentucky Children’s Hospital named the trauma team station in the Floor 7 to elevate the level of care provided to Ken- Trauma Intensive Care Unit. tucky children. Private support has made it The new Don and Cathy Jacobs Health possible for the hospital to recruit top pediatric Education Center serves as a central resource specialists, gain access to the best medical to help patients and families research their equipment available, conduct research to find medical questions as well as offer education cures for childhood diseases and provide a and training to nurses, physicians and other comfortable, family-centered environment that Donor Gifts Touching All Areas caregivers with a goal of improved health care promotes healing. outcomes. The gift from Lexington business leader Jacobs and his wife enabled the center to The Rosenthal Family Generosity inspired by a shared vision is help- home to high-tech educational programs for be relocated from the original lobby of “The generous gifts of these individuals Plaza at the new ing UK HealthCare deliver on its commitment students, staff and the public, as well as the UK Chandler Hospital to its new home on the entrance to UK Chandler to improve the health and well-being of Lucille Caudill Little Performing Arts in Health- first floor concourse of Pavilion A and provide and organizations make it possible Hospital is an example Kentuckians through patient care, education Care Program. expanded services. of the positive impact and research. Philanthropy is touching the The significant works of art showcased to bring together art, science and philanthropy has had on institution in many meaningful ways. Strong as part of UK’s Arts in HealthCare Program were Gifts Support Research, Patient Care our facilities. evidence of such support was unveiled in May made possible by philanthropists who under- A conversation between friends, Joseph H. Clark healing in this world-class facility for with the opening of the new patient care stand the proven connection between art and and Tom Dupree, Sr., spurred a significant gift pavilion at UK Albert B. Chandler Hospital. healing. Among the most notable contributions to the university helping advance Parkinson’s the people of Kentucky and beyond . . .” The park-like setting and natural stone is Gingko, the focal point of the lobby atrium, disease research. Clark, who established the water feature of the Rosenthal Family Plaza which was donated by the James F. Hardymon Braden-Clark Fellowship in Parkinson’s Disease As inscribed on a plaque in the new patient care pavilion showcases the circular driveway and lobby Family Foundation. This brightly colored Research, continued to share details about the entrance to the new Pavilion A. Warren stainless steel and mesh fabric sculpture is incredible work being done at the Kentucky Rosenthal’s gift in honor of his wife, Betty, suspended beneath the three-story skylight, Neuroscience Institute at UK. The words of Many corporations and foundations have helped create the tranquil surroundings with delighting all passers-by. his friend really piqued Dupree’s interest. recently made significant contributions to pedi- stacked stone walls and trees, grasses and More than 40 gifts were received from a He met with nationally recognized Parkinson’s atric health care. Coach Rich and Karen Brooks, other plants native to Kentucky. variety of supporters, including UK HealthCare investigator Greg Gerhardt. Following the brief supporters of the Rich Brooks Foundation and Many of the features in public areas on the staff and UK faculty members, culminating exchange, Dupree felt compelled to support organizers of the Rolex Kentucky Three-Day ground and first floor of the lobby were made in more than $1 million in contributions, Gerhardt’s work and, in turn, established a Event, came together to make the Kentucky possible by donors. Richard M. Scaife’s gift kicking off the “Room to Heal” campaign to fund the researcher uses at his discretion for Children’s Hospital Congenital Heart Clinic pos- through the Sarah Scaife Foundation helped name patient rooms and other areas of the ongoing, preclinical investigations aimed at de- sible. Speedway and Crusade for Children made make a much-needed 305-seat auditorium a patient care floors. One example is a gift from veloping new therapies for Parkinson’s disease. gifts toward the purchase of a new pediatric reality. This state-of-the-art venue is now original trauma team leaders, Colleen Swartz, Gerhardt, a professor of anatomy and transport vehicle. The Walmart Foundation

42 CHALLENGES MET, NEW GOALS SET UK HealthCare 43 A gift from Don and Cathy Jacobs of Lexington (left) funded the new Health Education Center that bears their names. The center (shown below) is open to all and provides resources to help patients better under- stand health conditions and treatment options.

supports the Healthy Kids Clinic where chil- dren learn habits of a healthy lifestyle. Kohl’s provides multiyear support for the Kohl’s UK Asthma Program, a multi-media statewide edu- cation campaign. The Keeneland Concours d’Elegance continued funding research to help babies born prematurely. The generosity of so many has made it possible for Kentucky Chil- dren’s Hospital to fulfill its mission of providing the highest level of care to Kentucky children.

Anniversary Giving Campaign to Benefit Medical Education A giving campaign that was part of UK’s celebration of the 50th anniversary of the College of Medicine garnered $3.25 million in donations from 844 individual contributors. One of those gifts was a bequest from the late Gary Browning, MD. Dr. Browning struggled financially while attending UK College of Medicine, and when he graduated in 1984, he owed $100,000. The Gary M. Brown- ing Endowed Scholarship and Student Support Fund will help UK students having difficulty with tuition and living expenses. The Gary James and Gay Hardymon M. Browning Challenge Grant matches new (right) represented the and increased contributions to the college’s James F. Hardymon annual giving campaign. Family Foundation at the dedication of Gingko Culture of Philanthropy (above), a giant mesh These and many other notable gifts are fabric and stainless steel helping to fuel UK HealthCare’s programs, sculpture suspended solidifying the foundation of a true culture of from the atrium lobby philanthropy. The generosity of many individu- skylight of the new als and organizations is now at the core of UK Chandler Hospital our effort to become a world-class health care pavilion. The foundation’s system that’s uniquely Kentucky. gift funded the sculpture.

44 CHALLENGES MET, NEW GOALS SET UK HealthCare 45 Music as Therapy Helps Patients Recover

Lori Gooding and staff deliver innovative music therapy to patients at UK hospitals.

A new clinical service—music therapy—is “Music influences a patient’s mental and harnessing the healing power of music to help physical well-being,” said Gooding. Research patients achieve their health-related goals. shows that music in all its forms helps children UK HealthCare and UK School of Music part- and adults better manage pain and anxiety, nered to create the program, launched October and improve coping and communication skills. 2010 under the direction of Lori Gooding, PhD, It promotes recovery by increasing the body’s MT-BC, NICU-MT, assistant professor of music. endorphins, which makes a person feel better, while lowering an abnormally high heart rate or blood pressure. It also facilitates physical reha- “Music influences a patient’s bilitation, enhances memory and helps patients express feelings. mental and physical well-being.” Music therapy services are offered at no charge to inpatients at UK Chandler Hospital, On the back cover, (left) Lori Gooding, PhD, MT-BC, NICU-MT, Director, Music Therapy Kentucky Children’s Hospital and UK Good the Gingko sculpture Samaritan Hospital, as well as to some out- as seen from below and patients at Kentucky Clinic. The W. Paul and (right) Darlene Felty, The program accepted its first music thera- Lucille Caudill Little Foundation established a medical technologist py intern, Florida State University senior Shane an endowment to launch the program. The in the Chandler Hospital Swezey, and submitted five grants to fund mu- gift was matched by state Research Challenge core lab, prepares a sic therapy research. Also, the American Music Trust Fund dollars and proceeds from UK’s 2010 slide. Felty and her Therapy Association gave its needed approval Overture to Healing Gala. colleagues perform on for the introduction in 2012 of Kentucky’s only average 9,000 tests per music therapy graduate degree program day to support diagnosis

DESIGN: POULIN + MORRIS INC. PHOTOGRAPHY: LEE THOMAS; TIM WEBB AND KELLIE CARTER and treatment.

46 CHALLENGES MET, NEW GOALS SET 900 South Limestone 317 Wethington Building Lexington, Kentucky 40536 859-323-5126 ukhealthcare.uky.edu

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