Community-focused health care

for the whole family

My Norton

Gary Degen
Prostate cancer: Fighting his prognosis with hope
Knowing the importance of regular screenings, Gary Degen began getting prostate-specific antigen (PSA) screenings at age 48, two years earlier than the recommended age. His screening at age 50 indicated abnormal cell growth. A cancerous nodule was found on his prostate and he immediately underwent surgery to remove the prostate gland. But Degen’s PSA level continued to rise even after his prostate was removed. A scan later revealed the cancer had spread to his spine, and he was given just 12 to 14 months to live.
Degen chose to fight his prognosis. He came to Norton Cancer Institute, which has the TrueBeam STx, one of the most advanced radiation systems available, and found new hope. He recalled Aaron C. Spalding, M.D., Ph.D., radiation oncologist, saying, “I think we can nail this.”
Degen had just one dose of radiation therapy with TrueBeam in August 2013, and today there is no evidence of cancer on his scans or PSA tests. Oncology unit opens on St. Matthews campus
Norton Healthcare expanded its cancer care capabilities with the opening of a renovated inpatient oncology unit at Norton Women’s & Kosair Children’s Hospital in St. Matthews during summer 2014. 
The unit is staffed by nurses who are chemotherapy- and biotherapy-certified by the Oncology Nursing Society. The unit features:
33 private rooms
A family waiting room
A library offering educational materials, a sitting room and a computer
An outdoor garden with reflective labyrinth
Laundry room
Exercise facility
Bill Kenneally: Hole-in-one cancer treatment New Yorker Bill Kenneally was in Louisville for the PGA 
Championship in August 2014 when he began feeling sick 
and went to see a doctor. He was quickly diagnosed with 
leukemia and started treatment in the new inpatient 
oncology unit at Norton Women’s & Kosair Children’s 
Hospital in St. Matthews. Watch Kenneally’s story of being 
at the right place at the right time.
Roger Cross
Following the signs to early detection of cancer
Roger Cross hasn’t let lung cancer slow him down. At 70, he owns and operates his own business transporting heavy machinery parts to manufacturers across the country. “It’s all about how you look at cancer,” Cross said. “You can let it get you down or not. I choose to go on, and the more I do, the better I feel.”
Cross was a smoker for 35 years, averaging two packs of cigarettes a day. He quit over 15 years ago after a health scare. “It was an easy thing to do,” Cross said about quitting smoking, “but you’ve got to want to quit.”
Cross received a low-dose lung CT scan, a painless screening method that uses high-speed, multi-slice CT scanning technology to identify suspicious lesions that can be a sign of cancer, after passing a downtown Louisville billboard promoting similar prevention and detection services. He visited the Norton Healthcare Mobile Prevention Center in the Jefferson Mall parking lot and inquired about available lung screenings. While the mobile unit did not offer the type of screening he was seeking, staff gave him the phone number to Norton Healthcare’s Low-Dose Lung CT Screening Program. He scheduled a screening, which uncovered a small spot on his lung that turned out to be cancer. He had surgery on April 4, 2014, and underwent four chemotherapy treatments at Norton Audubon Hospital.
“I have no doubt in my mind that God put that sign there for me to see,” Cross said.
Prevention services make a difference in our community
Early detection of serious health conditions can save lives. Norton Healthcare Prevention & Wellness is making it easier for individuals in our community to learn about their health risks and status in order to make more informed health care decisions. In 2014, Prevention & Wellness staff visited 232 locations in the Norton Healthcare Mobile Prevention Center, providing cancer and cardiovascular screenings. Fifty percent of these locations were in underserved areas of our community. The results: More than 2,600 Louisville-area residents were screened for cancer in 2014. Of them, approximately 23 percent had not been screened in the past five years. Twenty-five individuals were diagnosed and treated for pre-invasive or invasive cancer. Nearly 4,400 people were screened for high blood pressure, diabetes, high cholesterol and osteoporosis in 2014. Approximately 2,400 women received mammograms and/or Pap smears aboard the Mobile Prevention Center. In addition, our staff provided education on smoking cessation, diet and exercise. Bringing cutting-edge treatments to our community
Norton Healthcare is taking the lead in research throughout our medical community. With more than 650 active research studies taking place in all of its facilities — including Kosair Children’s Hospital, Norton Cancer Institute and Norton Community Medical Associates practices — Norton Healthcare has developed a tradition of excellence in research. We are one of the leading research sites in multiple sclerosis, stroke, cancer and cardiology, just to name a few, which means patients don’t have to travel or leave their support system for access to cutting-edge treatments.
“As health care is ever evolving, there is always a need to search for better treatments for diseases. Through participation in clinical trials, we can advance new medications and devices that can better treat certain conditions,” said Marti Gardner, director, System Clinical Research Operations, Norton Healthcare.
Ellie Beneke
After a head injury, every second counts
It was an unknowing race against time for Ashley Blacketer and Steve Beneke when their 7-year-old daughter, Ellie, fell out of a parked car onto the family’s concrete garage floor. According to Steve, there were no immediate warning signs of a serious injury. However, symptoms began appearing during the next few days and triggered Ellie’s parents to recognize that something serious could be wrong. After a visit to the pediatrician, Steve took Ellie to the emergency department at Kosair Children’s Hospital, where an epidural hematoma — a type of blood clot — was discovered during a computed tomography (CT) scan. Things moved fast for Ellie once the blood clot was detected. She was immediately sent to surgery and had a large segment of her skull removed to access the blood clot and stop the bleeding. Steve says while the procedure was invasive, there was minimal damage given the extent of the injury. “I do believe that she would not be here today if we had gone to any other hospital,” Ashley said. 
“Kosair Children’s Hospital is the only hospital [in our area] that has the resources to deliver that level of care.”
Jerren Harrison: Turning lemons to lemonade As a baby, Jerren Harrison had an infection that 
caused the growth plates in his thigh and shin 
bones to stop working. Watch Jerren’s story of 
undergoing more than 30 orthopaedic surgeries 
at Kosair Children’s Hospital to lengthen his bones 
and hear how he’s become an inspiration to those 
around him. Pediatric services expand in St. Matthews and downtown Louisville
The opening of a new pediatric inpatient unit at Norton Women’s & Kosair Children’s Hospital in 
St. Matthews in summer 2014 has expanded the reach of pediatric service for our community. “With the addition of these services and new facilities, we are able to meet the need for care and enhance positive outcomes for infants, children and adolescents,” said Charlotte Ipsan, RNC, MSN, NNP-BC, chief administrative officer, Norton Women’s & Kosair Children’s Hospital.
Kosair Children’s Hospital’s downtown campus also underwent major construction in 2014, including updates to its neonatal intensive care unit (NICU), the addition of an outpatient medical observation space, specially designed trauma elevators that are 1.5 times larger than the current transport elevators as well the addition of a new electrical switch gear to safeguard patients in the event of a catastrophic power loss at the facility.
Amber Rice
Awake and under the knife
Amber Rice’s brain tumor surgery could be the stuff 
of movies or nightmares, only for her it had a happy 
ending. Unlike most surgeries, she was awake during 
her entire procedure. Rice underwent an “awake 
craniotomy” to remove a brain tumor found after she 
started experiencing seizures during her pregnancy. 
According to David A. Sun, M.D., Ph.D., neurosurgeon 
with Norton Neuroscience Institute, Rice’s brain tumor was very close to her centers for language and mouth and tongue strength. By staying awake during the surgery, Rice was able to talk to the surgeons so they could evaluate her speech and mouth movements. Watch more of Rice’s story and her remarkable recovery. Innovative test makes diagnosing Parkinson’s easier
Up to 12 million people in the U.S. have some type of movement disorder, such as Parkinson’s disease, essential tremor or dystonia. DaTscan, a nuclear imaging test, is making it easier to diagnose Parkinson’s disease. The test is similar to an MRI and can detect areas in the brain that have undergone changes associated with Parkinson’s. Norton Healthcare is one of only two health care systems in Kentucky to offer the innovative test.
ALS clinic opens on downtown medical campus
The Norton Healthcare ALS Multidisciplinary Clinic opened in fall 2014. The clinic is located in the Norton Cancer Institute – Downtown building and specializes in the care of patients with amyotrophic lateral sclerosis (ALS). The clinic is staffed by a respiratory therapist, speech-language pathologist, occupational therapist, physical therapist and dietitian. In addition, clinic staff works closely with the Kentucky chapter of the ALS Association to provide patients with educational materials and other support services. The clinic makes it easier for patients to see all the specialists and resources they need in one location during one appointment.
Elwood Franklin
Beating stroke before it strikes
Just weeks after ringing in 2014, Elwood Franklin had a stroke while on the job as a bus driver for the Transportation Authority of River City (TARC).
“There were no major signs or symptoms earlier in the day,” Franklin said, recounting the events leading up to his stroke. “I was driving my route for TARC and couldn’t move the pedals. I was giving the bus gas, but it wasn’t moving. My foot was not responding to the messages my brain was sending it.” Recognizing something wasn’t quite right, Franklin called for relief. He would later discover he was in the process of having a stroke. Nadeem A. Talpur, M.D., neurologist and stroke specialist with Norton Neuroscience Institute, says strokes are the No. 1 cause of disability and the No. 4 cause of death among adults in the United States.
“Strokes are life-threatening and must be treated immediately,” Dr. Talpur said. “Time is very important to limiting the lasting effects of stroke.” Franklin is on the road to recovery and says he will continue to take medication and maintain a healthy lifestyle to avoid another stroke or other cardiovascular issue in the future. “I don’t know how this will affect me down the line,” Franklin said. “But I know that God gave me another chance to serve him better, and I’m going to take advantage of that.” Norton Healthcare hospitals receive stroke recognition
Each of Norton Healthcare’s adult-service hospitals has received Get With the Guidelines – Stroke recognition from the American Heart Association and American Stroke Association. Get With the Guidelines performance achievement indicators measure quality, patient care and outcomes. The award recognizes hospitals that are successful in implementing a higher standard of stroke care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. Going high tech to help the heart
Implantable cardioverter-defibrillators (ICDs) can save the lives of those at risk for sudden cardiac arrest. However, they can have dangerous risks, including damage to your heart. Norton Healthcare was the first health care system in the region to implant a subcutaneous ICD (S-ICD), 
a new, high-tech device that can have better outcomes for heart patients. “The S-ICD provides protection while leaving the heart and vascular system untouched,” said C. Bart Dawson, M.D., cardiologist with Norton Heart Specialists.

          orton Healthcare is built on a foundation of faith, generosity and values.
          We stand for compassion, integrity and safe, high-quality care.

Our employees truly live our values of respect, setting the standard for quality care, improving care and service, stewardship, accountability and integrity. You can see our values in action at our five flagship hospitals — Norton Audubon Hospital, Norton Brownsboro Hospital, Norton Hospital, Norton Women’s & Kosair Children’s Hospital and Kosair Children’s Hospital — as well as through specialty services available at Norton Cancer Institute and Norton Neuroscience Institute.

Our hospitals provide value-based care for more than half of all patients in Greater Louisville. Through the words of our patients this report aims to illustrate how we are helping to improve our community’s health and wellness.

Our mission drives us to care for our community through:

  • Our more than 12,000 employees, making us Louisville’s third largest private employer.
  • Our five hospitals with 1,837 licensed beds, seven outpatient centers, 13 immediate care centers and
    210 physician practice sites.
  • A network of more than 2,000 physicians providing care in our facilities, of whom more than 700 are employed physicians and providers.
  • Epic, an electronic medical records system that connects all Norton Healthcare sites. Patients have access to medical information and can communicate with their physicians through MyChart.

The care we provide would not be possible without our dedicated physicians and staff as well as the support of our donors through the Children’s Hospital Foundation and the Norton Healthcare Foundation.

Thank you for taking time to learn more about Norton Healthcare and the extraordinary work we do. If you have questions or thoughts, we’d like to hear from you. Click here to leave a comment or provide feedback.

 

Sincerely,

Stephen A. Williams                            Russell F. Cox                       Donald H. Robinson

Chief Executive Officer                       President                               Chair, Norton Healthcare Board of Trustees

N

Mission

Norton Healthcare’s purpose is to provide quality health care to all those we serve, in a manner that responds to the needs of our communities and honors our faith heritage.

Vision

We will be the region’s most comprehensive, strongest and preferred health care organization, setting the standard for quality and caring.

Faith history

Norton Healthcare’s faith history includes its founding organizations and other faith communities: Episcopal Church, United Methodist Church, United Church of Christ, Presbyterian Church and Roman Catholic Church.

Values

At Norton Healthcare, we will:

     • Respect every person

     • Set the standard for quality and caring

     • Continually improve care and service

     • Demonstrate stewardship of resources

     • Accept accountability for results

     • Succeed with integrity

Our   eadership

Our Stories

The American Cancer Society recommends prostate cancer screenings at age 50 for men with no symptoms or family history of the disease. Men at higher risk, including African Americans and those with a family history of prostate cancer, should get screened by age 40 or 45.

ALS affects about five out of every 100,000 people worldwide, according to Norton Neuroscience Institute. The disease is believed to be inherited in 5 to 10 percent of cases.

 

Up to 80 percent of all strokes can be avoided through preventive measures,

such as:

  • Knowing your blood pressure numbers
  • Knowing your cholesterol levels
  • Keeping your heart healthy
  • Quitting smoking
  • Managing alcohol use
  • Managing diabetes
  • Staying active and maintaining a healthy diet
  • Seeking treatment for circulation issues

 

Our Financials

Norton Healthcare provided more than $12.3 million in community benefits each month of 2014: $4.71 a second

Click for a downloadable PDF.

Our Future

Population health at Norton Healthcare We are changing the way we provide care to better serve our community by embracing “population health” — an emerging health care strategy focused on preventive and proactive care. What does population health mean?
Population health isn’t a fast fix but rather a long-term 
initiative that will require us to change the way we think 
about patient care and service. Population health puts 
us in a position to better meet the needs of our growing 
community through a focus on making and keeping 
individuals and families healthy rather than just treating 
people when they are sick. Population health emphasizes routine primary care and the concept of a patient-centered medical home as the gateway to coordinated care, illness prevention and consistent care for chronic illnesses. It takes a more holistic approach to each patient’s overall health and wellness, thereby leading to measurable health improvements across an entire population. How do we do change our model to population health?
It is a work in progress. Teams have been set up to help integrate population health into our health care system. Together, they will work to align our clinical transformation strategies, physician education and support as well as financial practices so we can continue to evolve into the population health model. We will begin with smaller, manageable community populations and eventually add others so that, in time, the majority of people who come through a Norton Healthcare door for care will be included in our new approach to health care. If this change is years away, why start now?
We understand the community benefits from this new approach to health care. By taking a leadership position now and “reinventing” the way we provide care over time, we have the opportunity to create our future on our own terms. Watching and waiting means reacting to change and dealing with greater uncertainty. And, by starting now, our community will start seeing the benefits of this new way of health care sooner.

Norton Healthcare Board of Trustees and Senior Executive Management

Norton Healthcare
board of trustees

 

Chair

Donald H. Robinson

 

Vice chair

Maria G. Hampton

 

Chair emeritus

R.K. Guillaume

 

Honorary chair emeritus

Richard S. Wolf, M.D.

 

Maria L. Bouvette

Brendan Canavan

Sue Davis

Craig D. Grant

Louis S. Heuser, M.D.

Martha K. Heyburn, M.D.

Richard R. Ivey

Ronald Lehocky, M.D.

Gail Lyttle

Gregory E. Mayes

Joseph J. McGowan

Edie Nixon

Barry Pennybaker

Erwin Roberts

G. Hunt Rounsavall

The Rev. William J. Schultz

Gary L. Stewart

James L. Sublett, M.D.

Stephen A. Williams

 

 

Norton Healthcare Foundation board of directors

 

Chair

Krista Ward

 

Past chair

Gary L. Stewart

 

Chair-elect

Lee K. Garlove

 

Secretary

Holly Schroering

 

Treasurer

Mark Mosley

 

Justin Baker

George Bell

Chris Bingaman

Judge Denise Clayton

Jeffrey Cumberbatch

David Dafoe

Michael Esposito*

Sydney Goetz

Karen Hale

John Harryman**

Christopher Hass

Robert R. Iliff

Patricia F. Kantlehner

Barbara Kramer

Charles Leanhart, CPA

Janet Lively

Lisa McClure

Lynnie Meyer, Ed.D., R.N., CFRE*

The Rev. Ronald C. Oliver, Ph.D., BCC*

Curtis L. Royce

Connie Simmons

Louis R. Straub II

Angela Tafel

James Turner

 

*Permanent director by designated office

**Ex officio without vote

Children’s Hospital Foundation board of trustees

 

Chair

Cindi Shrader

 

Vice chairs

Peter Tevebaugh

Marita Willis

 

Secretary

Tonii Rizzo

 

Treasurer

Paul Oberst

 

Terrian C. Barnes

Ryan Bridgeman

Ashley Novak Butler

Mitchel T. Denham

Jose Neil Donis

Bruce Dudley

William J. Ehrig

Robert D. Evans

Amy L. Garlove, M.D.

Christina Huey

Mimi Hwang

Dana Johnson

Shawna Jones

Karen L. Keith

Thomas D. Kmetz*

Lynnie Meyer, Ed.D., R.N., CFRE*

Rachel Miles

Elaine Morgan*

The Rev. Ronald C. Oliver, Ph.D., BCC*

Dennis Parrett

Becky Petrino

G. Hunt Rounsavall Jr.

Dale Schaefer

Eddie Smith

Debbie Waiz

Richard S. Wolf, M.D.

 

*Serve by virtue of office

Norton Healthcare senior executive leadership

 

Chief officers

Stephen A. Williams

Chief Executive Officer

 

Russell F. Cox

President

 

Executive officers

Michael W. Gough

System Senior Vice President

Chief Financial Officer

 

Steven T. Hester, M.D., MBA

System Senior Vice President

Chief Medical Officer

 

Tracy E. Williams, DNP, R.N.

Senior Vice President

System Chief Nursing Officer

P.O. Box 35070

Louisville, KY 40232-5070

NortonHealthcare.com