Tom Miller, most recently president and CEO of Quorum Health in Nashville, Tenn., will assume the new post Jan. 7. UofL Health is a fully integrated academic health system that includes University of Louisville Hospital, the UofL James Graham Brown Cancer Center and more than 110 specialized clinics and practices.

“We are thrilled to have a leader with Tom’s experience and ability join the UofL family,” said UofL President Neeli Bendapudi. “Given all of the possible changes that could take place in the health care market, it is more important than ever that we make sure UofL is positioned in the best way possible.”

As president and CEO of Quorum Health, Miller oversaw a $2.2 billion health care company that owns 38 hospitals in 16 states and manages or consults with nearly 200 others nationwide. He was responsible for all operations, strategic development, investor relations, capital investment and quality services.��

Prior to his work with Quorum, he served as division president for Community Health System in Franklin, Tenn., where he oversaw operations, acquisitions and strategic and market development for 28 hospitals in six states. He also has served as president and CEO of Lutheran Health Network in Fort Wayne, IN, and in several leadership roles with Hospital Corporation of America in Nashville.

Ken Marshall, who has served as UofL Hospital president during its transition to the university from KentuckyOne Health, will remain as chief operating officer. He will continue to focus on the operations of UofL Hospital and the Brown Cancer Center, making sure the organizations continue to achieve their quality and financial goals.

Brittany Yoeliz Chavéz Gonzalez was the first baby born in Louisville on Jan. 1 and was delivered at the UofL Center for Women & Infants at University of Louisville Hospital.

The baby was born at 12:03 a.m., weighing 6 pounds and 8 ounces and measuring 19 inches in length.

She is the first child for Irma Gonzalez Garcia and her husband Joel Chavéz, who were overcome with happiness as they cradled their baby.

“I’ve been so happy just hugging my daughter,” Gonzalez Garcia said. “We weren’t thinking about her being the first to be born on New Year’s, we were just so excited to see her.”

Instead of receiving presents, they told their friends to buy gifts for premature and seriously ill infants in the neonatal intensive care unit at the UofL Center for Women & Infants.

The twins recently delivered soft blankets, stuffed animals and gift cards to the unit and personally gave some gifts to parents visiting their babies.

“He looks like a baby doll,” one of the twins said when they met a baby weighing only 4 pounds.

Pauline Hayes, manager of the NICU, told the girls, “You have no idea how much our babies and their families will appreciate this. The blankets will help keep them warm while their parents hold them.”

The UofL Center for Women & Infants at UofL Hospital offers a Level III NICU, one of the largest in the region, providing care for premature and seriously ill infants.��

UofL Hospital��, according to��, a website that posts nursing jobs, compiles hospital reviews by nurses and maintains nursing career resources.

From 2015 to 2017, the website analyzed more than 1,000 surveys of nurses from 87 hospitals in Kentucky, basing its ranking on average ratings and the percent of nurses who would recommend their hospital.

Uofl Hospital received an average rating of 3.9 out of 5 stars, with 81 percent of nurses recommending the hospital.

Comments about the hospital included “Pay is good and to grow as a nurse, this is the place you need to be” and “Excellent education opportunities. A place for learning and perfecting new skills. Lots of available overtime and a variety of unit specialties.”

“UofL Hospital strives to provide a stellar work environment that allows our nurses to have a voice in the care they deliver,” said Shari Kretzschmer, vice president of patient care services and chief nursing officer of UofL Hospital and the James Graham Brown Cancer Center. “Patients and families benefit from our excellent level of nursing care.”

Some services require that participants meet certain criteria; staff in the booth can provide information.

Daily services

University of Louisville health care providers will be on-site in the Health Horizons Pavilion at the Kentucky State Fair, and three programs will be offering services each day:

• Mammogram screenings: Providers affiliated with the UofL James Graham Brown Cancer Center and Kentucky Cancer Program will provide mammograms. All screenings will take place in the privacy of the Horses and Hope Cancer Screening Van. Mammogram screenings will be billed to insurance, so participants should have their health insurance verification and photo identification handy. Yearly mammograms are covered by Medicare and most private insurance providers for women over 40. Special discounted rates are available to those without insurance.
• Vascular screenings, including carotid artery screen and ankle brachial index, will be provided daily at the fair, Aug. 17-27. A carotid artery screen is ideal for anyone with dizziness, ringing in the ears or anyone with a family history of carotid artery disease. It also is indicated for smokers and people with high blood pressure, high cholesterol or diabetes or for anyone who is over the age of 50. The test is administered by a registered technologist and uses ultrasound technology.��
• ����ֱ��, prevention and survivorship information from the Kentucky Cancer Program: The Kentucky Cancer Program is a statewide cancer prevention and control program, bringing together local organizations, providers and other partners in planning, implementing and evaluating cancer prevention and control efforts. The KCP staff and volunteers will be on-site providing information and giveaways to fair-goers with the goal of reducing cancer incidence and cancer death in Kentucky.

Women’s health

Staff from UofL Hospital’s��Center for Women & Infants��and��UofL Physicians-Ob/Gyn & Women’s Health��will be on hand at the fair to help women of all ages. The Center for Women & Infants specializes in both high-risk obstetrics and general maternity services and gives expectant families their choice of care from board-certified obstetricians and certified nurse midwives who practice with UofL Physicians-Ob/Gyn & Women’s Health.

At the fair, staff will be on hand to discuss urogynecology with providers from the Female Pelvic Medicine & Reconstructive Surgery practices, fertility specialists in reproductive endocrinology and infertility, the certified nurse midwifery program, family planning services, and our newest offering – Centering Prenatal Care.��

Emergency care, training

The UofL Hospital Level I Trauma Center and the Burn Unit will also both provide a variety of services at the fair.

The��Trauma Center��is the region’s only Level I trauma unit. Staff will train fair-goers to “Stop the Bleed” on Aug. 18. This innovative program uses a lifelike replica of the human thigh – complete with faux blood – to train participants in handling bleeds from wounds at the scene where they occur. On Aug. 22, the Trauma Center will participate in Senior Day at the Fair, and feature a walk-through demonstration to help older adults identify potential hazards, help prevent falls and improve balance. The Trauma Center staff will return on Aug. 26, with more trauma prevention activities.

The UofL��Burn Unit��is the region’s only dedicated adult burn unit and will provide safety information and activities for the entire family. Burn Unit personnel will be at the fair on Aug. 23.

Senior Day

Senior Day at the Fair will feature two programs that will only be available to fair-goers on that date, Tuesday, Aug. 22:

• UofL Hospital Pharmacists��will share information of interest to older adults, including diabetes, vaccinations, pharmacy services at UofL facilities and more. They also will be available to answer questions one-on-one with fair-goers about their medications and treatments.
• UofL Hospital Volunteers��will be at the fair to provide information on how fair-goers can serve others as a hospital volunteer. A wide array of service opportunities are available each year, from greeting guests to clerical service and more.

Also on Senior Day, the UofL booth will provide mammogram screenings, vascular screenings, colon cancer screenings, blood pressure checks, stroke assessments, women’s health information and a walk-through demonstration for older adults to help them avoid falls.

Specialty screenings

Several specialty services will be provided by UofL staff at the fair:

• UofL Physicians-Pediatrics��will be at the fair Aug. 19, offering vision and blood pressure screenings and a child safety demonstration.��
• UofL Physicians-Diabetes & Obesity Center��will be at the fair Aug. 23, providing screenings for prediabetes and diabetes. The screening requires a finger stick and the participant does not have to be fasting.
• UofL Hospital Infection Control��will be at the fair Aug. 24, with information on the importance of hand hygiene in preventing the spread of disease. The staff also will show fair-goers the benefits of getting annual flu vaccinations and provide information on when antibiotics should be used and when they should not.
• Carbon monoxide screening��will be available during the final four days of the fair, Aug. 24 through Aug 27. The carbon monoxide breath test shows the amount of carbon monoxide in the lungs and blood in an indirect, non-invasive manner. Breath carbon monoxide also is an indicator of the levels of approximately 7,000 toxic substances present in cigarette smoke, 69 of which are known to cause cancer. Participants will blow into a small handheld device for several seconds.

Cancer screenings and more��

Staff with UofL’s James Graham Brown Cancer Center, the Kentucky Cancer Program and the UofL School of Dentistry will be on hand to provide information, screenings and more. In addition to the aforementioned mammogram and vascular screenings:

• Head and neck cancer screenings: Provided Aug. 19 and 20, Aug. 22, Aug. 26 and Aug. 27, the UofL School of Dentistry and the Kentucky Cancer Program will observe the 25^th��anniversary of their collaboration in providing head and neck assessments at the fair. Dental students and faculty have conducted more than 3,800 screenings since the collaboration began. This oral head and neck exam is painless and quick, and open to everyone. Participants wearing dentures will be asked to remove them during the 10-minute exam.
• Prostate cancer screenings: Provided Aug. 19 and Aug. 20. Prostate screenings are recommended for men with average risk starting at age 50. African-American men and anyone with a brother, father or son who had prostate cancer before age 65 should begin getting screened for prostate cancer at age 45. Testing will involve a prostate specific antigen (PSA) blood test that involves taking a small amount of blood. A digital rectal exam also will be performed in the privacy of the Horses and Hope Cancer Screening Van to feel for any lumps, bumps or other abnormalities. The results of the PSA will be mailed about two weeks after the fair ends. The entire testing process takes approximately 20 minutes.
• Colon cancer screenings: Provided Aug. 21 through Aug. 27. Colon cancer screenings with FIT kits are available to anyone over 50 who has not had a colonoscopy within the past 10 years or a stool test in the past year. A free take-home kit will be available for men and women 50 and older and to younger participants who are cancer survivors or have a history of cancer in close relatives. The participant will complete stool collection at home and then mail it to UofL Hospital in special packaging provided.
• Cancer resources and Reiki demonstration from the M. Krista Loyd Resource Center��at the Brown Cancer Center: Provided Aug. 24. The Krista Loyd Center provides a peaceful environment for patients with cancer to learn, relax and heal emotionally. One service provided is the Japanese technique of Reiki for stress reduction and healing promotion. Personnel from the Loyd Center will demonstrate the technique.
• Stroke risk assessments and blood pressure screening:��Provided Aug. 22 and Aug. 26. The UofL Hospital Comprehensive Stroke Center was the first certified stroke center in Kentucky. Staff will provide free stroke risk assessment and blood pressure checks to fair-goers.

The award recognizes the hospital’s commitment to providing the most appropriate stroke treatment according to nationally-recognized, research-based guidelines based on the latest scientific evidence.

Hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures to receive the Gold Plus Quality Achievement Award.

To qualify for the Target: Stroke Honor Roll Elite or Elite Plus, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the Food and Drug Administration to treat ischemic stroke. If given intravenously in the first three hours after the start of stroke symptoms, tPA has been shown to significantly reduce the effects of stroke and lessen the chance of permanent disability.

These quality measures are designed to help hospital teams follow the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients.

“University of Louisville Hospital has been recognized with the Stroke Elite Plus award again as we continue to strive for excellence in the acute treatment of stroke patients,” said Kerri Remmel, MD, PhD, chair of UofL’s Department of Neurology and director of the UofL Hospital Stroke Center. “This recognition further reinforces the UofL stroke team’s hard work and commitment to caring for patients with stroke.”

UofL Hospital now has received the Get with the Guidelines��Stroke Gold Plus Award for the past 12 years. In 2004, UofL Hospital became Kentucky’s first Joint Commission-certified Primary Stroke Center and in 2012, the hospital became Kentucky’s first Joint Commission-certified Comprehensive Stroke Center, the 20th in the nation.

“Stroke is 80-percent preventable. High blood pressure, diabetes, cigarette smoking, high cholesterol, atrial fibrillation and sedentary lifestyle are treatable and modifiable risk factors. If we could give the community one message for the prevention of stroke, it would be to know your own risk factors and be aggressive about controlling them,” Remmel said.

Re-certification as a CSC, the highest designation of care for stroke patients awarded by The Joint Commission, the primary independent accrediting body for health-care systems in the United States, assures patients that the physicians, nurses and other providers at UofL Hospital are fully prepared to quickly assess and treat patients suffering from all types of strokes using the most advanced treatments available. The Joint Commission re-certified the UofL program for two years, the maximum time period allowed for certification.

“We are proud to serve the citizens of our region with the highest level of integrated stroke care. We will continue to set the bar in Kentucky and Southern Indiana when it comes to stroke prevention and treatment,” said Kerri Remmel, MD, PhD, chair of the Department of Neurology at the UofL School of Medicine and director of the University of Louisville Stroke Program.

Patients are treated by the highly trained and specialized physician faculty members of the UofL School of Medicine, including neurologists, neurosurgeons, cardiologists, emergency medicine providers, neuro-radiologists, vascular surgeons, hospitalists and neuro critical care providers. The multidisciplinary team also includes advance practice nurses, social workers, rehabilitation specialists, case managers and dietitians.

Comprehensive stroke centers such as UofL have the ability to care for patients suffering a stroke, 24-hours a day, 7 days a week, and perform procedures that may not be available elsewhere. When a patient arrives in the emergency department at UofL Hospital, examination, laboratory studies, cardiac tests and state-of-the-art imaging studies can be performed within minutes of a patient’s arrival.

Highlights of the UofL Stroke Program include:

• Rapid delivery of clot-busting drug – The UofL Stroke Program achieved the highest award status from the American Heart Association/American Stroke Association, Target: Stroke Elite Plus Honor Roll, in 2016 for prompt IV administration of the clot-busting drug ). UofL met the standard of administering the drug to more than 75 percent of patients who qualify within 60 minutes of arrival to the hospital, and to more than 50 percent of eligible patients within 45 minutes of arrival.
• Clot-removal techniques – UofL neurointerventional specialists can rapidly open blocked blood vessels by removing blood clots and quickly restoring neurological function to patients.
• Aneurysm treatment – UofL neurosurgeons and interventional specialists are experts with the latest treatments for brain aneurysms, whether with surgery or minimally invasive endovascular coiling techniques.
• Tele-stroke consultations – UofL neurologists provide their expertise to hospitals in outlying communities in Kentucky and Southern Indiana in real time via tele-stroke services. Using a 5-foot, 6-inch-tall robot, physician specialists in Louisville can interact and converse with a patient, the patient’s family, and on-site physicians and nurses through a live, two-way audio and video feed. The remote connection allows neurologists at UofL to more quickly determine the best treatment protocol for patients in their home hospitals and allow them to be treated with IV t-PA or other treatments quickly when appropriate.
• Post-stroke support – In addition to inpatient care, the UofL Stroke Program provides stroke survivor and caregiver support to improve patients’ wellbeing as they resume their daily lives.
• Community education – UofL Stroke Program team members reach out to educate community members about reducing the risk of stroke by monitoring their blood pressure and maintaining healthy habits.

Even prior to its designation as Kentucky’s first certified Comprehensive Stroke Center in 2012, the UofL Stroke Program achieved the highest recognition with the American Heart Association/American Stroke Association, receiving the Get with the Guidelines��Stroke Gold Plus Award for the last 11 years. The recognition is awarded for meeting performance guidelines for the treatment and management of stroke patients from hospital admission to discharge.

This decision was agreed upon by all parties as the most effective way to collaborate in care for the community, moving direct operations of the academic medical center to UMC and ensuring continuation of innovative and high-quality patient care and clinical training via KentuckyOne Health facilities.

“The dynamic nature of the health care landscape requires organizations to explore innovative approaches and relationships for the delivery of care,” said Gregory C. Postel, MD, interim executive vice president of health affairs at UofL. “Today, we are presented with a very different environment than when we signed the joint operating agreement and revised the academic affiliation agreement in 2012. We are pleased with our shared accomplishments yet understand that changes were necessary to address ongoing challenges and ensure we are able to respond nimbly to the unique needs of our care facilities, particularly the academic medical center.”

“We are pleased to move into the next phase of our relationship with University of Louisville. Our longstanding partnership at Jewish Hospital dates back several decades prior to KentuckyOne Health. Since the formation of KentuckyOne Health, we have partnered in many areas and will continue to do so for many years to come, including working together on our innovations to meet the health needs of our community,” said Ruth W. Brinkley, president and CEO of KentuckyOne Health. “During the past four years of our partnership, we have implemented significant improvements to enhance the health of our patients and the communities we serve. This includes the installation of an electronic health record system, and many other updates and enhancements to the University of Louisville Hospital.”

“It is important to emphasize that the transition of care will be seamless for our patients, physicians, employees and community partners,” said Joan Coleman, interim CEO of University Medical Center. “We are committed to continuing the facility improvements and staffing initiatives that began during our partnership and look forward to seeing them through to completion. We will be active with focused transition teams working closely with current leaders, physicians and employees across the Downtown Louisville campus to ensure continued high-quality care, support our employees and shape the future of health and wellness.”

The agreement, effective Dec. 14, 2016, establishes the framework for future partnerships between the organizations and resolves all disputes previously raised. Key aspects of the agreement include the following:

• KentuckyOne Health, UMC, and UofL, working together, will continue to implement projects involving up to $44.8 million in capital investments at ULH by July 1, 2017;
• KentuckyOne Health has agreed to complete the funding of the joint investment proposals as set forth in the Academic Affiliation Agreement;
• The University of Louisville will release its rights to three seats on the KentuckyOne Health Board of Directors; and
• The University Medical Center is expected to take over the management of the University of Louisville Hospital on July 1, 2017.

The University Medical Center, University of Louisville and KentuckyOne Health will work together over the next six months to facilitate a successful transition for both the management of ULH and JGBCC, and the Academic Affiliation Agreement between the organizations for programs at other locations. Ongoing information and details on the transition will be provided to patients, community partners, employees and physicians as the process evolves. Transition teams focused on key areas of patient care, employee engagement and infrastructure are being assembled, drawing from the shared expertise currently in place at ULH, JGBCC, KentuckyOne Health, UMC and UofL. These teams will guide the continuation of initiatives underway, including patient care quality and safety programs and recruitment and retention of top nursing talent, while also shaping the future operations and leadership structure.

Partner profiles

University Medical Center (UMC): Comprised of the University of Louisville Hospital (ULH), the James Graham Brown Cancer Center (JGBCC), and the Center for Women and Infants (CWI), UMC��is an integral part of the University of Louisville’s academic health center. Its first priority and concern is the welfare of patients and therefore provides, without regard to economic status, the highest quality patient and family centered inpatient and outpatient hospital-based services; supports the educational and research missions of the University of Louisville’s Health Sciences Center; and initiates outreach to meet community needs.

The University of Louisville Health Sciences Center is the city’s only academic medical center. Approximately 1,000 faculty members are involved in education, research and clinical care. The UofL HSC is home to more than 650 medical and dental residents, 3,000 students pursuing degrees in health-related fields within the Schools of Dentistry, Medicine, Nursing and Public Health and Information Sciences, as well as 14 interdisciplinary centers and institutes. Approximately $140 million in extramural funding enables researchers to uncover the causes of disease and better ways to prevent, treat and cure those diseases. Patients are seen at the Ambulatory Care Building, the James Graham Brown Cancer Center, the UofL Health Care Outpatient Center and University Hospital, which is the primary adult teaching hospital for the School of Medicine. University Hospital’s public mission is steeped in history and now is most clearly visible through its provision of nearly $90 million of health care to the uninsured annually.

KentuckyOne Health, the largest and most comprehensive health system in the Commonwealth, has more than 200 locations, including hospitals, physician groups, clinics, primary care centers, specialty institutes and home health agencies in Kentucky and southern Indiana. KentuckyOne Health is dedicated to bringing wellness, healing and hope to all, including the underserved.�� The system is made up of the former Jewish Hospital & St. Mary’s HealthCare and Saint Joseph Health System, along with the University of Louisville Hospital and James Graham Brown Cancer Center. KentuckyOne Health is proud of and strengthened by its Catholic, Jewish and academic heritages.

Vogt, a University of Louisville School of Nursing undergraduate research scholar, will present at the conference in Melbourne, Australia, on Sept. 26.

For about two years, Vogt has worked with her mentor M. Cynthia Logsdon, PhD, WHNP-BC, FAAN, School of Nursing Professor and Associate Chief of Nursing for Research at University of Louisville Hospital, and other researchers on evaluating patients’ response to evidence-based guidelines for nurses that promote screening, teaching and referral of women with postpartum depression before being discharged from the hospital after giving birth.

“Previously, guidelines for nurses educating mothers about postpartum depression in the hospital had been very vague, mainly because postpartum depression symptoms don’t occur in women until a few weeks after giving birth,” Vogt said. “If moms are educated about postpartum depression while they are still in the hospital, they will be better equipped to recognize the symptoms and seek treatment.”

The guidelines have been effective. Vogt interviewed 88 women who had given birth at University of Louisville Hospital, a majority of whom reported positive feelings about nurses educating them on postpartum depression and resources for treatment if they experience symptoms.

Research will be done to determine whether the guidelines lead to increased mental health treatment for women with postpartum depression.

Lauren Lazarus, a 2015 School of Nursing graduate whom Logsdon mentored, also will present her undergraduate nursing scholar project at the Marcé Society conference. Lazarus focused on the impact of state legislative efforts on postpartum depression rates in adolescent mothers.

“I am so pleased for the opportunity to introduce both Krista and Lauren to international scholars that they have referenced in their work,” Logsdon said. “I am so proud of their work, and they are excellent ambassadors for UofL.”