Mayo Clinic

HOSPITALS AND CLINICS

PATIENT CARE (SCHEDULE O)PATIENT CARE:MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER, INC. (FMCI) IS PART OF THE MAYO CLINIC HEALTH SYSTEM (MCHS), A FAMILY OF CLINICS, HOSPITALS AND HEALTH CARE FACILITIES SERVING COMMUNITIES IN MINNESOTA, IOWA, WISCONSIN AND GEORGIA. AS PART OF MAYO CLINIC, THE HEALTH SYSTEM OFFERS CARE DESIGNED FOR THE WHOLE BODY CLOSE TO THE PATIENT'S HOME WHEN THEY NEED IT. A MULTIDISCIPLINARY TEAM OF EXPERTS HAS READY ACCESS TO KNOWLEDGE, RESOURCES, AND EXPERTISE OF MAYO CLINIC AND COLLABORATES ON PROVIDING EXACTLY THE CARE THE PATIENT NEEDS.MCHS SITES EMPLOY APPROXIMATELY 1,000 PHYSICIANS AND 15,000 ALLIED HEALTH STAFF. IN ADDITION, MAYO CLINIC PHYSICIANS FROM MULTIPLE SPECIALTIES REGULARLY SEE PATIENTS AT HEALTH SYSTEM FACILITIES. BESIDES HAVING HEALTH CARE FACILITIES IN MORE THAN 60 COMMUNITIES, MCHS INCLUDES 19 OWNED HOSPITALS, TWO OWNED NURSING HOMES, PHYSICIAN SERVICE AGREEMENTS WITH ONE ADDITIONAL HOSPITAL, AND CONTRACT MANAGEMENT AGREEMENTS WITH TWO ADDITIONAL HOSPITALS AND ONE NURSING HOME. SINCE ITS INCEPTION IN 1992, MCHS HAS GROWN INTO ONE OF THE MOST SUCCESSFUL REGIONAL HEALTH CARE SYSTEMS IN THE UNITED STATES. MORE THAN 600,000 UNIQUE PATIENTS ACCOUNT FOR MORE THAN 2.6 MILLION VISITS ANNUALLY IN MCHS. IT IS ALSO A NATIONAL LEADER IN QUALITY AND SAFETY EFFORTS.AS A MEMBER OF MCHS, FMCI PROVIDES MEDICAL SERVICES AND ENHANCES THE GENERAL HEALTH AND WELLBEING OF THOSE LIVING ACROSS THE TRI-STATE REGION OF SOUTHWEST WISCONSIN, SOUTHEAST MINNESOTA AND NORTHEAST IOWA. FMCI OPERATES A 124-BED HOSPITAL IN LA CROSSE, WI AND A 12-BED CRITICAL ACCESS HOSPITAL IN SPARTA, WI. IN ADDITION, FMCI OPERATES PRIMARY CARE CLINICS IN LA CROSSE AND SPARTA, AS WELL AS IN ARCADIA, TOMAH, HOLMEN, ONALASKA AND PRAIRIE DU CHIEN, ALL IN WISCONSIN; CALEDONIA AND LA CRESCENT, IN MINNESOTA, AND WAUKON, IOWA. IN DECORAH, IOWA, FMCI PROVIDES MANAGEMENT FOR THE WINNESHIEK MEDICAL CENTER THROUGH A MANAGEMENT CONTRACT. FOR 2015 FMCI RECORDED 7,091 INPATIENT ADMISSIONS, 8,486 SURGERIES, AND 931 DELIVERIES. IN ADDITION A TOTAL OF 496,392 OUTPATIENT VISITS WERE RECORDED, INCLUDING 29,177 EMERGENCY DEPARTMENT VISITS. FMCI PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS FINANCIAL ASSISTANCE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. SERVICES ARE ALSO PROVIDED TO MEDICAID AND MEDICARE PATIENTS AT SUBSTANTIAL DISCOUNTS FROM STANDARD FEES. IN 2015, FMCI PROVIDED APPROXIMATELY $2,909,000 IN FINANCIAL ASSISTANCE TO PATIENTS. THE TOTAL COST OF UNCOMPENSATED CARE PROVIDED TO LOW INCOME PATIENTS THROUGH MEDICAID WAS APPROXIMATELY $32,544,000 WHICH INCLUDES THE MEDICAID SURCHARGE OF $5,395,826. THE UNREIMBURSED COST OF SERVICES TO MEDICARE PATIENTS WAS APPROXIMATELY $60,331,000. FMCI OPERATES FREE, PRIMARY CARE CLINICS IN LA CROSSE AND SPARTA, IN COOPERATION WITH THE GUNDERSEN HEALTH SYSTEM. MEDICAL CARE IS PROVIDED AT NO CHARGE AT THESE CLINICS TO LOW INCOME INDIVIDUALS WHO DO NOT HAVE HEALTH INSURANCE AND WHO ARE NOT ENROLLED IN MEDICAL ASSISTANCE PROGRAMS. FUNDING FOR THESE CLINICS IS SUPPORTED THROUGH CHARITABLE DONATIONS. STAFF ASSIST PATIENTS IN APPLYING FOR PROGRAMS FOR WHICH THEY MAY QUALIFY. DURING 2015 THE FREE CLINICS RECORDED 1,437 VISITS. 4,541 PRESCRIPTIONS WERE FILLED AT NO COST TO THE PATIENTS. WHILE ITS HOSPITAL BUILDINGS ARE TAX EXEMPT, FMCI NONETHELESS PAYS A VARIETY OF TAXES EACH YEAR. TAXES FOR THE 2015 TAX REPORTING YEAR EXCEEDED $20 MILLION AND INCLUDED $5,395,826 IN WISCONSIN HEALTHCARE TAX (MEDICAID): $50,366 IN MINNESOTA CARE TAX; $12,812 IN UNRELATED BUSINESS INCOME TAX; $13,169,928 IN FICA TAX; $21,768 IN SALES TAXES. $1,441,122 IN PROPERTY TAXES PAID IN THE STATE OF WISCONSIN $33,433 IN THE STATE OF MINNESOTA; AND $64,885 IN IOWA.THE LA CROSSE CAMPUS OF FMCI SERVES AS THE MAIN LOCATION FROM WHICH MOST OF THE MEDICAL SPECIALTY SERVICES ARE OFFERED. MANY PROVIDERS OF SPECIALTY CARE ALSO TRAVEL AND EXTEND OUTREACH SERVICES TO THE COMMUNITIES SERVED BY FMCI. ON THE LA CROSSE CAMPUS THE FOLLOWING SERVICES ARE OFFERED: ALLERGY, ASTHMA, ANESTHESIOLOGY, ANTICOAGULATION, BEHAVIORAL HEALTH, BIRTHING, HEMATOLOGY, ORTHOPEDICS, BREAST CARE, CANCER, CARDIAC REHABILITATION, CARDIOLOGY, PEDIATRIC & ADOLESCENT MEDICINE, INTENSIVE CARE, DERMATOLOGY, ENDOCRINOLOGY, DIABETES EDUCATION, INPATIENT AND OUTPATIENT DIALYSIS, GASTROENTEROLOGY / HEPATOLOGY, DOMESTIC ABUSE/SEXUAL ASSAULT, OTORHINOLARYNGOLOGY, ELDER SERVICES, EMERGENCY MEDICINE, OPHTHALMOLOGY, OPTOMETRY, FAMILY MEDICINE, PODIATRY, GERIATRICS, HEALTH PROMOTION, AUDIOLOGY, HOME CARE, HOSPICE, HOSPITAL MEDICINE, INFECTIOUS DISEASES, MEDICAL GENETICS, RHEUMATOLOGY, NEPHROLOGY, PATHOLOGY, PULMONOLOGY, MAMMOGRAPHY, MASSAGE THERAPY, MEDICAL SUPPLY STORE, MEDICAL TRANSPORT, NEUROLOGY, NEONATAL INTENSIVE CARE, NEUROSURGERY, OBSTETRICS AND GYNECOLOGY, OCCUPATIONAL MEDICINE, OCCUPATIONAL THERAPY, OPHTHALMOLOGY, OPTICAL SERVICES, OPTOMETRY, ORTHOPEDIC SURGERY, PALLIATIVE CARE, PHARMACY, PHYSICAL MEDICINE AND REHABILITATION, PHYSICAL THERAPY, PLASTIC & RECONSTRUCTIVE SURGERY, PSYCHIATRY & PSYCHOLOGY, RADIOLOGY AND IMAGING, REHABILITATION THERAPIES, SLEEP MEDICINE, SPEECH LANGUAGE THERAPY, SPORTS MEDICINE, SURGERY, TOBACCO TREATMENT, TRAUMA, URGENT CARE, UROLOGY, WEIGHT MANAGEMENT, WELLNESS COACHING, WOMEN'S HEALTH, WOUND CARE.FMCI OFFERS THE FOLLOWING SERVICES THROUGH SPECIALIZED CENTERS OF CARE: CANCER SERVICES: THE LA CROSSE-CAMPUS CANCER CENTER, WHICH OPENED IN 2004, INTEGRATES THE MAYO CLINIC HEALTH SYSTEM MEDICAL ONCOLOGY PRACTICE WITH RADIATION ONCOLOGY SERVICES PROVIDED BY THE DIVISION OF RADIATION ONCOLOGY, MAYO CLINIC ROCHESTER, TO CREATE A COMPREHENSIVE AND PATIENT CENTERED CANCER PROGRAM. THE CANCER CENTER OFFERS A VARIETY OF OPTIONAL SERVICES TO PROVIDE COMFORT DURING TREATMENT. THESE SERVICES PROMOTE HEALING, WELLNESS, AND A HEALTHFUL LIFESTYLE. THEY ARE AVAILABLE FOR PATIENTS AND CARE GIVERS. THE SERVICES INCLUDE: HEALING TOUCH AND REIKI, MASSAGE THERAPY, GROUP ACUPUNCTURE AND OTHER WELLNESS PROGRAMS. THE CENTER FOR BREAST CARE UTILIZES A TEAM APPROACH TO PROVIDE EVALUATION, TREATMENT AND FOLLOW-UP SERVICES. THE TEAM INCLUDES PHYSICIANS, CLINICAL NURSE BREAST HEALTH SPECIALISTS, AND TECHNOLOGISTS WHO DEVELOP COMPREHENSIVE PLANS AS NEEDED BY PATIENTS. SPECIALISTS FROM BREAST IMAGING, GENERAL SURGERY, PLASTIC SURGERY, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, PATHOLOGY, GENETIC EDUCATION AND NURSING ARE AVAILABLE TO COLLABORATE AS NEEDED. THE CENTER WAS ESTABLISHED IN 2005 AND WAS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) IN 2009. A MOBILE HEALTH CARE DELIVERY SYSTEM OFFERS ACCESSIBLE, QUALITY CARE AND CONVENIENCE, WITH FLEXIBLE AND EXTENDED HOURS. BIRTHING CENTER: FROM PREGNANCY INFORMATION AND CHILDBIRTH CLASSES TO BIRTHING TIPS AND PARENTING CLASSES, FMCI OFFERS COMPREHENSIVE BIRTHING SERVICES. THESE INCLUDE THE AVAILABILITY OF MATERNITY COUNSELORS TO ASSIST IN DEVELOPING A BIRTH PLAN, ADDRESSING ISSUES FROM PAIN MANAGEMENT TO PARTNER INVOLVEMENT, BONDING TIME, BREASTFEEDING, EDUCATION AND SUPPORT. FMCI ALSO OFFERS CARE FOR NEWBORNS WITH CHALLENGING MEDICAL CONDITIONS IN ITS NEONATAL INTENSIVE CARE UNIT IN LA CROSSE. SLEEP DISORDERS: THE FMCI SLEEP DISORDERS CENTER EMPLOYS A WIDE VARIETY OF DIAGNOSTIC TOOLS TO ASSESS BREATHING AND SLEEP DIFFICULTIES. THE CENTER OFFERS THE FOLLOWING DIAGNOSTIC SERVICES: ELECTROENCEPHALOGRAM (EEG); EEG WITH VIDEO MONITORING; AMBULATORY EEG; EVOKED POTENTIALS: EVOKED POTENTIAL MONITORING DURING SURGERY; EEG MONITORING DURING SURGERY; POLYSOMNOGRAM; MULTIPLE SLEEP LATENCY TEST (MSLT); MAINTENANCE OF WAKEFULNESS TEST (MWT). THE CENTER IS ACCREDITED BY AMERICAN ACADEMY OF SLEEP MEDICINE AND THE AMERICAN BOARD OF REGISTRATIONS OF ELECTROENCEPHALOGRAPHIC AND EVOKED POTENTIAL TECHNOLOGISTS, INC.SURGERY: GENERAL SURGERY SERVICES ARE PROVIDED ON BOTH THE LA CROSSE AND SPARTA CAMPUSES. BREAST, COLORECTAL AND GENERAL SURGEONS ARE CERTIFIED BY THE AMERICAN BOARD OF SURGERY. THE DEPARTMENT OF SURGERY WORKS CLOSELY WITH THE CENTER FOR BREAST CARE AND PLASTIC AND RECONSTRUCTIVE SURGERY. IN ADDITION TO TRADITIONAL SURGERY THE DA VINCI SURGICAL SYSTEM PROVIDES SURGEONS ON THE LA CROSSE CAMPUS WITH AN ALTERNATIVE TO BOTH TRADITIONAL OPEN SURGERY AND CONVENTIONAL LAPAROSCOPY, PUTTING THE SURGEON'S HANDS AT THE CONTROLS OF A STATE-OF-THE ART ROBOTIC PLATFORM. BENEFITS OF ROBOTIC SURGERY MAY INCLUDE: LESS PAIN; LESS BLOOD LOSS; LESS SCARRING; SHORTER RECOVERY TIME; FASTER RETURN TO NORMAL ACTIVITIES; BETTER CLINICAL OUTCOMES.THE FILING ORGANIZATION LEASES SPACE AND PROVIDES SUPPORT SERVICES TO AFFILIATED ORGANIZATIONS TO HELP FURTHER THEIR EXEMPT PURPOSE OF PROVIDING PATIENT CARE.

EDUCATION AND RESEARCH (SCHEDULE O) EDUCATIONFMCI PROVIDES OPPORTUNITIES FOR EDUCATION IN THE HEALTH PROFESSIONS THROUGH FORMALIZED PROGRAMS INCLUDING: THE MAYO CLINIC HEALTH SYSTEM - FRANCISCAN HEALTHCARE SCHOOL OF ANESTHESIA, ACCREDITED BY THE COUNCIL ON ACCREDITATION (COA) OF NURSE ANESTHESIA EDUCATIONAL PROGRAMS, A SPECIALIZED ACCREDITING BODY RECOGNIZED BY THE COUNCIL ON HIGHER EDUCATION ACCREDITATION AND THE U.S. DEPARTMENT OF EDUCATION. UPON COMPLETION OF THE COURSE OF STUDY AND FULFILLMENT OF THE TERMINAL OBJECTIVES AND OTHER OBLIGATIONS OF THE PROGRAM, STUDENTS OF THE SCHOOL OF ANESTHESIA WILL HAVE ACHIEVED ELIGIBILITY TO WRITE THE QUALIFYING EXAMINATION OF THE COUNCIL ON CERTIFICATION OF NURSE ANESTHETISTS. THROUGH A PARTNERSHIP WITH THE UNIVERSITY OF WISCONSIN-LA CROSSE, STUDENTS WHO COMPLETE THE 31 GRADUATE CREDITS REQUIRED OF THE PROGRAM ALSO EARN A MASTER OF SCIENCE DEGREE IN BIOLOGY. 10 STUDENTS GRADUATED FROM THE PROGRAM IN AUGUST 2015. PHARMACY RESIDENCY, A COMPREHENSIVE PROGRAM BUILDING ON DOCTOR OF PHARMACY EDUCATION AND OUTCOMES TO CONTRIBUTE TO THE DEVELOPMENT OF CLINICAL PHARMACISTS RESPONSIBLE FOR MEDICATION-RELATED CARE OF PATIENTS WITH A WIDE RANGE OF CONDITIONS, ELIGIBLE FOR BOARD CERTIFICATION, AND ELIGIBLE FOR POSTGRADUATE YEAR TWO PHARMACY RESIDENCY TRAINING. THIS RESIDENCY OFFERS A VARIETY OF ACUTE CARE TRAINING OPPORTUNITIES THROUGH INDIVIDUALIZED TRAINING PLANS THAT ARE CREATED BASED ON THE RESIDENT'S KNOWLEDGE, SKILLS, AND INTERESTS, IN ACCORDANCE WITH ACCREDITATION STANDARDS FOR PGY1 PHARMACY RESIDENCY PROGRAMS (ASHP). IN ADDITION TO COMPREHENSIVE TRAINING AS A MEMBER OF THE INTERDISCIPLINARY TEAM, PHARMACY RESIDENTS AT FMCI ARE AFFORDED COUNTLESS LEARNING OPPORTUNITIES, INCLUDING BUT NOT LIMITED TO: ADVANCED CARDIAC LIFE SUPPORT TRAINING AND MEDICAL EMERGENCY PARTICIPATION, CO-PRECEPTOR AND INTERDISCIPLINARY TEACHING OPPORTUNITIES, DELIVERY OF ACPE-ACCREDITED CONTINUING EDUCATION PRESENTATIONS, STRUCTURED RESEARCH SEMINAR, TEACHING CERTIFICATE. THE LA CROSSE-MAYO FAMILY MEDICINE RESIDENCY, WAS FOUNDED IN 1976, AND IS FULLY-ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION TO TRAIN FUTURE FAMILY PHYSICIANS. IN 2015 SIX RESIDENTS GRADUATED FROM THE RESIDENCY. TO DATE, 198 FAMILY PHYSICIANS HAVE COMPLETED THEIR TRAINING HERE. COLLECTIVELY, THEY PRACTICE IN 19 STATES AND AS FAR AWAY AS NEW ZEALAND. ONE OF THE GOALS OF THE LA CROSSE-MAYO FAMILY MEDICINE RESIDENCY IS TO GIVE RESIDENTS THE KNOWLEDGE, SKILLS AND ATTITUDES NECESSARY FOR FUTURE PRACTICE, NOT ONLY IN SMALL COMMUNITIES, BUT ALSO FOR SUCCESSFUL PRACTICE IN AN EVER-CHANGING MEDICAL ENVIRONMENT. TO ACHIEVE THIS, OUR OUTSTANDING FACULTY MEMBERS WORK CLOSELY WITH A HIGHLY MOTIVATED TEAM OF PHYSICIANS, NURSES, PSYCHOLOGISTS AND OTHERS, EACH COMMITTED TO TRAINING COMPETENT, CARING FAMILY PHYSICIANS. RESIDENTS LEARN TO FOCUS ON PATIENTS' INDIVIDUAL NEEDS AND TO CARE FOR THE WHOLE PERSON IN THE CONTEXT OF FAMILY AND COMMUNITY. THROUGHOUT THE ENTIRE CURRICULUM, THERE IS A FOCUS ON THE CONCEPT OF FAMILY SYSTEMS AND THE BIOPSYCHOSOCIAL MODEL IS THE CORNERSTONE. PREVENTION AND WELLNESS ARE EMPHASIZED. OUR GRADUATES ARE ACTIVELY RECRUITED, BOTH REGIONALLY AND NATIONALLY, AND OUR PROGRAM HAS A NATIONAL REPUTATION AS A GREAT PLACE TO LEARN FAMILY MEDICINE. THROUGHOUT THE YEAR FMCI STAFF PROVIDE TRAINING FOR HEALTHCARE PROVIDERS AS WELL AS FOR THE GENERAL PUBLIC IN BASIC AND ADVANCED CARDIAC LIFE SUPPORT, CPR AND RELATED FIRST AID TECHNIQUES. DURING 2015 STAFF OFFERED 1,420 CLASSES AND REGISTERED A TOTAL OF 6,341 STUDENTS. APPROXIMATELY 838 CLASSES WERE HELD, AND 3,639 STUDENTS TRAINED, ON THE FMCI LA CROSSE CAMPUS.GERIATRICS: FMCI ORGANIZES THREE SUPPORT GROUPS, EACH MEETING TWICE PER MONTH FOR ONE HOUR SESSIONS. THE EARLY STAGE MEMORY DISORDERS GROUP, THE SOCIALIZATION/ACTIVITY GROUP, AND THE MEMORY DISORDERS FAMILY SUPPORT GROUP FOR FAMILY CAREGIVERS. THIS GROUP ALLOWS FOR SUPPORT AND EDUCATION WHILE COPING WITH THE VARIOUS DISEASES. FMCI OFFERS THE SUCCESSFUL AGING PROGRAM, PROVIDING EDUCATION ON A VARIETY OF TOPICS PERTINENT TO SENIORS IN OUR COMMUNITY. THIS PROGRAM IS OFFERED ONCE PER MONTH ON THE FMCI LA CROSSE CAMPUS. TOPICS RANGE FROM MEDICAL TO SOCIAL TO FINANCIAL ASPECTS OF THE AGING PROCESS. ATTENDANCE AT THESE SESSIONS RANGES FROM 25 TO 80. OTHER COMMUNITY PROGRAMS INCLUDE THE SEPTEMBER SERIES ON DEMENTIA, A SERIES OF THREE PROGRAMS ON VARIOUS DEMENTIA RELATED TOPICS. ATTENDANCE RANGES FROM 60 TO 100 PARTICIPANTS EACH YEAR, AND NATIONAL MEMORY SCREENING DAY, A FREE MEMORY SCREENING CLINIC OFFERED TO COMMUNITY MEMBERS EACH NOVEMBER. ATTENDANCE HAS AVERAGED BETWEEN 50 AND 100 PARTICIPANTS.RESEARCHFMCI PHYSICIANS AND STAFF PARTICIPATE IN NUMEROUS CLINICAL RESEARCH PROTOCOLS, MANY OF WHICH ARE MULTI-SITE STUDIES; OTHERS ARE INVESTIGATOR-INITIATED. ALL ARE REVIEWED AND APPROVED BY THE MAYO CLINIC INSTITUTIONAL REVIEW BOARD (IRB). STUDIES HAVE VARIOUS FUNDING SOURCES, INCLUDING PRIVATE FOUNDATIONS, GOVERNMENT SOURCES AND INDUSTRY. RESEARCH STUDY PARTICIPATION IS OFFERED TO PATIENTS WITH VARIOUS DISEASES AND MEDICAL CONDITIONS EITHER AS A PRIMARY TREATMENT OPTION, AS IN THE CASE OF CANCER PATIENTS, OR AS AN ADDED OPPORTUNITY TO TRADITIONAL CLINICAL CARE. OTHER STUDIES FOCUS ON PREVENTIVE HEALTH OR EVALUATION OF PROCESSES OF CARE DELIVERY. RESEARCH PROTOCOLS WERE ACTIVE IN THE FOLLOWING MEDICAL SPECIALTY AREAS DURING 2015: MEDICAL AND RADIATION ONCOLOGY, CARDIOLOGY, FAMILY MEDICINE, GERIATRICS, NEUROLOGY, AND PEDIATRICS, AMONG OTHERS. RESEARCH IS ONE OF THE THREE MAYO CLINIC SHIELDS AND IS SEEN AS A CRITICAL COMPONENT OF THE PURSUIT OF EXCELLENCE IN HEALTH CARE BY FOSTERING AN ENVIRONMENT OF INQUIRY AND COLLABORATION, AND LINKING SCIENTIFIC DISCOVERIES TO DIRECT PATIENT CARE. WITH INCREASING EMPHASIS ON EVIDENCED BASED MEDICINE, RESEARCH IS CRITICAL TO THE FUTURE OF MEDICAL CARE AND HEALTH CARE IN GENERAL.

COMMUNITY BENEFIT(SCHEDULE O) COMMUNITY BENEFIT:FMCI ORGANIZES AND HOLDS AN ANNUAL EVENT, THE BIG BLUE DRAGON BOAT FESTIVAL, TO PROMOTE HEALTH AND FITNESS WHILE RAISING MONEY FOR BREAST CANCER RESEARCH AND TREATMENT. IN 2015 THE FESTIVAL WAS HELD JUNE 17 & 18 AT COPELAND PARK IN LA CROSSE. THE EVENT ATTRACTED MORE THAN 1,000 PARTICIPANTS AND RAISED MORE THAN $100,000.ON BEHALF OF THE BLOOD CENTER OF WISCONSIN, FMCI HOLDS BLOOD DRIVES ON ITS LA CROSSE AND SPARTA CAMPUSES. DURING 2015, FIVE BLOOD DRIVES WERE HELD OVER A TOTAL OF TEN DAYS IN LA CROSSE, RESULTING IN THE COLLECTION OF 389 UNITS OF BLOOD. SEVERAL BLOOD DRIVES WERE ALSO HELD ON FMCI CAMPUS IN SPARTA. FMCI ENTHUSIASTICALLY COLLABORATES WITH OTHER ORGANIZATIONS TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE. ALONG WITH GUNDERSEN HEALTH SYSTEM, WESTERN TECHNICAL COLLEGE, VITERBO UNIVERSITY AND THE UNIVERSITY OF WISCONSIN-LA CROSSE, FMCI IS A FOUNDING PARTNER OF THE LA CROSSE MEDICAL HEALTH SCIENCE CONSORTIUM. THE CONSORTIUM WAS FOUNDED IN 1993 AS A 501(C)(3) NONPROFIT CORPORATION TO ADDRESS PROJECTED HEALTHCARE WORKFORCE SHORTAGES, FACILITATE IMPROVEMENTS IN REGIONAL HEALTH AND HEALTHCARE, AND SUPPORT APPLIED RESEARCH IN HEALTH AND MEDICALLY-RELATED DISCIPLINES. IN COLLABORATION WITH VITERBO UNIVERSITY AND THE LA CROSSE POLICE DEPARTMENT, FMCI IS CONTRIBUTING MORE THAN $100,000 TO SUPPORT TWO COMMUNITY POLICE OFFICER POSITIONS SERVING THE WASHBURN NEIGHBORHOOD FOR THREE YEARS. IN 2015 FMCI HIRED AND DEPLOYED A MASTER'S DEGREE SOCIAL WORKER TO SERVE YOUTH AS A FULL TIME CASE WORKER AT THE BOYS AND GIRLS CLUBS OF LA CROSSE. THIS PROJECT WAS UNDERTAKEN IN COLLABORATION WITH THE LA CROSSE AREA BOYS AND GIRLS CLUBS AS WELL AS RONALD MCDONALD HOUSE CHARITIES OF WESTERN WISCONSIN AND SOUTHEASTERN MINNESOTA. THE CASE WORKER OFFERS FREE AND CONFIDENTIAL COUNSELING.SINCE 1952 THE FMCI AUXILIARY HAS HELD FUNDRAISING EVENTS AND ACTIVITIES TO SUPPORT LOCAL PROGRAMS AND SERVICES. IN 2015 THE AUXILIARY HELD SEVERAL EVENTS SUCH AS ITS ANNUAL GERANIUM SALE, CHARITABLE GOLF TOURNAMENT, TINY TIM GALA, SEASON OF LIGHT, LINEN SALES, BOOK SALES, AND JEWELRY SALES.DURING 2015, APPROXIMATELY 765 VOLUNTEERS DONATED APPROXIMATELY 48,875 HOURS OF SERVICE VALUED AT APPROXIMATELY $1,151,495 BASED ON THE INDEPENDENT SECTOR'S VALUE OF VOLUNTEER TIME. THESE SERVICE HOURS WERE SPENT ORGANIZING AND MANAGING ACTIVITIES FOR THE BENEFIT OF PATIENTS, PATIENTS' FAMILIES, VISITORS AND STAFF.AS A MAJOR EMPLOYER AND COMMITTED CORPORATE CITIZEN, FMCI FINANCIALLY SUPPORTS A VARIETY OF CHARITABLE, COMMUNITY AND CIVIC ENDEAVORS THROUGHOUT ITS SERVICE AREA. FUNDING FOR THIS PURPOSE IS PROVIDED THROUGH THE FMCI OPERATING BUDGET AS WELL AS THROUGH A GRANT FROM MCHS-FH FOUNDATION, AND TOTALED MORE THAN $270,000 FOR 2015. SUPPORT WAS PROVIDED TO NUMEROUS ORGANIZATIONS AND AGENCIES INCLUDING: 7 RIVERS ALLIANCE, 7 RIVERS CHAPTER SUDDEN CARDIAC ARREST ASS., 7 RIVERS ROBOTIC COALITION, ABLE FOUNDATION, AFRICAN AMERICAN MUTUAL ASSISTANCE, ALLAMAKEE CO EXTENSION, ALLAMAKEE COUNTY FAIR, ALLAMAKEE COUNTY FOOD SHELF, ALLAMAKEE MUSIC BOOSTERS, ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, AMERICAN LUNG ASSOCIATION, AMERICAN RED CROSS, APPLEFEST, AQUINAS BOOSTER CLUB, AQUINAS BOOSTER CLUB, AQUINAS GOLF SCRAMBLE, ARCADIA ATHLETIC DEPT., ARCADIA FOOD PANTRY, ARCADIA HIGH SCHOOL, ARCADIA LIONS CLUB, ARCADIA PUBLIC LIBRARY, BIG BROTHERS/BIG SISTERS, BLAIR CHEESE FESTIVAL, BOYS & GIRLS CLUB OF LA CROSSE, BOYS & GIRLS CLUB OF SPARTA, CALEDONIA BOYS BASKETBALL, CALEDONIA CHAMBER OF COMMERCE, CALEDONIA HIGH SCHOOL, CALEDONIA POLICE DEPARTMENT, CALEDONIA SINGS, CAMP WINNEBAGO, CAMP WINNEBAGO, CATHOLIC CHARITIES, CEA FOUNDATION, CELEBRATIONS TEAM, CHILDREN'S ADVISORY BOARD, CHILDREN'S ADVISORY BOARD, CHILDREN'S SAFETY & HEALTHCARE, CHURCH OF THE CRUCIFIXION, CITIZEN ADVOCACY, COMMUNITIES OFF N' RUNNING, COMMUNITY CHEST OF TREMPEALEAU, CONSUMER CREDIT COUNSELING SVS, COULEE CAP COMMUNITY FOOD PANTRY, COULEE COUNCIL ON ADDICTIONS, COULEE PARTNERS FOR SUSTAINABILITY, COULEE REGION HUMANE SOCIETY, COULEE REGION MARDI GRAS, COULEE REGION VOLUNTEER COORD., COULEECAP, INC., CRAWFORD COUNTY COMMUNITY FUND, CROSSING RIVERS HEALTH FOUNDATION, CULTURAL HERITAGE OF INDIA, DOWN SYNDROME ASSOC OF WI, DOWNTOWN MAINSTREET,INC., DRIFTLESS REGION BICYCLE COALITION, DRIFTLESS WISCONSIN GROWN CDA, EVERYBODY CAN DANCE, FORT MCCOY MWR MARKETING, FRATERNAL ORDER OF EAGLES, FREEDOM HONOR FLIGHT, FRIENDS OF WEST SALEM BASEBALL, G.E.T. SCHOOL DISTRICT, GATEWAY AREA BSA,G.E.T. EDUCATIONAL FOUNDATION, GREAT RIVERS UNITED WAY, HABITAT FOR HUMANITY, HOLMEN AREA FOUNDATION, HOLMEN YOUTH BASEBALL PARENTS ASS., HOUSTON COUNTY PUBLIC HEALTH, HOUSTON COUNTY FAIR, HOUSTON LIONS ROOT RIVER TRIATHLON, IDENTITY WORKS, INTERNATIONAL OWL CENTER, IRISHFEST, JUBILEE CENTER, INC., JUNE DAIRY DAYS, JUNIOR ACHIEVEMENT, JUVENILE DIABETES RESEARCH FOUND., KEE HIGH SCHOOL, KIWANIS CLUB OF SPARTA, KNIGHTS OF COLUMBUS, LA CRESCENT AREA FOOD BASKET, LA CRESCENT AREA HEALTH COMMUNITY, LA CRESCENT AREA HEALTHY COMMUNITY, LA CRESCENT CHAMBER OF COMMERCE, LA CRESCENT HIGH SCHOOL, LA CRESCENT HOKAH ELEMENTARY SCHOOL, LA CRESCENT HOKAH SCHOOL DISTRICT FOUND., LA CRESCENT YOUTH HOCKEY, LA CROSSE AREA AUTISM FOUND., LA CROSSE AREA LAW ENFORCEMENT CHAPLAINCY, LA CROSSE CHAMBER OF COMMERCE, LA CROSSE COMMUNITY FOUNDATION, LA CROSSE COMMUNITY THANKSGIVING DINNER, LA CROSSE CONCERT BAND, LA CROSSE COUNTY AGING, LA CROSSE COUNTY AGING UNIT, LA CROSSE COUNTY HEALTH DEPT., LA CROSSE COUNTY JUNIOR LIVESTOCK, LA CROSSE COUNTY MOUNTED DRILL TEAM, LA CROSSE FESTIVALS, INC., LA CROSSE FIRE DEPARTMENT, LA CROSSE LIONS, LA CROSSE POLICE DEPARTMENT, LA CROSSE PUBLIC ED FOUND, LACVB, LADCO, LOCAL LUPUS ALLIANCE, MARCH OF DIMES FOUNDATION, MISS ARCADIA ORGANIZATION, MISS ONALASKA ORGANIZATION, MONROE COUNTY HISTORY ROOM MUSEUM, NAMI MONROE CO., NEIGHBOR FOR NEIGHBOR, NEIGHBORHOOD CITY CHURCH, NEIGHBORS IN ACTION, ONALASKA ENHANCEMENT FOUNDATION, ONALASKA/HOLMEN EMERGENCY FOOD BASKET, ONALASKA FIRE DEPARTMENT, PRAIRIE DU CHIEN AREA CHAMBER OF COMMERCE, PRAIRIE DU CHIEN KIWANIS CLUB, PRAIRIE DU CHIEN SCHOLARSHIP COMMITTEE, PLACE OF GRACE, PRAIRIE DU CHIEN FIRE DEPARTMENT, PRAIRIE DU CHIEN HIGH SCHOOL, REMEMBERING JESSE PARKER, INC., RETIRED SENIOR VOLUNTEER PROGRAM, RIVERFEST, ROTARY WORKS FOUNDATION, SALVATION ARMY, SANTA FUN RUN, SCENIC BLUFFS COMM. HEALTH CTR, SCENIC BLUFFS COMMUNITY HEALTH CENTERS, SEMCAC, HOUSTON COMMUNITY FOOD SHELF, SERRA CLUB, SERRA CLUB OF LA CROSSE, SHELBY YOUTH BASEBALL, SPARTA AREA CHAMBER OF COMMERCE, SPARTA BREAD BASKET, SPARTA CHAMBER OF COMMERCE, ST. PATRICK SCHOOL, SUSTAINABILITY INSTITUTE, THE PARENTING PLACE, THE PLACE OF GRACE, TOMAH AREA CHAMBER OF COMMERCE, TOMAH AREA SCHOOL DISTRICT, TOMAH FIRE DEPARTMENT, TOMAH POLICE DEPT., UNITED FUND FOR THE ARTS & HUMANITIES, UNIVERSITY OF MINNESOTA EXTENSION, UNTIL WE MEET AGAIN, UW EXTENSION, UW-L FOUNDATION, UW-LA CROSSE, VERNON MEMORIAL HEALTHCARE FOUNDATION, VETERANS MEMORIAL HEALTH CARE FOUND., VILLAGE OF HOLMEN PARK & REC, VITERBO ATHLETICS, WAFER, WASHBURN NEIGHBORHOOD ASSOCIATION, WAUKON AREA CHAMBER OF COMMERCE, WAUKON LIONS CLUB, WAUKON STATE BANK, WAUKON SWIM MEET, WEST SALEM HIGH SCHOOL, WEST SALEM PARK & REC, WESTERN FOUNDATION, WIS CORPS, WISCONSIN BADGER CAMP, WISCONSIN CSA, WOMEN'S FUND, WORLD SERVICES, YMCA, YWCA.

PATIENT CARE (CONTINUED)WOMEN'S HEALTH: CLINICAL SERVICES: THE FMCI CENTER FOR WOMEN'S HEALTH PROVIDES A MENU OF CLINICAL SERVICES INCLUDING ACUTE AND CHRONIC CONDITIONS; BREAST HEALTH SERVICES; MINOR INJURY TREATMENT; ADOLESCENT HEALTH SERVICES; PSYCHOLOGICAL COUNSELING; MASSAGE THERAPY; LABORATORY/EKG/X-RAY DOMESTIC ABUSE AND SEXUAL ASSAULT COUNSELING; FERTILITY SERVICES.ANCILLARY SERVICES: IN ADDITION TO ITS MEDICAL SPECIALTY SERVICES, FMCI OFFERS ANCILLARY SERVICES TO ASSIST PATIENTS AND THEIR FAMILIES INCLUDING ADVANCE CARE PLANNING: A FREE SERVICE TO HELP FACILITATE THE DEVELOPMENT OF ADVANCE DIRECTIVES, WHICH HELP MAKE KNOWN AN INDIVIDUAL'S WISHES IN THE EVENT THAT HE/SHE BECOMES INCAPACITATED/UNABLE TO SPEAK WITH A MEDICAL PROVIDER. HOSPICE AND HOME HEALTH: HOSPICE STAFF PROVIDE A COMPREHENSIVE NETWORK OF SERVICES THAT MAKES IT POSSIBLE FOR PERSONS WITH A LIFE-THREATENING ILLNESS TO RECEIVE CARE IN THE SETTING OF THEIR CHOICE - AT HOME, IN A NURSING HOME, OR IN A HOSPITAL. HOSPICE SERVICES INCLUDE: SKILLED NURSING CARE, MEDICAL SOCIAL SERVICES, SPIRITUAL CARE, HOME HEALTH ASSISTANCE, PHYSICAL AND OCCUPATIONAL THERAPY, BEREAVEMENT, PHARMACY, RESPITE CARE. IN 2015 FMCI SERVED 121 PATIENTS IN HOSPICE AND 148 PATIENTS IN HOME HEALTH. LANGUAGE AND TRANSLATION ASSISTANCE: FMCI PROVIDES CONFIDENTIAL LANGUAGE SERVICES AT ALL TIMES. QUALIFIED INTERPRETERS ARE ON STAFF TO PROVIDE SPANISH, HMONG, AND AMERICAN SIGN LANGUAGE TRANSLATION IN-PERSON AS NEEDED. SERVICES ARE ALSO AVAILABLE OVER-THE-PHONE AND/OR THROUGH VIDEO RELAY WHEN AN IN-PERSON INTERPRETER IS NOT AVAILABLE TO MEET THE LANGUAGE NEEDS OF PATIENTS.ORGAN & TISSUE DONATION: FMCI COLLABORATES WITH THREE RECOVERY AGENCIES TO HONOR PATIENT'S WISHES FOR ORGAN, TISSUE AND EYE DONATION AT THE TIME OF DEATH. THESE AGENCIES INCLUDE UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS ORGAN PROCUREMENT; WISCONSIN TISSUE BANK AND LION'S EYE BANK OF WISCONSIN. AT DEATH, ALL PATIENTS ARE EVALUATED AND IF MEDICALLY ELIGIBLE, RECOVERY IS COORDINATED WITH THE APPROPRIATE RECOVERY AGENCY. RECOVERY OCCURS IN THE OPERATING ROOM, DOES NOT DELAY FUNERAL ARRANGEMENTS OR AN OPEN CASKET VIEWING. THERE IS NO ADDITIONAL MEDICAL EXPENSE TO THE FAMILY OF AN ORGAN OR TISSUE DONOR. SAFE PATH: FREE DOMESTIC ABUSE AND SEXUAL ASSAULT SERVICES FOR PATIENTS, STAFF AND COMMUNITY MEMBERS. SERVICES INCLUDE SCREENING AND ASSESSMENT, SAFETY PLANNING, COUNSELING AND SUPPORT, LEGAL ADVOCACY, RESOURCE INFORMATION AND REFERRAL. DURING 2015 THIS PROGRAM SERVED 254 PATIENTS AND RECORDED A TOTAL OF 1,481 PATIENT CONTACTS. SPIRITUAL CARE: PROFESSIONAL CHAPLAINS AND SUPPORT PERSONNEL PROVIDE AND FACILITATE AN EFFECTIVE, COMPASSIONATE RESPONSE TO THE SPIRITUAL NEEDS OF PATIENTS, FAMILIES AND VISITORS AS WELL AS STAFF. SERVICES ARE OFFERED TO ALL REGARDLESS OF AFFILIATION OR LACK OF AFFILIATION WITH ANY PARTICULAR RELIGIOUS DENOMINATION OR SECT. WORSHIP SERVICES ARE OFFERED IN THE ROMAN CATHOLIC TRADITION ON A REGULAR BASIS THROUGHOUT THE YEAR IN THE CHAPEL. ECUMENICAL SERVICES ARE OFFERED AROUND SPECIFIC RELIGIOUS HOLIDAYS OR CELEBRATIONS OR WHENEVER APPROPRIATE. AN INTERDENOMINATIONAL SERVICE IS OFFERED ON SUNDAY FOR PSYCHIATRIC PATIENTS AND ON THURSDAY FOR SUB-ACUTE UNIT PATIENTS AND THEIR FAMILIES. STAFF CHAPLAINS MAKE SACRAMENTS AND OTHER RELIGIOUS OBSERVANCES AVAILABLE OR ARRANGE THOSE SERVICES FROM COMMUNITY CLERGY. A BI-MONTHLY ECUMENICAL MEMORIAL SERVICE IS OFFERED FOR ALL FAMILY MEMBERS WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE IN THE MEDICAL CENTER AND ALSO FOR EMPLOYEES WHO HAVE EXPERIENCED THE LOSS OF A FAMILY MEMBER. STAFF CHAPLAINS ARE OCCASIONALLY CALLED UPON BY THE FAMILIES OF UNCHURCHED PATIENTS TO PERFORM FUNERALS OF THEIR LOVED ONES WHO HAVE DIED AT OUR FACILITY. ALL CLINICAL MEMBERS OF THE SPIRITUAL CARE DEPARTMENT ARE BOARD-CERTIFIED BY A RECOGNIZED NATIONAL ACCREDITING AGENCY. THE SIX CHAPLAINS THAT COVER EMERGENT CARE ON AN ON-CALL BASIS REPRESENT THE EPISCOPAL, CATHOLIC, PRESBYTERIAN, UCC AND METHODIST FAITHS. IN ADDITION, A ROMAN CATHOLIC PRIEST IS ALWAYS ON BACKUP CALL FOR SACRAMENTAL NEEDS. SPIRITUAL CARE CHAPLAINS ARE PART OF THE SHARE PROGRAM IN THE FAMILY BIRTHPLACE AND CLINIC WHEN PARENTS EXPERIENCE THE LOSS OF THEIR CHILD THROUGH MISCARRIAGE, STILLBIRTH OR DEATH OCCURRING SHORTLY AFTER BIRTH; THE SPIRITUAL CARE CHAPLAINS ALSO ASSIST WITH ADVANCE CARE PLANNING; SERVE AS CERTIFIED REQUESTORS FOR CASES INVOLVING ORGAN DONATION; SERVE ON THE ONCOLOGY TEAM THAT FOLLOWS THE PATIENT THROUGH THE COURSE OF THEIR CANCER TREATMENT; AND AS PART OF THE PATIENT CARE TEAM ON SEVERAL OF THE HOSPITAL UNITS; THE SPIRITUAL CARE TEAM ALSO OFFERS THE HEALING THROUGH GRIEF SERIES TO ASSIST THOSE COPING WITH LOSS AND GRIEF. BEHAVIORAL HEALTH SERVICES: FMCI PROVIDES A VARIETY OF BEHAVIORAL HEALTH SERVICES IN LA CROSSE, ARCADIA, HOLMEN, PRAIRIE DU CHIEN, SPARTA AND TOMAH. THESE INCLUDE: CLINICAL ASSESSMENT SERVICES; MENTAL HEALTH, SUBSTANCE ABUSE, PSYCHIATRY, AND PSYCHOLOGICAL TESTING, ALCOHOL AND SUBSTANCE ABUSE, CHILD & ADOLESCENT SERVICES; EATING DISORDERS, AND COMPREHENSIVE DIALECTICAL BEHAVIOR THERAPY. SERVICES ARE ALSO PROVIDED THROUGH PROGRAMS HOUSED IN SEVERAL COMMUNITY BASED RESIDENTIAL FACILITIES. THE GOAL OF EACH PROGRAM IS TO MEET RESIDENTS AT THEIR STAGE OF THE RECOVERY PROCESS AND TO HELP FACILITATE INTERNAL CHANGES TOWARD A MORE SUCCESSFUL RECOVERY. STAFF ASSIST RESIDENTS IN MAKING HEALTHY LIFE CHANGES THROUGH MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY, CASE MANAGEMENT SERVICES AND WHEN APPROPRIATE, USE OF A 12-STEP MODEL; THE FACILITIES INCLUDE: GERARD HALL, AN 8-BED CLASS A AMBULATORY FACILITY FOR FEMALES WITH MENTAL HEALTH AND/OR AODA ISSUES SPECIALIZING IN PREGNANCY AND PARENTING. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. SCARSETH HOUSE, AN 8-BED CLASS A AMBULATORY FACILITY FOR MALES WITH CO-OCCURRING MENTAL HEALTH AND CHEMICAL DEPENDENCY DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. IT IS ALSO LICENSED TO PROVIDE TRANSITIONAL RESIDENTIAL TREATMENT AND MEDICALLY MONITORED TREATMENT UNDER DHS 75. SIENA HALL, A 20-BED CLASS A AMBULATORY FACILITY FOR MALES AND FEMALES WITH MENTAL HEALTH AND CO-OCCURRING DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL FACILITY. WOMEN'S LAAR HOUSE, A 9-BED CLASS A AMBULATORY FACILITY FOR WOMEN WITH CHEMICAL DEPENDENCE, AND MENTAL HEALTH DISORDERS. THE FACILITY IS LICENSED UNDER HFS 83 AS A COMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, AND LICENSED TO PROVIDE MEDICALLY MONITORED TREATMENT AND TRANSITIONAL RESIDENTIAL TREATMENT UNDER DHS 75.