2011-08-12T14:50:53-05:00 2010-09-30 BKD LLP 400 E MAIN ST STE 200 PO BOX 1196 BOWLING GREEN KY 421021196 990 2009-10-01 610492356 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER EPHR 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 WILLIAM M SNAPP 2011-08-12 true KIM SCIFRES 2707810111 2009 2016-02-24 21:20:13Z VICKI A DARNELL 217 SOUTH THIRD STREET DANVILLE KY 40422 137294279 false X WWW.EMRMC.COM X 1972 KY THE ORGANIZATION'S PRIMARY MISSION IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO THE 140,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE REGION IN SOUTH CENTRAL KENTUCKY. 17 14 1233 421 2576285 9942 85389 169925 130780626 136405885 836122 15119 1209011 691569 132911148 137282498 0 0 0 0 55836876 59172587 0 0 0 66629486 70040271 122466362 129212858 10444786 8069640 155603586 163786821 10092719 10206314 145510867 153580507 THE ORGANIZATION'S PRIMARY MISSION IS TO PROVIDE HEALTH CARE AND RELATED SERVICES TO THE 140,000 INDIVIDUALS RESIDING WITHIN ITS SERVICE REGION IN SOUTH CENTRAL KENTUCKY. false false 114141966 136405885 SEE SCHEDULE O 114141966 true true false true false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false true true false false true 83 0 true 1233 true true true false false false false false false false false 17 14 false false false false true true true true true false false true true true true true true true true true true KY X EPHRAIM MCDOWELL HEALTH 8592392424 217 SOUTH THIRD STREET DANVILLE KY 40422 DENA DEMAREE 3.0 X 0 3300 0 WALTER GOGGIN 3.0 X 0 3300 0 JUDY HAMMONS 3.0 X 0 3300 0 DAVID HOPPER MD 3.0 X 0 2850 0 JAMES JACOBUS 3.0 X X 0 3300 0 MARK MORGAN 3.0 X 0 3150 0 KIM RAGLAND PH D 3.0 X 0 3150 0 SUSAN ROUSH 3.0 X 0 2550 0 BOB ROWLAND 3.0 X X 0 2700 0 WILLIAM RUTH III 3.0 X 0 3300 0 QUENTIN SCHOLTZ III 3.0 X 0 3150 0 ALAN TURBYFILL 3.0 X X 0 3150 0 BARTON RAMSEY III MD 3.0 X X 0 3000 0 JONATHAN E RICKER MD 3.0 X 12400 3400 0 DONALD HAMMER MD 3.0 X 10923 3150 0 THOMAS SEREY MD 3.0 X 22094 3150 0 RODNEY BATES MD 3.0 X 0 3000 0 L CLARK TAYLOR JR 28.0 X 433773 179074 124018 WILLIAM SNAPP 28.0 X 207297 85579 44681 VICKI DARNELL 28.0 X 303222 125178 61227 SALLY DAVENPORT 40.0 X 222173 0 72039 CARL METZ 40.0 X 221441 0 35314 MELBORNE WILLIAMS MD 40.0 X 388960 0 22678 JOAN HALTOM 40.0 X 161967 0 24662 RONALD BARBATO 40.0 X 158225 0 17659 ANDREW LOSCH 40.0 X 163045 0 6383 TINA COOLEY 40.0 X 144284 0 655 MARY BEGLEY 0.0 X 204490 0 3664 2654294 442731 412980 32 true true false ARUP LABORATORIES PO BOX 27964 SALT LAKE CITY UT 84127 LAB SERVICES 426522 KENTUCKY BLOOD CENTER 3121 BEAUMONT CENTER CIRCLE LEXINGTON KY 40512 BLOOD PRODUCTS 668604 WESTLAKE FINANCIAL INC 1477 BARCLAY BLVD BUFFALO GROVE IL 60089 HR SERVICES 534698 MARSHALL EMERGENCY SERVICES 4104 TATES CREEK CTR STE 194 LEXINGTON KY 40517 PHYSICIAN SERVICES 477028 ETRANS 2525 PERIMETER DR STE 133 NASHVILLE TN 37214 TRANSCRIPTION 540473 17 169925 169925 NET PATIENT REVENUE 621110 131880470 129685993 2194477 PHARMACY REVENUE 446110 1895579 1877048 18531 JOINT VENTURE INCOME 621110 2051826 2051826 OTHER OPERATING 621110 214733 214733 REFERENCE LAB 621500 363277 363277 136405885 59 59 0 0 38946 38946 38946 38946 26841 11781 15060 15060 15060 0 0 0 VENDING COMMISSION 900099 14083 14083 CAFETERIA 722210 638540 638540 652623 137282498 133829600 2576285 706688 0 0 0 0 1609052 1609052 0 44426613 39513928 4912685 2039520 1789747 249773 7796183 6841412 954771 3301219 2896930 404289 0 0 137062 137062 0 0 0 17183134 15604037 1579097 22256 17674 4582 24909509 23760617 1148892 1353808 284457 1069351 0 1968885 1796328 172557 152449 99713 52736 0 38928 8146 30782 1582294 1582294 0 7544646 7544646 1252222 10639 1241583 SHARED RESOURCE ALLOCATION 286496 286496 BAD DEBTS 7718804 7718804 TAXES & LICENSES 2415764 2308574 107190 REPAIRS & MAINTENANCE 2801248 2302485 498763 MEALS 244177 24648 219529 428589 36887 391702 0 129212858 114141966 15070892 0 2040 2040 73839 56685 14837058 13318621 3132033 3350233 1140711 1195989 151960174 83367288 71952511 68592886 980933 1331758 63484461 75938609 155603586 163786821 10080577 10075844 12142 0 0 130470 10092719 10206314 X 145491577 153561717 19290 18790 145510867 153580507 155603586 163786821 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 11417 11417 LOBBYING EXPENDITURES SCH. C, PART III-B, LINE 1I A PORTION OF DUES PAID TO THE KENTUCKY HOSPITAL ASSOCIATION (KHA) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) ARE USED FOR LOBBYING. 2153765 2153765 67476954 26134680 41342274 2806275 1101248 1705027 74870806 55098140 19772666 4652374 1033220 3619154 68592886 SCHOLARSHIP ACCOUNT 19483 PHYSICIAN INCOME GUARANTEE 710231 DUE FROM RELATED PARTIES 75185856 SLEEP LAB - GOODWILL 23039 DUE FROM THIRD PARTY PAYORS 0 75938609 0 DUE TO THIRD PARTY PAYORS 130470 130470 137282498 129212858 8069640 8069640 137097513 137097513 184985 184985 137282498 129027873 129027873 184985 184985 129212858 RECONCILIATION TO AUDIT REPORT SCH D, PART XII LINE 4B AND SCH D, PART XIII LINE 2D CONTRIBUTIONS INCLUDED IN EXPENSE PER AUDIT $165,000 GAIN ON SALE OF ASSETS INCLUDED IN EXPENSE PER AUDIT 15,060 INTERCOMPANY CONTRIBUTION EXPENSE 4,925 --------- $184,985 INCOME TAXES SCH D, PART X, LINE 2 THE CORPORATION AND CERTAIN AFFILIATES (MEDICAL CENTER, RESOURCE, FOUNDATION, FORT LOGAN AND ACP) HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE CORPORATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. CONSOLIDATED SUBSIDIARIES THAT ARE NOT EXEMPT FROM INCOME TAXES HAD NO MATERIAL TAX LIABILITY. THE CORPORATION FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007. true true X true true X true false true true 1 11462 9073548 1502640 7570908 0.06240 1 21671 14559036 9412643 5146393 0.04240 2 33133 23632584 10915283 12717301 0.10480 562 13491 693540 693540 0.00570 12 28268 17481451 15268430 2213021 0.01820 574 41759 18174991 15268430 2906561 0.02390 576 74892 41807575 26183713 15623862 0.12870 10 1257 1257 10 1257 1257 true 2911037 49083977 50074728 -990751 X true true CNTL KY SURGERY CTR ASC 0.60000 0.40000 BLUEGRASS IMM CARE URGENT TREATMENT CLINIC 0.73000 0.27000 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER

217 SOUTH THIRD STREET DANVILLE KY 40422

X X X THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. Amounts reported on Lines 5 and 6 were based on the corporation's Medicare Cost Report. In 2008, Professional Research Consultants (PRC) was engaged by Ephraim McDowell Regional Medical Center (EMRMC) to conduct a needs assessment of Boyle County. Three years later, PRC has again been engaged, this time to re-assess the service area that includes Boyle and the surrounding counties. The 2011 survey will consist of a telephone interview process and a focus group. Telephone interviews will be stratified by ethnicity, age, gender and economic status proportionate to the population base. The focus group will be comprised of invitees from all six counties, including representation from the medical staff leadership of Ephraim McDowell Health (EMH), health department directors, county judge executives, educators, the Salvation Army, Heart of Kentucky United Way and other social agencies. The 2011 report is due third quarter. Mortality, morbidity, lifestyle, incidence of chronic disease, injury data, and disability data were part of the assessment process. Healthy People 2010 was the bench mark data for the 2008 study. EMRMC's charity care policy is posted on the www.emhealth.org website. At registration of self-pay clients, information is given on reduced fee, charity application, and a referral to a financial counselor. The free community screenings are posted on the website and in area newspapers if the hosting organization invites community participation. Some events are discussed on local radio. Information regarding the free clinic is also given by healthcare providers, faith community nurses, case workers and other medical professionals. The health system serves Boyle, Mercer, Casey, Lincoln, Garrard and Washington counties, which have a rural population of approximately 113,000. Access is an issue, due to travel barriers such as out-of-date highways and lack of public transportation. These access issues influenced the decision to serve with free screenings at key gathering places such as churches and schools, etc. Insurance coverage is another issue. There are large numbers of uninsured or underinsured in this service area, and their numbers have increased as some industries have moved out. There is also literacy issues linked to high drop-out rates within the school systems. Literacy issues translate to poverty and poor health. The 2008 community health risk behavior assessment of need exceeded the resources of Ephraim McDowell Health system. The entire report was made available to anyone upon request, shared, discussed and prioritized with input from the Boyle County Health Department, The Salvation Army, Heart of Kentucky United Way and EMH leaders. The focus of resources has been on cardiovascular disease since this is the number-one killer in the world, the US, our state and our region. In fact, the local incidence exceeds state levels. Second priority has been education, early detection and prevention related to skin, colorectal and prostate cancer - again due to local incidence exceeding the state rate. Because of a federal grant, there has been funding for personnel as well as for free mammograms and cervical cancer screening for all six counties. This was done in collaboration with the county health departments. The third priority has been obesity. Again Kentucky is the least active state, and rates of obesity are rising faster here than in the nation generally. Priority groups to reach are low income, uninsured, minority populations, elderly, school age children, and rural populations. We take our screening services to the communities served rather than being hospital or clinic based in an effort to increase access. Schools, county extension offices, health departments, churches and stockyards are the most common venues for services. Much work has been done in collaboration with the school systems to measure body mass index (BMI) starting in middle school and track through to graduation. Course materials to address how to alter BMI have been addressed within the school systems. EMH's Community Service staff collaborated with the Coordinated School Health Committees that were formed in Lincoln and Boyle counties to address the health needs of students and staff. The Basic Faith Community Nursing Course is taught by EMH's Community Service staff to assist churches with establishing health ministries, which help monitor the health of their congregation and act as health advocates for their members. An Alzheimer's Support Group is led by an adult psychiatric and mental nurse practitioner at McDowell Place on a monthly basis to support our dementia patients and their families. Given that Kentucky has an older-than-normal population, the incidence is higher and growing. Reduced-fee clinics are available for those meeting the federal guidelines. We also work with the local health departments for assistance for those that meet guidelines. The Hope Clinic & Pharmacy was founded to provide free care for uninsured clients with diagnoses that most frequently use emergency departments for management of their chronic disease(s) type II diabetes, hypertension, hyperlipidemia, GERDs and obesity. Those that are at 150% or less of the federal poverty guidelines are provided free primary care services and medications as the result of a collaboration among EMH, The Salvation Army, Heart of Kentucky United Way, The Presbyterian Church of Danville, the Boyle County Health Department and the Ephraim McDowell Health Care Foundation. Other needs are often impacted and improved by addressing the top priorities. The advisory group has met annually to assess progress and discuss the next year's work plan. Priorities have not changed since the establishment of the community service department due to the region's vast need. Case finding and early intervention have increased. For those needs identified within the survey that are not directly addressed by our plan due to resource limitations (both financial and human), referrals are made on a case-by-case basis in collaboration with social agencies and other health systems. Also, many of the needs are met through the charity care program. Officers and staff of EMRMC are engaged in leadership positions with the following: Boyle County Relay for Life; Boyle County Health Department; Mercer County Health Department; Chamber of Commerce and Economic Development agencies in Boyle, Lincoln and Garrard counties; Boyle County School System; 4-H Council; Danville Rotary Club; Heart of Danville; McDowell House; Christian Care Communities; Foundation for Healthy Kentucky; Kentucky Hospital Association and Danville Kiwanis. Staff has also given testimony at local, state, and federal levels related to our service area's health, education and economic issues. EMRMC has an open medical staff comprised of primary care, specialists and subspecialists. Physician recruitment is based upon community need with approval from the governing board. The EMRMC and EMH system boards are comprised of community members with representation from the medical staff and senior leadership and the Fort Logan Hospital Board. The governing board approved the establishment and funding of the Community Service department and the funding of the health risk behavior assessment of Boyle County. They also approved the charity care policy. There is never a fee for services provided by the Community Service department. With H1N1 outbreak, the Community Service department approached churches in the six-county area with hand-washing signs, "Cover your Cough" posters and floor-stand hand sanitizers to help reduce the risk of the spread of flu within congregations and communities. Preventative care, such as flu shots, are taken to the community. So, too, are annual skin cancer checks, monthly blood pressure checks, semi-annual glucose and cholesterol checks, along with nurse consults. Such services are offered in schools, churches, and other public entities in the region, including the stockyards in Lincoln County. EMRMC is a 222 licensed bed acute care hospital serving the community for nearly a century as part of Ephraim McDowell Health (EMH). EMH is a comprehensive, integrated healthcare delivery system that serves 113,000 residents from six counties in south central Kentucky. The EMH Board is comprised of community members and representation from Ft Logan Hospital, medical staff, and EMRMC leadership. Ft Logan Hospital is a critical access hospital located in Lincoln County. Health Resource is comprised of clinics, an early childhood development center, assisted living faculty, and durable medical equipment outlets. There are representatives from our six counties, medical staff, and leadership on the community board that oversees and coordinates the services of Ephraim McDowell Health. KY X X X X X true false false false false true false false false L CLARK TAYLOR JR 345138 142483 70486 29099 18149 7492 63209 26094 24571 10144 521553 215312 70486 29099 WILLIAM SNAPP 171706 70885 23837 9841 11754 4853 13454 5554 18171 7502 238922 98635 23837 9841 VICKI DARNELL 222858 92002 53038 21895 27326 11281 22429 9259 20908 8631 346559 143068 53038 21895 SALLY DAVENPORT 181892 0 18080 0 22201 0 55000 0 17039 0 294212 0 18080 0 CARL METZ 169800 0 12527 0 39114 0 16077 0 19237 0 256755 0 12527 0 MARY BEGLEY 87830 0 10002 0 106658 0 0 0 3664 0 208154 0 10002 0 MELBORNE WILLIAMS MD 191414 0 195680 0 1866 0 0 0 22678 0 411638 0 195680 0 JOAN HALTOM 140436 0 7942 0 13589 0 9342 0 15320 0 186629 0 7942 0 RONALD BARBATO 133818 0 9836 0 14571 0 2651 0 15008 0 175884 0 9836 0 ANDREW LOSCH 134907 0 5819 0 22319 0 0 0 6383 0 169428 0 5819 0 Severance Payments Schedule J, Part I, Question 4a Mary Begley received severance payments in the amount of $106,658 for the calendar year ended December 31, 2009. Schedule J, Part I, Question 6a Ephraim McDowell Health, Inc. and its affiliates have management incentive plans for corporate officers, senior vice-presidents, vice-presidents and directors. Annual payouts related to these incentive plans have two components. 30% of the annual payout is based on net operating income goals compared to budget. The other 70% is based on quality measures, patient satisfaction goals, associate satisfaction goals, and safety measures. If the corporation does not meet budget than payouts are not made. PROCESS TO REVIEW FORM 990 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD AND COPIES OF THE RETURN ARE SUBMITTED TO THE FULL BOARD VIA EMAIL PRIOR TO FILING. MONITORING THE CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12B AND 12C THE GOVERNING BOARD MEMBERS FILL OUT CONFLICT OF INTEREST FORMS ANNUALLY. PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, SECTION B, LINE 15A AND 15B EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS PART OF AN INTERGRATED HEALTHCARE DELIVERY SYSTEM WHOSE PARENT IS EPHRAIM MCDOWELL HEALTH, INC. COMPENSATION FOR ALL AFFILIATES IS OVERSEeN AND COORDINATED THROUGH EPHRAIM MCDOWELL HEALTH, INC. THE MERCER GROUP, INDEPENDENT CONSULTANTS, CONDUCTED A REVIEW IN 2009 FOR ESTABLISHING REASONABLE COMPENSATION OF OFFICERS AND KEY EMPLOYEES FOR THE SYSTEM. THE ORGANIZATION ALSO UTILIZED COMPENSATION STUDIES. THE COMPENSATION IS APPROVED BY THE COMPENSATION COMMITTEE OF THE EPHRAIM MCDOWELL HEALTH, INC. BOARD OF DIRECTORS. THE DECISION AND PROCESS IS DOCUMENTED BY THE COMMITTEE. MAKING FORMS AVAILABLE TO THE PUBLIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COMMON PAYMASTER FORM 990, PART V, LINE 2A EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER IS THE COMMON PAYMASTER FOR THE FOLLOWING RELATED ORGANIZATIONS: EPHRAIM MCDOWELL HEALTH, INC. EPHRAIM MCDOWELL HEALTH RESOURCE, INC. EPHRAIM MCDOWELL HEALTH CARE FOUNDATION, INC. JOHN HILL BAILEY CHILDREN'S LEARNING CENTER, INC. EMHFL, INC. COOPERATIVECARE, INC. ALL SALARIES AND PAYROLL TAXES ARE REPORTED ON A CONSOLIDATED FORM 941. THE EIN ON THE FORM 941 IS 61-0492356. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B EPHRAIM MCDOWELL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER. EPHRAIM MCDOWELL HEALTH, INC., A RELATED 501(C)(3) ENTITY, IS THE PARENT ORGANIZATION OF AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EPHRAIM MCDOWELL HEALTH, INC. ELECTS BOARD MEMBERS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER ON AN ANNUAL BASIS. THE BYLAWS OF EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER REQUIRE APPROVAL OF CERTAIN TRANSACTIONS BY EPHRAIM MCDOWELL HEALTH, INC. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER (EMRMC) IS A NOT-FOR-PROFIT, 222-BED LICENSED LEVEL 3 TRAUMA CENTER DEDICATED TO SERVING THE HEALTH AND WELLNESS NEEDS OF THE POPULATIONS OF BOYLE, LINCOLN, MERCER, GARRARD, CASEY AND WASHINGTON COUNTIES. EMRMC IS DEDICATED TO SERVING THE HEALTH AND WELLNESS NEEDS IN BOYLE AND SURROUNDING COUNTIES. FACILITY SERVICES INCLUDE: BEHAVIORAL HEALTH, CANCER CARE CENTER, OUTPATIENT CANCER CARE-CENTRAL KENTUCKY CANCER PROGRAM (CKCP), CARDIAC CARE SERVICES, CRITICAL CARE, DIABETES AND ENDOCRINOLOGY, DIAGNOSTIC SERVICES, LEVEL III TRAUMA EMERGENCY CARE - CENTER, KIDS CAN DO PEDIATRIC THERAPY CENTER, LABORATORY SERVICES, MEDICAL/SURGICAL SERVICES, ORTHOPEDIC/SPINE CARE, PASTORAL CARE, PAIN MANAGEMENT CENTER, PULMONOLOGY REHABILITATION, RESPIRATORY THERAPY, SKILLED NURSING CARE, SLEEP DISORDERS CENTER, SPINE PHYSICAL THERAPY, SURGICAL SERVICES, VASCULAR SERVICES, VOLUNTEER OPPORTUNITIES/AUXILIARY, WOMEN'S HEALTH SERVICES, WOUND HEALING CENTER. During the year ended September 30, 2010, Ephraim McDowell Regional Medical Center provided $ 25,884,028 in Uncompensated Care. Charges in the amount of $18,165,224 were written off in accordance with our charity care policy and we incurred $7,718,804 in bad debt expense. The community benefit expense for providing charity care was $7,392,725. Ephraim Mcdowell regional medical center provided $15,623,862 in total quantifiable community benefits during fiscal year 2010 as described below. COMMUNITY HEALTH EDUCATION CPR/FIRST AID CLASSES - CPR CLASSES WERE CONDUCTED AT 31 SITES IN THREE COUNTIES WITH 523 PEOPLE COMPLETING CPR/FIRST AID CLASSES. HRSA RURAL ACCESS AED GRANT #61.7199 HAS FUNDED BOTH THE PURCHASE OF AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) AND TRAINING IN THE COMMUNITY. HEALTH FAIRS - INDIVIDUAL RN CONSULTS WERE CONDUCTED WITH 1,918 CLIENTS IN 114 COMMUNITY EVENTS (CHURCHES, SCHOOLS, STOCKYARDS, PARKS, LUMBERYARDS, ETC.), TO DEVELOP ACTION PLANS THAT REDUCE ONE OR MORE MODIFIABLE HEALTH RISK BEHAVIORS. EDUCATION FOCUSED ON: - NUTRITION TOPICS SUCH AS LOW FAT, HIGH FIBER, MODERATE SODIUM, USE OF THE GLYCEMIC INDEX, Colorful Eating (KENTUCKY PROUD) - WHAT IS OSTEO? HOW TO PREVENT OSTEO - WHAT IS BMI? - WHY IS MY BLOOD SUGAR HIGH - WHAT ARE DIABETIC LEG EXERCISES? - HOW TO TAKE GOOD CARE OF YOUR LUNGS - WAYS TO BEAT INSOMNIA, STRESS BUSTER AND USING THE WALKING JOURNAL - EXERCISE AND YOUR HEART; LIPID VALUES; WOMEN AND HEART DISEASE; AND MENOPAUSE - REDUCED - FEE CLINIC PROGRAM - SUNSCREEN COMMUNITY HEALTH EDUCATION - SELF HELP TOBACCO/SMOKING CESSATION - ASSESSMENTS FOR SMOKING CESSATION WERE CONDUCTED AT ALL ADULT SCREENINGS DUE TO THE LINK BETWEEN TOBACCO USE AND CARDIOVASCULAR DISEASE (AND SEVERAL TYPES OF CANCER). THE SIX COUNTY REGION SERVED BY EMRMC AND EPHRAIM MCDOWELL HEALTH EXCEEDS NATIONAL AVERAGES AND HEALTHY PEOPLE 2010 GOALS IN TERMS OF TOBACCO USE. SCREENINGS FOR TOBACCO USE WERE CONDUCTED AT THIRTY-FIVE (35) SITES IN ALL SIX COUNTIES OF THE SERVICE AREA. PARTICIPANTS WERE GIVEN EDUCATIONAL MATERIALS RELATED TO CARE OF THE LUNGS, AND REFERRALS OF ONE HUNDRED SEVENTY-TWO (172) PERSONS WERE MADE TO LOCAL HEALTH DEPARTMENTS FOR ASSISTANCE, REPRESENTING A 38 PERCENT DECREASE IN REFERRALS FOR SMOKING SENSATION. A CONTRIBUTING FACTOR TO THIS DECLINE IN REPORTED TOBACCO USE MAY BE THE NO-SMOKING ORDINANCE IN DANVILLE. STRESS VULNERABILITY SCALE - WAS USED TO SELF-REPORT COPING EFFECTIVENESS. DUE TO THE STRONG LINK BETWEEN HIGH STRESS LEVELS AND CARDIOVASCULAR EVENTS WITH INCREASED MORTALITY RATES FOR WOMEN, THIS TOOL WAS USED AT 29 SITES FOR 992 INDIVIDUALS. THIS REPRESENTS ABOUT A 140 PERCENT INCREASE IN THIS SERVICE. THERE APPEARS TO BE DECREASED STRESS LEVELS IN INDIVIDUALS WHO ARE CONNECTED TO A FAITH COMMUNITY AND EMH CONTINUES TO WORK WITH HEALTH-MINISTRIES PROGRAMS IN THE AREA AS WELL AS THROUGH INDIVIDUAL EDUCATION, TO DEVELOP COPING OPTIONS AND SELF-CARE. COMMUNITY HEALTH EDUCATION - SUPPORT GROUPS ALZHEIMER'S SUPPORT GROUP - OPEN TO PATIENTS, FAMILIES AND CARE-GIVERS, A MONTHLY ALZHEIMER'S SUPPORT GROUP WAS CONDUCTED FOR THE REGION AT THE MCDOWELL PLACE OF DANVILLE. THERE WERE ELEVEN MEETINGS WITH 90 IN ATTENDANCE DURING THE YEAR. THERE IS A DECLINE IN ATTENDANCE DUE TO SOME DEATHS/HEALTH STATUS CHANGES, BUT ALSO SOME NEW MEMBERS IN THE RECENT MONTHS DUE TO NEWLY DIAGNOSED FAMILY/FRIENDS. COMMUNITY-BASED CLINICAL SERVICES - HEALTH SCREENINGS GIVEN LIFE-STYLE RISK FACTORS IN THE REGION, THIS WAS EMH'S MAJOR AREA OF FOCUS IN FY 2010. TO SPECIFICALLY TARGET OBJECTIVE 1 (CARDIOVASCULAR DISEASE AND RELATED RISK FACTORS), SCREENINGS INCLUDED TOBACCO USE, BLOOD PRESSURE, CHOLESTEROL, BODY MASS INDEX, GLUCOSE, SLEEP DISTURBANCE, THE BECK DEPRESSION SCALE, STRESS VULNERABILITY, AND EDUCATION ON HOW TO REDUCE INDIVIDUAL RISK BEHAVIORS. BLOOD PRESSURE - SCREENINGS WERE CONDUCTED AT 48 SITES WITH 1,948 PERSONS BEING SERVED-AN INCREASE OF 23 PERCENT FROM FY 2009. OF THOSE CLIENTS SCREENED, 74 PERCENT HAD ELEVATED BLOOD PRESSURE READINGS. THESE INDIVIDUALS RECEIVED INFORMATION ABOUT LIFE-STYLE CHANGES TO DECREASE THEIR RISK FACTORS AND WERE REFERRED TO A PRIMARY CARE PROVIDER (PCP) FOR FURTHER INTERVENTION. THIS REFLECTS AN 11 PERCENT INCREASE IN OBSERVED UNCONTROLLED HYPERTENSION IN THE COMMUNITIES WE SERVE. PARTNERS INCLUDED HEALTH MINISTRIES IN CHURCHES, SCHOOLS, HEALTH DEPARTMENTS AND STOCKYARDS. CHOLESTEROL TESTING - CHOLESTEROL TESTS WERE CONDUCTED AT 48 SITES WITH 1,167 PERSONS BEING SERVED. OF THOSE INDIVIDUALS, 36 PERCENT WERE RECOMMENDED FOR FOLLOW-UP DUE TO ELEVATED CHOLESTEROL LEVELS. THIS IS A 104 PERCENT INCREASE IN THE NUMBER OF INDIVIDUALS SERVED. BODY MASS INDEX - BMI MEASUREMENTS WERE TAKEN AMONG MIDDLE SCHOOL CHILDREN IN TWO SCHOOL SYSTEMS IN LINCOLN AND BOYLE COUNTIES DUE TO THE PREDICTIVE VALUE FOR ADULT OBESITY, DIABETES AND CARDIOVASCULAR DISEASE AMONG THIS POPULATION. ADULTS WERE EVALUATED AT CHURCHES AND SCHOOLS. A TOTAL OF 1,839 ADULTS WERE SCREENED AT 48 SITES IN SIX COUNTIES. SEVENTY-ONE PERCENT WERE ABOVE THE RECOMMENDED RANGE. LESS THAN ONE PERCENT WAS BELOW THE RECOMMENDED LIMITS. THIS REFLECTS A 16 PERCENT INCREASE IN ELEVATED BMI READINGS IN FY 2010 OVER 2009, AND IS CONSISTENT WITH THE CDC REPORT RELATED TO AN OBESITY EPIDEMIC AT THE STATE AND NATIONAL LEVELS. ALL RECEIVED EDUCATION RELATED TO DIETARY AND EXERCISE OPTIONS TO IMPROVE THEIR WELL-BEING. DIABETES SCREENING - BOTH FASTING AND NON-FASTING GLUCOSE SCREENINGS WERE OFFERED AT 48 SITES SERVING 1,166 INDIVIDUALS. OF THESE, 20 PERCENT WERE ABNORMAL AND REFERRED TO THEIR PRIMARY CARE PROVIDER (PCP) FOR FOLLOW-UP. THIS REFLECTS A 271 PERCENT INCREASE OVER FY 2009 IN THE POPULATION SERVED. STROKE SCREENING - IN ADDITION TO THE LINKS BETWEEN STROKE AND HYPERTENSION, SCREENINGS FOR SLEEP DISTURBANCES WERE PERFORMED. NINE HUNDRED NINETY-TWO (992) INDIVIDUALS COMPLETED THE SELF-ASSESSMENT SCREENING TOOL AND REVIEWED THEIR RESULTS WITH AN RN AT 29 SITES IN OUR SERVICE AREA. OF THESE, 31 PERCENT (223) WERE REFERRED FOR FURTHER DIAGNOSTIC FOLLOW-UP. THIS REFLECTS A 20 PERCENT DECREASE IN THE REFERRAL RATE FROM FY 2009, AN INCREASE OF 37 PERCENT (370) IN THE NUMBER OF CLIENTS SEEN, AND 45 PERCENT INCREASE IN THE NUMBER OF SITES WHERE SCREENINGS WERE PROVIDED. ALL PARTICIPANTS RECEIVED INFORMATION ON SLEEP HYGIENE. MENTAL HEALTH/DEPRESSION SCREENING - GIVEN THE LINK BETWEEN DEPRESSION IN CAUCASIAN MALES OVER AGE 65 (KENTUCKY HAS A DISPROPORTIONATE NUMBER) AS WELL AS THE INCREASED MORTALITY FROM CARDIOVASCULAR EVENTS, DEPRESSION SCREENING WAS ADDED AT SITES WHERE AN INCREASED NUMBER OF AT RISK CLIENTS WERE ANTICIPATED. THE BECK DEPRESSION SCALE WAS USED FOR SCREENING PARTICIPANTS. RELATED TO EARLY DETECTION OF CANCER, SKIN-CANCER SCREENINGS (BOTH VISUAL INSPECTION AND DERMA SCAN) AND PROSTATE WERE CONDUCTED AND COLORECTAL SCREENING KITS WERE DISTRIBUTED. THE CENTRAL KENTUCKY CANCER PROGRAM AWARDED A GRANT OF $7,500 FOR PROVISION OF EDUCATIONAL MATERIALS, SCREENING SUPPLIES AND EQUIPMENT NEEDED FOR EARLY DETECTION. PROGRAM SERVICE ACCOMPLISHMENTS (CONT) COLORECTAL SCREENING - WAS PROVIDED USING MAIL-IN KITS. THREE HUNDRED FIFTY-SIX (356) KITS WERE DISTRIBUTED AT 36 SITES TO INDIVIDUALS WHO WERE OVER AGE 55, OR WHO HAD FAMILY RISK FACTORS AND HAD NOT BEEN SCREENED IN THE PAST 12 MONTHS. ONE HUNDRED AND TWENTY-THREE (123) KITS WERE RETURNED, AND ELEVEN OF THESE INDIVIDUALS WERE REFERRED FOR DIAGNOSTIC FOLLOW-UP. THIS IS AN INCREASE OF THREE REFERRALS (27 PERCENT) OVER FY 2009 WITH APPROXIMATELY THE SAME NUMBER OF KITS DISTRIBUTED BUT A 33 PERCENT INCREASE IN THE NUMBER OF DISTRIBUTION SITES (8). SKIN CANCER SCREENING - A LICENSED INDEPENDENT PRACTITIONER (LIP) CONDUCTED VISUAL SKIN CHECKS FOR 32 INDIVIDUALS AT FIVE LOCATIONS. EIGHTEEN (18) WERE REFERRED FOR FOLLOW-UP (56 PERCENT). ALL SCREENINGS WERE CONDUCTED IN NEW SITES IN 2010 (GARRARD COUNTY)-REPRESENTING FEWER CLIENTS, BUT YIELDED A GREATER REFERRAL RATE. DERMA SCAN FOR SUN DAMAGE - WAS CONDUCTED AT 28 SITES; AN INCREASE FROM SIX SITES IN FY 2009. FIVE HUNDRED AND THIRTY-SIX (536) INDIVIDUALS WERE SEEN. REFERRAL RATES FOR FOLLOW-UP VARIED BY SITE WITH AN AVERAGE OF 52 PERCENT. MULTIPLE CLIENTS HAVE REPORTED BACK THAT THEY WERE TREATED SUCCESSFULLY FOR EARLY STAGE SKIN CANCER AND CONTINUE IN FOLLOW-UP CARE. PROSTATE SCREENING - CONSISTED OF BOTH PSA AND DIGITAL RECTAL EXAMS BY AN LIP. FOUR SCREENINGS WERE CONDUCTED WITH 136 MEN OVER AGE 40 BEING SEEN. SIXTEEN (16) HAD ABNORMAL VALUES THAT GENERATED FOLLOW-UP. ASTHMA SCREENING - GIVEN THE KNOWN USE OF TOBACCO AND THE IMPACT OF SECOND-HAND SMOKE IN THE REGION, ASTHMA SCREENINGS WERE OFFERED USING LUNG CAPACITY AS A SCREENING TOOL, THROUGH 35 SITES SCREENING 1,017 INDIVIDUALS. TWENTY-SIX (26) PERCENT (265) HAD LUNG CAPACITY VALUES LESS THAN 80 PERCENT OF THE PREDICTIVE VALUE FOR THEIR GENDER AND AGE AND WERE GIVEN EDUCATION REGARDING CARE OF THEIR LUNGS AND A RECOMMENDATION FOR FOLLOW-UP WITH THEIR PCP. IF THEY USED TOBACCO, THE PARTICIPANTS WITH DECREASED LUNG CAPACITY WERE REFERRED TO THEIR LOCAL HEALTH DEPARTMENT FOR SMOKING CESSATION CLASSES OR ASSISTANCE. WOMEN'S HEALTH SCREENING - DUE TO THE MAJORITY OF PARTICIPANTS AT THE SCREENING EVENTS ARE FEMALE AND THAT A DISPROPORTIONATE NUMBER OF KENTUCKIANS ARE ON DISABILITY, THE OB/GYN MEDICAL STAFF OF EMRMC RECOMMENDED THAT WE OFFER SCREENINGS FOR OSTEOPOROSIS. SCREENINGS WERE CONDUCTED AT 16 SITES AND PROVIDED TO 355 WOMEN. TWENTY-FIVE PERCENT (90) WERE OUTSIDE THE NORMAL RANGE (DOWN FROM 86 PERCENT IN FY 2009) AND WERE PROVIDED DIET RECOMMENDATIONS AND WEIGHT-BEARING EXERCISE INSTRUCTION. THOSE FOUND TO BE HIGH-RISK INDIVIDUALS WERE REFERRED TO THEIR PCP FOR DIAGNOSTIC FOLLOW-UP. THE HRSA OUTREACH GRANT 7197 WOMAN-TO-WOMAN PROGRAM COLLABORATED WITH SIX AREA HEALTH DEPARTMENTS TO OFFER PAP SMEARS, MAMMOGRAMS, BLOOD PRESSURE, BMI, LUNG CAPACITY, GLUCOSE, CHOLESTEROL, DERMA SCAN, OSTEOPOROSIS EVALUATIONS, STRESS VULNERABILITY, SLEEP DISTURBANCE, KIDNEY HEALTH AND COUNSELING BY A REGISTERED NURSE. SIXTY-FIVE (65) MAMMOGRAMS WERE PROVIDED THROUGH 12 EVENTS, CONDUCTED AT SIX SITES. A TOTAL OF 455 UNDERINSURED AND UNINSURED WOMEN WERE SERVED. A TOTAL OF 2,729 SCREENING TESTS WERE CONDUCTED THROUGH THIS GRANT AND ARE TRACKED SEPARATELY FOR REPORTING AND EVALUATION PURPOSES. GRANT EXPENDITURES IN FY 2010 FUNDED BY THE WOMAN TO WOMAN PROJECT TOTALED $123,127.68. COMMUNITY-BASED CLINICAL SERVICES - IMMUNIZATIONS FLU SHOTS - WERE OFFERED AT THE LOCAL STOCKYARDS GIVEN THAT THE AVERAGE FAMILY FARM IN KENTUCKY IS LESS THAN 200 ACRES AND THIS POPULATION OFTEN DOES NOT RECEIVE PREVENTIVE CARE. OF THE 127 INDIVIDUALS IMMUNIZED, NONE REPORTED TO THE LOCAL EMERGENCY ROOM WITH FLU-LIKE SYMPTOMS OR PNEUMONIA. FLU VACCINE WAS OFFERED AT FIVE CLINICS. COMMUNITY-BASED CLINICAL SERVICES - NON-BILLED/REDUCED-FEE CLINIC (HOSPITAL BASED) HOPE CLINIC IS A DEPARTMENT OF THE HOSPITAL THAT PARTNERS WITH HEART OF KENTUCKY UNITED WAY, THE SALVATION ARMY, BOYLE COUNTY HEALTH DEPARTMENT AND THE PRESBYTERIAN CHURCH TO SERVE THE UNINSURED WITH HYPERTENSION, DIABETES, OBESITY AND GERD. THE EPHRAIM MCDOWELL HEALTH CARE FOUNDATION PROVIDED A GRANT OF $50,000 AND ADDITIONAL GRANTS WERE PROVIDED BY THE SALVATION ARMY, HEART OF KENTUCKY UNITED, AND DANVILLE PRESBYTERIAN CHURCH. SIX HUNDRED AND SIXTY-FIVE CLIENT VISITS WERE CONDUCTED BY AN ARNP, SERVING PATIENTS FROM NINE COUNTIES. 3,582 PRESCRIPTIONS WERE PROVIDED BY EMRMC AT NO CHARGE TO THE PATIENT AT A COST OF $93,035 IN FY 2010. HEALTH CARE SUPPORT SERVICES - ALL OTHER HEALTH CARE SUPPORT SERVICES BLOOD DRIVES - ONE HUNDRED SIXTY-ONE (161) INDIVIDUALS WERE SCREENED; ONE HUNDRED THIRTY-ONE (131) UNITS OF BLOOD WERE COLLECTED AT AN ESTIMATED COST OF $3,788 FOR ONE HOUR OF TIME AWAY FROM WORK FOR EACH DONOR. HEALTH PROFESSIONALS EDUCATION CONTINUING HEALTH PROFESSIONS EDUCATION - EMH CONDUCTS QUARTERLY CEU PROGRAMS FOR FAITH COMMUNITY NURSES (FCNS) IN THIS REGION. THIRTEEN (13) FCNS HAVE COMPLETED THE QUARTERLY EDUCATIONAL MEETINGS FOR CEUS. THE BASIC FAITH COMMUNITY NURSING/PARISH NURSING COURSE WAS OFFERED IN PARTNERSHIP WITH EASTERN KENTUCKY UNIVERSITY (EKU) AND AWARDED 45.9 CEUS TO TWELVE (12) RNS COMPLETING THE COURSE. SCHOLARSHIPS WERE PROVIDED BY THE EPHRAIM MCDOWELL HEALTH CARE FOUNDATION ($5,000) AND THE STOECKINGER FOUNDATION ($2,500). AN ADVANCED FCN MODULE WAS OFFERED WITH 15 ATTENDEES AND 6.0 CEUS AWARDED. FIFTY-ONE REGISTERED NURSES COMPLETED THE BASIC FCN COURSE IN THREE YEARS, RESIDING IN 23 SOUTH-CENTRAL KENTUCKY COUNTIES AND PROVIDE CARE TO THEIR LOCAL FAITH COMMUNITIES. CEU OFFERINGS THAT WERE ACCESSED BY OUTSIDE PRACTITIONERS INCLUDED THE FCN, IDENTIFYING CHILD ABUSE, PERKINS ASSESSMENT, GROWING UP WITH US SERIES, AND AIDS/HIV SELF STUDY. THE COST OF PROVIDING ACCESS TO THE CONTINUING EDUCATION SERIES GROWING UP WITH US WAS $950 IN FY 2010. NURSING - TWO HUNDRED-EIGHTY (282) NURSING STUDENTS COMPLETED THEIR CLINICAL OR PRACTICUM AT EMRMC IN FY 2010. EDUCATIONAL PARTNERS INCLUDED ST. CATHERINE'S COLLEGE, UNIVERSITY OF KENTUCKY, EASTERN KENTUCKY UNIVERSITY AND CENTRAL KENTUCKY TECHNICAL COLLEGE. OTHER ALLIED HEALTH PROFESSIONS - SEVENTY-EIGHT (78) INDIVIDUALS COMPLETED THE MEDICARE CNA COURSE WITH A PASS RATE OF 90.7 PERCENT. CLINICAL INSTRUCTION HOURS ARE 72 AND 24 HOURS OF SUPERVISED CLINICAL EXPERIENCE. EMRMC SPONSORED PHLEBOTOMY CLASSES THAT HAD BOTH INTERNAL AND EXTERNAL ENROLLEES AND A 97 PERCENT PASS RATE WITH THIRTY-FIVE (35) GRADUATES IN FY 2010. OTHER ALLIED HEALTH PROFESSIONS - EMRMC SERVED AS A CLINICAL SITE FOR THE FOLLOWING: 6 BILLING/CODING STUDENTS 9 PHYSICAL THERAPY ASSISTANT STUDENTS 1 MENTAL HEALTH COUNSELOR 11 RADIOGRAPHY STUDENTS 2 SPEECH THERAPY STUDENTS 1 PUBLIC HEALTH STUDENT 6 OCCUPATIONAL THERAPY STUDENTS 1 SCRUB TECH STUDENT 17 PHARMACY STUDENTS 30 PARAMEDIC STUDENTS 2 DIETETIC STUDENTS 4 EMERGENCY MEDICAL TECH STUDENTS 13 PHYSICAL THERAPY STUDENTS 2 SONOGRAPHY STUDENTS FINANCIAL DONATION FOR THE COMMUNITY IN-KIND CASH OR IN-KIND DONATIONS TO THE COMMUNITY - AFTER THE HOLIDAY DISTRIBUTION OF TURKEYS TO THE EMPLOYEES AND PHYSICIANS, 108 TURKEYS WERE DONATED TO THE SALVATION ARMY AT A COST OF $1,375.92 FOR USE IN THE SALVATION ARMY'S CHRISTMAS PROGRAM TO FEED THE LESS FORTUNATE IN THE COMMUNITY. COMMUNITY BENEFIT OPERATION DEDICATED STAFF - THERE IS A DEDICATED STAFF OF THREE (2 RNS AND 1 CHILDREN'S PROJECTS COORDINATOR) PLUS FLEX STAFF, VOLUNTEERS, AND STUDENTS WORKING IN THE DEPARTMENT. TOTAL SALARIES FOR THE DEPARTMENT IN FY 2010 WERE $270,100. OTHER RESOURCES - FY 2010 TOTAL EXPENDITURES (INCLUDING SALARIES) WERE $315,103. THIS COVERED MAILINGS, MILEAGE, BOTH TESTING AND OFFICE SUPPLIES, MINOR EQUIPMENT, SALARIES, BENEFITS, AND MEETINGS. PROGRAM SERVICE ACCOMPLISHMENTS (CONT) COMMUNITY-BUILDING ACTIVITIES COMMUNITY HEALTH IMPROVEMENT ADVOCACY - SUN-SAFETY AWARENESS, WHICH INCLUDED DISTRIBUTION OF LITERATURE, SUNSCREEN LOTION, LIP BALM AND TIPS ON EYE PROTECTION, WAS CONDUCTED WITH 2,030 INDIVIDUALS. THESE AWARENESS PROJECTS WERE HELD AT 4-H CAMPS, PARKS AND RECREATION ACTIVITIES IN BOYLE AND MERCER COUNTIES, THE TOBACCO-CUTTING FESTIVAL IN GARRARD COUNTY AND AG DAY-FOR A TOTAL OF THIRTEEN SITES IN FOUR COUNTIES. THE SUN-SAFETY PROGRAM INCLUDED ENGAGEMENT OF ALL AGE GROUPS. SCHOOL-BASED PROGRAMS EMH'S CHILDREN'S PROGRAM FOCUSES ON DIET EXERCISE, RISK-BEHAVIOR ASSESSMENTS AND SELF-ESTEEM PROGRAMS. CHILDREN'S PROGRAMMING IS CONSIDERED SEPARATELY BECAUSE THEY COMPRISE AN AT-RISK POPULATION AS THE RESULT OF VULNERABILITY, AGE, POVERTY AND THE EPIDEMIC OF OBESITY IN KENTUCKY. IN FY2010 SERVICES WERE PROVIDED IN FOURTEEN SCHOOLS IN MERCER, BOYLE AND GARRARD COUNTIES FOR STAFF, STUDENTS, AND FAMILIES. THE PERKINS RISK ASSESSMENT WAS CONDUCTED FOR 865 MIDDLE SCHOOL CHILDREN AND FRESHMEN IN A SCHOOL SYSTEM WITH A REFERRAL RATE TO A SCHOOL-BASED COUNSELOR OF APPROXIMATELY 30 PERCENT. BREATHALYZER DEMONSTRATIONS FOR 890 HIGH SCHOOLS STUDENTS AT BOYLE COUNTY HIGH SCHOOL WERE AIMED AT REDUCING RISK BEHAVIOR ON SPRING BREAK. THE HIGH SCHOOL ARTIST PROJECT WAS BASED UPON ROSENBERG'S SELF-ESTEEM MODEL. THREE AREA HIGH SCHOOLS PARTICIPATED WITH SIXTY-FOUR (64) (UP FROM THIRTY-NINE (39) STUDENTS IN FY 2009) JOINING THE PROJECT. PARTNERS WITH EMRMC INCLUDED DANVILLE HIGH SCHOOL, BOYLE COUNTY HIGH SCHOOL, DANVILLE CHRISTIAN ACADEMY, AND THE COMMUNITY ART CENTER. THREE HUNDRED MERCER COUNTY STUDENTS PARTICIPATED IN YMCA HEALTHY KIDS DAY WITH EMRMC PARTNERS BEING THE SCHOOL SYSTEM AND THE YMCA. TWO HUNDRED TWELVE (212) BOYLE COUNTY STUDENTS PARTICIPATED IN THE BOYLE COUNTY YMCA HEALTHY KIDS DAY IN PARTNERSHIP WITH THE BOYLE COUNTY SCHOOL SYSTEM, BOYLE COUNTY 4-H, AND YMCA. THE VERB SUMMER SCORE CARD ENROLLED 1,251 CHILDREN, 9- TO 13-YEARS-OLD, IN A SUMMER-LONG ACTIVITY PROGRAM. EMRMC COLLABORATED WITH THE BOYLE COUNTY HEALTH DEPARTMENT, MERCER COUNTY HEALTH DEPARTMENT, LINCOLN COUNTY HEALTH DEPARTMENT, MERCER COUNTY 4-H, LINCOLN COUNTY 4-H, POWELL COUNTY 4-H, ESTILL COUNTY 4-H, BOYLE COUNTY 4-H, WAL-MART, DANVILLE PEDIATRICS, AND MCDOWELL WELLNESS CENTER. ADDITIONALLY, WEBSITE SUPPORT AND COORDINATION WAS PROVIDED FOR THE COUNTIES OF JESSAMINE, MONTGOMERY, AND HARLAN. OTHER COMMUNITY HEALTH EDUCATION SPEAKER BUREAU (HEALTH TOPICS)- STAFF MADE PRESENTATIONS AT DOZENS OF SITES INCLUDING DAUGHTERS OF THE AMERICAN REVOLUTION, ROTARY, KIWANIS, KENTUCKY HOSPITAL ASSOCIATION HIM AND TWENTY-FOUR AREA CHURCHES. 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