2016 Greenville Health System Annual Report

Fiscal Year 2016 (October 1, 2015-September 30, 2016) was a time of transition and change for Greenville Health System (GHS). 2016 marked the graduation of the University of South Carolina School of Medicine Greenville’s outstanding charter class of medical students (pictured). Another milestone occurred with the health system’s transition to a new governance structure. This change allows GHS the flexibility to explore partnerships with other groups while continuing to deliver high-quality, affordable, safe patient care.

Throughout the fiscal year, GHS welcomed new or expanded services, announced innovative collaborations, and debuted distinctive entities that help fulfill the system’s mission to heal compassionately, teach innovatively and improve constantly. Click below to learn more about how our nearly 15,000 employees are striving to transform health care, amid the rapidly changing healthcare environment, for the benefit of the people and communities we serve.

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Fiscal Year 2016 Pillar Report Card

Greenville Health System (GHS) has made a commitment to excellence. Our fiscal year goals and measures are tied to six pillars of excellence: people, experience, quality, engagement, finance and academics. Below is a scorecard of our performance in FY 2016. Green indicates the target was met, yellow highlights results just below target, and red signifies an opportunity for improvement.

People

We work to transform health care.
Measurement Metric Target Actual
Annual Employee Opinion Survey Percent Participation 87% 87.0%
Wellness Measure: A1c Percent Reduction 3% 5.8%
Wellness Measure: LDL Percent Reduction 3% 8.5%

Experience

We make patients and families the focus of everything we do.
Measurement Metric Target Actual
Inpatient Satisfaction Average &-ile Rank of 8 HCAHPS Domains 73rd %-ile 65th %-ile
Physician Practices Average &-ile Rank of UMG Physician Practice Scores 58th %-ile 45th %-ile
Emergency Services Average &-ile Rank of ES Scores 46th %-ile 16th %-ile

Quality

We provide right care at the right time and in the right place.
Measurement Metric Target Actual
CAUTIs 25% Reduction <67 65
Magnet® Journey Submitted Application Materials Moving Forward Through Review Desired Progress Made at Greer & GMH Toward Magnet Designation Achieved
Surgical Site Infections 25% Reduction <60 63
MyChart Use % Account Activation 25% 20%

Engagement

We partner with many communities to improve health.
Measurement Metric Target Actual
MyHealth First Network Covered Lives Number of Patients Enrolled 85,000 80,470

Finance

We responsibly direct our resources to support our mission.
Measurement Metric Target Actual
Operating Margin* Operating Margin* 2.1% 1.0%
Epic Acute Rollout Performance Designation "Best Performer" Partially Achieved
Per Member Per Month Spend Average Spend <$518 $486
*Operating margin represents operating income divided by total revenue. Total revenue includes Net Patient Service Revenue and other revenue. Operating income includes total revenue less all expenses incurred to operate a hospital. A healthy operating margin is necessary for a hospital to invest in capital and technology and further position it to meet the needs of its constituents.

Academics

We educate to transform health care.
Measurement Metric Target Actual
Peer-reviewed Journal Articles with GHS Attribution/Identification Number of Articles Published 250 304
Conscious Leadership Survey % Increase from 2015 Survey Participation 7% -1.5%

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Heal Compassionately

Patients and their families are the focus of everything we do, and our employees are committed to healing compassionately as demonstrated in these initiatives launched this past fiscal year.

Mobile Health Clinic on the Move

GHS is making care more accessible and convenient in communities across Greenville County with a mobile health clinic that is the first of its kind in the Upstate. In February, the GHS Neighborhood Health Partners Mobile Health Clinic began making regular visits to the Belmont, Berea, Gantt and Parker communities, as well as neighborhoods in the city of Greenville. These underserved areas have the highest rates of emergency medical service use.

The mobile clinic, a 40-foot customized RV with three exam rooms, has reduced ER use through patient education as well by diagnosing and treating both acute and chronic illnesses. Spanish-speaking staff members also are on board.

To learn more about this clinic, visit ghs.org/nhp; for patient stories, read the full article in the Fall 2016 issue of Inside Health.

Get SmartExam

GHS’ total health commitment is to provide the right care at the right time in the right place—especially primary care. A few years ago, the “right place” meant MD360® or a doctor’s office. Now, that definition has expanded to include a mobile health clinic or middle schools (see next article) and on-site clinics in upstate workplaces.

As of April 4, the right place may be in the palm of your hand. That’s when GHS launched SmartExam, which connects patients with a GHS care provider online. It is fast, secure and convenient.

For just a $20 fee, patients enter their symptoms into SmartExam. A provider reviews patients’ symptoms and contacts them by phone within one hour. Patients receive a diagnosis and treatment plan by email; prescriptions are sent electronically to the pharmacy of their choice.

Common conditions treated include bladder infections, colds, allergies or chest infections, sore throat and ear pain. A parent also can use SmartExam for children, and a pediatric provider will review their symptoms.

Patients are not charged if a diagnosis cannot be made. SmartExam is available to the public 24 hours a day, with responses provided 8 a.m.-8 p.m. daily.

To learn more or register, visit www.ghs.org/smartexam.

School-based Health Centers Make the Grade

GHS Children’s Hospital’s school-based health centers are a key component of the system’s new Bradshaw Institute for Community Child Health & Advocacy. They increase access to health care for middle school students and help sick children get on the path to healing more quickly. Centers are located at five schools in high-risk communities chosen by United Way of Greenville as part of an effort to reduce absenteeism and keep kids on track to graduate.

Chronic absenteeism is a major factor in students falling behind academically; students in high-poverty areas often miss a lot of school because of health issues. Typically, a 15-30 minute doctor visit offsite for something like a fever or sore throat means a half-day away from school.

“The majority of the kids we’ve seen, we sent back to class,” said Kerry Sease, MD, MPH, senior medical director for Academics and the Bradshaw Institute’s medical director. “That’s our goal: getting kids back in their seats for learning. We’re increasing access to care and keeping parents and kids where they belong—at work and at school.”

The centers operate a day or two a week. A team including a GHS nurse practitioner, registered nurse and special project coordinator rotates among these schools. In addition to primary care, the team can help students manage chronic conditions such as asthma and diabetes as well as connect them with community health services like mental health and dental care.

Each school also has a telemedicine cart. When the clinic is not open, the school nurse can contact the nurse practitioner or Dr. Sease about a concern. The provider then can assess the student from a remote site and advise the school nurse on next steps.

New Device for Iliac Aneurysms

GHS is one of a handful of hospitals in the state using a new device that treats iliac aneurysms in the pelvic or leg region. The device, called GORE® EXCLUDER® iliac branch endoprosthesis, allows doctors to preserve blood flow to iliac arteries while closing off flow to the aneurysm, resulting in better outcomes and quality of life for patients.

Delivery Buddy Debuts

Soon-to-be moms in Laurens and Pickens Counties now can enjoy the peace of mind offered by GHS Children’s Hospital’s telehealth program for newborns called Delivery Buddy. In the unlikely event their baby experiences complications during or just after delivery, a neonatologist or neonatal nurse practitioner from GHS can log in to Delivery Buddy immediately through the system’s secure network.

The specialist will complete an assessment of the baby with the help of Delivery Buddy and on-site nurses and doctors. This program lets the specialist take part in the baby’s care right away by making recommendations as if at the bedside. Medical teams on each side of the screen can hear and see the newborn and interact with the family.

This telehealth program is the first of its kind in the Southeast for neonatal patients. It is offered at Laurens County Memorial Hospital and Baptist Easley (of which GHS is half owner).

GHS Expands Donor-match Options

Jeannine Pampalone

GHS has expanded its McCrary Blood and Marrow Transplant Unit to include donor-match options for unrelated donors or half-matched donors. This expansion means that more people can provide the potentially life-saving cells patients with cancer need.

The unit aims to keep patients close to home while they go through what can sometimes be very invasive, intense and demanding treatments. Studies show that having a strong support system and being in familiar places can play a significant role in a patient’s response to treatment.

Such was the case for Jeannine Pampalone. In October 2015, the 36-year-old became GHS’ first stem cell transplant recipient using a half-matched donor. Today, Pampalone glows with good health and her blood-related cancer has not recurred.

To learn more about the unit, click here. Read Pampalone’s story in the Fall 2016 Issue of Inside Health.

Shhh, It’s Quiet Time

On April 19, Greenville Memorial Hospital launched Quiet Time from 2-3 p.m. and midnight-4 a.m. on floor units 2-6. During this time, staff members will focus on minimizing noise and interruptions and, where possible, dimming the lights.

Quiet Time honors patients’ need for rest and supports a healing environment. Quiet environments are proven to reduce anxiety and stress, enhance pain management, and provide support and comfort for patients and their families. They also lessen staff stress, improve staff concentration, and decrease nursing and medical errors.

Patient care will not be interrupted during Quiet Time. Admissions and discharges will continue, and therapy and tests will be performed. Also, guests can still visit.

Veterans Affairs Grant

Roger C. Peace Rehabilitation Hospital has received an $80,000 grant from the U.S. Department of Veterans Affairs. This grant will help veterans participate in the hospital¹s various recreational therapy activities and support a recreational therapist assigned to patients who are veterans.


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Teach Innovatively

Inaugural Medical School Class Marches On

Forty-nine students graduated as part of the charter class of the nation’s 136th medical school, University of South Carolina (USC) School of Medicine Greenville. Using the phrase “a new school of thought” to guide development, the medical school has created a unique curriculum (see next article) that trains physicians to participate and lead in the transformation of healthcare delivery.

More than 70 percent of USC School of Medicine Greenville students are from South Carolina; almost half will continue their medical training in the Palmetto State. These members of the Class of 2016 made history three times before walking across the stage during their May 6 commencement ceremony.

  • This class was the first to enter USC School of Medicine Greenville and the first to graduate with accredited medical degrees.
  • Class members amassed an unprecedented 100 percent match for their residency placement on the first attempt, surpassing the national match average of 94 percent on the initial try.
  • Greenville Mayor Knox White proclaimed May 6 to be USC School of Medicine Day.

To see and learn more about this extraordinary class, click on these links:

A New Script: Exercise IS Medicine

Exercise is Medicine is a 12-week program in which patients receive customized exercise routines and ongoing emotional support from specially trained fitness professionals. Patients are “prescribed” into the program by their doctor and can participate at any YMCA of Greenville site or the GHS Life Center® Health & Conditioning Club. The program is a partnership with GHS, YMCA of Greenville, University of South Carolina (USC) School of Medicine Greenville and the American College of Sports Medicine.

For students at the medical school, exercise physiology and exercise as medicine are taught across all four years as a requirement. They learn the mechanistic aspects of prescribing exercise—such as how exercise affects each organ system—along with behavior change. That way, students can serve as models for this innovative concept.

"We model it within the curriculum as a requirement from day one," said program pioneer Jennifer Trilk, PhD, assistant professor of Physiology and Exercise Science at the school. Dr. Trilk tells her students, "You are your first patient. You have to stay healthy in order to keep your patient healthy."

Lessons are based on standardized models and adapted to increasing physical activity levels: moving patients from one stage to the next. Dr. Trilk has created a classroom-community model by partnering with GHS and its many physician offices to add U.S. physical activity guidelines into the electronic health records of the system. Doctors are required to ask patients how many minutes a day or days a week they exercise, for example, and then enter the response into the patients’ electronic medical records—as a vital sign comparable to blood pressure or cholesterol.

Medical students and Greenville doctors can track patients’ exercise frequency along with chronic, lifestyle-related disease markers. They electronically refer them, as needed, to Exercise is Medicine care coordinators who work with patients on increasing their physical activity.

Currently, four GHS practices are participating in the program. Expansion to other GHS practices is planned.

Find out more here.

Operation, Anyone?

At the Teddy Bear Clinic in The Children's Museum of the Upstate, kids get hands-on experience with X-rays, vital signs, surgery, blood draws, casting and other medical procedures. The exhibit is designed to reduce children's fears of routine medical procedures by allowing youngsters to control the equipment and show them what it can do.

Included in the child-sized version of GHS Children’s Hospital is an operating table with Buddy the Bear as the patient about to undergo surgery. Visitors use giant tongs to carefully remove body parts—lights and buzzers are activated (like the game of Operation) when surgery doesn’t quite go as planned.

Through role-play and interaction with simulated organs and bones, the exhibit teaches basic anatomy while easing children’s fears about seeing a doctor. The exhibit also fosters familiarity with a hospital environment, potentially inspiring a future in health care.

JUMP Start to Manage Diabetes

GHS’ Center for Family Medicine recently launched JUMP to help patients take control of diabetes. Because many of the center’s patients have limited incomes, they face extra challenges in managing this disease. JUMP provides patients with education and skills, group support and community resources.

One innovative community resource was Scott Roarke, a culinary instructor at Greenville Technical College. Roarke taught a two-hour cooking class at GHS this spring. He showed participants how to make healthy, quick meals using quinoa and how to best slice and sauté vegetables.

Mike McGirr (left), executive director of Clemson University’s FEED & SEED Design Studio, and David Lominack (center), South Carolina market president
for TD Bank, present a check to Kerry McKenzie, childhood obesity prevention coordinator with the Bradshaw Institute that will help expand the Farm to Belly program.

Mike McGirr (left), executive director of Clemson University’s FEED & SEED Design Studio, and David Lominack (center), South Carolina market president for TD Bank, present a check to Kerry McKenzie, childhood obesity prevention coordinator with the Bradshaw Institute, that will help expand the Farm to Belly program.

Farm to Belly Program Serves Up Healthy Meals

The Choosy Farm to Belly project, an innovative program that educates and encourages healthy eating habits in children as young as 3, finished a successful pilot program at the North Franklin Road Head Start Center. The project’s goal is to introduce children to fresh vegetables and fruits—not only by taste but also by learning how to cook at home with their families. More than 180 children and their families took part in the pilot.

Through the program, nutritionist-modified family recipe kits, including fresh local produce, were provided at no cost every other week for 30 weeks. Each child received a weekly recipe bag with a homework assignment to prepare and enjoy a healthy meal with the help of their parents.

The program, part of Children’s Hospital’s Bradshaw Institute for Community Child Health & Advocacy, is a collaboration among Children’s Hospital, Clemson University and more than 10 community partners and volunteers.

Partnership Keeps Cancer Survivors Moving

The GHS Center for Integrative Oncology Survivorship (CIOS), in partnership with Caine Halter YMCA, has developed the YMCA Exercise Navigation program.

Exercise Navigation is an oncology rehabilitation program for those who want to work out on their own. A YMCA exercise navigator meets with patients at GHS’ Cancer Institute to develop an exercise plan. She also meets with them at the YMCA, assists with program enrollment, schedules appointments with athletic trainers, and if needed, coordinates financial aid for gym membership.

CIOS and the YMCA also have developed Wellness Works Rx, a program for cancer survivors who want to continue their oncology rehab. Wellness Works Rx offers ActivTrax, which helps participants schedule workouts, plan meals and make grocery lists.

Learn more here.

The Search Is On

In August, Baptist Easley became the state’s third Project Search site, in partnership with the Pickens County School District, S.C. Vocational Rehab, and the Pickens County Board of Disabilities and Special Needs. This international program provides transitional job skills to high school seniors with disabilities and special needs.

Students, along with their teacher and job coaches, take classes in the hospital; each student must complete three internships within the school year. Internships take place throughout the site where the students work to develop job skills. At Baptist Easley, these areas include Environmental Services, Food and Nutrition Services, Radiology, physician practices and nursing units. GHS is part owner of Baptist Easley.

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Gain Credit for Experience

GHS has partnered with Furman University to provide Learning Experience Transcripts that document learning outside of the traditional credit-based system. Students can share these transcripts with universities and employers and, in many cases, earn credit at their home institutions. Starting with GHS’ Medical Experience Academy (MedEx), this program is being rolled out to other areas, including community paramedics.


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Improve Constantly

To achieve our vision and mission, our health system must continue to improve and adapt to the ever-changing healthcare environment. The information below illustrates leadership in governance, access, patient care and efficiency.

New Governance Structure

As you know, health care is changing. As an industry, we are moving from a fee-for-service to a value-based environment. Such change requires us to think and act differently. For example, we will no longer be paid based on the number of services we provide. Instead, we will be rewarded based on our performance and ability to achieve the Triple Aim—improve health outcomes, reduce healthcare costs and enhance the patient experience across populations.

As a result, GHS is changing its governance structure so that it can remain a public not-for-profit that is part of a larger, private not-for-profit health company. This change gives GHS the flexibility it needs to explore partnerships with other entities while continuing to deliver high-quality patient care in a rapidly changing medical world.

Under this new structure, GHS remains a public entity but leases its properties to the Upstate Affiliate Organization, a private-not-for-profit that provides day-to-day oversight and management. The Upstate Affiliate Organization, and any other affiliates that join the healthcare company, reports to the Strategic Coordinating Organization (SCO), a private, not-for-profit that provides strategic direction and corporate services for all affiliates. Mike Riordan heads the SCO; Spence Taylor, MD, serves as president of GHS.

As with our previous structure, the new governance structure remains responsible and accountable to our patients, payors and community. Rest assured that we will continue to care for patients regardless of their ability to pay. And we will continue to strive to meet the Triple Aim and provide all patients the right care at the right time in the right place.

To learn more, visit ghs.org/governance.

Setting the PACE for Senior Care

This spring, Greenville Health System opened GHS Senior Care, a Medicare program for people over age 55. The program provides community-based care and services for those who would otherwise need nursing home-level care. It is one of three such programs in the state and the first in the Upstate.

Based on the PACE (Program of All-inclusive Care for the Elderly) model, the program is centered on the belief that the best outcomes for seniors with chronic conditions happen when they are served in their community—and that taking preventive measures can help avoid some problems. Services include primary care, dentistry, emergency services, home care and hospital care, as well as meals, nutrition counseling and occupational and physical therapy.

Currently, 18 participants are enrolled in Senior Care. Half live alone and half live with family or other caregivers. All are Medicare and Medicaid eligible.

Adolescent & Young Adult Oncology Program

The Adolescent & Young Adult (AYA) Oncology Program is for cancer survivors diagnosed and treated between ages 15-38 and people treated for childhood cancer who now are those same ages. The program connects patients to clinical trials, genetic counselors, reproductive and fertility experts, and other resources specific and unique to the AYA population.

The program’s format is similar to GHS’ oncology MDCs. The primary oncologist places an AYA Oncology consult. The patient then meets with the multidisciplinary AYA team where the unique medical, social, financial and psychologic needs of that patient will be assessed. Recommendations on AYA-specific and personalized support services and resources will be provided to the patient and the primary treating physician. The AYA Oncology team will continue to follow the patient as well.

This program will maintain an AYA registry with the ultimate hope that patients will participate as survivors in the Lifetime Clinic at the Cancer Institute.

Worth Its Salt: Non-surgical Weight Loss

Hillcrest Memorial Hospital is first in the Upstate to use ORBERA, a two-part weight-loss system that uses a special balloon to occupy space in the stomach. The balloon is inserted non-invasively and then filled with saline until it’s about the size of a grapefruit; the intent is to reinforce proper portion control and to delay the stomach emptying so that patients eat less and feel full longer. The procedure takes 20-30 minutes, and people usually go home that day.

Once the balloon is in place, the 12-month coaching part of the program begins, which includes a medically supervised diet and exercise plan. After six months, the balloon is deflated and removed.

ORBERA is placed in obese adult patients with a Body Mass Index (BMI) of 30-40 who have been unable to lose weight through diet and exercise. Because the balloon is temporary, ORBERA focuses on developing sustainable, healthy habits that will keep weight off permanently.

Studies show that ORBERA can deliver more than three times the weight loss of diet and exercise alone. The majority of loss occurs in the first three months.

Picture This: 3-D Mammography

The Department of Radiology now offers 3-D mammography—advanced breast tomosynthesis technology that can increase detecting breast cancers while decreasing callback rates.

In conventional 2-D mammography, overlapping tissue is a leading reason why small breast cancers may be missed and normal tissue appear abnormal. 3-D tomosynthesis reduces tissue overlap by taking multiple images and converting them into thin layers that a radiologist can review one layer at a time. This exam requires no additional compression and takes just a few seconds longer than a conventional screening.

3-D mammography is recommended for women of all ages and breast density (especially dense tissue). It is covered by Medicare and some insurance plans.

High Marks for Low Vision

dsc_0216_1The GHS Eye Institute offers a comprehensive low-vision program for patients with eye conditions that have caused progressive vision loss which cannot be medically treated. Services include low-vision exams and therapeutic devices, such as custom items like telescopic lenses.

This program can serve patients with stable low vision (not expected to worsen) and progressive low vision (can worsen to near or total blindness). Patients who may benefit from low-vision care range from older adults with retinal conditions to children with congenital disorders.

The Eye Institute has the only dedicated low-vision program in the Upstate with on-site access to therapeutic aids. To read one woman’s eye-opening experience with low-vision services, read the full article in the Fall 2016 issue of Inside Health.

Epic News Continues

Epic is an electronic medical record (EMR) and billing system that began being piloted in outpatient practices in 2015. Ultimately, this software will combine GHS’ many different EMRs into one enterprise-wide medical record, reducing redundancy and improving continuity of care for patients.

In February, Epic go-live took place for the most of our inpatient settings. Laurens and Oconee hospitals will implement their Epic go-live in October.

When Epic rollout is complete, inpatient and outpatient visits will be available in the same EMR, along with imaging and lab results. Up-to-date patient problem lists and medication reconciliations also will be available. Clinical information, registration, patient scheduling and billing will be on the same efficient system. And all clinical information can be shared effectively—and securely—with the entire health community. Thus far, Epic has replaced over 50 disparate systems, and patient records have been securely exchanged with 250+ health systems across 48 states.

New Practices or Expansions

During FY 2016, the system established or acquired several practices, increasing patients’ access to primary or specialty care. In some cases, mergers occurred.

New or expanded GHS practices include the following:

  • Blue Ridge Orthopaedics–Easley
  • Center for Pediatric Medicine–West
  • GHS Eye Institute–Spartanburg
  • GHS Internal Medicine–Laurens
  • Heritage Internal Medicine & Pediatrics–Wren (formerly in cooperation with Baptist Easley)
  • Hillcrest Family Practice
  • Pediatric Associates–Simpsonville
  • Pediatric Infusion Therapy
  • Psychiatry (10 Patewood Drive)
  • Spartanburg Outpatient Center (pediatric specialty practices and pediatric therapies)

Other expansions of note include adding more on-site medical clinics in upstate businesses, opening more Prosthetics & Orthotics offices, and increasing the number of Upstate Pharmacy sites and of ATI physical therapy locations.

We also welcome the medical staffs of Laurens County Memorial Hospital and of Oconee Memorial Hospital, who joined the GHS Medical Staff this spring. Although some physicians already had joint membership with GHS, this unification added 78 doctors from Laurens and 175 from Oconee to the GHS Medical Staff roster.


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Research/Scholarship Advances

There is a straight line from innovation in medical education and research to the best health care. Read below to learn about advancements in our teaching and research areas that are transforming medical care.

Medical Journal Launches

proceedingsMay saw the introduction of Proceedings, GHS’ peer-reviewed medical journal. The 84-page journal featured 15 articles containing some of the top academic and clinical research work being accomplished at GHS and around the world.

This semi-annual (spring and fall) publication appears primarily online and includes unpublished original research, review articles, case studies, editorials and book reviews. Its mission is to provide high-quality publications on healthcare innovation and delivery.

To access the journal, click here.

BSN Program Approved

Clemson University and GHS have partnered to establish the Clemson University School of Nursing Greenville. The new program has been approved by the Commission on Higher Education.

In fall 2016, Clemson nursing students started attending general and foundational classes on the university’s main campus during their freshman and sophomore years. Students selected for the School of Nursing Greenville program will attend classes at Greenville Memorial Medical Campus with clinical rotations at a GHS campus during their junior and senior years.

New Emergency Medicine Residency

GHS’ Department of Emergency Medicine has received initial accreditation for an Emergency Medicine Residency Program. The three-year program will provide residents with exposure to critical care, pediatrics and community emergency medicine. Residents also will rotate through multiple medical and surgical subspecialties with experiences in emergency medical services, ultrasound, toxicology and administration.

Applications began being accepted in September. Residency start date is July 1, 2017.

Two Divisions Debut

Primary Care Sports Medicine. Housed within the Department of Medicine, the Division of Primary Care Sports Medicine launched in fall 2015. The division is an academic collaboration between GHS Steadman Hawkins Clinic of the Carolinas and the Center for Family Medicine.

The initial goal is to educate primary care providers, residents and fellows about musculoskeletal medicine, medical aspects of sports, and emerging lifestyle medicine programs such as Exercise is Medicine.

Division chief is Kyle Cassas, MD, with Steadman Hawkins Clinic of the Carolinas.

Prehospital Medicine. The new Division of Prehospital Medicine offers courses for GHS staff and providers, as well as local and regional partners, in how to best provide high-quality care for patients before their arrival at a hospital. The division also will provide regional training in disaster preparedness and manage special event medical care for GHS-sponsored activities.

The division is led by Emergency Medicine physician Tom Blackwell, MD.

GHS, Clemson Offer Research Certification

GHS and Clemson University are offering a graduate-level certificate in clinical and translational research. GHS clinicians, nurses, research support staff and other health professionals interested in research are encouraged to apply. Classes will take place in Greenville, and tuition support is available.

To learn more, visit university.ghs.org/clinical-translational-research-certificate.

Inaugural Student Research Day

In April, the University of South Carolina (USC) School of Medicine Greenville hosted its first Student Research Day. A total of 21 students presented posters, while four gave oral presentations. The presentations highlighted the many opportunities for collaborative research efforts between GHS and academic partners.

Extender Fellowship in Urology

This yearlong program provides advanced training in urology for nurse practitioners and physician assistants. The goal of the fellowship is to help advanced practitioners improve access to and the delivery of superior pediatric and adult care in urology practices. Application deadline was June 30, with the fellowship starting in fall 2016.

Find out more at university.ghs.org/gmu.

Research Spotlight: Saline vs. Soap

Research conducted by GHS orthopaedic trauma surgeon Kyle Jeray, MD, and published in The New England Journal of Medicine shows that saline is better than soap in cleaning open fracture wounds and reducing infections. This germinal research is important news for the 250,000 people a year who sustain open fractures, as well as the military, where over 70 percent of injuries involves orthopaedic care.

Click here to read full article.

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Fast Facts

Facilities

Medical Campuses 7
Acute Care Hospitals 6
Specialty Hospitals 2
Long-term Care Facilities 6
Birthing Centers 1
Wellness Centers
Access to 6 additional through PATH Membership
1
Outpatient Facilities 9
Affiliated Practice Sites 155
Licensed Beds 1,662
Licensed Neonatal Intensive Care Bassinets 80

Academics & Research

Medical Students 331
Resident Physicians 228 (14 Fellows)
Residency Programs 8
Fellowship Programs 7
Peer-reviewed Presentations 342
Peer-reviewed Publications 304
Research Studies
(includes clinical trials)
902
Clinical Trials 384
External Research Funding (in millions) $8.3

The GHS Team

Employees 14,787
Affiliated and Employed Medical Staff 1,627 (174 Honorary)
Employed Physicians
(included in affiliated staff)
997
Registered Nurses 4,185
Physician Assistants 99
Volunteers 986

Procedures & Surgeries

Cardiac Catheterizations 4,159
Cardiovascular Surgeries 3,336
Echocardiogram Lab Procedures 34,179
Electrophysiology Procedures 1,844
Inpatient Surgical Procedures
(includes CV surgeries)
17,166
Outpatient Surgical Procedures 33,575
Laboratory Procedures 4,278,873
Radiologic Procedures 500,000 (approximate)
Vascular Lab Procedures 18,933

Clinical Care Numbers

Hospital Discharges 53,442
Average Inpatient Daily Census 979
Outpatient Visits
(includes clinic, ER, MD360® and Home Health visits)
3,664,321
Medical Center Clinic Visits 125,323
Emergency Services Visits 267,019 (26,182 pediatric)
MD360® Visits (urgent care) 67,578
Home Health Visits 46,906
Babies Delivered 7,136
Air Transports 632

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Community Benefit

Greenville Health System uses guidelines set by the Catholic Health Association (CHA) that will allow for equitable comparisons of community benefits among healthcare institutions. In recognizing the importance of community outreach in ensuring a high quality of life for all residents in the region, GHS offered support in a variety of ways during Fiscal Year 2016 (October 2015 through September 2016):

To help meet the medical needs of upstate citizens who have no healthcare coverage and cannot afford to pay for healthcare services, GHS provided over $47 million in charity and government-sponsored healthcare (at cost) in Fiscal Year 2016.

Community benefit programs encompass community health services, education of health professionals, subsidized health services, research, and financial and in-kind contributions. In addition to offering health fairs, screenings and information sessions, GHS works with community groups and educational institutions to train healthcare workers and to ensure access to basic medical services for everyone.

Charity and Government-sponsored Healthcare Services $47.2
Support to the Community and Community Health Partners $88.4 million
Benefits Recognized by CHA $135.6 million

Medicare shortfall and bad debt (at cost) also are benefits that the health system provides. The Medicare shortfall represents $173.5 million of unpaid costs when reimbursement falls short of the actual cost of care. Bad debt, which totaled $103.7 million, occurs when patients are unwilling or unable to pay for services and do not seek charity care.

Medicare Shortfall $173.5 million
Bad Debt $103.7 million
Additional Benefits Recognized by American Hospital Association $277.2 million
Total Quantifiable Community Benefit $412.8 million

Honoring Our Veterans

GHS is a sponsor for Honor Flight Upstate, which organizes two flights a year to Washington, D.C., for World War II and Korean War veterans. The veterans get a chance to visit memorials built in their honor and be recognized for their service. GHS provides a physician, nurses, physical therapists and other employees and volunteers to assist veterans during the trip. The system also donates medical supplies, including wheelchairs.

These girls from Clinton Elementary School are all smiles, having just finished a trial run for their first 5K on May 6.

On the Run for 10 Years

GHS Children’s Hospital’s Girls on the Run (GOTR) program goes far beyond getting girls to run. The national program, now in its 10th year here, also focuses on empowerment, self-esteem, collaboration, positive body image, community involvement and all-around life lessons. The ultimate goal is to promote good physical, mental, social and emotional health for participants in grades three through eight.

Twice each year—spring and fall—girls across the Upstate complete the 20-lesson GOTR curriculum while preparing to run a 5K. This spring, 195 girls took part at 13 locations. Among the new sites is Clinton Elementary School in the southern Upstate.

Read more in the Summer 2016 issue of Focus on Pediatrics.

A Prescription for You and the Environment

In April, a permanent drop box for expired or unused medications was installed at Greenville Memorial Hospital in partnership with Project Rx. The box is where the public can deposit over-the-counter and prescription medication freely and anonymously at any time.

Between April and July, nearly 300 pounds of medication were placed in the hospital’s drop box. At this pace, approximately 1,800 pounds of medications could be collected by 2017. Thanks to the project’s success, drop boxes are being installed at Oconee Memorial Hospital and Greer Memorial Hospital in the fall.

Read Full Commentary at Greenville Online.

Minority Health Summit Marks 10 Years

The 10th Annual Minority Health Summit was a tremendous success with 2,500+ people in attendance. This free event seeks to educate and increase awareness of major health disparities disproportionately affecting minorities. The focus this year was on diabetes and mental health.

GHS works with minority leaders, churches and organizations to educate, empower and equip individuals to take control of their health through adopting healthy lifestyles. The summit includes physical activity, physician speakers, health-risk assessments and medical information.

TD Saturday Market a Top Pick

GHS serves as presenting sponsor of the TD Saturday Market, a weekly farmers market that takes place from May to October in downtown Greenville. We also sponsored the Spuds & Sprouts booth to help children learn about locally grown foods and have an opportunity to try new fruits and vegetables. Southern Living magazine recently named TD Saturday Market as one of the South’s best farmers markets. Find out more at saturdaymarketlive.com or southernliving.com.

GHS Swamp Rabbit Trail Going Strong

To encourage healthy lifestyles and physical activity, GHS partnered with the Greenville County Recreation District to create the GHS Swamp Rabbit Trail several years ago. The paved trail continues to expand, experience heavy use and provide economic benefits to nearby businesses. Each May, our system hosts the GHS Swamp Rabbit 5K in Travelers Rest. Approximately 6,000 people attended the 2016 walk/run, making it the largest 5K in the state!

Keeping Kids Safe for 20 Years

Unintentional childhood injury is the top killer of children in the nation. In South Carolina, a child dies every day from such injury; 90 percent of these injuries could be avoided.

Thanks to targeted efforts by Safe Kids™ Upstate (led by GHS Children’s Hospital) over the past 20 years, Pickens, Oconee and Greenville counties have seen a 43 percent drop in childhood deaths from unintentional injuries and a 22 percent decline in unintentional injuries to children. Motor vehicle deaths of those under 5 also have fallen by an impressive 45 percent!

Read the full article from the Fall 2015 Issue of Focus on Pediatrics.

Health Screenings

GHS hosts many free or low-cost community events each year, several of which include health screenings.

Here are some free cancer screenings we conducted this fiscal year:

  • Oral cancer—114 people were screened April 8 at GHS’ Greenville ENT
  •  Skin cancer—177 people were screened May 14 at Patewood Medical Campus
  • Prostate cancer—75 men were screened Sept. 10 at TD Convention Center as part of Take a Loved One to the Doctor Day

Screenings followed National Comprehensive Cancer Network guidelines and best practices. Anyone with an abnormal result was provided follow-up treatment.

During Take a Loved One to the Doctor Day, Ask-a Doc and Ask-a Pharmacist stations were available for attendees, along with these additional screenings:

  •  Kidney disease—130 people were screened
  •  Vision—125 people were screened
  •  Hearing—78 people were screened

GHS also hosted a skin cancer Lunch & Learn in April. Thirty-five people attended the free seminar, which covered the prevention, detection and treatment of skin cancer.

Giving the Public a Shot in the Arm

Each fall, GHS administers flu shots for adults at multiple drive-thru and walk-in sites in Greer and SImpsonville. The shots are free and available on a first-come, first-served basis.


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Finances

THE OBLIGATED GROUP STATEMENT OF NET POSITION (UNAUDITED)
As of September 30, 2016 (In Thousands)
ASSETS AND DEFERRED OUTFLOWS OF RESOURCES
CURRENT ASSETS:
Cash and cash equivalents
$ 141,184
Patient accounts receivable, net
271,739
Inventories of drugs and supplies
29,170
Other current assets
31,850
Due from affiliates
5,980
Estimated third-party payor settlements
3,823
Current portion of assets with limited use
3,633
Total current assets
487,379
ASSETS WITH LIMITED USE:
Internally designated
253,882
Held by trustee for debt service
867
Donor restricted
25,542
Less current portion
(3,633)
Assets with limited use, net
276,658
OTHER INVESTMENTS 490,685
CAPITAL ASSETS-Net 880,437
OTHER ASSETS 6,599
TOTAL ASSETS
2,141,758
DEFERRED OUTFLOWS OF RESOURCES:
Excess consideration provided for acquisition
9,914
Loss on refunding of debt, net
4,774
Pension deferrals
22,829
TOTAL DEFERRED OUTFLOWS OF RESOURCES
37,517
TOTAL ASSETS AND DEFERRED OUTFLOWS OF RESOURCES $ 2,179,275
LIABILITIES, DEFERRED INFLOWS OF RESOURCES, AND NET POSITION
CURRENT LIABILITIES:
Accounts payable
$ 33,249
Accrued liabilities
214,180
Current portion of obligations under capital leases
1,224
Current portion of long-term debt
17,804
Total current liabilities
266,457
LONG-TERM DEBT-Less current portion 613,711
OBLIGATIONS UNDER CAPTIAL LEASES-Less current portion 3,009
OTHER LONG-TERM LIABILITIES 196,683
TOTAL LIABILITIES
1,079,860
DEFERRED INFLOWS OF RESOURCES:
Deferred gain on real estate monetization and sale leasebacks
39,167
TOTAL LIABILITIES AND DEFERRED INFLOWS OF RESOURCES
1,119,027
NET POSITION:
Unrestricted
784,376
Net investment in capital assets
249,463
Restricted:
For debt service
867
For specific operating purposes
25,542
TOTAL NET POSITION
1,060,248
TOTAL LIABILITIES, DEFERRED INFLOWS OF RESOURCES, AND NET POSITION $ 2,179,275
 
THE OBLIGATED GROUP STATEMENT OF REVENUES, EXPENSES AND CHANGES IN NET POSITION (UNAUDITED)
For the year ended September 30, 2016 (In Thousands)
Patient Service Revenues
Inpatient
$ 2,278,810
Outpatient
3,657,044
Total Patient Service Revenues
5,935,854
Adjustments to Revenues
Bad Debt
320,599
Charity
215,469
Contractual Allowances
3,339,224
Total Adjustments to Revenues
3,875,292
Net patient Services Revenues
2,060,562
Other Operating Revenues 73,759
Total Operating Revenues 2,134,321
Operating Expenses
Salaries and Wages
1,053,917
Temporary and Contract Labor
31,232
Employee Benefits
241,620
Supplies
330,518
Professional Fees
31,762
Other Purchased Services
263,788
Other Expenses
35,620
Depreciation
107,553
Interest
14,701
Amortization
137
Total Operating Expenses
2,110,848
Operating Income
23,473
Non-operating Gains (Losses)
Investment Income
24,257
Other non-operating
(15,439)
Net non-operating gains (losses)
8,818
Excess of Revenues Over Expenses Before Capital Contributions, Transfers, and Restricted Funds and Other Activity 32,291
Capital Contributions 1,547
Loss on Sale-The Cottages at Brushy Creek (4,110)
Transfers from (to) Greenville Health Corporation and Affiliates 242
Restricted Funds, Sundry Receipts and Disbursements, net (5,387)
CHANGE IN NET POSITION 24,583
NET POSITION-Beginning of year 1,035,665
NET POSITION-End of year $ 1,060,248

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Awards and Achievements

Greenville Health System (GHS) receives numerous awards and recognitions each year. Below is a list of some of those honors received in FY 2016. Each is a demonstration of our commitment to heal compassionately, teach innovatively and improve constantly.

Systemwide Accolades

Models of Diversity

GHS is consistently recognized for our efforts in promoting a diverse and inclusive environment for employees and patients. Here are some diversity honors received this year:

  • For the fifth year in a row, Diversity MBA Magazine named GHS a top 50 company for diverse managers and women. Businesses included in this ranking have established programs that create access for women and people of color to move into leadership roles. That magazine also ranked GHS in the Top 10 Best in Class Category for “Representation.”
  • The Greenville Society for Human Resources Management honored GHS with the Diversity and Inclusion Large Business Award for 2015. The award is presented to an organization that ranks above average in four key areas: CEO commitment to diversity and inclusion, human capital, corporate and organizational communication, and supplier diversity.
  • The Greenville Chamber recognized GHS with the 2015 ATHENA Organizational Leadership Award. This award is presented to an organization that provides and supports leadership development opportunities and initiatives for women employees.
  • In 2016, the Institute for Diversity in Health Management tapped GHS as a Top 10 Best in Class.

Supply Chain Honor

GHS is one of 12 organizations to receive the ECRI Institute’s 2016 Healthcare Supply Chain Achievement Award. This award recognizes health systems and hospitals that follow best practices to reduce costs without negatively affecting quality and outcomes for patients.

Quality Star Rankings

The Centers for Medicare & Medicaid Services (CMS) recently released Overall Hospital Quality Star Ratings. This initiative uses 62 quality metrics to rate more than 4,000 hospitals in the United States on a 1-5 scale.

In South Carolina, only four hospitals received a 5-star rating—two of them are Patewood Memorial Hospital and Greer Memorial Hospital (and the only ones in the Upstate). Our other facilities were rated at least 3 stars. Greenville Memorial Hospital received 4 stars—only 8 percent of major teaching hospitals garner more than a 3-star rating.

CMS Selects GHS for Two Initiatives

Cancer: CMS has tapped GHS as one of nearly 200 physician group practices and 17 health insurance companies to take part in a care delivery model that supports and encourages higher quality, more coordinated cancer care. The Medicare arm of the Oncology Care Model includes over 3,200 oncologists and will cover approximately 155,000 Medicare beneficiaries nationwide.

Heart Attack and Stroke: CMS also has chosen GHS as one of 516 awardees in 47 states, Puerto Rico and the District of Columbia to help reduce the risk of heart attacks and strokes among millions of Medicare fee-for-service beneficiaries. Healthcare practitioners such as GHS participating in the Million Hearts® Cardiovascular Disease Risk Reduction Model will work to decrease cardiovascular disease risk by assessing a patient’s risk for heart attack or stroke and applying preventive interventions.

Workplace Wellness

GHS was recognized by the South Carolina Hospital Association (SCHA) and Prevention Partners for reaching the highest standards of workplace health and prevention. The system earned straight A’s in four categories: tobacco use, physical activity, nutrition, and overall culture of health and wellness.

Also, GHS received the Gold Medal Award from SCHA’s Working Well initiative and Prevention Partners. This honor recognizes employers who provide and promote opportunities for exercise during work hours and that represent the highest standard of physical activity excellence at the workplace.

Palmetto Gold

Six nurses from across the system were named among the top 100 nurses in the state in 2016: Teresa Billig, Valerie Douglas, Stephanie Dutch, Paula Kemppainen, Lauren Kunkle and M. Blake Wilson. Nurses are recognized with the Palmetto Gold Award for providing excellent patient care and demonstrating a strong commitment to the nursing profession. Since the program was introduced in 2002, 95 GHS nurses have been named Palmetto Gold recipients.

Practices Tapped for Laboratory Excellence

Sixteen GHS practices have earned the COLA Laboratory Excellence Award. COLA is a national laboratory accreditation organization sponsored by the American Academy of Family Physicians, American College of Physicians and American Medical Association. This distinction is given to laboratories that apply rigid standards of quality in day-to-day operations, demonstrate continued accuracy in proficiency testing and pass a rigorous on-site laboratory survey.

Tumor Registry Hits Gold

GHS has received the Data Completeness and Timeliness Gold Award from the South Carolina Central Cancer Registry. The award recognizes excellence in data management from July 2015-June 2016.

Hospital/Departmental Honors

No Bones About It: Patewood Among Best in Orthopaedics

Patewood Memorial Hospital (PMH) was recognized as one of the best hospitals for 2016-17 in orthopaedics by U.S. News & World Report. The hospital is ranked #19 in the nation and the only hospital in the state to be ranked in this specialty.

High Performance Honors

PMH was named “high performing” in hip replacement by U.S. News & World Report. Greenville Memorial Hospital (GMH) also was named high performing in heart failure, colon cancer surgery and chronic obstructive pulmonary disease.

Zero Harm

Six GHS hospitals received the annual Certified Zero Harm Award by the S.C. Hospital Association: Greenville Memorial, Greer Memorial, Hillcrest Memorial, Laurens County Memorial, Patewood Memorial and Baptist Easley (of which GHS is half owner). The awards are given when no preventable hospital-acquired infections of a specific nature are recorded during the reporting period.

Greer Memorial Hospital Approved for Magnet Visit

Greer Memorial Hospital was approved for a Magnet site visit by the American Nursing Credentialing Center Magnet Appraisal Committee. The November 2016 visit will include an in-depth assessment of process, structure, patient outcomes and organizational culture reflecting Magnet model components. Magnet status is a designation given to hospitals that satisfy a set of criteria measuring the strength and quality of their nursing services.

Baby-Friendly Designation

Oconee Memorial Hospital has earned Baby-Friendly Designation. This international designation recognizes hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding.

Wound Healing

The national Robert A. Warriner III, MD, Center of Excellence award was presented to Upstate Would Healing and Hyperbaric Medicine Center, part of Laurens County Medical Campus, for achieving high patient satisfaction and healing rates over a two-year span. Only 110 of 600+ eligible centers earned this honor; the Laurens center has received this award six times!

In addition, Baptist Easley Wound Care and Hyperbaric Center was recognized for excellent outcomes with a Center of Distinction Award from Healogics, the nation’s largest provider of advanced wound care services. Last year, the Easley center treated 900 wounds. (GHS is part owner of Baptist Easley.)

National WorkHealthy Award

For the third year, Baptist Easley has received Excellence Recognition from WorkHealthy America for workplace health and prevention. This award is given for achieving top levels of excellence in three areas: tobacco cessation, healthy food environment and physical activity availability. Ten health organizations in the state have earned this status; just 23 have done so nationwide.

Maternity Care

GMH has achieved the highest designation—Blue Distinction Center Plus—from BlueCross BlueShield. This distinction is attained by meeting all quality, patient safety/outcomes and cost measures.

Safe Surgery

Both Laurens County Memorial Hospital and Greer Memorial Hospital received Safe Surgery Hospital designation from the S.C. Hospital Association. The designation is awarded to hospitals that implement a Surgical Safety Checklist to help ensure patient safety.

LGBT Healthcare Equality

Greenville Memorial Hospital was named one of five hospitals in South Carolina as a leader in LGBT Healthcare Equality by the Human Rights Campaign Foundation. 2016 marks the fourth year that the hospital has received this honor.

Quality Recognition Helps Patients Breathe Easier

GMH is among 700 hospitals nationwide that have earned Quality Respiratory Care Recognition. The American Association of Respiratory Care started the program in 2003 to help consumers identify facilities that use qualified respiratory therapists to provide respiratory care.

Best of the Best

Laurens County Memorial Hospital was voted Best Hospital by readers of the Clinton Chronicle. 2016 marks the 11th year in a row that the hospital has received this honor from the Readers’ Choice contests sponsored by the local newspaper.

Chief’s Award

Greer Memorial Hospital was recognized with the Chief’s Award from the Greer Police Department. The award was given to thank the hospital for its support, including meals on snowy and icy days, when restaurants were closed.

Consumer Choice Award

Greenville Memorial Hospital received the National Research Corporation’s Consumer Choice Award for being one of the nation’s top hospitals that consumers choose for delivering high-quality care. GMH is the only hospital in the state to have won this prestigious award every year since the award’s inception in 1996.

Accreditations/Certifications

Breast Health

GHS’ Breast Health program has been granted three-year/full accreditation designation from the National Accreditation for Breast Centers, which is administered by the American College of Surgeons. This marks the third time the system has received this designation. GHS was the first program in the Upstate to receive it in 2009.

Medicolegal Autopsy Facility Accreditation

GHS, Pathology Associates of Greenville (an exclusively contracted physician group) and the Greenville County Medical Examiner’s Office have been accredited as a medicolegal autopsy facility for five years by the National Association of Medical Examiners—just the second facility in the nation to earn this status!

Nuclear Medicine

Greenville Memorial Medical Campus earned American College of Radiology accreditation for all five of its imaging rooms. Accreditation lasts three years.

Primary Stroke Recertification

Greenville Memorial Hospital has received recertification from The Joint Commission as a Primary Stroke Center. This certification validates the high standards met by the program and the excellent care provided to those who have had a stroke.

Joint Replacement Recertification

For the second time, Patewood Memorial Hospital earned two-year certification from The Joint Commission for program management of hip/knee/shoulder joint replacement surgery. The commission awarded certificates of distinction based on the hospital’s compliance with national standards, clinical guidelines and outcomes of care.

Core Center Status

The Cystic Fibrosis (CF) Foundation has escalated accreditation for the Division of Pediatric Pulmonology and Cystic Fibrosis Center to a Core Center. This status recognizes the growth and development of the CF center and the continued excellent care provided by the multidisciplinary team of healthcare providers, nutritionists, social workers, respiratory therapists and others.

Special Recognitions

$17.5 Million in Medicare Savings

For several years, GHS has worked with the Care Coordination Institute to better respond to shifts in healthcare reimbursement. One example is GHS’ participation with MyHealth First Network in the Medicare Shared Savings Program (MSSP). Through this program, networks take accountability for the health of a population based on certain clinical measures, for instance, chronic disease management.

Networks that improve the population’s health and spend less money in the process get to share in those savings. In its first year of taking part in the MSSP, MyHealth First Network—of which about half of its physician participants are employed by GHS—cut Medicare costs by about $17.5 million among a population of 60,000 patients! The results ranked the network No. 2 in the nation for a first-year participant, and the Centers for Medicare & Medicaid Services recognized it as a “high achiever.”

Exhibit Receives ‘Positive Exposure’

A photo exhibit by renowned fashion photographer Rick Guidotti showcases the beauty of special-needs children. Guidotti visited the Wonder Center, GHS’ day treatment facility for medically fragile children, in spring 2015 to take pictures of these children.

The exhibit, titled “Positive Exposure,” debuted November 2015. The photos are on display outside of the Pediatric Intensive Care Unit at Greenville Memorial Hospital.

Baptist Easley

Baptist Easley is a 50/50 ownership/operation venture between GHS and Palmetto Health intended to enhance access to care, improve quality, and facilitate coordination of care between the area's community and tertiary care hospitals. The highly regarded facility recently unveiled a new logo—together with a new mission and vision—that reinforces the hospital’s innovative leadership and commitment to preserve health and enhance the lives of a growing regional community of patients, residents and clients.

New mission: Serve compassionately. Inspire others. Personalize the experience.

New vision: To be the best in community health care.

Learn more at baptisteasley.org.


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Diversity

Language Services

Greenville Health System is committed to bridging communication and cultures compassionately and innovatively for the patients, families and communities we serve. That’s why Language Services offers interpretation and translation services for free to patients who need them.

The department’s team of qualified medical interpreters provides services in person, over the phone or by video—totaling over 83,700 encounters this year! These highly trained interpreters serve GHS hospitals, outpatient facilities and physician practices and are stationed on-site at several locations.

GHS is one of the few health systems in the nation with a team of in-house translators. This team translates a variety of GHS documents to ensure that patients with limited or no English proficiency have access to print materials. Last year, the team translated more than 511,000 words!

This fiscal year, our interpreters …

  • Facilitated 50,505 in-person interpreting encounters totaling 25,000+ hours
  • Were involved in almost 26,000 phone interpretations totaling 5,500+ hours
  • Participated in over 7,500 video interpretations totaling 3,300+ hours

Our team provides access to more than 200 languages. In addition to Spanish, commonly requested languages include Vietnamese, American Sign Language, Arabic and Chinese.

Patients can request an in-person or over-the-phone interpreter at any time by calling (864) 455-7000.

Supplier Diversity

Our Supplier Diversity program works directly with minority, veteran and women-owned businesses. We collaborate with the Greenville Chamber Diversity and Inclusion Program as well as the Minority Economic Development Institute to maximize exposure for minority businesses through supplier matchmaking sessions and business expositions. Additionally, GHS participates in the Carolinas-Virginia Minority Supplier Development Council to identify new suppliers, share best practices and create opportunities for minority businesses to take part in our bid process.

Within GHS

GHS continues to strive for a diverse workforce to better serve our varied patient populations.

Age Percent
18-19 0.23%
20-29 17%
30-39 26%
40-49 23%
50-59 22%
60-69 10%
70-79 0.85%
80+ 0.04%
Race/Ethnicity Percent
American Indian/Alaskan Native 0.14%
Asian 1.97%
Black/African American 15%
Hispanic/Latino 2.55%
Native Hawaiian/Pacific Island 0.06%
Two or more races 0.79%
White 79%
Gender Percent
Female 81%
Male 19%

Fiscal Year Highlights

MLK Diversity Leadership Awards

GHS’ Diversity Department hosted the 9th Annual Martin Luther King Diversity Leadership Awards Luncheon. The 200 attendees heard from Dr. Damon Tweedy of Duke University Medical Center, author of Black Man in a White Coat. A GHS employee and department also were honored. Jordanie Mertil, catering coordinator at Oconee Memorial Hospital, won the individual award for advancing the legacy of Dr. Martin Luther King in Oconee and through her work in Haiti. The Nurse-Family Partnership (pictured below) won the departmental award for transforming the lives of vulnerable first-time mothers and their babies.

Employee Resource Groups at GHS

Employee Resource Groups are voluntary, employee-led groups sponsored by the Diversity Department. Our five groups total 676 members and were busy this year.

  • African American Network, formerly African American Women, changed its name and mission to be more inclusive of our diverse African American employees
  • GHS Veterans Association finished its first year and participated in many community outreach events for veterans
  • The Levi S. Kirkland Sr., MD, Society continued to mentor underrepresented minority medical school students
  • Women in Medicine and Science hosted events to celebrate the work of female physicians and biomedical faculty and to help one another overcome the challenges of being a physician
  • GHS Young Professionals (pictured below) hosted numerous social and community service activities for its members

Diversity Advisory Council

This council promotes equality and inclusion at GHS while fostering positive relationships with the community. Membership is made up of community representatives and GHS employees whose job roles impact the effectiveness of GHS’ diversity efforts.

New LGBT Patient Care Collaborative

In 2015, the GHS LGBT Patient Care Collaborative was established. This collaborative consists of doctors and other clinical specialists committed to delivering safe and affirming health care that meets the needs of lesbian, gay, bisexual, and transgender patients and their families. The group has added an LGBT page on the Diversity website and is training clinical leaders on the unique medical needs of LGBT patients.

Health Equity Task Force Debuts

In 2016, the Diversity Department created the GHS’ first Health Equity Task Force. The task force  focuses on systemwide solutions to health equity issues within GHS.


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Sustainability Efforts

Through its sustainability initiative, Greenville Health System is committed to protecting the environment, conserving natural resources and being a good community steward. GHS has a Sustainability Committee that meets quarterly. This multidisciplinary team discusses current projects throughout GHS and opportunities to increase sustainability systemwide. Read on to learn ways that GHS saved resources in FY 2016.

Energy Efficiency

Energy efficiency refers to products or systems using less energy to do the same or better job than conventional products or systems. Studies show that such efforts could reduce the nation's total energy demand by 20% by 2025.

GHS energy reductions are equal to savings of greenhouse gas emissions from …

Kilowatts

1,275,254 pounds of coal burned or energy use for one year of 126 homes

GHS energy reductions equal to saving of CO2 emissions from …

Thermal

1,270,707 miles driven by an average passenger vehicle or 18,795 incandescent lamps switched to LEDs

Resource Recovery

In FY 2016, our solid waste was diverted from the landfill through creative measures that encourage reuse, recycling or composting of waste. Proper disposal of waste, or waste management, relocates waste to areas where it can be left, incinerated or disposed of safely. Removing waste from public areas helps reduce risks to overall health, decrease exposure to biohazards and decrease pest infestation.

GHS waste reduction efforts resulted in the following last fiscal year:

  • 6,326,725 pounds of solid waste diverted from landfills
  • 4,785,177 pounds of paper, plastic, aluminum and electronic waste recycled
  • 626,143 pounds of cardboard recycled
  • 113,693 pounds of compost recycled from the kitchens at Greenville Memorial Hospital

GHS will continue to seek ways to further reduce transportation, waste and energy needs in 2017.


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Why We Do What We Do

Why We Do What We Do showcases GHS employees as they connect back to purpose and share why they do what they do. These brief videos come from across the health system and illustrate the many ways our team members strive to improve community health and transform the delivery of medical care. Here are two we’d like to share:


Care Management

Learn how care managers help assess, guide and manage patients’ care so that those we are privileged to serve receive the right care at the right time in the right place.

Improving the Patient Experience

Find out how expanded practice hours not only make it more convenient and timely for patients to see a provider, but also benefit our team members in offering patients an enhanced healthcare experience.

Click here to learn about one practice’s journey to improve the patient experience.


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Generous Giving

GHS' Office of Philanthropy & Partnership welcomes gifts of time, talent and treasure from the giving community. These contributions help provide high-quality medical care for people in the Upstate. Programs, research and education—such as the recent milestones described below—are a few examples of what can be made possible through generous donations.

GHS’ Historic Capital Campaign

GHS’ Office of Philanthropy & Partnership ended our organization’s first-ever capital campaign a year earlier than planned because we far exceeded our $80 million goal. “The outpouring of community support helped Greenville Health System surpass its $80 million philanthropy goal by raising over $91 million—and one year ahead of schedule!” emphasized George Maynard, VP of the Office of Institutional Advancement. “The record-setting campaign will strengthen clinical care programs and expand academic and research programs.” GHS and our patients are beyond grateful for the overwhelming generosity of all donors who gave to this cause. Their gifts will help GHS continue to transform our community and those we serve for years to come.

Bradshaw Family Gives Largest Legacy Gift in GHS History

William and Annette Bradshaw have provided the single largest legacy gift in GHS history to establish the Bradshaw Institute for Community Child & Health Advocacy. One of just a handful of similar efforts in the country, the Bradshaw Institute could pave the way for national changes in pediatric care.

The Bradshaw Institute will further the pursuit and promotion of children’s health through research, programs, services, advocacy and continuing education. Removing disparities in healthcare delivery for at-risk youth, reducing obesity and injuries, and promoting healthy child development are just a few services that will be emphasized.

The Bradshaws were recognized during a naming ceremony June 1 at the University of South Carolina School of Medicine Greenville.

Click here to learn more.

Dragon Boat Breaks World Record

A new fundraising record was set for Dragon Boat racing during the 10th Annual Dragon Boat Upstate Festival—$580,235.77!

About 30 teams were challenged to raise $3,500 each to participate in the race across Lake Hartwell on April 30. Proceeds from the Dragon Boat Festival benefit cancer research and survivorship programs at the Cancer Institute of Greenville Health System, Winn the Fight and South Carolina Ovarian Cancer Foundation. To date, Dragon Boat Upstate Festival has raised over $1.7 million for local cancer research and rehabilitation.

Matt Smith, president of 22 Dragons, a company that organizes dragon boat races globally, stated, “As a director of dozens of races all over North America and the world, I have never seen a more supportive community than the Upstate of South Carolina and its festival. It is unmatched in two important things: the level of emotion and people giving.”

Click here to learn more.

Ferlauto Center for Complex Pediatric Care

A $1 million gift from longtime GHS neonatal physician Jerry Ferlauto, MD, and wife Natalina will endow and grow an innovative program to help families cope with the complex needs of chronically ill children. Technology advancement has allowed more and more children with complicated diagnoses to extend their lifespan. However, providing their care requires intensive support and close medical management to help these children thrive.

The goal at the Ferlauto center is for the patient and family to see the same doctor every visit, which will reduce stress and save time for parents. The pediatrician will partner with a team of care coordinators, nurses, dietitians, and social workers to ensure children receive the medical care and support they need. Staff members also will assist families in coordinating visits with multiple specialists, when possible, in a single location.

Click here to learn more.


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GHS Board of Directors

Wyche, Marguerite (3-2-16)

Marguerite R. Wyche, Chair

Marguerite R. Wyche is president of Marguerite Wyche and Associates LLC. Wyche formerly served as president and co-owner of The Furman Company Residential LLC and as executive vice president of Coldwell Banker Caine. She is a licensed real estate broker and has been recognized both locally and nationally for outstanding performance in residential real estate. Wyche is the past chairman of the Greenville Health Corporation Board of Directors. She has served on the boards of the Greenville Technical College Foundation, Christ Church Episcopal School, Greenville Junior League, South Carolina Junior League, Meals on Wheels, Metropolitan Arts Council, United Way of Greenville County, Greenville Women Giving and the Greenville Chamber. She also has served on advisory boards of Bank of America, Carolina First and TD Bank. She graduated from Vanderbilt University with honors.
dalton-charles

Charles E. Dalton

Charles E. Dalton is president and CEO of Blue Ridge Electric Cooperative Inc. and has been in this role for 34 years. Since 1992, Dalton also has served as president and CEO of Blue Ridge Security Solutions. Before that time, he and his brother owned and operated Dalton’s Incorporated, a high-end furniture store that once provided the décor for portions of both the Clemson House and the Clemson president’s home. Dalton has served on the Clemson Alumni Association board and the Clemson University Foundation Board of Directors. In addition, he is serving or has served on the boards of numerous upstate agencies, including the Upstate Alliance of South Carolina, Cannon Memorial Hospital (now AnMed Health Cannon), Innovate Anderson and the Peace Center for the Performing Arts. He is an alumnus of Clemson University.
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W. Michael Ellison

W. Michael Ellison is a banking professional with more than 41 years of experience in retail banking, cash management, middle market commercial banking, private banking and credit administration. Ellison currently serves as a vice president with TD Bank, where he is responsible for hiring, developing and managing a team of credit officers as part of the creation of a new center for underwriting small business loans for TD markets from Delaware to Miami. Ellison has served on numerous boards, including the Laurens County Healthcare Foundation, United Way of Laurens County and Piedmont Technical College Board of Visitors. He also served on and chaired the Laurens County Health Care System board before the organization merged with GHS. He has a BA in history from Furman University.
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David Lominack

David Lominack is a commercial banking executive with nearly 20 years of experience. At present, Lominack is market president of South Carolina for TD Bank, where he is responsible for commercial banking throughout the state. Lominack is serving or has served on a number of boards, including the South Carolina Bankers Association, Greenville Chamber and United Way of Greenville County. He holds a BS in business administration from Presbyterian College and is a graduate of the Stonier National Graduate School of Banking at the University of Pennsylvania. He also is a Liberty Fellow and graduate of the Diversity Leadership Institute at Furman University.
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Robert T. Nitto

Robert T. Nitto is the retired vice president of Government Affairs for BMW of North America LLC. Nitto served in several high-level financial positions in his 30 years at BMW, including an overseas assignment in Munich. Before his current role, Nitto served as chief financial officer and vice president for Corporate Affairs for BMW Manufacturing. Nitto is currently president of South Carolina Charities Inc., which oversees the BMW Charity Pro-Am Golf Tournament, and serves on the board of the Greenville Chamber and S.C. Chamber of Commerce. He graduated with a BS in accounting from Villanova University.
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Richard A. Phillips

Richard A. Phillips owns Padgett Business Services, an accounting and income tax preparation firm. Before starting his own business 27 years ago, Phillips worked in manufacturing accounting for Coats & Clark in Toccoa, Georgia, and Square D Company in Seneca, South Carolina. Phillips is actively involved with several local charities, including the American Red Cross, Salvation Army and Volunteers in Medical Missions. He also served on the Oconee Memorial Hospital Board of Trustees for six years. During his last year on the board, Phillips served as chair and had an active role in Oconee Memorial Hospital becoming part of GHS. He has a BBA in accounting from the University of Georgia.
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Timothy J. Reed

Timothy J. Reed is co-founder of Upstate Carolina Angel Network and serves as the Clemson representative to the S.C. Launch board. Reed also serves on the boards of several start-up companies in the area and is working on several business initiatives with the Greenville Chamber. He has served on the boards of several charitable organizations in the area, including the United Way of Greenville County and the American Red Cross. Additionally, Reed has served on the Clemson University Board of Visitors, Clemson Real Estate Foundation and Clemson Foundation. He earned a BS in industrial management from Clemson University.
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Ruth M. Richburg

Ruth M. Richburg is a retired biology schoolteacher with Greenville County Schools. Richburg also is a seasoned volunteer, having served on the board or in a leadership positions with the YWCA, American Association of University Women and GHS’ Minority Advisory Council, and as a life member of the NAACP and a member of Greenville Chapter of PUSH. She is a member of the Greenville County Civitan Charities Board, United Teaching Profession Association-Retired, South Carolina Education Association-Retired and the Greenville County Education Association-Retired. She also served on the Greenville County Economic Development Advisory Committee, Greenville Habitat for Humanity Selection Committee, United Negro College Fund Upstate Advisory Committee, and as secretary of the Greenville County Historic Preservation Commission. She has a BS from Bennett College and a master of education in biological science from South Carolina State College. She has completed additional graduate courses at Clemson, Indiana, Indiana State, Howard and Furman universities.
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Michelle B. Seaver

Michelle B. Seaver is president of United Community Bank for Greenville County. Before this role, she served as a senior vice president and wealth market leader for TD Bank. Seaver has served on numerous boards or held leadership positions with groups such as GHS’ Women’s Advisory Council, Greenville Community Foundation, Greenville Women Giving, YWCA Dream Achievers and United Way of Greenville County. She graduated with a BS in accounting from the University of South Carolina.
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The Rev. Thomas E. Simmons

The Rev. Thomas E. Simmons is the pastor of Reedy Fork Baptist Church of Simpsonville. Under his leadership, church membership has increased over 75 percent. The church’s assets also have grown to include a $1.8 million facility that houses space for administration, education and family life center. The Rev. Simmons serves as regional vice president of the Baptist E&M Convention of S.C. Region 4, chair of the Reedy Fork Center for Community Development and member of the Meharry/Vanderbilt HIV/AIDS Taskforce. He also is a member of the GHS Minority Advisory Committee and a former member of the system’s Board of Trustees. An alumnus of South Carolina State University and the Interdenominational Theological Center–Morehouse School of Religion in Georgia, Simmons has completed studies at the Billy Graham School of Evangelism in Illinois and the Institute of Church Administration and Management of Georgia. Currently, he is pursuing his doctor of ministry degree from Morehouse School of Religion and received an honorary doctorate degree from the NJ Brockman School of Religion in 2006.
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C. Michael Smith

C. Michael Smith is president of Smith Development Company, a real estate company that manages light industrial buildings. Prior to that position, Smith was CEO of his family’s flooring distribution business, Orders Distributing Company, before the company was sold to Kraus Carpet Mills. Smith has served on the board or in a leadership position with organizations such as Wofford College, Upstate Carolina Angel Network and F.W. Symmes Foundation. He also has served on a number of industry boards, including the National Association of Floor Covering Distributors. He graduated with a BA in economics from Wofford College.

Spence M. Taylor, MD

Spence M. Taylor, MD, GHS President, joined the system in 1992. Dr. Taylor is responsible for leading this highly integrated organization, one of the largest not-for-profit healthcare providers in the Southeast. Before assuming his current leadership role, he served as vice president of Physician Engagement and as president & chief academic officer of GHS Clinical University. At GHS, he also has served as vice president of Academics, executive director of University Medical Group, and chairman and program director for the Department of Surgery. Under his leadership, GHS has experienced unprecedented growth and advancement in academics, including the establishment of the University of South Carolina School of Medicine Greenville, development of a unique education and research model called GHS Clinical University, and designation as an academic health center. He led the expansion of the general surgery residency, creation of the state’s only vascular surgery residency, and development of a minimal access surgery fellowship and vascular medicine fellowship. In addition to his roles with GHS, Dr. Taylor serves in a leadership capacity for several professional groups. He is vice chair-elect of the American Board of Surgery and will serve as chair beginning in 2018. He also is immediate past president and current council member for the Southern Surgical Association. Dr. Taylor is a practicing surgeon certified by the American Board of Surgery in general surgery and general vascular surgery. He also is a registered vascular technologist. Dr. Taylor has authored numerous book chapters, abstracts and journal articles. He holds the academic appointment of professor at the University of South Carolina School of Medicine Greenville, University of South Carolina School of Medicine Columbia and Clemson University. Dr. Taylor earned a BS in biochemistry from Clemson University and his medical degree from the Medical University of South Carolina, where he completed his internship and general surgery residency. He also completed a residency in peripheral vascular surgery at Baylor College of Medicine.
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Benjamin B. Waters III

Benjamin B. Waters III is a retired executive with more than 40 years of experience in project management, commercial construction and banking. His most recent role was president of Cunningham-Waters Construction Co. Inc., which he helped grow from a $500,000 company to a $10 million dollar company. Waters has served as a board member and president of the Greer Lions Club, director of the Greer Chamber of Commerce, and director and chairman of the board for the Citizens Building and Loan Association. He was a member and committee chair of the Governor’s Workforce Investment Board and served on the Governor’s Education Taskforce for Excellence in Public Education. Waters has served on boards affiliated with Greenville Technical College and North Greenville University as well. He holds a BA from The Citadel and an AS in civil engineering technology from Greenville Technical College. He also served as an officer in the United States Army for nearly a decade.

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Executive Team

GHS Executive Team

Spence M. Taylor, MD President

Gregory J. Rusnak Executive Vice President and Chief Operating Officer

James Ellis, MD Vice President of Clinical Affairs and Clinical Chief of Staff

Paul Johnson Vice President and Chief Operating Officer of the Central Region

George F. Maynard III Vice President of Institutional Advancement

Terri T. Newsom Vice President of Financial Services and Chief Financial Officer

Rich Rogers Vice President of Information Services and Chief Information Officer

Michelle Taylor-Smith Vice President of Patient Care Services, Chief Nursing Officer and Chief Experience Officer

Brenda J. Thames, EdD Vice President of Academic and Faculty Affairs

Jerry R. Youkey, MD Executive Vice President and Chief Academic Officer Dean, USC School of Medicine Greenville

Strategic Coordinating Organization Executive Team

Greenville Health System is part of a health company led by the Strategic Coordinating Organization (SCO). The SCO provides strategic direction and corporate services to its affiliates, including GHS.

Michael C. Riordan Chief Executive Officer

Joseph J. Blake Jr. Vice President, Chief Legal Officer

Malcolm W. Isley Vice President, Chief Strategy Officer

Angelo Sinopoli, MD Executive Vice President, Chief Clinical Officer

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Spence M. Taylor, MD, President, joined Greenville Health System in 1992. He is responsible for leading this highly integrated system, one of the largest not-for-profit healthcare providers in the Southeast with eight medical campuses (GHS is part owner of Baptist Easley), over 150 physician practice sites, 14,800 employees and operating revenues of $2.3 billion. Before assuming his current leadership role at GHS, Dr. Taylor served as the system’s Vice President of Physician Engagement and President of the GHS Clinical University. He also has served as GHS’ Vice President of Academics, Executive Director of the University Medical Group, and chairman and program director for the Department of Surgery. Under his leadership, GHS has experienced unprecedented growth and advancement in academics, including the opening of the University of South Carolina School of Medicine Greenville, development of a unique education and research model called GHS Clinical University, and designation as an academic health center. He led the expansion of the general surgery residency, creation of the state’s only vascular surgery residency, and development of a minimal access surgery fellowship and vascular medicine fellowship. In addition to his roles with GHS, Dr. Taylor serves in a leadership capacity for several professional groups. He is vice chair-elect of the American Board of Surgery and will serve as chair beginning in 2018. He also is immediate past president and current council member for the Southern Surgical Association. Dr. Taylor is a practicing surgeon certified by the American Board of Surgery in general surgery, general vascular surgery. He also is a registered vascular technologist. Dr. Taylor has authored numerous book chapters, abstracts and journal articles. He also holds the academic appointment of professor at the University of South Carolina School of Medicine Greenville, University of South Carolina School of Medicine Columbia and Clemson University. Dr. Taylor earned a bachelor’s degree in biochemistry from Clemson University and a medical degree from the Medical University of South Carolina in Charleston. He completed his internship and general surgery residency at the Medical University of South Carolina and a residency in peripheral vascular surgery at Baylor College of Medicine in Houston, Texas.
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Gregory J. Rusnak, Executive Vice President and Chief Operating Officer, joined Greenville Health System in 1996. In this role, Rusnak provides system-wide leadership for GHS’ hospitals and ambulatory sites, as well as operational oversight for this employed multi-specialty physician organization and the post-acute continuum. His scope of responsibilities spans several corporate support departments including financial services, supply chain, human resources and diversity, information services, quality and safety and population health administration. In addition, he sits on numerous healthcare and community-based boards such as the Care Coordination Institute and MyHealth First Network. Before joining GHS, Rusnak held senior-level positions with Sutter Health in Northern California and served as a hospital administrator at the University of Texas MD Anderson Cancer Center in Houston. Rusnak is a Fellow in the American College of Healthcare Executives and a member of the South Carolina Hospital Association. He earned a bachelor’s degree in biology from Gannon University in Erie, Pennsylvania, and a master’s degree in health services administration from George Washington University in Washington, D.C.
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Jim Ellis, MD, Vice President of Clinical Affairs and Clinical Chief of Staff, joined Greenville Health System in 2008. In this role, Dr. Ellis serves as the chief clinical strategic advisor and counsel to the GHS president and senior leadership regarding internal and external clinical issues, processes, procedures and communications. His focus is on relationship management of GHS’ employed physician group, as well as advanced practice providers and clinical staff. Before his current role, Dr. Ellis served as the medical director of GHS’ employed physician group. In his early years at GHS, Dr. Ellis helped build GHS’ urgent care network, which now consists of more than 30 physicians practicing at four locations serving approximately 100,000 patients annually. Prior to coming to GHS, he founded an emergency medicine group in Atlanta that, at the time, was the largest single specialty private group in Georgia with more than 40 emergency physicians. He has a professional interest in venue medicine having worked with the NFL, NCAA, MLB, NASCAR, LPGA, World Cup Soccer, and both Summer and Winter Olympic Games. He has coordinated team medical care for the NFL at the Super Bowl with Medical Sports Group for more than 20 years and worked 13 seasons as an associate team physician for the Atlanta Falcons. Dr. Ellis received his undergraduate degree from the University of North Carolina. He obtained his medical degree from Louisiana State University and completed an emergency medicine residency at Charity Hospital in New Orleans in 1988. He is an assistant professor of Clinical Emergency Medicine at the University of South Carolina School of Medicine Greenville and faculty with GHS’ Steadman Hawkins Primary Care Sports Medicine Fellowship Program. Dr. Ellis practices clinically at GHS’ MD360® Convenient Care.
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Paul Johnson, Vice President and Chief Operating Officer for the Central Region, joined Greenville Health System in 2011. Johnson oversees operations of GHS’ Greenville Memorial Medical Campus, North Greenville Medical Campus, Patewood Medical Campus and Simpsonville Medical Campus, as well as 142 practice sites and other health services offered in the Central Region. Before his vice president role at GHS, Johnson served as president of GHS’ Greenville Memorial Medical Campus. Prior to coming to GHS, he served as interim president and CEO and COO for Saint Joseph Health System in Atlanta. He also served as executive vice president for operations for WellStar Health System in Marietta, Georgia, and as president and CEO for Cobb Hospital and Medical Center in Austell, Georgia. He is a Fellow in the American College of Healthcare Executives. Johnson earned his bachelor’s degree from Indiana University and master’s in health administration from Duke University. He currently serves on the boards of the South Carolina Hospital Association, United Ministries and the Palmetto Region American Red Cross.
George F. Maynard III, Vice President of Institutional Advancement, joined Greenville Health System in 2003. Maynard is responsible for generating philanthropic revenue in support of the health system’s strategic plan and providing corporate leadership for the Bradshaw Institute for Community Child Health & Advocacy. Before joining GHS, Maynard served as a philanthropy consultant to several non-profit organizations and as president of the Orlando Health Foundation in Florida. Maynard is a Fellow in the Association for Healthcare Philanthropy (AHP) and, in 2007, received the Harold J. “Si” Seymour award for distinguished service to AHP and the field of philanthropy. He earned a bachelor’s degree in sociology from the University of Mississippi and a master’s degree in social work administration from the University of Tennessee.
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Terri T. Newsom, Vice President of Financial Services and Chief Financial Officer, joined Greenville Health System in March 2011. Newsom is responsible for all financial functions of the health system and its affiliates, including accounting, treasury, budgeting, revenue cycle, contracting, corporate integrity, facilities development and supply chain services. Before joining GHS, she was the associate vice president for ambulatory care finance at Duke University Health System and the divisional Chief Financial Officer of Duke Raleigh Hospital. Newsom has been involved in health care since 1991 when she joined Duke University Hospital as a senior budget and financial analysis analyst. While at Duke, she served on the boards of community and civic organizations and also was a member of the North Carolina Chapter of the Healthcare Financial Management Association. She earned a bachelor’s degree in accounting from Appalachian State University and is a certified public accountant.
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Rich Rogers, Vice President of Information Services and Chief Information Officer, joined Greenville Health System in 2012. He is responsible for the planning, implementation and management of information technology, clinical engineering and resources supporting the health system. Rogers has more than 20 years of experience in health information technology management. Before joining GHS, he served as senior vice president/CIO for Health First in Melbourne, Florida, as vice president of MIS for Lakeland Regional Health System in St. Joseph, Michigan, and as a healthcare consultant with IBM. Rogers is an active member in the College of Health Information Management Executives and the Health Information Management Systems Society. He received an MBA from Pace University in New York and a bachelor's degree in business administration from SUNY Oswego.
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Michelle Taylor-Smith, RN, MSN, NE-BC, FACHE, Vice President of Patient Care Services/Chief Nursing and Experience Officer, joined Greenville Health System in 2011. Taylor-Smith is responsible for strategic and operational leadership, while ensuring safe, high-quality patient- and family-centered care throughout the health system. Before joining GHS, Taylor-Smith served as senior vice president of patient services and chief nurse executive at TriHealth, Inc., in Cincinnati, and vice president and chief nursing officer for St. John Health in Michigan. She is a member of a number of organizations, including the American Organization of Nurse Executives, American College of Healthcare Executives and Health Advisory Board. She has served on the executive committees of the United Way, Lymphoma Societies, YWCA Board of Trustees, and advisory boards of Xavier University and the Medical College of Ohio. Taylor-Smith earned her bachelor’s degree from the University of Toledo and a master’s degree in nursing and business administration from the Medical College of Ohio. She is a board-certified nurse administrator and a Fellow in the American College of Health Executives. She currently serves on the Board of Trustees for South Carolina College of Healthcare Executives and on the Community Advisory Board for Clemson University. She also is 2017 Vice Chair of the Greenville Free Medical Clinic.
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Brenda J. Thames, EdD, Vice President of Academic and Faculty Affairs, joined Greenville Health System in 2007. In this role, Dr. Thames provides executive leadership for academics at GHS and its shared academic health center, which includes setting strategic direction and facilitating inter-institutional collaboration among GHS and its academic partners to ensure a vibrant learning environment that supports education and research initiatives. She also is responsible for building public/private partnerships to promote programs and initiatives that link education, research and patient care. She leads strategic academic initiatives that require collaboration among GHS clinical professionals and university faculty to expand healthcare education and research. Before joining GHS, Dr. Thames served as associate dean for research and graduate studies in the College of Health, Education and Human Development at Clemson University. Dr. Thames serves on numerous boards and committees representing the voice of health care, particularly from education and workforce perspectives. She earned a bachelor’s degree in home economics from Mississippi State University as well as a master’s degree in guidance and counseling and a doctorate in vocational and technical education from Clemson University.
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Jerry R. Youkey, MD, Executive Vice President and Chief Academic Officer of Greenville Health System and Dean of the University of South Carolina School of Medicine Greenville, joined GHS in 1998. Dr. Youkey is responsible for the operational initiatives and strategic direction of all graduate and professional studies offered at GHS. Before joining GHS, Dr. Youkey served as chief of the department of surgery and director of the peripheral vascular fellowship program at Geisinger Medical Center in Danville, Pennsylvania. He also served in the United States Army Medical Corps and was honorably discharged in 1984 with the rank of lieutenant colonel. Dr. Youkey is certified by the American Board of Surgery in general vascular surgery. He is a member of several professional societies and has authored numerous books, abstracts and journal articles. He holds the academic appointment of clinical professor and dean at the University of South Carolina School of Medicine Greenville. Dr. Youkey earned a bachelor’s degree in biology from Stanford University and a medical degree from the Medical College of Wisconsin. He served a rotating internship and general surgery residency at William Beaumont Army Medical Center in El Paso, Texas, and a fellowship in peripheral vascular surgery at Walter Reed Army Medical Center in Washington, D.C.

Strategic Coordinating Organization Executive Team

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Michael C. Riordan is the Chief Executive Officer of the Strategic Coordinating Organization (SCO). In this role, Riordan is responsible for setting the strategic direction of the health company and its affiliates, including GHS. Before the formation of the health company, Riordan served as President and CEO of GHS for 10 years. Under his leadership, GHS has become one of the largest not-for-profit health systems in the region with eight medical campuses (GHS is part owner of Baptist Easley), over 150 physician practice sites, nearly 15,000 employees and operating revenues exceeding $2 billion. Before joining GHS, Riordan served as President and CEO of the University of Chicago Hospitals and Health System and as senior associate hospital administrator for Emory University Hospital and Crawford Long Hospital in Atlanta, Georgia. He also served three years in the United States Marine Corps as a lieutenant. Riordan currently serves on the governing boards of the Association of American Medical Colleges Council of Teaching Hospitals and Health Systems, and Health Sciences South Carolina. He is Chairman of the Furman University Board of Trustees and serves on the board of Liberty Fellowship, an incubator for leadership in South Carolina.
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Joseph J. Blake Jr. is a Vice President and the Chief Legal Officer of the SCO. Blake provides legal support primarily related to the development of the health company’s business relationships and the SCO Board of Directors. He also oversees the work of the health company’s legal department, which provides legal support to the health company’s affiliates. Before the formation of the health company, Blake was Vice President of Legal Affairs and General Counsel for Greenville Health System for nine years. Blake previously served as shareholder and managing partner of Haynsworth Sinkler Boyd, P.A., a law firm in Greenville, South Carolina, specializing in corporate and healthcare law. While there, he served as lead corporate attorney for GHS for more than 15 years and was listed in The Best Lawyers in America® for more than a decade. Blake is a member of the South Carolina Bar and the American Healthcare Lawyer’s Association. He earned a bachelor’s degree in economics from Washington & Lee University in Lexington, Virginia, and a Juris Doctor degree from Emory University in Atlanta, Georgia.
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Malcolm Isley is a Vice President and Chief Strategy Officer of the SCO. In this role, Isley oversees strategy development for the health company and its affiliates, including GHS, as well as strategic planning, business and network development, marketing, affiliations, and mergers and acquisitions. He also serves as President of Initiant Health Collaborative, an organization aimed at reducing costs and increasing efficiencies for its member organizations. Members include GHS, McLeod Health, Medical University of South Carolina, Palmetto Health and Self Regional Healthcare. Before the formation of the health company, Isley was Vice President of Strategic Services for Greenville Health System for nine years. Prior to that, he served as Associate Vice President of Business and Network Development for Duke University Health System. Isley received a bachelor’s degree from North Carolina State University and a master’s degree in Health Administration from Duke University.
Angelo Sinopoli, MD, is Executive Vice President and Chief Clinical Officer of the SCO. In this role, Dr. Sinopoli is responsible for clinical care and the development of clinical integration and population health strategy for the health company and its affiliates, including GHS. With GHS, he provides leadership and guidance across a highly integrated delivery system of more than 1,800 providers to improve care delivery and promote operational efficiency, oversees the implementation and outcomes for population health and clinical integration activities, and drives GHS’ value-based contracting strategy with insurers and employers. Previously, Dr. Sinopoli served as Vice President of Clinical Integration and Chief Medical Officer for GHS. In this role, he directed all system clinical and physician operations, provided leadership across the care continuum in advancing population health, and led GHS’ development of clinical and operational competencies necessary for healthcare transformation, driving innovative change to enable a new model of care to foster healthy patients and communities while accomplishing the Triple Aim. He is a key leader regionally and nationally in the evolution of value-based care. Dr. Sinopoli serves on numerous committees and advisory groups focused on healthcare delivery and transformation. He is one of 24 Guiding Committee members for the CMS Health Care Payment Learning and Action Network (LAN) and is co-chair of LAN’s Data Infrastructure Action Collaborative. He is part of the Health Care Transformation Task Force, the ACO Learning Network and The Leader’s Board for Population Health Management. As a nationally recognized speaker, Dr. Sinopoli also presents on population health and healthcare transformation across the U.S. Dr. Sinopoli earned a bachelor’s degree in biology from the University of South Carolina and a medical degree from the Medical University of South Carolina. He holds a professorship position at the University of South Carolina School of Medicine.

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© Greenville Health System 2016