Local program connects patients in need with necessary medications – for free

For immediate release
Dec. 16, 2013 

The program, a project of CoxHealth, Mercy and Jordan Valley, is now expanding to help patients throughout the Ozarks 

When it comes to reducing the cost of health care, prevention is the best medicine. For those without prescription drug coverage, being unable to access medication can lead to additional severe health issues, sometimes requiring emergency care. 

For the past two and a half years, the Community Medication Access Program (CMAP) has been quietly working on this problem, connecting low-income patients over the age of 18 in Greene County with resources to get the prescription medications they need. Recently, CMAP expanded its chronic medication program to all counties in the CoxHealth and Mercy Springfield Communities service areas, bringing a much-needed resource to those who need help the most. 

“We know that when patients can’t afford the medications they need, they often end up in the emergency room. We see this on a regular basis,” said Karen Kramer, CoxHealth vice president and chief nursing officer. “Through CMAP, patients are able to get their necessary medications and stay healthy. We’re excited to expand the program beyond Greene County, so everyone in our area who is eligible can benefit.” 

CMAP works by connecting those in need with the many prescription assistance programs offered by pharmaceutical companies. These programs, while helpful, can be confusing to navigate. CMAP significantly simplifies the process for patients. They apply to CMAP, and the program’s staff works with the pharmaceutical companies that manufacture each of their prescriptions. 

The program is a joint project of CoxHealth, Mercy, Jordan Valley Community Health Center and The Kitchen Clinic. Since its inception, it has served more than 4,000 patients, helping them obtain medications worth an estimated retail value of $24 million – at no cost. 

Becki Jones has been a CMAP client since the summer, and sings the program’s praises: “I have been helped so much,” she said. “Once I provided them with the paperwork they needed, they took over. They knew exactly what they were doing. It’s been such a relief.” Because of CMAP, Jones receives four medications worth $555 each month, for free. 

”This program demonstrates the significant value the community can derive when the provider organizations collaborate towards a common goal,” said Dr. Dominic Meldi, Mercy medical director for care management. “Without CMAP, a significant number of uninsured patients in our community would remain untreated. This solution is so consistent with our mission of improving the health of the communities in which we serve.” 

Patients can self-refer to the CMAP program by calling 417-820-9290 or toll free 877-480-6900, or be referred by their physician. Guidelines for participation are straightforward. Patients: 
· must be 18 – 64 years of age 
· must have an income that is 200 percent or less of the federal poverty level 
· must have no current prescription coverage 
· must be a patient of a provider associated with one of the four participating organizations. 

“CMAP undoubtedly improves health outcomes for people in our community. Too many individuals are faced with the dilemma of how to pay for food, medication, or shelter and the untenable choice of deciding which they can do without. Too many people skip on the very medication they need because they can’t afford it. With CMAP, we increase access to medication and see significant improvements in our patients and their abilities to manage chronic conditions. We are proud to participate in CMAP and help remove a barrier to care,” Dr. Matthew Stinson, medical director of Jordan Valley Community Health Center, said. 

CMAP was originally a program of the Springfield-Greene County Regional Health Commission, with funding provided in part by a grant from the Missouri Foundation for Health. When that grant ended, CoxHealth and Mercy agreed to provide the bulk of the program’s funding, recognizing the importance of the project. Other funding has come by way of a generous Force for Good grant from Mercy Clinic coworkers. Program leaders continue to seek financial support through additional grants and donations. 

As Jones, the CMAP client, puts it, “Everyone needs to know about this program.”

Champions are key in organ donation

Jennifer Whitmore, nurse and organ donation champion (right), reviews a patient case with nurse Katie Scranton in CCU/MICU. For the past year, Whitmore has served as a donor champion, acting as a bridge between caregivers, families, chaplains and Mid-America Transplant Services. 

Jennifer Whitmore was just out of orientation as a critical care nurse at Cox South when her manager approached her about representing the CCU/MICU as a donation champion.

Jennifer learned that the newly formed Donation Champion program at the hospital is designed to place a select group of nurses in critical care units and the emergency department to assist families and support fellow nurses through the organ and tissue donation process.

Jennifer welcomed the opportunity to serve her patients, their families, and her co-workers in this way, having had educational experience in palliative care as a student, and personal experience in the dying process as a 17-year-old who watched her mother slowly lose her battle with cancer.

“I’ve always had a soft spot for comfort care with families and patients just because it’s a hard time,” says Whitmore. “Especially working in the ICU, we have patients who just aren’t going to make it. I think it’s very important, when nothing we could do would change the outcome, that we let families understand that choosing not to pursue aggressive medical treatment is OK. It’s OK to say enough is enough and let your loved one be comfortable and go. I’ve always had that in me, even as a new nurse. It’s just something that I’m passionate about.”

Jennifer and the other donor champions are part of a team at Cox South that supports families through decisions about organ and tissue donation including nurses, physicians, Pastoral Care chaplains and Mid-America Transplant Services (MTS), one of 58 federally designated organizations in the U.S. that facilitate and coordinate the organ and tissue donation process.

“All of this starts with the donation champions and unit nurses with that first call they make to get the process going,” says Marjorie Bryan, MTS donor program specialist. “These champions are awesome. We have a great group of individuals and I’m excited about where this program is headed.”

The Donation Champion program is in its first year at Cox South and was created by the hospital’s Donation Council to increase donation awareness, and improve communication among the hospital team as well as improve the knowledge base of people who are educated about the purpose and the process of donation.

Champions serve as a bridge between nurses caring for the patient and chaplains and MTS, who are the hospital’s designated organ and tissue requestors.

“We help nurses recognize when it might be time to talk to the family and to get a chaplain involved,” says Whitmore. “In the ICU, we do withdrawal of treatment and it’s appropriate in those cases to contact the chaplain and MTS. Even when a loss of life is inevitable, through donation, we may be able to save several lives.”

Champions receive a four-hour training and are asked to attend quarterly council meetings to hear updates from MTS and to discuss ways to improve care.

“The donation champion program has helped to bring a greater understanding and awareness of the team approach in donation,” says Peggy Wobbema, coordinator of the council and Cox South chaplain.

“The key is a greater awareness of the donor potential coupled with better emotional and spiritual care of the families through the end-of-life process. Family support is key whether the patient can be a donor or not. Our goal is excellent family care and offering the potential for organ and tissue donation is part of that.”

Since the donation champion program began, Bryan says the calls received on possible organ donors are up more than 50 percent over last year and the number of families served by organ donation has doubled from the same time last year.

Whitmore recently cared for a patient who eventually became an organ donor. She admits that experience and working as a donation champion has dispelled some misperceptions she had about MTS.

“MTS came in and they were wonderful, talking to the family about how the process worked, and about how everything was going to be from that point on. They were very comforting toward the family and toward me as well. If I had a question they would answer it.”

Whitmore is glad she decided to become a donation champion. She continues to be passionate about caring for patients and families, and now has become an advocate for donation.

“I’ve seen the process of DCD (Donation after Cardiac Death),” says Whitmore. “It was kind of a shock to see the process in the operating room, but in my mind I had to realize the surgeons who are taking the patient’s organs are taking them back to other patients. They are no longer thinking about my patient who had died, they are thinking about the patients waiting, whose pagers have gone off, who are at other hospitals waiting for an organ to come so that they can have a better life. It’s kind of a miraculous thing to think about – we’ve lost one life. How many can be saved?” 

CoxHealth names two to Board of Directors

For immediate release 
Dec. 11, 2013 

Springfield businessman Robert B. Mahaffey (left, above) has been named to the CoxHealth Board of Directors. He is president of Mahaffey enterprises, a family company owning a number of radio stations in Missouri, Kansas and Oklahoma. His father, the late John B. Mahaffey, served on the CoxHealth board for a number of years. 

David P. Manuel, Ph.D. (right, above), president of Drury University, has also been appointed to serve on the CoxHealth Board of Directors. Dr. Manuel holds degrees in economics from Nicholls State University, and a Master of Arts and doctorate from the University of Mississippi. He has 37 years of higher education experience. 

The CoxHealth Board of Directors is comprised of 30 business and community leaders who volunteer their time and talent providing direction and policy to ensure the quality, safety and financial stability of the health system. 

CoxHealth is the only locally owned, not-for-profit health system based in Springfield, Mo. It is accredited by The Joint Commission, distinguished as one of the nation’s top 100 health systems, recognized as a U.S. News & World Report Best Regional Hospital, and committed to caring for the community. 

Established in 1906, the organization serves more than 900,000 people in a 25-county service area in southwest Missouri and northwest Arkansas, offering a comprehensive array of primary and specialty care including five hospitals and more than 80 clinics in 25 communities. The health system includes Cox Medical Center South, Cox Medical Center Branson, Cox North Hospital, Meyer Orthopedic and Rehabilitation Hospital, Cox Monett Hospital, Oxford HealthCare (the nation’s second largest hospital-based home health agency), Home Parenteral Services (home infusion therapy), CoxHealth Foundation, Cox College, Cox HealthPlans and more.

Hospital secure after isolated shooting incident

NEWS RELEASE
For immediate release
Dec. 1, 2013

An isolated shooting incident occurred in the east wing of the 9^th floor of Cox South at approximately 9 p.m., the evening of Saturday, Nov. 30. CoxHealth staff and security responded immediately to the scene, which was isolated to one patient room. The victims, a 79-year-old male and a 69-year-old female, received immediate medical treatment. The male was pronounced dead at approximately 10 p.m., the female is still receiving care.

Cox South continues to operate, and patient care is not affected. The hospital is secure, and all patients and staff are safe.

The east wing of the 9^th floor is a medical/surgical hospital unit, providing generalized hospital care. An investigation is ongoing by the Springfield Police Department.

Taking a stand for health

Requiring new employees to be tobacco-free is another step in making our community healthier.

When Steve Edwards became CEO, he laid out a vision for our organization’s role in community wellness. His goal? To transform southwest Missouri into a region known for healthy lifestyles.

Edwards led CoxHealth in a bold step toward that transformation in late September, when he announced a new tobacco policy at a news conference at Hulston Cancer Center. When the change takes effect Nov. 21, CoxHealth will become the first health system in the Ozarks to add nicotine screening to the list of tests potential employees must pass once an offer of employment has been made. The new policy is the latest step in our efforts to provide a healthy, healing work environment.

“Every year 443,000 Americans die due to smoking-related illness,” Edwards told the media. “We could no longer reconcile the fact that our mission is to improve the health of our community, and we were not taking an assertive stand against tobacco products.”

Job applicants will be notified of the policy when they apply. Those who do not pass the post-offer, pre-employment nicotine screening will be offered CoxHealth-sponsored tobacco cessation classes at no charge, and encouraged to reapply with the organization once they have been tobacco-free for 90 days.

“Tobacco is a deadly addictive poison that dismantles the lives of its victims and their families. We want our workforce to be role models, to be leaders in a push inspiring our community to become a healthy place to live. We are taking a stand,” Edwards says.

Employees hired before Nov. 21 will be grandfathered in under the new policy, but are also encouraged to “kick the habit.” The organization will offer these employees and their health plan dependents tobacco cessation classes.

Missouri law specifically allows hospitals and organizations that promote health care to restrict hiring based on tobacco use. CoxHealth’s policy, and the cessation assistance it provides for, is modeled on a similar program at Cleveland Clinic.

“We are really just enacting a policy that has already been approved by our state,” Edwards says. “Our motivations are toward getting the right people and being leaders to help people who are smoking find a way to stop.”


The quest to help tobacco users kick the habit is a personal one for Edwards, who describes his father, former CoxHealth CEO Charlie Edwards, as “a dyed-in-the-wool smoker.”

“He tried everything possible to quit smoking. He never got it done,” Edwards says. “My father was the most honorable man I’ve ever known. He dedicated his career to health care, yet he struggled with smoking his entire life.”

As he was preparing to announce the policy change, Edwards decided to pay tribute to his father and encourage others who are struggling with tobacco by creating “Charlie’s Fund.” The fund, established through the CoxHealth Foundation with an initial $15,000 donation from Edwards, will offer a $1,000 cash incentive for up to 15 smokers who quit and stay tobacco-free for a year. Other leaders and donors have come out in support of the idea, raising the fund’s total to more than $35,000.

“I believe each of us needs someone important in our lives to help us quit,” Edwards says. “As an institution, it is our job to help our employees be healthier.”

Employees who make the decision to quit will have access to a variety of cessation resources.

Glenda Miller, collaborative care coordinator in Cardiovascular Services, has been fielding more calls from employees since the policy change was announced. However, she says many people trying to quit make a critical error: “People are under the assumption that they can do it by themselves.”

That’s a recipe for struggle, and, in many cases, failure.

“People are twice as likely to succeed if they combine counseling and pharmacotherapy,” she says.

Someone who has successfully quit will still face stressful situations, emergencies or life-altering events that will tempt them to return to smoking as a source of comfort.

Working with a coach will provide tobacco users tools, such as a “quit kit” that includes 31 ways to handle the urge to smoke along with ways to deal with stress. Smokers are encouraged to carry a small card in their wallet: on one side, they write five reasons they want to quit. On the other, there are five things to do before lighting up: drink water, breathe deeply, read the five reasons, take a 10-minute walk and call a support person.

“If they follow these steps, they won’t light up,” Miller says. “Smokers only need to distract themselves for a few minutes until the urge to smoke passes.”

Miller says employees who smoke can join her “Beat the Pack” support group any time they wish – and they don’t have to quit as soon as they join, they can set their own quit date.

Miller and Edwards both point out that quitting smoking is the most effective thing a person can do to decrease cardiac events.

“Everyone quits eventually, one way or another,” Miller says. “You decide to quit – and stay quit – or you have an event, like a TIA, a stroke or a heart attack.”

Missouri is one of the 10 lowest ranked states in the health outcomes we can control, and reducing smoking is key to creating a healthy community.

“If smoking killed people instantly, we’d all be compelled to not do it, but it takes decades and because of that we continue to have high smoking rates,” Edwards says. “Our employee smoking rate has been at 17-20 percent for many years. Until it’s at 0, we are failing.

“Our goal is to make this a healthier place. Ideally, a decade from now, people will look at our community and ask how such a radical change was made. At the root of the change, they’ll see the efforts we and our partners undertook to improve our health.”

Charlie’s Fund

For employees who are ready to quit for good? Charlie’s Fund will offer a $1,000 incentive for up to 15 employees who commit to quitting and remain tobacco-free for a year. Be watching the intranet and Connect Daily for details on how you can participate.

Become a donor: If you’d like to donate so more people can be inspired to quit, you may contribute at coxhealthfoundation.com or by payroll deduction through the employee giving program.

Donation from Kohl's renews CARDIAC Kids community health effort

Children from Summit School in Nixa attended an assembly on Nov. 12 to learn about staying heart healthy – in a kid-friendly way.

It was the kickoff to a renewed partnership between CoxHealth and Kohl’s Cares that aims to identify children at risk for obesity and heart disease, and teach them and their families how to live a healthier lifestyle.

Childhood obesity has become an epidemic in the United States, and southwest Missouri is not immune. Poor eating habits, improper nutrition and a lack of exercise can lead to serious health problems as children grow. With the $41,916 donation from Kohl’s Cares, CoxHealth is continuing the Kohl’s CARDIAC Kids program, which will work to fight the childhood obesity epidemic through a variety of fun events and health screenings aimed at children ages 5 to 18 and their families.

Through the program, at-risk children and adolescents are identified and are able to learn more about living a healthy life.

“We know childhood obesity is a widespread and dangerous problem. Thanks to Kohl’s Cares, we’re able to make a real impact on the health of area children, teaching them about exercise, nutrition and healthy choices in a fun and engaging way,” said Lauren Holland, CoxHealth Health and Wellness educator and Kohl’s CARDIAC Kids coordinator.

More than 1,000 area children participated in CARDIAC Kids health screenings during the past grant year. Through the screenings, 400 participating children were found to be overweight or at risk for becoming overweight, and 203 children were found to be at risk for high blood pressure.

These children and their families received follow-up education, including healthy, kid-friendly recipes, exercises and more. Year-to-year results are tracked and analyzed for trends.

Since 2011, Kohl’s has donated more than $132,000 to CoxHealth to support the CARDIAC Kids Program. Kohl's commitment to CoxHealth is made possible through the Kohl's Cares cause merchandise program. Through this initiative, Kohl’s sells $5 books and plush toys, with 100 percent of net profit benefiting children’s health and education programs nationwide, including hospital partnerships like this one. Kohl's has raised more than $231 million through this merchandise program.

In addition to the merchandise program, Kohl's Cares features the Kohl's Cares Scholarship Program, which last year recognized more than 2,300 young volunteers with more than $400,000 in scholarships and prizes. Through Kohl’s Associates in Action volunteer program, more than 669,000 associates have donated more than 2.2 million hours of their time since 2001, and Kohl’s has donated more than $63 million to youth-focused nonprofit organizations. Kohl’s also offers fundraising gift cards for schools and youth-serving organizations. For more information, visit www.Kohls.com/Cares.

CoxHealth named top 'Choice Employer'

For the third year in a row, CoxHealth has won recognition from the Springfield Business Journal as a “Choice Employer.” CoxHealth achieved top honors in the large employer category at the Nov. 14 recognition event. Employers are selected for this award by an independent review process which rates each company in the areas of incentives, family friendly, people development and corporate culture.

Two CoxHealth employees were also selected by the SBJ awards panel for individual recognition. Vicki Good, administrative director of Patient Safety was one of three people recognized by SBJ as "Employee of the Year." Eric Maxwell, director of compensation and HRIS was one of three people recognized as "Human Resources Professionals of the Year" at the Choice Employer event.

Wrap up your holiday shopping and give the gift of good health

Join the CoxHealth Foundation and CMN Hospitals of CoxHealth at the “Wrap it Up” special event benefiting the CoxHealth Dee Ann White Women’s and Children’s Hospital and Jared Neuroscience Center. 

This unique event features the tastes and sounds of the holiday season, plus interactive bidding on one-of-a-kind gifts such as a home visit from the Ocean Zen chef, a holiday weekend at Tablerock Lake, jewelry, home décor and much more. Bidding will take place electronically through BidPal, so you can track your bids on your smart phone or a provided device. 

“Wrap it Up” is presented by the Jared Neuroscience Center Physicians and will be held 6:30-9:30 p.m., Thursday, Dec. 5, at the Oasis Convention Center, 2546 N. Glenstone. Tickets are $50 each and can be purchased online at coxhealthcmn.com or coxhealthfoundation.com. For additional information call 269-7150.

The Dee Ann White Women’s and Children’s Hospital and the Jared Neuroscience Center will both be housed in the new $130 million patient tower currently under construction at Cox South. Once complete, the facilities will offer the most advanced neonatal, pediatric, maternal and neuroscience care in southwest Missouri.

Fajardo Family Crisis Fund

The tragic deaths of Rudy and Stephanie Fajardo have shocked us all. The legacy of this event is four children who have lost their parents. In order to support the Fajardo children, CoxHealth has created the Fajardo Family Crisis Fund. Your donations will go directly to assisting the Fajardo children with their education, health care and more, providing much needed support. To contribute, go to the Donate Now page on the CoxHealth Foundation website at this link. Choose Cause-Specific Funds and Cox Family Assistance Fund in the drop downs and donate in memory of the Fajardo family. 

Services for Rudy and Stephanie Fajardo
Visitation services for Rudy and Stephanie Fajardo will be held from 7- 8:30 p.m., Friday, Nov. 15, at St. Elizabeth Ann Seton Catholic Church, 2200 W. Republic Road in Springfield. A prayer service will begin at 8:30 p.m. Funeral services will be held at St. Elizabeth Ann Seton Catholic Church on Saturday, Nov. 16 at 10 a.m.

New tower construction: Tower crane 101

We’ve asked Lee Williams, our partner with CBRE, the company serving as CoxHealth’s program manager on the project, to give us his insights as the new tower at Cox South comes out of the ground.

Since the groundbreaking, we’ve anxiously been awaiting the arrival of our tower cranes to ease congestion on the construction site and give us access to the upper floors of the new patient tower as it comes out of the ground.  After countless hours of behind-the-scenes work and coordination between CoxHealth and our construction manager Beck/Killian, the day has finally come.

Due to the shape of the new tower, two tower cranes are needed to cover the entire construction site.  The larger of the two will be located on the south side of the jobsite, not too far from where the Turner Connector Corridor was located.  The smaller crane will be located near the northwest corner of the new tower.

Tower crane dimensions are typically given in terms of “hook height” and “hook reach” – how high and how far from its base the crane is capable of lifting a load.  The maximum weight the crane can support varies by how far out from the base the load must be supported – the further away, the less you can lift.  Most capacities are given in terms of how much the crane can lift at the tip of the boom.  Here are some stats for both cranes:

	South Crane	North Crane
Hook Height	225 feet	187 feet
Hook Reach	197 feet	148 feet
Capacity at Tip	10,100 lbs	15,700 lbs
Total Height	255 feet	220 feet

 In other words, the larger crane can pick up a load weighing as much as five Volkswagen Beetles, raise it to a height equal to a 12-story building, and put it back down anywhere within a 2.8 acre circle.  The smaller crane is capable of lifting eight Volkswagens 10 stories, and covers an area slightly larger than a football field.

Unfortunately, these tower cranes don’t erect themselves (although some do!).  To get our cranes in the air, Beck/Killian is working with a crane company headquartered here in Springfield to bring a 300-ton hydraulic crane on site.  This Grove 300 Ton crane is the largest mobile crane in southwest Missouri – requiring a fleet of five tractor trailers to transport all of its parts and pieces.  It takes nearly an entire working day just to set up the mobile crane required to erect the tower cranes.

CoxHealth has allowed Beck/Killian to temporarily close a portion of the parking lot near the construction trailers to stage the trucks bringing in pieces of the tower cranes.  We’re grateful for the patience of the folks who normally park in this area as we complete this operation over the next few days.