Kentucky has a rich tradition of service and innovation in the medical field, with one prominent city, Louisville, hosting more than half a dozen hospitals – from the University of Louisville Hospital and its recent KentuckyOne Health acquisitions, to Baptist and Norton Healthcare facilities to Clark Memorial Health in southern Indiana. And this doesn’t count numerous immediate care facilities and medical practices scattered throughout the metro area.
Just about an hour away in Central Kentucky, health systems operated by the University of Kentucky, Baptist Health and CHI Saint Joseph each operate multiple standalone hospitals within a 50-mile radius of Lexington. Numerous facilities, like Eastern State Hospital, Clark Regional Medical Center in Winchester and Georgetown Community Hospital, along with independent physician practices round out the region’s health care offerings.
St. Elizabeth Healthcare operates five facilities throughout the Northern Kentucky region. The hospital system is opening a new, $130 million cancer care center next summer in Edgewood, a 250,000-s.f. facility that will be the region’s leading comprehensive cancer center.
In Western Kentucky, notable facilities include Owensboro Health Regional Hospital and The Medical Center in Bowling Green, and others. In Eastern Kentucky, Appalachian Regional Health operates hospitals in several communities.
All told, there are 75 hospitals in Kentucky, which had a gross patient revenue of $56.6 billion in 2018.
Louisville’s health care companies account for $500 billion in revenue
You can tell people by the company they keep, and a region by the companies it keeps. In the case of health care – which includes medical services, lifelong wellness and aging care – Louisville is in better company than anyone else in the nation.
“Companies like Humana, Kindred Healthcare, Almost Family (now LHC), Pharmerica, and ResCare (now called BrightSpring) got their start and are headquartered in Louisville,” said David Buschman, managing director of Greater Louisville Inc.’s Health Enterprises Network. “These companies have created a knowledge center and culture of innovation that attracted companies like Atria, Signature and Trilogy to create the nation’s largest concentration of headquarters operations.”
Louisville is now home to more lifelong wellness and aging care headquarters than any other metropolitan statistical area (MSA) in the nation, an asset that sets Louisville apart from other health care markets. Buschman said there are 4,100 health-related establishments in the Louisville Metro area and collectively, and they employ more than 124,000 people with an annual payroll over $4 billion and account for $50 billion in revenue.
“Health care is the region’s largest employer, accounting for 18.2% of all jobs,” he said. “Between 2006 and 2017, health care sector employment increased 22.3%.”
A big factor in these numbers is Norton Healthcare, which continues to grow. The hospital and health care system is Louisville’s fourth largest employer, providing care at more than 250 locations throughout Kentucky and Southern Indiana. It includes five Louisville hospitals and more than 14,600 employees. A strong research program provides access to clinical trials, with 850-plus clinical studies underway.
“Our payroll and purchases of supplies and services total around $1.7 billion each year,” said Michael W. Gough, executive vice president and chief operating officer. “As a not-for-profit, we have a commitment to improving the health of our community and provide funding for many services that benefit the public. In 2018, our total contribution was valued at more than $165 million, including $105 million in charity care and unpaid Medicaid cost for patients who couldn’t afford to pay.”
The success of Greater Louisville’s medical services scene can be attributed to this compassionate outlook, but also to its top-notch workforce and innovation.
A recent example is Talaris Therapeutics Inc., formerly known as Regenerex LLC, a company born at UofL. In April 2019, it announced it had raised $100 million from investors to develop a therapy that could improve the lives of kidney transplant recipients. It is using technology developed at UofL to allow living donor kidney transplant recipients to stay off immunosuppression drugs for the rest of their lives.
Another UofL researcher, virologist Dr. Donghoon Chung, is one of three principal investigators with a new center working to advance new drugs for the treatment of equine encephalitis viruses in humans. The project, Center of Excellence for Encephalitic Alphavirus Therapeutics, is funded by a $21 million grant from the National Institutes of Health over five years.
The innovation extends beyond patient care and includes industry distributors and pharmaceuticals. At the end of 2018, AmerisourceBergen, a global health care company, announced it will expand its full-line Louisville distribution center with a $15 million investment expected to generate 134 full-time jobs. The project will create a high-tech distribution center, which will package, process and ship pharmaceuticals to health care providers across the country. This investment proves that Greater Louisville’s logistical assets also bleed over heavily into the medical sector.
Managing modern health care also requires data prowess and a high-tech skilled workforce. UofL’s School of Public Health and Information Sciences is one of the many regional entities helping keep students prepared. Most recently it launched the Master of Science in Health Data Analytics (MSHDA) to coach students to help health care organizations improve their quality and lower the cost of care, while enhancing the patient experience.
In August 2019, UofL announced it had reached an agreement to assume KentuckyOne Health’s Louisville-area assets, including: Jewish Hospital, including the Outpatient Center, Rudd Heart and Lung Center, offices and parking garages; Frazier Rehab Institute; Sts. Mary & Elizabeth Hospital; Our Lady of Peace hospital; Jewish Hospital Shelbyville; Jewish Medical Centers East, Northeast, South and Southwest; and physician groups affiliated with KentuckyOne.
The sale is expected to close Nov. 1. What health care really boils down to is helping people – through data or hands-on care. And Norton and other providers are continually meeting that demand with excellence.
Recent examples include the February 2019 opening of a new Norton Women’s Health office in Shelby County. And in January 2019, Norton Children’s Hospital – which in July 2018 received national recognition for its treatment of children with diabetes – opened its new $12 million, 31,000-s.f. unit that will serve hundreds of sick and injured kids every year. In October 2018, Norton opened its new $38 million Norton Cancer Institute – Brownsboro. The comprehensive cancer care center brings all Norton Healthcare oncology subspecialties and services together for the first time in one location. In the same month it opened the Norton Breast Health Center on the Norton Brownsboro Hospital campus.
Central Kentucky facilities at the forefront of innovation
Central Kentucky has always stood tall on the map of innovation in health care. The state’s first robot-assisted surgery took place at the University of Kentucky in 2004, when Dr. Chand Ramaiah performed coronary artery bypass grafting using the da Vinci Surgical System. The robotic system is now used at hospitals all over the commonwealth for all sorts of procedures, from gynecological and urological to general surgery and even weight loss. The da Vinci system allows for smaller incisions and quicker recoveries.
It was a game-changer. And just one of many innovations that have shaped the landscape of health care in Central Kentucky.
Because heart disease is the leading cause of death in Kentucky, health care providers are focused on best practices for treating cardiac conditions and helping patients make lifestyle changes to reduce heart disease risk. At UK’s Gill Heart and Vascular Institute, researchers are finding very creative ways to improve cardiac surgery and save lives.
Two researchers are working on a program that would allow doctors to use virtual models of patients’ hearts to try out “treatments” and see their long-term outcomes before performing actual procedures. Combining physiology and engineering, the researchers are developing software to deliver better therapies for patients with life-threatening heart failure. The endeavor received a $3 million, five-year grant from the National Institutes of Health.
Another doctor at Gill, Dr. Michael Winkler, has merged his background in visual arts with his scientific expertise to create custom, anatomically correct 3D printed hearts as a tool for both physicians and their patients. The hearts help patients understand their care and help physicians refine how they deliver care to their patients, according to a press release from UK.
While Winkler did not invent 3D hearts, his version is unique: It’s the size of your fist and looks like a carnival prize. And it only costs $5 to make.
UK Healthcare isn’t alone in its quest to improve cardiac health in Central Kentucky.
In 2019, Baptist Health Lexington became Kentucky’s first hospital – and the second hospital in the country – to achieve accreditation for its Cardiac Cath Lab. The designation is bestowed by the American College of Cardiology. Closely related is the milestone of Baptist Health Lexington hosting its 200th trans-catheter valve replacement (TAVR) procedure. The minimally invasive procedure reverses narrowing of arteries resulting from calcium buildup.
Baptist Health Lexington saw its footprint grow by 43 cardiac beds, part of a $14.4 million investment that also added facilities for endocrinology and primary care. Baptist Health Lexington also captured its second consecutive Healthgrades Outstanding Patient Experience Award, and was ranked No. 3 in the state in the U.S. News and World Report’s annual Best Hospitals analysis.
Frankfort Regional Medical Center is the first hospital in Kentucky to implant the newest injectable cardiac monitor – the Biomonitor III from Biotronik. The monitor is designed to document suspected arrhythmia or unexplained syncope with increased clarity, enabling fast diagnosis and appropriate treatment.
Continuous improvement, often spurred by surgical technology, electronic medical records, transparency and market forces, have radically changed the health care field. In some ways, hospital administration might today be a field where the passion, grit and determination found in a Silicon Valley startup might be a permanent part of the rewritten job description.
Over three decades, Bruce Tassin, CEO of CHI Saint Joseph Health – and president of Saint Joseph Hospital – has seen “tremendous” change in the industry. Patient care remains a top priority, Tassin said, along with astute management that ensures engaged physicians, happy employees and a collaborative management team at the top.
CHI Saint Joseph Health is the new name for KentuckyOne Health’s former Lexington and Eastern Kentucky properties.
Saint Joseph and Saint Joseph East in Lexington also embrace innovation. The two hospitals are home to three da Vinci Xi robots, the most advanced technology available for minimally invasive surgery. The surgical system allows patients to have surgery with shorter hospital stays, faster recoveries and minimal scarring.
Saint Joseph is the only facility in the area that now has a second da Vinci Xi robot, and Saint Joseph East is the first hospital in Central Kentucky to be named a Center of Excellence in Robotic Surgery by the Surgical Review Corp., according to a press release from the health care system.
At the University of Kentucky Albert B. Chandler Medical Center (or UK HealthCare, as the entire health system is called), new leadership, recognition for pediatrics and cancer treatment, and a No. 1 statewide ranking sum up the changes felt across the system over the past year.
For the fourth consecutive year, the university’s medical center retained its top position in the U.S. News and World Report ratings for Kentucky Healthcare. For the 2019-20 period, UK’s Markey Cancer Center has been named in the Top 50 national rankings for cancer care, at No. 33.
In October 2018, officials with the National Cancer Institute renewed the Markey Center as a national cancer center for the next five years, granting the institution a $10.8 million research grant. UK HealthCare and the Lexington Clinic advanced cancer care in April 2019 by placing the clinic’s infusions, oncology services and radiation treatment under oversight of the Markey Center.
Standalone medical facilities in Central Kentucky also achieved notable success this year in Kentucky. For instance, Georgetown Community Hospital received distinctions for lung cancer detection and launched a way to see a doctor online with its Healthy Hub Virtual Visit. The e-visit portal will speed access to accurate diagnoses for busy patients.
Clark Regional Medical Center in Winchester hired a new CEO in 2019 and was named a Top 100 Rural and Community Hospital in the United States by The Chartis Center for Rural Health.
Aphreikah DuHaney-West came to Clark Regional from Teche Regional Medical Center, another LifePoint Health facility in Morgan City, Louisiana, where she served as CEO.
In 2018, the Winchester hospital added 34 providers, made more than $1 million in capital improvements, distributed a payroll of more than $44 million to 628 employees, donated more than $1.7 million in services to those in need and paid more than $2 million in taxes.
Medical training programs shine
In August, UK College of Medicine welcomed its inaugural class at its Northern Kentucky campus, in partnership with St. Elizabeth Healthcare and Northern Kentucky University.
The four-year medical school campus in Northern Kentucky will complement the educational programs offered at the UK College of Medicine’s sites in Lexington, Morehead, and Bowling Green. On-site faculty will teach in small groups and provide simulated and standardized patient experiences with live-streamed lectures delivered from the Lexington campus.
The Northern Kentucky site comes one year after the UK College of Medicine opened a campus in Bowling Green through a partnership with Med Center Health and Western Kentucky University.
The college encompasses 24,000-s.f. on the second floor of the newest building at Med Center Health, which will also include offices for The Medical Center and a five-level, 832-space parking structure. Amenities of the second floor include a computer lab, two large classrooms, four multi-purpose, six small group rooms and eight simulation and standardized patient rooms.
As part of the medical students’ education, clinical experiences occur at Med Center Health facilities, which span six hospitals, including its flagship hospital, The Medical Center at Bowling Green, and more than 30 other entities.
“The UK College of Medicine-Bowling Green Campus is a giant leap forward for our health system. Being a teaching hospital brings an unprecedented level to delivering the best in evidence-based care to our patients,” said Connie Smith, president and CEO of Med Center Health.
The Medical Center at Bowling Green’s graduate medical education program has three residency programs and two fellowship programs: an obstetrics and gynecology residency program; a general surgery residency program; a transitional year residency program; a pulmonary medicine fellowship program; and an interventional cardiology fellowship program.
In partnership with UK College of Medicine, The Medical Center at Bowling Green offers three training programs accredited by the Accreditation Council for Graduate Medical Education (ACGME): an internal medicine residency program, a psychiatry residency program and a cardiology fellowship. These programs are designed to produce skilled, competent and compassionate physicians focused on delivering patient-centered, evidence-based care.
As of July, 58 residents and fellows were enrolled in graduate medical education programs offered at The Medical Center.
Pikeville awarded grants for children’s hospital construction
Pikeville Medical Center received a $4.78 million grant to be used to construct a new children’s hospital and pediatric clinic. The grant was announced during the annual Shaping Our Appalachian Region (SOAR) Summit held in September at the Appalachian Wireless Arena.
The grant will help PMC to establish a children’s hospital that will begin to fill a gap in the region’s health care network and provide advanced pediatric care to the children of the Eastern Kentucky region. It will be built within the main hospital building and is part of an expansion plan at the medical campus.