BY THE NUMBERS

St. Luke’s Network of Care 2019 Numbers

Patient Experience and Quality Measures

Value-Based Purchasing Results

Year after year, St. Luke’s is nationally recognized for superior clinical quality and patient care. The St. Luke’s network of care has earned multiple awards in numerous specialties based on clinical quality data and patient satisfaction. Specific quality data measured and reported to state and federal government further demonstrate St. Luke’s commitment to quality.

Value-Based Purchasing is a program for the Centers for Medicare & Medicaid Services to reimburse acute-care hospitals based on the quality of care they provide. St. Luke’s score is significantly better than state and national averages. The scores are based on:

  • Clinical care (mortality and complication measures)
  • Patient satisfaction
  • Patient safety and infection rates
  • Hospital efficiency

St. Luke’s placed within the top 10% of hospitals nationally by earning 97.5% of all possible points in the clinical care category based on:

  • Acute Myocardial Infarction (AMI) (30-day mortality rates)
  • Heart failure (30-day mortality rates)
  • Pneumonia (30-day mortality rates)
  • Elective total hip and knee replacement procedures (complication rates)

Readmissions

St. Luke’s continues to be a leader in preventing readmissions, as evidenced by its 30-day readmission rate of Medicare patients being lower than the national rate. In addition, St. Luke’s 30-day readmission rates for heart attack, heart failure, pneumonia and after coronary bypass and total hip and knee replacement procedures are all less than the national average.

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient survey and data collection tool required by the Centers for Medicare and Medicaid Services (CMS) for all hospitals in the United States to measure patients’ perspectives on hospital care. 

Patient Experience

Based on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data, St. Luke’s Hospital has received an overall star rating of 4 (on a 5 point scale) for patient satisfaction. Patients scored St. Luke’s Hospital at 5 star levels in the “overall rating of the hospital” and “would you recommend” categories.

St. Luke’s is the only hospital in Missouri to be recognized with the Healthgrades Outstanding Patient Experience Award for nine consecutive years, and only one of two hospitals in the state to achieve the top 5% in the nation for Patient Experience for seven consecutive years utilizing patient experience data.

Patient Statistics

     

St. Luke’s Network of Care
Utilization Summary Fiscal Year 2019


 

Inpatient and Observation Patients

23,697

 

Surgeries

20,263

 

Births

1,612

 

Outpatient Registrations

345,913

 

Emergency Visits

37,660

 

Urgent Care Center Visits

97,113

 

Home Health Visits

31,648

 

Hospice Days of Service

21,061

 

Surrey Place Average Residents per Day

95

Statement of Operations

Operating Results

St. Luke’s operating loss for the fiscal year ended June 30, 2019, was $4,786,000, representing an operating margin of (0.7) percent. Net income for the fiscal year ended June 30, 2019 was $18,275,000, representing a total margin of 2.6%. Total revenue was $675,000,000.
St. Luke’s reinvests positive financial results back into the organization to continuously improve and expand the excellent care to patients and the community by recruiting and retaining quality staff and physicians, investing in new technology and capital improvements, growing and expanding services and progressively making changes required by healthcare reform.

Community Investment

As a nonprofit organization, St. Luke’s is committed to its mission of improving the health of the community. In fiscal year 2019,
St. Luke’s provided unreimbursed services costing $19.5 million in the form of charity care and Medicaid discounts for uninsured and underinsured patients, helping individuals in the community access medical care regardless of their ability to pay. St. Luke’s has also had a long-standing commitment to providing preventive healthcare and treatment to medically underserved and underinsured children in the St. Louis region. The St. Luke’s Pediatric Care Center has provided care for children from birth to age 18 for over 60 years. Full-time primary care physicians provide preventive care and medical treatment, ensuring children have access to quality healthcare. Last year, there were 4,647 patient visits to the center, which is located in North St. Louis County.

Community Outreach

As a leader in clinical and community education, St. Luke’s is dedicated to improving the health of the community. We offer a wide range of health and wellness education opportunities to the community, with many free and low-cost programs available. Each year, more than 40,000 people participate in healthy living classes and events, screenings, worksite wellness programs and clinical education through St. Luke’s.

Spirit of Women

St. Luke’s Spirit of Women program also offers special events, health screenings and health resources. As the region’s exclusive Spirit of Women hospital since 2008, St. Luke’s network is part of an elite network of hospitals nationwide committed to providing leading health services and education to empower and inspire women and their families to achieve their best health. One of the program’s annual signature events, Day of Dance, reaches more than 1,200 women with important health messages, screenings and encouragement to be physically active.

2019 St. Luke’s Hospital Day of Dance:

  • 1,200+ women registered
  • 500 Personal Health Risk Assessments completed
  • 1,026 free health screenings provided (blood pressure, BMI, cholesterol, glucose, A1C, pulmonary function, stroke risk assessment)
  • 87% reported they are motivated to take action for their health (by either continuing to participate in a fitness activity, having a recommended health screening, or by making an appointment with a healthcare provider)

Day of Dance positively impacted St. Luke’s Community Health Needs Assessment goals:

  • 7% improvement in total cholesterol
  • 4% improvement in self-reported blood pressure
  • 1% improvement in diabetes
  • 92 physician referrals 
  • 8% improvement in BMI

Worksite Wellness

Since St. Luke’s first began partnering with area employers to offer worksite wellness services in 2005, our Passport to Wellness Program has grown and now brings health screenings, flu shots and education to more than 175 St. Louis area employers, ranging in size from 30 to 4,500 employees.

Community Health Needs Assessment

Promoting health and wellness in our community has always been central to the St. Luke’s mission. In order to better understand where the community stands on important measures of health, and to engage community members directly in providing feedback on our priorities, St. Luke’s conducts a formal and comprehensive Community Health Needs Assessment every three years. Based on those findings, our team can better understand trends in health status, and can formulate systematic strategies to address the most pressing needs. Based on our 2019 assessment, St. Luke’s Hospital identified four priorities: diabetes self-management, health literacy and cultural competency, opioid use disorder and access to care for older adults. As a new addition to our network of care and a new non-profit hospital, St. Luke’s Des Peres Hospital identified access to care and nutrition and weight status for their first Community Health Needs Assessment.

An implementation plan with measurable goals will be developed to address these specific priorities, while hospital efforts continued to address a wide variety of community health needs and to collaborate with other community resources when needed.

The following outcome measures were reported in the 2019 fiscal year, addressing the 2016 Community Health Needs Assessment priorities:

Chronic Disease and Diabetes:

  • 236 community members attended community diabetes education classes to improve their understanding of risk prevention and/or diabetes management
  • Over 6,100 adults were screened and counseled for BMI, blood pressure and cholesterol/glucose levels

Cancer Screenings:

  • St. Luke’s Mobile Mammography Van screened over 3,500 women
  • 679 high-risk adults were screened for lung cancer by lung cancer screening coordinator, resulting in seven new lung cancer diagnosis

The full 2019 Community Health Needs Assessment is available on the St. Luke’s website, stlukes-stl.com.

People – Team and Leadership

Medical Staff

In May 2018, St. Luke’s Hospital acquired Des Peres Hospital. This acquisition allowed our extraordinary physicians and dedicated healthcare team to provide services in over 60 medical specialties at both of the acute care hospitals and more than 30 other locations in the greater St. Louis area. In the past year, we have added 75 physicians to our overall network of care, in particular 26 new physicians to the medical staff at St. Luke’s Des Peres Hospital.

This opportunity provided our patients and the community access to more doctors and specialists in more locations. The integration of our two medical staffs led to the expansion of services at St. Luke’s Des Peres Hospital to include pulmonology, neurology, including EMG testing, endocrinology and massage therapy. 

Within the medical staff, St. Luke’s Medical Group is a physician organization of 140 physicians. Last year, 8 new physicians joined the group, including cardiology, internal medicine and various other specialties.

Volunteers and Auxiliary

The St. Louis region’s spirit of voluntarism is witnessed each day in the work of 437 individuals who give generously of their time and talents as volunteers at St. Luke’s Hospital, St. Luke’s Des Peres Hospital and Surrey Place.  Volunteers provided 83,000 hours of service last year across our network of care, and more than 100 were honored for having achieved 500 to 15,500 service hours.  Kathryn J. Armstrong received the Virginia B. Pree Distinguished Volunteer Award in May 2019 in recognition of her exemplary work as a volunteer at St. Luke’s Hospital.

Many of our volunteers are also members of the St. Luke’s Hospital Auxiliary.  The Auxiliary operates the hospital’s Gift Shop and leads a number of other initiatives throughout the year to support our healthcare ministry.  Last year, the Auxiliary donated $133,000 from Gift Shop proceeds and other fundraisers to support St. Luke’s Women’s Center, our Employee Crisis Fund, and our participation in the Daisy Award for Nursing Excellence.


Employees

4,800 employees

418 with 25 years or more of service

70 with 40 years or more of service


Board of Directors

Daniel K. Stegmann, Chairman
David B. Price, Jr., Vice Chairman
Norman L. Eaker, Treasurer
Edward L. Glotzbach, Secretary
The Rev. Dr. Craig M. Howard
Ned O. Lemkemeier
Cynthia A. Maritz
Robert W. Reeg
Susan B. Schneider, MD
Hugh Scott, III
Joseph A. Sheehan
The Rt. Rev. G. Wayne Smith
Daniel G. Wagner, MD
James M. Snowden, Jr.
Jeffrey Thompson, MD*
Eugene M. Toombs
Steven J. Grigone, ex officio

*Term January 1, 2019 – December 31, 2019

Senior Staff

Christine M. Candio, FACHE
President & Chief Executive Officer, St. Luke’s

Scott H. Johnson
Executive Vice President & Chief Financial Officer, St. Luke’s

David Loving
President, St. Luke’s Des Peres Hospital

Diane Ray, RN, FACHE
Senior Vice President, Network Chief Nursing Officer & St. Luke’s Chief Operating Officer

Jon Bettale
Vice President – Surgical & Ambulatory Services, St. Luke’s Hospital

Martha Fleischmann
Vice President – Network Finance

Jan Hess
Vice President – Network Integration/Professional & Administrative Services

Gregory Hudson
Network Chief Strategy Officer

Sharon Mertzlufft
Vice President/Executive Director – Network Development

Scott Holtswarth
Vice President – Network Chief Information Officer

Don Miller, FACHE
Vice President – Network Facility and Support Services

James Snider
Vice President, Physician Network

Janette Taaffe
Vice President – Network Human Resources

Maged Haikal, MD
Network Physician Liaison & St. Luke’s Hospital Chief of Medicine

Michael Boland, MD
Chief – Department of Surgery, St. Luke’s Hospital

Ronald Leidenfrost, MD
Chairman – Heart and Vascular Institute

Carl A. Mazzola, MD
Chief – Department of Radiology, St. Luke’s Hospital

Carlton Pearse, MD
Chief – Department of OB/GYN, St. Luke’s Hospital

St. Luke’s Hospital Department Chiefs of Service

Michael Boland, MD
Department of Surgery

Roy Doerhoff, MD
Department of Anesthesiology

Maged Haikal, MD
Department of Medicine

Carl Mazzola, MD
Department of Radiology

Jeffrey Melnick, MD
Department of Pathology

Carlton Pearse, MD
Department of OB/GYN

Janet Ruzycki, MD
Department of Pediatrics

St. Luke’s Des Peres Hospital Department Chiefs of Service

 Alan Martin, MD
Department of Emergency Medicine

Kyle Toti, DO
Department of Family Medicine

Kenneth Bentley, MD
Department of Internal Medicine

Weldon Schott, DO
Department of Pathology

Gregory Cizek, MD
Department of Radiology

Michael Chabot, DO
Department of Surgery

St. Luke’s Des Peres Hospital Advisory Board Members

Bassam Al-Joundi, MD, Chief of Staff
Lloyd Todd 
Elizabeth Schulze
Zoe Linza 
Darrell Scott 
Barry Miller, DO 
Karen Mize 
Tim Jones 
Greg Brown 
Greg Cizek 

Medical Residency Programs

St. Luke’s Hospital Residency Programs

St. Luke’s Hospital offers a Residency in Internal Medicine program, which is accredited for 43 residents. This past year, the program included residents from the United States and 15 other countries. Residents gain experience through rotations on inpatient medicine, cardiology services, ICU and emergency department services at St. Luke’s. The program’s affiliation with St. Louis University School of Medicine allows residents to take electives in a university-based academic setting. Outpatient ambulatory training is largely focused on People’s Health Center, a public health clinic designed for the underserved population of St. Louis City. There are additional outpatient experiences at St. Luke’s Hospital, where residents work with internists and subspecialty physicians.

The residency program is overseen by a program director, two associate program directors, a program secretary and a program coordinator. More than 100 physicians contribute to the teaching mission as full and part-time faculty.

St. Luke’s Des Peres Hospital Residency Programs

The St. Luke’s Des Peres Hospital Residency Programs were established in 1948 as the first Osteopathic residency programs in St. Louis. The hospital has been the base institution for a multitude of American Osteopathic Association (AOA) accredited residencies throughout the history of the organization. After completing their medical school training at Colleges of Osteopathic Medicine, the residents graduate as Doctors of Osteopathy (DOs) and then enter a residency that is AOA accredited or ACGME accredited, which are residencies that Doctors of Medicine (MDs) attend. Currently, there are five osteopathic residencies at St. Luke’s Des Peres Hospital including internal medicine, orthopedic surgery, general surgery, anesthesiology and otolaryngology/facial plastic surgery. These programs are closing at the completion of the academic year in June 2020 bringing to a close the heritage of osteopathic graduate medicine education in St. Louis. 

Residents have morning and noon didactics daily in the clinic and have lecture with board review on Wednesdays and a bi-weekly Journal Club. The adjunct faculty for the program provide ambulatory experiences in dermatology, ENT, pediatrics, OB/GYN, psychiatry, sports medicine, cardiology, allergy and a host of other ambulatory disciplines. Inpatient experiences include emergency medicine, internal medicine, surgery, ICU and Hospitalist service. The residency program is facilitated by a program director and a full-time residency coordinator.

Honors and Awards

Recognitions for Quality and Patient Satisfaction

St. Luke’s Hospital named one of America’s 50 Best Hospitals for Cardiac Surgery and 100 Best Hospitals for General Surgery and Prostate Surgery by Healthgrades®. According to the national hospital quality study published by Healthgrades, St. Luke’s Hospital achieved five stars in 2019 for its quality in coronary bypass surgery, valve surgery, heart attack treatment, prostate removal, pneumonia treatment, colorectal surgeries, bowel obstruction treatment and respiratory failure treatment.

Medicare Quality Star Ratings

Medicare has devised a method using results from over 57 measures in seven categories to assign a quality rating to hospitals on a scale of 1 to 5 stars. St. Luke’s Hospital placed in the top 10 percent of hospitals nationally, receiving a 5 star rating.

Outstanding Patient Experience Award

St. Luke’s is the only hospital in Missouri to be recognized with the Healthgrades Outstanding Patient Experience Award for nine consecutive years, and only one of two hospitals in the state to achieve the top 5% in the nation for Patient Experience for seven consecutive years utilizing patient experience data.

Women’s Choice Award

St. Luke’s Hospital in Chesterfield and St. Luke’s Des Peres Hospital have been recognized with multiple 2019 Women’s Choice Award honors for excellence in healthcare. The 2019 awards recognize St. Luke’s Hospital as one of America’s Best Hospitals for Cancer Care, Heart Care, Obstetrics, Orthopedics and Patient Safety as well as one of America’s Best Breast Centers and Stroke Centers.
St. Luke’s Des Peres Hospital received 2019 America’s Best Hospitals designations for Bariatric Surgery, Orthopedics and Patient Safety.

Best Nursing Homes for Short-Stay Rehabilitation

St. Luke’s Surrey Place has been named a “Best Nursing Home for Short-Stay Rehabilitation” by U.S. News & World Report. This distinction places St. Luke’s Surrey Place among the top 1.5 percent of nursing homes in Missouri to receive this short-stay rehabilitation top rating.

Revenue Cycle Recognitions

In April 2019, St. Luke’s Hospital received the Healthcare Financial Management Association (HFMA) MAP Award for High Performance in Revenue Cycle for the sixth consecutive award. In addition, Drs. Mera, Bosch & Kumar, a St. Luke’s Medical Group practice, received HFMA MAP Certificate of Recognition in Revenue Cycle Achievement.

Best Doctors List

252 St. Luke’s Hospital and St. Luke’s Des Peres Hospital physicians made the St. Louis Magazine Best Doctors list, which is compiled by Best Doctors, Inc., an independent company affiliated with Harvard Medical School.

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