Programs: St. Dominic hospital is a 571-bed acute care facility in jackson, ms. As part of its healing ministry, st. Dominic's is one of the largest employers in the area, and those employees, as well as hospital operations, significantly help to support the local economy. In 2016 st. Dominic hospital provided over $1 billion (charges) in hospital services to patients throughout the central region of mississippi, and employed over 3,300 people. St. Dominic hospital's medical staff of nearly 500 leading physicians and specialists makes st. Dominic's one of the most comprehensive hospitals in mississippi. These physicians and staff members have played an integral role in developing highly regarded clinical programs and services. Some of those key services include the mississippi heart and vascular institute, stroke services, women's services, behavioral health services, and the cancer center (and cancer services as a whole). Mississippi heart and vascular institute- in 1974, st. Dominic's established a center for comprehensive cardiac care. Then known as the mississippi heart institute the name has since been revised to mississippi heart and vascular institute (mhvi) to show st. Dominic's ongoing commitment to expertise and care of the entire circulatory system. Many of st. Dominic's heart and vascular physicians are nationally known for using the most advanced technology and procedures and for their clinical excellence in delivering patient care. Services offered range from minimally invasive cardiac treatments to traditional open-heart surgery to complicated and very specialized valve repairs. In 2016 heart and vascular service volumes continued to climb compared to prior years. Much of these increases can be attributed to st. Dominic's efforts to offer outreach services to the broader community. St. Dominic's clinical outreach, first established in 2013, provides screenings, specialty clinic hubs and other health services to individuals in both the jackson area and in outlying communities. The program is made up of two parts: screenings, which encompasses the healthy heart screening program and community screening events, and outreach, which includes telemedicine and specialty clinics in rural areas. Patients who schedule an appointment with the healthy heart program receive a (hospital subsidized) heart risk assessment for $99. Up to 18 patients a day can be seen at two locations. The healthy heart program staff conducted a total of 2,033 screenings in 2016 an increase of over 600 participants compared to the previous year. The healthy heart staff also participated in 22 health fairs and events throughout the year and came into contact with 1,257 people in the community through those events. Clinical outreach also aims to spread its ministry further by providing services to communities across the state to augment existing medical resources. In 2016, the program added two new specialty clinic hub sites in magee and pelahatchie in addition to its already existing sites located in greenville, cleveland, brookhaven and vicksburg. At these locations, neurology, cardiology and ear, nose and throat physicians see patients via face-to-face encounters once or twice each month, allowing patients to receive medical services without the need to travel to see a specialist. Three locations vicksburg,brookhaven and cleveland also offer tele-medicine clinics where physicians remain at st. Dominics and the patients remain in their local community to receive consultations and care. Compreshensive stroke center- st. Dominics comprehensive stroke center offers rapid diagnosis, high-tech intervention, expert care and intensive rehabilitation in a caring, compassionate setting. St. Dominics is capable of delivering the full spectrum of care to seriously ill patients with stroke and cerebrovascular disease. The chief component of the program is a highly collaborative, expertly-skilled team of clinical professionals who direct and provide evidence-based care for every stroke patient. The program provides care to the adult population of central mississippi and outlying rural areas. In 2016 st. Dominics earned the joint commissions gold seal of approval and the american heart association/american stroke associations heart-check mark for advanced certification for comprehensive stroke centers. The gold seal of approval and the heart-check mark represent symbols of quality from their respective organizations. To be eligible for this distinction, hospitals must demonstrate compliance with stroke-related standards as a primary stroke center and meet additional requirements, including those related to advanced imaging capabilities, 24/7 availability of specialized treatments, and providing staff with the unique education and competencies to care for complex stroke patients. St. Dominics has worked to extend this expertise to areas outside of the jackson area. St. Dominics tele-stroke network links seven hospitals in rural areas with stroke neurologists at st. Dominics who can provide specialized, urgent care for those suspected of having a stroke. In 2016 st. Dominics treated 1,443 strokes and transient ischemic attacks at both the main hospital and in coordination with the rural hospital network. Women's services- st. Dominic's maternal and newborn care center emphasizes a team approach to care with physicians, nurses and educators working together to meet the total needs of the patient and the entire family. St. Dominic's offers services and programs not only during a patient's hospital stay, but also classes and resources to assist with the family transition long before and long after the birth of a baby. Services include prenatal care, labor and delivery, newborn care, digital mammography, wellness checks, lactation consultations, gynecological surgeries and a wide array of classes. In 2016, st. Dominic's women's services worked with families to deliver 1,563 babies. Of those only a small fraction were low birth weight, which can be partially attributed to prenatal care efforts. Behavioral health services- st. Dominic's 2016-2018 community health needs assessment identified behavioral or mental health as one of the most pressing issues in the community. For st. Dominics, the treatment of behavioral health conditions has been a priority since the inception of its behavioral health program. St. Dominics behavioral health services provides quality and compassionate treatment to individuals and their families suffering from mental illness. Board certified psychiatrists, social workers and other therapists work together within a multi-disciplinary team to meet the individualized needs of each patient. One of the specialty psychiatric units at st. Dominic's, the oakes, is a geriatric psychiatric unit that provides compassionate care for geriatric patients in a secure and therapeutic environment. The oakes uses proven methods to help patients, such as social group interaction, reality orientation, sensory stimulation, recreation and self-expression. St. Dominic's new behavioral health services facility was completed in 2013. The two-story, state-of-the-art facility contains 78,000 square feet and 77 private rooms. Separate units within the facility have individual group meeting and dining areas to help patients find shared strength and healing through interaction and comradery. St. Dominics behavioral health services regularly reaches out to the community in an effort to help individuals identify disorders and find help. In 2016 behavioral health services screened 1,079 people for anxiety and depression disorders. Cancer center and cancer services- st. Dominics cancer services is a leader in community outreach and cancer education. The comprehensive program was recognized in 2015 with an outstanding achievement award by the commission on cancer (coc) of the american college of surgeons. St. Dominics was the only hospital in the state of mississippi to receive this award in 2015 and since then no other mississippi has received this designation. An integral part of st. Dominics cancer services is the freestanding cancer center, which provides easy access to a large variety of services as well as convenient parking. Treatments at the center include medical cancer therapy, radiation therapy and lymphedema treatment. In 2016 alone, 26,833 radiation therapy procedures were completed. Also, with a new infusion clinic at the main hospital, 15,165 outpatient infusions were conducted in 2016. In addition to therapies, st. Dominics has some of the most advanced pet and ct scanning services that pair with advanced surgical procedures for precise removal of affected tissue. However, the key to fighting any cancer is early detection, and that requires education and community outreach. Supporting this position, newks cares and st. Dominics hosted the third annual ovarian cycle jackson spin event on september 29 at the club at the township. The event aimed to spark awareness and suppor
the hospital is an active, caring member of the community it serves. In carrying out its healing ministry, the board of directors has established a policy under which the hospital provides care to the needy members of its community. Following that policy, the hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policies. The direct and indirect costs associated with these services cannot be identified to specific charity care patients. Therefore, management estimated the costs of these services by calculating a cost to gross charge ratio and multiplying it by the charges associated with services provided to patients meeting the hospital's charity care guidelines. The estimated cost of charges foregone, based on the cost to charge ratio, was approximately $16,716,000. The foregone charges are netted against patient service revenue to arrive at net patient service revenue as reflected as program service revenue on part viii of form 990 in order to be consistent with financial statement reporting and are not reported as functional expenses on the form 990. The hospital also provides health care services to a significant portion of the uninsured population in the surrounding community. While a portion of these patients may ultimately qualify for coverage under the medicaid program or the charity care policy discussed above, the hospital is unable to collect a significant portion of these accounts. Charges deemed uncollectible during 2016 were approximately $19,497,000.
the hospital serves the community in numerous ways. Some examples include assisting in educating the community regarding health-related issues. The hospital participates in numerous health fairs and gives presentations to various schools and industry regarding such issues as drug abuse and safety in the workplace. The hospital has sponsored annual cholesterol and cancer screenings upon which the test is made available to the public for a nominal fee and the majority of the costs incurred are absorbed by the hospital. The hospital also organizes employee participation in fundraising for organizations, such as the united way, stewpot ministries and junior achievement, among others. In addition, the hospital gave approximately $691,000 during 2016 in charitable corporate donations to various area community service organizations. Although the hospital has estimated the cost of each of these efforts to serve the jackson, mississippi, metropolitan area, management and the board of directors believe that such costs represent only one facet of the many ways the hospital serves the greater jackson community. The above examples relate only to certain measureable benefits that the hospital provides to its service area. This presentation is not intended to measure all such community benefits, many of which are intangible in nature or otherwise not quantifiable.
