THE METROHEALTH SYSTEM
2016 ANNUAL REPORT
Leading the way to a healthier you and a healthier community through service, teaching, discovery and teamwork.
CUYAHOGA COUNTY SUBSIDY
OF TOTAL OPERATING REVENUE
ADJUSTED OPERATING INCOME*
*Adjusted operating income excludes non-recurring charges for one-time investments and transitional costs relating to the integration of new locations and the non-cash expenses associated with the recognition of GASB 68 (pension).
IN THE U.S.
It’s devastating to families and it’s devastating to us. In 2015 (the most recent data), 155 babies in Cuyahoga County were born alive but didn’t live to their first birthday. That’s part of the reason Ohio ranks 44th in the country in infant mortality.
Though we were already offering a lot of support parenting classes, excellent prenatal care including for highrisk pregnancies, doulas, a Level III Neonatal Intensive Care Unit (NICU), breastfeeding specialists, cribs, baby clothing and specialized pediatrics the infant mortality statistics told us more had to be done. We know we can have an effect on the main causes of infant mortality premature birth, unsafe sleep environments and birth defects.
That’s why we’ve partnered with the city of Cleveland,Cuyahoga County and others in First Year Cleveland, a community-wide response to infant mortality. Three programs that we initiated in 2016 are making a difference:
In 2016, Cuyahoga County saw more than 500 deaths due to heroin and fentanyl overdoses, more than doubling the deaths in 2015. Joan Papp, MD, one of our Emergency Department physicians, said “not doing something felt morally wrong.” She explained that during the last decade she was witnessing a “slow-motion train wreck” — the steady rise in the number of opioid overdoses locally and nationally.
She did “something,” and much more. Dr. Papp is the leading force behind Project DAWN (Deaths Avoided With Naloxone), a community-based overdose education program that distributes naloxone, the drug that reverses opioid overdoses. Since its beginning in 2013, more than 5,000 kits have been distributed in Cuyahoga County, accounting for more than 799 known opioid overdose reversals.
Dr. Papp helped create and get passage of two state bills that get naloxone into the hands of emergency responders and friends and family members of those likely to overdose. She also worked with Senator Rob Portman for passage of the Comprehensive Addiction and Recovery Act (CARA), which authorizes an increase of more than $180 million a year for federal opioid programs. The next step? The Office of Opioid Safety, which MetroHealth will launch in summer 2017. Its goals are to help providers better recognize patients at risk of addiction, connect patients to recovery services and educate providers about safer prescribing. We’re trying to get to the front end of the epidemic through prevention.
A year ago if you had asked Endia what she wanted to do as an adult, she wouldn’t have imagined what she is so sure about now. She wants to be a nurse with Metro Life Flight.
As a Cleveland Metropolitan School District 10th grader, Endia, with encouragement from her father, chose to attend Lincoln-West School of Science & Health when it opened last August inside MetroHealth Medical Center. Probably the fi rst high school in the country to be in a hospital, it offers students shadowing experiences in the varied careers health care offers. These include direct medical care, of course, and also areas such as accounting, food service, pastoral care, strategic planning and, yes, being part of the helicopter flight crew.
Endia said life can be impersonal, with so much daily technology. But seeing the Metro Life Flight dispatchers in action and watching the medical team’s expertise with patients, she saw how human interaction made it all work. And that was it, she was smitten. Now, every morning at school she asks if she can observe Life Flight that day.
School has become an exciting place for Endia who has impressed teachers with her determination and academic success. The youngest of eight kids, Endia will be the first in her family to go to college. Her siblings are proud of her and expect her to soar.
It all started in the Hispanic community near MetroHealth Medical Center. A MetroHealth community health advocate met with Latina faith leaders and other community partners to ask them about what they thought could improve the health of the community. The enthusiastic response resulted in the formation of VIDA!, a coalition with an initial focus on food. There was a lot of interest in learning to prepare traditional dishes, like pollo guisado (stewed chicken) and arroz con habichuelas (rice and beans) in ways that wouldn’t perpetuate the high rates of diabetes, obesity and liver disease in their community. The outgrowth was “Community Health Cooks,” a training program that works in partnership with the women’s ministries of four Hispanic congregations in the Clark-Fulton neighborhood.
A local chef adapted the dishes the nucleus of women chose, creating recipes that are affordable, accessible to the neighborhood, nourishing and culturally appropriate. A nine-week training program was structured so that the women — some in mother/daughter teams — perfected the preparing and presentation of nutritional, ethnic meals. Their graduation night saw the serving of Mexican, Columbian and Guatemalan dishes, and a commitment to perpetuate what they learned. The newly-trained cooks are teaching their families, friends and other church members. Cooking together, socializing and encouraging each other has already resulted in families exercising more, losing weight and being able to wean off some medications as their health improves.
NOW NUTRITIOUS INGREDIENTS CAN BE PURCHASED AT METROHEALTH’S FARM STAND, OPEN TO THE PUBLIC, SPRING AND SUMMER AT METROHEALTH MEDICAL CENTER.
The two-story expansion of our Critical Care Pavilion was the first construction in our planned multi-year transformation. The addition of 85 state-of-the-art ICU rooms and a Special Disease Care Unit, 100,000 square feet in all, was built above our Emergency Department. Finished in July 2016, the $82 million project was completed on time and under budget. That’s the way we like to do business!
From now through 2023, we’ll be building new, tearing down old and building new again so we ultimately have facilities that match our technology and expertise. It’s what you, our community, deserve.
A new parking garage will be completed in 2018, followed by a central utility plant, other support buildings and a 12-story hospital to replace the current one. The new hospital will back up to the southern part of our campus. This will make room for a large grassy area planned as a neighborhood recreation and gathering spot. And we’re helping revitalize the West 25th Street corridor, too.
Throughout the entire process, we’re committed to a diverse workforce with many local and minority-owned businesses. At the same time, we’ll continue growing the number of our locations across Cuyahoga County so everyone will be close to great MetroHealth care. All this progress is estimated to support 5,618 jobs and result in $873.3 million in economic benefit for the county.