Report to our Community

2010

Choose Well...

REPORT TO OUR COMMUNITY CREDITSPublisher: Judy Rich, President & Chief Executive Offi cerExecutive Editor: Julia Strange, Vice President, Community Benefi tEditor: Cheryl Kohout, Communications SpecialistGraphic Design: Cirrus Visual CommunicationContributing Writers: Ford Burkhart, Barbara Clarihew, Tara Kirkpatrick, Cheryl Kohout, Michael Letson, Julia StrangePhotography: Erik Hinote, Cheryl Kohout, Mike Laetsch, Michael Letson, Eric Suhm

ON CENTER CREDITSPublisher: Michael J. Duran, Vice President & Chief Development Offi cerExecutive Editor: Julia Strange, Vice President, Community Benefi tEditor: Cheryl Kohout, Communications SpecialistGraphic Design: Cirrus Visual CommunicationContributing Writers: Ford Burkhart, Barbara Clarihew, Tara Kirkpatrick, Cheryl Kohout, Michael Letson, Julia StrangePhotography: Erik Hinote, Cheryl Kohout, Mike Laetsch, Michael Letson, Eric Suhm

OUR

VALUES

OUR

MISSION

TUCSON MEDICAL CENTER5301 E. Grant Road, Tucson, Arizona | 520-327-5461 | www.tmcaz.com

Honor Tradition, Nourish Dreams

Tucson Medical Center delivers caring, personalized, quality health care to patients and their families in an environment that is supportive and compassionate.

COMPASSIONWe have heart

We respect diversity and individuality

We honor body, mind and spirit

COMMUNITYWe are welcoming and friendly

We practice kindness in all our relationships

We reach out as teachers and as leaders

DEDICATIONWe work hard for our patients and each other

We are committed to professionalism and excellence

We listen, we learn, we grow

INTEGRITYWe tell the truth

We are responsible in how we use our resources

We have the courage to uphold our values

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Report to our Community

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CHALLENGES ABOUND, BUT FOCUS IS CLEAR: OUR PATIENTSWhat better décor for a new pediatric unit than children’s art? It complements the tricycle path in the secure, colorful courtyard in our new pediatric

unit, where a tree is actually the children’s library and teens can play the latest games. All this is part of an upbeat look as TMC continues a redevelopment plan focused squarely on our patients, younger and older.

Everything that grounds me as a CEO is based in one idea: taking care of patients and their families. Sure the rest is important, a strong balance sheet, good metrics, our kindness and expertise in everything we do, but it all comes down to quality of the patient’s experience.

We live in a competitive healthcare community, in a state that is talking about decimating its Medicaid program. But every day, I marvel most at the fact that such excellent doctors and staff come to work here every day to demonstrate loud and clear to our patients all the things that are the measures of our success.

This year we were named one of the top 50 cardiac hospitals in America in our grouping by Thomson Reuters. We are in good company with this designation, based on measurable outcomes for our patients. To stand so tall among 5,000 hospitals refl ects the strength of all our programs.

Please visit the new 16,000-square-foot pediatric unit; call 324-2018 to schedule a tour. This $12.5 million expansion, called TMC for Children, gives us 44 private rooms, some whimsical architecture and a colorful entryway along with places for parents to stay overnight near their children. We also now offer a new perimeter road, more than a mile of walking trails, and a new entry way off of Craycroft. Although the construction was grueling, we’re thrilled to have this done for our patients and our employees.

And TMC, the largest hospital in Tucson, is looking forward to more milestones. We plan to build a state-of-the-art in-patient orthopedic unit on the west end of our campus. We will build new operating rooms and shut down some old ones, as teams of architects and staff work to design high-tech suites to perform every aspect of modern surgery.

But the biggest challenge of all this year is our accountable care organization. You can see all the details elsewhere in this report. Several years ago, we came up with an exciting strategy that put TMC far

ahead of the curve in American healthcare reform. We’ll launch this innovation during 2011. In short, we created a whole new model of how a hospital can network with its physicians in bold, measurable ways

to improve our quality and lower our costs.

It is a challenging but exciting time to be in health care, and as long as TMC stays focused on taking care of patients, our future looks bright indeed.

“ ...it

all comes

down to

quality of

the patient’s

experience.”

Judy RichPresident & CEO

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IN THE FACE OF ECONOMIC UNCERTAINTY,CHAIRWOMAN STILL BULLISH ON TMC

It’s easy to get discouraged about the future of community hospitals given the broader economic market, increasing healthcare costs, and state and federal governmental pressures. For years, pundits have predicted the demise of the community hospital. But, we are still here. And, even as I consider those challenges ahead, I am bullish on the opportunities ahead for Tucson Medical Center.

Why? Because the community needs us now, in these hard times, even more than it does in the good times. With our values guiding us and our mission driving us, we move forward to build a better health care system for Tucson. TMC has set an innovative foundation on which we are re-envisioning what it means to be a nonprofi t community hospital today and into the future.

This foundation includes a solid and strong bottom line; a leadership team focused on performance but never forgetting the patient; an environment that celebrates the professional practice of nursing; and collaborations with physician partners to redefi ne how patients are cared for in and out of the hospital.

In this report, you will read about the accountable care organization TMC is building with it physician partners (Page 8); about our campus redevelopment (Page 10) and OneChart, our electronic medical record (Page 6). Individually, these projects are remarkable.

Together, they signal a hospital innovating, changing and growing into the future. These innovations are remarkable because while they are fi nancially sound endeavors, the motivation is not for “profi t” but for better hospital care for the people of Southern Arizona.

TMC is governed by a community board of directors. People like me who live and work in Southern Arizona. We care about this community. We care about this hospital. I know that I speak for the entire board when I say how proud I am of the accomplishments that TMC has made over the last few years. How proud we are of where we are today and encouraged by where we know we will be tomorrow.

And, of course, all of this matters not because of dividends to be paid, national recognition of the work we are doing or awards won. It matters because it means that a mother can stay with her child when she is needed the most; a family facing fi nancial struggles can fi nd compassionate care regardless of their ability to pay; and a grandfather can face the end of life with his family at his side.

Health care is big business and, in many ways, TMC is all business. But, at the start and end of every day, it’s the thousands of acts of compassionate and expert care that matter most. These acts are the cornerstone of our community hospital and why I remain bullish about its future.

“ ...the

community

needs us

now, in

these hard

times, even

more than

it does in

the good

times.”

Louise FrancesconiChairwoman

TMC HealthCare Board of Trustees

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WORKING TOGETHER TO MAKETHIS A BETTER PLACE

FOR OUR CHILDRENTo me, it’s all about the children, always has been. My professional and community work has

always, on some level, been about making our community a better place for our children. I grew up in Tucson. My mama wanted me to be a doctor. My dad wanted me to be a pharmacist. I started

at the University of Arizona in Pharmacy but quickly switched to education. After graduating I became a juvenile probation offi cer where I worked with kids - and I think I saved a lot of them.

Later, I worked with the Tucson libraries, which, again, is about making resources available to the community regardless of their wealth, regardless of their color. If there is a free library system, our children have access to the world.

They have all the information they will ever need and the people trained to help them access it.

To have a library at the center of our children’s medical center means a lot to me. Like a free library, a community hospital such as Tucson Medical Center takes care of people regardless of their nationality, regardless of the color of their skin, regardless of their wealth. Just as librarians want to help kids learn, the caregivers at TMC provide compassionate care to all who come. It’s the mission of a community hospital. It’s the mission of TMC.

TMC is a community-based facility where people can go without fear of being turned away during their medical crises knowing they will receive compassionate, expert care. And, it will be provided in a setting that is refl ective of the spirit of Tucson. Like our community, TMC is intimate. It’s not intimidating and it has a feeling of community that makes you feel comfortable. Even when bad things happen, the “place” doesn’t intimidate; instead, somehow, it brings the community around you and provides comfort.

Take a walk around campus. Everywhere you go, you can connect with what we love about Tucson. The mountains, the desert, the Arizona skies, the people. In these pages, you will read about how TMC gives back to the community and how we give back to TMC. That is what community is about. Working together to make this world a little better for the generations to follow.

“...the

caregivers at

TMC provide

compassionate

care to all

who come.” Joel ValdezTrustee

TMC HealthCare Board of Trustees

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CARDIAC CARE: MANY WAYS TO WIN A PATIENT’S TRUST, AND AWARDSPan Langseth didn’t know much about TMC’s Cardiovascular Center until she woke up in TMC’s Intensive Care Unit to learn about how the cardiac team saved her life. A quiet evening at home with her family turned into a frantic trip to the Emergency Department. The cardiac team knows time is heart muscle and so the team went to work. And it paid off. Today, Pan is back to playing golf with her friends and enjoying time with her family.

Pan will tell you that when you have that dreaded heart attack, you won’t be thinking about a national award at your hospital or fancy words like electrophysiology. You’ll think trust.

Trust that no minutes are spared between the ER doorway and the operating suite. Trust that your physicians will use the latest and safest technology. Those same traits helped TMC to earn a Top 50 U.S. cardiac hospital award in the 2011 Thomson Reuters rating, and yes, TMC has skills described with amazing words, but it all boils down to instilling your confi dence.

Let’s visit just a few cardiac areas that make the case.

First, TMC and the community physicians who practice at the hospital have worked as a team to improve quality outcomes and lower costs. The cardiologists, heart surgeons and TMC nurses and administrators collaborate on projects to create a revolutionary system for defi ning and achieving excellent care.

This project is “a rare ray of sunshine in today’s medical care,” said Dr. Gregory Pennock, who is the chairman of the board of directors of the Cardiac Service Line Agreement between physicians and the hospital. “The dialogue may be heated at times, but it promotes positive action, not gridlock. We all have a shared interest in managing the hospital.”

The collaboration focuses on those key steps that can be taken to save lives. For example, it’s now much faster to get a patient with an acute heart attack into the Heart Catheterization Laboratory to open a blocked artery. The sooner the artery is opened, the better chance of saving a life. TMC has also seen improvements in quality measurements (metrics) for treating patients with heart attacks and congestive heart failure.

“It’s gone from a ‘we vs. them’ mentality to the hospital and cardiologists working well as a team to solve problems of delivering quality care,” Pennock said. “We have different and distinct cardiology groups, each with very different personalities, all at the same table, solving the same problems. It may well be a model for the rest of the country to follow.”

Then, consider TMC’s noninvasive cardiology.

Pan Langseth

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Here you’ll learn what integrative medicine really means. Dr. Salvatore Tirrito, head of cardiac noninvasive services, says his unit spells out lifestyle changes to last a lifetime. His team does all the latest tests, echocardiograms, treadmill and tilt-table stress tests, but they also work on diet and behavior, on your whole environment. “It’s not just prescribing pills and out the door,” Tirrito said. “The patient gets a complete picture of where they stand.”

“TMC approaches cardiac care in a very different way. We focus on patients and improving outcomes, not just on giving medication,” Tirrito said. “TMC does a good job of working with physicians as partners to improve those outcomes.”

At the electrophysiology (EP) suite, your physician will be able to fi ne-tune the dangerous rate of an arrhythmic heart with the latest, and safest, equipment. Guided by Dr. Darren Peress, the relatively new EP division uses remote magnetic navigation to move a tiny device called an ablation catheter toward your heart, while watching its journey on a computer screen. That reduces the need for X-rays, cutting risky radiation exposure from fl uouroscopy from as much as 100 minutes to only 5 minutes. Trust the EP staff to use the latest technology: a soft catheter, something like a bit of spaghetti, no more than an eighth of an inch thick. Guided along by a magnet in the tip, the catheter can remove any undesired heart tissue that causes arrhythmia. At rest, your heart beats 60 to 100 times a minute. A nonlethal arrhythmia can speed that up to 180 times or more. “That may not kill you but it could wreck your quality of life,” Dr. Peress said. Happily, cardiac electrophysiology can fi x the problem before that happens.

At the Chest Pain Clinic, every minute matters. So does every heart.

When a new patient arrives, chest pain can signal coronary disease. “Right away we are going to make sure that the chest pain isn’t a life-threatening issue,” says the medical director of the newly accredited center, Dr.

Mark Goldberg. “That’s the major concern: the heart.”

Simply winning accreditation in 2010 was an organizational feat in itself, taking a year of hard work by TMC on multiple levels, by EMTs, emergency room physicians, cardiologists, nurses,

pharmacists and hospital administrators. “This was a concerted effort,” Goldberg says, “and it’s a good refl ection on the hospital.” Such accreditation was absolutely essential to win a

Top 50 ranking for cardiac services, he adds.

“The whole idea is that our work becomes a standardized process,” Goldberg says. “That way, processes are less likely to break down, our work is less likely

to involve mistakes, and we can put out better overall results.”

From new models to metrics, TMC keeps adding ways to win the community’s trust in its cardiovascular programs. And, oh yes, they also win awards.

QUALITY AWARDS AND RECOGNITION FORTUCSON MEDICAL CENTER• Named by Thomson Reuters as one of the nation’s 50

Top Cardiovascular Hospitals for 2011 – the only hospital in Southern Arizona to make the list

• OneChart, TMC’s electronic medical record system, is among the 3.2 percent of all U.S. hospitals to reach Stage 6 on the HIMSS Analytics Database, which tracks hospital EMRs from Stages 0-7.

• Certifi cation as a Primary Stroke Center by the Healthcare Facilities Accreditation Program

• Designation as an Accredited Chest Pain Center by the Society of Chest Pain Centers

• Recipient of the IBCLC Care Award from the International Lactation Consultant Association for support of breastfeeding.

• TMC for Children is an associate member of the National Association of Children’s Hospital and Related Institutions

• TMC Neurosciences holds NeuStrategy designation as a Neuroscience Center of Excellence.

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ONECHART – AN UPDATEOneChart, the fi rst comprehensive electronic medical record system

in Southern Arizona, is nearing a year in operation at Tucson Medical Center, evolving with the physicians and staff as they make the offi cial transition from paper to computerized patient information.

“OneChart has brought meaningful change to Tucson Medical Center,” said Dr. Brian Cammarata, an anesthesiologist and medical director for informatics.

TMC has invested at least $20 million in OneChart to redefi ne patient care, synthesizing prescriptions, post-treatment and surgical orders, lab and imaging results, medical history and clinical notes into one, all-inclusive computerized system. Fewer mistakes, better communication, more

effective care—they are the ultimate goals of OneChart.

Prior to its June 1, 2010 offi cial launch, each TMC department was involved in myriad meetings, tests and training sessions to master every element of the system. Like medicine itself, physicians and staff were devoted to fi nessing the details. From debating a login time, to rules on data

entry, the use of codes, usernames, passwords and templates, nothing was left out.

“As an organization, we benefi tted from overwhelming medical and hospital staff support,” said Cammarata, who is also a physician champion of OneChart. “Despite their busy schedules, medical staff participation was outstanding. Their commitment was instrumental to the project’s success.

“The go-live date was both exciting and a little intimidating,” adds Cammarata. “The entire hospital worked collaboratively to use the new tool while continuing to deliver outstanding patient care. Over the days and weeks to follow, the familiarity with OneChart rapidly rose.”

It is fast becoming the technological spine of TMC’s daily patient care.

“Physician notes are available at any location in the hospital,” said Dr. Moira Richards, TMC’s medical director of children’s services. “I can be sitting in one unit, get a call about a patient on another unit, open their chart and deal with whatever is needed without having to move to the other unit. Since I am now frequently at the computer, lab values, X-ray results and follow-up are all there. And I don’t have to worry about being able to read someone’s handwriting.”

To that end, all medications dispersed throughout TMC are now bar-coded, so if any confl icts emerge or the dosage seems incorrect, the computer sends out an alert. “Objectively, we have observed a decline in medication errors since going live with OneChart,” said Cammarata.

“The entire hospital worked

collaboratively to use the new

tool while continuing

to deliver outstanding

patient care.”

Brian Cammarata, M.D.

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FROM 166 MINUTES TO 10- IMPROVING THE TIME IT TAKES TO GET MEDICATIONS TO PATIENTSIn 1995, before pharmacy automation was introduced at Tucson Medical Center, medication turnaround averaged 166 minutes from the time a doctor wrote a prescription for a patient to the time Pharmacy delivered the drug to Nursing for administration.

TMC introduced its automated dispensing machine, Pyxis, in 1996 and by the next year saw the average turnaround time drop to 117 minutes. In 1997, TMC implemented scanning devices, which allowed physician orders to be scanned and sent directly to Pharmacy. This improved turnaround to an average of 82 minutes.

Now with OneChart, a review of 5,000 medication administrations found an average turnaround time of 9.96 minutes, with more than 60 percent of all medications released and available to Nursing in 5 minutes or less.

0

20

40

60

80

100

120

140

160

180

1995 1996 1997 2004 2011

Medication Turnaround Time(in minutes)

EMR Adoption ModelSM

Q3 2010 – 2010 Final

Data from HIMSS AnalyticsTM Database N = 5233/5281 2011 HIMSS Analytics

Stage 2

Stage 3

Stage 4

Stage 5

Stage 6

Stage 7

Stage 1

Stage 0

CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable

Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology

CPOE, Clinical Decision Support (clinical protocols)

Closed loop medication administration

Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS

Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP

Ancillaries – Lab, Rad, Pharmacy – All Installed

All Three Ancillaries Not Installed

1.0%

2.8%

3.7%

10.3%

49.7%

15.4%

6.7%

10.5%

1.0%

3.2%

4.5%

10.5%

49.0%

14.6%

7.1%

10.1%

2010Final

2010Q3

The future of OneChart is to optimize it for best use, he said. “TMC will continue to improve the effi ciency, safety and cost-effectiveness of our care,” Cammarata said. “We have organized over a dozen specialty areas to guide improvements for each care area.”

“As I have said to some people, the benefi t of OneChart is the fl exibility of the program, but this is also one of its disadvantages—too many different ways of doing workfl ows,” said Richards, but adds that TMC is managing the challenges, offering tip sheets and guidance.

That said, the promise of OneChart is moving forward.

“I have asked physicians, nurses and staff if they would go back to paper,” said Richards. “I have not yet had one say yes.”

With OneChart, TMC is among only 3.2 percent of all hospitals to reach Stage 6 on the HIMSS Analytics Database. TMC expects to reach Stage 7 this year.

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THREE MAGIC LETTERS, ACO: AS HEALTH CARE COSTS SOAR, TMC OFFERS A HOMEGROWN SOLUTION

“ If you

slow the

growth of

healthcare

costs, the

savings can

be shared

by all who

provide.”

While many are saying national healthcare may soon be insolvent, TMC has taken a giant step toward defi ning its own model that just might reverse that trend, while ensuring quality care.

It’s a tall order indeed. And TMC was ahead of the curve.

The heart of the matter is what’s called the Accountable Care Organization, or ACO, the most famous three letters in the healthcare reform debate. Everyone’s talking about ACO. Meanwhile, TMC has been showing how it’s done.

Three years ago, some of TMC’s sharpest fi nancial minds saw an opportunity to “bend the cost curve,” said John Friend, TMC vice president, Business, and associate general counsel. It was a simple

idea. If you slow the growth of healthcare costs, the savings can be shared by all who provide – including those who pay the bills, and,

ultimately, you. For the doctors and TMC, rewards are calibrated to their success in achieving goals of quality and effi ciency.

The TMC idea was hatched, Friend points out, well before Washington passed its version of healthcare reform legislation. The still sketchy ACO concept for Medicare fi lls only a small section of the new healthcare law, outlining how doctors and hospitals might create fi nancial incentives for streamlining quality care. The launching of that federal ACO initiative is set for January 2012.

At TMC, the early impetus for an ACO came in part from Dr. Palmer Evans, the now retired senior vice president and chief medical offi cer. As a result, TMC became one of three initial pilot project sites working with the Brookings-Dartmouth ACO Collaborative to prepare for the national experiment.

One key is a new cost-containment structure, a way of saying that everyone will attempt to slow the rate of growth in costs.

As TMC discussed costs with insurers, it turned out that they wanted to create new ways to make health care insurance products more affordable to small businesses and to the entire market. “They needed a provider organization that shared that dream,” said Friend, “and we certainly did.”

The ACO expands that focus, bringing in more physicians within a more effi cient structure. Incentives, in the form of shared savings, will be allocated to the doctors and the hospital based on their contributions toward the goals of effi ciency and quality.

One key term is quality metrics. In the past, the reward system favored volume of care. “Quality outcomes were not a part of it,” Friend said. The new metrics will prevent any of the players from creating effi ciency at the expense of quality. “Our benchmarks are both national standards and our own drive for effi ciency and quality.”

The community will learn the details of the ACO in several ways. When new patients arrive at TMC, they will get information about it. Primary care physicians will be told how the ACO can help them create the right treatment plan for patients and they will share information.

Payoffs from the secure pooling of medical information will include fewer acute care episodes, keeping you out of the ER because you and your health will be better managed, both by TMC and by your own doctor.

“We’ll be doing things better, on your side, doing things smarter on the hospital’s side,” Friend said. “Our goal is better quality care, greater effi ciency and improved health for the community, using internal and external measures.”

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“BOOKWORMS” DEVOUR A BOOK EACH MONTHAristotle complained about bookworms – the destructive variety -- 23 centuries ago, calling them “the enemies of books.” But the Greek philosopher surely would have deemed the instructive bookworms who meet monthly for the “I Love Books” discussions at TMC’s El Dorado campus “lovers of books.”

Now in its third year, “I Love Books” has grown from a mere three or four members led by social gerontologist Lynn MacBeth to today’s group of 12 to 15 lively, well-read members. Currently under the leadership of Virginia Wise (no pun intended), the group digs deep into a variety of books.

“Virginia puts her heart and soul into the group and really goes out of her way to make people feel welcomed,” said L’Don Sawyer, manager, TMC Senior Services. “That is really what Healthy Living Connections is all about - providing intellectually stimulating opportunities for older adults in a welcoming and inviting environment.”

February’s selection was Bel Canto, immediately translated by the “bookworms” as meaning “beautiful singing.” The novel by Ann Patchett is set in an unidentifi ed South American country where terrorists crash an embassy party and seize nearly 200 hostages. Guest of honor at the party, American opera star Roxanne Coss, soon realizes that only her beautiful voice will have the power to ease the fright of the hostages and calm the young, inexperienced terrorists. So she sings from various operas several times a day. She reminded many group members of the tumultuous life of Maria Callas.

Opera becomes the heart of the book discussion. Women in the circle dissect the book like a team of skilled surgeons. “The music sustains us – brings wisdom to the book,” said one member. Others offered: “We got to know every character intimately,” and “I felt like they were my brothers and sisters.” Then, “Every opera has someone who dies – but it takes them a long time to die.”

There’s an easy camaraderie between the members, lots of good-natured joking, occasional disagreement about an aspect or a character in the book. One member has been an opera lover all of her life; another said she “can’t stand the screeching” of operatic music.

The book lovers quickly found similarities in today’s news stories: hostage taking by Somalian pirates and recent government upheavals in much of the Middle East. One member offered: “When people fi nally lose their fear they will over throw the dictators -- Egypt, Saudi Arabia, Libya – even

Madison, Wisconsin.”

It’s hard to imagine that so much meaningful discussion can be packed into the short hourly meeting. Group leader Virginia Wise emphasizes that everyone’s opinion is valued. “For me, it’s always a very good discussion, it’s intellectually stimulating.”

Virginia urges members new and ongoing, “Even if you don’t like the book, come to the discussion. Ask someone else what she found interesting about the book.”

“I Love Books,” an activity of TMC’s Healthy Living Connections, meets at 2 p.m. on the fourth Tuesday of each month. Newcomers are always welcome to become “bookworms” – the kind Aristotle would approve.

“For me, it’s

always a

very good

discussion, it’s

intellectually

stimulating.”

Goonline to www.tmcaz.comor call(520) 324-1960to obtain a quarterly calendar of events at Healthy Living Connections, part of TMC Senior Services, 1400 N. Wilmot Rd., on the El Dorado Health Campus.

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HOSPITAL’S TRANSFORMATION HELPS MEET FUTURE DEMANDSTucson Medical Center is in the midst of a major redevelopment involving clinical areas and grounds as the hospital adapts its facilities to the needs of 21st century medicine.

Under city-approved development guidelines, TMC is working with neighbors, city planners and architectural designers to create a connection between the hospital campus and the surrounding community. Nearly complete is a walking trail that stretches a mile around TMC, winding from Grant Road near the Southeast Entrance to remote parking areas along Glenn Road and Wyatt Avenue. A new vehicle bridge from Craycroft Road opened in 2010, and more improvements for walkways and roads are on the way.

TMC’s medical facilities are getting major upgrades as part of the redevelopment. Many inpatient units have undergone fl oor-to-ceiling renewal,

and new areas are now open for pediatric and postpartum patients.

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As a next step, TMC is developing plans for additional clinical space, including a four-story tower to house orthopedic patient rooms and surgical facilities. Improved roads and a parking garage are part of this next

phase, as well.

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OH, THE LESSONS WE’VE LEARNED!ON RUNNING AND LIFE

At age 9, Sara Silvas can offer a fourth grader’s mini-guide to running – and perhaps to life itself. She might tell you: Pace yourself and you’ll complete the course, with your own type of run, at your own speed. Breathe correctly. Wear comfortable clothes. Carry water, preferably in a pink bottle that says “Girls On the Run.”

Such a bottle was a gift from her favorite after-school program, which also provides girls in 3rd-5th grade with donated shoes and socks, a T-shirt and a huge dose of self-esteem. She won the bottle and a certifi cate – now on her wall – by fi nishing the 5K run (about three miles) in her fi rst months of preparation. “I ran pretty much all of it,” Sara said. “I fi nished like 10th or 11th, and there were around 60 girls. When I got my medal, I felt really proud.”

Girls On the Run is a national program started in 1996 in North Carolina. TMC, which is the lead agency for Girls On the Run of Tucson, sent Sara’s coach, Mary Atkinson, director of Food & Nutrition at TMC, and three other women there for training in 2010. They started programs at Whitmore Elementary near TMC and at three other schools. Today the program is funded with a $50,000 grant from the Aetna Foundation, in seven local schools and growing.

It teaches more than just pacing and breathing. To learn compassion, the girls are required to plan and carry out good deeds – like writing cards of encouragement to children in TMC’s pediatric unit. The girls do what’s

calling positive self-talk, about self-worth, to counter negative things schoolgirls too often hear.

And in turn, Sara has gained confi dence and purpose from the program, says her mother, Simone. The rules said she had to commit not to miss more than three practices, which were twice a week for ten weeks, after school for 90 minutes. Sara did not miss a single one.

At fi rst, Sara says, she didn’t know the other girls. Now her best friends are those in the program. That mirrors a theme in the national emphasis on running programs for girls and women as a source of social strength.

Conversation, not competition, is valued, and many say sisterhood emerges.

Self-esteem, for Sara, means you treasure yourself as you are. Sara stands 4 feet 11 inches, tall for a 9 year old. She weighs in at 100 pounds, and it’s all just fi ne with Sara.

Her mother adds: “For now, her goal is to be in good shape. She’s a wonderful straight A kid. But Girls On the Run has lifted her horizons and given her something quite positive to focus on. I am so grateful to TMC for this program.”

“ When

I got my

medal, I felt

really proud.”

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Up with the birds

at dawn in Catalina

State Park or out with the early evening

crowd at Maynard’s downtown, running and walking are big on Tucson’s

calendar for togetherness and wellness. Recognizing the vital role fi tness plays in individual health, TMC supports local events to make running and walking events accessible to Tucsonans.

Says Mary Atkinson, Director, Food and Nutrition at TMC: “Running raises your heart rate, helping your cardiovascular health. It burns calories, helping control your weight. It helps build muscles. It will give you more energy playing with your kids, or your grandkids. Your daily activities will be easier, and more enjoyable. It brings you back to your center and to fi nd your peace.”

And to ensure that Tucsonans have opportunities to come together for fi tness, TMC partners with organizations looking to build a better community through fi tness, including Southern Arizona Roadrunners, EveryoneRuns/Everyone Walks and Meet Me at Maynards. And, TMC’s employees lace up their shoes for these events throughout the year. “I participate in as many of the events as I can each year,” said Barry Spencer, director, Physicians Services, and a runner. “It gives me and my colleagues something to train for together. And, through the effort, a sense of community and camaraderie is developed among individuals whose paths may not have crossed otherwise,” he said. The TMC teams also collaborate to raise money for TMC for Children through their efforts.

In 2005, Steve Landau launched a year-round series of running events through scenic areas, popularly known as Everyone Runs. He approached TMC, which immediately shared his enthusiasm. “I wanted to build events geared to the average runner. I thought such an event would appeal to people intimidated by events too tough for them,” Landau said. Recent runners included a 79-year-old, a woman who had survived three bouts of

cancer and one blind woman walking with her assistant. “We have had good runners from Kenya and many who walk or run with life-threatening illnesses,” Landau said. “Fast, medium or slow, they turn out and some even win medals.”

Since 2009, hundreds have gathered on Monday evenings for Meet Me at Maynards, a year-round event based at Maynard’s Market and Kitchen. Jannie Cox, a retired health executive, invited TMC to sponsor her event, which aims to provide healthy exercise and awareness of a rich district where a three-mile course passes Snake Bridge, the Children’s Museum, Fourth Avenue and La Placita.

Southern Arizona Roadrunners have been a fi xture in the Tucson running community for years and in 2010, TMC got involved in several events sponsored by the local group. “The goal is to make these community events accessible, affordable and inclusive. Walking and running are fi tness activities that you can do right outside your front door,” said Julia Strange, vice president, Community Benefi t. “These events allow us to come together to celebrate fi tness and achievement.”

It’s clear that the path to a healthy life includes a little sweat and lots of encouragement and companionship. At TMC, one fi tness slogan these days is “Living the Life.” Atkinson, who coaches in the Girls On the Run program, tells them what that means: “Just keep moving forward. It doesn’t matter if you walk, skip or cartwheel. Just keep moving.”

RUNNING FOR OUR LIVES, OUR HEALTH & OUR COMMUNITY

In 2010, two TMC teams of 12 faced the challenges of the Ragnar Relay del Sol, running 200+ miles in 24 hours, racing from Prescott to Tempe. And, along the way, the teams, with runners from Information Services, Communications, Transportation, Nursing, etc., raised more than $8,000 for the TMC Block by Block Miracles Capital Campaign for TMC for Children. Fitness, friends and a good cause!

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GOING TO THE DOGSPugs to papillons, shepherds to shelties, the special dogs in blue vests

who visit TMC each week unleash smiles and memories in the patients and staff they visit. Barbara Davis, TMC’s Pet Therapy escort, speaks

glowingly of the disposition and manners of the canines: “All the dogs are Delta certifi ed, meaning they are trained not to react to distractions … when an IV cart rolls by or someone drops a bedpan.”

The doggie visits are especially valued by patients on long-term bed rest, expectant mothers, or families in waiting rooms, anxious for news of their loved one’s condition. “It alleviates tension for the patients and families. And seeing a dog brings smiles to elderly or very ill patients whose memories of their own dogs are triggered.”

Before visit day, each pooch is treated to “the works,” bathed, coat combed, ears cleaned, teeth brushed. It wouldn’t do to call on a patient without looking your canine best. Some smaller dogs are allowed on certain patients’ beds. Others perform bedside tricks or show off their sitting skills.

Of the dozen dogs in the program, Davis rotates the schedule so three or four visit each Thursday. Patients, families and TMC staff love doggie visiting day.

TEAMING UP TO SAVE LIVESDrexel Heights Fire District teamed up with Tucson Medical Center to install 225 free smoke detectors in homes

on the city’s west side. TMC’s Desert Kids Safety Program provided the smoke detectors to the fi re district, and then fi refi ghters went door to door in areas identifi ed as high risk due to the number of elderly residents and older homes.

The fi refi ghters then installed the devices and explained how the new smoke detectors work and what residents must do to maintain them. “Without the smoke alarms provided by the Desert Kids Safety program, these residents, would be at

great risk” says Hope Thomas, manager of Community Programs.

Tracy Koslowski, manager of Drexel Height Fire District’s Public Education/Information knows the most common cause of fi re deaths comes not from the fi re, but from the toxic smoke and gases from materials smoldering, sometimes for hours, before fl ames erupt. Especially

at night, this killer often renders its victims unconscious and unable to react long before a fi re grows out of control. The best way to prevent these deaths is to equip homes with early-warning devices, such as smoke detectors, that sound an alarm at the fi rst hint of smoke in a the building.

This warning can provide a life-saving margin of safety, giving families time to get out.

“Seeing a dog brings

smiles to elderly whose

memories of their own

dogs are triggered.”

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FIGHTING AIDS/HIV For the second year in a row, the TMC AIDSWALK team was named top corporate fund-raising group, raising $4,995 a few dollars at a time. Team members sold baked goods, raffl ed off donated gift baskets and encouraged participation in this annual

event that supports the Southern Arizona AIDS

Foundation.

ANDREA’S CLOSETIn exchange for a small donation, staff in the TMC Business Offi ce could go casual on Friday. Last year, the department raised $500 to stock Andrea’s Closet with LEGO sets, hand games, card games, craft items, drawing boards, Play-Doh, toy cars, footballs, soccer balls, basketballs and more! Children undergoing medical treatments can choose an item from the toy-fi lled closet. The goal is to offer comfort as well as distraction from their pain.

“The goal is

to offer

comfort

as well as

distraction

from their

pain.”

“...the TMC

AIDSWALK team was

named top corporate

fund-raising group.”

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CARDIAC CAREThe cardiac care services at TMC combine leading medical and surgical specialists with expert staff and state-of-the art equipment to treat patients in all stages of cardiac disease.

Our cardiac catheterization suites are equipped to provide diagnostic and treatment procedures performed by cardiologists, nurses and technologists.

Two operating rooms are dedicated to cardiothoracic and cardiovascular surgery. And our cardiac diagnostics program includes exercise stress testing, echocardiography, heart monitoring and other services.

CHILDREN’S CARETMC is an associate member of the National Association of Children’s Hospitals and Related Institutions – refl ecting TMC’s commitment to children’s health care.

TMC for Children includes the region’s fi rst dedicated Children’s Emergency Center, the only pediatric hospice and the only pediatric gastrointestinal laboratory.

TMC for Children offers inpatient and ambulatory surgery programs with dedicated pediatric anesthesiologists and child-life specialists, and also includes the hospital’s acclaimed Newborn Intensive Care Unit, Pediatric Intensive Care and Pediatric Therapies.

BEHAVIORAL HEALTHPalo Verde Hospital provides behavioral health services based in a community hospital setting. We have 48 adult inpatient beds, intensive outpatient programs for adults and seniors; and 24-hour crisis and evaluation services. Our diverse team of behavioral health professionals works in an atmosphere of collaboration, providing care to our community since 1960.

EMERGENCY CARETMC’s Emergency Department is the largest in Southern Arizona, caring for close to 80,000 patients each year. About a third of those patients are children, who receive specialized care in Tucson’s fi rst Children’s Emergency Center. TMC has dedicated a separate area with child-focused equipment and staff to serve the families of Southern Arizona.

NEUROSCIENCESTMC and the Center for Neurosciences provide non-stop neuroscience care, staffed 24 hours a day with neurosurgeons and neurologists. The TMC Neuroscience Center offers the region’s most comprehensive diagnostic and treatment services for patients with neuromuscular and neurological disorders, including treatment for Parkinson’s disease, brain tumors, epilepsy, multiple sclerosis, cancer, strokes, seizures and other brain, nerve and sleep deprivation disorders.

The facilities include two neurosciences operating rooms; a neuro-intensive observation unit, a neuro-nursing unit, epilepsy monitoring units for both adults and children, a Sleep Diagnostics Lab, a Neurophysiology Lab, and a neuro-radiology biplane, the gold-standard for state-of-the-art multi-dimensional brain scanning.

SENIOR SERVICES TMC Senior Services offers a variety of programs and support, including services during the hospital stay and after patients go home, plus year-round wellness programming and volunteer opportunities. This unique program is headquartered on the El Dorado Health Campus.

IMAGING AND DIAGNOSTICSERVICES TMC provides a full range of imaging and diagnostic services including X-ray, mammography, CT scan, ultrasound, MRI, EEG, EMG, diagnostic radiology and nuclear medicine imaging. TMC offers imaging services in a family-friendly environment, with an emphasis on low-dose pediatric imaging and designated kid-friendly waiting areas.

TMC SERVICES

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MATERNITYTMC continues to deliver the most babies in Southern Arizona, with the family-oriented, specialized obstetrical and newborn expertise to support expectant mothers and families throughout the pregnancy and birthing experience. Experienced anesthesiologists, perinatologists and neonatologists are available at all hours.

INTENSIVE CARE UNITSTMC has adult, cardiac, pediatric and newborn Intensive Care Units, all with state-of-the-art equipment and specialized nursing staffs specially trained to care for the complex needs of critically ill patients.

RESPIRATORY CARETMC Respiratory Care helps patients achieve the optimum level of daily functioning through goal setting, assessment and monitoring. The team provides diagnostics and therapeutic services, disease management, health promotion, and patient and caregiver education.

Respiratory therapists assess and treat respiratory ailments, including chronic lung conditions such as asthma, bronchitis and emphysema, as well as more acute multi-systemic problems stemming from other conditions such as heart disease, stroke or trauma. Specialty services include bronchoscopy, hyperbaric oxygen therapy, pulmonary function testing and sweat chloride testing.

ORTHOPEDICSAs a leader in orthopedic care, TMC was ranked as high-performing for 2010-11 by U.S. News & World Report. Our orthopedic services are among the best in the country for quality and patient satisfaction scores because our surgeons, nurses, therapists and other professionals collaborate to provide high-quality, low-cost care in an environment that is focused on the patient. The TMC campus hosts one of fi ve Tucson Orthopaedic Institute locations, and TMC and TOI teams collaborate on clinical and quality initiatives. TOI is one of the largest full-service orthopedic practices in the Southwest with 47 orthopedic providers.

OTHER SERVICES TMC offers many more programs serving Southern Arizonans from birth to the end of life. More information about programs such as therapies, gastrointestinal, vascular and much more is available at www.tmcaz.com.

SAGUARO PHYSICIANSSaguaro Physicians LLC offers the community a healthy variety of medical services. Primary care providers and specialists deliver care in internal medicine, family practice and rheumatology with quality and convenience as their cornerstones. Saguaro Physicians offi ces are in growing neighborhoods throughout the north, east and southeastern sections of town.

TMC FOUNDATIONTMC began with a single act of philanthropy when Mrs. Anna E. Erickson donated land to the community for the development of a much needed-hospital. A legacy of community support continues today through the TMC Foundation.

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COMMUNITY BENEFIT FOR 2010The cost of uncompensated care (charity care and bad debt) ........................$9,163,967

The cost of unpaid public programs for low-income people .......................$11,754,308

The cost of outreach & education ....................................................................$4,562,175

Total ...............................................................................................................$25,480,450

TMC reports more than $25 million in community benefi t and charity care for 2010, or about 6.1 percent of revenues. TMC utilizes the community benefi t standards endorsed by the American Hospital Association.

GIVING BACK 2010Outreach & education ...............................................................................................17.9%

Unpaid costs .............................................................................................................46.17%

Charity care & bad debt ............................................................................................36.0%

WHAT MAKES UP THIS NUMBER?Uncompensated care includes both charity care and bad debt. Charity care is free or discounted health services provided to people who can demonstrate that they do not have the means to pay the full cost of care and who meet the organization’s fi nancial-assistance policy criteria. Bad debt consists of services for which the hospital anticipated but did not receive payment. Charity care and bad debt are reported in terms of costs, not charges. For more information about TMC’s charity care policy, visit www.tmcaz.com.

Nonprofi t hospitals also report unpaid costs of public programs for low-income people – the shortfall created when a facility receives payments that are less than the cost of caring for public-program benefi ciaries.

Community benefi t programs and activities provide treatment or promote health and healing as a response to identifi ed community needs. These programs and activities help improve access to health care services, enhance the health of the community and advance medical knowledge.

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CHARACTER OF TUCSON EXEMPLIFIED IN SUPPORT OF OUR COMMUNITY HOSPITAL

Living in Tucson, it’s easy to have a connection to Tucson Medical Center. Our children have been born here; they have had their bumps and bruises attended to; our loved ones have had surgery; and, when the time comes, we say our last goodbyes to loved ones in Peppi’s House. TMC

is a large organization, but so personal for many of us.

Tucson’s numbers certainly indicate it’s a big city, but I would contend it’s a big city with a small-town heart and we see that every day. We are tight-knit and we support each other. When we give, we want to know we are helping someone in need and, with TMC, I know that what we give stays right here helping others in the community.

This year, we have all come to a better understanding of the character of the community known as Tucson, Arizona. It’s strong, resilient, compassionate, helpful and hundreds of thousands strong.

We are small businesses and big families; we are locally-owned fi ne dining restaurants and the favorite taco stand down the street; we are the foothills and we are the barrio; we are newly relocated professionals and fourth-generation Tucsonans; we are UA basketball and we are Tucson Rodeo. And, we celebrate and love it all.

The Block by Block Miracles Happen Capital Campaign is successful not because of a few major donors (although we certainly appreciate them), but equally because of hundreds of people writing small checks to create something special for Tucson’s children.

There is a proverb that says if you have wealth, give of your money; if you do not, give of your heart. Within these pages, you will hear about how individuals are making a difference by choosing to invest their dollars and their heart in Tucson Medical Center. And, personally, I can’t think of a more solid investment we can make to improve the health of our community.

“ I can’t

think of a

more solid

investment

we can make

to improve the

health of our

community.”

David CohenChairman

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Newly expanded TMC for Children now serving children and families

Individuals and families joined businesses large and small to build a beautiful, well-equipped place of healing for children of all ages. TMC for Children is larger and brighter now, with completion of the fi rst phase of the unit’s redevelopment.

“I’m deeply moved by the generosity of our Southern Arizona community members and Tucson visitors and their commitment to the hospital and our community’s children,” said Kim Bourn, chair of

the Pediatric Capital Campaign Block by Block Miracles Happen! “I became involved because all three

of our children were born at TMC, and during times of emergency visits or

hospitalizations our children always have had outstanding

care at TMC; care that all children deserve if and

when they need it.”

BLOCK BY BLOCK – MIRACLES ARE HAPPENING!

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Closing in on $12.5 million of support from community donations, TMC has created a 16,000-square-foot expansion to add 26 new all-private patient rooms, family gathering spaces and clinical support areas – including redesigned patios, a

teen room, and a big indoor tree that doubles as a patient library and story-telling venue. In the next phase, the existing pediatric rooms will be rebuilt, so that all 44 rooms will be modern, private suites

that can accommodate entire families.

Across the hall from TMC for Children, TMC’s Mother & Baby postpartum unit also opened additional space. The redevelopment project has created a warm, comforting area where newborns and their families recover after the baby’s birth in beautiful home-like, all-private rooms.

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COURTYARD & TRICYCLE PATH – HELPING KIDS HEAL THROUGH FRESH AIR AND FUNIt’s no fun being in the hospital, especially for children. So when the plans were being drawn up for the TMC for Children expansion, a courtyard was added to create an outdoor play area.

The idea of supporting a play area struck a chord with two local couples, who share both a commitment to their community and a belief in the healing power of play.

The Willingham Family CourtyardHarold and Nancy Willingham arrived in Southern Arizona in 1962 during Harold’s service in the

U.S. Army. Soon after, the orthopedic surgeon opened his offi ce across the street from TMC.

“TMC’s been good to us, and this is a way to give back,” said Dr. Willingham, one of the three original partners with Tucson Orthopaedic Institute.

During his 35 year practice, he cared for orthopedic needs of thousands of Southern Arizonans while she focused on family and community.

“We raised our kids with the idea of giving back,” said Nancy Willingham, explaining why they named the courtyard to honor the entire family.

As predominantly a single-story hospital, TMC makes it easy for pediatric patients to get outside.

“Most children are on the fourth fl oor of a hospital,” Nancy Willingham said, but not at TMC, where the courtyard, which is only accessible through the secure

unit, beckons patients to come out and play! “They’re able to see the courtyard

from their rooms – it will motivate and encourage them.”

“They’re able

to see the

courtyard from

their rooms –

it will motivate

and encourage

them.”

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The Sethi Tricycle PathDr. Gulshan Sethi and his wife, Neelam knew they

wanted to support the new expansion. They considered naming opportunities still available

for patient rooms or procedure areas. Then the Tricycle Path was presented to them.

“And that was it,” said the cardiothoracic surgeon. “We knew we wanted to support the Tricycle Path.”

Play does a couple of things, Dr. Sethi explained. It helps keep the heart strong, and it promotes healing.

“Healthy hearts start young,” said Dr. Sethi, explaining that the playground will motivate children, and give them exercise and fresh air. “It’s going to help them get better faster.”

A spongy pathway cushions any falls; plenty of rails help kids move along, and helmets protect their heads when riding the tricycles. All four

agree that playing outside is an important part of

childhood.

“The kids are our future and they bring out the best

in people,” Neelam Sethi said. “We want all kids to be

happy and healthy. But if they get sick, they deserve the best.”

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Irving Silverman’s doctor told him there wasn’t much that could be done for his bleeding bladder, a complication of radiation therapy used to treat his prostate cancer. But his doctor knew that hyperbaric oxygenation, or HBO, is a recognized treatment for his condition and suggested that Silverman give it a try.

Patients undergoing HBO treatment are placed in a pressurized chamber containing 100 percent oxygen, which dissolves in the patient’s blood and is carried to oxygen-starved

tissues during treatment and for several hours afterwards.

The treatment is indicated for a variety of ailments, the most familiar of which is treating divers who experience decompression illness, or the bends.

Other approved uses include treatment of carbon monoxide poisoning, promoting wound healing, and countering damage to organs or

tissue caused by radiation treatments, as in Silverman’s case.

Silverman was apprehensive at fi rst, but TMC’s HBO department put him in touch with another patient who had recently completed his treatments. Having no other options and comforted by the other patient’s experience, he decided to give it a try.

“I am a very daring person, and I love life,” the 90-year-old said about his decision.

Typically, a physician orders 20 sessions in the chamber -- two hours a day fi ve days a week for four weeks. Often, it is necessary for a second round of treatment. By Silverman’s third round of treatment, progress was fi nally being made. His doctor ordered a fourth round to ensure

the bladder was healing as well as possible.

“I owe my life to TMC,” said Silverman, a retired writer, advertising executive and publisher. Grateful for the care he received, Mr. Silverman donated $100,000 to establish the Irving Silverman Endowment to benefi t the HBO program at TMC, said Michael J. Duran, vice president and chief development offi cer.

Over 16 weeks of daily treatments, patient and caregivers bond. And Silverman’s warmth and zest for life inspired the TMC staff with whom he spent 16 weeks.

“It’s exhausting to come here every day, and because of his age, it took a long time to rejuvenate his tissue,” said Anne Ramsower, RT. “But he kept with it – through highs and lows. He is such an inspiration.”

Silverman, who is legally blind and hard of hearing, grew up in a poor immigrant family on the Lower East Side of New York, but was instilled with a sense of responsibility to those less fortunate, learning to put a little money each week into his family’s Pushka, or charity boxes.

“No matter how poor you are you have to give back. I’ve lived that all my life and am committed to fostering philanthropy,” said Silverman, whose successful career in advertising, writing and publishing has allowed him to support numerous causes dear to his heart in Tucson, New York, Massachusetts and Maine.

He also knows that his life has been fi lled with many blessings, and his fi rst of two books, “A Trilogy, Three Hearts... One Soul” details his life with his two wives, both of whom have died.

“I’ve lived an amazing life, had my ups and downs, lost two remarkable wives,” he said, “But I’ve benefi tted from so much love, affection and support over substantial roadblocks, that I’ve become a giver rather than a taker.”

“He kept with it –

through highs and

lows. He is

such an

inspiration.”

16 WEEKS OF DAILY TREATMENTS AT TMCSAVES MAN’S LIFE

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JESSE AND MARYLYN CHAPMAN: USING THEIR HOME TO BENEFIT THEIR HOSPITALJesse and Marylyn Chapman had a home in Tucson since 1981, but then the couple found a wonderful use for it when they planned to move back to Minnesota. They decided to donate the home to Tucson Medical Center to sell and keep the proceeds.

“It gives us pleasure knowing this gift will benefi t TMC as we leave Tucson with good memories and great respect for the medical staff, volunteers and the mission of TMC,” Marylyn said.

The Chapmans were part-time Tucson residents from 1987 to 1993. In 1993, the retired pharmaceutical engineer and pre-school/kindergarten teacher moved to Tucson full-time. Marylyn had been volunteering in the Gift Shop since 1991, and around 1995, Jesse signed onto the Auxiliary and began driving the Courtesy Car. Later, Marylyn would become a cuddler in TMC’s nurseries.

And they knew about TMC from the patient point-of-view, too. “TMC has cared for us through fi ve surgical procedures and a couple emergencies,” Jesse said.

This year, the couple decided to relocate to Minnesota and had to decide what to do with their home. After learning of contribution possibilities at a TMC Foundation seminar, the couple thought about giving real estate when leaving Tucson, explained Lori Banzhaf, director, Major Gifts. “The two discussed it and decided to give their Tucson home to the TMC Foundation.”

The Foundation received the property, put it on the market and handled the sale of the of the property, saving the Chapmans the trouble of liquidating the asset. The Chapman’s established two life gift annuities with a 6.3 percent annual return for their lifetime along with a charitable deduction at tax time, but more importantly, they know that their help benefi ts their hospital and their community.

“We are doing this in recognition of the friendships, medical care and support we have received from TMC and its staff,” Jesse said. “It is an opportunity to give something back to Tucson and TMC for the many rewarding years we spent in the area.”

COUNCIL DEDICATED TO TMC MISSIONThe TMC Planned Giving Council consists of local estate-planning professionals who support the mission of TMC and the TMC Foundation and those who want to leave a lasting legacy.

“Our council members feel that giving back to our community is the greatest reward,” said Steve Wagner, J.D., C.P.A., tax manager at BeachFleischman and chairman of the TMC Planned Giving Council. “We look forward to assisting you with fulfi lling your charitable goals.”

To learn more about leaving a gift of real estate or other planned gifts, call (520) 324-3462 or visit the Planned Giving Council page at www.tmcaz.com/tmcfoundation.

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O.R. NURSE’S LEGACY TO LIVE ON IN OTHERSRecognizing Linda E. Coffy Olson’s passion for nursing and education, her parents and husband, Earl and Geraldine Coffy and Edward Olson, have donated $5,000 to the Nursing Scholarship Fund in her memory. She passed away Feb. 21, 2010, in Maine at the age of 54.

Coffy Olson was the manager of the TMC Surgical Services and worked here for 21 years until leaving Tucson in 1997. A plaque in her honor hangs in the hallway that leads to the TMC Nursing Patio.

She strongly believed in education and completed her master’s degree in nursing while working at TMC. She also encouraged others to advance their education.

Nancy Maloney, RN, is currently the operating room supervisor in Surgical Services. Maloney was originally hired as a housekeeper in 1991 and assigned to the OR to clean up after surgeries.

“I was so excited seeing the surgeries performed that I used to spend my breaks and lunch looking in the windows watching the procedures,” said Maloney. “Linda noted my interest and offered me a job as an operating room assistant.”

Maloney’s interest only grew. After about six months, Coffy Olson presented the single mother with tuition-reimbursement papers already signed and approved. She then promoted Maloney to a supply and equipment tech, which had hours better suited for a full-time student.

She kept tabs on Maloney and her classes, encouraging her along the way. She also attended Maloney’s graduation.

“I have been in the department for 20 years now, and my life has been enriched and improved thanks to Linda,” Maloney said. “Her promotion of

education and TMC’s commitment to the staff with tuition reimbursement, allowed me to pursue a dream that I didn’t think was possible.”

And through the generosity of her family, Coffy Olson’s legacy of nursing and education will continue.

“I have been in

the department

for 20 years now,

and my life has

been enriched and

improved thanks

to Linda.”

Linda Coffy Olson’s parents, Earl and Geraldine Coffy, join TMC nurses Nancy

Maloney, right, and Dawn Engstrom at the plaque dedication to honor Linda’s memory

and support nursing education.

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A CHAMPION FOR HIS COMMUNITYEven before TMC’s 2011 Children’s Miracle Network Champion was born, Jacob Mockbee was diagnosed with

spina bifi da. His fi rst two surgeries took place when he was a mere 6 hours old. Due to complications related to his diagnosis, he has had more than 50 surgeries.

“Tucson Medical Center and Children’s Miracle Network have provided excellent medical care, treatments, therapies, and equipment that have given him a chance to live life to the fullest!” said his

mother, Stacie Mockbee.

Jacob, who is now 13 and in the seventh grade, loves to hang out with his friends, play Wii and watch the Food Network.

“Jacob knows no strangers and loves to serve his community, especially when it makes a difference for other children who have faced some of the same challenges that he has,” Stacie said.

“Now as a CMN Champion, Jacob will serve as an ambassador, representing children treated at Arizona CMN hospitals,” said Erika Grasse, director, CMN. Along with other Miracle Children

and their families, the Mockbee family will travel to Washington, D.C. this fall to visit the White House, and then to Disney World in Orlando, Fla. In Orlando, the Champions from across

America will join CMN representatives and celebrities in taping the 2011 Children’s Miracle Network Celebration, which will air in June 2012.

“Jacob knows

no strangers

and loves

to serve his

community.”

CMN TOTAL TOPS $878KThe Children’s Miracle Network and Tucson Medical Center raised $878,042 in 2010 to benefi t children in Southern Arizona. Walmart was the largest donor with a combined total from all its Southern Arizona stores of $203,483

CMN is an international non-profi t organization dedicated to raising funds for, and awareness of, children’s hospitals across the country. Since its founding in 1983, CMN has raised more than $3.4 billion in support of these hospitals.

TMC has been a part of CMN since 1984, raising more than $10.6 million for the TMC Foundation Children’s Fund to benefi t local programs for infants and children. All the money raised in Southern Arizona stays here to support wellness programs, purchase life-saving medical equipment and provide health services for children at TMC. O

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KOHL’S GRANT HELPS CHILDREN TO BOOST YOUR BOOTYWith support from a Kohl’s Cares for Kids® $60,552 grant, the TMC Foundation and Desert Kids Safety Program continue to distribute life-saving booster seats to families in Southern

Arizona, now with its campaign - Boost Your Booty. During the past year more than 2,500 booster seats were given to children in Southern Arizona.

“Booster seats are underutilized because, fi rst, there is no legal requirement to use one in the state of Arizona, and second, parents may not be educated about the benefi ts of a booster seat,” said Hope Thomas, manager of the TMC Desert Safety Kids Program.

Many children are at risk from the use of seat belts, which are not effective for children who weigh less than 80 pounds and are under 4 feet 9 inches tall. In addition, air bags are less dangerous to children if they are sitting higher in the seat.

As an added bonus, booster seats raise a child’s viewing level. Seeing outside the window is something small children love!

Area community physicians have jumped on board the program, putting up posters in their offi ces with easy tear off referral slips to the TMC program.

Since 2006, Kohl’s has donated more than $212,475 for booster seats through Kohl’s Cares for Kids®, which uses net profi ts from the sale of special merchandise to support

children’s health and education.

“...more than

2,500 booster

seats were given

to children in

Southern Arizona.”

13TH ANNUAL ROCK ‘N RODEO KICKS UP SOME CASHLast year’s 13th annual Desert Toyota Rock ‘N Rodeo benefi ted TMC Hospice, providing emergency funds to cover services to families in need and complementary therapies often not covered by insurance that improve the quality of life for those facing long-term medical needs.

Hospice volunteer and one of the event’s founders, V. Lynne McGregor, was honored for her long-time support of TMC Hospice. As a result, the TMC Foundation was able to grant $50,000 to help cover the cost of providing care for indigent adults.

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In 2010 the TMC Foundation awarded $2,476,108 in grants to Tucson Medical Center. The largest single grant was $1.5 million for the fi rst phase of TMC for Children’s Miracles Happen pediatric expansion. The chart below shows the general areas where

the grants were awarded.

As a self-funded entity, the TMC Foundation’s operating costs are covered through earnings on unrestricted funds.

“This means that when you make a gift to the TMC Foundation, 100 percent of it is directed to the cause of your choice,” said Michael J. Duran, vice president and chief development offi cer.

CardiacChilders

Children's

Indigent Care

General Purpose

Staff Education &Workforce Development

HospiceImaging

Women's

2010 GRANT AWARDS NEAR $2.5 MILLION

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TMC HEALTHCARE BOARD OF TRUSTEESLouise L. Francesconi, Chairwoman

Matthew Atlas, M.D.

David F. Peachin

Henry K. Boice

Michael W. Bracht, M.D.

Mary E. Cochran, M.D.

David Cohen

Susan L. Ernsky

Manuel M. Ferris

Eduardo A. Leon

Richard M. Moreno

Michael R. Probstfeld, M.D.

Judy F. Rich

Beckie Torrey

Joel D. Valdez

Jon R. Young

TMC FOUNDATION BOARD OF TRUSTEESDavid J. Cohen, Chairman

Jodi Bain

Henry K. Boice

Kim Bourn

Jeanne Bruckner

Jeff Cesare

Palmer C. Evans, M.D.

Dorothy Finley

Louise Francesconi

Anne M. Fulton-Cavett

Fran Katz

Christine Kocsis

Sidney ‘Pete’ N. Mendelsohn Jr.

Kevin Morrow

David F. Peachin

Alan K. Rogers, M.D.

Judy Rich

Cody Ritchie

Keri Lazarus Silvyn

Steven Siwik, M.D.

David Smallhouse

Arlene Webster

Jim Zarling

TMC MEDICAL EXECUTIVE COMMITTEEMatthew Atlas, M.D., Chief of Staff

Michael Probstfeld, M.D., Chief of Staff Elect

Department Chairs

J. Manuel Arreguin, M.D.

Abraham Bressler, D.O.

Brian Cammarata, M.D.

Christopher Florence, M.D.

Steven Ketchel, M.D.

Douglas Lowell, M.D.

Eva McCullars M.D.

Steven Siwik, M.D.

George Wilcox, M.D.

Paul Yurkanin, M.D.

Section Chiefs

Robert Aaronson, M.D.

Michael Badruddoja, M.D.

Amram Dahukey, D.P.M.

Charles Daniel, M.D.

Lionel Faitelson, M.D.

Michael Hamant, M.D.

Thomas Harmon, M.D.

Barton Hodes, M.D.

David Killion, M.D.

Luis Leon, M.D.

Brandon Massey, M.D.

Doug Peterson, M.D.

Ronald Quintia, D.D.S

Gulshan Sethi, M.D.

Mohammed Sikder, M.D.

Keith Soderberg, M.D.

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TMC COMMUNITY AFFAIRS RECIPIENTSAs corporate citizens in the Southern Arizona community, Tucson Medical Center provides support to other nonprofi t organizations serving the region. Last year, TMC provided more than $250,000 to these important community partners. Below is a list of some of the organizations receiving fi nancial support from TMC.

355 Force Support Squadron

Alzheimer’s Association

American Cancer Society

American Diabetes Association

American Heart Association

American Liver Foundation

American Lung Association

Angel Charity for Children

Ara Parseghian Medical Research Foundation

Arizona Blind & Deaf Children’s Foundation

Arizona Chapter American Parkinson Disease

Arizona Perinatal Trust

Arizona Town Hall

Arizona’s Children Association

Arthritis Foundation

Aurora Foundation

Big Brothers Big Sisters of Tucson

Boys & Girls Club

Caregiver Consortium

Casa de los Ninos

Child & Family Resources

Community Food Bank

Copper Queen Community Hospital

Cyclovia Tucson

DM-50

Educational Enrichment Foundation

El Rio Health Center Foundation

Emerge! Center Against Domestic Abuse

Epilepsy Foundation Arizona

Fox Tucson Theatre Foundation

Girl Scouts of Southern Arizona

Green Valley Assistance Services

Handi-Dogs Inc.

Handmaker Foundation

Hope Network Inc

Humane Society of Southern Arizona

Jewish Family & Children’s Service of Southern Arizona

Juvenile Diabetes Research Foundation

La Frontera

Leukemia and Lymphoma Society

Marana Healthcare

March of Dimes

Mobile Meals of Tucson

Mothers Against Drunk Driving, Southern Arizona

National Alliance on Mental Illness

National Fallen Firefi ghter Benefi t

New Parents Network

Pima Council on Aging

Reid Park Zoological Society

Ronald McDonald House

Southern Arizona AIDS Foundation

Southern Arizona Center Against Sexual Assault

Southern Arizona Network for Down Syndrome

Susan G. Komen for the Cure, Southern Arizona

TIHAN

Tucson Children’s Museum

Tucson Festival of Books

Tucson Hispanic Chamber of Commerce

Tucson Jewish Community Center

Tucson Meet Yourself

Tucson Metropolitan Chamber of Commerce

Tucson Nurses Week Foundation

Tucson Police Foundation

Tucson Urban League

Tucson Values Teachers

UA Center for Integrative Medicine

UA Zuckerman College of Public Health

United Way

Women’s Foundation of Southern Arizona

YMCA

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